| Peer-Reviewed

Synergistic Evaluation of Moringa oleifera, Hunteria umbellate and Azadirachta indica with Antibiotics Against Environmental MRSA Isolates: An In-vitro Study

Received: 25 May 2020    Accepted: 8 June 2020    Published: 6 July 2020
Views:       Downloads:
Abstract

Methicillin–Resistant Staphylococcus aureus (MRSA) is known to show resistance to beta-lactam class of antibiotics. MRSA is among the highest superbugs posing dangerous threats to humans. This study aimed at determining the in-vitro synergistic evaluation of Moringa oleifera, Hunteria umbellate and Azadirachta indica extracts with existing antibiotics (Azithromycin, Clindamycin and Vancomycin) on isolated MRSA from fomites. MRSA was isolated using the BBL™ Oxacillin agar screen test (Müller Hinton Agar with 6 μg/mL Oxacillin and 4% NaCl). The Minimum Bactericidal concentration (MBC) of the MRSA were determined by Agar well diffusion using antibiotics in solitary, plant extracts in solitary, combination of these antibiotics with plant extracts at different concentrations. The agar diffusion assay showed that H. umbellate extract-Azithromycin combination had the least zones of inhibition ≥21.00±1.92 mm in 75% of all isolates testedwhile M. oleifera extract-Azithromycin combination had the highest zones of inhibition ≥22.20 ±2.27 mm. Comparison of bactericidal activities of all plant extracts and antibiotics synergy shows Azithromycin to have a significant value of P>0.05. The agar well diffusion method showed synergistic effects between combination of antibiotics and all extracts with significant increase in the zones of inhibition of the test antibiotics against environmental strains of MRSA. The synergistic interactions indicated that the inhibitory potentials of the plant extracts increased hence, combining natural products derived from phytochemicals and antibiotics could be another way to mitigate and fight against resistant infectious bacteria.

Published in American Journal of BioScience (Volume 8, Issue 4)
DOI 10.11648/j.ajbio.20200804.11
Page(s) 91-98
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Antimicrobial Resistance, MRSA, Antibiotics, Plant Extracts, Synergism

