kristinamarieturnergossypolmanuscript
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Kristina Turner, M.S.
New Mexico State University,
Las Cruces, NM, USA
Masters of Science, Biology (Microbiology), December 2006
Bachelors of Arts, Biology, December 2003
Bachelors of Arts, Foreign Languages (German, Russian minor), May 2000
The Polyphenolic Cotton Terpenoid Gossypol and Its Broad Bioactivity
1. Introduction
1.1 Effects of the Cotton Terpenoid Gossypol on Bacteria
1.1.1 The Effects of Saponins on Membrane Permeability and Possible
Enhancement in Uptake of Cationic Compounds such as Gossypol
into Gram-Negative Bacteria and Fungi
1.1.2 Effects of (+)- and (-)-Gossypol Enantiomers on the Gram-NegativeBacteriaEdwardsiella ictaluri
1.1.3 Gossypol-containing Cottonseeds Use as Animal Fodder and Corresponding
Decrease in Incidence of Bacterial Infections in those Animals
1.2 Stereospecific Effects of Gossypol Enantiomers Against Human Cell Lines
1.3 New Gossypol Derivatives
1.4 Gossypols Effects as a Reversible Calcineurin Inhibitor
1.5 A Methyltransferase Capable of Decreasing Gossypols Activity
1.6 A Separation Method for Enantioresolving (+)- and (-)-Gossypol in
Multi-milligram Quantities
1.7 Gossypols Effectiveness Against Malaria-causingPlasmodium falciparum
and Related Disease-Causing Protozoa1.8 Gossypol as a Retroviral Inhibitor of HIV-1
1.9 Eradication of Fecal Coliforms in a Bioreactor Conversion of Cotton Gin
Waste and Dairy Cattle Manure to Methane
1.10 Sequence Homology to Gossypols Synthase and Possible Insight into Gossypols
Remarkably Broad Activity
1.11 Literature Cited
1. Introduction
Gossypol is a polypenolic, aldehyde-containing constituent of cottonseed. The cotton
terpenoid gossypol is also found in the roots, leaves, and stems ofGossypium hirsutum, upland
cotton, and related species. Gossypol protects cotton from a wide variety of pests and pathogens.
Glandless cotton plants lacking gossypol are largely defenseless against insects, bacteria, fungi
and viruses. Gossypol has been investigated for a wide variety of applications. It has been
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found to reduce the size of tumors, inhibit bacterial and fungal growth, have antiviral properties
as a retroviral inhibitor of HIV and influenza, inhibit the growth of malaria-causingPlasmodium
falciparum and toxoplasmosis-causing Toxoplasma gondii tachyzoites, have insecticidal uses,
and be effective as a male contraceptive.
The experiments described in the following chapters will concentrate on the antibacterial
effects of gossypol on the human pathogens Staphylococcus aureus and fecal coliforms such as
Escherichia coli O157:H7. Minimal Inhibitory Concentration (MIC) testing will be performed
using the NCCLS broth microdilution method on Staphylococcus aureus SH1000 and COL wild-
type strains. A bioreactor conversion of cotton gin waste and dairy cattle manure to methane
will also be performed to evaluate the effects of glanded cotton gin waste versus glandless
cotton gin waste on the survival of fecal coliforms.
1.1 Effects of the Cotton Terpenoid Gossypol on Bacteria
Tegos et al. (2002) tested gossypol and a panel of other plant antimicrobials against a
wide variety of plant pathogens and several important human pathogens. Gossypol was found to
have lower Minimal Inhibitory Concentrations (MICs) ranging from 1.95-3.91 g/mL for the
gram-positive bacteria tested and much higher MICs ranging from 31.25-1000 g/mL for the
gram-negative bacteria tested. This study suggested that plant antimicrobials have a lower
activity against gram-negative bacteria because they have a highly impermeable outer membrane
and a set of multidrug resistance pumps that expel amphipathic toxins across the outer
membrane. Plant antimicrobials are fairly effective against gram-positive bacteria, which have a
single membrane that is much more permeable and fewer multidrug resistance pumps than gram-
negative bacteria. A variety of plant antimicrobials were tested against a representative panel of
both gram-positive and gram-negative plant pathogens and a selection of several important
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human pathogens. They also included mutant bacteria with either inhibited or disabled
multidrug resistance pumps. The activities of the plant antimicrobials against gram-negative
bacteria were greatly increased in the bacteria with disabled or inhibited multidrug resistance
pumps. A variety of plants produce multidrug resistance pump inhibitors in addition to their
amphipathic terpenoids. This could help to explain how plants can prevent infections by gram-
negative bacteria in addition to gram-positive bacteria, although their amphipathic cation
terpenoids are the major substrates of multidrug resistance pumps. This study suggests that plant
antimicrobials might be used as broad-spectrum antibiotics when used in conjunction with
multidrug resistance pump inhibitors. However, currently available multidrug resistance pump
inhibitors are not safe for systemic use in humans. Chelating agents such as EDTA have also
been added to surgical wound dressings to increase cell membrane permeability to amphipathic
cation antimicrobials such as gossypol, although this is limited to topical treatment.
