In Vitro Effects of Some Botanicals with Anti-Inflammatory and Antitoxic Activity.
Journal: 2017/March - Journal of Immunology Research
ISSN: 2314-7156
Abstract:
Several extrinsic factors, like drugs and chemicals, can foster autoimmunity. Tetracyclines, in particular oxytetracycline (OTC), appear to correlate with the emergence of immune-mediated diseases. Accumulation of OTC, the elective drug for gastrointestinal and respiratory infectious disease treatment in broiler chickens, was reported in chicken edible tissues and could represent a potential risk for pets and humans that could assume this antibiotic as residue in meat or in meat-derived byproducts. We investigated the in vitro anti-inflammatory properties of a pool of thirteen botanicals as a part of a nutraceutical diet, with proven immunomodulatory activity. In addition, we evaluated the effect of such botanicals in contrasting the in vitro proinflammatory toxicity of OTC. Our results showed a significant reduction in interferon- (INF-) γ production by human and canine lymphocytes in presence of botanicals ((⁎) p < 0.05). Increased INF-γ production, dependent on 24-hour OTC-incubation of T lymphocytes, was significantly reduced by the coincubation with Haematococcus pluvialis, with Glycine max, and with the mix of all botanicals ((⁎) p < 0.05). In conclusion, the use of these botanicals was shown to be able to contrast OTC-toxicity and could represent a new approach for the development of functional foods useful to enhance the standard pharmacological treatment in infections as well as in preventing or reducing the emergence of inflammatory diseases.
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Journal of Immunology Research. Dec/31/2015; 2016
Published online Aug/14/2016

In Vitro Effects of Some Botanicals with Anti-Inflammatory and Antitoxic Activity

+3 authors

Abstract

Several extrinsic factors, like drugs and chemicals, can foster autoimmunity. Tetracyclines, in particular oxytetracycline (OTC), appear to correlate with the emergence of immune-mediated diseases. Accumulation of OTC, the elective drug for gastrointestinal and respiratory infectious disease treatment in broiler chickens, was reported in chicken edible tissues and could represent a potential risk for pets and humans that could assume this antibiotic as residue in meat or in meat-derived byproducts. We investigated the in vitro anti-inflammatory properties of a pool of thirteen botanicals as a part of a nutraceutical diet, with proven immunomodulatory activity. In addition, we evaluated the effect of such botanicals in contrasting the in vitro proinflammatory toxicity of OTC. Our results showed a significant reduction in interferon- (INF-) γ production by human and canine lymphocytes in presence of botanicals (p < 0.05). Increased INF-γ production, dependent on 24-hour OTC-incubation of T lymphocytes, was significantly reduced by the coincubation with Haematococcus pluvialis, with Glycine max, and with the mix of all botanicals (p < 0.05). In conclusion, the use of these botanicals was shown to be able to contrast OTC-toxicity and could represent a new approach for the development of functional foods useful to enhance the standard pharmacological treatment in infections as well as in preventing or reducing the emergence of inflammatory diseases.

1. Introduction

The immune system has the fundamental role of not only protecting and defending the organism against infections but also controlling homeostasis and health maintenance against infections, autoimmune diseases, and tumor onset [1]. Depending on the pathogen or on antigen, two different immune responses can occur: the humoral and the cellular responses [2]. Moreover, the immune system can be classified into two fundamental phases: the innate and acquired (or adaptive) responses [3]. Innate immunity is present in vertebrates and in nonvertebrates, represents the first-line defence in the species and is based on cells (i.e., macrophages, polymorphonuclear cells, and natural killer lymphocytes) and on some mechanisms, mediated by soluble substances (i.e., complement proteins, antibodies, natural compounds, etc.) that defend the plants and animals from infections [4]. Conversely, adaptive immunity is present only in vertebrates and is a host defence related to several specific cellular mechanisms that specifically recognize the antigens and are fundamentally expressed by B and T lymphocytes, plasma cells, and antibodies [5]. The CD4+ T helper (TH) lymphocytes represent key cells in the polarization of inflammatory/noninflammatory immune response: TH1 and TH2 are the most common [6]. The TH1 response is characterized by the a secretion of INF-γ, which optimizes the bactericidal macrophages capability, induces the production of opsonizing and complement-fixing antibodies, and fosters the establishment of an optimal CTL response. The TH2 response is characterized by interleukin- (IL-) 4, IL-5, IL-10, and IL-13 release, which results in the activation of B cells to make neutralizing noncytolytic antibodies, leading to humoral immunity [6].

Exacerbation and endurance of TH1 response have been associated with the emergence of inflammatory diseases [6] and autoimmune disorders [7]. In particular, INF-γ appears to play a pivotal role in inducing autoimmune responses [816].

Several extrinsic factors, like drugs and chemicals, can foster the development of autoimmunity [1722]. In this regard, the use of tetracyclines appears to correlate with the emergence of autoimmune diseases [2329]. Concerning this, OTC represents the main drug used to control gastrointestinal and respiratory diseases in broiler chickens. Its accumulation was demonstrated in chicken edible tissues [30] and could represent a potential risk also for pets and humans that could assume this antibiotic as a residue in meat or in meat-derived byproducts. Recently, we published two papers evidencing the in vitro toxicity of bone meal-derived OTC from intensive poultry farming, in terms of apoptosis induction [31], as well as the proinflammatory cytokines, that is, INF-γ, release from peripheral blood mononuclear cells (PBMCs) cultures [32]. Moreover, we evidenced that the presence of significant concentrations of OTC in gym trained human subjects was linked to the presence of food intolerances [33]. Therefore, we hypothesized a possible modulatory activity exerted by a pool of botanicals derived from medical plants, which are successfully used in several commercially available nutraceutical diets. Intriguingly, many botanicals could have the capability to modulate the immune system [34]. In this regard, it is well known that the immunomodulatory activity of acemannan, a mucopolysaccharide extracted from Aloe vera, related to modulation of nitric oxide release that modulate classes I and II MHC cell surface antigens involved in antigen presentation [35, 36]. The same immunomodulating activity was observed for fermented Carica papaya able to increase Treg cells, reduce INF-γ+CD4+ T cells, and possibly alter the growth of several cancer cell lines [3739]. As to Maitake mushroom (Grifola frondosa), many reports have shown its ability to downregulate cytokine secretion, such as Tumor Necrosis Factor- (TNF-) α and INF-γ, as well as to inhibit adhesion molecule expression and cell-mediated immunity enhancement [4044]. Downregulation of overexpressed cytokines in different inflammatory and immune-related inflammatory conditions was also reported for curcumin extracted from turmeric (Curcuma longa) [4547]. Antiproliferative and chemopreventive effects are known to be also exerted by other curcuminoids, for example, demethoxycurcumin, bisdemethoxycurcumin, and alpha-turmerone [48, 49]. Cytokine downregulation is also performed by Glycine max (soybean) isoflavones that interfere with leukocyte endothelial adhesion ability [5054]. In more detail, isoflavones, that is, genistein, can suppress dendritic cell function and cell-mediated immunity.

