# Patent

## Title
Compositions useful for the treatment of microbial infections

## Abstract

The present invention is based on the discovery that certain chemical compounds isolated from Chinese medicinal herbs are useful as anti-microbial agents, e.g., anti-bacterial agents, anti-fungal agents, and the like. In particular, the present invention provides compositions useful for treating microbial infections such as, for example, oral microbial infections, including periodontal disease and dental caries.

## Background
FIELD OF THE INVENTION
The invention relates generally to treatment of microorganisms, and more specifically to compositions isolated from herbs useful in treating microbial infections.
BACKGROUND INFORMATION
Modern medical science is constantly searching for new and more powerful agents to prevent, treat or retard bacterial and viral infections and cure the diseases they cause. Bacterial and viral infections of humans and domestic animals cost billions of dollars annually. Vast sums of money are spent each year by pharmaceutical companies to identify, characterize, and produce new antibiotics and antivirals to combat the emerging drug resistant strains which have become a serious problem. Reliable prophylactic treatments for disease prevention are also of major interest.
Specifically periodontal disease and dental caries are of major public health and economic interest worldwide. It is now widely recognized that both of these oral diseases are caused by bacteria which grow in masses on the teeth and in the gingival and subgingival areas. A commonly used descriptive term for these bacterial masses is “dental plaque”. In the case of periodontal disease, it has been reported that dental plaque bacteria, growing in the area where the teeth and gingival tissues meet, cause an inflammation of the gingiva called “gingivitis”. This is characterized by swollen, edematous gingiva (“gums”) which are reddened and bleed easily. If plaque removal is inadequate, gingivitis may progress to “periodontitis” or periodontal disease in some individuals. Periodontitis generally is characterized by a chronic inflammation of the tissues around the teeth, which leads to a resorption of supporting bone. Periodontal disease is the leading cause of tooth loss among adults.
Dental caries (cavities) are also caused by bacteria, with mutans Streptococcus being the principal etiologic agent. Dental caries is a prevalent and costly disease throughout the world. The latest report by NIH indicated that 49% of 12-year-old and 79% of 17-year-old children in the USA have dental caries. A very high percentage of the elderly also have tooth decay manifest as root caries.
Tooth decay is mainly caused by a group of cariogenic Gram-positive bacteria such as Streptococcus mutans. Given a suitable carbohydrate nutrient (simple dimer sugars like sucrose), these bacteria produce insoluble glucans and acids in dental plaque. The glucans produced by S. mutans are very sticky, enabling it to adhere to the tooth's surface while the acids attack the tooth's mineral structure causing demineralization that may lead to cavitation.
The prevention of dental plaque or the removal thereof has long been the focus of development, with the ultimate goal of inhibiting both caries and periodontal diseases. While the formation of dental plaque can be inhibited to a certain extent by brushing the teeth at frequent intervals, brushing alone is not sufficient to effectively prevent the formation of dental plaque or remove substantially all of the dental plaque that has formed on the teeth. Since brushing alone is often not sufficient to prevent dental caries or periodontal disease due to the nature of the pathogenic plaque bacteria, chemical methods using anti-bacterials such as chlorhexidine, benzalkonium chloride, and cetylpyridinium chloride have been proposed.
There is a need in the art to provide compositions and methods useful for treating or preventing microbial conditions, e.g., oral or mucosal surface microbial conditions.
SUMMARY OF THE INVENTION
The present invention is based on the discovery that certain chemical compounds isolated from Chinese medicinal herbs are useful as anti-microbial agents, e.g., anti-bacterial agents, anti-fungal agents, agents capable of disrupting bacterial quorum sensing, and the like. In particular, the present invention provides compositions and methods useful for inhibiting the activity of microorganisms and/or treating microbial infections such as, for example, oral or mucosal surface microbial infections.
In one embodiment, the present invention provides a composition comprising at least two compounds selected from the group consisting of kurarinone, berberine, dioscin, perillaldehyde, α-linolenic acid, and polyphyllin D.
In another embodiment, the present invention provides a composition comprising perillaldehyde and at least one compound selected from the group consisting of kurarinone, berberine, dioscin, α-linolenic acid, and polyphyllin D.
In yet another embodiment, the present invention provides a composition comprising polyphyllin D and at least one compound selected from the group consisting of kurarinone, berberine, α-linolenic acid, and perillaldehyde.
In still another embodiment, the present invention provides a composition comprising dioscin and at least one compound selected from the group consisting of kurarinone, berberine, α-linolenic acid, and perillaldehyde.
In another embodiment, the present invention provides a composition comprising kurarinone, berberine, dioscin, and α-linolenic acid.
In another embodiment, the present invention provides a composition comprising kurarinone, berberine, α-linolenic acid, and polyphyllin D.
In yet another embodiment, the present invention provides a pharmaceutical composition comprising an active component and a pharmaceutically acceptable carrier, wherein the active component consists at least one compound selected from the group consisting of kurarinone, berberine, dioscin, perillaldehyde, α-linolenic acid, and polyphyllin D.
In yet another embodiment, the present invention provides a pharmaceutical composition comprising an active component and a pharmaceutically acceptable carrier, wherein the active component comprises perillaldehyde and at least one compound selected from the group consisting of kurarinone, berberine, dioscin, perillaldehyde, α-linolenic acid, and polyphyllin D.
In still another embodiment, the present invention provides a formulation suitable for topical administration comprising the composition of the present invention.
In yet another embodiment, the present invention provides an oral hygiene product comprising the composition of the present invention.
In yet another embodiment, the present invention provides a food additive composition comprising the composition of the present invention.
In another embodiment, the present invention provides a method of inhibiting the activity of a microorganism. The method comprises contacting the microorganism with a composition of at least one compound selected from the group consisting of kurarinone, berberine, dioscin, perillaldehyde, α-linolenic acid, and polyphyllin D.
In yet another embodiment, the present invention provides a method of treating or preventing a microbial infection. The method comprises administering to a subject in need of such treatment a composition comprising at least one compound selected from the group consisting of kurarinone, berberine, dioscin, perillaldehyde, α-linolenic acid, and polyphyllin D.
In yet another embodiment, the present invention provides a method of preventing a microbial infection. The method comprises contacting a composition to an area susceptible to a microorganism causing the microbial infection, wherein the composition comprises at least one compound selected from the group consisting of kurarinone, berberine, dioscin, perillaldehyde, α-linolenic acid, and polyphyllin D.


