전체메뉴

JMB Journal of Microbiolog and Biotechnology

QR Code QR Code

Research article


References

  1. Mekasha S, Linke D. 2021. Secretion systems in gram-negative bacterial fish pathogens. Front. Microbiol. 12: 782673.
    Pubmed CrossRef
  2. Guo M, Zhang L, Ye J, He X, Cao P, Zhou Z, Liu X. 2022. Characterization of the pathogenesis and immune response to a highly virulent Edwardsiella tarda strain responsible for mass mortality in the hybrid snakehead (Channa maculate ♀ × Channa argus ♂). Microb. Pathog. 170: 105689.
    Pubmed CrossRef
  3. Morick D, Maron Y, Davidovich N, Zemah-Shamir Z, Nachum-Biala Y, Itay P, et al. 2023. Molecular identification of Photobacterium damselae in wild marine fish from the Eastern Mediterranean sea. Fishes 8: 60.
    CrossRef
  4. Gouife M, Chen S, Huang K, Nawaz M, Jin S, Ma R, et al. 2022. Photobacterium damselae subsp. damselae in mariculture. Aquac. Int. 30: 1453-1480.
    CrossRef
  5. Guzman JPMD, Yatip P, Soowannayan C, Maningas MBB. 2022. Piper betle L. leaf extracts inhibit quorum sensing of shrimp pathogen Vibrio harveyi and protect Penaeus vannamei postlarvae against bacterial infection. Aquaculture 547: 737452.
    CrossRef
  6. Amatul-Samahah MA, Omar WHHW, Ikhsan NFM, Azmai MNA, Zamri-Saad M, Ina-Salwany MY. 2020. Vaccination trials against vibriosis in shrimp: a review. Aquac. Rep. 18: 100471.
    CrossRef
  7. Endale H, Mathewos M, Abdeta D. 2023. Potential causes of spread of antimicrobial resistance and preventive measures in one health perspective-a review. Infect. Drug Resist. 16: 7515-7545.
    Pubmed CrossRef
  8. Mugimba KK, Byarugaba DK, Mutoloki S, Evensen Ø, Munang'andu HM. 2021. Challenges and solutions to viral diseases of finfish in marine aquaculture. Pathogens 10: 673.
    Pubmed CrossRef
  9. Hvas M, Kolarevic J, Noble C, Oppedal F, Stien LH. 2024. Fasting and its implications for fish welfare in Atlantic salmon aquaculture. Rev. Aquac.. doi.org/10.1111/raq.12898.
    CrossRef
  10. Yadav B, González CSO, Sellamuthu B, Tyagi R. 2020. Pharmaceuticals roles in microbial evolution. Current Developments in Biotechnology and Bioengineering: Elsevier, pp. 241-278.
  11. Chatterjee P, Chauhan N, Jain U. 2023. Confronting antibiotic-resistant pathogens: the drug delivery potential of nanoparticle swords. Microb. Pathog. 187: 106499.
    Pubmed CrossRef
  12. Sezgin SS, Yılmaz M, Arslan T, Kubilay A. 2023. Current antibiotic sensitivity of Lactococcus garvieae in rainbow trout (Oncorhynchus mykiss) farms from Southwestern Turkey. J. Agric. Sci. 29: 630-642.
  13. Lulijwa R, Rupia EJ, Alfaro AC. 2020. Antibiotic use in aquaculture, policies and regulation, health and environmental risks: a review of the top 15 major producers. Rev. Aquac. 12: 640-663.
    CrossRef
  14. Terreni M, Taccani M, Pregnolato M. 2021. New antibiotics for multidrug-resistant bacterial strains: latest research developments and future perspectives. Molecules 26: 2671.
    Pubmed CrossRef
  15. Ahmad A, Abdullah SRS, Hasan HA, Othman AR, Ismail NI. 2021. Aquaculture industry: supply and demand, best practices, effluent and its current issues and treatment technology. J. Environ. Manag. 287: 112271.
    Pubmed CrossRef
  16. Khan F, Jeong GJ, Khan MSA, Tabassum N, Kim YM. 2022. Seaweed-derived phlorotannins: a review of multiple biological roles and action mechanisms. Mar. Drugs 20: 384.
    Pubmed CrossRef
  17. Raja R, Hemaiswarya S, Arunkumar K, Mathiyazhagan N, Kandasamy S, Arun A, et al. 2023. Efficacy of Eisenia bicyclis phlorotannins in the treatment of diabetes and reducing inflammation. Food Biosci. 52: 102381.
    CrossRef
  18. Nailwal N, Bhatia N, Ali A, Ansari A, Raheja R, Godad A, Doshi G. 2023. Antioxidants obtained from marine sources. Marine Antioxidants: Elsevier, pp. 45-56.
  19. Oh D, Khan F, Park S-K, Jo D-M, Kim N-G, Jung W-K, et al. 2024. Antimicrobial, antibiofilm, and antivirulence properties of Eisenia bicyclis-extracts and Eisenia bicyclis-gold nanoparticles towards microbial pathogens. Microb. Pathog. 188: 106546.
    Pubmed CrossRef
  20. Khan F, Tabassum N, Bamunuarachchi NI, Kim YM. 2022. Phloroglucinol and its derivatives: antimicrobial properties toward microbial pathogens. J. Agric. Food Chem. 70: 4817-4838.
    Pubmed CrossRef
  21. Eom SH, Lee DS, Jung YJ, Park JH, Choi JI, Yim MJ, et al. 2014. The mechanism of antibacterial activity of phlorofucofuroeckol-A against methicillin-resistant Staphylococcus aureus. Appl. Microbiol. Biotechnol. 98: 9795-9804.
    Pubmed CrossRef
  22. CLSI. 2015. Performance standards for antimicrobial susceptibility testing: 25th informational supplement. CLSI document M100- S25 Clinical and Laboratory Standards Institute.
  23. Rosato A, Sblano S, Salvagno L, Carocci A, Clodoveo ML, Corbo F, et al. 2020. Anti-biofilm inhibitory synergistic effects of combinations of essential oils and antibiotics. Antibiotics 9: 637.
    Pubmed CrossRef
  24. Li X, Wang Q, Zheng J, Guan Y, Liu C, Han J, et al. 2023. PHT427 as an effective New Delhi metallo-β-lactamase-1 (NDM-1) inhibitor restored the susceptibility of meropenem against Enterobacteriaceae producing NDM-1. Front. Microbiol. 14: 1168052.
    Pubmed CrossRef
  25. Chen J, Sun R, Pan C, Sun Y, Mai B, Li QX. 2020. Antibiotics and food safety in aquaculture. J. Agric. Food Chem. 68: 11908-11919.
    Pubmed CrossRef
  26. Xuan J, Feng W, Wang J, Wang R, Zhang B, Bo L, et al. 2023. Antimicrobial peptides for combating drug-resistant bacterial infections. Drug Resist. Updat. 68: 100954.
    Pubmed CrossRef
  27. Singhal M, Agrawal M, Bhavna K, Sethiya NK, Bhargava S, Gondkar KS, et al. 2023. Chloramphenicol and tetracycline (broad spectrum antibiotics). Antibiotics-Therapeutic Spectrum and Limitations: Elsevier, pp. 155-165.
  28. Zhou J, Cai Y, Liu Y, An H, Deng K, Ashraf MA, et al. 2022. Breaking down the cell wall: still an attractive antibacterial strategy. Front. Microbiol. 13: 952633.
    Pubmed CrossRef
  29. Modi SK, Gaur S, Sengupta M, Singh MS. 2023. Mechanistic insights into nanoparticle surface-bacterial membrane interactions in overcoming antibiotic resistance. Front. Microbiol. 14: 1135579.
    Pubmed CrossRef
  30. Li H, Zhou X, Huang Y, Liao B, Cheng L, Ren B. 2021. Reactive oxygen species in pathogen clearance: the killing mechanisms, the adaption response, and the side effects. Front. Microbiol. 11: 622534.
    Pubmed CrossRef
  31. Chao WW, Liou YJ, Ma HT, Chen YH, Chou ST. 2021. Phytochemical composition and bioactive effects of ethyl acetate fraction extract (EAFE) of Glechoma hederacea L. J. Food Biochem. 45: e13815.
    CrossRef
  32. Silva M, Kamberovic F, Uota ST, Kovan I-M, Viegas CS, Simes DC, et al. 2022. Microalgae as potential sources of bioactive compounds for functional foods and pharmaceuticals. Appl. Sci. 12: 5877.
    CrossRef
  33. Chen Y, Wu J, Cheng H, Dai Y, Wang Y, Yang H, et al. 2020. Anti-infective effects of a fish-derived antimicrobial peptide against drugresistant bacteria and its synergistic effects with antibiotic. Front. Microbiol. 11: 602412.
    Pubmed CrossRef
  34. Zhu Y, Hao W, Wang X, Ouyang J, Deng X, Yu H, et al. 2022. Antimicrobial peptides, conventional antibiotics, and their synergistic utility for the treatment of drug‐resistant infections. Med. Res. Rev. 42: 1377-1422.
    Pubmed CrossRef
  35. He J, Hong M, Xie W, Chen Z, Chen D, Xie S. 2022. Progress and prospects of nanomaterials against resistant bacteria. J. Control. Release 351: 301-323.
    Pubmed CrossRef
  36. Grossman TH. 2016. Tetracycline antibiotics and resistance. Cold Spring Harb. Perspect. Med. 6: a025387.
    Pubmed CrossRef

