|Year : 2019 | Volume
| Issue : 2 | Page : 134-139
Phytochemical and antimicrobial evaluation of Lauridia tetragona (L.F) R.H. Archer: A medicinal plant used for the management of dysentery in the Eastern Cape Province of South Africa
Olubunmi Abosede Wintola, Anthony Jide Afolayan
Medicinal Plants and Economic Development Research Centre, University of Fort Hare, Alice, South Africa
|Date of Web Publication||16-Apr-2019|
Dr. Olubunmi Abosede Wintola
Medicinal Plants and Economic Development Research Centre, University of Fort Hare, Alice
Source of Support: None, Conflict of Interest: None
| Abstract|| |
Objective: The present investigation evaluated the in vitro phytochemical and antimicrobial potential of the methanol and acetone leaf extracts of Lauridia tetragona (L.F), a plant consumed as a herb in South Africa. Materials and Methods: Spectrophotometry assays using Folin–Ciocalteu, aluminum chloride, and vanillin–hydrochloric acid were used for the determination of phenols, flavonoids, and proanthocyanidin contents of the extracts, respectively. The agar dilution technique was used for the antimicrobial evaluation. The inhibitory activity of the extracts was tested on five Gram-negative and five Gram-positive bacteria and four fungi. Results: The methanol extract had a higher phenol (54.87 ± 4.01 mg gallic acid equivalent [GAE]/g) and proanthocyanidin (78.55 ± 0.83 mg catechin equivalent [CE]/g) content than the acetone extracts with 45.27 ± 3.93 mg GAE/g and 63.54 ± 1.67 mg CE/g, respectively. The acetone extract, however, had higher flavonoid content (462.45 ± 1.93 mg quercetin equivalent [QE]/g) than the methanol extract (412.20 ± 3.85 mg QE/g). The minimum inhibitory concentration (MIC) of the antibacterial assay ranged from 2.5 to 5 mg/mL. All the bacteria except Staphylococcus aureus were susceptible to the acetone extract. Five bacteria, three Gram positive and two Gram negative, were resistant while the remaining five were susceptible to the methanol extract. Conversely, all the fungi tested were susceptible to both extracts with a MIC which ranged from 0.63 to 10 mg/mL. Conclusion: The results obtained revealed that Gram-positive and Gram-negative bacteria and fungi showed some degree of susceptibility to the plant extracts. This gives an indication of broad-spectrum activity exhibited by the crude extracts of L. tetragona and supports its ethnomedicinal usage.
Keywords: Antimicrobial, Celastraceae, dysentery, Lauridia tetragona, phytochemical, spectrophotometry
|How to cite this article:|
Wintola OA, Afolayan AJ. Phytochemical and antimicrobial evaluation of Lauridia tetragona (L.F) R.H. Archer: A medicinal plant used for the management of dysentery in the Eastern Cape Province of South Africa. Phcog Res 2019;11:134-9
|How to cite this URL:|
Wintola OA, Afolayan AJ. Phytochemical and antimicrobial evaluation of Lauridia tetragona (L.F) R.H. Archer: A medicinal plant used for the management of dysentery in the Eastern Cape Province of South Africa. Phcog Res [serial online] 2019 [cited 2020 Aug 3];11:134-9. Available from: http://www.phcogres.com/text.asp?2019/11/2/134/256303
- This study evaluated the quantitative polyphenolic content and antimicrobial potential of Lauridia tetragona
- The study revealed a high polyphenolic content with the methanol extract having the highest phenol and proanthocyanidin content than the acetone extract
- The acetone extract had a better antimicrobial activity than the methanol extract
- The study validated the ethnomedicinal application of L. tetragona for the management of gastrointestinal tract infections.
Abbreviations Used: GAE: Gallic acid equivalent; QE: Quercetin equivalent; CE: Catechin equivalent; DMSO: Dimethyl sulfoxide; MIC: Minimum inhibitory concentration.
| Introduction|| |
Dysentery is diarrhea that contains blood; it is a chronic disease which causes intestinal inflammation because of severe diarrhea with mucus or blood in the feces. The severity of diarrhea ranges from asymptomatic to severe dehydration, resulting in death. Diarrhea is a leading cause of malnutrition and the second leading cause of death in children under 5 years. It is both preventable and treatable. This ailment may have a negative impact on both physical fitness and mental development.