DETAILED DESCRIPTION OF THE INVENTION
The present invention is based on the discovery that certain chemical compounds isolated from Chinese medicinal herbs are useful as anti-microbial agents, e.g., anti-bacterial agents, anti-fungal agents, agents capable of disrupting bacterial quorum sensing, and the like. Accordingly, the present invention provides compositions and methods useful for inhibiting the activity of microorganisms and/or treating microbial infections such as, for example, oral or mucosal surface microbial infections.
In particular, six compounds from four medicinal Chinese herbs have been isolated and found to have anti-microbial activity. Specifically, kurarinone has been isolated from the herb Sophora flavescens; berberine has been isolated from the herb Coptis chinensis; α-linolenic acid and perillaldehyde have been isolated from the herb Perilla frutescens; and polyphyllin D and dioscin have been isolated from the herb Paris polyphylla. 
These six compounds have the following structures:




According to one feature of the present invention, it provides compositions useful for treating microorganisms, e.g., inhibiting the activity of microorganisms. The composition of the present invention includes at least one, two, three or four compounds of a group of compounds isolated from herbs, e.g., Chinese medicinal herbs of Sophora flavescens, Coptis chinensis, Perilla frutescens, and Paris polyphylla. 
In one embodiment, the composition of the present invention includes at least one, two, three, or four compounds of a group of compounds comprised of kurarinone, berberine, dioscin, perillaldehyde, α-linolenic acid, and polyphyllin D. According to the present invention, the compound of kurarinone, berberine, α-linolenic acid, perillaldehyde, polyphyllin D, or dioscin includes any naturally existing or chemically synthesized original compound, e.g., compound having the chemical structure as shown in Formula I (ACS No. 34981-26-5), II (ACS No. 2086-83-1), III (ACS No. 463-40-1), IV (ACS No. 2111-75-3), V (ACS No. 50773-41-6), or VI (ACS No. 19057-60-4), respectively and any derivatives thereof, excluding any naturally existing herbs containing one or more original compounds such as Sophora flavescens, Coptis chinensis, Perilla frutescens, and Paris polyphylla. For example, the original compound of kurarinone, berberine, α-linolenic acid, perillaldehyde, polyphyllin D and dioscin is 1) 2-(2,4-dihydroxyphenyl)-2,3-dihydro-7-hydroxy-5-methoxy-8-[5-methyl-2-(1-methylethenyl)-4-hexenyl]-4H-1-benzopyran-4-one, 2) 5,6-dihydro-9,10-dimethoxy-benzo[g]-1,3-benzodioxolo[5,6 a]quinolizinium, 3) (9Z,12Z,15Z)-9,12,15-octadecatrienoic acid, 4) 4-(1-methylethenyl)-1-cyclohexene-1-carboxaldehyde, 5) (3β,25R)-spirost-5-en-3-yl O-α-L-arabinofuranosyl-(1→4)-O-[6-deoxy-α-L-mannopyranosyl-(1→2)]-β-D-glucopyranoside, and 6) (3β,25R)-spirost-5-en-3-yl O-6-deoxy-α-L-mannopyranosyl-(1→2)-O-[6-deoxy-α-L-mannopyranosyl-(1→4)]-β-D-glucopyranoside, respectively.
Derivatives of these original compounds include any compounds obtainable via modifying the original compounds of kurarinone, berberine, α-linolenic acid, perillaldehyde, polyphyllin D, or dioscin or any compound containing one or more key structural features of these original compounds, provided that these compounds still maintain the same or different level of anti-microbial activity contained within the original compounds. In addition, the compound of kurarinone, berberine, α-linolenic acid, perillaldehyde, polyphyllin D, or dioscin can be in any form, e.g., salt, including without any limitation, hydrochloride, bisulfate, sulfate, etc.
In another embodiment, the composition of the present invention includes a compound capable of enhancing the anti-microbial activity of another compound and at least one, two, or three compounds having anti-microbial activity. For example, the composition of the present invention can include perillaldehyde and at least one, two, or three compounds of a group of compounds comprised of kurarinone, berberine, dioscin, α-linolenic acid, and polyphyllin D.
In yet another embodiment, the composition of the present invention includes a compound with anti-fungal activity and at least one compound with anti-bacterial activity. For example, the composition of the present invention can include polyphyllin D and at least one compound of a group of compounds comprised of kurarinone, berberine, α-linolenic acid, and perillaldehyde. Alternatively the composition of the present invention can include dioscin and at least one compound of a group of compounds comprised of kurarinone, berberine, α-linolenic acid, and perillaldehyde.