Related articles in JMB

More Related Articles

Article

Research article

J. Microbiol. Biotechnol. 2024; 34(10): 2112-2117

Published online October 28, 2024 https://doi.org/10.4014/jmb.2406.06027

Copyright © The Korean Society for Microbiology and Biotechnology.

Synergistic Antibacterial Effect of Eisenia bicyclis Extracts in Combination with Antibiotics against Fish Pathogenic Bacteria

Raul Joao Lourenco Mascarenha1, Du-Min Jo2, Yoon-Ah Sim3, Do-Hyung Kim4, and Young-Mog Kim1,3*

1KOICA-PKNU International Graduate Program of Fisheries Science, Pukyong National University, Busan 48513, Republic of Korea
2National Marine Biodiversity Institute of Korea, Seochun 33662, Republic of Korea
3Department of Food Science and Technology, Pukyong National University, Busan 48513, Republic of Korea
4Department of Aquatic Life Medicine, Pukyong National University, Busan 48513, Republic of Korea

Correspondence to:Young-Mog Kim,        ymkim@pknu.ac.kr

Received: June 15, 2024; Revised: June 30, 2024; Accepted: July 2, 2024

Abstract

The aquaculture industry faces significant challenges due to bacterial infections caused by Edwardsiella tarda, Photobacterium damselae, and Vibrio harveyi. The extensive use of traditional antibiotics, has resulted in widespread antibiotic resistance. This study aimed to investigate the antibacterial potential of the brown seaweed Eisenia bicyclis, particularly its synergistic effects with antibiotics against these fish pathogenic bacteria. E. bicyclis were processed to obtain methanolic extracts and fractionated using different polar solvents. The antibacterial activities of these extracts and fractions were assessed through disc diffusion and minimum inhibitory concentration (MIC) assays. The study further evaluated the antibiotic susceptibility of the bacterial strains and the synergistic effects of the extracts combined with erythromycin and oxyteteracycline using the fractional inhibitory concentration index. Results showed that the ethyl acetate (EtOAc) fraction of E. bicyclis methanolic extract exhibited the highest antibacterial activity. The combination of the EtOAc fraction with erythromycin significantly enhanced its antibacterial efficacy against the tested strains. This synergistic effect was indicated by a notable reduction in MIC values, demonstrating the potential of E. bicyclis to enhance the effectiveness of traditional antibiotics. The findings suggest that E. bicyclis extracts, particularly the EtOAc fraction, could serve as a potent natural resource to counteract antibiotic resistance in aquaculture.

Keywords: Eisenia bicyclis, antibiotic resistance, fish pathogenic bacteria, synergy

