In Vitro Assessment on the Synergistic Antibacterial Effect of Ginger (Zingiber officinale Roscoe) Extract with Clindamycin Antibiotic against Staphylococcus aureus


Authors : Lady Jane A. Bacnotan; Mark Albert A. Gumapon; Christine Joy M. Inotao; Shaina Lyn T. Yarot; Junge B. Guillena; Cath Joy B. Ronquillo

Volume/Issue : Volume 10 - 2025, Issue 3 - March


Google Scholar : https://tinyurl.com/mwkbh9b4

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DOI : https://doi.org/10.38124/ijisrt/25mar816

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Abstract : Objectives: Examine if there is a synergistic antibacterial effect of Ginger (Zingiber officinale Roscoe) extract with clindamycin antibiotic against S. aureus.  Methods: The ginger extract was prepared by air-drying 50 grams of ginger and macerating it in 500 mL of 95% ethanol for 24 hours, followed by filtration and evaporation to obtain a condensed extract. Staphylococcus aureus colonies were inoculated on nutrient agar and incubated at 37°C for 18 to 24 hours. A 1 mg/mL clindamycin suspension was prepared from 300 mg capsules. MHA plates were inoculated with S. aureus, and filter paper discs labeled Clindamycin (C), Ginger (G), and combinations (GC50, GC75, GC100) were placed on the agar. The plates were incubated at 37°C for 18 to 24 hours, and the zones of inhibition were measured using the Kirby-Bauer Test to assess the synergy through mean ZOI and cooperative effect synergy testing.  Results: The results of the study indicate that the combination of ginger extract and Clindamycin generally showed antagonistic interactions. However, GC100 (100% ginger extract and Clindamycin) had a mean zone of inhibition (ZOI) closest to Clindamycin alone, suggesting potential antibacterial benefits at higher concentrations of ginger extract. Further analysis using cooperative effect synergy models confirmed the lack of synergistic interaction. Pairwise comparisons revealed that GC50 (50% ginger extract and Clindamycin) had a significant difference in effectiveness compared to Clindamycin alone (p-value: 0.045), while GC75 (75% ginger extract and Clindamycin) and GC100 did not exhibit significant differences.  Conclusion: These findings underscore the complexity of combining natural extracts with antibiotics. Although the combination did not enhance antibacterial efficacy, the potential of high-concentration ginger extract to act as a complementary treatment warrants further investigation to develop effective strategies against antibiotic-resistant S. aureus.

Keywords : Antibacterial Effect, Clindamycin, Ginger, Synergy, S. aureus.

References :