1.1.1 The Effects of Saponins on Membrane Permeability and Possible
Enhancement in Uptake of Cationic Compounds such as Gossypol
into Gram-Negative Bacteria and Fungi
A review article by Kim Lewis (2001) suggests that plants may produce saponins to
increase the permeability of both eukaryotic cellular membranes. Plants make saponins that
specifically extract ergosterol from the membranes of eukaryotic cells. This is accomplished
by saponins, which are glycosilated sterols, forming a complex with ergosterol. Some saponins
have the ability to directly kill yeast or fungal pathogens. Destroying the permeability barrier
of a pathogen might be the plants solution of bypassing the numerous multidrug resistance
pumps, which normally are effective in extruding the amphipathic cations produced to kill
pathogenic bacteria and yeast. Lewis suggests that saponins should be tested for their ability to
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potentiate the penetration of other antimicrobial compounds. Saponins are abundantly present in
many plant foods such as soy beans, indicating their low toxicity. Saponins could also be tested
in prokaryotic bacteria to see if they similarly increase permeability in membranes lacking
ergosterol. Increasing the permeability of prokaryotic cells would be an effective way of
bypassing their multidrug resistance pumps. This would increase their susceptibility to
amphipathic cations produced by plants as antimicrobials.
1.1.2 Effects of (+)- and (-)-Gossypol Enantiomers on the Gram-Negative
BacteriaEdwardsiella ictaluri
Catfish fed a diet of cottonseed have been observed to be more resistant to bacterial
infection. This led Yildrim-Aksoy et al. (2004) to test the antibacterial effectiveness of gossypol
against the gram-negative EnterobacteriaceaeE. ictaluri. The study found that concentrations of
racemic gossypol, (+)-gossypol and (-)-gossypol of 1.5 g/mL or higher significantly reduced
the number of bacterial colonies compared with that of the control. The growth ofE. ictaluri
was completely inhibited on agar plates supplemented with 3 g/mL, regardless of the forms of
gossypol. The inhibitory effect of (+)-gossypol was higher than that of (-)-gossypol or gossypol-
acetic acid. Recovery of E. ictaluri was less than 50% for all three forms of gossypol at
concentrations of 5g/mL. Bacterial recovery remained relatively constant (6.5%) at gossypol
concentrations from 100 to 100 g/mL. Complete killing ofE. ictaluri was not reached at
gossypol levels up to100 g/mL. The study concluded that gossypol-acetic acid, and (+)- and
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(-)-optical isomers have antibacterial effect againstE. ictaluri. The results suggest the action is
bacteristatic rather than bactericidal. The study suggests that the therapeutic effect of gossypol
againstE. ictaluri may be useful in controlling enteric septicaemia of catfish. E. ictaluri is a
gram-negative member of the Enterobacteriaceae that is considered one of the lesser human
pathogens and can cause enterocolitis, sepsis and wound infections.
1.1.3 Gossypol-containing Cottonseeds Use as Animal Fodder and Corresponding
Decrease in Incidence of Bacterial Infections in those Animals
Yildrim-Aksoy et al. (2004) showed the (+)-gossypol enantiomer to be more effective in
killingE. ictaluri than the (-)-gossypol enantiomer. This is significant because the (-)-gossypol
enantiomer is more toxic to eukaryotes, while the (+)-gossypol enantiomer is much better
tolerated. Cottonseed is high in protein and often utilized as animal feed. Interest is high in
breeding cotton varieties with >95% (+)-gossypol enantiomer, since non-ruminant animals can
tolerate much higher quantities in their feed with fewer side-effects.
