{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T16:08:18Z","timestamp":1792080498389,"version":"4.4.0"},"reference-count":33,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,6,17]],"date-time":"2021-06-17T00:00:00Z","timestamp":1623888000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Microbiol."],"abstract":"<jats:p>Previous studies have clearly demonstrated that the addition of lentisk oil (LO) to streptococcal cultures makes it possible to differentiate <jats:italic>Streptococcus<\/jats:italic> spp. into three categories with <jats:italic>Streptococcus mitis<\/jats:italic> and <jats:italic>Streptococcus intermedius<\/jats:italic> sensitive, <jats:italic>Streptococcus pyogenes<\/jats:italic>, <jats:italic>Streptococcus agalactiae<\/jats:italic>, and <jats:italic>Streptococcus mutans<\/jats:italic> partially sensitive, and <jats:italic>Streptococcus salivarius<\/jats:italic> insensitive to the product. We have investigated here whether the winterization of LO, an easy and cheap procedure that removes some of the fatty substances contained within, resulted in a better antimicrobial effect on human pathogens affecting the pharyngeal mucosa and middle ear such as <jats:italic>S<\/jats:italic>. <jats:italic>pyogenes<\/jats:italic>, <jats:italic>S<\/jats:italic>. <jats:italic>pneumoniae<\/jats:italic>, <jats:italic>Moraxella catarrhalis<\/jats:italic>, and <jats:italic>Haemophilus influenzae<\/jats:italic>, without affecting, or minimally affecting, <jats:italic>S<\/jats:italic>. <jats:italic>salivarius<\/jats:italic> strains, oral probiotics commonly used to reduce oral and middle ear infection recurrence, especially in children. Our results not only demonstrated a stronger antimicrobial action of winterized LO (WLO) on <jats:italic>S<\/jats:italic>. <jats:italic>pyogenes<\/jats:italic>, compared to what was seen with LO, but also demonstrated a strong antimicrobial action vs. <jats:italic>S<\/jats:italic>. <jats:italic>pneumoniae<\/jats:italic> and <jats:italic>M<\/jats:italic>. <jats:italic>catarrhalis<\/jats:italic> and a very limited effect on <jats:italic>S<\/jats:italic>. <jats:italic>salivarius<\/jats:italic> (strains K12 and M18). Moreover, WLO demonstrated a co-acting action when tested along with the antibiotics amoxicillin (A) and amoxicillin clavulanate (AC), effects clearly visible also on <jats:italic>H<\/jats:italic>. <jats:italic>influenzae<\/jats:italic>. Our results also showed that at least part of the antimicrobial effect observed was due to the presence of anacardic acids (AAs). Finally, WLO, when tested with human peripheral blood mononuclear cells (h-PBMCs), reduced the release of IL-6 and TNF-\u03b1 and, in the case of cells stimulated by LPS, the release of IFN-\u03b3. In conclusion, our study highlights an enhanced antimicrobial role for LO when winterized, suggests a co-acting effect of this when given with antibiotics, identifies AAs as possible active ingredients, and proposes a possible anti-inflammatory role for it.<\/jats:p>","DOI":"10.3389\/fmicb.2021.686942","type":"journal-article","created":{"date-parts":[[2021,6,17]],"date-time":"2021-06-17T08:59:12Z","timestamp":1623920352000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":6,"title":["Antibacterial Activity of a Fractionated Pistacia lentiscus Oil Against Pharyngeal and Ear Pathogens, Alone or in Combination With Antibiotics"],"prefix":"10.3389","volume":"12","author":[{"given":"Francesco","family":"Di Pierro","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valeria","family":"Sagheddu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena","family":"Galletti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mara","family":"Forti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Elli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Bertuccioli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Gaeta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2021,6,17]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"959","DOI":"10.1039\/b500182j","article-title":"Bacterial death comes full circle: targeting plasmid replication in drug-resistant bacteria.","volume":"3","author":"DeNap","year":"2005","journal-title":"Org. Biomol. Chem."},{"key":"B2","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1517\/14712598.2013.758711","article-title":"Clinical evaluation of the oral probiotic Streptococcus salivarius K12 in the prevention of recurrent pharyngitis and\/or tonsillitis caused by Streptococcus pyogenes in adults.","volume":"13","author":"Di Pierro","year":"2013","journal-title":"Expert. Opin. Biol. Ther."},{"key":"B3","first-page":"4601","article-title":"Effect of administration of Streptococcus salivarius K12 on the occurrence of streptococcal pharyngo-tonsillitis, scarlet fever and acute otitis media in 3 years old children.","volume":"20","author":"Di Pierro","year":"2016","journal-title":"Eur. Rev. Med. Pharmacol. Sci."