- Research article
- Open Access
The effects of the natural enzyme, Pectinex Ultra SP-L, on human cell cultures and bacterial biofilms in vitro
© Olwoch et al.; licensee BioMed Central Ltd. 2014
- Received: 19 May 2014
- Accepted: 23 September 2014
- Published: 2 October 2014
Pectinex Ultra SP-L (Pectinex) is a microbial-derived enzyme that is used in the food industry and that has been shown to inhibit bacterial biofilms. It has been suggested that Pectinex may be useful in the management of biofilm-related bacterial infections and therefore warrants further investigation in this regard. The aim of this study was to investigate the cytotoxicity of Pectinex on cervical adenocarcinoma cells (HeLa), lymphocytes and neutrophils. Cell viability and morphology were assessed using an in vitro spectrophotometric MTT (3-(4, 5-dimethylthiazol-2-yl)-2, 5-diphenyl tetrazolium bromide) assay and polarization-optical transmitted light differential interference contrast microscopy. This study also investigated the antibacterial and antibiofilm actions of Pectinex, alone and in combination with antibiotics, on standard and clinical cultures of Staphylococcus aureus and Pseudomonas aeruginosa. Minimum inhibitory (MIC) and bactericidal (MBC) concentrations were determined using p-iodo-nitrotetrazolium violet staining of bacterial cultures and regrowth of subcultures. Biofilm biomass and cell viability were quantified spectrophotometrically after staining with crystal violet and MTT.
The IC50 (±SEM) of Pectinex was 193.9 (±22.2) PGU/ml for HeLa cells, 383.4 (±81.5) and 629.6 (±62.8) PGU/ml for fMLP-stimulated and non-stimulated lymphocytes respectively, and 245.9 (±9.4) and 529.7 (±40.7) PGU/ml for fMLP-stimulated and non-stimulated neutrophils, respectively. Induced morphological features characteristic of apoptosis and necrosis included cell membrane blebs and vacuolization in HeLa cells, clumping in lymphocytes, as well as shrunken rounded cells, apoptotic bodies and debris in all cultures. Pectinex (7.42 – 950 PGU/ml−1) was not bactericidal. In clinical cultures of Staphylococcus aureus, co-administration of Pectinex was associated with a 28.0% increase in both the MIC and MBC of amoxicillin-clavulanate. In clinical cultures of P. aeruginosa, there was an 89.0% and 92.8% increase in the MIC and MBC of ciprofloxacin, respectively. Pectinex≤118.75 PGU/ml−1 and incubation periods≤6 h were associated with increased biomass and cell viability in S. aureus or P. aeruginosa biofilms.
Pectinex appeared to antagonize the antibacterial effects of amoxicillin-clavulanate and ciprofloxacin and furthermore demonstrated significant cytotoxicity. It was therefore deemed unsuitable for the management of either planktonic or biofilm phenotypes of S. aureus or P. aeruginosa.
- HeLa cell
- Pseudomonas aeruginosa
- Staphylococcus aureus
The alarming worldwide increase in the incidence of bacterial resistance to antimicrobial agents has prompted the urgent need for the development of new drugs and treatment strategies -. In addressing this problem, scientists acknowledge that bacteria naturally occur as integrated surface bound communities; the biofilm. Bacterial biofilms are dynamic, integrated, heterogeneous (spatial, genetic and physiologic) cell communities, encased in a complex extracellular matrix, that are either surface-bound or free-floating in cohesive cell-to-cell clusters ,. In the biofilm-state, bacteria are more resistant to antibiotics, disinfectants and host immune mechanisms than their planktonic phenotype . However, when dispersed from the biofilm, bacteria revert to the planktonic phenotype with rapid restoration of antibiotic sensitivity ,. Several studies have demonstrated that natural enzymes obtained from animals, plants and microbes (bacteria and fungi), are able to prevent the formation and facilitate the removal of bacterial biofilms, and potentiate the action of co-administered antibiotics in vitro. Their actions are mediated through enzymatic degradation of the biofilm matrix. As a treatment strategy, biofilm matrix-degrading enzymes may offer a solution to the management of persistent biofilm-related infections when used either as the sole antimicrobial agents or as adjuncts to conventional antibiotic therapy .