It is noteworthy that some botanical principles, which have been investigated in this study such as astaxanthin (from Haematococcus pluvialis), resveratrol (from Polygonum cuspidatum), and Cucumis melo, are characterized by antioxidant and anti-inflammatory properties as well as modulation properties towards CD8+ T-cell proliferation [55, 56]. Anti-inflammatory but also oxidative stress preventing activity has been also ascribed to Cucumis melo extract due to its high activity on superoxide dismutase [57, 58].

Recently, we published a paper evidencing the role for a nutraceutical diet in regulating the immune response in canine Leishmaniosis along with standard pharmacological treatment [59]. In particular, the presence of Ascophyllum nodosum, Cucumis melo, Carica papaya, Aloe vera, Haematococcus pluvialis, Curcuma longa, Camellia sinensis, Punica granatum, Piper nigrum, Polygonum cuspidatum, Echinacea purpurea, Grifola frondosa, and Glycine max in the diet correlated with a significant decrease in TH1 response, in terms of INF-γ production. Such evidence highlighted the anti-inflammatory effects of these specific botanicals. In addition, we suggested the anti-inflammatory effects of several botanicals added to specific diets in relieving inflammatory conditions in chronic pathologies affecting dogs [5963].

Based on these premises, the aim of our study was to investigate the potential anti-inflammatory properties of those 13 botanicals having immune-modulatory effect as supplemented diet regulating the immune response in Leishmaniosis [59]. In particular, we tested the Ascophyllum nodosum, Cucumis melo, Carica papaya, Aloe vera, Haematococcus pluvialis, Curcuma longa, Camellia sinensis, Punica granatum, Piper nigrum, Polygonum cuspidatum, Echinacea purpurea, Grifola frondosa, and Glycine max and their ability to counteract the proinflammatory toxicity of OTC in vitro.

2. Materials and Methods

2.1. Culture Medium and Botanicals

To evaluate the cellular production of cytokines, human and canine PBMCs were incubated overnight with an ad hoc culture medium. Briefly, the first step was the solubilization of 1 gr of powder of each plant-derived substance in an appropriate chemical vehicle depending on solubility degree. In particular, Ascophyllum nodosum (pure powder of Ascophyllum nodosum seaweed, laminarin content min. 2.3%, and fucoidans content min. 11.4% [64]), Aloe vera (Aloe vera gel 200 : 1 powder, aloin content min. 1% [65]), Cucumis melo (lyophilized extract of melon, superoxide dismutase min. 1 UI/mg [57]), Polygonum cuspidatum (powder obtained from dried Polygonum cuspidatum roots, resveratrol content min. 8% [66]), Camellia sinensis (standardized decaffeinated green tea leaves powder, catechins content min. 75% [67]), Carica papaya (Papaya fermented granular, rich in papain [68]), Glycine max (Soy powder, 40% isoflavones [69]), and Grifola frondosa (maitake carpophore dry extract, polysaccharides content min. 20.0% [70]) were solubilized in 10 mL of PBS 1x, with the exception of Glycine max that was added to 30 mL of PBS 1x to gain the full solubilization. Haematococcus pluvialis (standardized beadlets of Haematococcus pluvialis extract, astaxanthin content min. 2.5% [71]) was solubilized in 5 mL of dimethyl sulfoxide and 5 mL of PBS 1x. Echinacea purpurea (Echinacea purpurea dried extract, polyphenols content min 4% [72]), Piper nigrum (black pepper powder, piperine content min. 95% [73]), Curcuma longa (turmeric dried extract, curcuminoids content min. 95% [74]), and Punica granatum (standardized powdered extract from pomegranate, ellagic acid content min. 20% [75]) were solubilized in 4 mL of ethanol and 6 mL of water.

The solubilized botanicals were added to RPMI 1640 culture medium (Sigma-Aldrich, Milan, Italy) to obtain the ad hoc medium in the proportion of 1 : 10 (vehicle-solubilized substance : RPMI 1640) to preserve the good quality of cellular condition in the culture.

The cytokine cell production was evaluated in presence of the ad hoc medium containing the solubilized individual substance or a mixture containing all the solubilized botanicals. The vehicles employed for the solubilization were used as specific controls in the same proportion of ad hoc medium (1 : 10, vehicle : RPMI 1640). The mixture was composed by all ad hoc medium from the botanicals in a variable percentage according to that contained in the commercial canine food, previously used as immunomodulating diet able to reduce INF-γ production [59]. Briefly, the mixture contained 66.3% of Ascophyllum nodosum, 3.1% of Aloe vera, 6.1% of Cucumis melo, 1.5% of Polygonum cuspidatum, 1.5% of Camellia sinensis, 3.1% of Carica papaya, 4.6% of Glycine max, 6.3% of Grifola frondosa, 1.1% of Haematococcus pluvialis, 3.1% of Echinacea purpurea, 0.6% of Piper nigrum, 2.3% of Curcuma longa, and 1.5% of Punica granatum. The obtained mixture was added to RPMI 1640 culture medium to obtain the ad hoc medium in the proportion of 1 : 10 (vehicle/mixture : RPMI 1640) to preserve the good quality of cellular condition in the culture.

Ascophyllum nodosum, Aloe vera, Cucumis melo, Polygonum cuspidatum, Camellia sinensis, and Haematococcus pluvialis were purchased from Italfeed S.r.l, Milano (Italy).

Carica papaya, Glycine max, Echinacea purpurea, Punica granatum, Piper nigrum, and Curcuma longa were purchased from Nutraceutica S.r.l, Monterenzio, Bologna (Italy) while Grifola frondosa was purchased from A.C.E.F. S.p.a., Fiorenzuola D'Arda, Piacenza (Italy).