Introduction

Edwarsiella tarda, Photobacterium damselae, and Vibrio harveyi are Gram-negative, facultatively anaerobic bacteria known to be significant fish pathogens [1]. E. tarda is responsible for severe diseases in both freshwater and marine fish, with reported mortality rates of up to 90% [2]. P. damselae has emerged as a major disease-causing agent in sea bream (Sparus aurata) and is a primary pathogen for various marine animals, including crustaceans, mollusks, and cetaceans [3]. Recently, it has also been recognized as a major pathogen in newly farmed aquaculture fish species [4]. Similarly, V. harveyi is a pathogen that causes severe diseases in penaeid shrimp and fish, with shrimp larvae experiencing mortality rates of up to 100% [5, 6]. Despite the long-term use of traditional antibiotics to manage disease outbreaks in aquaculture, these treatments have proven increasingly ineffective. The widespread and prolonged application of antibiotics like tetracycline and its derivative oxytetracycline (OTC), as well as erythromycin (ERY), has led to significant resistance issues [7]. The high stocking densities typical of modern aquaculture systems exacerbate this problem by causing excessive stress in fish, which increases their susceptibility to bacterial infections [8, 9]. Bacterial pathogens in aquatic environments adapt readily through genome amplification and horizontal gene transfer, contributing to antibiotic resistance and consequent treatment failures [10]. These genetic adaptations result in structural changes in the target cells, rendering antibiotics less effective and leading to persistent disease outbreaks [11]. This resistance not only affects the aquaculture industry economically but also poses health risks to farm workers and consumers [12, 13]. A study by the UK government predicts that by 2050, 10 million people could die annually from infections caused by multidrug-resistant bacteria [14]. Given the growing demand for fish as a primary source of animal protein, the development of antibiotic resistance in aquaculture is a global concern [15]. This urgent issue has driven the search for alternative treatments with strong antibiotic properties. Recent research has increasingly focused on seaweed due to its potential as a sustainable and effective alternative to synthetic drugs [16]. Eisenia bicyclis, a brown seaweed, contains polysaccharides that exhibit various bioactivities, including antioxidant, anti-Alzheimer, anticancer, anti-atherosclerosis, anti-inflammatory, anti-allergic, and anticoagulant properties[17-20]. Notably, this seaweed has been shown to contain active metabolites with significant antibiotic properties and the ability to enhance the efficacy of existing drugs against resistant bacterial strains [21].

This study aims to evaluate the antibiotic potential of E. bicyclis and investigate its synergistic effects with erythromycin (ERY) and oxytetracycline (OTC) against selected fish pathogenic bacteria. By exploring the antibacterial properties of this brown seaweed, we hope to identify effective alternatives to traditional antibiotics and contribute to the development of sustainable disease management strategies in aquaculture.

Materials and Methods

Plant Materials

Fresh samples of Eisenia bicyclis were directly purchased from Ulleung Trading Co. (Republic of Korea). The plant samples were thoroughly washed with tap water and allowed to shade-dry for one week. Subsequently, the samples were dried in a vacuum oven (ThermoStable OV-30; DAIHAN Scientific Co. Ltd., Republic of Korea) at 60°C for 24 h. The dried E. bicyclis was ground into powder using a grinder.

Preparation of Extract and Fractions

The dried E. bicyclis powder was extracted three times with 70% methanol at a ratio of 1:3 (w/v) at 70°C for 3 h with continuous stirring at 300 rpm. The obtained extract was concentrated using a rotary evaporator (EYELA Co., Japan) under vacuum at 40°C, yielding 125 g of crude methanol extract. This extract was resuspended in 1 L of 10% methanol and subsequently fractionated in sequence using n-hexane (Hexane; 270504, Sigma-Aldrich, USA), dichloromethane (DCM; 650463, Sigma-Aldrich), ethyl acetate (EtOAc; 34858, Sigma-Aldrich), and n-butanol (BuOH; 34867, Sigma-Aldrich) at a ratio of 1:1 (w/v).

Bacterial Strains and Culture Conditions

The bacterial strains E. tarda, P. damselae, and V. harveyi were obtained from the Fish Disease Prevention Lab, Department of Aquatic Life Medicine, Pukyong National University (Republic of Korea). These strains were previously isolated from fish sources. The bacteria were inoculated and cultured anaerobically in tryptic soy broth (TSB; 211825, Difco, USA) supplemented with 1% NaCl.

Disc Diffusion Assay

The disc diffusion assay was performed to determine the antibacterial activity of the extracts, following the guidelines of the Clinical and Laboratory Standards Institute [22]. E. tarda, P. damselae, and V. harveyi were adjusted to a density of 108 CFU/ml (0.5 on the McFarland scale) and spread on Mueller-Hinton agar (MHA; 275730, Difco) plates. Sterile paper discs (6 mm in diameter) were loaded with 1 mg/disc and 5 mg/disc of the crude methanolic extract and its fractions (Hexane, DCM, EtOAc, BuOH, and water) and placed onto the MHA plates. The plates were incubated at 35°C for 24 h. Erythromycin (ERY; E5389, Sigma-Aldrich) and oxytetracycline (OTC; 1491004, Sigma-Aldrich) were used as controls at concentrations of 5 mg/disc and 30 mg/disc, respectively. The diameter of the inhibition zones (mm) was measured to evaluate antibacterial activity. All tests were performed in triplicate.

Minimum Inhibitory Concentration (MIC) Assay

The MIC was determined using a standard two-fold serial dilution method in 96-well microtiter plates [22]. Serial dilutions of the extract and fractions, starting from 1,024 μg/ml, were prepared in 96-well microtiter plates containing 104 CFU/ml of bacterial culture and incubated at 35°C for 24 h. Dimethyl sulfoxide (DMSO) and bacterial strains were used as controls. Optical density (OD600 nm) of the samples was measured using a Synergy HTX Multi-Mode Microplate Reader (Biotek, Republic of Korea). All assays were performed in triplicate.

Antibiotic Susceptibility Test

Antibiotic susceptibility test was performed to evaluate the response of bacterial strains to ERY and OTC, using the Kirby-Bauer disk diffusion method [22]. Bacterial strains were inoculated on MHA plates at a concentration of 105 CFU/ml, and discs loaded with 5 mg/disc and 30 mg/disc of ERY and OTC, respectively, were placed on the plates. The plates were incubated at 35°C for 24 h, and the diameter of the inhibition zones was measured.

Synergy of Fractional Inhibitory Concentration (FIC)

The FIC index was used to assess the synergistic effects of E. bicyclis methanolic extract and its fractions in combination with ERY and OTC against E. tarda, P. damselae, and V. harveyi. Synergy was indicated by an FIC index of ≤ 0.5, additive effects by > 0.5 to ≤ 1, independent effects by > 1 to ≤ 2, and antagonistic effects by > 2 [23]. The FIC was calculated using the formula:

FICA = CA/MICA

FICB = CB/MICB

FIC Index = FICA + FICB

where MICA and MICB are the MIC of each compound A and B, respectively, and CA and CB are the MIC of the compounds in combination [24].

Statistical Analysis

All experiments were performed in triplicate, and the data were averaged. Standard deviations were calculated. Multiple comparisons were evaluated by two-way ANOVA using IBM SPSS Statistics Version 25. Significant differences between means were determined using Tukey's test, with p < 0.05 considered significant.