The most common cause of diarrhea is by infection of the intestines due to viruses, bacteria, and, less often, parasites. Noninfectious causes include adverse effects from medications, acute abdominal processes, gastroenterological, and endocrine diseases. Lack of proper sanitary facilities causing wastes been washed into both surface and underground aquifers, unhygienic habits of not washing hands after toileting, and preparing food with unwashed hands are also contributing factors to the scourge.,,
According to Chola et al., diarrhea is one of the leading causes of morbidity and mortality in children under 5 years in South Africa. Although the burden status in South Africa is not explicitly known, data from the 2012 official report from the Statistics South Africa (SSA) placed the death rate of under 5 years at around 20%. Liu et al. and Dorrington et al. placed the death rate at 8% and 13%, respectively. The General Household Survey conducted by the SSA  as cited by Chola et al. reported over 60,000 cases of childhood diarrhea per month and an approximate 9000 child death that the same year.
In the recent past, overutilization, reliance, and abuse of antibiotics have resulted in the emergence of resistant strains of several groups of micro-organisms. Due to the increase in multidrug-resistant (MDR) organisms, researchers are now looking for new lead molecules as an alternative against MDR organisms. Plants have been a major source in the search for alternative antibiotic agents because they are a major source of active chemical constituents against diseases. Most of the world's population still relies on alternative medicines for the treatment of many serious diseases. Plant extracts are known to have antispasmodic effects, delay gastrointestinal transit, suppress gut motility, stimulate water adsorption, or reduce electrolyte secretion. All these activities may explain the benefits of using certain plants in the treatment of diarrhea.
Most medicinal properties of plants are attributed to the presence of phenolic compounds on them. Phenolic compounds comprise large classes of plant secondary metabolites with a diversity of structural compositions: phenols, flavonoids, proanthocyanidins, and coumarins., They are synthesized in plants in response to ecological variations. They are present in plants consumed as human diet and herbal medicine, giving peculiar colors to fruits, juices, and wine, and act as substrates for enzymatic browning and flavoring. Their roles in human health and diseases are based on the findings from research., There is a growing interest by natural product scientists in the utilization of phytochemicals in therapeutics and are intensifying efforts toward the evaluation of these valuable medicinal plants.
Lauridia tetragona (L.F) R.H. Archer also known as climbing saffron and Bob-cherry is a shrub, which belongs to the Celastraceae family. It is found in the Eastern Cape, KwaZulu-Natal, Limpopo, Mpumalanga, and Western Cape Provinces of South Africa., Although much is unknown about this plant, it is consumed as a herb in South Africa. An ethnobotanical survey of plants used in the treatment of dysentery carried out in Amathole District Municipality of South Africa revealed the use of L. tetragona as a herb for the treatment of dysentery, diarrhea, and diabetes. Despite the folkloric uses of this plant, no scientific investigation has been reported to validate these claims. This study, therefore, was aimed at evaluating the phytochemical and antimicrobial activities of L. tetragona leaves extracted with acetone and methanol.
| Materials and Methods|| |
Matured leaves of L. tetragona were collected from Woody Cape, Backpackers, Port Alfred Area of the Eastern Cape Province. The plant was identified and authenticated by a plant taxonomist at the University of Fort Hare, Alice, South Africa, and a voucher specimen (Win 2016/01) was prepared and deposited at the Giffen's herbarium.
The leaves of the sample were rinsed gently in running tap water to remove dirt and dust, oven-dried to constant weight at 40°C, and pulverized. The pulverized sample was extracted separately in acetone and methanol and shaken in an orbital shaker (Orbital Incubator Shaker, Gallenkamp) for 48 h. The extracts were further concentrated to dryness to remove the solvents under reduced pressure using a rotary evaporator. The resulting extracts were reconstituted in methanol to give the desired concentrations used in the phytochemical study.
