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Effect of Radix Paeoniae Rubra aqueous extract on the virulence and antibiotic susceptibility of multi-drug resistant Escherichia coli Cover

Effect of Radix Paeoniae Rubra aqueous extract on the virulence and antibiotic susceptibility of multi-drug resistant Escherichia coli

Open Access
|Mar 2026

Figures & Tables

Fig. 1.

Effect of Radix Paeoniae Rubra aqueous extract (RPRE) on the antimicrobial resistance of E. coli O101. Growth of untreated control E. coli was taken as 100%, and bacterial growth in the treatment groups was calculated in relation to that benchmark. Data are expressed as mean ± SD (n = 3). ** – P < 0.01; ns – not significant (P > 0.05)

Fig. 2.

Effect on the secretion of E. coli O101 virulence factor proteins of 24-h incubation in Radix Paeoniae Rubra aqueous extract (RPRE). A – secretion with RPRE at concentrations ranging 0–16 mg/mL and without cephalexin; B – secretion with RPRE at 4 mg/mL and cephalexin at 4 μg/mL. Data are expressed as mean ± SD (n = 3). * – P < 0.05; ** – P < 0.01

Fig. 3.

Effect on the biofilm formation of E. coli O101 of three-day incubation in Radix Paeoniae Rubra aqueous extract (RPRE) with or without treatment with cephalexin at 32 μg/mL. A – micrographs of crystal violet–stained biofilm; B and C – biofilm formation by untreated E. coli was taken as 100%, and the biofilm formation in the treatment groups was calculated in relation to that benchmark. Data are expressed as mean ± SD (n = 3). * – P < 0.05; ** – P < 0.01

Fig. 4.

Effect on the expression of E. coli O101 efflux pump and outer membrane porin genes of 24-h incubation in Radix Paeoniae Rubra aqueous extract (RPRE) with or without treatment with cephalexin at 32 μg/mL. A – expression with RPRE in concentrations ranging 0–16 mg/mL; B – expression with RPRE at 4 mg/mL and cephalexin at 32 μg/mL. Expression by untreated E. coli was taken as 100%, and the expression in the treatment groups was calculated in relation to that benchmark. Data are expressed as mean ± SD (n = 3). ** – significant difference compared with the blank control (P < 0.01); ## – significant difference compared with the group without RPRE treatment (P < 0.01)

Effect of Radix Paeoniae Rubra aqueous extract (RPRE) on the proliferation of E_ coli O101

RPRE (mg/mL)Bacterial growth rate (%)
0100.00 ± 0.00
186.75 ± 0.37
287.68 ± 0.33
484.66 ± 0.15
885.36 ± 0.40
1685.15 ± 0.19
3285.81 ± 0.40
6475.71 ± 0.33
12870.61 ± 0.36

Primer sequences used in a qRT-PCR for analysing expression of E_ coli O101 genes after treatment with Radix Paeoniae Rubra aqueous extract

GenePrimerSequence (5ʹ–3ʹ)Length (bp)
marAmarA-FmarA-RTTCATAGCATTTTGGACTGGATCCGCAGCCGTAAGATGA158
soxSsoxS-FsoxS-RTGACGCATCAGACGCTTGGCAAATCGGACGCTCGGTGGT188
ompCompC-FompC-RGGTGGCTGGGGGGTAGATACTGGGCTTCTTTTGAATACATGGTCGATC184
ompFompF-FompF-RACCTGGCAGCGAACTACGAACATCACCGATACCTTCTACG174
16S16S-F16S-RAACTCTGTTATTAGGGAAGAACAGCTTTACGCCCAGTAATTCC196

Minimum inhibitory concentrations (MIC) of antibiotics against E_ coli O101 used with Radix Paeoniae Rubra aqueous extract

TypeAntibioticMIC (μg/mL)CLSI M100 33rd edition E. coli breakpoint (μg/mL)Low resistance (R ≤ MIC < 2R) (μg/mL)Moderate resistance (2R ≤ MIC < 4R) (μg/mL)High resistance (MIC ≥ 4R) (μg/mL)Noted resistance
SIR
AminoglycosidesGentamicin16≤48≥1616–3132–63≥64Low
Kanamycin128≤1632≥6464–127128–255≥256Moderate
Streptomycin32 Moderate
Spectinomycin128≤3264≥128128–255256–511≥512Low
TetracyclinesTetracycline hydrochloride16≤48≥1616–3132–63≥64Low
Doxycycline16≤48≥1616–3132–63≥64Low
CephalosporinsCephalexin64≤816≥3232–6364–127≥128Moderate
SulphonamidesSulphadimethoxine§>256≤256≥512512–1,0231,024–2,047≥2,048Low
MacrolidesTilmicosin>256≥1616–3132–63≥64High
AmphenicolsFlorfenicol16≤8≥1616–3132–63≥64Low
QuinolonesEnrofloxacin16≤1≥44–78–16≥16High
Language: English
Page range: 57 - 65
Submitted on: Jul 2, 2025
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Accepted on: Mar 25, 2026
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Published on: Mar 30, 2026
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 Xibo Xue, Chunliang Jiang, Huixia Mao, Huiqin Duan, Ying-Jian Sun, published by National Veterinary Research Institute in Pulawy
This work is licensed under the Creative Commons Attribution 4.0 License.