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Research Journal of Medicinal Plants

Year: 2011 | Volume: 5 | Issue: 6 | Page No.: 706-716
DOI: 10.17311/rjmp.2011.706.716
Antimicrobial Activity of Extracts and Latex of Calotropis procera (Ait.) and Synergistic Effect with Reference Antimicrobials
E. Gomah Nenaah and M. Essam Ahmed

Abstract: The well-documented problems regarding the harmful side effects and the continuous increase in the number of microorganisms that are resistant to the chemical antibiotics highlights the need for new strategies and new classes of antibiotics with low toxicity and high selectivity in their action. In the present study, aqueous and organic solvent extracts of the leaves, flowers and latex of Calotropis procera (Ait.) were tested for their antimicrobial activity. For this purpose, the disc diffusion bioassay and the Minimal Inhibitory Concentrations (MICs) of the tested botanicals were adopted. Results revealed considerable antimicrobial activities of the tested extracts. In all cases, the extraction solvent was a determinant factor for the extraction of antimicrobial agents. The leaf and latex methanolic extracts showed the strongest activities, where Escherichia coli, Staphylococcus epidermides, and Bacillus spp. were the most sensitive. In these cases inhibition zones ranged between 11.0 to 23.5 mm and minimal inhibitory concentrations between 0.25-1.5 mg mL-1. All extracts showed biocidal activities against all of the tested fungal strains with diameters of inhibition zones ranged between 9.0 and 26.5 mm. The latex methanolic was the most effective extract (inhibition zones ranged from 21.0 to 26.5 mm against Candida albicans, C. tropicalis, Penicillium chrysogenum and Saccharomyces cerevisiae). To test any synergistic effect between the latex methanolic and Ciprofloxacin and Clotrimazole, the extract was added to the tested antibiotics at concentrations equal 1/2, 1/4, 1/8 and 1/32 and 0 of the original MIC values. Results revealed that the MIC's of the two antimicrobial standards, were lowered indicating a synergistic interaction between the botanical and the conventional drugs. Present findings confer the utility of extracts and latex of C. procera in developing a novel antimicrobial biorationals of plant origin.

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E. Gomah Nenaah and M. Essam Ahmed, 2011. Antimicrobial Activity of Extracts and Latex of Calotropis procera (Ait.) and Synergistic Effect with Reference Antimicrobials. Research Journal of Medicinal Plants, 5: 706-716.

Keywords: synergy, Calotropis procera, isolates and antimicrobial biorationals

INTRODUCTION

Despite the fact that new antibiotics are being steadily synthesized through industry, the control of infectious diseases is seriously threatened by the continuous increase in the number of microorganisms that are resistant to the chemical antimicrobial drugs (Cohen, 1992; Singer et al., 2003; Jazani et al., 2010). Such a fact is a cause of great concern, because new multi-resistant bacterial strains are developed, particularly in persons with suppressed immunity. Resistant infections adversely affect mortality, treatment costs, disease spread and duration of illness (Laxminarayan, 2003). Resistance of pathogenic microorganisms to the conventional antibiotics has reached unacceptable levels in developing countries and that trends show further increases (Okeke et al., 2005).

These problems highlights the urgent need for new strategies and new classes of antibiotics (Adcock, 2002; Rosato et al., 2007). Dependence on plants as a source of medicine is prevalent in developing countries where traditional medicine plays a major role in primary health care (Srivastava et al., 1996). About 80% of individuals from these countries still use plants as remedies from many diseases, using their own personal recipes which have been passed through generations (WHO, 2005).

Natural plant products, accordingly provide a continual inspiration of bioactive antimicrobial agents with low toxicity, a broad spectrum and good pharmacokinetics to be clinically used without chemical modification (Silver and Bostian, 1990). Therefore, such plants should be investigated to better understand their therapeutic properties, safety and efficiency (Eloff, 1998). Recently there has been a concerted effort to promote the use of botanicals as possible alternatives to treat infectious diseases (Cushnie and Lamb, 2005; Mohsenzadeh, 2007; Jazani et al., 2009; Vaghasiya and Chanda, 2010; Nenaah, 2010; Teng et al., 2010; Chanda et al., 2011; Adetutu et al., 2011). These natural products were found to possess promising antimicrobial activities when applied alone or in combination with conventional antimicrobial drugs (Williamson, 2001; Jazani et al., 2007; Rosato et al., 2007; Wagner and Ulrich-Merzenich, 2009).