This study suggests that high (+)-gossypol enantiomer levels would still be beneficial in
preventing bacterial infections in the animals fed cottonseed primarily containing that
enantiomer. This would be a far better alternative to feeding large quantities of antibiotics to
stock animals, since fewer antibiotic-resistant bacteria would be put into the environment. Since
the (+)- and (-)-gossypol enantiomers have different breakdown pathways, any bacteria evolving
to be resistant to the (+)-gossypol enantiomer would be less likely to have cross-resistance to the
(-)-gossypol enantiomer. Stipanovic et al. (2005) have characterized the occurrence of (+)- and
(-)-gossypol in various wild cotton varieties and in Gossypium hirsutum Var. marie-galante
(Watt) Hutchinson. Knowing the enantiomer ratios of different cotton species could lead to the
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breeding of cotton that could safely be fed to animals and reduce their contraction of bacterial
infections. The fact that (+)-gossypol does not induce the anti-fertility and toxicity effects that
(-)-gossypol induces, while still being effective against bacteria suggests that feeding high
protein cottonseed to animals that contains >95% (+)-gossypol would be safe. This also points
to the potential of (+)-gossypol being safely developed into a systemically administered
antibiotic.
1.2 Stereospecific Effects of Gossypol Enantiomers Against Human Cell Lines
Qui et al. (2002) illustrate the effects of gossypol against human cell lines. The study
was conducted because gossypol, a polyphenolic, aldehyde-containing constituent of cottonseed,
has produced partial responses (greater than 50% reduction in tumor size) in some patients with
advanced cancer and suppressed sperm as an anti-fertility agent for men. The researchers
utilized the random homozygous knockout approach of Li and Cohen to develop a cell line
resistant to killing by gossypol, but sensitive to methotrexate and doxorubicin. The cell line
showed stereospecific resistance to killing by (-) gossypol (ED50 4.9 M) compared with wild
type (ED502.0 M). The resistant and wild-type cells were equally sensitive to (+)-gossypol
(ED50 8.8 and 8.4 M, respectively), methotrexate, and doxyrubicin. The study concluded that
gossypol affects cells by a stereospecific pathway for (-)-gossypol, possibly related to its
selective effects, and a nonstereospecific pathway for (+)-gossypol and higher concentrations of
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(-)-gossypol. The study suggests that further knowledge about the stereospecific pathway may
lead to new chemotherapeutic drugs.
1.3 New Gossypol Derivatives
Dao et al. (2003) synthesized new dithiane and dithiolane aldehyde derivatives of
gossypol and gossypolone. This effort was undertaken to develop prodrugs to reduce the toxicity
of gossypol, while retaining its activity. The relative toxicity of these compounds against KB
cells, human epidermoid carcinoma cells of the mouth, was determined. As was expected by the
researchers, the chemistry was readily reversed in the presence of electrophiles, and the
possibility that these masking groups could be deprotected with NO - in physiological media was
tested. Their findings suggest that this class of analogues can be used as less-toxic prodrugs that
become activated near tumor cells surrounded by high concentrations of NO-. High
concentrations of NO- are also found in endosomes and are key in inducing conformational
changes to enveloped viruses such as influenza that promote fusion and uptake into host cells.
This fact suggests that dithiane derivatives of gossypol activated by high acid concentrations
could increase its effectiveness as a retroviral inhibitor against influenza and HIV, since the virus
particles would be exposed to gossypol only during key events in their life cycle and would have
less time to evolve resistance mutations specifically against gossypol. Also the dithiane
derivatives of gossypol are much less toxic than gossypol and would be better tolerated
systemically by humans.
Sabirova and Madaminov (2003) synthesized a new water-soluble derivative of gossypol
called mebavin that has been shown to possess anti-inflammatory properties similar to those of
gossypol. The main structure of mebavin is the same as gossypol, however the carbonyl groups
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have been replaced with nitryl groups and a polyvinylpyrrolidone carrier has been attached.
Mebavin was tested for its anti-inflammatory activity in inbred lines of mice and rats, in which
adjuvant arthritis was induced. The study compared the effectiveness of mebavin, prednasol,
and their combinatory use in the treatment of adjuvant arthritis. Mebavins anti-inflammatory
effect was found to be comparable with prednasol, and their combinatory usage suggested
synergism and reduced the toxicity of mebavin. Gossypol is insoluble at pH lower than 8,
therefore the development of the new water-soluble derivative mebavin, could greatly increase
gossypols biological accessibility and potential usage.