References
[1] WHO, (2014). Antimicrobial resistance: global report on surveillance. Retrieved from WHO website
[2] Akova M. (2016). Epidemiology of antimicrobial resistance in bloodstream infections virulence 7 (3): 252-266 DOI 10.1080/21505594.2016.1159366.
[3] World Health Organization (WHO), (2002). WHO Traditional medicine strategy 2002-2005. Geneva: World Health Organization.
[4] Cowan M. M., (1999). Plant products as antimicrobial agents. Clinical microbiology reviews 12: 564-582.
[5] Saseed, A. K. and Aslam, J., (2008). Study on the effect of Neem (Azadirachta indica) leaves smoke in controlling airborne bacteria in residential premises. Current Research in Bacteriology, 1 (2): 64-66.
[6] EI-Mahmood, A. M., Ogbonna, O. B. and Raji, M., (2010). The antibacterial activity Azadirachta indica (Neem) associated with eye and ear infections. Journal of Medicinal Plant Research. 4 (14): 1414-1421.
[7] Giamarellou H. (2010). Multidrug-resistant gram-negative bacteria: how to treat and for how long. International Journal of Antimicrobial Agents 36: S50-S54 DOI 10.1016/j.ijantimicag.2010.11.014.
[8] Martis N, Leroy S, Blanc V., (2014). Colistin in Multi-drug resistant Pseudomonas aeruginosa blood-stream infections: A narrative review for the clinician, Journal of Infection 69: 1-12 DOI 10.1016/j.jinf.2014.03.001.
[9] Tuysuz Mayram Hacioglu, Sibel Dosler, Ayse Seher Birteksoz Tan and Gulten Otuk., (2017), Antimicrobial activities of widely consumed herbal teas, alone or in combination with antibiotics: an in vitro study. Peer Journal 5: e3467; DOI 10.7717/peerj.3467
[10] Chen M. (2009). Elucidation of bactericidal effects incurred by Moringa oleifera and Chitosan. J U. S. SJWP. 4: 65-79.
[11] Suarez M, Haenni M, Canarelli S, Fisch F, Chodanowski P, Servis C., (2005). Structure-function characterization and optimization of a plant-derived antibacterial peptide. Antimicrobial Agents of Chemotherapy. 49: 3847-57.
[12] Biswas K, Chattopadhyay I, Banerjee R. K, Bandyopadhyay U., (2002). Biological activities and medicinal properties of Neem (Azadirachta indica). Current Science-Bangalore; 82 (11): 1336- 1345.
[13] Owolabi A. O, Abah K. A, Oranusi S., (2017). In-vitro antimicrobial and antioxidant activity of Carica papaya and Azadirachta indica leaf and stem bark extracts on selected clinical isolates. Journal of Industrial Research and Technology, 6 (1): 209-220.
[14] Adeneye, A. A. and Adeyemi, O. O., (2009b). Further evaluation of the anti-hyperglycaemic effect of Hunteria umbellata (K. Schum) Hallier f. seed extract in experimental diabetes. Journal of Ethnopharmacology; 126 (2): 238-243.
[15] Dubick M. A., (1986). Historical perspectives on the use of herbal preparations to promote health. The Journal of Nutrition., 116: 1348-1354
[16] Bevan, C. W. L., Patel, M. B., Reefs, A. H., London, A. G., (1967). The seed alkaloids of Hunteria umbellata. Tetrahedron, 3809-3821.
[17] Falodun, A., Nworgu, Z. A. M., and Ikponmwonsa, M. O. (2006). Phytochemical components of Hunteria umbellata (K. Schum.) and its effect on isolated non-pregnant rat uterus in oestrus. Pakistani Journal of Pharmaceutical Science; 19 (3): 256-258.
[18] Akinrotoye K. P., Bankole M. O., Akinduti P. A., and Lanlokun O. A., (2019). Antibiotic resistance profiles of Staphylococcus aureus isolated from fomites in community schools within Abeokuta environs leading to detection of MRSA, Bioscience Method, 10 (1): 1-8 (doi: 10.5376/bm.2019.09.0001)
[19] Centers for Disease Control and Prevention (CDC); (2013). Antibiotic resistance threats in the United States. Available at www.cdc.gov/drugresistance/threat-report2013/pdf/ar-threats- 2013-508.pdf.
[20] Akinrotoye K. P., Mobolaji O. B., and Stephen O. A., (2018). Occurrence of Pathogenic bacteria on public surfaces within community schools in Abeokuta Environs, Ogun State, Journal of Environmental Treatment Techniques, 6 (3): 47-52
[21] Harbone, J. B., (1998). Phytochemical methods: A guide to modern techniques of plant analysis. 3rd Edition. Chapman and Hill, London. Pp 279
[22] Fatope A. O, Ibrahim H, Takeda Y., (1993). Screening of higher plants reputed as pesticides using brine shrimp lethality bioassay. International Journal of Pharmacognosy; 1: 250‑6.
[23] Anjorin, T. S., Ikokoh, P. and Okolo, S., (2010). Mineral composition of Moringa oleifera leaves, pods and seeds from two regions in Abuja, Nigeria. International Journal of Agricultural Biology. 12: 431-434.
[24] Ayoola G. A, Coker H. A, Adesegun S. A, Adepoju‑Bello A. A, Obaweya K, Ezennia E. C., (2008). Phytochemical screening and anti‑oxidant activities of some selected medicinal plants used for malaria therapy in south‑western Nigeria. Tropical Journal of Pharmaceutical Research, 7: 1019‑24.
[25] Bello, S. A and Jamiu, A. T., (2017). Antibacterial Activity of Moringa oleifera Seed Extracts on Escherichia coli, Pseudomonas aeruginosa and Staphylococcus spp. Nigerian Journal of Microbiology, 31 (1): 3873-3881
[26] Tabarak Malik, Devendra Kumar Pandey, Priyanka Roy, Annie Okram, (2016). Evaluation of Phytochemicals, Antioxidant, Antibacterial and Anti-diabetic Potential of Alpinia galanga and Eryngium foetidum Plants of Manipur (India). Journal of Pharmacognosy, 8 (5): 459-464