In vitro quantitative phytochemical evaluation
The phenol, flavonoid, and proanthocyanidin contents were determined as described by Ohikhena et al.
Phenolic acid determination
Phenol determination was estimated spectrophotometrically using the Folin–Ciocalteu method. In brief, 0.5 mL of the extracts (1 mg/mL), standard gallic acid (0.02 mg/mL to 0.1 mg/mL), and methanol (control) were pipetted in different test tubes. 2½ mL of 10% Folin–Ciocalteu reagent was added, and the mixture was vortexed. Thereafter, 2 mL of 7.5% anhydrous sodium carbonate was added to the solution after allowing it to stand for about 5 min, vortexed, and incubated at 40°C for 30 min. After incubation, the absorbance was measured at 765 nm. The phenol content was extrapolated from the gallic acid standard curve equation: y = 9.8809x, R2 =0.9977 and was expressed as mg gallic acid equivalent (GAE)/g from the equation CV/m; where “C” is the concentration as derived from the calibration curve equation in mg/mL, “V” is the volume of the extract used in the assay in mL, and “m” is the mass of the extract used in the assay in “g.”
The flavonoid content of the extracts was determined by the aluminum chloride colorimetric assay. In brief, 0.5 mL (1 mg/mL) aliquots of the extracts, different concentrations (0.2–1 mg/mL) of standard quercetin, and methanol (control) were placed in different test tubes. 2 mL of distilled water and 0.15 mL of 5% sodium nitrite were added. The mixture was allowed to stand for 6 min after which 0.15 mL of 10% AlCl3 was added and allowed to stand for another 5 min, followed by the addition of 1 mL of 1 M sodium hydroxide. The solution was made up to 5 mL with distilled water and measured using a spectrophotometer at 420 nm. The flavonoid content was calculated using the quercetin standard calibration curve equation: y = 1.3068x, R2 = 0.9927 and was expressed as mg of quercetin equivalent (QE)/g using the formula CV/m as described above in phenol.
Proanthocyanidin (condensed tannin)
To 0.5 mL of 1 mg/mL of the extracts, different concentrations (0.02–1 mg/mL) of the standard catechin and methanol (control) were added 3 mL of 4% vanillin–methanol and 1.5 mL of hydrochloric acid and vortexed. The mixture was allowed to stand for 15 min at room temperature. The absorbance was measured at 500 nm using a spectrophotometer. Proanthocyanidin content was evaluated using the catechin standard calibration curve equation: y = 1.1993x + 0.0158, R2 = 0.9957 and was expressed as mg catechin equivalent (CE)/g using the formula, CV/m as earlier described.
All the organisms used in this study were obtained from the Medicinal Plants and Economic Development Research Centre, University of Fort Hare, South Africa. Five Gram-positive strains such as Enterococcus faecalis (ATCC 29212), Staphylococcus aureus (OK), Bacillus subtilis KZN, Bacillus cereus, and Streptococcus pyogenes and five Gram-negative strains such as Vibrio cholera, Klebsiella pneumonia (ATCC 4352), Pseudomonas aeruginosa (ATCC 19582), Salmonella More Details typhi (OK), and Escherichia More Details coli (ATCC 8739) were used for the antibacterial activity. The fungi isolates used are Trichophyton mucoides ATCC 201382, Trichophyton tonsurans ATCC 28942, Candida albicans (ATCC 10231), and Aspergillus niger ATCC 16888.
Preparation of inoculum
The bacteria inoculums, extracts/standard drugs preparations, and agar dilution assays were prepared as described by Wiegand et al. and the European Committee on Antimicrobial Susceptibility Testing, which are modifications from the guidelines of the Clinical and Laboratory Standards Institute (CLSI). Direct colony suspension method was used in preparing the inoculum. Bacteria and fungi inoculum suspensions of 1 × 106 CFU/mL and 5 × 105 CFU/mL, respectively, were prepared.
