Abstract

BackgroundCombretum zeyheri, belongs to the family Combretaceae and is one of the most popular herbal plants in tropical and subtropical countries. The leaves of Combretum zeyheri have been used as herbal medicine and have been reported to have pharmacological activity which includes anti-bacterial, anti-fungal, anticancer and antioxidant properties. The goal of this study was to isolate, identify and characterize compounds from C. zeyheri leaves which are responsible for its antifungal activity.MethodsThe preliminary isolation of C. zeyheri active compounds was carried out using chromatographic techniques which include sephadex gel column chromatography, silica gel column chromatography and thin-layer chromatography (TLC). The isolated compounds were then investigated for their antifungal activity using broth dilution assay. The combined effect of the most potent compound and an antifungal drug miconazole was investigated using the checkerboard assay. Time-kill assays were conducted for the combinations using the colony counting method. The mechanism of action of 5-hydroxy-7,4’-dimethoxyflavone as a potent antifungal agent was investigated by determining its inhibitory activity on Candida albicans drug efflux pumps using the ciprofloxacin assay. The ability of 5-hydroxy-7,4’-dimethoxyflavone to inhibit antioxidant enzymes as well as the biosynthesis of ergosterol were also investigated.ResultsA total of four pure compounds (A-D) were isolated from C. zeyheri leaf extract. Compound B (5-hydroxy-7,4’-dimethoxyflavone) was found to be active against Candida albicans using broth dilution method. This compound was also found to have synergistic activity on growth of C. albicans when combined with miconazole, completely inhibiting growth after only 4 hrs of incubation. Analysis of ergosterol content from Candida albicans showed a time-dependent decrease to 91 % and 63 % at 16 and 24 hrs respectively, in cells treated with ½ MIC of 5-hydroxy-7,4’-dimethoxyflavone. The compound 5-hydroxy-7,4’-dimethoxyflavone also showed inhibition of both the drug efflux pumps (with IC50 = 51.64 μg/ml) and the antioxidant enzymes (at 5 μM).ConclusionThe compound 5-hydroxy-7,4’-dimethoxyflavone may be partly responsible for the reported antifungal activity of C. zeyheri, and may serve as a potential source of lead compounds that can be developed as antifungal phytomedicines.

Highlights

  • Combretum zeyheri, belongs to the family Combretaceae and is one of the most popular herbal plants in tropical and subtropical countries

  • We previously reported that Combretum zeyheri had antifungal activity against C. albicans and C. krusei [11]

  • Fungi and reagents Reserpine, rhodamine 6G, nutrient agar, sabouraud dextrose agar (SDA), miconazole, dimethyl sulphoxide (DMSO), silica gel 60 – 120 mesh, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT), phenylmethylsulphonyle fluoride (PMSF), sucrose, 1chloro-2,4-dinitrobenzene (CDNB), glutathione, hydrogen peroxide (H2O2), epinephrine, adrenochrome, NADPH, Ethylenediaminetetraacetic acid (EDTA), NaN3, and glucose-6-phosphate were purchased from Sigma-Aldrich Chemical Co. (St Louis, MO, USA)

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Summary

Introduction

Belongs to the family Combretaceae and is one of the most popular herbal plants in tropical and subtropical countries. Since 1970s, the emergence of antifungal drug resistance has been a cause of concern in the treatment of invasive fungal infections such as candidiasis [1]. This is due to increased use of triazoles in prophylactic and empiric antifungal therapy in high-risk patients [2]. The World Health Organization has estimated that almost 65 % of the world’s inhabitants rely mainly on traditional medicines for their primary health care [7] This is because traditional medicine has remained as the most affordable and accessible source of treatment in the primary healthcare system mainly in most developing countries [8]

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