Many natural enzymes are readily available and in everyday use as catalysts in numerous domestic and industrial applications, including production of food and beverages, paper, textiles, leather, cosmetics and pharmaceuticals ,. Pectinex Ultra SP-L (Pectinex) is a fungal enzyme complex derived from Aspergillus acule atus. The main enzyme in the preparation is polygalacturonase. It is used in the maceration of plant cells for the preparation of mash (puree) foods and the extraction of juices and oils from fruits, vegetables and grain . Pectinex has neither bactericidal nor bacteriostatic activity. Yet, it is known to possess both protease and carbohydrase activity and has been shown to degrade the exopolymeric matrix of Staphylococcus aureus and Pseudomonas aeruginosa. This has led to the suggestion that the potential antibiofilm effect of Pectinex may be useful in the management of bacterial infections ,.
Despite the availability of numerous commercial enzymes, very little about their in vitro toxicity is known . In general, they are considered to be non-toxic. Industrial processes use enzymes at low levels after which they are either removed or deactivated from the final product, and the orally ingested residual amounts are likely to be digested and rendered harmless. However, they contain added substances such as preservatives and stabilizers which are a potential problem when enzymes are consumed in food and drink . They may also contain toxins and other metabolites from their source microorganisms which may be harmful . The potential for adverse and toxic effects is of concern to regulatory authorities who have recommended that no new enzyme should be introduced into the food and beverage industry, or that existing enzymes be adapted for new applications, without assessment of their safety . Existing proprietary knowledge of Pectinex toxicity may not be applicable to its “off-label“ use as an antimicrobial agent. To our knowledge, no toxicity testing of Pectinex has been performed. Therefore, formal investigation is required before this basic research can translate into clinical experimentation and use. Consideration should be given to the effective antimicrobial concentrations and the effect on the tissues that are exposed .
This study investigated the effect of Pectinex as a single agent and also when used in combination with amoxicillin-clavulanate and ciprofloxacin against S. aureus and P. aeruginosa, respectively. The effect of Pectinex on cervical adenocarcinoma cells, lymphocytes and neutrophils was investigated, as these cell types represent host cells that may be found at the site of an infection. This is the first study to report on the combined effect of antibiotics with Pectinex in bacterial biofilms and on the cytotoxicity of Pectinex in cell cultures.
Pectinex (9500 polygalacturonase units per millilitre; PGU ml−1) was obtained from Novozymes (Pty) Ltd (Johannesburg, SA), amoxicillin-clavulanate from Sandoz (SA) and ciprofloxacin from Adcock Ingram (SA).
Cell cultures and maintenance
HeLa cells were obtained from the American Type Culture Collection (ATCC CCL-2). Cells were maintained in Eagle’s minimal essential medium supplemented with 10% foetal bovine serum and 1% penicillin and streptomycin (EMEM+). Once adherent cells reached 70-80% confluency, cells were detached with 0.25% trypsin/versene. The concentration of viable cells was determined by the trypan blue exclusion method .
Ethical approval to collect blood from healthy adult volunteers was obtained from the University of Pretoria Ethics Committee (26-08-2009). Written informed consent was obtained from the participants. Lymphocytes and neutrophils were isolated by continuous density-gradient centrifugation over Histopaque 1077 (Sigma-Aldrich, St Louis, Missouri, USA) using a method adapted from Pretlow and Luberoff . Working suspensions of lymphocytes and neutrophils were made by dilution with Roswell Park Memorial Institute Medium (RPMI-1640; Sigma-Aldrich) supplemented with 10% volume of autologous serum and 1% penicillin-streptomycin (RPMI+).
Cytotoxicity microtitre challenge of cell cultures
Round-bottomed 96-well microtitre plates (USA Scientific Inc., USA) were seeded with 100 μl aliquots of cell suspension (2.5 × 104 cells/ml for HeLa cells; 2 × 106 cells/ml for lymphocytes and neutrophils). Wells which served as experiment blanks were devoid of cells and received 180 μl of culture medium and 20 μl of Pectinex 9500 PGU/ml. The plates seeded with HeLa cells were incubated without Pectinex for 60 min to allow the cells to resume growth after a medium change. Wells that contained culture medium without Pectinex served as the negative control, whereas wells with Mitomycin C (10 μg/ml) were used as the positive control. Challenge wells received 20 μl aliquots of serial dilutions of Pectinex (7.42 × 950 PGU/ml). The final volume in all the wells was titrated to 200 μl with culture medium. Experiments were performed on resting lymphocytes and neutrophils and also after stimulation with 20 μl of 0.2% W/v N-formyl-methionyl-leucyl-phenylalanine (fMLP, Sigma-Aldrich, St Louis, Missouri, USA). f MLP is an agent that causes lymphocytes and neutrophils to become metabolically active and mimic their behaviour as it would be in the presence of bacteria. HeLa cells were incubated for 7 days, lymphocytes for 3 days and neutrophils for 4 h.