},{"key":"B4","doi-asserted-by":"publisher","first-page":"240","DOI":"10.23736\/S0026-4946.18.05182-4","article-title":"Use of Streptococcus salivarius K12 to reduce the incidence of pharyngo-tonsillitis and acute otitis media in children: a retrospective analysis in not-recurrent pediatric subjects.","volume":"70","author":"Di Pierro","year":"2018","journal-title":"Minerva Pediatr."},{"key":"B5","doi-asserted-by":"publisher","first-page":"107","DOI":"10.2147\/CCIDE.S93066","article-title":"Cariogram outcome after 90 days of oral treatment with Streptococcus salivarius M18 in children at high risk for dental caries: results of a randomized, controlled study.","volume":"7","author":"Di Pierro","year":"2015","journal-title":"Clin. Cosmet. Investig. Dent."},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.3390\/jcm8020149","article-title":"Microbiological aspects of acute and chronic pediatric rhinosinusitis.","volume":"8","author":"Drago","year":"2019","journal-title":"J. Clin. Med."},{"key":"B7","doi-asserted-by":"publisher","first-page":"2760","DOI":"10.1128\/AAC.01674-07","article-title":"Antibiotic resistance in Haemophilus influenzae decreased, except for \u03b2-lactamase-negative amoxicillin-resistant isolates, in parallel with community antibiotic consumption in Spain from 1997 to 2007.","volume":"52","author":"Garc\u00eda-Cobos","year":"2008","journal-title":"Antimicrob. Agents Chemother."},{"key":"B8","doi-asserted-by":"publisher","first-page":"1002","DOI":"10.1016\/j.chest.2018.06.019","article-title":"Antimicrobial resistance and respiratory infections.","volume":"154","author":"Guitor","year":"2018","journal-title":"Chest"},{"key":"B9","doi-asserted-by":"publisher","first-page":"8569","DOI":"10.3390\/ijms16048569","article-title":"Potential biological applications of bio-based anacardic acids and their derivatives.","volume":"16","author":"Hamad","year":"2015","journal-title":"Int. J. Mol. Sci."},{"key":"B10","doi-asserted-by":"publisher","first-page":"1053","DOI":"10.1542\/peds.2011-1337","article-title":"Antibiotic prescribing in ambulatory pediatrics in the United States.","volume":"128","author":"Hersh","year":"2011","journal-title":"Pediatrics"},{"key":"B11","doi-asserted-by":"publisher","first-page":"1601","DOI":"10.1136\/bmj.291.6509.1601","article-title":"Clinical trial of berberine in acute watery diarrhoea.","volume":"291","author":"Khin-Maung-U","year":"1985","journal-title":"Br. Med. J. (Clin. Res. Ed.)"},{"key":"B12","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1097\/00006454-199704000-00025","article-title":"History of macrolide use in pediatrics.","volume":"16","author":"Klein","year":"1997","journal-title":"Pediatr. Infect. Dis. J."},{"key":"B13","doi-asserted-by":"publisher","first-page":"467","DOI":"10.1016\/j.ijantimicag.2012.07.015","article-title":"Epigallocatechin gallate as a modulator of Campylobacter resistance to macrolide antibiotics.","volume":"40","author":"Kurin\u010di\u010d","year":"2012","journal-title":"Int. J. Antimicrob. Agents"},{"key":"B14","doi-asserted-by":"publisher","first-page":"1057","DOI":"10.1016\/S1473-3099(13)70318-9","article-title":"Antibiotic resistance\u2014the need for global solutions.","volume":"13","author":"Laxminarayan","year":"2013","journal-title":"Lancet Infect. Dis."},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000003587","article-title":"A systematic review of antibiotic prescription associated with upper respiratory tract infections in China.","volume":"95","author":"Li","year":"2016","journal-title":"Medicine (Baltimore)"},{"key":"B16","doi-asserted-by":"publisher","first-page":"1667","DOI":"10.1016\/j.bmcl.2013.01.074","article-title":"Efficient synthesis of anacardic acid analogues and their antibacterial activities.","volume":"23","author":"Mamidyala","year":"2013","journal-title":"Bioorg. Med. Chem. Lett."},{"key":"B17","doi-asserted-by":"publisher","first-page":"213","DOI":"10.2147\/IJGM.S168209","article-title":"Pilot study to explore the prophylactic efficacy of oral probiotic Streptococcus salivarius K12 in preventing recurrent pharyngo-tonsillar episodes in pediatric patients.","volume":"12","author":"Marini","year":"2019","journal-title":"Int. J. Gen. Med."},{"key":"B18","doi-asserted-by":"publisher","first-page":"565","DOI":"10.1080\/14786419.2014.952232","article-title":"In vitro antimicrobial activity of Pistacia lentiscus L. edible oil and phenolic extract.","volume":"29","author":"Mezni","year":"2015","journal-title":"Nat. Prod. Res."},{"key":"B19","doi-asserted-by":"publisher","first-page":"1225","DOI":"10.1080\/14786419.2014.895724","article-title":"Effect of growing area on tocopherols, carotenoids and fatty acid composition of Pistacia lentiscus edible oil.","volume":"28","author":"Mezni","year":"2014","journal-title":"Nat. Prod. Res."