Antimicrobial Activity of Flavonoids against Extended-Spectrum &#946-Lactamase (ES&#946L)-Producing Klebsiella pneumoniae

Purpose: In the present study, six flavonoids (5,7-dimethoxyflavanone-4'-O-&#946-D-glucopyranoside, 5,7- dimethoxyflavanone-4'-O-[2''-O-(5'''-O-trans-cinnamoyl)-&#946-D-apiofuranosyl]-&#946-D-glucopyranoside, naringenin-7-O-&#946-D-glucopyranoside, 5,7,3'-trihydroxy-flavanone-4'-O-&#946-D-glucopyranoside, rutin, and nicotiflorin) isolated from Galium fissurense, Viscum album ssp. album and Cirsium hypoleucum were screened against extended-spectrum &#946-lactamase producing multidrug-resistant (trimetoprimesulphametoxazole, sulbactam-ampicillin, clavulonate-amoxicilin, ceftriaxon, cefepime, imipenem, ceftazidime, tobramicin, gentamicin, ofloxacin, ciprofloxacin) bacteria Klebsiella pneumoniae (ES&#946Ls). Methods: We performed susceptibility testing according to the Clinical and Laboratory Standards Institute (CLSI, formerly NCCLS) and used an inhibition endpoint for determination of the minimum inhibition concentrations (MICs). Results: All the flavonoids showed in vitro antimicrobial activity against all the isolated strains of K. pneumoniae similar to the control antibacterial (ofloxacin) at the concentrations of 32 - 64 μg ml-l; another control, ampicillin, had no activity. Since, ES&#946L-producing strains are known to be resistant to all &#946-lactam antibiotics, our results fall notably within the concentration range for antimicrobial activity. Conclusion: To the best of our knowledge, this is the first report of the study of the activity of these flavonoids against (ES&#946L)-producing K. pneumoniae and may throw light to the low-toxicity of flavonoids, and their potentials for developing therapies for infections caused by ES&#946L-producing bacteria in the future. Further work is under investigation to identify their precise antibacterial mechanism. Keywords: Antimicrobial activity, ES&#946Ls, Flavonoids, Klebsiella pneumoniae, Ofloxacin, Ampicillin.Tropical Journal of Pharmaceutical Research Vol. 7(4) 2008: pp. 1151-115