[27] Clinical and Laboratory Standards Institute (CLSI); (2006). Methods for dilution antimicrobial susceptibility tests for bacteria that grow aerobically. In: Approved Standard M7-A7. 7th edition. Wayne: CLSI.
[28] Clinical and Laboratory Standards Institute (CLSI); (2012). Reference method for broth dilution antifungal susceptibility testing of yeasts. In: fourth informational supplement M27-S4. Wayne: CLSI.
[29] Clinical and Laboratory Standards Institute (CLSI); (2014). Performance and standards for antimicrobial susceptibility testing. In: twenty-second informational supplement M100-S24. Vol. 34, No. 1. Wayne: CLSI.
[30] Bauer, A. W., Kirby W. M., Sherris, J. C. and Turck M. (1966). Antibiotic susceptibility testing by a standardized single disk method. American Journal of Clinical Pathology; 45: 493-6.
[31] Olufunmiso O. Olajuyigbe., Tolulope Esther Onibudo., Roger Murugas Coopoosamy., Anof Omotayo Tam Asafa and Anthony Jide Afolayan, (2018). Bioactive compounds and in-vitro antimicrobial activities of ethanol stem bark extract of Trilepisium madagascarense DC. International Journal of Pharmacology., 14: 901-912
[32] Olufunmiso O. Olajuyigbe and Anthony J. Afolayan; (2012). Synergistic Interactions of Methanolic Extract of Acacia mearnsii De Wild with Antibiotics against Bacteria of Clinical Relevance. International Journal of Molecular Science; 13: 8931-8932
[33] Auwal, M. S., Tijjani, A. N., Sadiq, M. A., Saka, S., Mairiga, I. A., Shuaibu, A., Adaweren, E. and Gulani, I. A. (2013). Antibacterial and haematological activity of Moringa oleifera seed extract in Wistar albino rats. Sokoto Journal of Veterinary Sciences, 11 (1): 28-37.
[34] Aqil, F., M. S. A. Khan, M. Owais and I. Ahmad, (2005). Effect of certain bioactive plant extracts on clinical isolates of β-lactamase producing methicillin resistant Staphylococcus aureus. Journal of Basic Microbiology. 45: 106-114.
[35] Betoni, J. E, Mantovani, R. P, Barbosa, L. N di Stasi, L. C. Junior, A. F., (2006). Synergism between plant extracts and antimicrobial drugs used on Staphylococcus aureus diseases. Mem. Inst. Oswaldo Cruz., 101: 387–390.
[36] Braga, LC, Leite, A. A. M, Xavier, K. G. S, Takahashi, J. A, Becquerel, M. P, Chartone-Souza, B. Nascimento A. M. A. (2005). Synergistic interaction between pomegranate extract and antibiotics against Staphylococcus aureus. Canadian Journal of Microbiology, 51: 541–547.
[37] Esimone, C. O., I. R. Iroha, E. C. Ibezim, C. O. Okeh and E. M. Okpana, (2006). In-vitro evaluation of the interaction between tea extracts and penicillin against Staphylococcus aureus. African Journal of Biotechnology, 5: 1082-1086.
[38] Yam, T. S., J. M. Hamilton-Miller and S. Shah., (1998). The effect of a component of tea (Camellia sinensis) on methicillin resistance, PBP2' synthesis and beta-lactamase production in Staphylococcus aureus. Journal of Antimicrobial Chemotherapy, 42: 211-216.
[39] Yang, Z. C., B. C. Wang, X. S. Yang, Q. Wang andL. Ran, (2005). The synergistic activity of antibiotics combined with eight traditional Chinese medicines against two different strains of Staphylococcus aureus. Colloids Surf B Biointerfaces, 41: 79 -81.
[40] Adwan, M. G., A. B. Abu-Shanab and M. K. Adwan, (2008). In-vitro activity of certain drugs in combination with plant extracts against Staphylococcus aureus infections. Pakistani Journal of Medicine, 24: 541-544.
[41] Aiyegoro, O.; Adewusi, A.; Oyedemi, S.; Akinpelu, D.; Okoh, A., (2011). Interactions of antibiotics and methanolic crude extracts of Afzelia africana (Smith.) against drug resistance bacterial isolates. International Journal of Molecular Science, 12: 4477–4487.
[42] Kumar, A. S, Venkateshwaran K, Vanitha, J. Saravanan, V. S. Ganesh, M.; Vasudevan, M.; Sivakumar, T., (2009). Synergistic activity of methanolic extract of Thespesia populnea (Malvaceae) flowers with oxytetracycline. Bangladesh Journal of Pharmacology, 4: 13–16.
[43] Pei, R. S, Zhou, F, Ji, B. P, Xu, J., (2009). Evaluation of combined antibacterial effects of eugenol, cinnamaldehyde, thymol, carvacrol against E. coli with an improved method. Journal of Food Science, 74: M379–M383.
[44] Cushnie, T. P. T, Lamb, A. J., (2005). Antimicrobial activity of flavonoids. International Journal of Antimicrobial Agents; 26: 343–356.
[45] Sato, Y. Shibata, H, Arai, T, Yamamoto, A, Okimura, Y, Arakaki, N, Higuti, T. (2004). Variation in synergistic activity by flavone and its related compounds on the increased susceptibility of various strains of Methicillin-resistant Staphylococcus aureus to β-lactam antibiotics. International Journal of Antimicrobial Agents, 24: 226–233.
[46] Gibbons, S. (2008). Phytochemicals for bacterial resistance: Strengths, weaknesses and opportunities. Plant Medicine, 74, 594–602.
[47] Dickson, R. A.; Houghton, P. J.; Hylands, P. J.; Gibbons, S. (2006). Antimicrobial resistance-modifying effects, antioxidant and free radical scavenging activities of Mezoneuron benthamianum Baill, Securinega virosa Roxb and Wild Microglossa pyrifolia Lam. Phytother. Research, 20: 41–45.
[48] Zhao, W. H.; Hu, Z. Q.; Okubo, S.; Hara, Y.; Shimamura, T. (2001). Mechanism of synergy between epigallochatechin gallate and β-lactams against Methicillin-resistant Staphylococcus aureus. Antimicrobial Agents of Chemotherapy, 45: 1737–1742.
Cite This Article
  • APA Style