All the botanicals are in form of powder and are free from genetically modified organisms (Reg. 1829/2003-1830/2003 EC), gluten, bovine transmissible spongiform encephalopathy, and food allergens (DIR 2003/89/EC and 2006/142/EC).

2.2. Human and Canine Donors and Cell Preparation

The human blood collection from 10 healthy donor volunteers (5 males and 5 females, 20–30 years old) was performed at the Haemotrasfusional Center of University of Naples “Federico II,” according to standard procedures and used within the 3 hours from the collection.

Peripheral blood was collected from ten healthy dogs (5 males and 5 females, 5–9 years old and ranging between 15 and 35 kg in weight). All dogs were enrolled with the owner consent in the Department of Veterinary Medicine and Animal Productions, University of Naples “Federico II.” Human or canine PBMCs were isolated by centrifugation on Lymphoprep (Nycomed Pharma) gradients, as previously described [59, 76]. Obtained PBMCs were considered as mixed population of T and non-T lymphocytes.

2.3. Monoclonal Antibodies, Detection of Intracellular Cytokine Production, and Flow Cytometry

For the immune-fluorescent staining a panel of fluorescent-labelled monoclonal antibodies (mAbs) was used to evaluate the human CD3, CD8, INF-γ, and IL-4, as well as a panel of isotype-matched mAb controls (Becton Dickinson Pharmingen, San Jose, California). In addition, we used several fluorescent-labelled mAbs against canine CD3, CD4, CD8, CD45, INF-γ, and IL-4 molecules and isotype-matched controls (Serotec Ltd., London, UK).

To analyze the production of INF-γ and IL-4 cytokines, 2 × 106/mL purified PBMCs were incubated overnight (10–12 hours) in the ad hoc medium of each botanical or of mixture (see Section 2.1). In particular, to obtain the cytokine production, PBMCs were always cultured in presence of 500 ng/mL of phorbol-12-myristate-13-acetate (PMA) and 1 μg/mL of Ionomycin (Sigma-Aldrich), as described in [77]. To avoid extracellular cytokine export, the cultures were performed in the presence of 5 μg/mL of Brefeldin-A (Sigma-Aldrich), as described in [77].

To test the ability of botanicals in contrasting the toxic role of OTC, we used the commercial preparation of the drug (Oxytetracycline 20%®, TreI, Reggio Emilia, Italy). 1 μg of OTC [31] was added to cell culture and incubated for overnight (10–12 hours) as previously described [32]. In addition, Haematococcus pluvialis or Glycine max or the mixture ad hoc medium was used in the coincubation of cells with OTC and all along the overnight (10–12 hours) culture.

At the end of overnight (10–12 hours) incubation, the above incubated cells were fixed and permeabilized by using a commercial cytokine staining kit following the manufacturer's instructions (Caltag Laboratories, Burlingame, CA, USA). Briefly, the cell fixing and permeabilization procedure were of 20 min at 4°C each. At the end of procedure, PBMCs were washed twice by centrifugation (800 ×g) in RMPI 1640 culture medium.

PBMCs were stimulated overnight with PMA and Ionomycin, cultured in a medium containing the botanicals solubilization buffer (vehicle), and used as control points. The proportion of vehicle and RPMI 1640 was the same of ad hoc medium (1 : 10 ratio).

The intracellular cytokine production was evaluated by using the triple staining technique and analyzed by flow cytometry (FACSCalibur platform) and CellQuest Software (Becton Dickinson Pharmingen, San Jose, California). The analyzed cells were always gated (R1 in dot plot of Figures 1(a) and 2(a)) on forward scatter (FSC) and side scatter (SSC) FACS parameters (cell size and cell complexity, resp.) to reasonably select the region of viable lymphocytes in order to avoid any interference due to the possible presence of death cells.

2.4. Statistical Analysis

Data are presented as the means ± standard error of the mean (SEM) and were firstly checked for normality using the D'Agostino-Pearson normality test. The Kruskal-Wallis followed by Dunn's multiple comparisons analysis was performed. A p < 0.05 was considered significant. Statistics was performed by GraphPad Prism 6 (GraphPad Software, Inc., La Jolla, CA, USA).

3. Results and Discussion

3.1. The Anti-Inflammatory Effect of Botanicals as Significant Reduction of INF-γ Production in Human T and Non-T Lymphocytes

We focused on INF-γ production, as the main proinflammatory cytokine able to foster the TH1 and non-T cell immune responses involved in several etiopathogenic mechanisms at the basis of inflammatory-mediated disease [6].

As shown in Figure 1, the overnight incubation (10–12 hours) with each botanical as well as with a mix of all botanicals induced a significant decrease in INF-γ production in the TH lymphocytes (CD3+ CD8 cells gated as R1 in the dot plot graphs of Figures 1(b) and 1(c) and reported as mean ± SEM of 10 experiments in Figure 1(d)) and in non-T cells, mainly represented by NK lymphocytes (CD3 CD8 cells gated as R2 in the dot plot graphs of Figure 1(c)). In particular, the individual incubation with Ascophyllum nodosum, Cucumis melo, Carica papaya, Haematococcus pluvialis, Curcuma longa, Camellia sinensis, Punica granatum, Piper nigrum, Polygonum cuspidatum, Echinacea purpurea, Grifola frondosa, and Glycine max was able to reduce INF-γ production. Intriguingly, despite the obtained slightly decrease in cytokine production, the Aloe vera incubation did not induce a significant reduction from the statistical point of view (Figure 1(d)). In this regard, we cannot rule out that a larger number of experiments (more than the 10 performed in this study and summarized in Figure 1(d)) or a higher concentration of substance could confirm the reduction in lymphocyte INF-γ production by the incubation with this botanical.

The basal IL-4 production was undetectable or only slightly detectable in T and non-T lymphocytes, as expected in PBMCs from healthy human donors after exposure to PMA and Ionomycin [77] and was not modulated after the overnight incubation with the botanicals (Figure 1(c)). Each specific vehicle, used to solubilize the botanicals, was used as control and the obtained value was substracted from each experimental point to obtain the correction following the formula “the value obtained from cell culture in presence of botanicals – the value obtained from cell culture in presence of the vehicle alone = corrected experimental point value.” It is of note that even if the used vehicles appeared to not induce significant cell death in the culture, the flow cytometry analysis was always performed by gating on viable cells to avoid any possible interference dependent on death cells (see Figure 1(a) and Section 2.3). Moreover, the ad hoc medium from botanicals did not exert effect in absence of PMA and Ionomycin stimulation (data not shown).