Results and Discussion

Antibacterial Activity of E. bicyclis against Fish Pathogenic Bacteria by Disc Diffusion Assay

Solvent fractionation of crude E. bicyclis seaweed extract (300 g) yielded six different soluble fractions: Hexane (1.5 g), DCM (0.17 g), EtOAc (9.09 g), BuOH (7.61 g), and H2O. The antibacterial efficacy of these fractions was determined by measuring the inhibition zone diameter in a disc diffusion assay, as shown in Table 1. Increasing the concentration from 1 mg/disc to 5 mg/disc significantly increased the size of the inhibition zone. The BuOH fraction's inhibition zone increased from 7 to 11.3 mm for E. tarda EET34 and from 7.6 to 14.3 mm for V. harveyi FRHW1KA. Particularly, the EtOAc and BuOH fractions exhibited significant antibacterial activity against all tested bacterial strains. Among all extracts and fractions of E. bicyclis, the EtOAc fraction showed the highest antibacterial effect against V. harveyi AP9L, with inhibition diameters of 11.3 mm and 19.6 mm at 1 mg and 5 mg/disc, respectively. The methanolic extract and water fraction showed no antibacterial activity at 1 mg/disc and only minor activity at 5 mg/disc.

Table 1 . Disc diffusion assay of Eisenia bicyclis methanolic extract and its solvent-soluble fractionations..

Bacterial strainConcentrationZone of inhibition (mm)
MeOHHexaneDCMEtOAcBuOHH2O
E. tarda1 mg/disc-7.0 ± 0.3b*7.0 ± 0.2b8.0 ± 0.2a7.0 ± 0.5b-
EET345 mg/disc7.0 ± 0.2d8.6 ± 0.3b8.0 ± 0.3c11.0 ± 0.2a11.3 ± 0.5a7.0 ± 0.2d
E. tarda1 mg/disc--7.0 ± 0.2a7.3 ± 0.5a7.0 ± 0.3a-
EET535 mg/disc-7.0 ± 0.5d8.0 ± 0.2c9.6 ± 0.5b12.0 ± 0.4a7.0 ± 0.3d
E. tarda1 mg/disc---7.0 ± 0.4a7.0 ± 0.4a-
EET545 mg/disc7.0 ± 0.3d7.6 ± 0.3c8.0 ± 0.3c10.0 ± 0.4b12.0 ± 0.2a-
P. damselae1 mg/disc---8.0 ± 0.2a8.0 ± 0.5a-
FP21375 mg/disc10.0 ± 0.3c7.0 ± 0.2e-14.0 ± 0.2a12.0 ± 0.6b9.0 ± 0.2d
P. damselae1 mg/disc---9.0 ± 0.3a8.0 ± 0.2b-
FP22615 mg/disc10.0 ± 0.4c9.0 ± 0.2d8.0 ± 0.3e14.0 ± 0.2a13.0 ± 0.7b8.3 ± 0.2e
P. damselae1 mg/disc----8.0 ± 0.3-
FP41375 mg/disc7.0 ± 0.2b--9.6 ± 0.2a7.3 ± 0.3b-
V. harveyi1 mg/disc7.0 ± 0.5c7.0 ± 0.1c-11.3 ± 0.2a9.0 ± 0.5b-
AP9L5 mg/disc12.6 ± 0.5c9.0 ± 0.3de9.6 ± 0.3d19.6 ± 0.3a16.0 ± 0.4b8.6 ± 0.3e
V. harveyi1 mg/disc---8.0 ± 0.3a7.6 ± 0.5a-
FRHW1KA5 mg/disc10.0 ± 0.2c7.0 ± 0.3e7.0 ± 0.3e12.0 ± 0.3b14.3 ± 0.8a8.0 ± 0.3d
V. harveyi1 mg/disc---8.0 ± 0.4b10.0 ± 0.2a-
RFHW3KA5 mg/disc8.6 ± 0.2b7.6 ± 0.3c7.0 ± 0.4c13.6 ± 0.2a14.0 ± 0.6a7.6 ± 0.3c

E. tarda, Edwardsiela tarda. P. damselae, Photobacterium demsielae. V. harveyi, Vibrio harveyi. BuOH, n-butanol soluble extract..

DCM, dichloromethane soluble extract. EtOAc, ethyl acetate soluble extract. Hexane, n-hexane soluble extract. H2O, distilled water soluble extract. Data are the averages of duplicate experiments. -, no detected antibacterial activity. *Values sharing the same letters within each row are not significantly different at p < 0.05..



Antibacterial Activity of E. bicyclis against Fish Pathogenic Bacteria by MIC Assay

The MIC values for nine fish pathogenic bacteria using the methanolic extract and each fraction are shown in Table 2. The results quantitatively demonstrated the inhibitory activities of E. bicyclis seaweed extract and its fractions. The MIC values varied depending on the type of extract and bacterial strains, ranging from 128 to 1,024 μg/ml. The EtOAc fraction exhibited the strongest antibacterial activities against all strains, with MIC values ranging from 128 to 256 μg/ml. Additionally, E. tarda EET53 and E. tarda EET54 showed antibacterial effects even at relatively low concentrations in the extract and all fractions.

Table 2 . Minimum inhibitory concentration (MIC) of Eisenia bicyclis methanolic extract and its solventsoluble fractionations..

Bacterial StrainMIC (μg/ml)
MeOHHexaneDCMEtOAcBuOHDW
E. tarda EET34256512512128256512
E. tarda EET53256512256128256512
E. tarda EET54256512256128256512
P. damselae FP2137256512512256256512
P. damselae FP2261256512512256256512
P. damselae FP41375121024102412810241024
V. harveyi AP9L512128512128256512
V. harveyi FRHW1KA2565125121282561024
V. harveyi RFHW3KA2565125122562561024

E. tarda, Edwardsiela tarda. P. damselae, Photobacterium demsielae. V. harveyi, Vibrio harveyi. BuOH, n-butanol soluble extract..

DCM, dichloromethane soluble extract. EtOAc, ethyl acetate soluble extract. Hexane, n-hexane soluble extract. H2O, distilled water soluble extract..



