Evaluation of Antimicrobial Activity of Trachyspermum ammi (L.) Sprague Essential Oil and Its Active Constituent, Thymol, against Vaginal Pathogens
Abstract
Vaginal infections are one of the major reasons women visit a gynecologist. Increased resistance to conventional antibiotics is one of the main factors mitigating the development of new antimicrobial agents, especially those of natural origin. In traditional Persian medicine, Trachyspermum ammi has been claimed to clear vagina from excessive discharge. Therefore, in this study, the antimicrobial activity of Ajwain essential oil was evaluated against some vaginal pathogens. The essential oil of ajwain was picked up and the minimum inhibitory and bactericidal concentrations (MIC and MBC) were revealed. The most frequently detected microorganisms involved in genital infections including Candida spp., Gardnerella vaginalis, Escherichia coli, Staphylococcus aureus, Streptococcus agalactiae and Lactobacillus acidophilus were considered. Evaluation of the essential oil of Trichomonas vaginalis was done by calculation of percent of growth inhibition. The essential oil showed a remarkable activity against the studied bacteria and fungi with MIC at a range of 0.0315 - 0.5 mg/ml and MBC at a range of 0.125 - 4 mg /ml. The highest inhibition and bactericidal activity was observed in S. agalactiae and G. vaginalis. 100% inhibition of T. vaginalis growth was shown at a concentration of 2000 μg/ml after 48 h by essential oil. The antimicrobial activity of the essential oil was more than that of thymol. Supposedly essential oil of Trachyspermum ammi fruit could inhibit vaginal pathogens growth .Further preclinical and clinical studies are required to confirm the efficacy of this natural agent in vaginitis.
ACOG Practice Bulletin. Clinical management guidelines for obstetrician-gynecologists, Number 72, May 2006: Vaginitis. Obstet gynecol. 2006;107(5):1195-1206.
Sweet RL. Gynecologic conditions and bacterial vaginosis: implications for the non-pregnant patient. Infect Dis Obstet Gynecol 2000;8:184-190.
Jakovljevic A, Bogavac M, Nikolic A, Tosic MM, Novakovic Z, Stajic Z. The influence of bacterial vaginosis on gestational week of the completion of delivery and biochemical markers of inflammation in the serum. Vojnosanit Pregl 2014;71:931-935.
Poole DN, McClelland RS. Global epidemiology of Trichomonas vaginalis. Sex Transm Infect 2013;89:418-422.
Silver BJ, Guy RJ, Kaldor JM, Jamil MS, Rumbold AR. Trichomonas vaginalis as a cause of perinatal morbidity: a systematic review and meta-analysis. Sex Transm Dis 2014;41:369-376.
Alcaide ML, Feaster DJ, Duan R, Cohen S, Diaz C, Castro JG. The incidence of Trichomonas vaginalis infection in women attending nine sexually transmitted diseases clinics in the USA. Sex Transm Infect. 2016;9:58-62.
Hirt RP, Sherrard J. Trichomonas vaginalis origins, molecular pathobiology and clinical considerations. Curr Opin Infect Dis 2015;28:72-79.
Mashburn J. Vaginal infections update. J Midwifery Womens Health 2012;57:629-634.
Li J, McCormick J, Bocking A, Reid G. Importance of vaginal microbes in reproductive health. Reprod Sci 2012;19:235-242.
Cox C, McKenna JP, Watt AP, Coyle PV. New assay for Gardnerella vaginalis loads correlates with Nugent scores and has potential in the diagnosis of bacterial vaginosis. J Med Microbiol 2015;6:978-984.
Hoffmann JN, You HM, Hedberg EC, Jordan JA, McClintock MK. Prevalence of bacterial vaginosis and Candida among postmenopausal women in the United States. J Gerontol B Psychol Sci Soc Sci 69:S205-214.
Leitich H, Kiss H. Asymptomatic bacterial vaginosis and intermediate flora as risk factors for adverse pregnancy outcome. Best Pract Res Clin Obstet Gynaecol 2007;21:375-390.
Donders GG. Definition and classification of abnormal vaginal flora. Best Pract Res Clin Obstet Gynaecol 2007;21:355-373.
Ugwumadu A, Reid F, Hay P, Manyonda I. Natural history of bacterial vaginosis and intermediate flora in pregnancy and effect of oral clindamycin. Obstet gynecol 2004;104:114-119.