3.2. The Anti-Inflammatory Effect of Botanicals as Significant Reduction of INF-γ Production in Canine CD4+ T Lymphocytes

The individual incubation with Ascophyllum nodosum, Cucumis melo, Aloe vera, Haematococcus pluvialis, Curcuma longa, Camellia sinensis, Punica granatum, Polygonum cuspidatum, Echinacea purpurea, Grifola frondosa, and Glycine max was able to significantly decrease the INF-γ production in the CD4+ lymphocytes (dot plot graphs in Figure 2(c), summarized in Figure 2(d)). In contrast, the incubation with Carica papaya or with Piper nigrum seemed not to induce a statistically significant reduction (Figure 2(c)). Also, in this case, as referred to in human experiments, we cannot rule out that a larger number of experiments (more than the 10 performed in this study, summarized in Figure 2(d)) or a higher concentration of the substances could confirm the reduction in lymphocyte INF-γ production by the incubation with these two botanicals.

IL-4 production was undetectable in T lymphocytes, as expected in PBMCs from healthy dogs after exposure to PMA and Ionomycin [59], and was not modulated after the overnight incubation with the botanicals (data not shown).

The specific vehicles, employed to solubilize the substances, were used as controls and the resulting values were substracted from experimental points, as described (see Section 3.1). Flow cytometry analysis was always performed by gating on viable cells to avoid any possible interference dependent on death cells (see Figure 2(a) and Section 2.3).

3.3. The Anti-Inflammatory Effect of Botanicals as Significantly Contrasting Effect on INF-γ Production Dependent on OTC Exposure of Human T Lymphocytes

Notably, the individual incubation with Haematococcus pluvialis or with Glycine max was able to contrast the previously demonstrated proinflammatory effect of OTC in human T lymphocytes [32]. Indeed, the increased INF-γ production, dependent on 24-hour OTC-incubation of T lymphocytes, was strongly reduced by the coincubation with Haematococcus pluvialis or Glycine max (Figures 3(a) and 2(b), resp.). Note that the individual incubation with the botanicals, other than Haematococcus pluvialis and Glycine max, was unable to contrast OTC-toxicity (data not shown), while the mixture of all substances exerted a significant effect. Nevertheless, as referred to in previous sections, we cannot rule out that a larger number of experiments or a higher concentration of each substance could confirm the anti-OTC effect also for the other tested botanicals.

The specific vehicles, used to solubilize the substances, were considered as controls and the resulting values were substracted from experimental points, as described (see Section 3.1).

4. Conclusions

This study was inspired by two recently published in vivo observations in which we suggested a potential anti-inflammatory effect of some nutraceutical diets, containing the studied botanicals, in infectious and inflammatory diseases [5961].

In particular, we observed that a diet enriched by Ascophyllum nodosum, Cucumis melo, Carica papaya, Aloe vera, Haematococcus pluvialis, Curcuma longa, Camellia sinensis, Punica granatum, Piper nigrum, Polygonum cuspidatum, Echinacea purpurea, Grifola frondosa, and Glycine max was able to reduce proinflammatory T cell responses in canine Leishmaniosis [59] and the clinical feature of ear inflammation in chronic otitis in dogs [60].

Here, we observed the in vitro effect of Ascophyllum nodosum, Cucumis melo, Haematococcus pluvialis, Curcuma longa, Camellia sinensis, Punica granatum, Polygonum cuspidatum, Echinacea purpurea, Grifola frondosa, and Glycine max in reducing in vitro proinflammatory cytokine production by human and canine PBMCs. These botanicals appeared to exert a potential anti-inflammatory effect that was evident in the reduction of INF-γ production in human T and non-T cells and in canine T lymphocytes. Conversely, Aloe vera, Carica papaya, and Piper nigrum appeared to be ineffective in reducing this cytokine production. These results seem to be contradictory with the data observed in dogs [59], where the diet containing all these botanicals, including Aloe vera, Carica papaya, and Piper nigrum, exerted a therapeutic effect by reducing the inflammatory aspects of Leishmaniosis. Such apparent contradiction may be explained by the different sensitivity between in vitro and in vivo, as well as by the fact that in vivo botanicals are probably synergized in the combined administration as in the diet. In this regard, this latter consideration fits with in vitro effect obtained by the mixed incubation with all substances that induced the INF-γ decrease.

Moreover, as stated in Section 3, we cannot rule out that a larger number of experiments or a higher concentration of substances could confirm the reduction in lymphocyte INF-γ production also by Aloe vera, Carica papaya, and Piper nigrum.

Taken together, our observation highlighted the relevance for the use of botanicals to modulate the inflammatory responses in both dogs and humans. Indeed, exacerbation and the persistence of TH1 response frequently result in the emergence of inflammatory diseases [6] and autoimmunity disorders [7] and the increase of INF-γ production is associated with autoimmunity in humans [816]. In addition, some of the botanicals used in this study were previously suggested as antioxidants and immune-modulating substances to reach the physiological status in several models of disease in human [55, 78] and animals [59, 60, 7983].

Moreover, this study was also inspired by our recent paper, which evidenced the in vitro toxicity of OTC in terms of inflammatory response increase by human lymphocytes [32]. In this regard, here we evaluated the potential ability of Ascophyllum nodosum, Cucumis melo, Carica papaya, Aloe vera, Haematococcus pluvialis, Curcuma longa, Camellia sinensis, Punica granatum, Piper nigrum, Polygonum cuspidatum, Echinacea purpurea, Grifola frondosa, and Glycine max to contrast the OTC-toxicity exerted in vitro in human lymphocytes.

Our data suggested that the incubation with the mixture of these botanicals clearly reduced the OTC-induced INF-γ production in T cells. It is of relevance that the individual incubation with Haematococcus pluvialis or with Glycine max significantly reduced this cytokine production.

Such evidence may shed new light on the misunderstood scenario resulting from the increasing emergence of inflammatory diseases in humans, dogs, and cats [8489]. Moreover, it has been suggested that tetracycline, in particular OTC, could take part in this scenario and could represent harmful compounds for human health and animals fed meat derived from intensive livestock [2530, 33, 90].

In conclusion, this study could open an interesting approach regarding the use of anti-inflammatory and antioxidant botanicals in immune-mediated pathologies and in infectious diseases as well as to counteract the effect of several putative toxic substances present in food, such as the OTC, which can cause inflammatory disorders and diseases.