Calotropis procera (Ait.) R. Br. (Asclepiadaceae), the so-called "Ushar" is a plant commonly distributed throughout the tropics of Asia, Africa and the Middle East (Singhal and Kumar, 2009). The plant is popularly known due to the abundance of latex in its green parts which is easily collected when the plant is wounded. Such a fact reinforces the idea that this milky latex is accumulated as a defense strategy against insects, viruses and fungi (Deepak, 1995). Several reports in the literature indicate many therapeutic activities of C. procera including analgesic, anti-inflammatory, antidiabetic, cytotoxic, anticancerous and hepatoprotective effects (Dewan et al., 2000; Alencar et al., 2004; Sehgal et al., 2006; Choedon et al., 2006; Padhy et al., 2007). However, little is known about the antimicrobial activities of C. procera, except for their activities against a small range of microorganisms (Jain et al., 1996; Kareem et al., 2008).

In the present study, we investigate the antibacterial and antifungal activities of different solvent extracts of the leaves, flowers and latex of C. procera growing wild in Saudi Arabia when applied alone or in combination with the reference antimicrobial drugs.

MATERIALS AND METHODS

Collection and preparation of the plant sample: The plant Calotropis procera was collected from the predesertic region around Najran city, KSA during April 2010. A sample of the plant was authenticated by the Botanists of Biology Department, College Arts and Sciences, Najran University, KSA, where a voucher specimen had been preserved (voucher No. CpN-01). The leaves and flowers were air-dried for 7 days in the shade at environmental temperature (30-34°C day time) and powdered mechanically by using an electric blender (Braun Multiquick Immersion Hand Blender, B White Mixer MR 5550 CA, Germany). Powdered samples were maintained in tightly closed dry bags for subsequent extraction and bioassay.

Preparation of the test extracts: Five hundred gram of the dry powdered leaves and flowers of C. procera were macerated in 5 L capacity glass bottles using distilled water, 80% methanol and diethyl ether (analytical grade, Merck) for 7 days. During this, the samples were periodically shaken for at least 2 h day-1 using an electric shaker to ensure complete extraction. The extracts were filtered, dried over anhydrous sodium sulphate and reduced under vacuum using a rotary evaporator (Bβchi Labortechnike AG, Switzerland) at a temperature not exceeding 65°C. The residues obtained were dried and stored at 4°C until bioassayed.

Collection and preparation of latex extracts: The crude latex was collected from the aerial parts of C. procera as described by Singhal and Kumar (2009) with a minor modification. Young leaves near the tip of branches were plucked and the latex that was left to flow was collected in tubes. To prevent natural coagulation, the collected material was gently agitated during collection. It was immediately air dried under shade at ambient temperature with a yield of 20 g per 100 mL (20%, Dried Latex, DL). To remove the chlorophyll pigments and any rubber materials, the Dried Latex (DL) was extracted with petroleum ether and filtered. The obtained filtrates were reduced under vacuum and the obtained extracts were, then dried under shade at ambient temperature (32-36°C) and collected. Solvent extracts of the Dried Latex (DL) using distilled water, 80% methanol and diethyl ether (analytical grade, Merck) were prepared as described before and the obtained latex extracts were dried and stored at 4°C until bioassayed .

Test microorganisms: Seven bacterial strains were used in this study. Gram positive bacteria include Staphylococcus aureus ATCC 25923, S. epidermides ATCC 12228, Bacillus subtilis ATCC 6633 and B. cereus ATCC 11778. Escherichia coli ATCC 25922, Pseudomonas aeruginosa ATCC 27853 and Streptococcus pneumoniae ATCC 49619 are the representatives of Gram negative bacteria. In Addition, six different fungal species, Aspergillus niger, A. flavus, Penicillium chrysogenum, Saccharomyces cerevisiae, Candida albicans and C. tropicals were included.