  1. Abdel-Azeem, A. S., Hegazy, A. M., Ibrahim, K. S., Farrag, A. R. H., & El-Sayed, E. M. (2013). Hepatoprotective, antioxidant, and ameliorative effects of ginger (Zingiber officinale Roscoe) and vitamin E in acetaminophen treated rats. Journal of dietary supplements, 10(3), 195-209.
  2. Ali, B. H., Blunden, G., Tanira, M. O., & Nemmar, A. (2008). Some phytochemical, pharmacological and toxicological properties of ginger (Zingiber officinale Roscoe): a review of recent research. Food and chemical Toxicology, 46(2), 409-420.
  3. Appelbaum, P. C. (2007). Microbiology of antibiotic resistance in S. aureus. Clinical infectious diseases, 45(Supplement_3), S165-S170.
  4. Arias, M. E., Gomez, J. D., Cudmani, N. M., Vattuone, M. A., & Isla, M. I. (2004). Antibacterial activity of ethanolic and aqueous extracts of Acacia aroma Gill. ex Hook et Arn. Life sciences, 75(2), 191-202.
  5. Centers for Disease Control and Prevention (CDC). (2019). Progress stalled against staph, MRSA infections. Antimicrobial Stewardship MRSA, 6 (15), 23.
  6. Chaiwarit, T., Rachtanapun, P., Kantrong, N., & Jantrawut, P. (2020). Preparation of clindamycin hydrochloride loaded de-esterified low-methoxyl mango peel pectin film used as a topical drug delivery system. Polymers, 12(5), 1006.
  7. Chanda, S., & Rakholiya, K. (2011). Combination therapy: Synergism between natural plant extracts and antibiotics against infectious diseases. Microbiol Book Series, 1, 520-529. (J)
  8. Clinical and Laboratory Standards Institute. (2020). Performance standards for antimicrobial susceptibility testing (30th ed., CLSI supplement M100). Clinical and Laboratory Standards Institute.
  9. Coates, R., Moran, J., & Horsburgh, M. J. (2014). Staphylococci: colonizers and pathogens of human skin. Future microbiology, 9(1), 75-91.
  10. Cong, Y., Yang, S., & Rao, X. (2020). Vancomycin resistant S. aureus infections: A review of case updating and clinical features. Journal of advanced research, 21, 169-176.
  11. Fahrinda, A., Ismail, S., Kosala, K., Fikriah, I., & Yuniati. (2018). Evaluation of synergistic effect of Kaempferia galanga L. rhizome extracts with antibiotics against bacterial pathogens.
  12. Frizelle, P., Tolonen, A. K., Tulip, J., Murphy, C. A., Saldana, D., & McKean, C. (2018). The impact of intervention dose form on oral language outcomes for children with developmental language disorder. Journal of Speech, Language, and Hearing Research, 64(8), 3253-3288.
  13. Geary, N. (2013). Understanding synergy. American Journal of Physiology-Endocrinology and Metabolism, 304(3), E237-E253.
  14. Gemmell, C. G., Edwards, D. I., Fraise, A. P., Gould, F. K., Ridgway, G. L., & Warren, R. E. (2006). Guidelines for the prophylaxis and treatment of methicillin-resistant S. aureus (MRSA) infections in the UK. Journal of antimicrobial chemotherapy, 57(4), 589-608.
  15. Ghasemzadeh, A., Jaafar, H. Z., & Rahmat, A. (2010). Identification and concentration of some flavonoid components in Malaysian young ginger (Zingiber officinale Roscoe) varieties by a high performance liquid chromatography method. Molecules, 15(9), 6231-6243.
  16. Goudarzi, M., Kobayashi, N., Dadashi, M., Pantůček, R., Nasiri, M. J., Fazeli, M., & Seyedjavadi, S. S. (2020). Prevalence, genetic diversity, and temporary shifts of inducible clindamycin resistance S. aureus clones in Tehran, Iran: a molecular–epidemiological analysis from 2013 to 2018. Frontiers in microbiology, 11, 663.
  17. Guo Y, Song G, Sun M, Wang J, Wang Y. (2020). Prevalence and Therapies of Antibiotic-Resistance in S. aureus. Front. Cell. Infect. Microbiol, 10, 107. doi: 10.3389/fcimb.2020.00107..
  18. Haroun, M. F., & Al-Kayali, R. S. (2016). Synergistic effect of Thymbra spicata L. extracts with antibiotics against multidrug-resistant S. aureus and Klebsiella pneumoniae strains. Iranian Journal of Basic Medical Sciences, 19(11), 1193.
  19. Hübsch, Z., Van Zyl, R. L., Cock, I. E., & Van Vuuren, S. F. (2014). Interactive antimicrobial and toxicity profiles of conventional antimicrobials with Southern African medicinal plants. South African Journal of Botany, 93, 185-197.
  20. Hudzicki, J. (2009). Kirby-Bauer disk diffusion susceptibility test protocol. American society for microbiology, 15, 55-63.
  21. Ikuta, K. S., Swetschinski, L. R., Aguilar, G. R., Sharara, F., Mestrovic, T., Gray, A. P., & Dhingra, S. (2022). Global mortality associated with 33 bacterial pathogens in 2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet, 400(10369), 2221-2248.
  22. Juayang, A. C., de Los Reyes, G. B., de la Rama, A. J. G., & Gallega, C. T. (2014). Antibiotic resistance profiling of S. aureus isolated from clinical specimens in a tertiary hospital from 2010 to 2012. Interdisciplinary perspectives on infectious diseases, 2014.
  23. Klempner, M. S., & Styrt, B. (1981). clindamycin uptake by human neutrophils. Journal of Infectious Diseases, 144(5), 472-479.
  24. Kreger, B. E., Craven, D. E., & McCabe, W. R. (1980). Gram-negative bacteremia: IV. Re-evaluation of clinical features and treatment in 612 patients. The American journal of medicine, 68(3), 344-355.
  25. Kosnicki, K. L., Penprase, J. C., Cintora, P., Torres, P. J., Harris, G. L., Brasser, S. M., & Kelley, S. T. (2019). Effects of moderate, voluntary ethanol consumption on the rat and human gut microbiome. Addiction biology, 24(4), 617-630.
  26. Levy, S. B., & Marshall, B. (2004). Antibacterial resistance worldwide: causes, challenges and responses. Nature medicine, 10(Suppl 12), S122-S129.
  27. Lowy, F. D. (1998). S. aureus infections. New England Journal of Medicine, 339(8), 520-532.
  28. Maano, B.D. (2023). In Vitro Assessment on the Synergistic Phytoextract-Antibiotic Potential of Garlic (Allium sativum L.) and Turmeric (Curcuma longa L.) in Combination with Amoxicillin and clindamycin Against Multidrug-Resistant S. aureus
  29. Mandal, S. M., Chakraborty, D., & Dey, S. (2010). Phenolic acids act as signaling molecules in plant-microbe symbioses. Plant signaling & behavior, 5(4), 359-368.
  30. Maratas, L. L., & Cuadra, J. M. (2017). Nasal Carriage of S. aureus and Methicillin-Resistant S. aureus Among Healthy Children of Iligan City, Philippines.
  31. Masim, M. L., Argimón, S., Espiritu, H. O., Magbanua, M. A., Lagrada, M. L., Olorosa, A. M., & Carlos, C. C. (2021). Genomic surveillance of methicillin-resistant S. aureus in the Philippines, 2013–2014. Western Pacific Surveillance and Response Journal: WPSAR, 12(1), 6.
  32. Mostafa, N. M., & Singab, A. N. (2016). After HCV eradication with Sovaldi®, can herbs regenerate damaged liver, minimize side effects and reduce the bill. Med Aromat Plants, 5(257), 2167-0412.
  33. Sharma, Y. (2017). Ginger (Zingiber officinale)-an elixir of life a review. The Pharma Innovation, 6(11, Part A), 22.
  34. Syafitri, D. M., Levita, J., Mutakin, M., & Diantini, A. (2018). A review: is ginger (Zingiber officinale var. Roscoe) potential for future phytomedicine?. Indonesian Journal of Applied Sciences, 8(1).
  35. Tan, B. K., & Vanitha, J. (2004). Immunomodulatory and antimicrobial effects of some traditional Chinese medicinal herbs: a review. Current medicinal chemistry, 11(11), 1423-1430.
  36. Thapa, D., Pyakurel, S., Thapa, S., Lamsal, S., Chaudhari, M., Adhikari, N., & Shrestha, D. (2021). S. aureus with inducible clindamycin resistance and methicillin resistance in a tertiary hospital in Nepal. Tropical Medicine and Health, 49(1), 1-7.
  37. US Food and Drug Administration. (2003). Guidance for industry: Codevelopment of two or more new investigational drugs for use in combination.
  38. Valle, D. L., Paclibare, P. A. P., Cabrera, E. C., & Rivera, W. L. (2016). Molecular and phenotypic characterization of methicillin-resistant Staphylococcus aureus isolates from a tertiary hospital in the Philippines. Tropical medicine and health, 44, 1-9.
  39. World Health Organization (WHO). WHO strategy on Traditional Medicine 2014–2023. 2013. Retrieved from: https://www.who.int/medicines/publications/traditional/trm_strategy14_23en.

