Evaluation of Antibacterial Activity of Some Medicinal Plants Used in Sudanese Traditional Medicine for Treatment of Wound Infections

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Academic Journal of Plant Sciences 2 (4): 246-251, 2009 ISSN 1995-8986 IDOSI Publications, 2009 Evaluation of Antibacterial Activity of Some Medicinal Plants Used in Sudanese Traditional Medicine for Treatment of Wound Infections Hatil Hashim El-Kamali and Ehsan Musa Awad EL-Karim Department of Botany, Faculty of Science and Technology, Omdurman Islamic University P.O. Box # 382, Omdurman, Sudan Abstract: The ethanolic, petroleum ether, ethyl acetate, methanolic and water extracts of some medicinal plants (Acacia nilotica ssp. nilotica pods, Lawsonia inermis leaves, Azadirachta indica leaves, Trigonella foenumgraecum seeds and Cordia sinensis stem bark) were investigated for their antibacterial activity against six standard bacterial strains commonly associated with wound infections (Staphylococcus aureus (ATCC 25923), Bacillus subtilis (NCTC 8236), Escherichia coli (ATCC 25922), Proteus vulgaris (ATCC 6380), Pseudomonas aeruginosa (ATCC 27853) and Klebsiella pneumoniae (ATCC 1312) in vitro. Plant extracts at a concentration of 100 mg/ml were applied using the agar plate well- diffusion method. All the extracts obtained from A. nilotica ssp. nilotica pods were showed a range of activity against all tested bacterial strains. In particular, the ethyl acetate and methanol extracts showed the highest levels of activity. Among the tested extracts of L. inermis, the alcoholic extracts of the leaf showed the highest levels of activity. The leaf water extract of A. indica showed the highest levels of activity against S. aureus, E. coli and P. aeruginosa. The least antibacterially active plants were Trigonella foenum-graecum and Cordia sinensis. Most susceptible Gram-negative standard bacterium was Klebsiella pneumoniae and least susceptible Gram-negative bacterium was Escherichia coli. In Gram-positive bacteria, most susceptible bacterium was S. aureus. Compared to reference antibiotics, some plant extracts exhibited broader spectrum of antibacterial activity and were found to be clearly superior in case of extracts of A. nilotica ssp. nilotica and L. inermis against K. pneumoniae. Key words: Antibacterial activity Sudanese medicinal plants wound infections INTRODUCTION Intensive use of antibiotics is often followed by the development of resistant strains. Because this drug resistance, the search for new antibiotics continues unabated. The interest in the study of medicinal plants as source of pharmacologically active compounds has increased worldwide. In Sudan, plants are the main medicinal source to treat infectious diseases. As part of continuous research in Botany Department, Faculty of Science and Technology, Omdurman Islamic University on biological properties of plants used in Sudanese traditional medicine, in this study we investigate in vitro antibacterial activity of different extracts from five plant species against six standard bacterial strains, which are common cause of wound infections. MATERIALS AND METHODS Plant Material: The pods of Acacia nilotica ssp. nilotica, the leaves of Lawsonia inermis and Azadirachta indica and the stem bark of Cardia sinensis were collected from EL-FITEHAB area, West White Nile, Omdurman Province. The plants were identified in the Botany Department, Faculty of Science and Technology, Omdurman Islamic University by one author, Dr. Hatil Elkamali and by comparison with herbarium of the Department. The plants were spread and dried in the shade for three weeks and then pulverized with a mechanical grinder. Preparation of Plant Extracts: Different extracts were prepared by a modification of the method according to Robinson, [1]. The steps are graphically presented as a flow chart in Figure (1). Corresponding Author: Dr. Hatil Hashim El-Kamali Department of Botany, Faculty of Science and Technology, Omdurman Islamic University P.O. Box # 382, Omdurman, Sudan 246