Antimicrobial activity bioassay: The antimicrobial activity of the aqueous, methanolic and diethyl ether extracts of the leaves, flowers and latex of C. procera against the test microorganisms was determined by using the disc diffusion method (CLSI, 2000). All extracts were sterilized through filter sterilization using 0.22 um membrane filter. Sterile filter paper disc (7 mm d) were soaked with the test extract 20 μL and dried at 40°C. The prepared nutrient agar plates were seeded with each of the test bacteria (0.10 mL of 107 Cell mL-1 suspension) and placed on each plate. The test fungi were cultivated on Sabouraud’s Dox agar media (5x105 cfu mL-1) and incubated at 30±2°C for 72 h. Ciprofloxacin and Streptomycin discs were used as positive control for bacteria, while Nystatin and Clotrimazole discs were the selected antifungal references. To rule out the activity of the solvent used during the bioassay, solvent-treated discs were prepared and tested as negative control.

Minimal inhibitory concentrations of the tested extracts: The minimum inhibitory concentrations of the tested botanicals were determined according to a standard procedure (CLSI, 2002; Eloff, 2004). Serial dilutions of each of the tested extracts over the range 0.25-6.0 mg mL-1 were prepared in bacterial broth culture of the tested organisms and incubated at 37°C for 24 h for bacteria and in fungi broth media and incubated at 30°C for 48 h. The lowest concentration of each extract that inhibits the growth of the tested organism (MIC) was recorded. In addition, the minimal inhibitory concentrations of the antimicrobial standards were determined.

Evaluation of the synergic interaction between C. procera latex and antibiotics: The Checkerboard agar dilution method was used to evaluate the synergistic effect between C. procera latex and the tested antimicrobial standards as reported earlier (White et al., 1996; Rosato et al., 2007). Eight serial two-fold dilutions of the latex ethanolic extract were prepared as described before. A series of two-fold serial dilutions of Ciprofloxacin and Clotrimazole, the selected antimicrobial standards, were also prepared. In this way, all antibacterial and antifungal standards dilutions were mixed with the appropriate concentration of the latex thus obtaining a series of combinations of antibiotics and latex. The concentrations prepared corresponded to 1/2, 1/4, 1/8 and1/32 and 0 of the MIC values. The analysis of the combination of latex/antibiotic combinations was obtained by calculating the Fractional Inhibitory Concentration Index (FICI) as follows: FICI = (MICa of the combination/MICa alone)+(MICb of the combination/MICb alone), where MICa and MICb are the minimal inhibitory concentrations of the latex (a) and the test antibiotic (b), respectively. The FICI was interpreted as follows: (1) a synergistic effect when = 0.5; (2) an additive or indifferent effect when>0.5 and<1 and (3) an antagonistic effect when>1 (Williamson, 2001).

Data analysis: Each experiment was set up with six serial dilutions for each compound and then, replicated four times. Results were expressed as means±S.E. and differences between means were statistically analyzed using One way analysis of variance according to Tukey's HSD test through an SPSS 15.0 software package in Microsoft Widows 7 operating system. Differences are considered significant when p≤0.05.

RESULTS

Results of the present study revealed that C. procera extracts showed considerable antibacterial and antifungal activities against the tested microorganisms (Table 1, 2). The extraction solvent was a determinant factor for the extraction of antimicrobial agents, regardless of the microorganism tested. In this regard, methanol was the most effective. In most cases, the latex and leaf methanolic extracts showed the strongest activities. E. coli was the most susceptible among the Gram negative bacteria with inhibition zones of 21.5, 18.5 mm with the methanol extracts of latex and leaves, respectively. Whereas, P. aeruginosa and S. pneumoniae were more susceptible to the latex methanolic with inhibition zones of 18.0 and 11 mm, respectively. In case of Gram positive bacteria, the most potent extract was the latex methanolic with inhibition zones of 23.5, 22.0 and 19.5 mm against S. epidermides, B. subitilis and B. cereus, respectively. However,No. antibacterial activity was observed in case of the aqueous extract of leaves and flowers, except for a weak activity against E. coli and S. epidermides. In this regard, the aqueous extract of the latex showed weak to moderate activities (inhibition zones ranged from 6.5 to 14.0 mm).