In still another embodiment, the composition of the present invention includes at least kurarinone, berberine, dioscin, and α-linolenic acid, or kurarinone, berberine, α-linolenic acid and polyphyllin D.
According to another feature of the present invention, the composition of the present invention is a pharmaceutical composition, e.g., useful for inhibiting the activity of microorganisms or treating microbial infection. The pharmaceutical composition of the present invention includes a pharmaceutically acceptable carrier and one or more active components derived from compounds isolated from herbs e.g., Chinese medicinal herbs of Sophora flavescens, Coptis chinensis, Perilla frutescens, and Paris polyphylla. 
In one embodiment, the pharmaceutical composition of the present invention includes a pharmaceutically acceptable carrier and an active component including at least one, two, three, or four compounds of a group of compounds comprised of kurarinone, berberine, dioscin, perillaldehyde, α-linolenic acid, and polyphyllin D.
In another embodiment, the pharmaceutical composition of the present invention includes a pharmaceutically acceptable carrier and an active component including compounds derived from herbs, but not from other sources. For example, the pharmaceutical composition of the present invention can include a pharmaceutically acceptable carrier and an active component derived solely from kurarinone, berberine, dioscin, perillaldehyde, α-linolenic acid, and/or polyphyllin D, e.g., an active component including at least one, two, three, or four compounds of a group of compounds comprised of kurarinone, berberine, dioscin, perillaldehyde, α-linolenic acid, and polyphyllin D.
In yet another embodiment, the pharmaceutical composition of the present invention includes a pharmaceutically acceptable carrier and an active component including a compound having anti-fungal activity and a compound having anti-bacterial activity. For example, the pharmaceutical composition of the present invention includes a pharmaceutically acceptable carrier and an active component including polyphyllin D or dioscin and at least one compound selected from the group of kurarinone, berberine, perillaldehyde, and α-linolenic acid.
In still another embodiment, the pharmaceutical composition of the present invention includes a pharmaceutically acceptable carrier and an active component including a compound capable of enhancing the anti-microbial activity of other compounds and at least one compound with anti-microbial activity. For example, the pharmaceutical composition of the present invention can include a pharmaceutically acceptable carrier and an active component including perillaldehyde and at least one, two, three or four compounds selected from the group of polyphyllin D, dioscin, kurarinone, berberine, and α-linolenic acid.
The composition or pharmaceutical composition of the present invention can also be provided as a formulation suitable for topical administration, oral hygiene product, or food additive. In addition, the composition of the present invention can also include one or more other non-active ingredients, e.g., ingredients that do not interfere with the function of the active ingredients. For example, the compositions of the present invention can additionally contain any of a variety of added components, such as, for example, preservatives, solubilizers, stabilizers, wetting agents, emulsifiers, sweeteners, colorants, flavorings, buffers, coating agents, antioxidants, diluents, and the like. In addition, the composition of the present invention can include a suitable carrier or be combined with other therapeutic agents.
A suitable carrier can be an aqueous carrier including any safe and effective materials for use in the compositions of the present invention. In one embodiment, an aqueous carrier is used for the compositions of the present invention in oral formations and includes, without limitation, thickening materials, humectants, water, buffering agents, abrasive polishing materials, surfactants, titanium dioxide, flavor system, sweetening agents, coloring agents, and mixtures thereof.