Plant Material Kept at room temperature For 24 hours in ethanol (95%) Residual plant material( Marc) Ethanol soluble extract concentrated to dryness Macerated at room temperature For 24 hours in Petroleum ether Petroleum ether soluble Marc (Petroleum ether extract) Macerated at room temperature For 24 hours in Ethyl acetate Marc EtOAc soluble (Ethyl Acetate extract) Macerated at room temperature For 24 hours in methanol Marc(discarded) MeOH soluble (Methanol extract) Fig. 1: Flow Chart for plant Extraction Preparation of Aqueous Extracts: Air- dried plant material Preparation of Culture Media: Bacteria are generally (100 g) was ground to a fine powder. It was poured with grown in enriched culture media. Nutrient broth and distilled water (1litre) and left for 24 hours at room nutrient agar were used to prepare enriched culture media temperature. The mother liquor was filtered. The filtrate, and the methodology is given below. thus obtained was evaporated to complete dryness at room temperature. The residue thus obtained was Obtaining Pure Culture of Bacteria by Streak aqueous plant extract. All extracts were stored dry in Plate Method: A loopful of bacterial cells was sterilized containers at room temperature until used for streaked across the agar-solidified surface for nutrient antibacterial testing. At the time of testing, the extracts medium. The plates were then incubated under were reconstituted to a concentration of 100mg/ml in favourable conditions at 37 C. The key to this method is Dimethyl Sulphoxide (DMSO). that, by streaking, a dilution gradient (a decreasing concentration of bacterial cells) was established across Bacteriological Techniques: The bacteriological the surface of the plates, so that well isolated colony techniques followed were those described by arises from a single bacterium and represents clone of a Cheesbrough, [2]; Burdon and Williams, [3]; Brooks et al. pure culture, which was then incubated at 37 C for 24 [4]; Cruickshank et al. [5]. hours to obtain pure colonies. 247

Tested Bacteria: Six standard bacterial strains were obtained from the American Type Collection Culture (ATCC) and National Collection Type Culture (NCTC). They were Gram positive (G+ve): Staphylococcus aureus (ATCC 25923), Bacillus subtilis (NCTC 8236) and Gram negative (G-ve): Escherichia coli (ATCC 25922), Proteus vulgaris (ATCC 6380), Pseudomonas aeruginosa (ATCC 27853), Klebsiella pneumoniae (ATCC 1312). The bacteria were activated and cloned three successive times in nutrient agar and stored on nutrient agar slants at 4 C. Subsequent cultivation and tests were done on nutrient agar medium. Preparation of the Tested Bacteria: One ml aliquots of a 24 hours broth culture of the test organisms were aseptically distributed onto nutrient agar slopes and incubated at 37 C for 24 hours. The bacterial growth was harvested and washed off with sterile normal saline and finally suspended in a small volume of normal saline to 8 9 produce a suspension containing about 10-10 colonyforming units per ml. The suspension was stored in the refrigerator at 4 C until used. The average number of viable organism per ml of the stock suspension was determined by means of the surface a viable counting technique. Serial dilutions of the stock suspension were made in sterile normal saline and 0. 02 ml volumes (one drop) of the appropriate dilutions were transferred by digital pipette (Finn pipette adjustable volume) onto the surface of dried nutrient agar plates. The plates were allowed to stand for two hours at room temperature for the drops to dry and then incubated at 37 C for 24 hours. After incubation, the number of developed colonies in each drop was counted. The average number of colonies per drop (0. 02 ml) was multiplied by 50 and the dilution factor expressed as the number of colony forming units per ml of suspension. Each time a fresh stock suspension was prepared, all the above experimental condition were maintained constant so that suspensions with very close viable counts would be obtained. Antibacterial Testing: The antibacterial activity was tested by well-agar diffusion method. 250 ml of sterilized nutrient agar was used for testing. The inoculum size of each test organism was adjusted to suspension of 10 6 of cells. 2 ml 24 hours old culture of bacteria were added to 250 ml of melted cooled test agar and after through mixing, approximately 20 ml of this seeded agar were poured into 10 cm diameter presterilized petri dishes and allowed to solidify. Three wells (10 mm in diameter) were bored in the agar using a sterile cork borer and the agar discs were removed. 0. 