Figure 1

The effects of botanicals on cytokine production by human PBMCs. (a) shows the gating on viable lymphocytes (R1 in dot plot graph) based on FSC and SSC parameters (see Section 2); (b) represents the gating on TH lymphocytes (CD3+ CD8 as R2 in the dot plot graph) and on non-T cells (CD3 CD8 cells as R3 in the dot plot graph); and (c) shows the INF-γ and IL-4 production in human TH lymphocytes and non-T cells incubated with ad hoc medium derived from botanicals or from mixture (see Section 2). Cytokine production was evaluated as percentage of INF-γ (y-axis) and IL-4 (x-axis) producing cells. The percentage of INF-γ (upper left quadrant inside the dot plots) and IL-4 (low right quadrant inside the dot plots) producing CD4 T (R2) and non-T (R3) cells are reported. The different cell incubations with ad hoc medium derived from botanicals or from mixture (see Section 2) are indicated on the top of each graph. (d) reports the statistic representation of 10 experiments on human CD4+ T Lymphocytes evaluated as percentage of INF-γ producing cells, p < 0.05. The different cell-incubations with ad hoc medium derived from botanicals or from mixture (see Section 2) are indicated on the top of each column. The abbreviation “ctr” in (c) and (d) indicates the basal cytokine production by PMBCs stimulated by PMA and Ionomycin and in presence of the ad hoc medium based on the same solubilizing-vehicle but free from the botanicals (see Section 2); specifically, ctr 1 (Ascophyllum n., Carica p., Aloe v., Cucumis m., Glycine m., and Grifola f.), ctr 2 (Echinacea p., Piper n.), ctr 3 (Haematococcus p.), and ctr 4 (the mixture of all the botanicals).

Figure 2

The effects of botanicals on INF-γ production by canine PBMCs. (a) shows the gating on viable lymphocytes (R1 in dot plot graph) based on FSC and SSC parameters (see Section 2). (b) represents the gating on CD4+ T lymphocytes (CD3+ CD8 as R2 in the dot plot graph). (c) reports the results from one representative experiment showing the percentage (the number in upper quadrant) of INF-γ producing canine CD4+ T lymphocytes gated on R2 (y-axis); x-axis indicates the SSC parameter (see Section 2). The different coincubations of cells with ad hoc medium or mixture (see Section 2) are indicated on the top. (d) shows the statistic representation the INF-γ production by canine CD4+ T Lymphocytes evaluated as percentage of INF-γ producing cells in 10 representative experiments, p < 0.05. The abbreviation “ctr” in (c) and (d) indicates the basal INF-γ production by PMBCs stimulated by PMA and Ionomycin and in presence of the ad hoc medium based on the same solubilizing-vehicle but free from the botanicals (see Section 2): specifically, ctr 1 (Ascophyllum n., Carica p., Aloe v., Cucumis v., Glycine m., and Grifola f.), ctr 2 (Echinacea p., Piper n.), and ctr 3 (Haematococcus p.).

Figure 3

Statistic representation of the INF-γ production in human CD4+ T Lymphocytes after the OTC exposure and the contrasting effects after botanicals challenge in 10 representative experiments. (a) Haematococcus p.; (b) Glycine m.; and (c) the mixture of all the botanicals. Cytokine production was evaluated as percentage of INF-γ producing T CD4+ cells. All the incubations (basal, OTC alone, and OTC + botanical) were performed in the ad hoc medium based on the vehicle used to solubilize the botanical, so that the abbreviations “ctr” indicate the basal INF-γ production by PMBCs stimulated by PMA and Ionomycin and in presence of the ad hoc medium based on the same solubilizing-vehicle but free from the botanicals (see Section 2). p < 0.05.

Ethical Approval

This study has been reviewed by Ethical Animal Care and Use Committee of the University of Naples Federico II and received formal Institutional approval (Protocol no. 2015/0071388) in accordance with local and national law, regulations, and guidelines (Circular no. 14 of September 25, 1996, and Italian civil code article 1175).

Consent

Informed consent from human donors was obtained in accordance with the Declaration of Helsinki, as approved within the study protocol by the Institutional Review Board at the Federico II University of Naples.

Competing Interests

The authors declare that there is no conflict of interests regarding the publication of this paper. This research was performed in collaboration with some scientists from the Division of Research and Development of SANYpet S.p.A. (as indicated in the authors' affiliations) according to scientific and ethical principles of the scientific community.

Authors' Contributions

Gianandrea Guidetti, Alessandro Di Cerbo, Angela Giovazzino, and Valentina Rubino contributed equally to this work.