1.4 Gossypols Effects as a Reversible Calcineurin Inhibitor
Baumgrass et al. (2001) show that gossypol is a novel Calcineurin inhibitor.
Calcineurin (CaN) is the only Ca2+/calmodulin-dependent protein Ser/Thr phosphatase, is
thought to be a key functional event for most cyclosporin A (CsA)- and tacrolimus (FK506)-
mediated biological effects. In addition to CaN inhibition, however, CsA and FK506 have
multiple biochemical effects because of their action in a gain-of-function model that requires
prior binding to immunophilic proteins. A small molecule library was screened for direct
inhibitors of CaN using CaN-mediated dephosphorylation of P33-labeled 19-residue
phosphopeptide substrate (RII phosphopeptide) as an assay found the polyphenolic aldehyde
gossypol to be a novel CaN inhibitor. Unlike CsA and FK506, gossypol does not need a
matchmaker protein for reversible CaN inhibition with an IC50 value of 15 M. Gossypolone,
an analog of gossypol, showed improved inhibition of both RII phosphopeptide andp-
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nitrophenyl phosphate desphorylation with an IC50 of 9 and 6 M, respectively. Apogossypol
hexaacetate was inactive. Gossypol acts noncompetetively, interfering with the binding site for
the cyclophilin 18-CsA complex in CaN. Unlike CsA and FK506, gossypol does not inactivate
the peptidyl-prolyl-cis/trans-isomerase activity of immunophilins. Similar to CsA and FK506, T
cell receptor signaling induced by phorbol 12-myristate 13-acetate/ionomycin is inhibited by
gossypol in a dose-dependent manner, demonstrated by the inhibition of nuclear factor of
activated T cell (NFAT) c1 translocation from the cytosol into the nucleus and suppression of
NFAT-luciferase reporter gene activity. The fact that gossypol does not permanently inactivate
immunophilins suggests that its systemic use would be less harmful than cyclosporin A.
1.5 A Methyltransferase Capable of Decreasing Gossypols Activity
Liu et al. (1999) isolated a methyltransferase, produced upon infection of cotton stele
tissue with the pathogenic fungi Verticillium dahliae, which specifically methylates the 6-
position of desoxyhemigossypol to form desoxy hemigossypol-6-methyl ether with a Km value of
4.5 M for desoxyhemigossypol and a Kcat/Km of 5.08 x 104 s-1 (mol/L)-1. The molecular mass of
the native enzyme is 81.4 kD and is dissociated into two subunits of 41.2 kD on sodium dodecyl
sulfate-polyacrylamide gel electrophoresis gels. The enzymatic reaction does not require Mg+2
and is inhibited 98% with 10 mM p-chloro-mercuribenzoate. Desoxyhemigossypol 6-methyl
ether leads to the biosynthesis of methylated hemigossypol, gossypol, hemigossypolone, and the
heliocides, which decreases their effectiveness as phytoalexins and insecticides.
1.6 A Separation Method for Enantioresolving (+)- and (-)-Gossypol in
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Multi-milligram Quantities
Cass and Oliveira (2002) were able to separate gossypol by using a chiral carbohydrate
carbamate phase under reversed-phase conditions. This allowed the researchers to separate out
gossypol into two phases, (+)-gossypol and (-)-gossypol. The biological activity of (-)-gossypol
has been shown experimentally to be far more active than (+)-gossypol. This gives a reason to
why there should be a good way to stereospecifically separate out gossypol. A column (200 x 7
mm ID) of cellulose Tris (3, 5-dimethyl-phenylcarbamate) coated onto naked silica (Hypersil,
particle size, 5 m; pore size, 120 Angstroms) was used under reversed-phase condition with
recycle to enantioresolve multi-milligram quantities of gossypol enantiomers. The use of
amylose derivatives and the investigation on the influence of the acidity of the supports used for
the polysaccharide phases in the enantioresolution of gossypol was also discussed in the article
illustrating the experiment.