Preparation of extract
Five milliliters stock solution of 500 mg/mL of the extract was prepared by dissolving it with 1 mL of DMSO and made up with either Mueller–Hinton or Sabouraud Dextrose Broth for antibacterial and fungal assays, respectively. Two-fold serial dilutions of the stock (250, 125, 62.5, 31.23, 15.625, and 7.8125 mg/mL) were also prepared with the appropriate broth. Standard drugs (ciprofloxacin and nystatin for antibacterial and fungi, respectively) were prepared with the appropriate broth in 2-fold serial dilutions according to the guidelines of the CLSI.
Agar dilution assay
Mueller–Hinton and Sabouraud Dextrose Agar were prepared according to the manufacturer's description for antibacterial and fungi screening. The agar was autoclaved at 121°C for 15 min and allowed to cool to 50°C in a water bath. In brief, 0.5 mL from the stock and 2-fold serial dilutions were added to the molten agar (24.5 mL), swirled and poured into Petri dish More Detailses, and allowed to cool and solidify to give the required concentrations. Ten microliters each from both the prepared bacteria and fungi inoculums was delivered on the solidified agar surface to give the desired final inoculums of 1 × 104 CFU/spot and 1 × 103 CFU/spot, respectively. The extracts' final concentrations for the antibacterial assay ranged from 5 mg/mL to 0.1563 mg/mL and from 10 mg/mL to 0.3125 mg/mL for the antifungal assay. The concentration of ciprofloxacin (antibacterial standard) ranged from 64 μg/mL to 2 μg/mL while nystatin (antifungal standard) ranged from 16 μg/mL to 0.5 μg/mL. Bacteria plates were incubated at 37°C, and the readings were taken between 16 and 20 h of incubation. Fungi plates were incubated at 30°C, and the readings were taken after 2–3 days.
| Results|| |
The results of the phytochemical evaluation are shown in [Figure 1]. Phenolic content was quantified as the amount of the standard gallic acid in milligram equivalent present in a Gram of the extract (mg GAE/g). Although there was no significant difference in the phenolic contents of both extracts, the methanol extract had more phenolic content (54.89 ± 4.01 mg GAE/g) than the acetone extract which had a content of 45.27 ± 3.93 mg GAE/g.
|Figure 1: Polyphenolic compositions of the acetone and methanol extracts of Lauridia tetragona. Values are means a standard deviation, n = 3. Set of bars with the same letter are not significantly different (P < 0.05)|
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The flavonoid content of the different extract fractions was quantified in mg QE/g. The acetone extract had a nonsignificant (P > 0.05) higher composition (462.45 ± 1.93 mg QE/g) than the methanol extract which had a composition of 412.20 ± 3.85 mg CE/g) [Figure 1]. The proanthocyanidin also shown in [Figure 1] as mg CE/g) revealed the methanol extract to have a higher composition of 78.55 ± 0.83 mg CE/g while the acetone extract had a composition of 63.57 ± 1.67 mg CE/g.
The results of the antibacterial minimum inhibitory concentration (MIC) are shown in [Table 1]. All the bacteria except S. aureus were susceptible to the acetone extract with a MIC which ranged from 0.625 to 5 mg/mL. S. aureus, B. subtilis, S. pyogenes, K. pneumonia, and P. aeruginosa were resistant to the methanol extract at the concentrations tested. E. coli was more susceptible to the acetone extract with a MIC of 0.625 mg/mL and 2.5 mg/mL in the methanol extract. E. faecalis, B. cereus, P. aeruginosa, and S. typhi all had MIC value of 2.5 mg/mL in the acetone extract. B. cereus also had a MIC of 2.5 mg/mL in the methanol extract. All the bacteria tested were, however, highly susceptible to the control drug (ciprofloxacin) with a MIC lesser than the lowest concentration tested (μg/mL).
|Table 1: Minimum inhibitory concentrations of the acetone and methanol extracts of Lauridia tetragona (L.F) R.H. Archer on selected Gram-negative and Gram-positive bacteria|
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The results of the MICs of the antifungal screening are shown in [Table 2]. All the fungi tested were susceptible to the two extracts with a MIC which ranged from 0.625 to 10 mg/mL. The standard drug, nystatin, had a MIC which ranged from 4 to 8 μg/mL. While T. tonsurans was more susceptible to both extracts with MIC of 0.625 mg/mL, T. mucoides was more resistant or less susceptible with a MIC of 10 mg/mL.
