An investigation into the synergistic relationship between lactoferrin and azithromycin with particular reference to periodontopathic bacteria

The development of treatment strategies for periodontitis that maximise the effectiveness of antibiotics is highly desirable. Azithromycin is proving to be an effective antibiotic for treatment of refractory periodontitis which works by binding to the outer membrane of Gram-negative bacteria and sub...

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Main Authors: Husain, Juzaily, Griffiths, Gareth S., Rawlinson, Andrew, Stafford, Graham, Douglas, zC.W. Ian
Format: Proceeding Paper
Language:English
English
Published: Elsevier 2019
Subjects:
Online Access:http://irep.iium.edu.my/75318/
http://irep.iium.edu.my/75318/7/75318%20An%20investigation%20into%20the%20synergistic.pdf
http://irep.iium.edu.my/75318/8/75318%20An%20investigation%20into%20the%20synergistic%20SCOPUS.pdf
_version_ 1848788105267511296
author Husain, Juzaily
Griffiths, Gareth S.
Rawlinson, Andrew
Stafford, Graham
Douglas, zC.W. Ian
author_facet Husain, Juzaily
Griffiths, Gareth S.
Rawlinson, Andrew
Stafford, Graham
Douglas, zC.W. Ian
author_sort Husain, Juzaily
building IIUM Repository
collection Online Access
description The development of treatment strategies for periodontitis that maximise the effectiveness of antibiotics is highly desirable. Azithromycin is proving to be an effective antibiotic for treatment of refractory periodontitis which works by binding to the outer membrane of Gram-negative bacteria and subsequently inhibits protein synthesis. Lactoferrin is a membrane-active host antimicrobial protein and so the objective of this study was to determine whether the effect of azithromycin (AZM) against example periodontopathogens (Porphyromonas gingivalis and Tannerella forsythia) could be potentiated by lactoferrin. Two strains of P.gingivalis and T. forsythia were exposed to lactoferrin (LF; up to 10 mg/ml) and AZM (up to 5 μg/ml) for 0 – 72 h. The MICs for AZM were established using E-Test strips and by agar diffusion. Susceptibility to LF and LF + AZM was evaluated using diffusion assays, with and without iron depletion. The range of MIC values of AZM for P. gingivalis strains and T. forsythia was 0.16 - 0.63 μg/ml and 0.50 - 0.63 μg/ml, respectively. However, no inhibition was observed with iron saturated lactoferrin at any concentration or under iron depletion conditions nor was any effect observed on the AZM MIC by its presence. P. gingivalis and T. forsythia were inhibited by AZM but were not affected by Lf and there was no synergism between AZM and Lf.
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format Proceeding Paper
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institution International Islamic University Malaysia
institution_category Local University
language English
English
last_indexed 2025-11-14T17:35:32Z
publishDate 2019
publisher Elsevier
recordtype eprints
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spelling iium-753182019-11-15T00:52:33Z http://irep.iium.edu.my/75318/ An investigation into the synergistic relationship between lactoferrin and azithromycin with particular reference to periodontopathic bacteria Husain, Juzaily Griffiths, Gareth S. Rawlinson, Andrew Stafford, Graham Douglas, zC.W. Ian RK Dentistry The development of treatment strategies for periodontitis that maximise the effectiveness of antibiotics is highly desirable. Azithromycin is proving to be an effective antibiotic for treatment of refractory periodontitis which works by binding to the outer membrane of Gram-negative bacteria and subsequently inhibits protein synthesis. Lactoferrin is a membrane-active host antimicrobial protein and so the objective of this study was to determine whether the effect of azithromycin (AZM) against example periodontopathogens (Porphyromonas gingivalis and Tannerella forsythia) could be potentiated by lactoferrin. Two strains of P.gingivalis and T. forsythia were exposed to lactoferrin (LF; up to 10 mg/ml) and AZM (up to 5 μg/ml) for 0 – 72 h. The MICs for AZM were established using E-Test strips and by agar diffusion. Susceptibility to LF and LF + AZM was evaluated using diffusion assays, with and without iron depletion. The range of MIC values of AZM for P. gingivalis strains and T. forsythia was 0.16 - 0.63 μg/ml and 0.50 - 0.63 μg/ml, respectively. However, no inhibition was observed with iron saturated lactoferrin at any concentration or under iron depletion conditions nor was any effect observed on the AZM MIC by its presence. P. gingivalis and T. forsythia were inhibited by AZM but were not affected by Lf and there was no synergism between AZM and Lf. Elsevier 2019 Proceeding Paper PeerReviewed application/pdf en http://irep.iium.edu.my/75318/7/75318%20An%20investigation%20into%20the%20synergistic.pdf application/pdf en http://irep.iium.edu.my/75318/8/75318%20An%20investigation%20into%20the%20synergistic%20SCOPUS.pdf Husain, Juzaily and Griffiths, Gareth S. and Rawlinson, Andrew and Stafford, Graham and Douglas, zC.W. Ian (2019) An investigation into the synergistic relationship between lactoferrin and azithromycin with particular reference to periodontopathic bacteria. In: Conference on BioMedical and Advanced Materials (Bio-CAM 2017), 28th-29th November 2017, Pulau Langkawi, Kedah. https://www.sciencedirect.com/science/article/pii/S2214785319314786 10.1016/j.matpr.2019.06.129
spellingShingle RK Dentistry
Husain, Juzaily
Griffiths, Gareth S.
Rawlinson, Andrew
Stafford, Graham
Douglas, zC.W. Ian
An investigation into the synergistic relationship between lactoferrin and azithromycin with particular reference to periodontopathic bacteria
title An investigation into the synergistic relationship between lactoferrin and azithromycin with particular reference to periodontopathic bacteria
title_full An investigation into the synergistic relationship between lactoferrin and azithromycin with particular reference to periodontopathic bacteria
title_fullStr An investigation into the synergistic relationship between lactoferrin and azithromycin with particular reference to periodontopathic bacteria
title_full_unstemmed An investigation into the synergistic relationship between lactoferrin and azithromycin with particular reference to periodontopathic bacteria
title_short An investigation into the synergistic relationship between lactoferrin and azithromycin with particular reference to periodontopathic bacteria
title_sort investigation into the synergistic relationship between lactoferrin and azithromycin with particular reference to periodontopathic bacteria
topic RK Dentistry
url http://irep.iium.edu.my/75318/
http://irep.iium.edu.my/75318/
http://irep.iium.edu.my/75318/
http://irep.iium.edu.my/75318/7/75318%20An%20investigation%20into%20the%20synergistic.pdf
http://irep.iium.edu.my/75318/8/75318%20An%20investigation%20into%20the%20synergistic%20SCOPUS.pdf