All of the test extracts of C. procera showed biocidal activities against all of the tested fungal strains. There were significant differences in their activities depending on the microorganism tested and the solvent used with diameters of inhibition zones ranged between 9.0 and 26.5 mm (Table 2). The yeast strains appear to be more susceptible than the mycelial ones with the latex methanolic was the most effective extract (inhibition zones ranged between 21.0 and 26.5 mm). The methanolic extract of the leaves showed considerable activities against all of the tested fungal strains with inhibition zones ranged between 15.0-22.0 mm. Results also revealed that the latex aqueous extract showed promising antifungal activities against C. albicans and P. chrysogenum with inhibition zones of 20.0 mm.

Table 1: Antibacterial activity of Calotropis procera extracts against certain pathogenic bacteria using the disc diffusion bioassay
*Values are the mean of four replicates and inhibition zone including the diameter of the bore (7mm). In the same column, means followed by the same letters are not significantly different (p≤0.05); Na: Not active. **All F-values are significant at p≤0.001

Table 2: Antifungal activity of Calotropis procera extracts against certain pathogenic fungi using the disc diffusion bioassay
*Values are the mean of four replicates and inhibition zone including the diameter of the bore (7mm). In the same column, means followed by the same letters are not significantly different ( p≤0.05); Na: Not active. **All F-values are significant at p≤0.001

The MIC values (Table 3, 4) showed that the lowest values were recorded in case of the leaf and latex methanolic extracts (MIC values of 0.25, 0.50 and 0.75 mg mL-1 against E. coli, S. epidermidis and B. cureus, respectively for the former and 0.25 and 0.75 mg mL-1 against E. coli and B. subtilis, respectively for the later). In case of fungi, the lowest values (0.25-0.750) were recorded with the latex methanolic, where A. niger, C. albicans and C. tropicals were the most sensitive.

Table 3: Minimal inhibitory concentrations of Calotropis procera extracts against the tested bacterial strains
Ec: Escherichia coli, Pa: Pseudomonas aeruginosa, Sp: Streptococcus pneumoniae, BS: Bacillus subtilis, Bc: Bacillus cereus, Sa: Staphylococcus aureus, Se: Staphylococcus epidermides, Na: Not active

Table 4: Minimal inhibitory concentrations of Calotropis procera extracts against the tested fungal strains
An: Aspergillus niger, Af: A. flavus, Pc: Penicillium chrysogenum, Sc: Saccharomyces cerevisiae, Ca: Candida albicans, Ct: C. tropicalis, Na: Not active

The checkerboard micro titer test was employed in present study to explore the possibility of developing more effective combination therapy of C. procera latex with the tested antimicrobial standards. In this regard, the MIC values of Ciprofloxacin and Clotrimazole alone were lowered when the latex methanolic extract was added at concentrations equal 1/2, 1/4, 1/8 and1/32 of the original MIC values (Table 5). The FICI of the latex in combination with Ciprofloxacin against S. pneumonia, S. epidermides, E. coli and B. cereus were 0.09 and 0.12, 0.31 and 0.30, respectively. This indicates a synergistic interaction between the botanical and the conventional antibacterial drug at (1/32a+1/16b), (1/16a+1/16b), (1/4a+1/16b) and (1/16a+1/4b) of original concentrations for S. pneumonia, S. epidermides, E. coli and B. cereus, respectively . Meanwhile, no synergistic effect was observed in case of P. aeruginosa and S. aureus.