    Akinrotoye Kehinde Peter, Akinduti Paul, Lanlokun Olabisi, Adetogun Clement. (2020). Synergistic Evaluation of Moringa oleifera, Hunteria umbellate and Azadirachta indica with Antibiotics Against Environmental MRSA Isolates: An In-vitro Study. American Journal of BioScience, 8(4), 91-98. https://doi.org/10.11648/j.ajbio.20200804.11

    Copy | Download

    ACS Style

    Akinrotoye Kehinde Peter; Akinduti Paul; Lanlokun Olabisi; Adetogun Clement. Synergistic Evaluation of Moringa oleifera, Hunteria umbellate and Azadirachta indica with Antibiotics Against Environmental MRSA Isolates: An In-vitro Study. Am. J. BioScience 2020, 8(4), 91-98. doi: 10.11648/j.ajbio.20200804.11

    Copy | Download

    AMA Style

    Akinrotoye Kehinde Peter, Akinduti Paul, Lanlokun Olabisi, Adetogun Clement. Synergistic Evaluation of Moringa oleifera, Hunteria umbellate and Azadirachta indica with Antibiotics Against Environmental MRSA Isolates: An In-vitro Study. Am J BioScience. 2020;8(4):91-98. doi: 10.11648/j.ajbio.20200804.11