Tempera G, Furneri PM. Management of aerobic vaginitis. Gynecol Obstet Invest 2010; 70:244-249.
Hamad M, Kazandji N, Awadallah S, Allam H. Prevalence and epidemiological characteristics of vaginal candidiasis in the UAE. Mycoses 2014;57:184-190.
Enoch DA, Ludlam HA, Brown NM. Invasive fungal infections: a review of epidemiology and management options. J Med Microbiol 2006;55:809-818.
Singh S, Sobel JD, Bhargava P, Boikov D, Vazquez JA. Vaginitis due to Candida krusei: epidemiology, clinical aspects, and therapy. Clin Infect Dis 2002;35:1066-1070.
Borman AM, Szekely A, Linton CJ, Palmer MD, Brown P, Johnson EM. Epidemiology, Antifungal Susceptibility, and Pathogenicity of Candida africana Isolates from the United Kingdom. J Clin Microbiol 2013;51:967-972.
Cassone A. Vulvovaginal Candida albicans infections: pathogenesis, immunity and vaccine prospects. BJOG 2015;122:785-794.
Sobel JD. Management of recurrent vulvovaginal candidiasis: unresolved issues. Curr Infect Dis Rep 2006;8:481-486.
Cernicka J, Subik J. Resistance mechanisms in fluconazole-resistant Candida albicans isolates from vaginal candidiasis. Int J Antimicrob Agents 2006;27:403-408.
Foxman B, Muraglia R, Dietz J-P, Sobel JD, Wagner J. Prevalence of recurrent vulvovaginal candidiasis in 5 European countries and the United States: results from an internet panel survey. J Low Genit Tract Dis 2013;17:340-350.
Kennedy MA, Sobel JD. Vulvovaginal Candidiasis Caused by Non-albicans Candida Species: New Insights. Curr Infect Dis Rep 2010;12:465-470.
Organization WH. Prevalence and incidence of selected sexually transmitted infections, Chlamydia trachomatis, Neisseria gonorrhoeae, syphilis and Trichomonas vaginalis: methods and results used by WHO to generate 2005 estimates, 2011.
Sobel JD, Subramanian C, Foxman B, Fairfax M, Gygax SE. Mixed vaginitis—more than coinfection and with therapeutic implications. Curr Infect Dis Rep 2013;15:104-108.
Natto MJ, Eze AA, De Koning HP. Protocols for the Routine Screening of Drug Sensitivity in the Human Parasite Trichomonas vaginalis. Chemical Biology: Methods and Protocols 2015:103-110.
Oduyebo OO, Anorlu RI, Ogunsola FT. The effects of antimicrobial therapy on bacterial vaginosis in non-pregnant women. Cochrane Database Syst Rev 2009;8:CD006055.
Dunne RL, Linda AD, Upcroft P, O'donoghue PJ, Upcroft JA. Drug resistance in the sexually transmitted protozoan Trichomonas vaginalis. Cell Research 2003;13:239-349.
Brandolt TM, Klafke GB, Goncalves CV, Bitencourt LR, Martinez AM, Mendes JF. Prevalence of Candida spp. in cervical-vaginal samples and the in vitro susceptibility of isolates. Braz J Microbiol 2017;48;145-150.
Mehriardestani M, Aliahmadi A, Toliat T, Rahimi R. Medicinal plants and their isolated compounds showing anti-Trichomonas vaginalis-activity. Biomed Pharmacother 2017;88:885-893.
Moghim H, Taghipoor S, Shahinfard N, Kheiri S, Panahi R. Antifungal effects of Zataria multiflora and Nigella sativa extracts against Candida albicans. J HerbMed Pharmacol 2015;4: 138-141.
Abdali K, Jahed L, Amooee S, Zarshenas M, Tabatabaee H, Bekhradi R. Comparison of the Effect of Vaginal Zataria multiflora Cream and Oral Metronidazole Pill on Results of Treatments for Vaginal Infections including Trichomoniasis and Bacterial Vaginosis in Women of Reproductive Age. Biomed Res Int 2015;2015.
Derda M, Hadas E. The use of phytotherapy in diseases caused by parasitic protozoa. Acta Parasitol 2015;60:1-8.