Viability assay of cell cultures
Polarization-optical transmitted light differential interference contrast microscopy (PlasDIC) examination of cell cultures
Cells (250 μl/well) were seeded into 24-well cell culture plates and exposed to 2-fold serial dilutions of Pectinex (7.42-950 PGU/ml). Mitomycin C (10 μg/ml) served as the positive control and untreated cells were used as negative controls. The final volume in each well was titrated to 500 μl using culture medium. Following a 24 h incubation period, cell morphology and density were observed by PlasDIC at ×400 magnification. Images were captured with AxioVision camera software.
S. aureus (ATCC 12600) and P. aeruginosa (ATCC 9027) were purchased from Davies Diagnostics and clinical strains were sourced from Department of Microbiology at the National Health Laboratory Services, Pretoria. Pure cultures were grown and maintained on Mueller-Hinton agar. Fresh 24 h sub-cultures were used for experiments.
Minimum inhibitory and bactericidal concentrations of antibiotics in bacterial cultures
The minimum inhibitory concentrations (MIC) of of the test substances were determined using a modified broth microdilution assay . Wells in 96-well microtitre plates were inoculated with 100 μl of bacterial suspension (1 × 106 CFU ml−1), 20 μl of a serial dilution of a test agent and 80 μl of Mueller-Hinton broth. Amoxicillin-clavulanate at concentrations of 0.03 with 100 μl of bacterial suspension (1 4.0 μg/ml–1 and 0.125 – 16.0 μg/ml–1 was used against standard and clinical strains of S. aureus, respectively. Ciprofloxacin (0.03 – 4.0 μg/ml−1) was used against both strains of P. aeruginosa. Pectinex (7.42 − 950 PGU/ml−1) was used against both bacteria. Following 24 h incubation at 37°C, 20 μl of 0.20 mg/ml−1 p-INT aqueous solution (Sigma-Aldrich) was added to the wells and the cultures were incubated for a further 6 h at room temperature. The MIC was taken as the concentration of antimicrobial in the first colourless well.
The minimum bactericidal concentration (MBC) was determined by subculture of the contents of the first two clear wells obtained in the MIC assay. Plates were incubated at 37°C for 24 h. The MBC was regarded as the lowest concentration of antimicrobial agent that killed≤99.9% of the initial bacterial population. Checkerboard MIC and MBC assays were used to evaluate the effects of 8 doubling concentrations of Pectinex (7.42 to 950 PGU ml−1) on the antibacterial efficacy across a range of 8 doubling concentrations of amoxicillin-clavulanate. The results were compared with those obtained by treatment with the antibiotic alone.
Quantitative biofilm biomass and viability assays in bacterial cultures
Total biofilm mass and biofilm cell viability were respectively measured using a modified crystal violet (CV) assay of Pitts et al.  and a modified MTT assay of Grare et al. . To assess the efficacy of the test agents during biofilm formation, bacterial suspensions (100 μl of standardized culture plus 80 μl of Mueller-Hinton broth) were incubated with test agents (20 μl) for 6 and 24 h at 37°C. The effects were evaluated in 6 h and 24 h biofilms by challenging the biofilms with test agents for 18 and 24 h, respectively.
To determine biofilm biomass air-dried plates were stained with 200 μl of 0.1% (w/v) CV for 30 min at room temperature after which the plates were washed thrice to remove unabsorbed stain. Plates were air-dried overnight and the stain that was adsorbed onto the biofilm was solubilized by adding 200 μl of 95% ethanol to each well (15–20 min). The OD560 nm of solubilised CV was measured with a microplate reader.
To determine cell viability following incubation, 20 μl of MTT was added to all the wells and incubated for a further 2 h at 37°C. Thereafter the plates were left to dry overnight in a dark cupboard. MTT formazan precipitate was solubilised by adding 200 μl of dimethyl sulfoxide to the wells and allowing the plates to stand in the dark for 60 min at room temperature after which OD560 nm of solubilised MTT formazan was measured. Absorbance values were corrected by subtracting the mean of absorbance readings of sterile water (experiment blanks). The percentage reductions in biofilm biomass and viable bacteria were calculated as the difference in absorbance between the treatment wells and the mean absorbance of the negative (untreated) controls and expressed as a percentage of the mean absorbance of the negative controls.