1.7 Gossypols Effectiveness Against Malaria-causingPlasmodium falciparum
and Related Disease-Causing Protozoa
Dando et al. (2001) found gossypol to be effective at inhibiting growth ofPlasmodium
falciparum and Toxoplasma gondii tachyzoites, which cause malaria and toxoplasmosis,
respectively. Gossypol and its derivatives bind with the LDH enzyme ofP. falciparum and T.
gondii to effectively inhibit tachyzoite growth. P. falciparum and T. gondii are obligate
intracellular protozoan parasites of the phylum Apicomplexa that cause life-threatening
infections of humans. P. falciparum causes the most severe cases of malaria, which is
responsible for killing millions of people annually worldwide, mostly in non-industrialized
tropical and subtropical nations, and is spread by bites ofAedes aegyptae and Aedes anopholes
mosquitos. T. gondii infection of an immunocompetent individual usually is asymptomatic,
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however, infection of immunocompromised individuals or congenital infection of a fetus can
lead to debilitating or life-threatening illness. The phylum Apicomplexa also includes a number
of other important human pathogens, including Cryptosporidium, Eimeria and Trypanosoma
species.
1.8 Gossypol as a Retroviral Inhibitor of HIV-1
Kelleret al. (2003) used a ligand-based computer-aided molecular modeling technique to
search for compounds capable of binding to non-nucleoside inhibitor binding pocket (NNIBP) of
the HIV-1 reverse transcriptase (RT) enzyme. Gossypol has long been used in studies against
HIV and influenza, in which it has been found to inhibit retroviral activity. Their findings
suggest that at least a part of gossypols anti-HIV activity is due to gossypol targeting the non-
nucleoside inhibitor binding pocket of HIV-1 reverse transcriptase.
1.9 Eradication of Fecal Coliforms in a Bioreactor Conversion of Cotton Gin
Waste and Dairy Cattle Manure to Methane
Riordan et al. (2003) performed a bioreactor conversion of cotton gin waste and dairy
cattle manure to generate methane production. An unexplained complete eradication of fecal
coliforms, including enterohemorhagicEscherichia coli O157:H7 was achieved. A possible
explanation is that the gossypol present in the cotton gin waste killed the fecal coliforms, since a
control of beta-cellulose and dairy cattle manure continued to contain fecal coliforms, although
in lesser amounts than at the initiation of the anaerobic digestion. These findings could lead to a
new composting procedure capable of utilizing two common agricultural wastes to eradicate
dangerous fecal coliforms before they can contaminate runoff to surface water and groundwater.
A repetition of this experiment is planned using glanded cotton containing gossypol, glandless
cotton containing very small amounts of gossypol, and beta-cellulose controls. Extractions of
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(+) - and (-)-gossypol enantiomers and extraction of tannic acid from the glandless and glanded
cotton leaves and stems used in the experiment is planned to quantify the amounts of these cotton
terpenoids present.
1.10 Sequence Homology to Gossypols Synthase and Possible Insight into
Gossypols Remarkably Broad Activity
A BLASTP protein similarity search of NCBIs non-redundant database using the
sequence of gossypols synthase in FASTA format resulted in a large number of similar
sequences with very low e values as well as many more sequences with more distant homology.
Several of these distantly matching sequences were fromPlasmodium, Cryptosporidium, and
Trypanosoma species, which might help to explain gossypols effectiveness against these
protozoa. Gossypols synthase also produced distant matches with proteins from pathogenic
bacteria such asLegionella pneumophila, which is the causative agent of Legionaires disease.
Many of the sequences closely matching gossypols synthase are those of synthases of terpenoids
from a wide variety of plant species including Melaleuca alternifolia (tea tree) which also have
antibacterial effects. A better understanding of the protein sequences conserved between these
terpenoids might provide insights into how these compounds function.
1.11 Literature Cited
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Baumgrass, R., M. Weiwad, F. Erdmann, J. O. Liu, D. Wunderlich, S. Grabley, and
G. Fischer. 2001. Reversible inhibition of calcineurin by the polyphenolic aldehydegossypol. Journal of Biological Chemistry. 276(51), 47914-47921.
Cass, Q. B. and R. V. Oliveira. 2002. Separation of multi-milligram quantitiesof gossypol enantiomers on polysaccharide-based stationary phases. Journal of Liquid
Chromatography & Related Technologies. 25(5), 819-829.
