FUNGAL INFECTIONS BY CANDIDA ALBICANS AND CRYPTOCOCCUS SP. IN ALKHARJ GOVERNORATE: EFFECT OF THE METHANOLIC EXTRACT OF THE SAUDI SHRUB ABUTILON INDICUM L. ON RECORDED PATHOGENS
Abstract
Background: The incidents of life-threatening complications in immunocompetent and immunocompromised individuals due to hospital-acquired fungal infections are one of the major threats to patients. As most of the pathogenic microorganisms develop resistance to the drugs in use, the scientific world is in search of new natural molecules with promising action, and thus, the present study searched for such biomolecules against infections by two of the common fungal pathogens causing such infections viz., Candida sp. and Cryptococcus sp. from a medicinal plant Abutilon indicum L.
Materials & Methods: The methanolic extracts of Abutilon indicum were analyzed for their antifungal potential against Candida sp. and Cryptococcus sp. by microdilution and agar diffusion methods. The antibiofilm efficiency of the extract was studied using the crystal violet method and the biofilm-eradication potential was quantified using biofilm formation assay. The hemolytic assay, time-kill assay, post-antifungal effect (PAFE), etc. were performed as per standard protocols.
Results: The methanolic extract of the medicinal plant A. indicum showed remarkable antifungal activities against the selected pathogens and the MIC (minimal inhibitory concentration) was calculated to be 1 mg/ml against both C. albicans and Cryptococcus sp. The time-kill assay displayed the killing kinetics and it showed 3 hours against C. albicans and 4 hours against Cryptococcus sp. for complete eradication. The PAFE against both the pathogens was 5 hours for both the test pathogens. The biofilm inhibition of C. albicans and Cryptococcus sp. was observed till their MIC level and a then gradual increase in biofilm formation was observed. Three various concentrations of A. indicum treatment could effectively eradicate the mature C. albicans biofilms by 67%, 69 %, and 73% respectively. Cryptococcus sp. mature biofilms treated with the same concentrations of A. indicum showed 73%, 76 %, and 81% of biofilm eradication indicating the anti-biofilm effect of A. indicum. The hemolytic assay with varying concentrations of A. indicum extract revealed that it did not affect RBCs.
Conclusion: As the plant extract showed potential antifungal activities including fungal biofilm eradication with no adverse effect on RBCs, the phytocompounds in the plant need to be purified and further investigated for its medical applications.
Keywords
Full Text:
PDFReferences
Seffah K, Agyeman W, Madeo JL. Cryptococcus infection in an immunocompetent patient. Cureus. 2022;14(8):e27635. https://doi.org/10.7759/cureus.27635
Tortorano AM, Peman J, Bernhardt H, Klingspor L, Kibbler CC, Faure O, et al. Epidemiology of candidaemia in Europe: results of 28-month European Confederation of Medical Mycology (ECMM) hospital-based surveillance study. Eur J Clin Microbiol Infect Dis. 2004;23(4):317-22. https://doi.org/10.1007/s10096-004-1103-y
Janbon G, Quintin J, Lanternier F, d'Enfert C. Studying fungal pathogens of humans and fungal infections: fungal diversity and diversity of approaches. Genes Immun. 2019;20:403-14. https://doi.org/10.1038/s41435-019-0071-2
Armstrong-James D, Meintjes G, Brown GD. A neglected epidemic: fungal infections in HIV/AIDS. Trends Microbiol. 2014;22:120-7. https://doi.org/10.1016/j.tim.2014.01.001
Romani L. Immunity to fungal infections. Nat Rev Immunol. 2011;11:275-88. https://doi.org/10.1038/nri2939
Wu X, Zhang S, Li H, Shen L, Dong C, Sun Y, et al. Biofilm formation of Candida albicans facilitates fungal infiltration and persister cell formation in vaginal candidiasis. Front Microbiol. 2020;11:1117. https://doi.org/10.3389/fmicb.2020.01117
Rodrigues CF, Silva S, Henriques M. Candida glabrata: a review of its features and resistance. Eur J Clin Microbiol Infect Dis. 2014;33:673-88. https://doi.org/10.1007/s10096-013-2009-3