A suitable carrier can also be a pharmaceutically acceptable carrier that is well known to those in the art, e.g., large, slowly metabolized macromolecules, polysaccharides, polylactic acids, polyglycolic acids, polymeric amino acids, amino acid copolymers, and inactive virus particles. A pharmaceutically acceptable carrier can be a solid carrier or a liquid carrier. Examples of solid carriers include lactose, sucrose, talc, gelatin, agar, pectin, acacia, magnesium stearate, stearic acid, or lower alkyl ethers of cellulose. Examples of liquid carriers include syrup, peanut oil, olive oil, phospholipids, fatty acids, fatty acid amines, polyoxyethylene or water. The carrier or diluent may include any sustained release material known in the art, such as glyceryl monostearate or distearate, alone or mixed with a wax.
Pharmaceutically acceptable salts can also be used in the composition, for example, mineral salts such as sodium or stannous fluorides, or sulfates, as well as the salts of organic acids such as acetates, proprionates, carbonates, malonates, or benzoates. The composition can also contain liquids, e.g., water, saline, glycerol, and ethanol, as well as substances, e.g., wetting agents, emulsifying agents, or pH buffering agents.
If a solid carrier is used for oral administration, the preparation may be tabletted or placed in a hard gelatin capsule in powder or pellet form. The amount of solid carrier will vary widely, but will usually be from about 25 mg to about 1 gm. If a liquid carrier is used, the preparation may be in the form of a syrup, emulsion, soft gelatin capsule, sterile injectable liquid such as an aqueous or non-aqueous liquid suspension or solution, and the like.
Tablets are prepared by mixing compositions of the present invention with pharmaceutically inert, inorganic or organic carrier, diluents, and/or excipients. Examples of such excipients which can be used for the preparation of tablets include lactose, maize starch or derivatives thereof, talc, stearic acid or salts thereof. Examples of suitable excipients for gelatin capsules include vegetable oils, waxes, fats, semisolid, and liquid polyols. The lipid analogs can also be made in microencapsulated form.
For nasal administration, the preparation may contain compositions of the invention dissolved or suspended in a liquid carrier, in particular, an aqueous carrier, for aerosol application. The carrier may contain solubilizing agents such as propylene glycol, surfactants, absorption enhancers such as lecithin or cyclodextrin, or preservatives.
The present invention embraces the use of pharmaceutical compositions for containing pharmaceutically acceptable sterile aqueous or non-aqueous liquids, dispersions, suspensions or emulsions as well as sterile powders for reconstitution into sterile injectable solutions or dispersions just prior to use parenteral injection. Pharmaceutical formulations containing compounds of the present invention can be prepared by conventional techniques, e.g., as described in Remington's Pharmaceutical Sciences, 1985.
The compositions of the present invention usually have an anti-microbial effect, e.g., anti-G+ bacteria activity, anti-G− bacteria activity, anti-fungus activity or effect on bacterial quorum sensing. Methods or assays for testing the anti-microbial activity of a composition are readily available to one skilled in the art. For example, compositions of the present invention can be incubated with a bacterial or fungous culture, and the bacterial or fungous growth can be subsequently examined with a plate reader. Compositions of the present invention can also be examined for their effect on bacterial quorum sensing using either an acyl-homoserine lactone quorum sensing reporter system or a luxS quorum sensing reporter system.
According to another feature of the present invention, the compositions of the present invention can be used to treat or prevent microbial growth or infection, e.g., inhibit the activity of bacteria or fungi in vivo or in vitro. For example, the compositions of the present invention can be used to inhibit microbial flora, especially microbial flora associated with dental structures such as tooth surface or subsurface or caries, e.g., microbial flora associated with demineralized areas, white spots, pits, and fissures or microbial flora associated with mucosal surfaces.
In one embodiment, the compositions of the present invention can be used to inhibit microorganisms including without limitation S. mutans, S. sobrinus, S. aureus, L. acidophilus, L. casei, L. plantarum, A. naeslundii, A. viscosus, Actinobacillus actinomycetemcomitants, Porphyromonas gingivalis, Enterococci, Fusobacterium nucleatum, Treponema denticola, Bacteroides forsythus, Candidas albicans, C. glabrata, C. guilliemondii, C. kefyr, C. krusei, C. stellatoidea and C. tropicalis. 