Antibiotic Susceptibility in Fish Pathogenic Bacteria

Tetracycline and its derivative oxytetracycline (OTC) are among the most widely used antibiotics in aquaculture, while erythromycin (ERY) ranks sixth among top medications for treating fish diseases [25]. As shown in Table 3, the tested bacteria have developed resistance to these antibiotics. Long-term use of this family of drugs often leads to a loss of bactericidal potency [26]. The application of ERY, a 50S ribosome inhibitor, and OTC, a 30S ribosome inhibitor, against fish pathogenic bacteria resulted in varying inhibition zone sizes. ERY produced inhibition zones of 11 mm and 29 mm against P. damselae FP4137 and E. tarda EET53, respectively. In contrast, OTC produced inhibition zones of 9.6 mm and 41.6 mm against E. tarda EET34 and V. harveyi RFHW3KA, respectively. However, strains such as E. tarda EET34, P. damselae FP2137, P. damselae FP2261, and V. harveyi RFHW1KA exhibited resistance to OTC, with inhibition zones ranging from 9.6 to 20.3 mm. This resistance is likely due to mutations in rRNA, which prevent OTC from blocking aminoacyl-tRNA access to the ribosome [27]. The main mechanism of resistance involves differences in bacterial cell wall structure and outer membrane composition [28, 29]. As a result, E. tarda EET34 displayed intermediate susceptibility to OTC. Overall, these findings highlight the complex nature of antibiotic resistance in fish pathogenic bacteria. The resistance mechanisms, primarily mutations in rRNA and changes in cell wall structure, underscore the need for ongoing surveillance and development of new strategies to manage bacterial infections in aquaculture.

Table 3 . Antibacterial activity of erythromycin (ERY) and oxytetracycline (OTC) against bacterial strains..

Bacterial strainZone of inhibition (mm)
ERY (5 mg/disc)*OTC (30 mg/disc)**
Edwardsiella tarda EET3422.6 ± 0.5d***9.6 ± 0.2g
E. tarda EET5329.0 ± 0.3b10.3 ± 0.5f
E. tarda EET5429.0 ± 0.5b12.6 ± 0.3e
Photobacterium damselae FP213729.3 ± 0.8ab10.6 ± 0.4f
P.damselae FP226130.0 ± 0.5a12.0 ± 0.5e
P. damselae FP413711.0 ± 0.5g29.6 ± 0.5c
Vibrio harveyi RFHW9L21.6 ± 0.4e36.6 ± 0.4b
V. harveyi RFHW1KA19.6 ± 0.3f20.3 ± 0.4d
V. harveyi RFHW3KA27.3 ± 0.2c41.6 ± 0.3a

*Inhibition zone diameter interpretation: susceptible, ≥23; Intermediate, 14-22; and, resistant, ≤13 mm. Data are the averages of triplicate experiments..

**Inhibition zone diameter interpretation: susceptible, ≥15; Intermediate, 12-14; and, resistant, ≤11 mm. Data are the averages of triplicate experiments..

***Values sharing the same letters within each column are not significantly different at p < 0.05..



ERY and OTC Susceptibility by MIC Assay

The strains P. damselae FP4137, V. harveyi RFHW9L, and V. harveyi RFHW1KA showed resistance to ERY. All E. tarda strains, along with P. damselae FP2137 and FP2261, and V. harveyi RFHW1KA, exhibited resistance to OTC (Table 3). This resistance suggests that these bacteria have developed mechanisms to counteract the bactericidal effects and generate reactive oxygen species in response [30]. E. tarda EET34 showed intermediate susceptibility to ERY. Table 4 shows that most E. tarda strains and P. damselae FP2137 and FP2261 strains were susceptible to ERY. In contrast, P. damselae FP4137, V. harveyi RFHW9L, and V. harveyi RFHW3KA were highly susceptible to OTC. The selected bacterial strains E. tarda EET34, P. damselae FP4137, V. harveyi RFHW9L, and V. harveyi RFHW1KA did not show high MIC values for ERY, indicating no acquired resistance. However, the synergistic effect of ERY with the EtOAc fraction significantly enhanced antibacterial activity, reducing MIC values for P. damselae FP4137 and V. harveyi RFHW9L from 256 μg/ml to 64 μg/ml. According to Table 5, selected strains of E. tarda EET53, E. tarda EET54, P. damselae FP2137, P. damselae FP2261, and V. harveyi strains did not exhibit high MIC values for OTC, indicating no resistance. However, the combination of OTC with the EtOAc fraction resulted in antagonism. The study findings align with previous reports of synergism between bioactive molecules in the EtOAc fraction and ERY and interactions between antibiotics [31, 32]. This combination could positively impact aquaculture, microbiology, and pharmacology [33, 34]. The antagonistic effect of EtOAc and OTC suggests that their bioactive compounds are inherently divergent and cannot jointly disrupt bacterial cell pathways at the tested concentrations [35, 36].

Table 4 . Fractional inhibitory concentration (FIC) indices of erythromycin (ERY) in combination with EtOAc soluble fraction of Eisenia bicyclis methanolic extract against ERY-resistant fish pathogenic bacteria..

Bacterial strainTested compoundAntibiotic MICEtOAc fraction MICCombined MICFIC indexInterpretation
E. tarda EET34ERY+EtOAc64128320.75SYN
P. damselae FP4137ERY+EtOAc256128640.75SYN
V. harveyi RFHW9LERY+EtOAc256128640.75SYN
V. harveyi FRHW1KAERY+EtOAc2561281281.5S-AD

E. tarda, Edwardsiela tarda. P. damselae, Photobacterium demsielae. V. harveyi, Vibrio harveyi. EtOAc, ethyl acetate. MIC, minimum inhibitory concentration (μg/ml). FIC index= MICcombined/MICalone)+(MICcombined/MICEtOAc fraction). Interpretation: SYN (synergistic), FIC index was <1. S-ADD (sub-additive), FIC index was between 1.0 and 2.0..



Table 5 . Fractional inhibitory concentration (FIC) index of oxytetracycline (OTC) in combination with EtOAc soluble fraction of Eisenia bicyclis methanolic extract against OTC-resistant fish pathogenic bacteria..

Bacterial strainTested compoundAntibiotic MICEtOAc fraction MICCombined MICFIC indexInterpretation
E. tarda EET34OTC+EtOAc0.51280.51.0ADD
E. tarda EET53OTC+EtOAC512128512>2.0ANT
E. tarda EET54OTC+EtOAC5121281024>2.0ANT
P. damselae FP2137OTC+EtOAC2562561024>2.0ANT
P. damselae FP2261OTC+EtOAC5122561024>2.0ANT
V. harveyi FRHW1KAOTC+EtOAC64128128>2.0ANT

E. tarda, Edwardsiela tarda. P. damselae, Photobacterium demsielae. V. harveyi, Vibrio harveyi. EtOAc, ethyl acetate. MIC, minimum inhibitory concentration (μg/ml). FIC index= MICcombined/MICalone)+(MICcombined/MICEtOAc fraction). Interpretation: ADD (additive), FIC index was 1.0; ANT (antagonistic), FIC index >2.0..