|Table 2: Minimum inhibitory concentrations of the acetone and methanol extracts of Lauridia tetragona (L.F) R.H. Archer on some fungi|
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| Discussion|| |
Phenolic compounds act as strong antioxidants, preventing oxidative damages to biomolecules such as DNA, lipids, and protein which play a role in chronic diseases such as cancer and cardiovascular diseases. In this study, the phenol was evaluated using gallic acid as the reference standard and was quantified based on the equivalent (GAE) estimated from the gallic acid standard curve. The two solvents, methanol and acetone, had different extraction abilities on the phenol of the plant. The methanol had higher phenol (54.89 ± 4.01 mg GAE/g) as compared to the acetone extract (45.27 ± 3.93 mg GAE/g); however, there was no difference statistically (P < 0.05) [Figure 1]. In other related studies on some plants of the Celastraceae family, the phenol content of Cassine orientalis and Maytenus pyria leaf extracts was 24 and <20 mg GAE/g fresh weight (FW), respectively. In the study with Maytenus dasyclada, the hexane, ethyl acetate, and ethanol extracts had phenol contents of 1.54 ± 0.68, 43.65 ± 0.80, and 14. 59 ± 0.66 mg GAE/g, respectively.
The flavonoid content was evaluated using quercetin as a reference and was quantified based on the QE estimated from the standard curve. According to Ghasemzadadeh and Ghasemzadadeh, flavonoids are better antioxidants than Vitamins C and E and carotenoids; therefore, it is essential in combating stresses caused by oxidation. Unlike in the phenol where the methanol extract had more content, the acetone extract had more flavonoid content (462.45 ± 1.93 m QE/g) than the methanol extract with a content of 412.20 ± 3.85 mg QE/g. Statistically, no significant difference (P < 0.05) was observed in the flavonoid contents of both solvent extracts [Figure 1]. Proanthocyanidin also known as condensed tannin is a group of polyphenolic compounds that is very important, but often overlooked. Proanthocyanidin as an antioxidant acts by chelating transition metals and as an enzyme inhibitor it inhibits lipid peroxidation and peroxynitrite. The proanthocyanidin content of L. tetragona (methanol extract [78.55 ± 0.83 mg CE/g] and acetone extract [63.54 ± 1.67 mg CE/g]) is more than the reported content in both C. orientalis and M. pyria leaf extracts with 21 ± 0.36 mg/g FW and <10 mg/g FW cyanidin chloride equivalent, respectively. The higher phenolic, flavonoid, and proanthocyanidin contents observed in L. tetragona suggested that the plant has the potential in combating oxidative stresses and could be a good source of antioxidant.
In this study, antimicrobial susceptibility test was done to determine how effective L. tetragona could be against different human pathogenic micro-organisms. This test is needed to ascertain the usefulness of this species in fighting infections by determining its MIC against selected pathogenic micro-organisms. The results obtained revealed that Gram-positive and Gram-negative bacteria and fungi showed some degrees of susceptibility to the plant extracts. This gives an inclination of broad-spectrum activity exhibited by the crude extracts of this species.
The inhibitory activity of L. tetragona was dependent on the solvent of extraction and concentration. While all the bacteria except S. aureus were susceptible to the acetone extract, only half of the tested organisms (one Gram-positive and four Gram-negative) were inhibited by the methanol extract. This explains that different solvents extract different bioactive compounds responsible for different activities. Based on this, it is expedient to know the solvent that will extract the right biocompounds responsible for the desired activity (ies).