},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.3390\/ph10010031","article-title":"Anacardic acid constituents from cashew nut shell liquid: NMR characterization and the effect of unsaturation on its biological activities.","volume":"10","author":"Morais","year":"2017","journal-title":"Pharmaceuticals (Basel)"},{"key":"B21","doi-asserted-by":"publisher","first-page":"382","DOI":"10.1007\/s13197-010-0190-2","article-title":"The effect of consecutive steps of refining on squalene content of vegetable oils.","volume":"48","author":"Nergiz","year":"2011","journal-title":"J. Food Sci. Technol."},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.3389\/fmicb.2017.02067","article-title":"The selective interaction of Pistacia lentiscus oil vs. human streptococci, an old functional food revisited with new tools.","volume":"8","author":"Orr\u00f9","year":"2017","journal-title":"Front. Microbiol."},{"key":"B23","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1016\/j.prrv.2011.11.001","article-title":"Recurrent lower respiratory tract infections in children: a practical approach to diagnosis.","volume":"14","author":"Patria","year":"2013","journal-title":"Paediatr. Respir. Rev."},{"key":"B24","doi-asserted-by":"publisher","first-page":"2684","DOI":"10.1080\/14786419.2017.1289204","article-title":"Chemical characterisation and biological activity of leaf essential oils obtained from Pistacia terebinthus growing wild in Tunisia and Sardinia Island.","volume":"31","author":"Piras","year":"2017","journal-title":"Nat. Prod. Res."},{"key":"B25","doi-asserted-by":"publisher","first-page":"a48","DOI":"10.1289\/ehp.121-a48","article-title":"Phage renaissance: new hope against antibiotic resistance.","volume":"121","author":"Potera","year":"2013","journal-title":"Environ. Health Perspect."},{"key":"B26","doi-asserted-by":"publisher","first-page":"1","DOI":"10.21010\/ajtcam.v13i5.1","article-title":"Anti-inflammatory activity of Eucalyptus spp. and Pistascia lentiscus leaf extracts.","volume":"13","author":"Qabaha","year":"2016","journal-title":"Afr. J. Tradit. Complement. Altern. Med."},{"key":"B27","doi-asserted-by":"publisher","first-page":"1286","DOI":"10.1111\/jam.14040","article-title":"Impregnation of catheters with anacardic acid from cashew nut shell prevents Staphylococcus aureus biofilm development.","volume":"125","author":"Sajeevan","year":"2018","journal-title":"J. Appl. Microbiol."},{"key":"B28","doi-asserted-by":"publisher","DOI":"10.3390\/biom9090465","article-title":"Anacardium plants: chemical, nutritional composition and biotechnological applications.","volume":"9","author":"Salehi","year":"2019","journal-title":"Biomolecules"},{"key":"B29","doi-asserted-by":"publisher","first-page":"487","DOI":"10.1007\/s11130-020-00835-x","article-title":"Phytochemical characterization and effects on cell proliferation of lentisk (Pistacia lentiscus) berry oil: a revalued source of phenolics.","volume":"75","author":"Siano","year":"2020","journal-title":"Plant Foods Hum. Nutr."},{"key":"B30","first-page":"252","article-title":"Susceptibility of group A Streptococci to oleic acid and ultraviolet light. Comparison of strains from throat and skin.","volume":"96","author":"Speert","year":"1980","journal-title":"J. Lab. Clin. Med."},{"key":"B31","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1016\/S0167-7799(03)00085-4","article-title":"Bacterial replacement therapy: adapting \u2018germ warfare\u2019 to infection prevention.","volume":"21","author":"Tagg","year":"2003","journal-title":"Trends Biotechnol."},{"key":"B32","doi-asserted-by":"publisher","DOI":"10.1177\/0003702820969192","article-title":"Use of near-infrared-mid-infrared dual-wavelength spectrometry to obtain two-dimensional difference spectra of sesame oil as inactive drug ingredient.","volume":"5","author":"Watari","year":"2020","journal-title":"Appl. Spectrosc."},{"key":"B33","doi-asserted-by":"publisher","first-page":"1355","DOI":"10.2217\/fmb.12.113","article-title":"Developing oral probiotics from Streptococcus salivarius.","volume":"7","author":"Wescombe","year":"2012","journal-title":"Future Microbiol."}],"container-title":["Frontiers in Microbiology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmicb.2021.686942\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,17]],"date-time":"2021-06-17T08:59:17Z","timestamp":1623920357000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmicb.2021.686942\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,17]]},"references-count":33,"alternative-id":["10.3389\/fmicb.2021.686942"],"URL":"https:\/\/doi.org\/10.3389\/fmicb.2021.686942","relation":{},"ISSN":["1664-302X"],"issn-type":[{"value":"1664-302X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,17]]},"article-number":"686942"}}