In another embodiment, the composition of the present invention can be used to inhibit the activity of cariogenic bacteria, including without limitation, Mutans streptococci, lactobacilli and actinomyces, e.g., S. mutans, S. sobrinus, A. viscosus, A. naeslundii, L. acidophilus, L. casei, and L. plantarum. In yet another embodiment, the composition of the present invention can be used to inhibit the activity of fungi, e.g., Candidas albicans, C. glabrata, C. guilliemondii, C. kefyr, C. krusei, C. stellatoidea and C. tropicalis. 
In still another embodiment, the composition of the present invention can be used to inhibit the activity of drug resistant microorganisms. According to the present invention, a drug resistant microorganism is a microorganism that does not substantially respond to a routinely used antibiotic or respond to an extent below the average response induced by a routinely used antibiotic. For example, the composition of the present invention can be used to treat methicillin resistant S. aureus, Vancomycin resistant Enterococci, or clinically isolated drug resistant C. albicans. In still yet another embodiment, the composition of the present invention containing at least kurarinone can be used to treat methicillin resistant S. aureus and Vancomycin resistant Enterococci while the composition of the present invention containing at least polyphyllin D can be used to treat drug-resistant C. albicans. 
According to another feature of the present invention, it provides a method of inhibiting the activity of microorganisms from one or more species or preventing a microbial infection by contacting one or more compositions of the present invention to the microorganisms. The present invention also provides a method for treating or preventing a microbial infection by administering to a subject in need of such treatment an effective amount of one or more compositions of the present invention. The subject in need of such treatment can be any suitable subject, e.g., a human or an animal including a domestic animal such as a horse, dog, or cat. The microbial infection can be any infection caused by one or more microorganisms of one or more species including without limitation microbial infections associated with drug resistant microorganisms, e.g., S. aureus, Enterococci, and C. albicans and/or multi-species biofilms.
In generally, an effective amount of the compositions to be administered can be determined on a case-by-case basis. Factors to be considered usually include age, body weight, stage of the condition, other disease conditions, duration of the treatment, and the response to the initial treatment. The term “effective amount” as applied to the compositions of the present invention is an amount that will prevent or inhibit the disorders associated with microbial infections noted above. The selected dosage will vary depending on the activity of the selected compound, the route of administration, the severity of the condition being treated, and the condition and prior medical history of the patient being treated. If desired, the effective daily dose may be divided into multiple doses for purposes of administration, for example, two to four doses per day.
Typically, the compositions are prepared as a topical or an injectable, either as a liquid solution or suspension. However, solid forms suitable for solution in, or suspension in, liquid vehicles prior to injection can also be prepared. The composition can also be formulated into tablets, e.g., an enteric-coated tablet, capsules, e.g., gel capsules, emulsions, inhaled liquid or solid particles, microencapsulated particles, e.g., as a spray, or transdermal patches according to known methods in the art.
The compositions of the present invention may be administered in any way which is medically acceptable which may depend on the condition or injury being treated. Possible administration routes include injections, by parenteral routes such as intravascular, intravenous, intraepidural or others, as well as oral, nasal, ophthalmic, rectal, vaginal, topical, or pulmonary, e.g., by inhalation. The compositions may also be directly applied to tissue surfaces. Sustained release, pH dependent release, or other specific chemical or environmental condition mediated release administration is also specifically included in the invention, by such means as depot injections or erodible implants.
