One of the outstanding properties of many essential oils, including tea tree (Melaleuca alternifolia), is that they can be effective even against bacterial biofilms.
A biofilm
is a layered matrix, consisting mainly of polysaccharide and protein, that
bacteria or fungi create on a surface as a secure habitat. In this form they
are more difficult to kill, because the biofilm structure affords protection
from the environment. Plaque on teeth is an example of a biofilm and the
success of ‘essential oil’ mouthwashes such as Listerine compared to others is
partly due to their ability to break down and inhibit plaque formation (Oyanagi
et al 2012). (Listerine contains four essential oil constituents: thymol,
menthol, 1,8-cineole and methyl salicylate. It was originally developed and
used as a surgical antiseptic.)
In a
biofilm, the outer layer consists of more or less dormant cells that are also
especially resistant. Medical implants, such as heart valves, catheters, stents
etc, are becoming more common. They are subject to colonization by bacterial
biofilms, and if this occurs the result can be fatal, as antibiotics have great
difficulty penetrating the outer layer of resistant bacteria (Hoiby et al
2010). Consequently, implant-related fatalities are on the rise.
S. aureus on a catheter |
Carvacrol
and cinnamaldehyde (major constituents of oregano oil and cinnamon bark
oil respectively) inhibited biofilm formation on a polymer coating. It is
proposed that medical devices coated with such compounds would be much less
susceptible to bacterial colonization. Cinnamaldehyde significantly reduced Pseudomonas
aeruginosa biofilm at 1%, and most bacteria were inhibited by either
compound at 0.1% (Zodrow et al 2012). P. aeruginosa is one of the most
difficult bacteria to kill. It forms mucosal biofilms in the lungs in cystic
fibrosis, and it can be a problem in wound healing.
Biofilm
may be found on contact lenses, chronic wounds and ulcers, vaginal mucous
membrane, in fact on any surface where there is moisture and nutrients. It is
constantly forming on our skin, in addition to the usual mix of dirt, sebum,
sweat and cosmetics. Biofilms are also found on surfaces outside the body.
Because of a combination of grease-cutting and antibiofilm properties, pine oil
and orange oil are common ingredients in household disinfectants. More on
biofilms here.
In
vitro testing often
shows antibiotics to be more effective than essential oils. Conversely, some
essential oils are more effective at killing bacteria in biofilm, because they
can penetrate it more effectively, and because they are less susceptible to
resistant mechanisms. Essential oils that have shown good antibiofilm action in
in vitro testing include:
Cinnamon
bark: Staphylococcus epidermis biofilm (Nuryastuti et al 2009)
Oregano: S.
aureus and S. epidermis biofilm (Nostro et al 2007)
Thyme: Listeria
monocytogenes biofilm on stainless steel and polystyrene (Desai et al 2012)
Rosemary: Candida
albicans and C. tropicalis biofilm (Chifiriuc et al 2012)
Tea
tree: S. aureus, MRSA and C.albicans biofilm
(Kwiecinski et al 2009, Park et al 2007, Sudjana et al 2012)
Some of
these essential oils are now being considered for use in food preservation,
another situation where biofilm formation is a challenge.
M. alternifolia in flower * |
Candida albicans forms biofilms that cause disease and are difficult to treat with conventional antifungal agents. At 0.031% in vitro, tea tree oil significantly reduced biofilm formation for all of 10 C. albicans isolates tested (Sudjana et al 2012). Further in vitro work suggests that tea tree oil may be effective in oral hygiene products for the prevention and control of oral candidosis in cancer patients (Bagg et al 2006, Ramage et al 2012). In 25 AIDS patients with oral candidosis who had not responded to fluconazole treatment, 7 were cured and 8 improved after four weeks using oral solutions containing tea tree oil (Vazquez et al 2002).