Ahmed NJ. Incidence of Candida species infections in a military hospital in Al-Kharj, Saudi Arabia. J Pharm Res Int. 2020;32(8):6-11. https://doi.org/10.9734/jpri/2020/v32i830465
Sirag B, Khidir ES, Dumyati M, Sindi B, Alsinnari M, Faidah H, et al. Cryptococcus neoformans and other opportunistic Cryptococcus species in pigeon dropping in Saudi Arabia: identification and characterization by DNA sequencing. Front Microbiol. 2021;12:726203. https://doi.org/10.3389/fmicb.2021.726203
Marwan A, Al Bikai A, Rafei R, Mallat H, Dabboussi F, Hamze M. Update on invasive fungal infections in the Middle Eastern and North African region. Braz J Microbiol. 2020;51(4):1771-89. https://doi.org/10.1007/s42770-020-00325-x
Góralska K, Blaszkowska J, Dzikowiec M. Neuroinfections caused by fungi. Infection. 2018;46:443-59. https://doi.org/10.1007/s15010-018-1152-2
Chaughule RS, Barve RS. Role of herbal medicines in the treatment of infectious diseases. Vegetos. 2023. https://doi.org/10.1007/s42535-022-00549-2
Bhawana S, Afroz A. Phytochemical profiling, antioxidant potential and antimicrobial activities of Dalbergia sissoo Roxb. Ann Phytomed. 2022;11(1):383-88. https://doi.org/10.54085/ap.2022.11.1.43
Bassolé IHN, Juliani HR. Essential oils in combination and their antimicrobial properties. Molecules. 2012;17(4):3989-4006. https://doi.org/10.3390/molecules17043989
Liu X, Tang B, Gu Q, Yu X. Elimination of the formation of biofilm in industrial pipes using enzyme cleaning technique. MethodsX. 2014;1:130-136. https://doi.org/10.1016/j.mex.2014.08.008
Ramage G, Williams C. The clinical importance of fungal biofilms. Adv Appl Microbiol. 2013;84:27-83. https://doi.org/10.1016/B978-0-12-407673-0.00002-3
Ramage G, Rajendran R, Sherry L, Williams C. Fungal biofilm resistance. Int J Microbiol. 2012;2012:528521. https://doi.org/10.1155/2012/528521
Armstrong D, Meintjes G, Brown GD. A neglected epidemic: fungal infections in HIV/AIDS. Trends Microbiol. 2014;22(3):120-127. https://doi.org/10.1016/j.tim.2014.01.001
Colombo AL, Padovan ACB, Chaves GM. Current knowledge of Trichosporon spp. and trichosporonosis. Clin Microbiol Rev. 2011;24(4):682-700. https://doi.org/10.1128/CMR.00003-11
Liao Y, Lu X, Yang S, Luo Y, Chen Q, Yang R. Epidemiology and outcome of Trichosporon fungemia: a review of 185 reported cases from 1975 to 2014. Open Forum Infect Dis. 2015;2(1):ofv141. https://doi.org/10.1093/ofid/ofv141
Pan W, Khayhan K, Hagen F, Wahyuningsih R, Chakrabarti A, Chowdhary A, et al. Resistance of Asian Cryptococcus neoformans serotype A is confined to few microsatellite genotypes. PLoS One. 2012;7(3):e32868. https://doi.org/10.1371/journal.pone.0032868
Pfaller MA. Antifungal drug resistance: mechanisms, epidemiology, and consequences for treatment. Am J Med. 2012;125(Suppl):S3-S13. https://doi.org/10.1016/j.amjmed.2011.11.001
Arendrup M, Boekhout T, Akova M, Meis JF, Cornely OA, Lortholary O. ESCMID and ECMM joint clinical guidelines for the diagnosis and management of rare invasive yeast infections. Clin Microbiol Infect. 2014;20(Suppl 3):76-98. https://doi.org/10.1111/1469-0691.12360
Gowri M, Jayashree B, Jeyakanthan J, Girija EK. Sertraline as a promising antifungal agent: inhibition of growth and biofilm of Candida auris with special focus on the mechanism of action in vitro. J Appl Microbiol. 2020;128(2):426-437. https://doi.org/10.1111/jam.14490
Bassolé IHN, Juliani HR. Essential oils in combination and their antimicrobial properties. Molecules. 2012;17(4):3989-4006. https://doi.org/10.3390/molecules17043989
Harley B, Quagraine A, Neglo D, Aggrey M, Orman E, Mireku G, et al. Metabolite profiling, antifungal, biofilm formation prevention, and disruption of mature biofilm activities of Erythrina senegalensis stem bark extract against Candida albicans and Candida glabrata. PLoS One. 2022;17(11):e0278096. https://doi.org/10.1371/journal.pone.0278096
Meiyazhagan G, Raju R, Winfred SB, Mannivanan B, Bhoopalan H, Shankar V, et al. Bioactivity studies of β-lactam derived polycyclic fused pyrrolidine/pyrrolizidine derivatives in dentistry: in vitro, in vivo and in silico studies. PLoS One. 2015;10(7):e0131433. https://doi.org/10.1371/journal.pone.0131433