In one embodiment, the composition of the present invention can be used to treat or prevent microbial infections associated with epithelial tissues or skins, e.g., wounds, burns, acne, fungus infection on skins such as foot, and other skin conditions or with opportunistic organisms, e.g., opportunistic organisms superinfect a site.
In another embodiment, the composition of the present invention can be used to treat or prevent microbial infections on mucosal surfaces, e.g., mouth, vagina, gastrointestinal (GI) tract, esophageal tract, and respiratory tract. For example, the composition of the present invention can be used to treat or prevent Streptococcus throat, Streptococcus pneumoniae, nontypeable Haemophilius influenza, or Moraxella cararrhalis infection commonly found in acute otitis media (AOM) and otitis media effusion (OME) as complications of upper respiratory infections in young children.
In another example, the composition of the present invention can be used to treat or prevent GI tract infections including without limitation duodenal or gastric ulcers associated with Helicobacter pylori (H. pylori) bacteria infection, campylobacter bacterial infection, diarrhea primarily associated with Campylobacter jejuni, cholera caused by Vibrio cholerae serogroups, salmonellosis caused by bacteria salmonella such as S. Typhimurium and S. Enteritidis, shigellosis caused by bacteria Shigella, e.g., Shigella dysenteriae and traveler's diarrhea caused by enterotoxigenic Escherichia coli (ETEC) and Clostridium difficile infection.
In yet another example, the composition of the present invention can be used to treat yeast or Candida infections (Candidiasis) typically occur either orally (Oropharyngeal Candida or OPC) or vaginally (Vulvovaginal Candida or VVC).
According to another embodiment of the present invention, the compositions of the present invention are used to treat or prevent cariogenic organism infections, e.g., S. mutans infection associated with dental caries, including without limitation tooth surface or subsurface associated with demineralized areas, white spots, pits, and fissures. One or more compositions of the present invention can be prepared as additives to food, oral hygiene product, or any products having direct contact to an oral environment, especially an oral environment susceptible to dental caries or periodontal diseases. For instance, to treat or prevent dental caries or periodontal diseases compositions of the present invention can be formulated into a baby formula, mouthwash, lozenges, gel, varnish, toothpaste, toothpicks, tooth brushes, or other tooth cleansing devices, localized delivery devices such as sustained release polymers or microcapsules, oral irrigation solutions of any kind whether mechanically delivered or as oral rinses, pacifiers, and any food including, without limitation, chewing gums, candies, drinks, breads, cookies, and milk.
The invention will now be described in greater detail by reference to the following non-limiting examples.
Example 1
Isolation of Kurarinone from Sophora flavescens 
Sophora flavescens is one of the common medicinal herbs used by Traditional Chinese Medicine (TCM) doctors. In traditional practice, it has been used to alleviate heat, toxin, constipation, and masses, and to disperse painful swelling in the throat, mouth, and gums. Recently, in vitro pharmacological studies indicated that the extract of Sophora flavescens constitutes a variety of biomedical activities for inflammation, cancer, and cardiovascular disorders.
The following steps were applied to purify the active compound(s) for structure analysis: 1) the crude extract of Sophora flavescens was suspended in 10% methanol; 2) the aqueous solution was extracted with ethyl acetate; 3) the organic layers were concentrated at 40° C. under reduced pressure; 4) the extract was then chromatographed over silica gel (500 grams), 100-200 mesh (Selecto, George), eluted with gradient hexane:ethyl acetate; 5) the most active fractions were pooled and then further purified by HPLC (Waters, 600E system controller and Waters996 Photodiode Array Detector, Millord, Mass.). Waters SymmetryPrep C-18 column (4.6×250 mm). Through bio-assay oriented chemical analysis, it was found that the major anti-bacterial compound isolated from this herb is kurarinone.