    Copy | Download

  • @article{10.11648/j.ajbio.20200804.11,
      author = {Akinrotoye Kehinde Peter and Akinduti Paul and Lanlokun Olabisi and Adetogun Clement},
      title = {Synergistic Evaluation of Moringa oleifera, Hunteria umbellate and Azadirachta indica with Antibiotics Against Environmental MRSA Isolates: An In-vitro Study},
      journal = {American Journal of BioScience},
      volume = {8},
      number = {4},
      pages = {91-98},
      doi = {10.11648/j.ajbio.20200804.11},
      url = {https://doi.org/10.11648/j.ajbio.20200804.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajbio.20200804.11},
      abstract = {Methicillin–Resistant Staphylococcus aureus (MRSA) is known to show resistance to beta-lactam class of antibiotics. MRSA is among the highest superbugs posing dangerous threats to humans. This study aimed at determining the in-vitro synergistic evaluation of Moringa oleifera, Hunteria umbellate and Azadirachta indica extracts with existing antibiotics (Azithromycin, Clindamycin and Vancomycin) on isolated MRSA from fomites. MRSA was isolated using the BBL™ Oxacillin agar screen test (Müller Hinton Agar with 6 μg/mL Oxacillin and 4% NaCl). The Minimum Bactericidal concentration (MBC) of the MRSA were determined by Agar well diffusion using antibiotics in solitary, plant extracts in solitary, combination of these antibiotics with plant extracts at different concentrations. The agar diffusion assay showed that H. umbellate extract-Azithromycin combination had the least zones of inhibition ≥21.00±1.92 mm in 75% of all isolates testedwhile M. oleifera extract-Azithromycin combination had the highest zones of inhibition ≥22.20 ±2.27 mm. Comparison of bactericidal activities of all plant extracts and antibiotics synergy shows Azithromycin to have a significant value of P>0.05. The agar well diffusion method showed synergistic effects between combination of antibiotics and all extracts with significant increase in the zones of inhibition of the test antibiotics against environmental strains of MRSA. The synergistic interactions indicated that the inhibitory potentials of the plant extracts increased hence, combining natural products derived from phytochemicals and antibiotics could be another way to mitigate and fight against resistant infectious bacteria.},
     year = {2020}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Synergistic Evaluation of Moringa oleifera, Hunteria umbellate and Azadirachta indica with Antibiotics Against Environmental MRSA Isolates: An In-vitro Study
    AU  - Akinrotoye Kehinde Peter
    AU  - Akinduti Paul
    AU  - Lanlokun Olabisi
    AU  - Adetogun Clement
    Y1  - 2020/07/06
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ajbio.20200804.11
    DO  - 10.11648/j.ajbio.20200804.11
    T2  - American Journal of BioScience
    JF  - American Journal of BioScience
    JO  - American Journal of BioScience
    SP  - 91
    EP  - 98
    PB  - Science Publishing Group
    SN  - 2330-0167
    UR  - https://doi.org/10.11648/j.ajbio.20200804.11
    AB  - Methicillin–Resistant Staphylococcus aureus (MRSA) is known to show resistance to beta-lactam class of antibiotics. MRSA is among the highest superbugs posing dangerous threats to humans. This study aimed at determining the in-vitro synergistic evaluation of Moringa oleifera, Hunteria umbellate and Azadirachta indica extracts with existing antibiotics (Azithromycin, Clindamycin and Vancomycin) on isolated MRSA from fomites. MRSA was isolated using the BBL™ Oxacillin agar screen test (Müller Hinton Agar with 6 μg/mL Oxacillin and 4% NaCl). The Minimum Bactericidal concentration (MBC) of the MRSA were determined by Agar well diffusion using antibiotics in solitary, plant extracts in solitary, combination of these antibiotics with plant extracts at different concentrations. The agar diffusion assay showed that H. umbellate extract-Azithromycin combination had the least zones of inhibition ≥21.00±1.92 mm in 75% of all isolates testedwhile M. oleifera extract-Azithromycin combination had the highest zones of inhibition ≥22.20 ±2.27 mm. Comparison of bactericidal activities of all plant extracts and antibiotics synergy shows Azithromycin to have a significant value of P>0.05. The agar well diffusion method showed synergistic effects between combination of antibiotics and all extracts with significant increase in the zones of inhibition of the test antibiotics against environmental strains of MRSA. The synergistic interactions indicated that the inhibitory potentials of the plant extracts increased hence, combining natural products derived from phytochemicals and antibiotics could be another way to mitigate and fight against resistant infectious bacteria.
    VL  - 8
    IS  - 4
    ER  - 

    Copy | Download

Author Information
  • Department of Microbiology, College of Biosciences, Federal University of Agriculture, Abeokuta, Ogun State, Nigeria

  • Department of Biological Sciences, College of Science and Technology, Covenant University, Ota, Ogun State, Nigeria

  • Department of Microbiology, College of Biosciences, Federal University of Agriculture, Abeokuta, Ogun State, Nigeria

  • Department of Forestry and Wildlife Management, College of Environmental Resources and Management, Federal University of Agriculture, Abeokuta, Ogun State, Nigeria

  • Sections