1 ml aliquots of the reconstituted extract were placed into a well with a pipette and the plate was held for 2 hours at room temperature for diffusion of extract into agar. Subsequently, the plate was incubated at 37 C for 24 hours. After incubation, the diameter of the zones of inhibition was measured to the nearest mm. The minimum inhibitory concentration (MIC) was determined by a modification of the agar diffusion method according to Cruickshank et al. [5]. A two-fold serial dilution of each extract was prepared in DMSO (diluent) to achieve a decreasing range of extract concentrations from 100 mg/ml to approximately 3. 125mg/ml. A 0. 1 ml sample of each dilution was introduced into duplicate wells in a nutrient agar plate already seeded with bacterial cells as described above. Incubation was at 37 C for 24 hours. The lowest concentration of extract showing a zone of inhibition was taken as the MIC. Gentamicin, Tetracycline and Ampicillin were used at concentrations ranging from 40 mg/ml to 5 mg/ml, as positive control and DMSO as a negative control. RESULTS AND DISCUSSION The antibacterial properties of the ethanol, petroleum ether, ethyl acetate, methanol and water extracts of some Sudanese medicinal plants (viz. Acacia nilotica ssp nilotica pods, Lawsonia inermis leaves, Azadirachta indica leaves, Cordia sinensis stem bark and Trigonella foenum-greacum seeds) at concentration 100 mg/ml were tested against six standard bacterial strains (Staphylococcus aureus (ATCC 25923), Bacillus subtilis (NCTC 8236), Escherichia coli (ATCC 25922), Proteus vulgaris (ATCC 6380), Pseudomonas aeruginosa (ATCC 27853) and Klebsiella pneumoniae (ATCC 1312). The results of diameter of the zones of inhibition are presented in Table 1. Ethanol extracts of Acacia nilotica ssp nilotica pods and Lawsonia inermis leaves showed high antibacterial activity against all tested bacteria except Lawsonia inermis extract against Pseudomonas aeruginosa (ATCC 27853). Ethanol extract of Azadirachta indica leaves was found effective against one tested organism, Bacillus subtilis (NCTC 8236). Ethanol extract of Cordia sinensis stem bark showed promising result against Klebsiella pneumoniae (ATCC 1312) and, Pseudomonas aeruginosa (ATCC 27853). All bacterial species were found to be resistant against Trigonella foenum-greacum seeds, except Pseudomonas aeruginosa (ATCC 27853). 248

Table 1: Antibacterial Activity of extracts from some medicnal plants against strains causing infections Plant (Part) Extract S.a B.s E.c P.v P.a K.p Acacia nilotica ssp nilotica (Pods) Ethanol Petroleum ether 27 27 26 25 23 24 Ethyl acetate Methanol 20 22 23 21 21 24 Aqueous 37 27 40 30 40 32 36 29 37 32 35 32 43 22 39 26 27 21 Lawsonia inermis (Leaves) Ethanol Petroleum ether 29 20 24 22-17 Ethyl acetate Methanol - - - - - - Aqueous 24 21 20 21-19 28 20 26 22-19 20 22 15-16 12 Azadirachta indica (Leaves) Ethanol Petroleum ether - 18 - - - - Ethyl acetate Methanol - - 15 - - - Aqueous 18 14 - - - - - 17 - - 15 19 22 17 19-22 - Trigonela foenum-graecum (Seeds) Ethanol Petroleum ether - - - 13 15 - Ethyl acetate Methanol - - - - - - Aqueous - - - - - - - - - - - - - - - - - - Cordia sinensis (Stem bark) Ethanol Petroleum ether - - 15 15 15 20 Ethyl acetate Methanol - - - - - - Aqueous - - - - - - 19 - - - 15 - - - - - - - S. a: Staphylococcus aureus (ATCC 25923), B. s: Bacillus subtilis (NCTC 8236) E. c: Escherichia coli (ATCC 25922), P. a: Pseudomonas aeruginosa (ATCC 27853) P. v: Proteus vulgaris (ATCC 6380), K. p: Klebsiella pneumoniae (ATCC 1312) Values are the mean of three replicates of inhibition zone (mm); Tested concentration of extracts: 100 mg/ml (0. 1 ml/well) DMSO did not show any inhibitory activity Mean Inhibition Zone Diameter (MIZD): sensitive: >18 mm; intermediate 14-18mm and resistant <14 mm. Table 2: Antibacterial activity of antibiotics against different standard group of bacteria Test organisms ----------------------------------------------------------------------------------------------------------------------------- Antibiotics Concentration (microgram/ml) S.a B.s E.c P.v P.a K p Gentamicin 40 16 19 22 18 15 20 20 12 15 18 15 13 18 10-12 15 - - 13 5 - - 12 - - - Tetracycline 40 15 22 16-16 20 20 12 20 15-13 18 10-18 14 - - 16 5-16 12 - - 15 Ampicillin 40 - - 15-18 26 20 - - - - 15 23 10 - - - - - 20 5 - - - - - 19 Table 3: Minimum Inhibitory Concentration (MIC) of Extractive from Acacia nilotica ssp nilotica and Lawsonia inermis Test organisms ------------------------------------------------------------------------------------------------------------------------------ Plant species Extract S.a B.s E.c P.v P.a K p Acacia nilotica ssp nilotica Ethanol 6.25 3.125 12.5 25 3.125 3.125 Petroleum ether 50 25 50 50 50 12.5 Ethyl acetate 25 3.125 25 25 25 6.25 Methanol 3.125 6.25 12.5 12.5 6.25 3.125 Lawsonia inermis Ethanol 25 25 12.5 12.5 6.25 3.125 Petroleum ether - - - - - - Ethyl acetate 25 25 6.25 25 6.25 3.125 Methanol 50 50 50 50 50 12.5 249

