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Microbes & Immunity                                  Hyphaene thebaica honey as a multitarget therapeutic product




            Table 1. MIC and MBC values of tetracycline and kanamycin
            Pathogenic microorganisms     MIC (μg/mL)              MBC (μg/mL)               MBC/MIC ratio
                                    Tetracycline  Kanamycin   Tetracycline  Kanamycin   Tetracycline  Kanamycin
            Pseudomonas aeruginosa     0.07         0.85         0.07         1.7           1           2
            Staphylococcus aureus      0.02         0.11         0.04         0.11          2           1
            Escherichia coli           0.03         0.47         0.06         0.94          2           2
            Bacillus subtilis          0.78         0.39         1.56         0.78          2           2
            Haemophilus influenzae    0.024        0.048        0.024        0.048          1           1
            Streptococcus pneumoniae   1.56         0.78         3.12         1.56          2           2
            Klebsiella pneumoniae      0.19        0.048         0.19        0.096          1           2
            Abbreviations: MBC: Minimum bactericidal concentration; MIC: Minimum inhibitory concentration.
              The assessment of MIC and MBC is universally     Table 2. MIC and MBC of DH against various bacterial
            acknowledged as an efficient and relatively cost-effective   strains
            method for evaluating the efficacy of various antimicrobial   Pathogenic microorganisms  MIC    MBC    MBC/
            substances.  DH  demonstrated a  favorable  impact in                    (% w/w)  (% w/w)  MIC ratio
            eradicating  all  examined  bacterial  strains.  The  MIC  and   Pseudomonas aeruginosa  0.39  0.78  2
            MBC values of DH against the tested bacterial strains are
            stated in Table 2.                                 Klebsiella pneumoniae  0.096    0.096     1
                                                               Escherichia coli       0.024    0.048     2
              The MIC values for the DH fluctuated between 0.19%   Haemophilus influenzae  0.048  0.048  1
            and 0.78%  w/w for the three Gram-positive strains and
            between 0.024% and 0.39%  w/w for the four Gram-   Streptococcus pneumoniae  0.78  1.56      2
            negative strains. Among all the bacterial strains examined,   Bacillus subtilis  0.38  0.76  2
            E. coli was identified as the most susceptible with an MIC of   Staphylococcus aureus  0.19  0.19  1
            0.024% w/w, whereas S. pneumoniae was the most resistant   Abbreviations: MBC: Minimum bactericidal concentration;
            with an MIC of 0.78% w/w (Table 2).                MIC: Minimum inhibitory concentration, DH: Doum honey.
              The ratio of MBC to MIC can offer valuable insights into   compounds. 52,53  Recent studies have also identified other
            the nature of an antimicrobial agent, specifically whether   antimicrobial components, such as the bee-derived peptide
            it is bacteriostatic (halts bacterial growth) or bactericidal   defensin-1, 5-hydroxymethylfurfural, and methylglyoxal,
            (kills bacteria). If the MBC is not significantly greater than                               54,55
            the MIC (typically MBC/MIC ≤ 4), the antimicrobial agent   as well as phenolic compounds, including flavonoids.
            is deemed bactericidal, as it kills bacteria at concentrations   Various varieties of honey from the Eastern
            near the inhibitory concentration. Conversely, if the MBC   Mediterranean region have demonstrated significant
            is significantly higher than the MIC, the agent is classified   inhibitory  effects  against  both  Gram-positive  and
            as bacteriostatic, as it primarily inhibits bacterial growth   Gram-negative  bacteria,  including  methicillin-resistant
            rather than killing the bacteria. The DH’s ratio of MBC to   S. aureus (MRSA) and methicillin-susceptible  S. aureus
            MIC against all examined bacteria consistently exhibited   strains.  However, compared to other types of honey,
                                                                     38
            an approximate increase of up to two-fold over their MIC   studies examining the bioactive properties of DH
            values. This implies that DH honey exerts a bactericidal   are limited. This study aimed to address this gap by
            effect on all bacteria tested (Table 2).           evaluating the phytochemical composition of DH, as
              The MIC values for  E. coli recorded in this study   well as its antibacterial, antioxidant, anti-inflammatory,
            were lower than the previously documented 0.52 – 1.0%   and anticancer properties. The findings revealed broad-
            range. 31,47-49  The antimicrobial effects of honey primarily   spectrum antibacterial activity against all tested Gram-
            stem from hydrogen peroxide, with additional contributions   positive and Gram-negative bacteria. Honey has also been
            from non-peroxide components such as phenolic acids and   shown to be effective against drug-resistant pathogens,
            flavonoids, which enhance its antibacterial and antioxidant   including MRSA, drug-resistant hemolytic Streptococci,
            properties. 50,51  Research indicates that these antibacterial   and vancomycin-resistant Enterococci. 39,55  Furthermore,
            effects can vary depending on the phytogeographical   honey from various global regions has been found to
            origin of the honey, influencing the production of various   exhibit similar or even greater potency compared to


            Volume 2 Issue 1 (2025)                         82                               doi: 10.36922/mi.4994
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