Meiyazhagan G, Winfred SB, Jayashree B, Prabhu D, Raghavan S, Surabi RP, et al. β-Lactam substituted polycyclic fused pyrrolidine/pyrrolizidine derivatives eradicate C. albicans in an ex vivo human dentinal tubule model by inhibiting sterol 14-α demethylase and cAMP pathway. Biochim Biophys Acta. 2016;1860(4):636-647. https://doi.org/10.1016/j.bbagen.2015.12.020
Gowri M, Jayashree B, Jeyakanthan J, Girija EK. Sertraline as a promising antifungal agent: inhibition of growth and biofilm of Candida auris with special focus on the mechanism of action in vitro. J Appl Microbiol. 2020;128(2):426-437. https://doi.org/10.1111/jam.14490
Yang S, Liao Y, Cong L, Lu X, Yang R. In vitro interactions between non-steroidal anti-inflammatory drugs and antifungal agents against planktonic and biofilm forms of Trichosporon asahii. PLoS One. 2016;11(6):e0157047. https://doi.org/10.1371/journal.pone.0157047
Iturrieta I, Padovan A, Bizerra F, Hahn R, Colombo A. Multiple species of Trichosporon produce biofilms highly resistant to triazoles and amphotericin B. PLoS One. 2014;9(10):e109553. https://doi.org/10.1371/journal.pone.0109553
Seepe HA, Nxumalo W, Amoo SO. Natural products from medicinal plants against phytopathogenic Fusarium species: current research endeavours, challenges and prospects. Molecules. 2021;26(21):6539. https://doi.org/10.3390/molecules26216539
Mahlo SM, Chauke HR, McGaw L, Eloff J. Antioxidant and antifungal activity of selected medicinal plant extracts against phytopathogenic fungi. Afr J Tradit Complement Altern Med. 2016;13(4):216-222. https://doi.org/10.21010/ajtcam.v13i4.28
Martinez LR, Casadevall A. Biofilm formation by Cryptococcus neoformans. Microbiol Spectr. 2015;3(3):MB-0006-2014. https://doi.org/10.1128/microbiolspec.MB-0006-2014
Mayer FL, Wilson D, Hube B. Candida albicans pathogenicity mechanisms. Virulence. 2013;4(2):119-128. https://doi.org/10.4161/viru.22913
Spadari C, Vila T, Rozental S, Ishida K. Miltefosine has a post-antifungal effect and induces apoptosis in Cryptococcus yeasts. Antimicrob Agents Chemother. 2018;62(3):e00312-18. https://doi.org/10.1128/AAC.00312-18
Fonseca S, Teixeira T, Ferreira J, Lima L, Luyten W, Castro AHF. Flavonoid-rich fractions of Bauhinia holophylla leaves inhibit Candida albicans biofilm formation and hyphae growth. Plants. 2022;11(14):1796. https://doi.org/10.3390/plants11141796
Mcotshana Z, McGaw L, Kemboi D, Fouche G, Famuyide I, Krause R, et al. Cytotoxicity and antimicrobial activity of isolated compounds from Monsonia angustifolia and Dodonaea angustifolia. J Ethnopharmacol. 2023;301:115170. https://doi.org/10.1016/j.jep.2022.115170
Méndez D, Escalona A, Pérez E, Foubert K, Matheeussen A, Tuenter E, et al. Antifungal activity of extracts, fractions, and constituents from Coccoloba cowellii leaves. Pharmaceuticals. 2021;14(9):917. https://doi.org/10.3390/ph14090917
Omoruyi BE, Afolayan AJ, Bradley G. Chemical composition profiling and antifungal activity of the essential oil and plant extracts of Mesembryanthemum edule (L.) Bolus leaves. Afr J Tradit Complement Altern Med. 2014;11(4):19-30. https://doi.org/10.4314/ajtcam.v11i4.4
Moreira R, Ferreres F, Gil-Izquierdo Á, Gomes NGM, Araújo L, Pinto E, et al. Antifungal activity of Guiera senegalensis: from the chemical composition to the mitochondrial toxic effects and tyrosinase inhibition. Antibiotics. 2023;12(5):869. https://doi.org/10.3390/antibiotics12050869
Adewole AH, Famuyide IM, McGaw LJ, Selepe MA, October N. Antifungal compounds from the leaves of Rhynchosia minima. Chem Biodivers. 2022;19(12):e202200837. https://doi.org/10.1002/cbdv.202200837
DOI: https://doi.org/10.46903/gjms/23.1.Special.1637
Refbacks
- There are currently no refbacks.
Copyright (c) 2025. Tahane Bashir M Ahmed, Shaheena Tabassum, Muhammad Musthafa Poyil

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Gomal Medical College, Daraban Road, Dera Ismail Khan, Pakistan
ISSN: 1819-7973, e-ISSN: 1997-2067
Website: https://www.gmcdikhan.edu.pk
Phone: +92-966-747373