Table 5: Fractional inhibitory concentration (FIC) and FIC indices
FICa of latex: MIC of latex alone/MIC of sample in combination. FICb of the standard antimicrobial agents = MIC of standard antimicrobial agents/MIC of the antimicrobial agents in combination. FIC indices = FIC of Latex+FIC of standard antimicrobial agents

The FICI of Clotrimazole in combination with C. procera latex showed a considerable synergism against all of the tested fungi, especially in case of S. cereviciae, C. albicans, C. tropicalis and P. chrysogenum at (1/32a+1/16b), (1/32a+1/8b), (1/32a+1/8b) and (1/16a+1/8b) of original concentrations, respectively.

DISCUSSION

According the findings of the present study, the aqueous and organic solvent extracts and the latex of C. procera showed considerable antibacterial and antifungal activities against the tested microorganisms (Table 1, 2). In all cases, and regardless of the microorganism tested, the extraction solvent was a determinant factor for the extraction of antimicrobial agents with the latex methanolic extract was the most effective. Among the Gram negative bacteria, E. coli, P. aeruginosa and S. pneumoniae were the most susceptible strains, while S. epidermides, B. subitilis and B. cereus were the most susceptible among the Gram positive bacterial species (Table 1). Whereas, all the tested extracts, especially the latex methanolic were effective against the test fungal species, especially the yeast ones (Table 2).

Our results are in accordance with those of Yesmin et al. (2008) who concluded that crude methanol extract of C. procera at a concentration of 500 μg mL-1 showed moderate antibacterial activities using the agar well diffusion bioassay S. aureus, S. epidermidis, Plesiomonas shigelloides, Shigella dysenteriae and Vibrio cholera. On the other hand, aqueous extract at the same concentration was effective against Staphylococcus aureus, Staphylococcus, epidermidis, Staphylococcus saprophyticus, Streptococcus pyogenes Plesiomonas shigelloides, Shigella dysenteriae, Vibrio cholerae, Shigella Flexner, Shigella sonnei and Pseudomonas aeruginosa. In that study, diameter of inhibition zones were ranged between 6 and 22 μg well-1. In a study conducted by Kareem et al. (2008), the leaf and latex ethanolic extracts of C. procera exhibited moderate antimicrobial effects against E. coli (inhibition zone of 14.1 mm). The growths of the tested bacterial isolates were inhibited by the extracts except for P. aeruginosa and S. pyogenes. Similarly, the growth of A. niger, A. flavus, Microsporium boulardii and C. albicans were moderately inhibited by ethanol and chloroform extracts.

In a study conducted by Kawo et al. (2009), a weak antibacterial properties of the ethanolic extracts of the leaves and latex of C. procera against E. coli, S. aureus, Salmonella species and Pseudomonas species was recorded by using paper-disc diffusion and broth dilution techniques. The results obtained revealed that ethanol was the best extractive solvent for a fraction with antibacterial activity. Generally, the aqueous extracts showed no activity on the isolates. The Minimum Inhibitory Concentration (MIC) for the leaf ethanolic extract was 1000-2000 μg mL-1, while the Minimum Bactericidal Concentration (MBC) of the latex ethanolic was 2000 μg mL-1.

Chemically, the latex of C. procera is composed of various classes of phytochemical compounds. These were extensively proved in various studies which include proteolytic enzymes, cardenolides, alkaloids, cardioactive glycoside like calactin, calotropain, proceroside, syriogenine, calotoxin and uscharin, as well as tannins, flavonoids and procerain, a stable cysteine protease (Mossa et al., 1991; Deepak, 1995; Dubey and Jagannadham, 2003). One or more constituents of the latex, separately or in combination, may be responsible for the antimicrobial activity of C. procera (Deepak, 1995; Dubey and Jagannadham, 2003).

Although reports in the literature indicated several side effects and toxic properties for C. procera latex like. These include irritation, inflammation and hepatotoxicity (Tomar et al., 1970). It was found that oral doses of 0.01 or 0.02 ml kg-1 body weight of C. procera latex were, however, reported non-toxic to sheep and goats (Mahmoud et al., 1979). A dose of 830 mg kg-1 body weight oral dose of the dried latex did not produce any toxic effects in mice, where the LD50 was found to be 3 g kg-1 body weight (Dewan et al., 2000). The Dried Latex (DL) of C. procera did not alter the liver and kidney functions when orally administered to rats at doses of 10, 100 and 400 mg kg-1 for a period of 45 days compared to control (Singhal and Kumar, 2009). The author stated that aqueous suspension of C. procera latex does not produce any toxicity and could be safely used for therapeutic purposes at the studied doses.