E. faecalis, which is responsible for several inflammations including urinary tract infections, abdominal and pelvic infections, blood poisoning, stomach cramping, and vomiting, was susceptible to both solvent extracts [Table 1]. This is an indication that the extracts of L. tetragona could be useful for the management and treatment of the diseases caused by E. faecalis. B. cereus, which causes food poisoning, gastro and non-gastrointestinal tract infections which can lead to devastating central nervous system infections and anthrax-like progressive pneumonia,, was also susceptible to both the acetone and methanol extracts in this study. The most susceptible bacterium in this study was E. coli with a MIC of 0.625 mg/mL (acetone extract) and 2.5 mg/mL (methanol extract) [Table 1]. E. coli causes, among others, urinary tract infections and diarrhea. This suggests the usefulness of this species in fighting these infections. S. typhi, which causes typhoid fever, was also susceptible to both solvent extracts of L. tetragona. Other pathogenic bacteria inhibited by only the acetone extract of the sample are P. aeruginosa, K. pneumonia, S. pyrogens, and B. subtilis [Table 1].
The outcome of the study also showed the inhibition of all four fungi by both solvent extracts [Table 2]. The most susceptible of the fungi was T. tonsurans with a MIC of 0.625 mg/mL in both solvent extracts. T. tonsurans is a dermatophyte which causes Tinea corporis (ringworm).,, Therefore, the sample may have potential in the skin care/beauty industries. The extracts of L. tetragona inhibited C. albicans which is an indication that it could serve a great purpose for the treatment and management of vaginal yeast infections (candidiasis), superficial mucosa, thrush, diaper rash, and even hematogenously disseminated infection caused by the fungus C. albicans. The MIC for A. niger was 2.5 mg/mL [Table 1]. A. niger is believed to be nonpathogenic to humans except plants; however, some early and recent studies have reported its involvement in an invasive and chronic obstructive pulmonary , and brain  aspergillosis; serious infection with pneumonia in humans. In both conditions, A. niger was resistant to voriconazole medication. This sample, therefore, has potentials in ameliorating the infections/diseases caused by A. nigers and may also find application in managing other diseases caused by the Aspergillus genera.
Other antimicrobial research on some species of the Celastraceae family showed diverse degrees of activities. While the antibacterial activities of the ethanol, water, ethyl acetate, and chloroform leaf extracts of Pleurostylia capensis had low to no activities on similar bacteria evaluated in this study, there was mild to strong activities by the methanol bark extract of Austroplenckia populnea and very strong inhibitory activity by methanol extracts of Maytenus polyacantha (wood extract) and Mystroxylon aethiopicum (bark and root extracts). In two of these studies, E. coli was resistant to the reported extracts of A. populnea and M. polyacantha., Siddiqui et al. also reported the antibacterial and antifungal inhibitory activity of Cathus edulis (Celastraceae) methanol extract. These reports are indications that species belonging to the different genus of the Celastraceae family have a reputation in their use as antimicrobial agents.
Worthy of mention is that in vitro evaluation of crude extracts does not necessarily confirm the effectiveness of the plant as a medicine nor indicates its final suitability for drug development; rather, it provides a basic understanding of its efficacy which is a basis for the search for new lead bioactive compounds and to validate its use in ethnomedicine. From the foregoing, the crude extracts of L. tetragona present a potential source for the development of novel therapeutic agents against infections and diseases and to design cheap alternative remedies used in economically less-privileged areas.
| Conclusion|| |
The outcome of this study is the first report of the phytochemical constituents and antibacterial activity of L. teragona, a plant used as a traditional herb in the management and treatment of dysentery, diarrhea, and diabetes in Eastern Cape of South Africa. The high polyphenolic compounds and the antimicrobial activity observed in this study could justify its continued usage in folklore medicine. The acetone extract exhibited more antibacterial activity than the methanol extract. This could be as a result that acetone can extract both lipophilic and hydrophilic compounds. Furthermore, most of the organisms used in this study are associated with causal organisms of gastrointestinal tract and urinary infections and have had reports of some degrees of resistance to conventional medications. Therefore, in the face of increased multidrug resistance, L. tetragona could serve as a potential alternative remedy against infections caused by the studied organisms and could present a reservoir for future antibiotic development.
The authors greatly appreciate the National Research Foundation (Grant No. T304) and Govan Mbeki Research and Development Centre of the University of Fort Hare, South Africa (Grant No.C275), for financing this study.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
World Health Organization. Diarrhoea Disease 2017 Fact Sheet Updated. World Health Organization; May, 2017.