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References
References
Bagg J, Jackson MS, Sweeney MP et al 2006 Susceptibility to Melaleuca alternifolia (tea tree) oil of yeasts isolated from the mouths of patients with advanced cancer. Oral Oncology 42:487-492
Brady A, Loughlin R, Gilpin D et al 2006 In vitro activity of tea-tree oil against clinical skin isolates of meticillin-resistant and -sensitive Staphylococcus aureus and coagulase-negative staphylococci growing planktonically and as biofilms. Journal of Medical Microbiology 55:1375-1380 http://jmm.sgmjournals.org/content/55/10/1375.full.pdf+html
Brady AJ, Farnan TB, Toner JG et al 2010 Treatment of a cochlear implant biofilm infection: a potential role for alternative antimicrobial agents. Journal of Laryngology, Rhinology &Otology 124:729-738
Caelli M, Porteous J, Carson CF et al 2000 Tea tree oil as an alternative topical decolonization agent for methicillin-resistant Staphylococcus aureus. Journal of Hospital Infection 46:236-237
Chifiriuc C, Grumezescu V, Grumezescu AM et al 2012 Hybrid magnetite nanoparticles/Rosmarinus officinalis essential oil nanobiosystem with antibiofilm activity. Nanoscale Research Letters 7:209 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3368737/
Desai MA, Soni KA, Nannapaneni R et al 2012 Reduction of Listeria monocytogenes biofilms on stainless steel and polystyrene surfaces by essential oils. Journal of Food Protection 75:1332-1337
Dryden MS, Dailly S, Crouch M 2004 A randomized, controlled trial of tea tree topical preparations versus a standard topical regimen for the clearance of MRSA colonization. Journal of Hospital Infection 56:283-286
Hoiby N, Bjarnsholt T, Givskov M et al 2010 Antibiotic resistance of bacterial biofilms. International Journal of Antimicrobial Agents 35:322-332
Kwiecinski J, Eick S, Wojcik K 2009 Effects of tea tree (Melaleuca alternifolia) oil on Staphylococcus aureus in biofilms and stationary growth phase. International Journal of Antimicrobial Agents 33:343-347
Nostro A, Sudano Roccaro A et al 2007 Effects of oregano, carvacrol and thymol on Staphylococcus aureus and Staphylococcus epidermidis biofilms. Journal of Medical Microbiology 56:519-523 http://jmm.sgmjournals.org/content/56/4/519.long
Nuryastuti T, van der Mei HC et al 2009 Effect of cinnamon oil on icaA expression and biofilm formation by Staphylococcus epidermidis. Applied & Environmental Microbiology 75:6850-6855 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2772433/
Oyanagi T,
Tagami J, Matin K et al 2012 Potentials of mouthwashes in disinfecting
cariogenic bacteria and biofilms leading
to inhibition of caries. The Open Dentistry Journal 6:23-30http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3269010/
Park H, Jang CH, Cho YB et al 2007Antibacterial effect of tea-tree oil on methicillin-resistant Staphylococcus aureus biofilm formation of the tympanostomy tube: an in vitro study. In Vivo 21:1027-1030 http://iv.iiarjournals.org/content/21/6/1027.long
Ramage G, Milligan S, Lappin DF et al 2012 Antifungal, cytotoxic, and immunomodulatory properties of tea tree oil and its derivative components: potential role in management of oral candidosis in cancer patients. Frontiers in Microbiology 3:22
Sudjana
AN, Carson CF, Carson KC et al 2012 Candida albicans adhesion to human
epithelial cells and polystyrene and
formation of biofilm is reduced by sub-inhibitory Melaleuca alternifolia (tea tree) essential
oil. Medical Mycology 50:863-870Park H, Jang CH, Cho YB et al 2007Antibacterial effect of tea-tree oil on methicillin-resistant Staphylococcus aureus biofilm formation of the tympanostomy tube: an in vitro study. In Vivo 21:1027-1030 http://iv.iiarjournals.org/content/21/6/1027.long
Ramage G, Milligan S, Lappin DF et al 2012 Antifungal, cytotoxic, and immunomodulatory properties of tea tree oil and its derivative components: potential role in management of oral candidosis in cancer patients. Frontiers in Microbiology 3:22
Vazquez JA, Zawawi AA 2002 Efficacy of alcohol-based and alcohol-free melaleuca oral solution for the treatment of fluconazole-refractory oropharyngeal candidiasis in patients with AIDS. HIV Clinical Trials 3:379-385
Zodrow KR,
Schiffman JD, Elimelech M 2012 Biodegradable polymer (PLGA) coatings featuring cinnamaldehyde and carvacrol
mitigate biofilm formation. Langmuir 28:13993-13999
*Melaleuca alternifolia photo from The Australian Tea Tree industry Foundation