Conclusion

This study demonstrates the significant potential of Eisenia bicyclis as an alternative therapeutic resource to address the pervasive issue of multidrug resistance in aquaculture. These findings show that the combination of traditional antibiotics with natural antibacterial agents can effectively enhance antibacterial activity against pathogenic bacteria. E. bicyclis, rich in phenolic compounds, was utilized to augment the antibacterial properties of methanolic extracts through fractionation with various polar solvents. Notably, the ethyl acetate (EtOAc) fraction of E. bicyclis methanolic extract significantly enhanced the antibacterial efficacy of erythromycin (ERY) against selected fish pathogenic bacterial strains. Such studies should also consider the potential for bacteria to develop resistance to E. bicyclis extracts over time, similar to antibiotic resistance. Additionally, analyzing the resistance patterns of bacteria over prolonged use of E. bicyclis extracts is crucial. Given the extensive use of ERY and oxytetracycline (OTC) in the aquaculture industry, coupled with the documented resistance of some bacterial strains to these antibiotics, our findings are particularly relevant. This result suggests that incorporating E. bicyclis extracts with ERY could serve as a potent strategy to counteract antibiotic resistance in aquaculture. To build on these promising results, further research is needed to thoroughly evaluate the synergistic effects of these combinations and their influence on the biology and ecology of the bacterial strains. Such studies could lead to the development of more effective and sustainable disease management strategies, ultimately benefiting the aquaculture industry. Ultimately, this research could lead to the development of more effective and sustainable disease management strategies, benefiting the aquaculture industry while mitigating the risk of resistance development and ensuring environmental sustainability.

Funding

This research was supported by the Korea Institute of Marine Science & Technology Promotion (KIMST) and funded by the Ministry of Oceans and Fisheries (RS-2024-00404977).

Author Contributions

Raul Joao Lourenco Mascarenha: Conceptualization, Investigation, Methodology, Validation, and Writing. Du-Min Jo: Writing - review &editing. Yoon-Ah Sim: Investigation, Methodology. Do-Hyung Kim: Conceptualization, Writing - review &editing, Young-Mog Kim: Conceptualization, Funding acquisition, Writing - review & editing, Supervision

Conflict of Interest

The authors have no financial conflicts of interest to declare.

Table 1 . Disc diffusion assay of Eisenia bicyclis methanolic extract and its solvent-soluble fractionations..

Bacterial strainConcentrationZone of inhibition (mm)
MeOHHexaneDCMEtOAcBuOHH2O
E. tarda1 mg/disc-7.0 ± 0.3b*7.0 ± 0.2b8.0 ± 0.2a7.0 ± 0.5b-
EET345 mg/disc7.0 ± 0.2d8.6 ± 0.3b8.0 ± 0.3c11.0 ± 0.2a11.3 ± 0.5a7.0 ± 0.2d
E. tarda1 mg/disc--7.0 ± 0.2a7.3 ± 0.5a7.0 ± 0.3a-
EET535 mg/disc-7.0 ± 0.5d8.0 ± 0.2c9.6 ± 0.5b12.0 ± 0.4a7.0 ± 0.3d
E. tarda1 mg/disc---7.0 ± 0.4a7.0 ± 0.4a-
EET545 mg/disc7.0 ± 0.3d7.6 ± 0.3c8.0 ± 0.3c10.0 ± 0.4b12.0 ± 0.2a-
P. damselae1 mg/disc---8.0 ± 0.2a8.0 ± 0.5a-
FP21375 mg/disc10.0 ± 0.3c7.0 ± 0.2e-14.0 ± 0.2a12.0 ± 0.6b9.0 ± 0.2d
P. damselae1 mg/disc---9.0 ± 0.3a8.0 ± 0.2b-
FP22615 mg/disc10.0 ± 0.4c9.0 ± 0.2d8.0 ± 0.3e14.0 ± 0.2a13.0 ± 0.7b8.3 ± 0.2e
P. damselae1 mg/disc----8.0 ± 0.3-
FP41375 mg/disc7.0 ± 0.2b--9.6 ± 0.2a7.3 ± 0.3b-
V. harveyi1 mg/disc7.0 ± 0.5c7.0 ± 0.1c-11.3 ± 0.2a9.0 ± 0.5b-
AP9L5 mg/disc12.6 ± 0.5c9.0 ± 0.3de9.6 ± 0.3d19.6 ± 0.3a16.0 ± 0.4b8.6 ± 0.3e
V. harveyi1 mg/disc---8.0 ± 0.3a7.6 ± 0.5a-
FRHW1KA5 mg/disc10.0 ± 0.2c7.0 ± 0.3e7.0 ± 0.3e12.0 ± 0.3b14.3 ± 0.8a8.0 ± 0.3d
V. harveyi1 mg/disc---8.0 ± 0.4b10.0 ± 0.2a-
RFHW3KA5 mg/disc8.6 ± 0.2b7.6 ± 0.3c7.0 ± 0.4c13.6 ± 0.2a14.0 ± 0.6a7.6 ± 0.3c

E. tarda, Edwardsiela tarda. P. damselae, Photobacterium demsielae. V. harveyi, Vibrio harveyi. BuOH, n-butanol soluble extract..

DCM, dichloromethane soluble extract. EtOAc, ethyl acetate soluble extract. Hexane, n-hexane soluble extract. H2O, distilled water soluble extract. Data are the averages of duplicate experiments. -, no detected antibacterial activity. *Values sharing the same letters within each row are not significantly different at p < 0.05..


Table 2 . Minimum inhibitory concentration (MIC) of Eisenia bicyclis methanolic extract and its solventsoluble fractionations..

Bacterial StrainMIC (μg/ml)
MeOHHexaneDCMEtOAcBuOHDW
E. tarda EET34256512512128256512
E. tarda EET53256512256128256512
E. tarda EET54256512256128256512
P. damselae FP2137256512512256256512
P. damselae FP2261256512512256256512
P. damselae FP41375121024102412810241024
V. harveyi AP9L512128512128256512
V. harveyi FRHW1KA2565125121282561024
V. harveyi RFHW3KA2565125122562561024

E. tarda, Edwardsiela tarda. P. damselae, Photobacterium demsielae. V. harveyi, Vibrio harveyi. BuOH, n-butanol soluble extract..

DCM, dichloromethane soluble extract. EtOAc, ethyl acetate soluble extract. Hexane, n-hexane soluble extract. H2O, distilled water soluble extract..


