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PHYTOCHEMICAL ANALYSIS AND ANTIBACTERIAL PROPERTIES

OF MADRE DE AGUA (Trichanthera gigantea) ROOT AND STEM

CRUDE EXTRACTS AGAINST METHICILLIN-RESISTANT

Staphylococcus aureus AND Escherichia coli

Submitted as an entry for the Regional Science and Technology Fair 2023

Research Proponent:

Berlie Daniel M. Yap

Research Adviser:

Brecini Faith V. Tan

REGIONAL SCIENCE HIGH SCHOOL FOR REGION – IX

Malasiga, San Roque, Zamboanga City

October 2023
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

ABSTRACT

Antibacterial resistance and prevalence of multidrug resistant bacteria is a continuous global health
danger, as well as efforts to address this complicated issue. This study aimed to determine the
antibacterial properties of Madre de agua (Trichanthera gigantea) against Methicillin-resistant
Staphylococcus aureus (MRSA) and Escherichia coli and the combined effect of the Minimum
Inhibitory Concentrations (MICs) of T. gigantea root and stem crude extracts with ciprofloxacin
against MRSA. This would be beneficial for pharmacists, biologists, and researchers finding
components for prescriptions and/or antidotes for multidrug resistant bacteria. The T. gigantea
root and stem crude extracts were collected through dehydrating, blending, pulverizing, Soxhlet
crude fat extraction, and rotary evaporation. Set-ups A1 to A4 were the root group, set-ups B1 to
B4 were the stem group, and set-up C was the control group. The experimental groups had a
concentration of 1000 μL plant crude extract and normal saline solution. Set-up A1 and B1 (25%),
set-up A2 and B2 (50%), set-up A3 and B3 (75%), set-up A4 and B4 (100%). The crude extracts
were subjected to three different tests: First, qualitative phytochemical analysis; Ferric chloride
test for tannins, Lead acetate test for flavonoids, Mayer’s test for steroids, and Foam test for
saponins. Second, agar-well diffusion antibacterial assay utilizing Escherichia coli and
Methicillin-resistant Staphylococcus aureus. Third, modified Epsilometer tests utilizing the MICs
of the T. gigantea root and stem crude extracts and ciprofloxacin. Based on the results and findings,
tannins, saponins, and steroids were found in both root and stem crude extracts. All experimental
groups exhibited antibacterial properties against MRSA and are significantly higher than
ciprofloxacin as P-values were 0.0000353529 and 0.0011611 which are lesser than 0.05. However,
T gigantea was not effective against E. coli as the experimental set-ups did not exceed the cutoff
of the control group; there were also significant differences among the experimental set-ups of
against E. coli as succeeding P-values are 9.22×10-19 and 1.08×10-26 which are lesser than 0.05.,
although did not exhibit antibacterial properties against E. coli. Combination assay results revealed
antagonism in all groups as T. gigantea MIC 25% root crude extract and ciprofloxacin revealed
ZIs of 38.333 + 40.333 > 60.667, MIC 25% stem crude extract and ciprofloxacin revealed ZIs of
39.333 + 40.167 > 59.833. Therefore, T. gigantea root, stem, and ciprofloxacin can act as an
antibacterial agent alone for MRSA.

i
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Table of Contents

INTRODUCTION ........................................................................................................................ 1

METHODOLOGY ..................................................................................................................... 11

RESULTS .................................................................................................................................... 19

DISCUSSIONS ............................................................................................................................ 24

CONCLUSION ........................................................................................................................... 27

REFERENCES............................................................................................................................ 29

APPENDICES ............................................................................................................................. 35

ii
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

INTRODUCTION

The significance of antibiotic resistance is a continuous global health danger, as well as

efforts to address this complicated issue (Frieri, Kumar, and Boutin, 2017). Despite breakthroughs

in antibiotic therapy, infectious complications continue to be a significant cause of death and

morbidity in hospitalized patients. Although medical practitioners can treat these individuals with

second or third-choice medications, the use of these synthetic pharmaceuticals may put the patient

at greater risk due to the chance of the drugs having adverse side effects (Zembower, 2014).

The increasing rate of antibacterial resistance and multidrug-resistant bacteria poses

significant challenges in fighting bacterial infections. The lack of effective medications,

preventative measures, and limited new antibiotics require novel alternatives (Mühlen and Dersch,

2015).

According to the first World Health Organization (WHO) regional assessment on the health

and economic impact of antimicrobial resistance (AMR), an estimated 5.2 million people in the

Western Pacific Region will die because of drug-resistant bacterial infections between today and

the end of 2030 (Nery, 2023). Methicillin-resistant Staphylococcus aureus (MRSA) is a severe

danger to global public health. In the Philippines, there have been few research addressing the

issue at hand (Valle et al., 2016). MRSA prevalence in the Philippines have been over 50% since

2010 (Masim et al. 2021).

The wide use of Ciprofloxacin, a broad-spectrum antibiotic, in treating E. coli and MRSA

related bacterial diseases has resulted in a rise in resistance among these bacteria (Nwabuife,

Andeve, and Govender, 2022).

Antibiotic availability over the counter has been demonstrated to be reflected in prevalent

pre-admission antibiotic therapy in hospitalized patients. A common predicament in the

1
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Philippines is that antibiotics can be bought without a physician’s prescription, yet the options and

doses are frequently inaccurate (Sombrero et al., 2008), hence, in 2016 the Philippines adopted

RA 10918, commonly referred to as the Pharmacy Law mandating a prescription for the

administration of antibiotics. Some municipal governments have implemented laws on the

Rational Use of Medicines to ban the selling of antibiotics outside of pharmacies. This policy is

being applied and monitored at the present time. The Department of Health (DOH), Research

Institute for Tropical Medicine (RITM), and experts created the Antimicrobial Stewardship

Program for hospitals, which encourages the formation of teams of service providers, pharmacists,

and microbiologists based on their specialized roles. This program has been implemented in all

the country's Level 2 and Level 3 hospitals (ICAMR, et al., 2023).

It is imperative that therapeutic antimicrobial research focuses more on the suppression of

medically relevant bacteria such as community-acquired and hospital-acquired Methicillin-

resistant Staphylococcus aureus (MRSA) (Lai et al., 2014). Antibacterial properties of medicinal

plants have been progressively documented from various regions of the world in recent years.

Antibiotic resistance requires controlling antibiotic use, understanding resistance genetics, and

developing new antibiotics and therapeutic strategies. Advances in natural antimicrobial sources

and antibiotic chemical diversity provide chemical leads for new drugs. In developing nations, it

is critical to create effective but less priced antibiotics for all patients, regardless of financial

situation, in order to reduce some of the human variables that can produce multidrug resistant

bacteria (Valle et al., 2015).

In the agricultural industry, the use of antibacterial agents as growth promoters, as well as

preventative and therapeutic treatments, has been linked to the emergence of methicillin-resistant

S. aureus (MRSA) in livestock (Badua et al., 2020).

2
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Trichanthera gigantea has been used medicinally for both humans and domesticated

animals (Daniel, 2015). According to Kien et al., Trichanthera gigantea is primarily used as a feed

ingredient in poultry and rabbit diets to improve farm animal products such as meat and eggs.

Stems and branches of green food plants such as Trichanthera gigantea are frequently removed

while creating leaf meal, and only fresh leaves are utilized (2020). Results of Quiceno’s study

revealed that Trichanthera gigantea contains several phytochemicals of pharmaceutical

significance. In terms of biological activity, it was discovered that the plant possesses inhibitory

action, implying that Trichanthera gigantea has pharmacologically significant qualities (2022).

The researcher hypothesized the antibacterial potential of Trichanthera gigantea roots and stems

since the leaves of the same species are proven to exhibit antibacterial properties.

There have been no published research studies online on the antibacterial properties of

Madre de agua (Trichanthera gigeantea) roots and stems. Lack of scientific information has

frequently been cited as a key impediment to considering the use of traditional herbal treatments

in combination with or as a cost-effective alternative to standard medical therapy.

This study aimed to determine the antibacterial properties of Madre de agua (Trichanthera

gigantea) root and stem crude extracts after a phytochemical analysis and determine the Minimum

Inhibitory Concentration (MIC). It also aimed to determine the combined effects of the MICs of

Madre de agua (Trichanthera gigantea) root and stem crude extracts with ciprofloxacin against

Methicillin-resistant Staphylococcus aureus.

Specifically, the researcher aimed to answer the following questions:

1. What phytochemicals are present in Madre de agua (Trichanthera gigantea) root and stem

crude extracts?

3
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

2. Is there a significant difference in the antibacterial properties through the diameters of

zones of inhibition after treating the following bacteria: gram positive bacteria: MRSA;

gram negative bacteria: E. Coli in the following set-ups?

A. Set-up A1: 25% v/v concentration of Madre de agua (Trichanthera gigantea) root crude

extract and Normal Saline Solution

B. Set-up A2: 50% v/v concentration of Madre de agua (Trichanthera gigantea) root crude

extract and Normal Saline Solution

C. Set-up A3: 75% v/v concentration of Madre de agua (Trichanthera gigantea) root crude

extract and Normal Saline Solution

D. Set-up A4 100% v/v concentration of Madre de agua (Trichanthera gigantea) root

crude extract and Normal Saline Solution

E. Set-up B1: 25% v/v concentration of Madre de agua (Trichanthera gigantea) stem

crude extract and Normal Saline Solution

F. Set-up B2 50% v/v concentration of Madre de agua (Trichanthera gigantea) stem crude

extract and Normal Saline Solution

G. Set-up B3 75% v/v concentration of Madre de agua (Trichanthera gigantea) stem crude

extract and Normal Saline Solution

H. Set-up B4 100% v/v concentration of Madre de agua (Trichanthera gigantea) stem

crude extract and Normal Saline Solution

I. Control: 5 μg of Ciprofloxacin

3. What is the Minimum Inhibitory Concentration (MIC) of Madre de agua (Trichanthera

gigantea) root and stem crude extracts in E. Coli and MRSA?

4
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

4. Does Madre de agua (Trichanthera gigantea) root crude extract, stem crude extract and

ciprofloxacin have a synergistic, additive, or antagonistic effect when combined?

This study focused on examining both the phytochemical analysis and antibacterial

properties of Madre de agua (Trichanthera gigantea) root and stem crude extracts as well as the

combination assay of the said components along with ciprofloxacin. This would be beneficial for

pharmacists, biologists, and researchers finding components for prescriptions and/or antidotes for

multidrug resistant bacteria. This study would provide baseline results of Trichanthera gigantea

roots and stems as there are no published studies online that have examined the phytochemicals

and antibacterial properties of Trichanthera gigantea.

The study was limited to the qualitative phytochemical analysis and antibacterial properties

of Madre de agua (Trichanthera gigantea) root and stem crude extracts. Five phytochemicals were

screened through a qualitative phytochemical analysis, namely, tannins, flavonoids, alkaloids,

saponins, and steroids; nine set-ups were made and tested on E. Coli and MRSA to determine the

antibacterial properties. The Minimum Inhibitory Concentrations (MICs) of Madre de agua

(Trichanthera gigantea) were also determined through the set-ups of the antibacterial assay. The

combination assay of the MICs of Madre de agua (Trichanthera gigantea) root and stem crude

extracts with ciprofloxacin against MRSA were screened to determine a synergistic, additive, or

antagonistic effect. The results for the qualitative phytochemical analysis were obtained by testing

the set-ups at Zamboanga State College of Marine Science and Technology Chemistry Laboratory

whereas the data for the antibacterial methods were obtained at Zamboanga City Medical Center,

Department of Pathology, Microbiology section.

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ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

REVIEW OF RELATED LITERATURE

Madre de Agua

Nguyễn et al. discovered significant chemical compounds in Madre de agua (Trichanthera

gigantea) leaves, including flavonoids, phenols, saponins, tannins, and essential oils. Trichanthera

gigantea leaves exhibited antibacterial properties on E. coli (2022). Furthermore, secondary

metabolites such as alkaloids, steroids, and triterpenoids were also present in the leaves of

Trichanthera gigantea. The plant extract revealed antibacterial properties on E. coli and S. aureus

strains (Quiceno, 2022). Another study conducted by Delgado et al. revealed moderate presence

of tannins in Trichanthera gigantea foliage (2012). According to Gutiérrez, Posada, and Romero,

Trichanthera gigantea reproduces vegetatively by cuttings. An adult tree of Trichanthera gigantea

has a lateral root system reaching up to a depth of 1.6 m and lateral length of 5.0 m. These lateral

roots have large numbers of secondary roots which extend to distances of 4-5 m (2013).

Roots

Roots are essential for plant growth since they are the plant component that accumulates

water and nutrients from the soil (Tajima, 2021). Flavonoids, phenols, alkaloids, tannins,

phytosterols, and saponins are among the most abundant phytochemicals found in plant roots

(Ardalani et al., 2021).

Tannins

Tannins have been extensively researched in the biomedical sector of science due to its

unique antibacterial capabilities confirmed by in vitro methods. Tannins have been shown to have

antibacterial activity against both Gram-positive and Gram-negative bacteria such as S. aureus,

6
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

and E. coli. Tannin-rich plant extracts have powerful antibacterial properties. Tannins’

antibacterial activity is explained by their capacity to permeate through the bacterial cell wall up

to the internal membrane, causing interference with the cell's metabolism and, as a result, its

demise. Tannin activity is swift in Gram positive bacteria. However, because of the presence of a

bilayered membrane, it is slower in Gram-negative bacteria. Gram negative bacteria are more

dangerous and cause specific illnesses; hence, testing for this type of bacteria is extremely

important (Kaczmarek, 2020).

Flavonoids

Flavonoids, also known as polyphenolic chemicals, have been extensively investigated for

their antibacterial properties due to their ability to inhibit the growth of a wide range of pathogenic

microorganisms, including multidrug resistant bacteria (Shamsudin et al., 2022). Flavonoid

derivatives have been proven to have antibacterial properties in various research studies (Ayele,

Akele, and Melese, 2022). Some synthetic flavonoid derivatives also demonstrated noteworthy

antibacterial properties against multidrug-resistant Gram-negative and Gram-positive bacteria,

including E. coli and S. aureus (Farhadi et al., 2019).

The most crucial element of flavonoids is that they must maintain their amphiphilic

properties to penetrate bacteria and exercise their effective antibacterial effect. As a result,

considering these significant structural properties of antibacterial flavonoids while orchestrating

novel synthetic methods may play an important role in synthesizing improved antibacterial

medications to overcome the severe hurdles associated with resistant microorganisms (Shamsudin

et al., 2022).

7
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Alkaloids

Previous studies on active principles have revealed that the presence of compounds such

as alkaloids is extremely beneficial on both an ecological and medicinal scale. Alkaloids have been

reported to have antibacterial properties because they interact with the cell wall and weaken its

defensive systems (Quiceno, 2022).

Saponins

Saponins are detergent-like compounds with antibacterial properties (Arabski et al., 2012).

They are secondary metabolite found in a variety of plant parts, including stems and roots

(Moghimipour and Handali, 2015). The chemical structures of distinct saponins determine their

antibacterial activity (Dong et al., 2020). A study by Ajibade et al., revealed that pure isolated

saponins from Phyllanthus niruri showed anti-MRSA activity, concluding that saponins have the

potential to be further developed into an antibacterial agent (2019).

Steroids

Steroids are one of the phytochemical compounds that are known to be biologically active

and hence help in plant antibacterial activity (Nethathe and Ndip, 2011). Plant steroids are known

to have antibacterial properties (Tambe, Pedhekar, and Harshali, 2021). Nadaraia et al. revealed

that fourteen steroid compounds exhibited excellent antibacterial behavior, with MIC ranging from

0.003-0.96 mg/mL (2019).

8
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Gram Positive Bacteria

Gram-positive bacteria lack an outer membrane, although their Peptidoglycan layers are

several times thicker than those of Gram-negative bacteria. Long anionic polymers termed as

teichoic acids are embedded in the inner membrane and connected to the Peptidoglycan layers,

and they serve many functions in cell envelope physiology and pathogenesis (Rajagopal and

Walker, 2015). Gram-positive bacteria develop resistance by either enzymatically degrading

antibiotics through the production of β-lactamases or by decreasing the affinity and susceptibility

of their target site, the penicillin-binding protein (PBP), through either the acquisition of

exogenous DNA or changes in the native PBP genes (Jubeh, Breijyeh, and Karaman, 2020).

Methicillin-resistant Staphylococcus aureus

Methicillin resistance developed in S. Aureus because of a chromosomal mutation in a

penicillin-binding protein. The peptidoglycan matrix is required for survival and is heavily

functionalized with other glycopolymers in gram-positive organisms. In many gram-positive

species, wall teichoic acids are the most prevalent Peptidoglycan-linked glycopolymers. Wall

teichoic acids are essential for methicillin-resistant Staphylococcus aureus (MRSA) β-lactam

resistance, and they alter sensitivity to cationic antibiotics in different organisms (Brown, Santa

Maria, and Walker, 2013). Bacteriophages spread this form of resistance across S. Aureus

organisms (Lakhundi and Zhang, 2018). According to CDC, common infections caused by the

MRSA bacteria are skin infections and lung diseases such as pneumonia (2019).

Gram-negative Bacteria

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ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Gram-negative bacteria have three layers in their envelope. The first layer is the outer

membrane, which serves as a protective and distinctive characteristic between Gram-negative and

Gram-positive bacteria. The peptidoglycan cell wall is the second layer, while the inner membrane

is the third. Gram-negative bacteria's outer membrane is the primary cause of resistance to a wide

range of antibiotics, including β-lactams, quinilons, colistins, and others (Breijyeh, Jubeh, and

Karaman 2020).

Escherichia Coli

It is normally found in the human intestine but can also cause intestinal and extraintestinal

sickness (Mueller and Tainter, 2023).

Colibacillosis is an illness caused by the bacteria E. coli, which is generally found in the

lower intestines of most warm-blooded mammals. In contrast, recent research has shown that

animals are substantial repositories of plasmid-mediated colistin resistance genes, which are

primarily found in E. coli isolates and may provide an additional risk to humans (Poirel et al.,

2018).

Ciprofloxacin, norfloxacin, and sulfamethoxazole-trimethoprim were 100% effective

against E. coli isolates, whereas gentamicin, streptomycin, ceftazidime, nalidxic acid,

nitrofurantoin, kanamycin, amikacin, and chloramphenicol were 89-63.4% effective (Sarba et al.,

2019). Another recently conducted study by Jafari-Sales, Hossein-Nezhad, and Shahniani, E. Coli

strain isolates were revealed to have high susceptibility levels on ceftriaxone (66.6%) and

ciprofloxacin (36.7%) (2020).

10
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

METHODOLOGY

Research Locale

The crude extracts of Madre de Agua (Trichanthera gigantea) roots and stems were

extracted at Zamboanga State College of Marine Science and Technology Chemistry Laboratory

as well as the phytochemical analysis. The testing transpired at Zamboanga City Medical Center

Laboratory, Department of Pathology, Microbiology section.

Research Design

The researcher utilized the After only with Control design, wherein the data was collected

after the MIC assay test for each strand of bacterium, as the seven set-ups were applied to

determine which concentration exhibited the most antibacterial property.

Figure 1. Experimental Layout for the antibacterial property in After only with control design

Experimental Groups Control Group

Set-up A1- Set-up B1-


A4 B4 E. Coli (β1) MRSA (β2)

E. Coli MRSA E. Coli MRSA


(β1) (β2) (β1) (β2)

11
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

General Procedure

Collection of Madre de agua roots and stems

The Madre de agua (Trichanthera gigantea) roots and stems were collected at the City

Veterinarian, San Roque Road, San Jose Gusu, Zamboanga City. Both roots and stems were

thoroughly washed with water to remove all unwanted dirt. They were air-dried and stored in a

sterile air-tight container until further use.

Preparation of Madre de agua roots and stems coarse powder

The roots and stems of Trichantera gigantea were dehydrated in a food dehydrator at 40°C

until constant weight was obtained using an electronic balance. The dried materials were then

pulverized using a sterile laboratory mortar and pestle and then grinded using a blender. The

powder and debris were separated using a sterile laboratory sieve. The powder was transferred to

a sterile zip lock bag.

Soxhlet crude fat extraction of Madre de agua root and stem powder

The powder was transferred to a sterile filter paper and weighed using an electronic scale.

The Madre de agua (Trichanthera gigantea) root and stem powder were extracted separately for

16 hours by a Soxhlet extractor using 50% ethanol.

Crude extract preparation for Madre de agua roots and stems

The method of Valle et al. (2015) was used with minimal modifications. Specifically, the

resulting aqueous extracts were centrifuged in a rotary evaporator continuously for 78°C at 56

12
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

r/min for 5 hours, until the solvent had been completely evaporated. The crude extracts were

collected and dried at room temperature.

Phytochemical Analysis

Qualitative Phytochemical Analysis

a. Tannins

- In the determination of the presence of tannins in both Madre de agua (Trichanthera

gigantea) root and stem crude extracts, a few drops of 5%w/v FeCl3 solution was added

to 1-2mL of the crude extract. The presence of tannins was determined by the formation

of dark green or black color (Joshi, Bhobe, and Sattarkar 2013).

b. Flavonoids

- In the determination of the presence of flavonoids in both Madre de agua (Trichanthera

gigantea) root and stem crude extracts, the Lead acetate test was employed. 1 mL of

lead acetate solution was added to 2mL of the crude extract. The presence of flavonoids

was determined by the formation of yellow precipitate (Joshi, Bhobe, and Sattarkar

2013).

c. Alkaloids

- In the determination of the presence of alkaloids in both Madre de agua (Trichanthera

gigantea) root and stem crude extracts, Mayer’s test was employed. A few drops of

Mayer’s reagent were added to 2mL of the extract. The presence of alkaloids was

determined by the formation of white or pale yellow precipitate (Joshi, Bhobe, and

Sattarkar 2013).

d. Saponins

13
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

- In the determination of the presence of saponins in both Madre de agua (Trichanthera

gigantea) root and stem crude extracts, the Foam test was employed. The crude extract

was mixed with distilled water and shaken thoroughly. The presence of saponins was

determined by the observation of persistent foam (Joshi, Bhobe, and Sattarkar 2013).

e. Steroids

- In the determination of the presence of steroids in both Madre de agua (Trichanthera

gigantea) root and stem crude extracts, 1 mL of the crude extract was dissolved in 10

mL of chloroform, and an equal volume of concentrated H2SO4 acid was added from

the test tube's side. The presence of steroids was determined by the observation of the

upper layer turning red and the H2SO4 layer turning yellow with green fluorescence or

by the formation of red rings (Joshi, Bhobe, and Sattarkar 2013).

Antibacterial experiment

Test microorganisms

This study's panel of test organisms for initial in vitro antibacterial screening comprises the

following: E. Coli and Methicillin-resistant S. Aureus. All bacterial strands were acquired at

Zamboanga City Medical Center, Department of Pathology, Microbiology section. Identification

of microorganisms were done through CRISPR-Cas9 American Type Culture Collection (ATCC).

Antibacterial assay of Madre de agua root and stem extracts

The procedure of Ayoade, Musbau, and Musa, 2007 was utilized with modifications.

Subcultured colony of MRSA and E. coli with the ATCC identification number were inoculated

with standardized innocula McFarland standard (1.5 x 108 cells/mL). At the middle of each

14
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Mueller-hinton agar plate, 5 mm diameter wells were bored, and 150 μL of the various

concentrations of the crude extracts were distributed into each well. At room temperature, the

extracts were allowed to diffuse into the medium for 1 hour. After incubating for 24 h at 37°C, the

zones of growth inhibition were measured using a vernier caliper and reported in millimeters. The

control was set up in the same way, but the extract was replaced with ciprofloxacin 5 μg disc.

Determination of minimum inhibitory concentration (MIC)

Each test was done in three trials. The minimum inhibitory concentration (MIC) of the

Madre de agua (Trichanthera gigantea) roots and stem were determined after the agar-well

diffusion antibacterial assay tests to which the lowest concentration resulting zones of inhibition

was the MIC.

Combination Assay

The combined interactions were evaluated by Epsilometer tests with modifications

(Lorian, 2005). Sterile Whatman filter paper strips were soaked for 1 hour in three different petri

dishes containing the MICs of root extract, stem extract, and ciprofloxacin. The soaked sterile

Whatman filter paper strips were then placed perpendicularly on the Mueller-hinton agar plates

swabbed with MRSA. The plates were incubated for 24 hours at 37°C. After incubation, the zones

of inhibition surrounding the intersections were measured using a vernier caliper.

The individual averages of zones of inhibition for Madre de agua (Trichanthera gigantea)

root and stem crude extracts and ciprofloxacin were measured then summated to compare to the

ZIs of the combined group.

Synergistic = A + B < C

15
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Additive = A + B = C

Antagonistic = A + B > C

Wherein;

A = Crude extract

B = Ciprofloxacin

C = Both

Statistical Analysis

Evaluation of the antibacterial activities was done by computing the average results of the

diameters of zones of inhibition of E. Coli, and MRSA. Utilization of one-way-ANOVA for

comparison of the zones of inhibitions in the experimental group – different concentrations of

Trichanthera gigantea roots and stem extracts – and the control group – ciprofloxacin – to

determine the significant difference among the set-ups. Furthermore, Tukey HSD (Honest

Significant Difference), a Post-hoc test, was done to determine which between the set-ups had the

significant difference.

Disposal treatment

The substances after the phytochemical analysis were transferred to sealed containers with

labels. Test tubes, pipettes, and beakers in the phytochemical analysis were thoroughly washed.

BSL-2 (Biosafety Level 2) precautions were taken for the disposal treatment of the antibacterial

analysis. The disposable test tubes and agar plates used for the antibacterial analysis were stored

inside a yellow bag and subjected to an autoclave prior to disposal to black bag trash can. Reusable

test tubes and glass plates were autoclaved and washed using tap water. A chemical indicator

16
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

(autoclave tape) was used for the sterilization, once it turned black, it reached the desired PSI, and

thus, the materials were completely sterilized.

17
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Figure 2. Flowchart of the methodology conducted in this study

Collection of Madre de agua (Trichanthera gigantea) roots and stems

Preparation of Madre de agua (Trichanthera gigantea) root and stem coarse powder

Soxhlet extraction of Madre de agua (Trichanthera gigantea) roots and stems

Crude extract preparation for Madre de agua (Trichanthera gigantea) roots and stems

Preliminary phytochemical analysis

Test microorganisms

Antibacterial assay of Madre de agua (Trichanthera gigantea) root and stem extracts

Determination of minimum inhibitory concentration (MIC) and Minimum bactericidal


concentration (MBC)

Combination Assay of crude extracts and ciprofloxacin against Methicillin-resistant


Staphylococcus aureus

Recording of generated data

18
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

RESULTS

Table 1. Phytochemical Analysis Results for Root and stem Crude Extract

Phytochemicals Name of Test Stem crude extract Root crude extract


Tannins Ferric chloride test + +
Flavonoids Lead acetate test - -
Alkaloids Mayer’s test - -
Saponins Foam test + +
Steroids Salkowski’s test + +
Legend: + = presence of phytochemical - = absence of phytochemical

Table 1 shows the qualitative phytochemical analysis results for Madre de agua

(Trichanthera gigantea) root and stem crude extracts. Tannins were present in both extracts and

passed the ferric chloride test. Flavonoids exhibited a negative result during the lead acetate test.

Alkaloids showed the same the result on Mayer’s test. Saponins on the other hand, were present

in foam test. In Salkowski’s test, steroids were detected on stem crude extracts.

Figure 3. The mean data of the diameters of zones of inhibition (mm) of each set-up

containing different concentrations of Madre de agua root crude extract.

Average data for MDR Zones of Inhibition in MRSA


35
30
25
20
15
10
5
0
A1 A2 A3 A4 Control

Diameters of zones of inhibition in mm

Figure 3 shows the mean data of the zones of inhibition of each set-up containing different

concentrations of Madre de agua (Trichanthera gigantea) root crude extract against Methicillin-

19
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

resistant Staphylococcus aureus. The average for set-up A1 is 30.667; for set-up A2, 31.667; for

set-up A3, 32.333; for set-up A4, 30.667; for the control group, 24.667.

Figure 4. The mean data of the diameters zones of inhibition of each set-up containing

different concentrations of Madre de agua stem crude extract

Average data for MDS Zones of Inhibition in MRSA


35
30
25
20
15
10
5
0
B1 B2 B3 B4 Control

Diameters of zones of inhibition in mm

Figure 4 shows the mean data of the zones of inhibition of each set-up containing different

concentrations of Madre de agua (Trichanthera gigantea) stem crude extract against Methicillin-

resistant Staphylococcus aureus. The average for set-up B1 is 31.667; for set-up B2, 30.333; for

set-up B3, 31.667; for set-up B4, 33.333; for the control group, 26.333.

Figure 5. The mean data of the diameters zones of inhibition of each set-up containing

different concentrations of Madre de agua root crude extract

Average data for MDR Zones of Inhibition in E. coli


35
30
25
20
15
10
5
0
A1 A2 A3 A4 Control

Diameters of zones of inhibition in mm

20
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Figure 5 shows the mean data of the zones of inhibition of each set-up containing different

concentrations of Madre de agua (Trichanthera gigantea) root crude extract against Escherichia

coli. set-up A1 showed no zones of inhibition; for set-up A2, 5.667 mm; for set-up A3, 7 mm; for

set-up A4, 8 mm; for the control group, 30.333 mm.

Figure 6. The mean data of the diameters of zones of inhibition of each set-up containing

different concentrations of Madre de agua stem crude extract

Average data for MDS Zones of Inhibition in E. coli


30
25
20
15
10
5
0
B1 B2 B3 B4 Control

Diameters of zones of inhibition in mm

Figure 6 shows the mean data of the zones of inhibition of each set-up containing different

concentrations of Madre de agua (Trichanthera gigantea) root crude extract against Escherichia

coli. All experimental groups revealed no zones of inhibition whereas the control group revealed

30.333 mm.

21
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Figure 7. The mean data of combination assay of each set-up from the Madre de Agua roots

and ciprofloxacin group

Average Data for Combination assay in Madre de Agua


roots group
100
80
60
40
20
0
Sum of the Individual ZIs Combined ZI

Zones of inhibition in mm

Figure 7 shows the mean data of the combination assay containing the minimum inhibitory

concentration (MIC) of Madre de agua (Trichanthera gigantea) root crude extract which was the

25% concentration and ciprofloxacin. The sum of the individual ZIs is 78.667 and the combined

ZI is 60.667.

Figure 8. The mean data of combination assay of each set-up from the Madre de Agua stem

and ciprofloxacin group

Average Data for Combination assay in Madre de Agua


stem group
100
80
60
40
20
0
Sum of Individual Zis Combined ZI

Zones of inhibition in mm

Figure 8 shows the mean data of the combination assay containing the minimum inhibitory

concentration (MIC) of Madre de agua (Trichanthera gigantea) stem crude extract which was the

22
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

25% concentration and ciprofloxacin. The sum of the individual ZIs is 79.500 and the combined

ZI is 59.833.

23
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

DISCUSSIONS

Phytochemicals and Antibacterial Assay

Based on table 1, tannins, saponins, and steroids are the common phytochemicals

discovered in Madre de agua (Trichanthera gigantea) root and stem crude extracts. In comparison

to a similar study by Nguyễn et al., to which leaf crude extracts were used, it revealed that tannins

and saponins were present, however alkaloids were absent (2022). The crude extracts passed the

ferric chloride test. It functions on the principle that phenolics react with iron salts to produce a

blue or green black result, hence tannins are present (Bharudin, Zakaria, and Chia 2013). The red

color in the positive result for Salkowski test in the screening for steroids is caused by the creation

of bi-sulfonic acid of bi-cholestadiene. In this reaction, concentrate sulfuric acid removes two

molecules of water from two molecules of cholesterol, resulting in the formation of bicholestadien.

If cholesterol is present, sulfuric acid sulfonates this, resulting in the synthesis of bi-sulfonic acid

of bi-cholestadiene red color (Gupta, 2019). In the foam test for saponin screening, saponin

molecules align vertically on the surface of an aqueous solution of distilled water and plant extract,

with their hydrophobic ends directed away from the water. This causes the water's surface tension

to decrease, causing it to foam (Kregiel et al., 2017). The Mayer’s test for alkaloids is explained

through nitrogen atoms with free electron pairs of alkaloids. A covalent bond coordinate is formed

when this pair of free electrons combines with the metal. The reaction of alkaloid test with this

reagent may occur when the electrons of the nitrogen atom react with the K+ ion of dipotassium

tetraIodomercurate, resulting in the formation of a potassium-alkaloid complex with white

precipitate (Warsi and Sholichah 2017). Madre de agua (Trichanthera gigantea) root and stem

crude extracts failed in the Mayer’s test for alkaloids, thus, this reaction did not occur.

24
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Madre de agua (Trichanthera gigantea) root and stem crude extracts were proven to be an

efficient antibacterial agent against MRSA as the diameters of ZIs were significantly higher than

the control group as shown in tables 5 and 6 as succeeding P-values are 0.0000353529 and

0.0011611 which are lesser than 0.05. However, Trichanthera gigantea is not effective against E.

coli as the experimental set-ups did not exceed the cutoff of the control group in reference to

figures 5 and 6. In reference to tables 9 and 10, there are also significant differences among the

experimental set-ups of Trichanthera gigantea root and stem crude extracts against E. coli as

succeeding P-values are 9.22 × 10!"# and 1.08 × 10!$% which are lesser than 0.05.

Antibacterial activity towards MRSA has three stages: (1) cell membrane attachment; (2)

cell membrane fluidity modification; and (3) cell membrane structure disruption (Chew et al.

2018). According to Safitri et al., Gram-positive bacteria's cell wall is mostly composed of

peptidoglycans, teichoic acids, and plasma membranes. Inhibiting bacterial cell wall synthesis can

be undertaken by eliminating peptidoglycans or teichoic acids. The hydrogen bonds formed

between teichoic acids and saponins cause the phosphate groups in teichoic acids to become

unstable, leading the synthesis of cell wall bacteria to be stopped and the cell wall to lyse (2018).

Hence, this supports the susceptibility of MRSA to both Madre de agua (Trichanthera gigantea)

root and stem crude extracts due to the presence of saponin phytochemicals. Tannins’ antibacterial

activity is explained by their capacity to permeate through the bacterial cell wall up to the

internal membrane, causing interference with the cell's metabolism and, as a result, its demise.

Tannin activity is swift in Gram positive bacteria. However, it is slower in Gram-negative bacteria

due to the presence of a bilayered membrane (Kaczmarek, 2020). Thus, the Madre de agua

(Trichanthera gigantea) root and stem crude extracts had antibacterial properties on gram-positive

MRSA and otherwise on gram-negative E. coli.

25
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Combination Assay

Synergy testing is performed using advanced susceptibility testing methodologies that

account for antimicrobial combinations and quantify their cumulative effectiveness. The purpose

of synergy testing is to establish if the impact of two antibacterial agents is larger than the sum of

their separate activities by assessing their in vitro interaction. Antimicrobial combinations can

function additively, where the cumulative antimicrobial impact is just the sum of the two

antimicrobials operating together, or synergistically, where the combined activity exceeds the sum

of their separate activities. These approaches, on the other hand, can find antagonistic pairings

(Doern 2014, 2). On table 14, Madre de agua (Trichanthera gigantea) root crude extracts and

ciprofloxacin showed antagonism as both treatments for all trials had greater zones of inhibition

than the zones of inhibition combined. As per definition, A + B > C is antagonism. Data from

figure 6 shows average of roots ZI + average of ciprofloxacin ZI > average of both combined:

38.333 + 40.333 > 60.667. The same is also the case for Madre de agua (Trichanthera gigantea)

stem crude extracts and ciprofloxacin as shown on table 15. Data from figure 7 shows average of

stem ZI + average of ciprofloxacin ZI > average of both combined: 39.333 + 40.167 > 59.833.

Therefore, Madre de agua (Trichanthera gigantea) roots, stems, and ciprofloxacin can act alone

as antibacterial agents.

26
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

CONCLUSION

Based on the analysis of results and findings, tannins, saponins, and steroids are present in

Madre de agua (Trichanthera gigantea) root and stem crude extracts with antibacterial properties

against Methicillin-resistant Staphylococcus aureus although ineffective against Escherichia coli.

In reference to tables 5 and 6, there are significant differences among the experimental set-

ups of Madre de agua (Trichanthera gigantea) root and stem crude extracts as succeeding P-values

are 0.0000353529 and 0.0011611 which are lesser than 0.05. In reference to tables 9 and 10, there

are also significant difference among the experimental set-ups of Trichanthera gigantea root and

stem crude extracts as succeeding P-values are 9.22 × 10!"# and 1.08 × 10!$% which are lesser

than 0.05. The minimum inhibitory concentration (MIC) of Trichanthera gigantea root and stem

crude extracts is 25% v/v concentration. Trichanthera gigantea was proven to be a remarkable

antibacterial treatment for MRSA as the experimental groups had ZIs higher than the ZI of

ciprofloxacin and showed significant differences between the control groups.

Trichanthera gigantea and ciprofloxacin revealed antagonistic effects as the individual

averages were greater than the combined average. Results for root crude extracts revealed that

38.333 + 40.333 > 60.667 and for stem crude extracts, 39.333 + 40.167 > 59.833. Trichanthera

gigantea and ciprofloxacin are antagonistic and can work alone as an antibacterial component.

Although, it remains unclear what mechanism causes the antagonism of Trichanthera gigantea

root and stem crude extracts in combination. Thus, further procedures must be employed to

identify if this antagonism can be beneficial for Trichanthera gigantea roots and stems being

components for antibiotics.

27
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

RECCOMENDATIONS

The researcher recommends the following for improvement and a better understanding of the

study:

• Compute the percentage yield of the plant extracts.

• Conduct a quantitative phytochemical analysis.

• Examine the interactions of Madre de agua (Trichanthera gigantea) root and stem crude

extracts to Methicillin-resistant Staphylococcus aureus and Escherichia coli to a

microscopic level.

• Isolate the phytochemicals of Madre de agua (Trichanthera gigantea) root and stem crude

extracts and examine its interactions on the mechanisms of Methicillin-resistant

Staphylococcus aureus and Escherichia coli.

• Utilize the checkerboard method for the combination assay and calculate the Fractional

Inhibitory Concentration Index (FICI).

• Investigate the interactions of Madre de agua (Trichanthera gigantea) root and stem crude

extracts with ciprofloxacin on the mechanism of their antagonistic effect to a microscopic

level.

• Conduct a physicochemical analysis for the plant extracts.

• Investigate the utilization of Madre de agua (Trichanthera gigantea) stem and/or root as a

component for an antibiotic or antidote for Methicillin-resistant Staphylococcus aureus

related diseases.

28
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

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Zembower, Teresa R. 2014. “Epidemiology of Infections in Cancer Patients.” In Infectious
Complications in Cancer Patients, edited by Valentina Stosor and Teresa R. Zembower,
161:43–89. Cancer Treatment and Research. Cham: Springer International Publishing.
https://doi.org/10.1007/978-3-319-04220-6_2.

News Articles

Nery, Maria Cristina. “Antimicrobial Resistance Expected to Cause 5.2 Million Deaths in the
Western Pacific by 2030.” World Health Organization. June 13, 2023.
https://www.who.int/westernpacific/news/item/13-06-2023-antimicrobial-resistance-
expected-to-cause-5.2-million-deaths-in-the-western-pacific-by-2030.

Internet Reports

Inter-Agency Committee on Antimicrobial Resistance (ICAMR), Department of Agriculture


(DA), Department of Health (DOH), Food and Agriculture Organization of the United
Nations (FAO), and World Health Organization (WHO). “Philippine National Action Plan
on Antimicrobial Resistance 2019-2023.” Pharmaceutical Division. Quezon City,
Philippines: Department of Health (DOH), 2023. https://pharma.doh.gov.ph/the-
philippine-action-plan-to-combat-antimicrobial-resistance-2019-2023/.

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ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Theses

Mauricio, Rosales. “Trichanthera gigantea (Humboldt & Bonpland.) Nees: A Review.” (1997).
Accessed, August 20, 2023.

Websites

Sherrell, Zia. “What Are Gram Positive Bacteria?” Medical News Today, 2023.
https://www.medicalnewstoday.com/articles/gram-positive-bacteria.
Sizar, Omeed, Stephen W. Leslie, and Chandrashekhar G. Unakal. “Gram-Positive Bacteria.”
National Library of Medicine, May 30, 2023.
https://www.ncbi.nlm.nih.gov/books/NBK470553/.
Oliveira, Junio, and Wanda C. Reygaert. “Gram-Negative Bacteria.” National Library of
Medicine, August 8, 2023. https://www.ncbi.nlm.nih.gov/books/NBK538213/.
Mueller, Matthew, and Christopher R. Tainter. “Escherichia Coli Infection.” National Library of
Medicine, July 13, 2023. https://www.ncbi.nlm.nih.gov/books/NBK564298/.
Albrecht, Julie. “Escherichia Coli O157:H7 (E Coli).” UNL Food, August 13, 2015.
https://food.unl.edu/escherichinia-coli-o157h7-e-coli.
PubChem. 2023. “Ethanol.” PubChem. October 14, 2023.
https://pubchem.ncbi.nlm.nih.gov/compound/Ethanol.
“General Information | MRSA | CDC,” June 26,
2019. https://www.cdc.gov/mrsa/community/index.html.
What Is Biotechnology? “CRISPR Enables Gene Editing on an Unprecedented Scale.” Accessed
August 21, 2023.
https://www.whatisbiotechnology.org/index.php/science/summary/crispr.

ATCC. “About Us.” Accessed August 21, 2023. https://www.atcc.org/about-us.

Online Forum/Question

Dr. Gupta, Amit. (2019). Re: How does Salkowski's Test for Steroid content work?. Retrieved
from: https://www.researchgate.net/post/How-does-Salkowskis-Test-for-Steroid-content-
work/5c77d3dbf8ea5296bb2ce192/citation/download.

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ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

ACKNOWLEDGEMENTS

• To the Almighty God, for providing me sufficient and steadfast physical and emotional

strength throughout the timeframe of this study despite shortcomings and challenges. I was

not alone, for I was with Him all throughout.

• To Berlie Gamaliel Yap, my older brother, for being my primary consultant, designated

supervisor, and supporting my objectives for this study, helping me define unfamiliar terms

and bridging the qualities of this study; his patience and prowess in the field of medicine,

guiding me throughout my thesis.

• To my parents Berlie G. Yap and Delia M. Yap, for providing financial and emotional

support despite the extravagant expenses.

• To Sir Nico Palaran, for helping in the procurement of the samples and speeding up the

preparation process.

• To Sir Anthon Glenn Antonio, for heading the extraction and phytochemical analysis while

providing explanations on concepts about such.

• To Sir Richard, for approving my study for experimentation at Zamboanga City Medical

Center Laboratory, Department of Pathology, Microbiology section.

• To my adviser, Ma’am Brecini Faith Tan, for directing me throughout the study and

offering availability despite a busy schedule.

• To myself writing this right now, I am proud of you for accomplishing great feats. Continue

to strive, explore, and do your best not only in the field of science, but also throughout your

life; this marks as a significant milestone of your RSHS-IX journey.

34
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

APPENDICES

Appendix 1. Expenses and Schedule of Activities

A. Proposed Budget

SERVICE FEE COST (PHP)

Consultation Fee PHP 2000.00

Ethanol PHP 4500.00

Transportation fee PHP 300.00

Lab technician fee (All bacteria included) PHP 3000.00

TOTAL PHP 7000.00

B. Schedule of Activities

ACTIVITIES TIME FRAME (IN DAYS)

A. Planning Stage

Choosing of Study 1

Gathered Information 6

Subtotal 7

B. Implementation Stage

Combining Data 7

Encoding 3

Subtotal 10

C. Experimentation data

Procurement of Materials 1

35
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Processing of raw materials 3

Extraction 3

Experiment 4

Observations/Data Collection 1

Subtotal 12

D. Analysis Stage

Analyze Data 2

Analyze the Research Report 4

Subtotal 6

E. Revising Stage

Schoolwide oral defense 1

Final revisions 1

Subtotal 2

Total 37

36
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Appendix 2. Certificate for Plant Verification

20,

37
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Appendix 3. ISEF Forms


Form 1. Checklist for Adult Sponsor

38
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Form 1A. Student Checklist

39
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Form 1B. Approval Form

40
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Form 2. Qualified Scientist

41
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Form 2. Qualified Scientist

42
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Form 3. Risk Assessment Form

43
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Form 3. Risk Assessment Form

44
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Form 6A. Potentially Hazardous Biological Agents Risk Assessment Form

45
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Appendix 4. Documentations

Appendix 4A. Procurement of experimental sample

Zamboanga City Veterinarian Madre de agua stems, roots, and leaves

Appendix 4B. Preparation for crude extraction

Washing Dehydration Weighing

Pounding Grinding Separation of Debris

Weighing of powder

46
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Appendix 4C: Crude extraction

Soxhlet extraction Rotary evaporation

Appendix 4D: Preliminary Phytochemical Analysis

T1 T2 T3 Control T1 T2 T3 Control

Ferric Chloride test for Tannins (MDR) Ferric Chloride test for tannins (MDS)

T1 T2 T3 Control

T1 T2 T3 Control

Lead acetate test for Flavonoids (MDR) Lead acetate test for Flavonoids (MDS)

47
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

T1 T2 T3 Control
T1 T2 T3 Control

Mayer’s test for Alkaloids (MDR) Mayer’s test for Alkaloids (MDS)

T1 T2 T3 Control
T1 T2 T3 Control

Salkowski’s test for Steroids (MDR) Salkowski’s test for Steroids (MDS)

T1 T2 T3 Control T1 T2 T3 Control

Foam test for Saponins (MDR) Foam test for Saponins (MDS)

48
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Appendix 4E: Preparation for Antibacterial Assay

Preparation of Adjustment to Swabbing of bacterial


bacterial inoculum McFarland standard inoculum

Preparation of crude Applying the treatments Incubation


extracts

Appendix 4F: Antibacterial Assay

MRSA stem MRSA roots E. Coli

49
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Appendix 4G: Preparation for Combination Assay

Soaking in stem crude Soaking in root crude Soaking in Ciprofloxacin

Appendix 4H: Combination Assay

Ciprofloxacin and stem Ciprofloxacin and root

Appendix 5. Supplementary data

Table 2. Results for Soxhlet crude fat extraction

Filter Paper Sample Weight after


Product TN
(grams) (grams) extraction (grams)
T1 2.4 30.8 26.1
T2 2.2 24.6 19
Madre de agua (Trichanthera
T3 2.6 21.8 18.6
gigantea) root
T4 2.4 25 20.4
T5 2.2 25.3 21.5

50
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

T6 2.8 48.8 43.7


T7 2.4 49.7 44.4
T8 2.4 24 17.9
T9 2.8 25.5 20
T10 2.2 29.3 20
T11 2.2 27.2 16.6
Madre de agua (Trichanthera T12 2.5 36.6 25.9
gigantea) stem T13 2.7 45.9 34.2
T14 2.5 37 26
T15 2.2 25.2 20.4
T16 2.2 23.3 16

Table 3. Panel of test organisms for primary antibacterial in vitro screening

Characteristic Species Source


Enterobacteriaceae Escherichia coli ATCC 25922
Gram-positive Methicillin-resistant ATCC 43300
coccus, MDR Staphylococcus aureus

Table 4. Diameters of zones of inhibition of set-ups against clinical isolates of bacteria

Madre de agua roots Madre de agua stem


TN
A1 A2 A3 A4 Control B1 B2 B3 B4 Control
T1 32 32 33 30 24 34 32 32 33 25
MRSA

T2 30 31 31 30 24 30 30 31 34 28
T3 30 32 33 32 26 31 29 32 33 26
T1 - 7 8 8 29 - - - - 28
E. Coli

T2 - 5 6 8 32 - - - - 29
T3 - 5 7 8 30 - - - - 28

Table 5. One-way ANOVA results for Diameters of zones of inhibition for Madre de agua root

crude extracts in MRSA

Source of SS df MS F P-value F crit


Variation
Between Groups 112.666667 4 28.1666667 24.8529412 0.0000353529 3.47804969
Within Groups 11.3333333 10 1.13333333

51
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Total 124 14

Table 6. One-way ANOVA results for Diameters of zones of inhibition for Madre de agua stem

crude extracts in MRSA

Source of SS df MS F P-value F crit


Variation
Between Groups 84 4 21 10.862069 0.0011611 3.47804969
Within Groups 19.3333333 10 1.93333333

Total 103.333333 14

Table 7. Post-hoc (Tukey HSD) test results for Diameters of zones of inhibition for Madre de

agua root crude extracts in MRSA

Pairs |𝑥̄ ! − 𝑥̄ " | Critical Value Significant at


%5?
A1 + A2 1 2.21384281 Not Significant
A1 + A3 1.66666667 2.21384281 Not Significant
A1 + A4 0 2.21384281 Not Significant
A1 + Control 6 2.21384281 Significant
A2 + A3 0.66666667 2.21384281 Not Significant
A2 + A4 1 2.21384281 Not Significant
A2 + Control 7 2.21384281 Significant
A3 + A4 1.66666667 2.21384281 Not Significant
A3 + Control 7.66666667 2.21384281 Significant
A4 + Control 6 2.21384281 Significant

Table 8. Post-hoc (Tukey HSD) test results for Diameters of zones of inhibition for Madre de

agua stem crude extracts in MRSA

Pairs |𝑥̄ ! − 𝑥̄ " | Critical Value Significant at


%5?
B1 + B2 1.33333333 2.8914875 Not Significant
B1 + B3 0 2.8914875 Not Significant
B1 + B4 1.66666667 2.8914875 Not Significant
B1 + Control 5.33333333 2.8914875 Significant

52
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

B2 + B3 1.33333333 2.8914875 Not Significant


B2 + B4 3 2.8914875 Significant
B2 + Control 4 2.8914875 Significant
B3 + B4 1.66666667 2.8914875 Not Significant
B3 + Control 5.33333333 2.8914875 Significant
B4 + Control 7 2.8914875 Significant

Table 9. One-way ANOVA results for Diameters of zones of inhibition for Madre de agua root

crude extracts in E. coli

Source of SS df MS F P-value F crit


Variation
Between Groups 3366.57778 4 841.644444 1262.46667 9.22 × 10!"# 3.05556828
Within Groups 10 15 0.66666667

Total 3376.57778 19

Table 10. One-way ANOVA results for Diameters of zones of inhibition for Madre de agua stem

crude extracts in E. coli

Source of SS df MS F P-value F crit


Variation
Between Groups 2568.88889 4 642.222222 14450 1.08 × 10!$% 3.05556828
Within Groups 0.66666667 15 0.04444444

Total 2569.55556 19

Table 11. Post-hoc (Tukey HSD) test results for Diameters of zones of inhibition for Madre de

agua root crude extracts in E. coli

Pairs |𝑥̄ ! − 𝑥̄ " | Critical Value Significant at


%5?
A1 + A2 5.66666667 1.69793992 Significant
A1 + A3 7 1.69793992 Significant
A1 + A4 8 1.69793992 Significant
A1 + Control 30.3333333 1.69793992 Significant
A2 + A3 1.33333333 1.69793992 Not Significant

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ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

A2 + A4 2.33333333 1.69793992 Significant


A2 + Control 24.6666667 1.69793992 Significant
A3 + A4 1 1.69793992 Not Significant
A3 + Control 23.3333333 1.69793992 Significant
A4 + Control 22.3333333 1.69793992 Significant

Table 12. Post-hoc (Tukey HSD) test results for Diameters of zones of inhibition for Madre de

agua stem crude extracts in E. coli

Pairs |𝑥̄ ! − 𝑥̄ " | Critical Value Significant at


%5?
B1 + B2 0 2.8914875 Not Significant
B1 + B3 0 2.8914875 Not Significant
B1 + B4 0 2.8914875 Not Significant
B1 + Control 28.3333333 2.8914875 Significant
B2 + B3 0 2.8914875 Not Significant
B2 + B4 0 2.8914875 Not Significant
B2 + Control 28.3333333 2.8914875 Significant
B3 + B4 0 2.8914875 Not Significant
B3 + Control 28.3333333 2.8914875 Significant
B4 + Control 28.3333333 2.8914875 Significant

Table 13. Combination assay test raw data

Groups 1 2 3
Roots 38 + 38 37 + 38 39 + 40
Ciprofloxacin 39 + 42 40 + 38 41 + 42
Roots + Ciprofloxacin 63 + 58 62 + 60 59 + 62
Stem 40 + 40 38 + 37 41 + 40
Ciprofloxacin 40 + 39 41 + 39 40 + 42
Stem + Ciprofloxacin 61 + 59 60 + 58 59 + 62

Table 14. Combination assay test results for Madre de agua roots group

Trials Roots Ciprofloxacin Both Results Conditions Conclusion


T1 38 40.5 60.5 78.5 > 60.5 A + B > C Antagonistic
T2 37.5 39 61 76.5 > 61 A + B > C Antagonistic
T3 39.5 41.5 60.5 81 > 60.5 A + B > C Antagonistic

54
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Table 15. Combination assay test results for Madre de agua stem group

Trials Stem Ciprofloxacin Both Results Conditions Conclusion


T1 40 39.5 60 79.5 > 60 A+B>C Antagonistic
T2 37.5 40 59 77.5 > 59 A+B>C Antagonistic
T3 40.5 41 60.5 81.5 > 60.5 A+B>C Antagonistic

Table 16. One-way ANOVA results for combination assay roots group

Source of SS df MS F P-value F crit


Variation
Between Groups 916.222222 2 458.111111 499.757576 2.12E-07 5.14325285
Within Groups 5.5 6 0.91666667

Total 921.722222 8

Table 17. Post-hoc (Tukey HSD) test results for combination assay for Madre de agua root

groups

Pair |𝑥̄ ! − 𝑥̄ " | Critical Significant at %5?


Value
Roots & Cipro 2.5 2.39902526 Significant
Roots & Both 22.5 2.39902526 Significant
Cipro & Both 20 2.39902526 Significant

Table 18. One-way ANOVA results for combination assay stem group

Source of SS df MS F P-value F crit


Variation
Between Groups 807.722222 2 403.861111 323.088889 7.79E-07 5.14325285
Within Groups 7.5 6 1.25

Total 815.222222 8

55
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Table 19. Post-hoc (Tukey HSD) test results for combination assay for Madre de agua stem

groups

Pair |𝑥̄ ! − 𝑥̄ " | Critical Significant at %5?


Value
Stem & Cipro 0.83333333 2.80145795 Not Significant
Stem & Both 20.5 2.80145795 Significant
Cipro & Both 19.5 2.80145795 Significant

56
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

OPERATIONAL DEFINITION OF TERMS

Madre de agua. Trichanthera gigantea, common name Madre de agua, is the primary species

studied in this thesis for phytochemicals and antibacterial properties, specifically, the roots and

stems. Madre de agua (Trichanthera gigantea) is a tree or shrub found in Colombia's Andean

foothills and neighboring Central and South American nations, it adapts well to a broad range of

tropical environments and has been successfully transplanted to Vietnam, Cambodia, and the

Philippines (Mauricio, 1997).

Soxhlet crude fat extraction. Soxhlet crude fat extraction is an extraction method used for Madre

de agua (Trichanthera gigantea) roots and stems with the use of 50% ethanol to acquire the

resulting aqueous extract. According to Oliveros and Horn, the Soxhlet extractor provides efficient

results through lengthy extraction of 16 to 20 hours (2009).

Rotary evaporation. Rotary evaporation is an extraction method used for Madre de agua

(Trichanthera gigantea) roots and stems after the Soxhlet crude fat extraction to evaporate the

remaining ethanolic content and attain the pure extract. According to Pubchem, the boiling point

of ethanol (C2H6O) is 78.24°C (2014).

Crude extract. Crude extracts are pure extracts of Madre de agua (Trichanthera gigantea) root

and stems that had undergone the process of Soxhlet fat crude extraction and rotary evaporation

remove unnecessary components. Crude extracts are used in phytochemical analyses and

antibacterial studies to determine the properties of Madre de agua (Trichanthera gigantea) on such.

Phytochemicals. Tannins, flavonoids, alkaloids, steroids, and saponins are the phytochemicals

used in this study. Phytochemicals play a crucial role in antibacterial studies as they have impacts

on the mechanisms of bacteria. Thus, this study evaluated the contribution of phytochemicals

57
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

found in Madre de agua (Trichanthera gigantea) root and stem crude extracts to the antibacterial

properties.

Food dehydrator. Food dehydrator is used to constantly dry Madre de agua (Trichanthera

gigantea) roots and stems in three successive trials until constant weight is obtained.

Ciprofloxacin. Ciprofloxacin is a commercialized antibiotic used as a control group in this study.

Ciprofloxacin is proven to have an antibacterial effect on Methicillin-resistant Staphylococcus

aureus and Escherichia coli. Ciprofloxacin is also used as a drug in combination of Madre de agua

(Trichanthera gigantea) root and stem crude extracts.

Gram-positive Bacteria. Gram-positive bacteria have thick cell walls. Experts classify them as

Gram-positive cocci or bacilli based on their form (Sherrell, 2023). Gram-positive bacteria can be

recognized using crystal violet dye, which interacts with the bacteria to produce blue color under

a microscope; this relates to the thick peptidoglycan (PG) layer's capacity to hold the dye (Sizar et

al., 2023). Gram-positive bacteria are classified into three shapes: cocci (spherical), bacilli (rod),

and branching filaments (threadlike) (Sherrell, 2023).

Staphylococcus aureus. Staphylococcus is a Gram-positive cocci genus in the Staphylococcaceae

family, Firmicutes. It is 0.8μm in diameter, organized like a “string of grapes” under a microscope,

aerobic or anaerobic, and grows best at 37°C and pH7.4. The colonies on blood agar plate are

thick, shiny, and spherical, measuring 12mm in diameter. The majority of them are hemolytic,

generating a clear hemolytic ring around colonies on blood agar plates (Guo et al. 2020).

Gram-negative Bacteria. Gram-negative bacteria may be identified by their color because they

do not retain the complex stain and must be counter-stained with safranin to produce the pink

color. This is due to the morphology or composition of the cell wall (Moyes, Reynolds, and

58
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

Breakwell 2009). An example of a gram-negative bacterium is Escherichia coli which was utilized

in this study.

Escherichia coli. Escherichia Coli is a Gram-negative bacillus that comes from the family

Enterobacteriaceae (Breijyeh, Jubeh, and Karaman 2020). E. Coli grows in the optimal

temperature of 37°C and can survive at pH 3.6 (Albrecht, 2015). E. coli is a gram-negative,

straight, rod-shaped, non-sporing, acid-fast bacillus that exists in singles and pairs. Cells are

generally rod-shaped, measuring 1-3 μm 0.4-0.7 μm in length, 0.35 m in width, and 0.6-0.7 μm in

volume (Basavaraju and Gunashree, 2023).

Gram-positive Bacteria. Gram-positive bacteria can be recognized using crystal violet dye, which

interacts with the bacteria to produce blue color under a microscope; this relates to the thick

peptidoglycan (PG) layer's capacity to hold the dye (Sizar et al., 2023). An example of a gram-

positive bacterium is Methicillin-resistant Staphylococcus aureus which was utilized in this study.

Methicillin-resistant Staphylococcus aureus. Methicillin-resistant Staphylococcus aureus is a

multidrug resistant gram-positive bacterium. Its resistance is due to the β-lactam production

mechanism (Jubeh, Breijyeh, and Karaman, 2020). Wall teichoic acids are essential for MRSA β-

lactam resistance, and they alter sensitivity to cationic antibiotics in different organisms (Brown,

Santa Maria, and Walker, 2013).

CRISPR-Cas9. CRISPR/Cas9 is a technology that allows for the extremely precise and quick

editing of DNA in a genome, which is an organism's full set of genetic instructions; it is an essential

tool used for the identification of American Type Culture Collection (ATCC) bacteria (What is

Biotechnology?, n.d.)

American Type Culture Collection. American Type Culture Collection or ATCC is a private,

non-profit worldwide biological resource center and standards organization that offers scientists

59
ANTIBACTERIAL PROPERTIES OF MDAS AND MDAR EXTRACTS

with biomaterials and resources to undertake vital life science research (ATCC, n.d). ATCC

procured bacteria such as Methicillin-resistant Staphylococcus aureus and Escherichia coli were

used in this study.

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