Anti-Mycobacterial Activity Of Labisia Pumila Benth. & Hook. F. And Its Bioactive Constituents Against Surrogate Tuberculosis Organisms

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Date
2016-07
Authors
Jamaludin, Nur Liyana
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Abstract
The development of multidrug resistant tuberculosis (TB) strains becomes a major factor contributing to the rise of global TB incidence. Therefore, the urgent need of effective, safe and inexpensive anti-TB drugs has geared many researches towards natural products including plants. Partitions from Labisia pumila were investigated to evaluate their anti-mycobacterial potential against Mycobacterium tuberculosis surrogate organisms (M. smegmatis, M. fortuitum, and M. kansasii) using tetrazolium microdilution assay. The most active partitions were produced by n-hexane of stem-root and leaf parts against M. kansasii with minimum inhibitory concentrations (MICs) of 50 - 200 μg/mL. These partitions were selected for bioassay guided fractionation process using column chromatographic techniques, which produced 20 different fractions. These fractions were screened against M. kansasii and fractions R2, R6, and L7 exhibited the most promising activity (MIC: 25 – 50 μg/mL). Further screening of these active fractions was carried out against M. tuberculosis H37Ra strain and the MIC values produced were 12.5, 50 and 100, μg/mL, respectively. Phytochemical analysis of the most active R2 fraction using gas chromatography-mass spectrometry resulted in the identification of three major compounds; vaccenic acid, octadecanoic acid, and 10-heptadecenoic acid. The activity of these compounds against M. tuberculosis H37Ra exhibited MIC values 100 - 400 μg/mL, displaying lower activity compared to their original fraction R2 xviii (MIC: 12.5 μg/mL). Interaction study of R2 fraction with first-line anti-TB drugs against M. kansasii and M. tuberculosis H37Ra using checkerboard method produced one synergistic interaction with rifampicin against M. tuberculosis H37Ra, with fractional inhibitory concentration index (FICI) value of 0.375, increasing the individual activity of fraction and drug by eight and four folds, respectively. This synergistic interaction was further verified using time-kill assay and produced an additive interaction of 94.46 % killing rate at the end of the study period. The observation of M. tuberculosis H37Ra cells treated with R2 fraction using transmission electron microscopy (TEM) showed the breakage of the outer cell structure and deformation of the tubercle cells. Cytotoxicity study of R2 fraction against nasopharyngeal epithelial cell line, NP69 revealed that it was highly cytotoxic with IC50 value of 7.57 ± 1.75 (mean ± SD) μg/mL. In conclusion, the promising anti-mycobacterial activity of L. pumila indicates its potential as a source of remedy for the treatment of TB.
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The development of multidrug resistant tuberculosis , contributing to the rise of global TB incidence.
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