Extracts from the seeds of the Ginkgo biloba tree show antibacterial activity on pathogens that can cause skin infections such as acne, psoriasis, dermatitis, and eczema, a new study finds.
The findings show that the extracts inhibit the growth of Cutibacterium acnes, Staphylococcus aureus, and Streptococcus pyogenes.
A nearly 200-year-old copy of a 16th-century text on traditional Chinese medicine, the Ben Cao Gang Mu, guided the researchers in their experiments.
“It was like blowing the dust off knowledge from the past and rediscovering something that had been there all along,” says co-first author of the paper Xinyi (Xena) Huang.
Huang, a native of China, began the project for her senior thesis as a biology major at Emory University. She is now a student at the University of Maryland School of Pharmacy.
“To the best of our knowledge, this is the first study to demonstrate the antibacterial activity of ginkgo seeds on skin pathogens,” says Cassandra Quave, senior author of the paper and assistant professor at Emory’s Center for the Study of Human Health and the dermatology department at the School of Medicine.
“This paper is just one more example of how much we still have to learn about the pharmacological potential of the complex chemistry of plants.”
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Quave is an ethnobotanist, studying how indigenous people use plants in their healing practices, to uncover promising candidates for new drugs.
“Our results give validity to the use of ginkgo seeds as a topical antimicrobial as prescribed in this 16th-century text,” says co-first author Francois Chassagne, a pharmacist in the Quave lab.
Many hurdles remain, he adds, before scientists can consider ginkgo seed extracts for use in a modern-day medical context. In its concentrated form, the main compound that a statistical analysis identified as likely responsible for the antibacterial activity, ginkgolic acid C15:1, has been demonstrated to have skin toxicity.
“One possible strategy in the search for new antibiotics would be to investigate ways to modify the structure of the particular ginkgolic acid tied to the antibacterial activity, to try to improve its efficacy and also to reduce its toxicity to human skin cells,” Chassagne says.
The ginkgo biloba, which is native to China, is one of the oldest tree species, going back at least 270 million years. The tree has distinctive fan-shaped leaves and a long history in traditional Chinese medicine.
Modern-day researchers have studied ginkgo extensively in search of medical benefits for everything from memory enhancement to macular degeneration, but there is still “no conclusive evidence that ginkgo is helpful for any health condition,” according to the web page of the National Institutes of Health’s National Center for Complementary and Integrative Health. Most previous studies have focused on the ginkgo leaves.
A seed of inspiration
During her first year at Emory, Huang began volunteering in the Emory Herbarium, where she processed medicinal herbs that Quave collected in the Mediterranean. She eventually joined the Quave lab, due to her interest in pharmacy.
When walking across campus, pondering what to focus on for her senior thesis, a ginkgo tree caught Huang’s eye. She knew that the tree was used in traditional Chinese medicine, although she did not know any details, so she decided to research it.
Huang’s interest grew when she learned that Emory has an 1826 version of the Ben Cao Gang Mu, or Compendium of Materia Medica. Considered the most comprehensive book on traditional Chinese medicine, Li Shi-zhen compiled and wrote the book in the 16th century during the heyday of the Ming Dynasty. The original compendium is vast, encompassing dozens of volumes, but Huang had only seen greatly condensed versions sold in Chinese bookstores.
The copy Huang read resides in the Candler School of Theology’s Pitts Theology Library. The 1826 version passed at one stage through a London book dealer. The unnumbered pages contain block-printed in Chinese characters, but at some point someone rebound them into 10 volumes with covers labeled in English.
The Ben Cao Gang Mu arrived at Emory as part of the university’s purchase of more than 200,000 volumes from Hartford Theological Seminary in 1975.
“At the time, it was the largest transfer of a book collection ever between academic libraries,” says Brandon Wason, above, curator of archives and manuscripts at Pitts Theology Library.
Huang never imagined she would be touching such an old copy of the Ben Cao Gang Mu.
“You can feel the history in it,” she says. “The paper is so yellow, thin and fragile that I was afraid I would break the pages as I was turning them.”
In a volume labeled “Grains, Vegetables, Fruits,” Huang found references to the uses of ginkgo, written in an engaging, narrative style. The book described 17 traditional uses for the seed, including eight for skin disorders such as chapped hands and feet, rosacea, crab louse-induced itchiness, dog-bit wound abscesses, and pustules.
Li Shi-Zhen recommended preparing a paste of ground up seeds mixed with rice wine or other alcohol, or by immersing the crushed seeds in rape seed oil. The paste could then be applied to the affected area.
“I was surprised because I had never thought about doing anything with gingko seeds except eating them,” Huang says. “I remember the first time I tasted them was in Cantonese soup. The seed turns an unforgettable bright yellow when it’s cooked. The flavor is really distinct—a little bit bitter but also sweet. They’re good, but my parents warned me not to eat more than five at a time.”
The Ben Cao Gang Mu, she learned as she read it, also advised limiting consumption of the seeds.
The past and the present
A previous study found that ginkgo seed coats demonstrated antibacterial activity against some intestinal bacterial pathogens. And ginkgo leaves have shown antibacterial activity on both some intestinal bacteria and on the skin pathogen S. aureus.
Huang, however, wanted to test the information she had gleaned from the ancient text for the use of ginkgo seeds as a topical treatment for skin disorders. Skin pathogens are of particular interest to the Quave lab, which focuses on finding new approaches to treat antibiotic-resistant bacteria.
Huang gathered ginkgo samples from trees on campus, including seeds and immature whole seeds. She purchased additional fresh seeds from a local farmer’s market for the research and obtained nine chemicals known to be in ginkgo from chemical suppliers in their pure form.
The researchers processed the extractions from the seeds as closely as possible to the recommendations of the Ben Cao Gang Mu, using either water, ethanol, or rape seed oil. Huang and Chassagne conducted microbial experiments—including the evaluation of ginkgo extracts from the seed nut, immature seeds, and the seed coat—on 12 different bacterial strains.
The results showed that the ginkgo seed coats and the immature seeds exhibited antibacterial activity on three of the strains tested: C. acnes, S. aureus, and S. pyogenes. Statistical analysis also found a positive correlation between the antimicrobial activity of the ginkgo samples and the concentration of ginkgolic acid C15:1, suggesting it was involved in the activity.
“Our finding is still in a basic, benchtop phase—these extracts have not yet been tested in animal or human studies—but it is still a thrill for me to learn that this ancient story in the Ben Cao Gang Mu appears to be real,” Huang says. “As a student pharmacist, this gives me more appreciation for the value of using ancient plant remedies to guide modern-day research.”
The research appears in Frontiers in Microbiology.
Source: Emory University