Dao, V.T., M. K. Dowd, C. Gaspard, M.T. Martin, J. Hemez, O. Laprevote, M.
Mayer and R. J. Michelot. 2003. New thioderivatives of gossypol and gossypolone, as
prodrugs of cytotoxic agents. Bioorganic and Medicinal Chemistry. 11(2003) 2001-
2006.
Dando, C., E. R. Schroeder, L. A. Hunsaker, L. M. Deck, R. E. Royer, X. Zhou, S. F.
Parmley, and D. L. Vander Jagt. 2001. The kinetic properties and sensitivities to
inhibitors of lactate dehydrogenases (LDH1 and LDH2) from Toxoplasma gondii:Comparisons withpLDH fromPlasmodium falciparum. Molecular and BiochemicalParasitology. 118(1), 23-32.
Heil, M., B. Baumann, C. Andary, K. E. Linsenmair, and D. McKey.
2002. Extraction and quantification of condensed tannins as a measure of plant anti-
herbivore defence? Revisiting an old problem. Naturwissenschaften. 89, 519-524. E-pub: 1 October 2002, Springer-Verlag 2002.
Keller, P. A., C. Birch, S. P. Leach, D. Tyssen, and R. Griffith. 2003.Novel pharmacophore-based methods reveal gossypol as a reverse transcriptase inhibitor.
Journal ofMolecular Graphics and Modeling. 21(5), 365-373.
Lewis, K. 2001. In search of natural substrates and inhibitors of MDR pumps.
Journal of Molecular Microbiological Biotechnology. 3(2), 247-254.
Li, L. and S.N. Cohen. 1996. Tsg 101: a novel tumor susceptibility gene isolated by
controlled homozygousfunctional knockout of allelic loci in mammalian cells. Cell. 85,
319-329.
Liu, J., C.R. Benedict, R.D. Stipanovic, and A.A. Bell. 1999.
Purification and characterization of S-Adenosyl-L-Methionine:
Desoxyhemi-gossypol-6-O-methyltransferase from cotton plants. An enzyme capable ofmethylating the defense terpenoids of cotton. Plant Physiology. 121, 1017-1024.
Qui, J., L.R. Levin, J. Buck and M.M. Reidenberg. 2002. Different Pathways of CellKilling by gossypol enantiomers. Experimental Biology and Medicine. 227, 398-401.
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Riordan, T.S. 2003. Destruction of fecal coliforms, including enterohaemorrhagicEscherichia coli O157:H7, in mesophilic anaerobic digesters fed with manure and cotton
gin waste. Survey of two gastrointestinal pathogics representative of industrial and
environmental settings: Enterohemorrhagic Escherichia coli O157:H7 and Vibrio
cholera. M.S. Thesis, NMSU, September 2003. 27-58.
Sabirova, F.M. and A.A. Madaminov. 2003. Antiinflammatory activity of mebavin:
A new water-soluble derivative of gossypol. Eksperimental naya i KlinicheskayaFarmakologiya. 66(6), 48-49.
Stipanovic, R.D., L.S. Puckhaber, A.A. Bell, A.E. Percival, and J. Jacobs. 2005.
Occurrence of (+) - and (-)-Gossypol in wild species of cotton and in Gossypium
hirsutum Var. marie-galante (Watt) Hutchinson. Journal of Agricultural Food
Chemistry. 53, 6266-6271.
Stock, I. and B. Wiedemann. 2001. Natural antibiotic susceptibilities of
Edwardsiella tarda,E. ictaluri, andE. hoshinae. Antimicrobial Agents andChemotherapy. 45(8), 2245-2255.
Tegos, G., F. R. Stermitz, O. Lomovskaya, and K. Lewis. 2002. Multidrug
pump inhibitors uncover remarkable activity of plant antimicrobials. Antimicrobial
Agents and Chemotherapy. 46(10), 3133-3141.
Turner, K.M. 2006. The polyphenolic cotton terpenoid gossypol and its broad bioactivity.
Unpublished Manuscript.
Yildrim-Aksoy, M., C. Lim, M.K. Dowd, P.J. Wan, P.H. Klesius and C. Shoemaker.2004. In vitro inhibitory effect of gossypol from gossypol-acetic
acid, and (+)- and (-)-isomers of gossypol on the growth ofEdwardsiella ictaluri.Journal of Applied Microbiology. 97(1), 87-92.