Electron microscopy of bacterial biofilms
MIC and MBC of antibiotics alone, and in antibiotic-Pectinex combinations (checkerboard), against S. aureus and P. aeruginosa
S. aureusclinical strain
P. aeruginosaclinical strain
For cytotoxicity, 6 replicate experiments were performed for each cell type. Results were expressed as the percentage cell inhibition × the standard error of the mean (SEM). The concentration that achieved 50% inhibition of cell growth (IC50) was determined using ED50plus version 1.0 software and expressed as IC50 × SEM.
Microbiology experiments were carried out at least in triplicate and on three separate occasions. Biofilm growth (i.e. biofilm biomass and cell viability) was expressed as the percentage reduction of negative controls × SEM. Therefore, 0% inhibition represented growth in untreated cultures. In treated cultures, a value > 0% indicated positive inhibition (i.e. reduced growth) and a value < 0% indicated negative inhibition (i.e. increased growth). Data were analyzed for statistical significance using GraphPad Prism version 5.0 software. Analysis of variables was carried out using Kruskal-Wallis one-way analysis of variance with Dunn’s multiple-comparison procedure. Comparisons were made between the different concentrations of Pectinex and the experiment controls; a p-value≤0.05 was considered to be statistically significant.
Effect of Pectinex on cell cultures
Enzymes are generally regarded as non-toxic and as a result only a few in vitro studies examining their cytotoxicity are found in the literature . However, allergic reactions to inhaled aerosolized enzymes and contact irritation of the skin and eyes are known to be associated with either occupational or accidental exposure . In view of the growing awareness of occupational and consumer safety associated with industrial enzymes, this study assessed the cytotoxicity of Pectinex Ultra SP-L, widely used in the food and beverage industry.
Polygalacturonase activity in Pectinex is known to catalyze the degradation of polygalacturonan in the cell walls of plants by hydrolysis of α-(1–4) glycosidic bonds that link galacturonic acid residues . Studies have also reported the presence of other enzyme activity including β-galactosidase and fructosyltransferase ,. In addition, there is possible protease and lipase activity in Aspergillus-derived enzymes . In this study, the cytotoxic property of Pectinex in cell cultures was unexpected. In contrast to plant cells, mammalian cell membranes comprise phospholipids, proteins and oligosaccharides, and are susceptible to damage by proteases ,. Toxicity by a non-proteolytic enzyme has been reported in a study where intraperitoneal injection of a crude fungal (Gliomastix murorum) enzyme extract into Swiss albino mice was found to be toxic to the liver, kidney and bone marrow . This fungal extract is widely used in the food and drug industries and is known to contain an enzyme, alpha mannosidase.
From the microscopy results, it would appear that apoptosis may have been triggered as a stress response to cell membrane damage . A possible mechanism for Pectinex cytotoxicity may be due to enzymatic activity on the cell membrane. Mammalian cells are covered by a carbohydrate coat (glycocalix) of membrane-bound oligosaccharides (glycolipids and glycoproteins) that are essential to the survival of cells ,. Pectinex may have caused cell death by degrading the oligosaccharides thereby disrupting the function and/or integrity of the cell membrane. It is also possible that proteolytic activity may have been involved .
Effect of Pectinex, amoxicillin-clavulanate and ciprofloxacin on bacteria
In a search for new ways to overcome antimicrobial resistance, the effect of Pectinex and antibiotics was studied on planktonic and biofilm cultures of standard and clinical strains of S. aureus and P. aeruginosa. These bacteria have proven ability to form biofilms under test conditions and their importance as clinical pathogens is clear ,. Pectinex (7.42 – 950 PGU/ml−1) did not inhibit their growth in either standard or clinical cultures and therefore MIC values were not achieved. This result was consistent with the findings of Johansen et al.  who found that Pectinex (0.18 – 1800 PGU/ml−1) was not bactericidal. Bacterial cultures were susceptible to amoxicillin-clavulanate and ciprofloxacin (Table 1). The MIC values were within published ranges for the respective antibiotics against S. aureus (amoxicillin-clavulanate, 1.0 – 16.0 μg/ml) and P. aeruginosa (ciprofloxacin, 0.25 – 1.0 μg/ml) ,. Contrary to expectations, Pectinex did not augment the bactericidal effect of either amoxicillin-clavulanate or ciprofloxacin. Instead, Pectinex-antibiotic combinations were associated with decreased susceptibility to the antibiotics in clinical cultures, as indicated by an increase in the MIC and MBC (Table 1). No change in the susceptibility to antibiotics occurred in standard cultures. In an animal model experiment, Mecikoglu et al. showed that the proteolytic enzyme, serratiopeptidase, enhanced the efficacy of antibiotics in the treatment of an infected knee implant. A number of in vitro studies using various different antibiotic and enzyme combinations have also demonstrated increased antibiotic susceptibility in bacterial cultures ,,. Alkawash et al.  showed that alginate lyase increased the susceptibility of P. aeruginosa to gentamicin and alginate lyase in P. aeruginosa cultures. In contrast, Diaz et al.  found that the susceptibility of P. aeruginosa to gentamicin decreased despite treatment with alginate lyase. This suggests that different outcomes may occur even where the same combination of agents is used.
