Synergistic Drug Effects on Microbial Flora By: Luke Beck Pittsburgh Central Catholic HS PJAS 2012 Grade 11 Problem Accompanied with drug side effects, combination of over the counter drugs can have dire side effects Do common daily over the counter drugs cause adverse effects on human cells? Ibuprofen A nonsteroidal antiinflammatory drug Used to treat such symptoms as headache, muscular aches, the common cold and arthritis pain. Third most consumed drug in the entire world. Can be taken on a daily basis to prevent symptoms. Benadryl Active Ingredient: Diphenhydramine Hydrochloride Used as an Antihistamine Over 25 over the counter drugs share the same active ingredient as Benadryl Taken on a daily basis to prevent allergy symptoms Escherichia Coli Has been the most studied type of bacteria in biological research. Gram negative bacteria Symbiont in intestinal tracts of many mammals, including humans. Mostly non-pathogenic. Staphylococcus epidermidis Staph. species consisting harmless skin-dwelling microorganisms Species of Staph. are commonly used in microbiological experiments Gram Positive Bacteria Purpose To determine if differing concentrations of Ibuprofen, the antihistamine Benadryl and/or synergy of the two have an adverse effect on E. Coli and Staph. Survivorship. Hypothesis Null: The presence of Ibuprofen, Benadryl, and a combination of both will not cause a change in bacterial population outside of chance Alternative: The presence of Ibuprofen, Benadryl, and a combination of both will cause a change in bacterial population outside of chance Materials Ibuprofen (200mg liquid gels) Benadryl (25mg liquid gels) Escherichia coli bacteria Staphylococcus epidermidis bacteria Ethanol 20 mL tubes Sterile Micro burner Ethanol Test tubes Test Tube Rack Microtubes Vortex Incubator Gloves Goggles Klett Spectrophotometer SDF LB agar plates (1% Tryptone, 0.5% Yeast Extract, 1% NaCl) Sidearm flask Spreader bar SDF Test Tubes Procedure 1. Bacteria (E. coli and Staph) was grown overnight in sterile LB media. 2. A sample of the overnight culture was added to fresh media in a sterile sidearm flask. 3. The culture was placed in an incubator (37°C) until a density of 50 Klett spectrophotometer units was reached. This represents a cell density of approximately 108 cells/mL. 4. The culture was diluted in sterile dilution fluid to a concentration of approximately 105 cells/mL. Concentrations (Ibuprofen, Control Benadryl) (0 x, 0.01x) (0 x, 0.1 x) (0.1 x, 0 x) (0.1 x, 0.01 x) (0.1 x, 0.1 x) (1 x, 0 x) (1 x, 0.01 x) (1 x, 0.1 x) Microbe E. Coli or Staph. 0.1 mL 0.1 mL 0.1 mL 0.1 mL 0.1 mL 0.1 mL 0.1 mL 0.1 mL 0.1 mL SDF 9.9 mL 9.89 mL 9.8 mL 9.8 mL 9.79 mL 9.7 mL 8.9 mL 8.89 mL 8.8 mL Ibuprofen 0 mL 0 mL 0 mL 0.1 mL 0.1 mL 0.1 mL 1.0 mL 1.0 mL 1.0 mL Benadryl 0 mL 0.01 mL 0.1 mL 0 mL 0.01 mL 0.1 mL 0 mL 0.01 mL 0.1 mL Total 10 mL 10 mL 10 mL 10 mL 10 mL 10 mL 10 mL 10 mL 10 mL Procedure 100 µL of cell culture was then added to each solution, yielding a final volume of 10 mL and a cell density of approximately 103 cells/mL. The solutions were vortexed and allowed to sit at room temperature for 15 minutes. After vortexing to evenly suspend the cells, 100 µL aliquots were removed from the tubes and spread on LB agar plates. The plates were incubated at 37°C for 48 hours. The resulting colonies were counted visually. Each colony was assumed to have arisen from one cell. ANOVA Abbreviation for analysis of variance Statistical test comparing variation within and between experimental groups If the P- value is lower than the alpha value (.05), then the result is significant (a result of the variable influence) Two factor: verifies interaction between two variables. Staph Survivorship 140 P-Value: .0508 120 100 Number of Colonies 80 60 40 20 0 0x. 0x 0x, .01x 0x, .1x .1x, 0x .1x, .01x .1x, .1x Concentration (Ibuprofen, Benadryl) 1x, 0x 1x, .01x 1x, .1x E. Coli Survivorship 140 P-Value: 0.7921 120 Number of Colonies 100 80 60 40 20 0 0x, 0x 0x, .01x 0x, .1x .1x, 0x .1x, .01x .1x, .1x Concentration (Ibuprofen, Benadryl) 1x, 0x 1x, .01x 1x, .1x Conclusion The presence of Ibuprofen, Benadryl, and a combination of the two drugs did not significantly change the number of Staphylococcus epidermidis or E. Coli. The null hypothesis can be accepted. The alternative hypothesis can be rejected Extensions Limitations Try prescription medication combination. Test synergy effects of more harmful drugs. Use human cells rather than bacteria. These bacteria were only models for the human cell. Plates were not plated simultaneously. Works Cited http://www.drugs.com/pro/ibuprofen-drug-facts.html http://textbookofbacteriology.net/staph.html http://www.bacterio.cict.fr/e/escherichia.html http://www.textbookofbacteriology.net/e.coli.html http://www.drugs.com/mtm/benadryl.html http://www.mayoclinic.com/health/endocarditis/DS00 409