Objectives: Examine if there is a synergistic antibacterial effect of Ginger (Zingiber officinale Roscoe) extract with clindamycin antibiotic against S. aureus.  Methods: The ginger extract was prepared by air-drying 50 grams of ginger and macerating it in 500 mL of 95% ethanol for 24 hours, followed by filtration and evaporation to obtain a condensed extract. Staphylococcus aureus colonies were inoculated on nutrient agar and incubated at 37°C for 18 to 24 hours. A 1 mg/mL clindamycin suspension was prepared from 300 mg capsules. MHA plates were inoculated with S. aureus, and filter paper discs labeled Clindamycin (C), Ginger (G), and combinations (GC50, GC75, GC100) were placed on the agar. The plates were incubated at 37°C for 18 to 24 hours, and the zones of inhibition were measured using the Kirby-Bauer Test to assess the synergy through mean ZOI and cooperative effect synergy testing.  Results: The results of the study indicate that the combination of ginger extract and Clindamycin generally showed antagonistic interactions. However, GC100 (100% ginger extract and Clindamycin) had a mean zone of inhibition (ZOI) closest to Clindamycin alone, suggesting potential antibacterial benefits at higher concentrations of ginger extract. Further analysis using cooperative effect synergy models confirmed the lack of synergistic interaction. Pairwise comparisons revealed that GC50 (50% ginger extract and Clindamycin) had a significant difference in effectiveness compared to Clindamycin alone (p-value: 0.045), while GC75 (75% ginger extract and Clindamycin) and GC100 did not exhibit significant differences.  Conclusion: These findings underscore the complexity of combining natural extracts with antibiotics. Although the combination did not enhance antibacterial efficacy, the potential of high-concentration ginger extract to act as a complementary treatment warrants further investigation to develop effective strategies against antibiotic-resistant S. aureus.

Keywords : Antibacterial Effect, Clindamycin, Ginger, Synergy, S. aureus.

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