Abstract
ObjectiveRhein is a major anthraquinone found in rhubarb root. As a continuation of our ongoing studies aimed to identify beneficial properties of this anthraquinone for periodontal disease, in this study, we investigated the ability of rhein to (i) exhibit antibacterial synergy towards the periodontopathogen Porphyromonas gingivalis when used in combination with metronidazole or polyphenols belonging to different families, and (ii) attenuate virulence factor gene expression in P. gingivalis. MethodsThe minimal inhibitory concentrations (MIC) of compounds under investigation were determined by a broth microdilution assay. The synergistic effects of rhein in association with either metronidazole or polyphenols of various families were evaluated using the chequerboard technique to determine the fractional inhibitory concentration index (FICI). The effect of rhein on virulence factor gene expression in P. gingivalis was determined by quantitative RT-PCR. ResultsRhein showed a MIC of 2.5μg/mL, which was similar to that of metronidazole. Except for the association with epigallocatechin-3-gallate that gave an additive effect, all the other combinations (licochalcone A, glabridin, myricetin, and metronidazole) resulted in synergistic effects. The strongest synergy was observed when rhein was used in association with myricetin (FICI=0.12) and licochalcone A (FICI=0.19). At a sub-MIC of rhein (0.5μg/mL), a significant decrease in the expression of fimA, hagA, and hagB genes, which are involved in host colonization, was observed. Moreover, the expression of rgpA and kgp, two protease genes related to inactivation of host defense mechanisms, tissue destruction, and nutrient acquisition, was also down-regulated. ConclusionThe data presented in our study indicate that rhein possessed antibacterial activity, which can be potentiated in combination with metronidazole or other polyphenols. In addition, rhein can impair the pathogenicity of P. gingivalis by reducing transcription of genes coding for important virulence factors.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.