This study of purified kurarinone demonstrated that kurarinone has a strong anti-bacterial activity, for example, its MIC for S. mutans is 4 μg/ml. The compound also has a bactericidal effect. In addition, the antimicrobial activity of this compound is insensitive to the following environmental changes: pH (4.8-7.4); salt composition (Na, K, Ca); salt concentrations; oxygen levels (anaerobic and aerobic); and temperature (120° C.). Finally, both methicillin resistant Staphylococcus aureus and Vancomycin resistant Enterococci are sensitive to this compound.
Example 2
Isolation of α-Linolenic Acid and Perillaldehyde from Perillae folium(Suye, SY)
Perillae folium is a flower commonly seen in Japan and China. It is believed to have power in clear fish and crab poisoning and relieve cough. It is used with other herbs in herbal bath for its oil. It also counteracts fatigue and acts as a preventive against dysentery.
Perilla was selected for two types of bioactivity. The first is a weak antibacterial activity identified through conventional antibacterial assay. The second is its ability to enhance other antibacterial activities through some kind of synergistic effect. When the crude extract was mixed with antibiotics in the bioassay, it could enhance the activity of other antibiotics at a concentration at least 10 times lower than its MIC.
Bioassay-based phytochemical analyses were conducted to isolate and characterize the active components from SY. The active components were purified from the crude SY extract by hexane extraction and chromatograph through silica gel. The most active fractions were pooled and then further purified by HPLC. Two active compounds were isolated from this herb. Structure analysis demonstrated that one is α-linolenic acid and the other is perillaldehyde.