References

  • 1. DelvesP. J.RoittI. M.The immune system. First of two partsThe New England Journal of Medicine200034313749[PubMed][Google Scholar]
  • 2. MedzhitovR.Recognition of microorganisms and activation of the immune responseNature20074497164819826[PubMed][Google Scholar]
  • 3. HoebeK.JanssenE.BeutlerB.The interface between innate and adaptive immunityNature Immunology2004510971974[PubMed][Google Scholar]
  • 4. JanewayC. A.Jr.MedzhitovR.Innate immune recognitionAnnual Review of Immunology200220197216[PubMed][Google Scholar]
  • 5. IwasakiA.MedzhitovR.Regulation of adaptive immunity by the innate immune systemScience20103275963291295[PubMed][Google Scholar]
  • 6. RomagnaniS.TH1 and TH2 in human diseasesClinical Immunology and Immunopathology1996803, part 1225235[PubMed][Google Scholar]
  • 7. CraneI. J.ForresterJ. V.Th1 and Th2 lymphocytes in autoimmune diseaseCritical Reviews in Immunology200525275102[PubMed][Google Scholar]
  • 8. PollardK. M.CauviD. M.ToomeyC. B.MorrisK. V.KonoD. H.Interferon-gamma and systemic autoimmunityDiscovery Medicine20131687123131[PubMed][Google Scholar]
  • 9. BaccalaR.KonoD. H.TheofilopoulosA. N.Interferons as pathogenic effectors in autoimmunityImmunological Reviews2005204926[PubMed][Google Scholar]
  • 10. FunauchiM.SugishimaH.MinodaM.HoriuchiA.Serum level of interferon-gamma in autoimmune diseasesTohoku Journal of Experimental Medicine19911644259267[PubMed][Google Scholar]
  • 11. HertzogP.ForsterS.SamarajiwaS.Systems biology of interferon responsesJournal of Interferon and Cytokine Research2011311511[PubMed][Google Scholar]
  • 12. HuX.IvashkivL. B.Cross-regulation of signaling pathways by interferon-γ: implications for immune responses and autoimmune diseasesImmunity2009314539550[PubMed][Google Scholar]
  • 13. RönnblomL.ElorantaM.-L.The interferon signature in autoimmune diseasesCurrent Opinion in Rheumatology2013252248253[PubMed][Google Scholar]
  • 14. TangH.SharpG. C.PetersonK. P.Braley-MullenH.IFN-γ-deficient mice develop severe granulomatous experimental autoimmune thyroiditis with eosinophil infiltration in thyroidsThe Journal of Immunology19981601051055112[PubMed][Google Scholar]
  • 15. YuS.SharpG. C.Braley-MullenH.Dual roles for IFN-γ, but not for IL-4, in spontaneous autoimmune thyroiditis in NOD.H-2h4 miceThe Journal of Immunology2002169739994007[PubMed][Google Scholar]
  • 16. BaechlerE. C.GregersenP. K.BehrensT. W.The emerging role of interferon in human systemic lupus erythematosusCurrent Opinion in Immunology2004166801807[PubMed][Google Scholar]
  • 17. PollardK. M.HultmanP.KonoD. H.Toxicology of autoimmune diseasesChemical Research in Toxicology2010233455466[PubMed][Google Scholar]
  • 18. DedeogluF.Drug-induced autoimmunityCurrent Opinion in Rheumatology2009215547551[PubMed][Google Scholar]
  • 19. VedoveC. D.Del GiglioM.SchenaD.GirolomoniG.Drug-induced lupus erythematosusArchives of Dermatological Research2009301199105[PubMed][Google Scholar]
  • 20. RubinR. L.Drug-induced lupusToxicology20052092135147[PubMed][Google Scholar]
  • 21. PattersonR.GermolecD.Toxic oil syndrome: review of immune aspects of the diseaseJournal of Immunotoxicology2005215158[PubMed][Google Scholar]
  • 22. PollardK. M.HultmanP.KonoD. H.Immunology and genetics of induced systemic autoimmunityAutoimmunity Reviews200545282288[PubMed][Google Scholar]
  • 23. NelsonM. L.LevyS. B.The history of the tetracyclinesAnnals of the New York Academy of Sciences2011124111732[PubMed][Google Scholar]
  • 24. MarshallT. G.MarshallF. E.Sarcoidosis succumbs to antibiotics-implications for autoimmune diseaseAutoimmunity Reviews200434295300[PubMed][Google Scholar]
  • 25. LenertP.IcardiM.DahmoushL.ANA (+) ANCA (+) systemic vasculitis associated with the use of minocycline: case-based reviewClinical Rheumatology201332710991106[PubMed][Google Scholar]
  • 26. ChristenU.von HerrathM. G.Transgenic animal models for type 1 diabetes: linking a tetracycline-inducible promoter with a virus-inducible mouse modelTransgenic Research2002116587595[PubMed][Google Scholar]
  • 27. AttarS. M.Tetracyclines: what a rheumatologist needs to know?International Journal of Rheumatic Diseases20091228489[PubMed][Google Scholar]
  • 28. SarmahA. K.MeyerM. T.BoxallA. B. A.A global perspective on the use, sales, exposure pathways, occurrence, fate and effects of veterinary antibiotics (VAs) in the environmentChemosphere2006655725759[PubMed][Google Scholar]
  • 29. Halling-SørensenB.SengeløvG.TjørnelundJ.Toxicity of tetracyclines and tetracycline degradation products to environmentally relevant bacteria, including selected tetracycline-resistant bacteriaArchives of Environmental Contamination and Toxicology2002423263271[PubMed][Google Scholar]
  • 30. BlackW. D.A study in the pharmacodynamics of oxytetracycline in the chickenPoultry Science197756514301434[PubMed][Google Scholar]
  • 31. OdoreR.De MarcoM.GascoL.Cytotoxic effects of oxytetracycline residues in the bones of broiler chickens following therapeutic oral administration of a water formulationPoultry Science201594819791985[PubMed][Google Scholar]
  • 32. Di CerboA.PalatucciA. T.RubinoV.Toxicological implications and inflammatory response in human lymphocytes challenged with oxytetracyclineJournal of Biochemical and Molecular Toxicology2016304170177[PubMed][Google Scholar]
  • 33. Di CerboA.CanelloS.GuidettiG.LaurinoC.PalmieriB.Unusual antibiotic presence in gym trained subjects with food intolerance; a case reportNutricion Hospitalaria2014302395398[PubMed][Google Scholar]
  • 34. AndlauerW.FürstP.Nutraceuticals: a piece of history, present status and outlookFood Research International2002352-3171176[PubMed][Google Scholar]
  • 35. ImS.-A.KimK.-H.KimH.-S.Processed Aloe vera Gel ameliorates cyclophosphamide-induced immunotoxicityInternational Journal of Molecular Sciences201415111934219354[PubMed][Google Scholar]
  • 36. DjerabaA.QuereP.In vivo macrophage activation in chickens with Acemannan, a complex carbohydrate extracted from Aloe veraInternational Journal of Immunopharmacology2000225365372[PubMed][Google Scholar]