The electron microscopy images of the biofilms showed that treatment with Pectinex compared to the untreated controls was associated with an increase in the number of adherent bacteria in standard cultures of S. aureus and P. aeruginosa. However, the precise responses were found to vary between the species (and strains). S. aureus biofilms from mature cultures (24 – 48 h) were more resistant to antimicrobial agents than the fresh (0 – 24 h) biofilms whereas the converse was true for P. aeruginosa biofilms. These findings were consistent with those of Leroy et al.  who found that the activity of low concentrations of Pectinex, and several other enzymes (including α-amylase, and cellulase), significantly increased bacterial adhesion in 3 h-old cultures of Pseudoalteromonas species, whereas higher concentrations reduced adhesion. From the evidence possible resistance mechanisms which the bacteria may have employed against Pectinex include the expression of resistance genes, the stimulation of metabolism and growth by fungal growth factors and the utilization of components of Pectinex as a source of nutrients ,. In addition, the growth rate of the bacteria may have been enhanced, or the effectiveness of the enzyme diminished, by the availability of nutrient-rich growth media ,. The findings do not support previous research by Johansen et al.  and Chaignon et al. , which showed Pectinex to be effective against biofilms of P. aeruginosa and S. aureus. Johansen et al.  investigated the use of Pectinex for its potential as an industrial cleaning agent and demonstrated that Pectinex concentrations as low as 0.18 – 1.8 PGU/ml effectively removed biofilms of S. aureus. S. epidermidis, P. aeruginosa and P. fluorescens.
In this study, electron microscopy images of biofilms showed monolayers of few adherent cells in the untreated controls of both bacteria. These weak biofilms may have been due to the formation of loose biofilm in the nutrient-rich culture medium. An earlier study has shown that high nutrient levels (e.g. succinate, glutamate or glucose) caused up to 80% reduction in biofilm biomass . In addition, loss of biofilm cells may also have occurred during the fixation and rinsing stages of specimen preparation . Nevertheless compared to the untreated controls treatment with Pectinex was associated with an increase in the number of adherent bacteria, in standard cultures of S. aureus and P. aeruginosa cultures. The responses were found to vary between the species (and strains).
This study is the first to assess the cytotoxic effects of Pectinex Ultra SP-L in human cell cultures. The enzyme was found to be toxic to HeLa cells, lymphocytes and neutrophils. Apoptosis appeared to predominate following exposure to the enzyme. This suggests that the cell types are equally susceptible to Pectinex inhibition. The mechanism by which Pectinex exerted its cytotoxic action requires further investigation. Although industrial food enzymes are regarded as safe, the study supports the notion that caution should be taken during non-conventional use and exposure to these enzymes.
Pectinex was not effective in the treatment of planktonic or biofilm forms of S. aureus and P. aeruginosa. The enzyme failed to prevent the formation of new biofilm or to reduce biomass and cell viability in preformed biofilms. Rather, low concentrations of Pectinex (≤118.75 PGU/ml) were associated with increased biofilm biomass and the number of viable bacteria. Pectinex significantly reduced the antibacterial and antibiofilm actions of amoxicillin-clavulanate and ciprofloxacin against S. aureus and P. aeruginosa, respectively. Pectinex was thus found to be an unsuitable candidate for management of either planktonic or biofilm phenotypes of S. aureus or P. aeruginosa.
The authors are grateful for the funding received from the School of Medicine, Faculty of Health Sciences, University of Pretoria, and the Department of Pharmacology, to carry out this research.