Table 3 . Antibacterial activity of erythromycin (ERY) and oxytetracycline (OTC) against bacterial strains..

Bacterial strainZone of inhibition (mm)
ERY (5 mg/disc)*OTC (30 mg/disc)**
Edwardsiella tarda EET3422.6 ± 0.5d***9.6 ± 0.2g
E. tarda EET5329.0 ± 0.3b10.3 ± 0.5f
E. tarda EET5429.0 ± 0.5b12.6 ± 0.3e
Photobacterium damselae FP213729.3 ± 0.8ab10.6 ± 0.4f
P.damselae FP226130.0 ± 0.5a12.0 ± 0.5e
P. damselae FP413711.0 ± 0.5g29.6 ± 0.5c
Vibrio harveyi RFHW9L21.6 ± 0.4e36.6 ± 0.4b
V. harveyi RFHW1KA19.6 ± 0.3f20.3 ± 0.4d
V. harveyi RFHW3KA27.3 ± 0.2c41.6 ± 0.3a

*Inhibition zone diameter interpretation: susceptible, ≥23; Intermediate, 14-22; and, resistant, ≤13 mm. Data are the averages of triplicate experiments..

**Inhibition zone diameter interpretation: susceptible, ≥15; Intermediate, 12-14; and, resistant, ≤11 mm. Data are the averages of triplicate experiments..

***Values sharing the same letters within each column are not significantly different at p < 0.05..


Table 4 . Fractional inhibitory concentration (FIC) indices of erythromycin (ERY) in combination with EtOAc soluble fraction of Eisenia bicyclis methanolic extract against ERY-resistant fish pathogenic bacteria..

Bacterial strainTested compoundAntibiotic MICEtOAc fraction MICCombined MICFIC indexInterpretation
E. tarda EET34ERY+EtOAc64128320.75SYN
P. damselae FP4137ERY+EtOAc256128640.75SYN
V. harveyi RFHW9LERY+EtOAc256128640.75SYN
V. harveyi FRHW1KAERY+EtOAc2561281281.5S-AD

E. tarda, Edwardsiela tarda. P. damselae, Photobacterium demsielae. V. harveyi, Vibrio harveyi. EtOAc, ethyl acetate. MIC, minimum inhibitory concentration (μg/ml). FIC index= MICcombined/MICalone)+(MICcombined/MICEtOAc fraction). Interpretation: SYN (synergistic), FIC index was <1. S-ADD (sub-additive), FIC index was between 1.0 and 2.0..


Table 5 . Fractional inhibitory concentration (FIC) index of oxytetracycline (OTC) in combination with EtOAc soluble fraction of Eisenia bicyclis methanolic extract against OTC-resistant fish pathogenic bacteria..

Bacterial strainTested compoundAntibiotic MICEtOAc fraction MICCombined MICFIC indexInterpretation
E. tarda EET34OTC+EtOAc0.51280.51.0ADD
E. tarda EET53OTC+EtOAC512128512>2.0ANT
E. tarda EET54OTC+EtOAC5121281024>2.0ANT
P. damselae FP2137OTC+EtOAC2562561024>2.0ANT
P. damselae FP2261OTC+EtOAC5122561024>2.0ANT
V. harveyi FRHW1KAOTC+EtOAC64128128>2.0ANT

E. tarda, Edwardsiela tarda. P. damselae, Photobacterium demsielae. V. harveyi, Vibrio harveyi. EtOAc, ethyl acetate. MIC, minimum inhibitory concentration (μg/ml). FIC index= MICcombined/MICalone)+(MICcombined/MICEtOAc fraction). Interpretation: ADD (additive), FIC index was 1.0; ANT (antagonistic), FIC index >2.0..