  • 37. CollardE.RoyS.Improved function of diabetic wound-site macrophages and accelerated wound closure in response to oral supplementation of a fermented papaya preparationAntioxidants and Redox Signaling2010135599606[PubMed][Google Scholar]
  • 38. AbdullahM.ChaiP.-S.LohC.-Y.Carica papaya increases regulatory T cells and reduces IFN-γ+CD4+ T cells in healthy human subjectsMolecular Nutrition and Food Research2011555803806[PubMed][Google Scholar]
  • 39. NguyenT. T. T.ShawP. N.ParatM.-O.HewavitharanaA. K.Anticancer activity of Carica papaya: a reviewMolecular Nutrition and Food Research2013571153164[PubMed][Google Scholar]
  • 40. LeeJ. S.ParkS.-Y.ThapaD.Grifola frondosa water extract alleviates intestinal inflammation by suppressing TNF-α production and its signalingExperimental and Molecular Medicine2010422143154[PubMed][Google Scholar]
  • 41. MartinK. R.Both common and specialty mushrooms inhibit adhesion molecule expression and in vitro binding of monocytes to human aortic endothelial cells in a pro-inflammatory environmentNutrition Journal20109, article 29[PubMed][Google Scholar]
  • 42. MasudaY.MatsumotoA.ToidaT.OikawaT.ItoK.NanbaH.Characterization and antitumor effect of a novel polysaccharide from Grifola frondosaJournal of Agricultural and Food Chemistry200957211014310149[PubMed][Google Scholar]
  • 43. MasudaY.ItoK.KonishiM.NanbaH.A polysaccharide extracted from Grifola frondosa enhances the anti-tumor activity of bone marrow-derived dendritic cell-based immunotherapy against murine colon cancerCancer Immunology, Immunotherapy2010591015311541[PubMed][Google Scholar]
  • 44. KodamaN.HaradaN.NanbaH.A polysaccharide, extract from grifola frondosa, induces Th-1 dominant responses in carcinoma-bearing BALB/c miceJapanese Journal of Pharmacology2002904357360[PubMed][Google Scholar]
  • 45. AroraN.ShahK.Pandey-RaiS.Inhibition of imiquimod-induced psoriasis-like dermatitis in mice by herbal extracts from some Indian medicinal plantsProtoplasma20162532503515[PubMed][Google Scholar]
  • 46. LerayV.FreuchetB.Le Bloc'hJ.JeusetteI.TorreC.NguyenP.Effect of citrus polyphenol- and curcumin-supplemented diet on inflammatory state in obese catsThe British Journal of Nutrition2011106supplement 1S198S201[PubMed][Google Scholar]
  • 47. JainA.BasalE.Inhibition of Propionibacterium acnes-induced mediators of inflammation by Indian herbsPhytomedicine20031013438[PubMed][Google Scholar]
  • 48. YueG. G. L.ChanB. C. L.HonP.-M.Evaluation of in vitro anti-proliferative and immunomodulatory activities of compounds isolated from Curcuma longaFood and Chemical Toxicology2010488-920112020[PubMed][Google Scholar]
  • 49. RogersN. M.KiretaS.CoatesP. T. H.Curcumin induces maturation-arrested dendritic cells that expand regulatory T cells in vitro and in vivoClinical and Experimental Immunology20101623460473[PubMed][Google Scholar]
  • 50. HuangY.CaoS.NagamaniM.AndersonK. E.GradyJ. J.LuL.-J. W.Decreased circulating levels of tumor necrosis factor-α in postmenopausal women during consumption of soy-containing isoflavonesJournal of Clinical Endocrinology and Metabolism200590739563962[PubMed][Google Scholar]
  • 51. ChackoB. K.ChandlerR. T.MundhekarA.Revealing anti-inflammatory mechanisms of soy isoflavones by flow: modulation of leukocyte-endothelial cell interactionsAmerican Journal of Physiology—Heart and Circulatory Physiology20052892H908H915[PubMed][Google Scholar]
  • 52. NagarajanS.StewartB. W.BadgerT. M.Soy isoflavones attenuate human monocyte adhesion to endothelial cell-specific CD54 by inhibiting monocyte CD11aJournal of Nutrition2006136923842390[PubMed][Google Scholar]
  • 53. YellayiS.ZakroczymskiM. A.SelvarajV.The phytoestrogen genistein suppresses cell-mediated immunity in miceJournal of Endocrinology20031762267274[PubMed][Google Scholar]
  • 54. WeiJ.BhattS.ChangL. M.SampsonH. A.MasilamaniM.Isoflavones, genistein and daidzein, regulate mucosal immune response by suppressing dendritic cell functionPLoS ONE2012710[PubMed][Google Scholar]
  • 55. GhanimH.SiaC. L.AbuayshehS.An antiinflammatory and reactive oxygen species suppressive effects of an extract of Polygonum cuspidatum containing resveratrolJournal of Clinical Endocrinology and Metabolism2010959p. -E8[PubMed][Google Scholar]
  • 56. NohK. T.ChoJ.ChunS. H.Resveratrol regulates naïve CD 8+ T-cell proliferation by upregulating IFN-γ-induced tryptophanyl-tRNA synthetase expressionBMB Reports2015485283288[PubMed][Google Scholar]
  • 57. VouldoukisI.LacanD.KamateC.Antioxidant and anti-inflammatory properties of a Cucumis melo LC. extract rich in superoxide dismutase activityJournal of Ethnopharmacology20049416775[PubMed][Google Scholar]
  • 58. LallèsJ.-P.LacanD.DavidJ.-C.A melon pulp concentrate rich in superoxide dismutase reduces stress proteins along the gastrointestinal tract of pigsNutrition2011273358363[PubMed][Google Scholar]
  • 59. CorteseL.AnnunziatellaM.PalatucciA. T.An immune-modulating diet increases the regulatory T cells and reduces T helper 1 inflammatory response in Leishmaniosis affected dogs treated with standard therapyBMC Veterinary Research201511, article 295[PubMed][Google Scholar]
  • 60. Di CerboA.CentenaroS.BeribèF.Clinical evaluation of an antiinflammatory and antioxidant diet effect in 30 dogs affected by chronic otitis externa: preliminary resultsVeterinary Research Communications20164012938[PubMed][Google Scholar]
  • 61. Di CerboA.PalmieriB.ChiavolelliF.GuidettiG.CanelloS.Functional foods in pets and humansThe International Journal of Applied Research in Veterinary Medicine2014123192199[Google Scholar]
  • 62. SechiS.ChiavolelliF.SpissuN.An antioxidant dietary supplement improves brain-derived neurotrophic factor levels in serum of aged dogs: preliminary resultsJournal of Veterinary Medicine201520159[PubMed][Google Scholar]