- Zucca M, Savoia D: The post-antibiotic era: promising developments in the therapy of infectious diseases. Int J Biomed Sci. 2010, 6 (2): 77-86.PubMed CentralPubMedGoogle Scholar
- Arias CA, Murray BE: Antibiotic-resistant bugs in the 21st century - a clinical super-challenge. N Engl J Med. 2009, 360 (5): 439-443. 10.1056/NEJMp0804651.View ArticlePubMedGoogle Scholar
- Public Policy IDSA: The 10 x ’20 Initiative: Pursuing a global commitment to develop 10 new antibacterial drugs by 2020. Clin Infect Dis. 2010, 50 (8): 1081-1083. 10.1086/652237.View ArticleGoogle Scholar
- Kaplan JB: Biofilm dispersal: mechanisms, clinical implications, and potential therapeutic uses. J Dent Res. 2010, 89 (3): 205-219. 10.1177/0022034509359403.PubMed CentralView ArticlePubMedGoogle Scholar
- Fux CA, Wilson S, Stoodley P: Detachment characteristics and oxacillin resistance of Staphyloccocus aureus biofilm emboli in an in vitro catheter infection model. J Bacteriol. 2004, 186 (14): 4486-4491. 10.1128/JB.186.14.4486-4491.2004.PubMed CentralView ArticlePubMedGoogle Scholar
- Davies DG: Understanding biofilm resistance to antibacterial agents. Nat Rev Drug Discov. 2003, 114 (2): 114-122. 10.1038/nrd1008.View ArticleGoogle Scholar
- Nickel JC, Ruseska I, Wright JB, Costerton JW: Tobramycin resistance of Pseudomonas aeruginosa cells growing as a biofilm on urinary catheter material. Antimicrob Agents Chemother. 1985, 27 (4): 619-624. 10.1128/AAC.27.4.619.PubMed CentralView ArticlePubMedGoogle Scholar
- Xavier JB, Picioreanu C, Rani SA, Van Loosdrecht MCM, Stewart PS: Biofilm-control strategies based on enzymic disruption of the extracellular polymeric substance matrix – a modelling study. Microbiology. 2005, 151 (12): 3817-3832. 10.1099/mic.0.28165-0.View ArticlePubMedGoogle Scholar
- Van Beilen JB, Li Z: Enzyme technology: an overview. Curr Opin Biotechnol. 2002, 13 (4): 338-344. 10.1016/S0958-1669(02)00334-8.View ArticlePubMedGoogle Scholar
- Ward OP, Qin WM, Dhanjoon J, Ye J, Singh A: Physiology and biotechnology of Aspergillus. Adv Appl Microbiol. 2006, 58: 1-75. 10.1016/S0065-2164(05)58001-8.View ArticlePubMedGoogle Scholar
- Johansen C, Falholt P, Gram L: Enzymatic removal and disinfection of bacterial biofilms. Appl Env Microbiol. 1997, 63 (9): 3724-3728.Google Scholar
- Chaignon P, Sadovskaya I, Ragunath C, Ramasubbu N, Kaplan JB, Jabbouri S: Susceptibility of staphylococcal biofilms to enzymatic treatments depends on their chemical composition. Appl Microbiol Biotechnol. 2007, 75 (1): 125-132. 10.1007/s00253-006-0790-y.View ArticlePubMedGoogle Scholar
- Donelli G, Francolini I, Romoli D, Guaglianone E, Piozzi A, Ragunath C, Kaplan JB: Synergistic activity of dispersin B and cefamandole nafate in inhibition of staphylococcal biofilm growth on polyurethanes. Antimicrob Agents Chemother. 2007, 51 (8): 2733-2740. 10.1128/AAC.01249-06.PubMed CentralView ArticlePubMedGoogle Scholar
- Basketter D, Berg N, Broekhuizen C, Fieldsend M, Kirkwood S, Kluin C, Mathieu S, Rodriguez C: Enzymes in cleaning products: an overview of toxicological properties and risk assessment/management. Regul Toxicol Pharmacol. 2012, 64 (1): 117-123. 10.1016/j.yrtph.2012.06.016.View ArticlePubMedGoogle Scholar
- Spök A: Safety regulations of food enzymes. Food Technol Biotechnol. 2006, 44 (2): 197-209.Google Scholar
- Pariza MW, Johnson EA: Evaluating the safety of microbial enzyme preparations used in food processing: update for a new century. Regul Toxicol Pharmacol. 2001, 33 (2): 173-186. 10.1006/rtph.2001.1466.View ArticlePubMedGoogle Scholar
- Ventola CL: Off-label drug information: regulation, distribution, evaluation, and related controversies. Pharm Ther. 2009, 34 (8): 428-440.Google Scholar
- Schrek R: A method for counting the viable cells in normal and in malignant cell suspensions. Am J Cancer. 1936, 28 (2): 389-392.Google Scholar
- Pretlow TG, Luberoff DE: A new method for separating lymphocytes and granulocytes from human peripheral blood using programmed gradient sedimentation in an isokinetic gradient. Immunology. 1973, 24 (1): 85-92.PubMed CentralPubMedGoogle Scholar
- Grare M, Fontanay S, Cornil C, Finance C, Duval RE: Tetrazolium salts for MIC determination in microplates: Why? Which salt to select? How?. J Microbiol Methods. 2008, 75 (1): 156-159. 10.1016/j.mimet.2008.05.010.View ArticlePubMedGoogle Scholar
- Eloff JN: A sensitive and quick microplate method to determine the minimal inhibitory concentration of plant extracts for bacteria. Planta Med. 1998, 64 (8): 711-713. 10.1055/s-2006-957563.View ArticlePubMedGoogle Scholar
- Pitts B, Hamilton MA, Zelver N, Stewart PS: A microtiter-plate screening method for biofilm disinfection and removal. J Microbiol Methods. 2003, 54 (2): 269-276. 10.1016/S0167-7012(03)00034-4.View ArticlePubMedGoogle Scholar
- Kim JE, Choi NH, Kang SC: Anti-listerial properties of garlic shoot juice at growth and morphology of Listeria monocytogenes. Food Control. 2007, 18: 1198-1203. 10.1016/j.foodcont.2006.07.017.View ArticleGoogle Scholar
- Smith K, Perez A, Ramage G, Lappin D, Gemmell CG, Lang S: Biofilm formation by Scottish clinical isolates of Staphylococcus aureus. J Med Microbiol. 2008, 57 (8): 1018-1023. 10.1099/jmm.0.2008/000968-0.View ArticlePubMedGoogle Scholar
- Green BJ, Beezhold DH: Industrial fungal enzymes: an occupational allergen perspective. J Allergy. 2011, 2011: 11 pages-10.1155/2011/682574.View ArticleGoogle Scholar
- Orie NN, Zidek W, Tepel M: Chemoattractant- and mitomycin-induced generation of reactive oxygen species in human lymphocytes: The role of calcium. Exp Physiol. 1999, 84 (3): 515-520. 10.1017/S0958067099018618.View ArticlePubMedGoogle Scholar
- Elmore S: Apoptosis: a review of programmed cell death. Toxicol Pathol. 2007, 35 (4): 495-516. 10.1080/01926230701320337.PubMed CentralView ArticlePubMedGoogle Scholar
- Cho SW, Lee S, Shin W: The x-ray structure of Aspergillus aculeatus polygalacturonase and a modeled structure of the polygalacturonase-octagalacturonate complex. J Mol Biol. 2001, 314 (4): 863-878. 10.1006/jmbi.2001.4919.View ArticleGoogle Scholar
- Aslan Y, Tanrμseven A: Immobilization of Pectinex Ultra SP-L to produce galactooligosaccharides. J Mol Catal B: Enzym. 2007, 45: 73-77. 10.1016/j.molcatb.2006.12.005.View ArticleGoogle Scholar
- Montilla A, Corzo N, Olani A, Jimeno ML: Identification of oligosaccharides formed during stachyose hydrolysis by Pectinex Ultra SP-L. J Agric Food Chem. 2009, 57 (11): 5007-5013. 10.1021/jf900309x.View ArticlePubMedGoogle Scholar
- Singer SJ, Nicolson GL: The structure and chemistry of mammalian cell membranes. Am J Pathol. 1971, 65 (2): 427-437.PubMed CentralPubMedGoogle Scholar
- Aritajat S, Saenphet K, Srikalayanukul C: The toxicity of a crude enzyme extract from Gliomastix murorum in Swiss Albino mice. Southeast Asian J Trop Med Public Heal. 2005, 36 (Suppl 4): 242-245.Google Scholar
- Varki A: Biological roles of oligosaccharides: all of the theories are correct. Glycobiology. 1993, 3 (2): 97-130. 10.1093/glycob/3.2.97.View ArticlePubMedGoogle Scholar