Aghili MH. Makhzan-al-Advia.Tehran University of Medical Sciences. Tehran 2009; pp 765-766.
Jorgensen JH. Antibacterial susceptibility tests: dilution and disk diffusion methods. Manual of Clinical Microbiology. 9th ed. American Society for Microbiology. 2007; pp 1152-72.
Moon T, Wilkinson JM, Cavanagh HM. Antiparasitic activity of two Lavandula essential oils against Giardia duodenalis, Trichomonas vaginalis and Hexamita inflata. Parasitol Res 2006;99: 722-728.
Diamond LS. The establishment of various trichomonads of animals and man in axenic cultures. Journal Parasitol 1957;488-490.
Momeni Z, Sadraei J, Kazemi B, Dalimi A. Molecular typing of the actin gene of Trichomonas vaginalis isolates by PCR-RFLP in Iran. Exp Parasitol 2015;159:259-263.
Meri T, Jokiranta TS, Suhonen L, Meri S. Resistance of Trichomonas vaginalis to metronidazole: report of the first three cases from Finland and optimization of in vitro susceptibility testing under various oxygen concentrations. J Clin Microbiol 2000;38:763-767.
Tonkal A. In vitro antitrichomonal effect of Nigella sativa aqueous extract and wheat germ agglutinin. Med Sci 2009;16:17-34.
Boskabady MH, Alitaneh S, Alavinezhad A. Carum copticum L.: A Herbal Medicine with Various Pharmacological Effects. Biomed Res Int 2014;2014.
Sharifzadeh A, Shokri H. Antifungal activity of essential oils from Iranian plants against fluconazole-resistant and fluconazole-susceptible Candida albicans. Avicenna J Phytomed 2016; 6:215-222.
Kenyon CR, Osbak K. Recent progress in understanding the epidemiology of bacterial vaginosis. Curr Opin Obstet Gynecol 2014;26:448-454.
Machado A, Cerca N. Influence of Biofilm Formation by Gardnerella vaginalis and Other Anaerobes on Bacterial Vaginosis. J Infect Dis 2015;212:1856-1861.
Castro J, Alves P, Sousa C, Cereija T, França Â, Jefferson KK. Using an in-vitro biofilm model to assess the virulence potential of Bacterial Vaginosis or non-Bacterial Vaginosis Gardnerella vaginalis isolates. Sci Rep 2015;5:11640.
Schuyler JA, Chadwick SG, Mordechai E, Adelson ME, Gygax SE, Hilbert DW. Draft Genome Sequence of a Metronidazole-Resistant Gardnerella vaginalis Isolate. Genome Announc 2015;3:e00992-15.
Lee JH, Kim YG, Lee J. Carvacrol‐rich oregano oil and thymol‐rich thyme red oil inhibit biofilm formation and the virulence of uropathogenic Escherichia coli. J Appl Microbiol 2017; 123:1420-1428.
Yin D, Du E, Yuan J, Gao J, Wang Y, Aggrey SE. Supplemental thymol and carvacrol increases ileum Lactobacillus population and reduces effect of necrotic enteritis caused by Clostridium perfringes in chickens. Sci Rep 2017;7:7334.
Rattanachaikunsopon P, Phumkhachorn P. Assessment of factors influencing antimicrobial activity of carvacrol and cymene against Vibrio cholerae in food. J Biosci Bioeng 2010;110:614-619.
Kiskó G, Roller S. Carvacrol and p-cymene inactivate Escherichia coli O157: H7 in apple juice. BMC Microbiol 2005;5:36.
Marchese A, Arciola CR, Barbieri R, Silva AS, Nabavi SF, Tsetegho Sokeng AJ. Update on Monoterpenes as Antimicrobial Agents: A Particular Focus on p-Cymene. Materials 2017;10:947.
Hassanshahian M, Bayat Z, Saeidi S, Shiri Y. Antimicrobial activity of Trachyspermum ammi essential oil against human bacterial. Int J Adv Biol Biomed Res 2014;2:18-24.
Files | ||
Issue | Vol 5, No 2, 2020 | |
Section | Research Article(s) | |
DOI | https://doi.org/10.18502/tim.v5i2.3625 | |
Keywords | ||
Ajwain Medicinal plant Thymol Vaginitis Trichomoniasi Vaginal candidiasis |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |