Anti-Staphylococcus aureus activity of methanol extracts of 12 plants used in Cameroonian folk medicine

Background The emergence of bacterial infections including those associated with Staphylococcus aureus causes a benefit of interest to medicinal plants as an effective means of control. The present study was designed to investigate the activities of 12 selected Cameroonian medicinal plants against S. aureus isolates. Methods The plant extracts were prepared by maceration in methanol at laboratory temperature. Qualitative phytochemical analysis was performed by chemical reaction methods. The broth microdilution method was used to evaluate the activities of plant extracts against 11 S. aureus clinical isolates. Results Dacryodes edulis was found to have significant antibacterial activity on all the S. aureus isolates (MIC = 64–256 µg/ml). Occimum gratissimum revealed significant inhibitory activity on 9 of the 11 isolates while Commelina erecta and Spilanthes filicaulis revealed similar results on 6 of the 11 clinical isolates. Conclusion The present findings showed that D. eduli, O. gratissimum,C. erecta and S. filicaulis possess interesting inhibitory properties against S. aureus species. These plants could therefore be good candidates to overcome infectious diseases associated with these microorganisms.


Background
Infectious diseases are becoming a major cause of human and animal mortality and morbidity. This is further aggravated by the rapid development of multi-drug resistance, limited antibacterial spectrum and adverse effects of available antimicrobial agents [1]. Human pathogenic bacteria include amongst others Staphylococcus aureus; a major cause of bacteremia, associated with higher morbidity and mortality compared to other bacteremia-causing pathogens [2]. The burden of S. aureus bacteremia, particularly methicillin-resistant S. aureus bacteremia is due to the fact that, it is highly expensive in terms of cost and resource. The incidence of S. aureus bacteremia and its complications has increased abruptly in recent years because of the increased frequency of invasive procedures which has led to great number of immunocompromised patients and resistance of S. aureus strains to available antibiotics. This changing epidemiology of S. aureus bacteremia, in combination with the inherent virulence of the pathogen, is commanding an urgent need for improved strategies and better antibiotics to prevent and treat S. aureus bacteremia [3,4].
The investigation of certain indigenous plants for their antimicrobial properties may yield useful results. This has consequently increased the attention and demand given to antimicrobials derived from the plants [5]. Natural products, either as pure compounds or as standardized plant extracts, provide exceptional opportunities for new drug leads because of the unmatched chemical diversity of naturally derived compounds [6,7]. The medicinal value of plants is associated with some Open Access

Collection and identification of plant samples
Twelve plant samples were used in this study. They were collected either from Santchou or Dschang in April 2011, Menoua division, West Region of Cameroon. The taxonomical authentication of identity was undertaken by a botanist at the National Herbarium of Cameroon in Yaounde where voucher specimens were deposited. For each plant, the part used, the identification code, previous studies and ethnobotanical surveys are presented in Table 1.

Preparation of plant extracts and preliminary qualitative phytochemical screening
The leaves or the stems of each plant were air-dried at room temperature (20 ± 4 °C) before grinding to powder with a mechanical grinder. The powder (150 g) was macerated in methanol (300 ml) for 4 days with a three times daily shaking, the mixture was then filtered using Whatmann filter paper No. 1. The filtrate was concentrated at 50 °C under reduced pressure using a rotary evaporator (Buchi R-200) and further dried using a vacuum concentrator (SC250EXP).
The qualitative phytochemical analysis was performed following standard methods [21].

Microorganisms
A total of 11 clinical isolates of S. aureus were used. They were isolated locally on Mannitol salt agar slant (Conda, Madrid, Espagne) from patients with urogenital infections. The species was confirmed following morphological observations and biochemical tests [22]. These micro-organisms were maintained in agar slants.

Antimicrobial susceptibility testing
Luria-Bertani agar (Himedia, India) was used for the upkeeping of the isolates, whereas Luria-Bertani broth (LBB) was used for antimicrobial susceptibility testing using broth microdilution method.
The antibacterial activity was investigated by determining the minimum inhibitory concentrations (MICs) and the minimum bactericidal concentrations (MBCs). The

Qualitative phytochemical composition
Freshly prepared extracts were subjected to phytochemical screening for various constituents. The results revealed the presence of Phytochemical compounds including alkaloids, anthocyanins, anthraquinones, flavonoids, phenols, tannins and triterpenes (Table 2). Only Dacryodes edulis extract was found to contain saponins.

Antibacterial activity
The antibacterial activities of the 12 plant extracts on S. aureus isolates are presented in Table 3. D. edulis and Occimum gratissimum with MIC values ranging from 64-256 µg/ml were found to have the best inhibitory activity on almost all the tested microorganisms. Scoparia dulcis, Spilanthes filicaulis, Commelina erecta and E. spciosa with MIC = 64-512 µg/ml were found to have similar antibacterial activity, being more active compared to Kalanchoe crenata (MIC = 512-1024 µg/ ml). Aspilia africa, Drymaria cordata, Portulaca oleracea and Sida veronicifolia were almost inactive on these microorganisms.
Considering all the inhibitory activity, MICs values of all the active plant extracts were almost fourfold less than their MBCs values.

Discussion
The plants selected in this study are all used in Cameroonian traditional medicine to overcome a wide range of diseases. Ethno-pharmacological data have confirmed their role in health maintenance and promotion, but the major challenge is either to provide scientific evidence or to produce complementary data of their previous well established antibacterial properties.

S. dulcis S. filicaulis S. veronicifolia
Phenols erecta and E. spciosa tested in the present study displayed antibacterial activity on bacterial isolates tested. This evidence emphasizes the role of ethnopharmacological data as a framework for the discovery of bioactive compounds from plants.
Antimicrobial activity of plant extracts are routinely classified on the basis of susceptibility tests that produce MICs values in the range of 500-1500 μg/ml [24]. The activity is considered to be significant if MICs values are below 500 μg/ml and moderate when the MICs vary from 500 to 1500 μg/ml. Based on this scale, D. edulis was found to have significant antibacterial activity on all the 11 S. aureus isolates. O. gratissimum revealed similar activity on nine of the 11 isolates while C. erecta and S. filicaulis revealed similar results on 6 of the 11 clinical isolates. In general, MBC/MIC ratios less than or equal to four signifies a bactericidal effect of the test substance [15]. This indicates that the bactericidal effect of the active plant extracts could be expected.
Previous studies on the antibacterial activity of the essential oil of Lippia sidoides on clinical isolates of S. aureus had revealed a much important activity compared to other plants (MIC 400 µl/ml) [25]. The above plant extracts have proven much higher activities. Therefore these plants could be good candidates to overcome infectious diseases associated with S. aureus. These results are relevant since this microorganism is one of the most important human pathogens associated with hospital and community-acquired infections. Over the last few decades, the number and proportion of methicillin-resistant S. aureus infections in different countries has increased due to the rise of epidemics in humans [2,26] and other animals, such as dogs, cats, cattle, pigs and exotic species [27].
Dacryodes. edulis and O. gratissimum activity are in accordance with previous work. Indeed, significant antibacterial activity of these plants on many bacterial species including S. aureus is well documented [10,[28][29][30][31]. Nevertheless, the real extend of this previous antibacterial results could not be compared to the present finding since the agar diffusion tests were performed.
The antibacterial activity of S. dulcis [32], S. filicaulis [33] and K. crenata [20] was earlier reported on Gram negative and Gram positive bacteria including S. aureus. Except K. crenata extract which revealed similar weak activity on S. aureus [15]. It was difficult to compare the limit as earlier mentioned. The present findings are therefore additional data that support the antibacterial activity of these plants as potent candidates to overcome infections associated with bacteria including S. aureus. To the best of our knowledge, the antibacterial activity of C. erecta and particularly on S. aureus is reported here for the first time.
The phytochemical screening was in accordance with reported data but slight differences were noted [15,30,[34][35][36]. The phytochemical groups found in these extract could explain the antibacterial activity observed as well as the differences since the secondary metabolites of plants have many effects including antimicrobial properties [37]. Moreover, the differences could be attributed mainly to the chemical reaction method commonly used to identify the phytochemical groups of constituents. In fact, plant extracts are usually colored and this may mask specific color of some particular phytochemical group. The origin of the plant materials and the nature of the solvent for extraction are other factors that may affect the composition. Moreover, the distribution of these phytochemical groups varied from one organ to another.

Conclusion
The present finding showed that D. eduli, O. gratissimum, C. erecta and S. filicaulis possess interesting inhibitory properties against S. aureus species. These data are promising and could encourage further researches on phytochemical, toxicological and pharmacological aspects of these extract-products in order to support their possible rational use in antimicrobial therapy, particularly, in anti-S. aureus therapy.