Anti biofilm attributes of Curcumin

Posted by lynne63 @lynne63, Aug 4, 2021

I've been doing quite a bit of research and thought I would share this medical journal research. I don't think I can copy the link, so I will share the info directly here. The article is:

Curcumin, an antibiotic resistance breaker against a multiresistant clinical isolate of Mycobacterium abscessus

Curcumin, a phenolic compound extracted from Curcuma longa, exerts multiple pharmacological effects, including an antimicrobial action. Mycobacterium abscessus, an environmental, nontuberculous, rapidly growing mycobacterium, is an emerging human pathogen causing serious lung infections and one of the most difficult to treat, due to its multidrug resistance and biofilm-forming ability. We wanted to evaluate the antimicrobial and antivirulence activity of curcumin and its ability to synergize with antibiotics against a clinical M. abscessus strain (29904), isolated from the bronchoaspirate of a 66-year-old woman admitted to hospital for suspected tuberculosis. Curcumin [minimum inhibitory concentrations (MIC) = 128 mg/L] was synergic (fractional inhibitory concentration index ≤0.5) with amikacin, clarithromycin, ciprofloxacin, and linezolid, to which strain 29904 showed resistance/intermediate susceptibility. Curcumin at 1/8 × MIC significantly reduced motility, whereas at 4 × MIC, it completely inhibited 4- and 8-day mature biofilms. Synergistic combinations of curcumin and amikacin induced a general reduction in microbial aggregates and substantial loss in cell viability. Disruption of 4- and 8-day biofilms was the main effect detected when curcumin was the predominant compound. The present findings support previous evidence that curcumin is a potential antibiotic resistance breaker. Curcumin, either alone or combined with antibiotics, could provide a novel strategy to combat antibiotic resistance and virulence of M. abscessus.

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@anniepie

Hi Sue @sueinmn and Lynne @lynne63, you're right, there is growing research evidence about the effectiveness of Curcumin in its most bio-available form for treating infections and disrupting or inhibiting biofilm. The best most-bio-available formulation I've found is called 'Doctor's Best' -- which you can buy online, but it is expensive!

And Sue you are also right about the risk of interactions between Curcumin and some drugs. Before we buy it and take it, we need to get advice from pharmacists or look up the drug interactions ourselves.

If you are taking TB meds like Azithromycin (or Clarithromycin), or Clofazimine, please note that research on Curcumin shows it is a potent hERG blocker. In other words, the interaction of these TB drugs with Curcumin can cause long QT in the heart, or increase it. Long QT is a serious heart rhythm problem.

(Because you've had long QT, Heather @heathert please DON'T use a highly bio-available form of Curcumin, or don't use it at all while you're on Azithromycin. Plain Turmeric powder is okay, no problem).

I need to take both Azithromycin and Clofazimine, and have already recorded long QT a few times from the interaction of those 2 drugs . When I used the highly bio-available Curcumin as well, I got even worse long QT. The doctors told me to stop using it.

BUT I definitely do plan to use highly bio-available Curcumin again, after I'm able to stop taking the Azithromycin and Clofazimine TB meds.

So yes, Curcumin does look like it could be a very promising treatment for us, but we need to be careful of interactions with our TB meds first.

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Thanks for that @anniepie great advice!

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I would also like to mention that there is evidence of good anti-inflammatory effects of oral, bio-available curcumin supplements, so if I was going to try it, that would be my reason. I am still waiting to connect with my PharmD about advisability with all my meds.

I would not rely on it to have an anti-biofilm effect in an oral form at this point. The tests so far have been "test tube" experiments - adding the curcumin to the culture plates along with the antibiotic to look for effectiveness. It has also showed promise in treating anti-biotic resistant skin infections, in combination with specific meds.

We are some distance away from in-body experimentation on bio-film & NTM or TB at this point, to see if oral supplements can help. And we are DEFINITELY NOT at a point where anyone should consider inhaling or nebulizing curcumin, except as part of a medically supervised trial.

I consider this very promising research, and can hardly wait to see what the next steps show us.
Sue

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Thanks for the great discussion regarding this potential benefit of curcumin.

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@lynne63

Thanks for the great discussion regarding this potential benefit of curcumin.

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I keep thinking that, like with the 7% saline nebs, one of these common items is going to create an "Aha!" moment in treating NTM and TB...

I am thrilled that the study of supplements, and the compounds they contain, are now seriously being researched by Western science and medicine.Before the days of big-Pharma antibiotics, simple things were used for generations - and many have now been verified by modern science.

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@anniepie

Hi Sue @sueinmn and Lynne @lynne63, you're right, there is growing research evidence about the effectiveness of Curcumin in its most bio-available form for treating infections and disrupting or inhibiting biofilm. The best most-bio-available formulation I've found is called 'Doctor's Best' -- which you can buy online, but it is expensive!

And Sue you are also right about the risk of interactions between Curcumin and some drugs. Before we buy it and take it, we need to get advice from pharmacists or look up the drug interactions ourselves.

If you are taking TB meds like Azithromycin (or Clarithromycin), or Clofazimine, please note that research on Curcumin shows it is a potent hERG blocker. In other words, the interaction of these TB drugs with Curcumin can cause long QT in the heart, or increase it. Long QT is a serious heart rhythm problem.

(Because you've had long QT, Heather @heathert please DON'T use a highly bio-available form of Curcumin, or don't use it at all while you're on Azithromycin. Plain Turmeric powder is okay, no problem).

I need to take both Azithromycin and Clofazimine, and have already recorded long QT a few times from the interaction of those 2 drugs . When I used the highly bio-available Curcumin as well, I got even worse long QT. The doctors told me to stop using it.

BUT I definitely do plan to use highly bio-available Curcumin again, after I'm able to stop taking the Azithromycin and Clofazimine TB meds.

So yes, Curcumin does look like it could be a very promising treatment for us, but we need to be careful of interactions with our TB meds first.

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This is very interesting to me. What is the difference in Turmeric and "bio available curcumin?

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@toni1132

This is very interesting to me. What is the difference in Turmeric and "bio available curcumin?

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Turmeric is a spice which contains curcumin. As with all spices, concentrations vary based on variety, growing conditions, storage, any fillers used... Curcumin is the active ingredient extracted from the turmeric, and can be measured exactly. Kind of like marijuana, which contains both CBD and THC - only in the raw, you don't know how much of each, or what else is in it.
The healing properties of curcumin and some other substances can be difficult for the body to extract, leading most of it to be immediately excreted in urine. This article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6770259/ explains some of the mechanisms tested to cause more absorption of curcumin.

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@sueinmn

Turmeric is a spice which contains curcumin. As with all spices, concentrations vary based on variety, growing conditions, storage, any fillers used... Curcumin is the active ingredient extracted from the turmeric, and can be measured exactly. Kind of like marijuana, which contains both CBD and THC - only in the raw, you don't know how much of each, or what else is in it.
The healing properties of curcumin and some other substances can be difficult for the body to extract, leading most of it to be immediately excreted in urine. This article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6770259/ explains some of the mechanisms tested to cause more absorption of curcumin.

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I do take Curcumin..... I'll have to pay closer attention because if I remember correctly, I may have used it at times during my "big 3" treatment. Hmmmm. Thank you, again !!

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I take 500 mg. of Curcumin(sp?) known as Turmeric every day mainly for inflammation. Hopefully is helping my MAC also!

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