  • 63. Di CerboA.PezzutoF.CanelloS.GuidettiG.PalmieriB.Therapeutic effectiveness of a dietary supplement for management of halitosis in dogsJournal of Visualized Experiments20152015101, article e52717[PubMed][Google Scholar]
  • 64. KadamS. U.O'DonnellC. P.RaiD. K.Laminarin from Irish brown seaweeds Ascophyllum nodosum and Laminaria hyperborea: ultrasound assisted extraction, characterization and bioactivityMarine Drugs201513742704280[PubMed][Google Scholar]
  • 65. LiuF.-W.LiuF.-C.WangY.-R.TsaiH.-I.YuH.-P.Aloin protects skin fibroblasts from heat stress-induced oxidative stress damage by regulating the oxidative defense systemPLoS ONE20151012[PubMed][Google Scholar]
  • 66. WangB.LiuJ.GongZ.Resveratrol induces apoptosis in K562 cells via the regulation of mitochondrial signaling pathwaysInternational Journal of Clinical and Experimental Medicine2015891692616933[PubMed][Google Scholar]
  • 67. HayakawaS.SaitoK.MiyoshiN.Anti-cancer effects of green tea by either anti- or pro-oxidative mechanismsAsian Pacific Journal of Cancer Prevention201617416491654[PubMed][Google Scholar]
  • 68. da SilvaC. R.OliveiraM. B. N.MottaE. S.Genotoxic and cytotoxic safety evaluation of papain (Carica papaya L.) using in vitro assaysJournal of Biomedicine and Biotechnology201020108[PubMed][Google Scholar]
  • 69. LeeJ. H.HwangS.-R.LeeY.-H.KimK.ChoK. M.LeeY. B.Changes occurring in compositions and antioxidant properties of healthy soybean seeds [Glycine max (L.) Merr.] and soybean seeds diseased by Phomopsis longicolla and Cercospora kikuchii fungal pathogensFood Chemistry2015185205211[PubMed][Google Scholar]
  • 70. MasudaY.NawaD.NakayamaY.KonishiM.NanbaH.Soluble β-glucan from grifola frondosa induces tumor regression in synergy with TLR9 agonist via dendritic cell-mediated immunityJournal of Leukocyte Biology201598610151025[PubMed][Google Scholar]
  • 71. AmbatiR. R.PhangS.-M.RaviS.AswathanarayanaR. G.Astaxanthin: sources, extraction, stability, biological activities and its commercial applications—a reviewMarine Drugs2014121128152[PubMed][Google Scholar]
  • 72. FastD. J.BallesJ. A.ScholtenJ. D.MulderT.RanaJ.Echinacea purpurea root extract inhibits TNF release in response to Pam3Csk4 in a phosphatidylinositol-3-kinase dependent mannerCellular Immunology201529729499[PubMed][Google Scholar]
  • 73. DengY.SriwiriyajanS.TedasenA.HiransaiP.GraidistP.Anti-cancer effects of Piper nigrum via inducing multiple molecular signaling in vivo and in vitroJournal of Ethnopharmacology20161888795[PubMed][Google Scholar]
  • 74. GuoS.LongM.LiX.ZhuS.ZhangM.YangZ.Curcumin activates autophagy and attenuates oxidative damage in EA.hy926 cells via the Akt/mTOR pathwayMolecular Medicine Reports201613321872193[PubMed][Google Scholar]
  • 75. LesF.PrietoJ. M.Arbonés-MainarJ. M.ValeroM. S.LópezV.Bioactive properties of commercialised pomegranate (Punica granatum) juice: antioxidant, antiproliferative and enzyme inhibiting activitiesFood and Function20156620492057[PubMed][Google Scholar]
  • 76. TerrazzanoG.SicaM.GianfraniC.Gliadin regulates the NK-dendritic cell cross-talk by HLA-E surface stabilizationThe Journal of Immunology20071791372381[PubMed][Google Scholar]
  • 77. AlfinitoF.RuggieroG.SicaM.Eculizumab treatment modifies the immune profile of PNH patientsImmunobiology20122177698703[PubMed][Google Scholar]
  • 78. BarakV.BirkenfeldS.HalperinT.KalickmanI.The effect of herbal remedies on the production of human inflammatory and anti-inflammatory cytokinesIsrael Medical Association Journal2002411919922[PubMed][Google Scholar]
  • 79. DhasarathanP.GomathiR.TheriappanP.PaulsiS.Immunomodulatory activity of alcoholic extract of different fruits in miceJournal of Applied Sciences Research20106810561059[PubMed][Google Scholar]
  • 80. ButtleD. J.BehnkeJ. M.BartleyY.Oral dosing with papaya latex is an effective anthelmintic treatment for sheep infected with Haemonchus contortusParasites and Vectors201141, article 36[PubMed][Google Scholar]
  • 81. HalderS.MehtaA. K.MedirattaP. K.Augmented humoral immune response and decreased cellmediated immunity by Aloe vera in ratsInflammopharmacology2012206343346[PubMed][Google Scholar]
  • 82. KimD. K.LillehojH. S.LeeS. H.JangS. I.LillehojE. P.BravoD.Dietary Curcuma longa enhances resistance against Eimeria maxima and Eimeria tenella infections in chickensPoultry Science2013921026352643[PubMed][Google Scholar]
  • 83. BarrosM. P.MarinD. P.BolinA. P.Combined astaxanthin and fish oil supplementation improves glutathione-based redox balance in rat plasma and neutrophilsChemico-Biological Interactions201219715867[PubMed][Google Scholar]
  • 84. OlivryT.BizikovaP.A systematic review of randomized controlled trials for prevention or treatment of atopic dermatitis in dogs: 2008–2011 updateVeterinary Dermatology201324197e26[PubMed][Google Scholar]
  • 85. OlivryT.A review of autoimmune skin diseases in domestic animals: I—superficial pemphigusVeterinary Dermatology2006175291305[PubMed][Google Scholar]
  • 86. ScottD. W.ParadisM.A survey of canine and feline skin disorders seen in a university practice: Small Animal Clinic, University of Montréal, Saint-Hyacinthe, Québec (1987–1988)The Canadian Veterinary Journal19873112830835[PubMed][Google Scholar]
  • 87. JergensA. E.MooreF. M.HaynesJ. S.MilesK. G.Idiopathic inflammatory bowel disease in dogs and cats: 84 cases (1987–1990)Journal of the American Veterinary Medical Association19922011016031608[PubMed][Google Scholar]
  • 88. El-GabalawyH.GuentherL. C.BernsteinC. N.Epidemiology of immune-mediated inflammatory diseases: incidence, prevalence, natural history, and comorbiditiesJournal of Rheumatology20103785210[PubMed][Google Scholar]
  • 89. ShurinM. R.SmolkinY. S.Immune-mediated diseases: where do we stand?Advances in Experimental Medicine and Biology2007601312[PubMed][Google Scholar]
  • 90. ChopraI.RobertsM.Tetracycline antibiotics: mode of action, applications, molecular biology, and epidemiology of bacterial resistanceMicrobiology and Molecular Biology Reviews2001652232260[PubMed][Google Scholar]
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