Barr W, Smith A. Acute diarrhea. Am Fam Physician 2014;89:180-9.
Eneji IS, Agada PO, Sha'Ato R. Spatial and temporal variation in water quality of river Benue Nigeria. J Environ Prot 2012;3:1-7.
Johannesburg Summit Secretary General Calls for Global Action on Water Issues; 2002.
Chola L, Michalow J, Tugendhaft A, Hofman K. Reducing diarrhoea deaths in South Africa: Costs and effects of scaling up essential interventions to prevent and treat diarrhoea in under-five children. BMC Public Health 2015;15:394.
Statistics South Africa. Levels and Trends of Morbidity and Mortality among Children Aged under-Five Years in South Africa, 2006–2010. Pretoria, South Africa: Statistics South Africa; 2012.
Liu L, Johnson HL, Cousens S, Perin J, Scott S, Lawn JE, et al.
Global, regional, and national causes of child mortality: An updated systematic analysis for 2010 with time trends since 2000. Lancet 2012;379:2151-61.
Dorrington RE, Bradshaw D, Laubscher R. Rapid Mortality Surveillance Report 2012. Cape Town, South Africa: South African Medical Research Council; 2014.
Ohikhena FU, Wintola OA, Afolayan AJ. Evaluation of the antibacterial and antifungal properties of Phragmanthera capitata
(Sprengel) balle (Loranthaceae), a mistletoe growing on rubber tree, using the dilution techniques. ScientificWorldJournal 2017;2017:9658598.
Ekor M. The growing use of herbal medicines: Issues relating to adverse reactions and challenges in monitoring safety. Front Pharmacol 2014;4:177.
Palombo EA. Phytochemicals from traditional medicinal plants used in the treatment of diarrhoea: Modes of action and effects on intestinal function. Phytother Res 2006;20:717-24.
Appidi JR, Grierson DS, Afolayan AJ. Ethnobotanical study of plants used for the treatment of diarrhoea in the Eastern Cape, South Africa. Pak J Biol Sci 2008;11:1961-3.
Ohikhena FU, Wintola OA, Afolayan AJ. Quantitative phytochemical constituents and antioxidant activities of the mistletoe, Phragmanthera capitata
(Sprengel) balle extracted with different solvents. Pharmacognosy Res 2018;10:16-23.
Cheynier V. Phenolic compounds: From plants to foods. Phytochem Rev 2012;11:153-77.
Hollman PC. Evidence for health benefits of plant phenols: Local or systemic effects? J Sci Food Agric 2001;81:842-52.
Mishra BB, Tiwari VK. Natural products: An evolving role in future drug discovery. Eur J Med Chem 2011;46:4769-807.
Klepacka J, Gujska E, Michalak J. Phenolic compounds as cultivar- and variety-distinguishing factors in some plant products. Plant Foods Hum Nutr 2011;66:64-9.
Wintola OA, Afolayan AJ. Toxicological evaluation of aqueous extract of Lauridia tetragona
(L.F.) RH. archer leaf in wistar rats. Int J Pharmacol 2018;14:239-47.
Archer RH, van Wyk AE. A taxonomic revision of Lauridia
Eckl. and Zeyh. (Cassinoideae: Celastraceae). S Afr J Bot 1997;63:227-32.
Afolayan AJ, Wintola OA. A survey of medicinal plants used in the treatment of dysentery in Amathole district municipality, South Africa. Pak J Bot 2014;46:1685-92.
Wiegand I, Hilpert K, Hancock RE. Agar and broth dilution methods to determine the minimal inhibitory concentration (MIC) of antimicrobial substances. Nat Protoc 2008;3:163-75.
European Committee for Antimicrobial Susceptibility Testing. Determination of minimum inhibitory concentrations (MICs) of antibacterial agents by broth dilution. European Society of Clinical Microbiology and Infectious Diseases. Clin Microbiol Infect 2003;9:1-7.