Petroleum ether extract of Azadirachta indica was The antibacterial activity related to known antibiotics found moderately active against Escherichia coli (ATCC was calculated (Table 2). Gentamicin was found effective 25922). against all tested bacteria at concentration 40 ìg/ml. Ethyl acetate extract of Acacia nilotica ssp. nilotica Tetracycline showed good results against Bacillus pods, Lawsonia inermis leaves showed high antibacterial subtilis (NCTC 8236) and Klebsiella pneumoniae (ATCC activity against all tested bacteria (except Lawsonia 1312) at concentration 40 and 20 ìg/ml. inermis extract against Pseudomonas aeruginosa (ATCC Staphylococcus aureus (ATCC 25923), Bacillus 27853). Ethyl acetate extract of Azadirachta indica leaves subtilis (NCTC 8236) and Proteus vulgaris (ATCC 6380) showed antibacterial activity against Gram-positive was found to be Amp resistant. bacterial strains. Based on the initial antibacterial screening test, Most of the bacterial species showed a high Acacia nilotica ssp. nilotica and Lawsonia inermis were degree of sensitivity to the methanolic extracts of Acacia selected for further studies for the determination of MIC, nilotica ssp nilotica pods (1Z = range between 21-37 mm) because they were found to be most active against and Lawsonia inermis leaves (1Z = range between 19-28 bacterial strains. The MICs of the extracts are shown in mm) except against Pseudomonas aeruginosa (ATCC Table 3. 27853). As can be seen from the results, Acacia nilotica ssp Extract of Azadirachta indica leaves was found nilotica is the most active species against bacteria. All effective against Klebsiella pneumoniae (ATCC 1312), species of plants included in the present study were also Bacillus subtilis (NCTC 8236) and Pseudomonas found to be active on at least one of the selected microbial aeruginosa (ATCC 27853). strains. Stem bark extract of Cordia sinensis showed The antibacterial activity profile of A. nilotica ssp antibacterial activity against Staphylococcus aureus nilotica and Lawsonia inermis extract against the tested (ATCC 25923) (1Z = 19 mm) and Proteus vulgaris (ATCC strains indicated that Escherichia coli and Klebsiella 6380) (1Z = 15 mm) pneumoniae were the most susceptible bacterium of all Different extracts of Trigonella foenum-greacum the bacterial test strains. seeds did not show any activity against all tested In fact, Gram- negative bacteria are frequently Gram-positive and Gram-negative bacteria. reported to have developed mulit-drug resistance to many Aqueous extract of Acacia nilotica ssp nilotica of the antibiotics currently available in the market of pods was highly active against all tested Gram-positive which Escherichia coli is the most prominent [6, 7]. and Gram-negative bacteria (1Z = range between Therefore, it is not surprising to learn that E. coli is the 21-43 mm). least responding bacterial strain to the tested plant Leaf extract of Lawsonia inermis showed extracts. However, some extractives of plants are still of antibacterial activity against Staphylococcus aureus special interest for further investigation in this regard as (ATCC 25923), Bacillus subtilis (NCTC 8236), in the case of methanol and ethanol extracts of Lawsonia Pseudomonas aeruginosa (ATCC 27853) and Escherichia inermis, water extract of Azadirachta indica and ethyl coli (ATCC 25922) (1Z = range between 15-22 mm), but no acetate, ethanol, methanol and water extracts of Acacia growth Inhibition was observed against Proteus vulgaris nilotica ssp. nilotica it showed exceptionally stronger (ATCC 6380) and Klebsiella pneumoniae (ATCC 1312). activity against E. coli than other plant extracts yet Aqueous extract of Azadirachta indica leaves was having moderate/ poor activity on Gram-positive bacteria, found effective against Staphylococcus aureus (ATCC a trend not observed for other species of plants. The 25923), Pseudomonas