References

  1. Mekasha S, Linke D. 2021. Secretion systems in gram-negative bacterial fish pathogens. Front. Microbiol. 12: 782673.
    Pubmed CrossRef
  2. Guo M, Zhang L, Ye J, He X, Cao P, Zhou Z, Liu X. 2022. Characterization of the pathogenesis and immune response to a highly virulent Edwardsiella tarda strain responsible for mass mortality in the hybrid snakehead (Channa maculate ♀ × Channa argus ♂). Microb. Pathog. 170: 105689.
    Pubmed CrossRef
  3. Morick D, Maron Y, Davidovich N, Zemah-Shamir Z, Nachum-Biala Y, Itay P, et al. 2023. Molecular identification of Photobacterium damselae in wild marine fish from the Eastern Mediterranean sea. Fishes 8: 60.
    CrossRef
  4. Gouife M, Chen S, Huang K, Nawaz M, Jin S, Ma R, et al. 2022. Photobacterium damselae subsp. damselae in mariculture. Aquac. Int. 30: 1453-1480.
    CrossRef
  5. Guzman JPMD, Yatip P, Soowannayan C, Maningas MBB. 2022. Piper betle L. leaf extracts inhibit quorum sensing of shrimp pathogen Vibrio harveyi and protect Penaeus vannamei postlarvae against bacterial infection. Aquaculture 547: 737452.
    CrossRef
  6. Amatul-Samahah MA, Omar WHHW, Ikhsan NFM, Azmai MNA, Zamri-Saad M, Ina-Salwany MY. 2020. Vaccination trials against vibriosis in shrimp: a review. Aquac. Rep. 18: 100471.
    CrossRef
  7. Endale H, Mathewos M, Abdeta D. 2023. Potential causes of spread of antimicrobial resistance and preventive measures in one health perspective-a review. Infect. Drug Resist. 16: 7515-7545.
    Pubmed CrossRef
  8. Mugimba KK, Byarugaba DK, Mutoloki S, Evensen Ø, Munang'andu HM. 2021. Challenges and solutions to viral diseases of finfish in marine aquaculture. Pathogens 10: 673.
    Pubmed CrossRef
  9. Hvas M, Kolarevic J, Noble C, Oppedal F, Stien LH. 2024. Fasting and its implications for fish welfare in Atlantic salmon aquaculture. Rev. Aquac.. doi.org/10.1111/raq.12898.
    CrossRef
  10. Yadav B, González CSO, Sellamuthu B, Tyagi R. 2020. Pharmaceuticals roles in microbial evolution. Current Developments in Biotechnology and Bioengineering: Elsevier, pp. 241-278.
  11. Chatterjee P, Chauhan N, Jain U. 2023. Confronting antibiotic-resistant pathogens: the drug delivery potential of nanoparticle swords. Microb. Pathog. 187: 106499.
    Pubmed CrossRef
  12. Sezgin SS, Yılmaz M, Arslan T, Kubilay A. 2023. Current antibiotic sensitivity of Lactococcus garvieae in rainbow trout (Oncorhynchus mykiss) farms from Southwestern Turkey. J. Agric. Sci. 29: 630-642.
  13. Lulijwa R, Rupia EJ, Alfaro AC. 2020. Antibiotic use in aquaculture, policies and regulation, health and environmental risks: a review of the top 15 major producers. Rev. Aquac. 12: 640-663.
    CrossRef
  14. Terreni M, Taccani M, Pregnolato M. 2021. New antibiotics for multidrug-resistant bacterial strains: latest research developments and future perspectives. Molecules 26: 2671.
    Pubmed CrossRef
  15. Ahmad A, Abdullah SRS, Hasan HA, Othman AR, Ismail NI. 2021. Aquaculture industry: supply and demand, best practices, effluent and its current issues and treatment technology. J. Environ. Manag. 287: 112271.
    Pubmed CrossRef
  16. Khan F, Jeong GJ, Khan MSA, Tabassum N, Kim YM. 2022. Seaweed-derived phlorotannins: a review of multiple biological roles and action mechanisms. Mar. Drugs 20: 384.
    Pubmed CrossRef
  17. Raja R, Hemaiswarya S, Arunkumar K, Mathiyazhagan N, Kandasamy S, Arun A, et al. 2023. Efficacy of Eisenia bicyclis phlorotannins in the treatment of diabetes and reducing inflammation. Food Biosci. 52: 102381.
    CrossRef
  18. Nailwal N, Bhatia N, Ali A, Ansari A, Raheja R, Godad A, Doshi G. 2023. Antioxidants obtained from marine sources. Marine Antioxidants: Elsevier, pp. 45-56.
  19. Oh D, Khan F, Park S-K, Jo D-M, Kim N-G, Jung W-K, et al. 2024. Antimicrobial, antibiofilm, and antivirulence properties of Eisenia bicyclis-extracts and Eisenia bicyclis-gold nanoparticles towards microbial pathogens. Microb. Pathog. 188: 106546.
    Pubmed CrossRef
  20. Khan F, Tabassum N, Bamunuarachchi NI, Kim YM. 2022. Phloroglucinol and its derivatives: antimicrobial properties toward microbial pathogens. J. Agric. Food Chem. 70: 4817-4838.
    Pubmed CrossRef
  21. Eom SH, Lee DS, Jung YJ, Park JH, Choi JI, Yim MJ, et al. 2014. The mechanism of antibacterial activity of phlorofucofuroeckol-A against methicillin-resistant Staphylococcus aureus. Appl. Microbiol. Biotechnol. 98: 9795-9804.
    Pubmed CrossRef
  22. CLSI. 2015. Performance standards for antimicrobial susceptibility testing: 25th informational supplement. CLSI document M100- S25 Clinical and Laboratory Standards Institute.
  23. Rosato A, Sblano S, Salvagno L, Carocci A, Clodoveo ML, Corbo F, et al. 2020. Anti-biofilm inhibitory synergistic effects of combinations of essential oils and antibiotics. Antibiotics 9: 637.
    Pubmed CrossRef
  24. Li X, Wang Q, Zheng J, Guan Y, Liu C, Han J, et al. 2023. PHT427 as an effective New Delhi metallo-β-lactamase-1 (NDM-1) inhibitor restored the susceptibility of meropenem against Enterobacteriaceae producing NDM-1. Front. Microbiol. 14: 1168052.
    Pubmed CrossRef
  25. Chen J, Sun R, Pan C, Sun Y, Mai B, Li QX. 2020. Antibiotics and food safety in aquaculture. J. Agric. Food Chem. 68: 11908-11919.
    Pubmed CrossRef
  26. Xuan J, Feng W, Wang J, Wang R, Zhang B, Bo L, et al. 2023. Antimicrobial peptides for combating drug-resistant bacterial infections. Drug Resist. Updat. 68: 100954.
    Pubmed CrossRef
  27. Singhal M, Agrawal M, Bhavna K, Sethiya NK, Bhargava S, Gondkar KS, et al. 2023. Chloramphenicol and tetracycline (broad spectrum antibiotics). Antibiotics-Therapeutic Spectrum and Limitations: Elsevier, pp. 155-165.
  28. Zhou J, Cai Y, Liu Y, An H, Deng K, Ashraf MA, et al. 2022. Breaking down the cell wall: still an attractive antibacterial strategy. Front. Microbiol. 13: 952633.
    Pubmed CrossRef
  29. Modi SK, Gaur S, Sengupta M, Singh MS. 2023. Mechanistic insights into nanoparticle surface-bacterial membrane interactions in overcoming antibiotic resistance. Front. Microbiol. 14: 1135579.
    Pubmed CrossRef
  30. Li H, Zhou X, Huang Y, Liao B, Cheng L, Ren B. 2021. Reactive oxygen species in pathogen clearance: the killing mechanisms, the adaption response, and the side effects. Front. Microbiol. 11: 622534.
    Pubmed CrossRef
  31. Chao WW, Liou YJ, Ma HT, Chen YH, Chou ST. 2021. Phytochemical composition and bioactive effects of ethyl acetate fraction extract (EAFE) of Glechoma hederacea L. J. Food Biochem. 45: e13815.
    CrossRef
  32. Silva M, Kamberovic F, Uota ST, Kovan I-M, Viegas CS, Simes DC, et al. 2022. Microalgae as potential sources of bioactive compounds for functional foods and pharmaceuticals. Appl. Sci. 12: 5877.
    CrossRef
  33. Chen Y, Wu J, Cheng H, Dai Y, Wang Y, Yang H, et al. 2020. Anti-infective effects of a fish-derived antimicrobial peptide against drugresistant bacteria and its synergistic effects with antibiotic. Front. Microbiol. 11: 602412.
    Pubmed CrossRef
  34. Zhu Y, Hao W, Wang X, Ouyang J, Deng X, Yu H, et al. 2022. Antimicrobial peptides, conventional antibiotics, and their synergistic utility for the treatment of drug‐resistant infections. Med. Res. Rev. 42: 1377-1422.
    Pubmed CrossRef
  35. He J, Hong M, Xie W, Chen Z, Chen D, Xie S. 2022. Progress and prospects of nanomaterials against resistant bacteria. J. Control. Release 351: 301-323.
    Pubmed CrossRef
  36. Grossman TH. 2016. Tetracycline antibiotics and resistance. Cold Spring Harb. Perspect. Med. 6: a025387.
    Pubmed CrossRef