Soobrattee MA, Bahorun T, Neergheen VS, Googoolye K, Aruoma OI. Assessment of the content of phenolics and antioxidant actions of the Rubiaceae, Ebenaceae, Celastraceae, Erythroxylaceae and Sterculaceae families of Mauritian endemic plants. Toxicol In vitro
Schwanz M, Dresch RR, Manfredini V, Henriques AT. Antioxidative effects of Maytenus dasyclada
mart. (Celastraceae). Int J Pharma Bio Sci 2013;4:957-69.
Ghasemzadadeh A, Ghasemzadadeh N. Flavonoids and Phenolic acids: Role and biochemical activity in plants and human. J Med Plant Res 2011;5:6697-703.
Cos P, De Bruyne T, Hermans N, Apers S, Berghe DV, Vlietinck AJ, et al.
Proanthocyanidins in health care: Current and new trends. Curr Med Chem 2004;11:1345-59.
Leonard J. Enterococcus faecalis
: infections, transmission, and treatment. Reviewed by Alana Biggers (12th
July, 2017). Newsletter. Medical News Today. Health Media, UK Ltd, Brighton, UK; 2007.
Bottone EJ. Bacillus cereus
, a volatile human pathogen. Clin Microbiol Rev 2010;23:382-98.
Savini V. The Diverse Faces of Bacillus cereus.
ed. Elsevier: Academic Press; 2016. p. 170.
Shimoyama H, Nakashima C, Hase M, Sei Y. A case of tinea corporis due to Trichophyton tonsurans
that manifested as impetigo. Med Mycol J 2016;57:E59-61.
Lee WJ, Sim HB, Jang YH, Lee SJ, Kim DW, Jun JB, et al.
Skin infection due to Trichophyton tonsurans
still occurs in people in Korea but not as outbreaks. J Korean Med Sci 2016;31:296-300.
Hiruma J, Ogawa Y, Hiruma M. Trichophyton tonsurans
infection in japan: Epidemiology, clinical features, diagnosis and infection control. J Dermatol 2015;42:245-9.
Nobile CJ, Johnson AD. Candida albicans
biofilms and human disease. Annu Rev Microbiol 2015;69:71-92.
Shahi M, Ayatollahi Mousavi SA, Nabili M, Aliyali M, Khodavaisy S, Badali H, et al. Aspergillus
colonization in patients with chronic obstructive pulmonary disease. Curr Med Mycol 2015;1:45-51.
Person AK, Chudgar SM, Norton BL, Tong BC, Stout JE. Aspergillus niger
: An unusual cause of invasive pulmonary aspergillosis. J Med Microbiol 2010;59:834-8.
Simmonds L, Mitchell S, White B, Crusz SA, Denning D. Aspergillus niger
infection in an immunosuppressed patient confined solely to the brain. BMJ Case Rep 2017;2017. pii: bcr2016218658.
Razwinani M, Tshikalange TE, Motaung SC. Antimicrobial and anti-inflammatory activities of Pleurostylia capensis
turcz (Loes) (celastraceae). Afr J Tradit Complement Altern Med 2014;11:452-7.
Miranda RR, de Duarte LP, Silva GD, Vieira Filho SA, Carvalho PB, de Messas AC. Evaluation of antibacterial activity of “Mangabarana” Austroplenckia populnea
Reissek (Celastraceae). Rev Bras Farmacogn 2009;19:370-5.
Razafintsalama VE, Ralambonirina Rasoarivelo ST, Randriamialinoro F, Ranarivelo L, Rakotonandrasana SR, Petit T, et al
. Antibacterial activities of fourteen medicinal plants from the endemic plant diversity of Madagascar. S Afr J Bot 2017;112:303-6.
Siddiqui R, Warsame AA, Khan NA. Antibacterial and anti-acanthamoebic properties of Catha edulis
(Khat). J Bacteriol Parasitol 2012;3:7.
Olajuyigbe OO, Afolayan AJ.In vitro
antibacterial and time-kill evalauation of the Erythrina caffra
thunb. Extract against bacterial associated with diarrhoea. Sci World J 2012;2012:738314.
[Table 1], [Table 2]