aeruginosa (ATCC 27853), antibacterial activity Acacia nilotica ssp. nilotica, Escherichia coli (ATCC 25922) and Bacillus subtilis Lawsonia inermis and Azadirachta indica extracts was (NCTC 8236), but no activity was observed against more pronounced on the Gram-positive bacteria Proteus vulgaris (ATCC 6380) and Klebsiella (Staphylococcus aureus) than the Gram-negative bacteria pneumoniae (ATCC 1312). (Klebsiella pneumoniae and Pseudomonas aeruginosa). All bacterial species were found to be resistant The reason for the difference in sensitivity between Gramagainst extract of Cordia sinensis stem bark and positive and Gram-negative bacteria might be ascribed to Trigonella foenum-greacum seeds. the differences in morphological constitutions between 250

these microorganisms, Gram-negative bacteria having an REFERENCES outer phospholipidic membrane carrying the structural lipopolysaccharide components. This makes the cell wall 1. Robinson, T., 1963. The organic constituents of impermeable to antimicrobial chemical substances. The higher plants: their chemistry and interrelationships. Gram-positive bacteria on the other hand are more USA. Burgess Publishing Company, pp: 306. susceptible having only an outer peptidoglycan layer 2. Cheesbrough, M., 1984. Culture Media. In: Medical which is not an effective permeability barrier. Therefore, Laboratory Manual for Tropical Countries. Tropical the cell wall of Gram-negative organisms which are more Health Technology and Butterworth-Heineman, complex than the Gram-positive ones act as a diffusional Cambridge. Vol. III, 60(69): 407-428. barrier and making them less susceptible to the 3. Burdon, K.L. and R.P. Williams, 1968. Microscopes antimicrobial agents than are Gram-positive [8, 9]. In spite th and microscopic method. In: Microbiology. 6 ed. of this permeability differences, however, some of the The Macmillan Company. London, pp: 74-76. extracts have still exerted some degree of inhibition 4. Brooks, G.F., J.S. Butel and S.A. Morse, 2001. against Gram-negative organisms as well. Antimicrobial chemotherapy. In: Medical The MIC values indicate that the methanolic nd Microbiology. 22 ed. Appleton and Large. USA. extract of Acacia nilotica ssp. nilotica is more potent 170: 222-223. against Bacillus subtilis, Klebsiella pneumoniae and 5. Cruikshank, R., 1975. Medical Microbiology: Pseudomonas aeruginosa bacteria and similarly, ethanolic st AGuide to Diagnosis and Control of Infection. 1 ed. and ethyl acetate extracts of L. inermis found to be more Edinburgh and London: E and S Livingston Ltd. active against Klebsiella pneumoniae and Pseudomonas pp: 888. aeruginosa. The results were in agreement with the 6. Alonso, R., A. Femandez-Aranguiz, K. Colorn, initial antimicrobial screening test results. Klebsiella A. Herreras and R. Cistema, 2000. Profile of Bacterial pneumoniae was more sensitive to the antimicrobial Isolates and antimicrobial susceptibility: Multi center agents (extracts) from among the Gram-negative bacteria study using a one-day cut-off. Revista Espnola de being inhibited at 3. 125 mg/ml by both Acacia nilotica quimioterapia, 13: 384-393. ssp. nilotica and Lawsonia inermis crude extracts. 7. Sader, H.S., R.N. Jones and J.B. Sibu, 2002. Skin and The appraisal of obtained results shows that all soft tissue infections in Latin American Medical extracts of Acacia nilotica ssp. nilotica pods and Centers: Four year Assessment of the pathogenic Lawsoina inermis leaves (except petroleum ether) were frequency and antimicrobial susceptibility patterns. highly effective against all tested bacteria. Further work is Diagnostic Microbiology of Infectious Diseases, need to identify compound/compounds responsible for 44: 281-288. antibacterial activity. Further studies on other bacteria 8. Nostro A., M.P.D. Germano, V. Angelo, A. Mavino, and some pathogenic fungi frequently isolated from burn M.A. Cannatelli, 2000. Extraction Methods and wound specimens such as Enterobacter cloacae, Bioautography for Evaluation of Medicinal Plant Enterococcus faecalis, Aspergillus spp. and Candida Antimicrobial Activity. Letters in Appl. Microbiol., albicans would be interesting. 30: 379-384. 9. Hodges, N., 2002. Pharmaceutical Applications of Microbiological Techniques. In: Aulton, M. E., (Ed.). Pharmaceutics: The Sciences of Dosage from Design. nd 2 ed. Harcourt Publishers Ltd. London, pp: 606. 251