Evidence map›Paper›PMID 33608582›Full record

ArticleScientific reports2021

New combination approaches to combat methicillin-resistant Staphylococcus aureus (MRSA).

Mohamed H Sharaf, Gamal M El-Sherbiny, Saad A Moghannem, Mohamed Abdelmonem, Islam A Elsehemy, Ahmed M Metwaly, Mohamed H Kalaba

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
5.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 90 citations in OpenAlex.

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  12. Biogenic copper and copper oxide nanoparticles to combat multidrug-resistantBiotechnology reports (Amsterdam, Netherlands) · 2025
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  15. Efficacy of Chlorogenic Acid Combined With Cefazolin Against Methicillin-ResistantThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2025
    Article
  16. Assessment of the risk associated withFrontiers in microbiology · 2025
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  17. Tackling carbapenem-resistantBiotechnology notes (Amsterdam, Netherlands) · 2025
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  19. Nordalbergin Synergizes with NovelInternational journal of molecular sciences · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Mohamed H SharafBotany and Microbiology Department, Faculty of Science, Al-Azhar University, Cairo, 11884, Egypt.
Gamal M El-SherbinyBotany and Microbiology Department, Faculty of Science, Al-Azhar University, Cairo, 11884, Egypt. gamalelsherbiny1970@yahoo.com.ORCID 0000-0003-3968-0536
Saad A MoghannemBotany and Microbiology Department, Faculty of Science, Al-Azhar University, Cairo, 11884, Egypt.
Mohamed AbdelmonemClinical Laboratory, Stanford Healthcare, San Francisco, USA.
Islam A ElsehemyChemistry of Natural and Microbial Products, National Research Centre, Giza, Egypt.
Ahmed M MetwalyPharmacognosy and Medicinal Plants Department, Faculty of Pharmacy, Al-Azhar University, Cairo, Egypt.
Mohamed H KalabaBotany and Microbiology Department, Faculty of Science, Al-Azhar University, Cairo, 11884, Egypt.
Al-Azhar University · EGNational Research Centre · EGStanford Health Care · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The herbal products proved to be more promising antimicrobials even though their antimicrobial activity is milder than commercially available antibiotics. Moreover, herbal drugs may act synergistically with antibiotics to kill microbes. In this study, we aimed to enhance the activity of penicillin against MRSA through combination with the active saponin fraction isolated from the Zygophyllum album plant. Three different types of metabolites (saponins, sterols, and phenolics) have been extracted from Zygophyllum album with ethanol and purified using different chromatographic techniques. The antibacterial activity of crude extract and the separated metabolites were checked against MRSA isolates, Saponin fraction (ZA-S) was only the active one followed by the crude extract. Therefore, the compounds in this fraction were identified using ultra-high-performance liquid chromatography connected to quadrupole time-of-flight mass spectrometry (UHPLC/QTOF-MS) operated in positive and negative ionization modes. UHPLC/QTOF-MS revealed the presence of major six ursane-type tritepenoidal saponins (Quinovic acid, Quinovic acid 3β-O-β-D-quinovopyranoside, Zygophylloside C, Zygophylloside G, Zygophylloside K and Ursolic acid), in addition to Oleanolic acid. Interaction studies between saponin fraction and penicillin against MRSA were performed through the checkerboard method and time-kill assay. According to checkerboard results, only three combinations showed a fractional inhibitory concentration index less than 0.5 at concentrations of (62.5 + 312.5, 62.5 + 156.25, and 62.5 + 78.125 of penicillin and ZA-S, respectively). Time kill assay results showed that the highest reduction in log10 colony-forming unit (CFU)/ml of initial inoculum of MRSA after 24 h occurred by 3.7 at concentrations of 62.5 + 312.5 (µg/µg)/ml of penicillin and ZA-S, respectively. Thus, the combination between saponin fraction of Zygophyllum album and penicillin with these concentrations could be a potential agent against MRSA that can serve as possible model for new antibacterial drug.

Indexed as

Anti-Bacterial AgentsChromatography, High Pressure LiquidCombined Modality TherapyDisease ManagementDrug DiscoveryDrug SynergismDrug Therapy, CombinationHumansMethicillin-Resistant Staphylococcus aureusMicrobial Sensitivity TestsPlant ExtractsSpectrometry, Mass, Matrix-Assisted Laser Desorption-IonizationStaphylococcal InfectionsTreatment OutcomeAnti-Bacterial AgentsPlant Extracts

Identifiers

PMID33608582
PMCPMC7896049
OpenAlexW3129897365

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.