- Fux CA, Stoodley P, Hall-Stoodley L, Costerton JW: Bacterial biofilms: a diagnostic and therapeutic challenge. Expert Rev Anti Infect Ther. 2003, 1 (4): 667-683. 10.1586/14787184.108.40.2067.View ArticlePubMedGoogle Scholar
- Costerton JW, Stewart PS, Greenberg EP: Bacterial biofilms: A common cause of persistent infections. Science. 1999, 284 (5418): 1318-1322. 10.1126/science.284.5418.1318.View ArticlePubMedGoogle Scholar
- Hoogkamp-Korstanje JAA:In-vitro activities of ciprofloxacin, levofloxacin, lomefloxacin, ofloxacin, pefloxacin, sparfloxacin and trovafloxacin against gram-positive and gram-negative pathogens from respiratory tract infections. J Antimicrob Chemother. 1997, 40 (3): 427-431. 10.1093/jac/40.3.427.View ArticlePubMedGoogle Scholar
- Prieto J, Aguilar L, Giménez MJ, Toro D, G mez-Lus ML, Dal-Ré R, Balcabao IP: In vitro activities of co-amoxiclav at concentrations achieved in human serum against the resistant subpopulation of heteroresistant Staphylococcus aureus: a controlled study with vancomycin. Antimicrob Agents Chemother. 1998, 42 (7): 1574-1577.PubMed CentralPubMedGoogle Scholar
- Mecikoglu M, Saygi B, Yildirim Y, Karadag-Saygi E, Ramadan SS, Esemenli T: The effect of proteolytic enzyme serratiopeptidase in the treatment of experimental implant-related infection. J Bone Jt Surg Am. 2006, 88 (6): 1208-1214. 10.2106/JBJS.E.00007.View ArticleGoogle Scholar
- Nemoto K, Hirota K, Ono T, Murakami K, Murakami K, Nagao D, Miyake Y: Effect of Varidase (Streptokinase) on biofilm formed by Staphylococcus aureus. Chemotherapy. 2000, 46 (2): 111-115. 10.1159/000007264.View ArticlePubMedGoogle Scholar
- Alkawash MA, Soothill JS, Schiller NL: Alginate lyase enhances antibiotic killing of mucoid Pseudomonas aeruginosa in biofilms. APMIS. 2006, 114 (2): 131-138. 10.1111/j.1600-0463.2006.apm_356.x.View ArticlePubMedGoogle Scholar
- Diaz E, Haaf H, Lai A, Yadana J: Role of alginate in gentamicin antibiotic susceptibility during the early stages of Pseudomonas aeruginosa PAO1 biofilm establishment. JEMI. 2011, 15 (4): 71-78.Google Scholar
- Singh R, Ray P, Das A, Sharma M: Role of persisters and small-colony variants in antibiotic resistance of planktonic and biofilm-associated Staphylococcus aureus: an in vitro study. J Med Microbiol. 2009, 58 (8): 1067-1073. 10.1099/jmm.0.009720-0.View ArticlePubMedGoogle Scholar
- Leroy C, Delbarre C, Ghillebaert F, Compere C, Combes D: Effects of commercial enzymes on the adhesion of a marine biofilm-forming bacterium. Biofouling. 2008, 24 (1): 11-22. 10.1080/08927010701784912.View ArticlePubMedGoogle Scholar
- Campos-Montiel RG, Viniegra-Gonzales G: Microbial bioassay of fungal compounds that stimulate the growth of a consortium of anaerobic cellulolytic bacteria. Biotechnol Tech. 1995, 9 (1): 65-68. 10.1007/BF00153003.View ArticleGoogle Scholar
- Nazir R, Warmink JA, Boersma H, van Elsas JD: Mechanisms that promote bacterial fitness in fungal-affected soil microhabitats. FEMS Microbiol Ecol. 2010, 71 (2): 169-185. 10.1111/j.1574-6941.2009.00807.x.View ArticlePubMedGoogle Scholar
- Augustin M, Ali-Vehmas T, Atroshi F: Assessment of enzymatic cleaning agents and disinfectants against bacterial biofilms. J Pharm Pharm Sci. 2004, 7 (1): 55-64.PubMedGoogle Scholar
- Sauer K, Cullen MC, Rickard AH, Zeef LAH, Davies DG, Gilbert P: Characterization of nutrient-induced dispersion in Pseudomonas aeruginosa PAO1 biofilm. J Bacteriol. 2004, 186 (21): 7312-7326. 10.1128/JB.186.21.7312-7326.2004.PubMed CentralView ArticlePubMedGoogle Scholar
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