Our study of linolenic acid demonstrated:

    
    
        1) Linolenic acid has a strong growth inhibitory effect against S. mutans. Its MIC for S. mutans is 10 μg/ml.
        2) Linolenic acid is known as one of the major components of perilla oil.
    
    






Our study on perillaldehyde demonstrated:

    
    
        1). The compound has a weak anti-bacterial activity (MIC for S. mutans: 10 mg/ml).
        2). The compound has the ability to enhance activity of other antibiotics in a dose-dependent manner.
    
    


Example 3
Isolation of Polyphyllin D and Dioscin from Paris polyphylla (QY)
Topical application of Paris polyphylla has been well documented in TCM practice. In a preliminary screening, a strong anti-fungal activity was identified. Two active compounds, polyphyllin D and diosocin, were isolated from this herb. For the purpose of structure analysis, purity is the primary concern in this study. Due to this concern, the yield of polyphyllin is low. Clearly, a simple and economic protocol is required for the production of both refined extract and the compound with a defined purity.
The first step of the purification is ethyl acetate extraction. The crude extract of QY was directly dissolved in ethyl acetate with sonication. The extract (QYEA) was concentrated under reduced pressure in a vacuum rotavapor. The yield of this step is around 0.5%. The recovery rate of total bioactivity is around 40%.
The QYEA (20 grams) was then chromatographed over silica gel (500 grams), 100-200 mesh (Selecto, George), eluted with gradient hexane:ethyl acetate:methanol (from 100:100:10 to 100:100:50). The yield of this step is around 10%. The recovery rate of total bioactivity is around 45%. The extract is labeled as QYEA-Si.
The active fraction was then further purified by HPLC (Waters, 600E system controller and Waters996 Photodiode Array Detector, Millord, Mass.). Waters SymmetryPrep C-18 column (4.6×250 mm) and the following gradient were used for this purpose.
















Time
Flow rate
Acetonitrile
Water



(minutes)
(ml/minute)
%
%






















1

2.00
10
90



2
10
2.00
45
55



3
35
2.00
65
45



4
37
2.00
10
90



5
45
2.00
10
90










Bioassays were conducted to further characterize these two compounds.





Studies of polyphyllin D indicated:

    
    
        1. Polyphyllin D has a strong anti-fungal activity. Its MIC for C. albicans is around 2 μg/ml.
        2. Polyphyllin D has a fungicidal effect.
        3. Clinical isolated drug-resistant C. albicans are still sensitive to the Polyphyllin treatment.
    
    






Studies of dioscin indicated:

    
    
        1. Dioscin has a strong anti-fungal activity. Its MIC for C. albicans is around 4 μg/ml.
        2. Dioscin has a fungicidal effect.
        3. Clinical isolated drug-resistant C. albicans are still sensitive to the dioscin treatment.
    
    


Although the invention has been described with reference to the above example, it will be understood that modifications and variations are encompassed within the spirit and scope of the invention. Accordingly, the invention is limited only by the following claims.

## Claims

1. A method of inhibiting the activity of a yeast or fungal microorganism, said method comprising contacting the yeast or fungal microorganism with a composition comprising polyphyllin D as an active ingredient, in an amount sufficient to inhibit the activity of said yeast, or fungal microorganism.

2. The method of claim 1, wherein the microorganism is an oral pathogenic microorganism.

3. The method of claim 1, wherein the microorganism causes dental caries or periodontal disease.

4. The method of claim 1, wherein the microorganism is on a mucosal surface.

5. The method of claim 1, wherein the microorganism is associated with a tooth structure.

6. The method of claim 1, wherein the microorganism is associated with an infection in an epithelial tissue.

7. The method of claim 1, wherein the microorganism is a drug resistant microorganism.

8. The method of claim 1, wherein the microorganism is a fungal microorganism.

9. The method claim of 1, wherein the microorganism is a drug resistant Candida.

10. The method of claim 1, wherein the polyphyllin D is naturally occurring.

11. The method of claim 1, wherein the polyphyllin D is chemically synthesized.