Our study also revealed that, when the latex methanolic extract was added at concentrations equal 1/2, 1/4, 1/8 and1/32 and 0 of the original MIC values, the MIC's of both Ciprofloxacin and Clotrimazole, the two antimicrobial standards, were lowered indicating a synergistic interaction between the botanical and the conventional drugs.

To the best of our knowledge, this is the first report dealing with the interaction between the latex of C. procera with the chemical antimicrobial drugs currently in use. Synergy research in Phytomedicine has established itself as a new key activity in recent years. It is one main aim of this research to find a scientific rational for the therapeutic superiority of herbal drugs derived from traditional medicine as compared with single constituents thereof. Synergy effects of the mixture of bioactive constituents and their byproducts contained in plant extracts are claimed to be responsible for the improved effectiveness of many extracts and conventional antimicrobial drugs (Williamson, 2001; Rosato et al., 2007; Wagner and Ulrich-Merzenich, 2009). Comparing our results with related studies, Giordani et al. (2001) studied the synergistic effect between the latex of Euphorbia characias and the antifungal, ketoconazole against C. albicans. The authors concluded that the antifungal activity of the chemical drug has been proven to be substantially enhanced at lower concentrations of the latex. The antimicrobial activity of Ciprofloxacin was improved when it was combined to the chloroform leaf extract of Berberis aetnensis and tested against S. aureus (Musumeci et al., 2003).

CONCLUSION

Needless to say that, phytochemicals are less potent anti-infectives than conventional antibiotics. Future optimization of these products through structural alteration may allow the development of pharmacologically active agents. It might be possible to prepare a potent antimicrobial botanical by synthesizing a compound with transformed or substituted ring nucleus. Screening of these analogues might lead to the identification of sufficiently potent biorational antimicrobials. Another approach is the possible application of such biorationals in combined formulations with the conventional antimicrobial drugs. Based on the findings of the current study, we suggest the combination of latex of C. procera and Ciprofloxacin or Clotrimazole for the treatment of bacterial and fungal infections. This may reduce the efficacious doses of these antimicrobials and thus minimize the side-effects of these drugs. The use of therapeutic doses could also be a fix to counter microbial resistance and avoid drug-drug interactions likely to be induced by the administration of currently available antimicrobial drugs. It was reported that definite allergic reactions were observed because of the latex of various plant species including C. procera (Diez-Gomez et al., 1998). Further in vivo evaluations, including immunocompatibility tests are, however, required before the utilization of crude latex of C. procera in therapeutic applications.

ACKNOWLEDGMENTS

This study was supported by a research fund from the Deanship of Scientific Research, Najran University, Saudi Arabia (grant no. NU 23/10).

REFERENCES

  • Adcock, H., 2002. Pharmageddon: Is it too late to tackle growing resistance to anti-infectives. Pharm. J., 269: 599-600.
    Direct Link    


  • Adetutu, A., W.A. Morgan and O. Corcoran, 2011. Antibacterial, antioxidant and fibroblast growth stimulation activity of crude extracts of Bridelia ferruginea leaf, a wound-healing plant of Nigeria. J. Ethnopharmacol., 13: 116-119.
    CrossRef    Direct Link    


  • Alencar, N.M., I.S. Figueiredo, M.R. Vale, F.S. Bitencourt, J.S. Oliveira, R.A. Ribeiro and M.V. Ramos, 2004. Anti-inflammatory effect of the latex from Calotropis procera in three different experimental models peritonitis, paw, edema and hemorrhagic cystitis. Planta Med., 70: 1144-1144.
    PubMed    


  • Chanda, S., M. Kaneria and R. Nair, 2011. Antibacterial activity of Psoralea corylifolia L. seed and aerial parts with various extraction methods. Res. J. Microbiol., 60: 124-131.
    CrossRef    Direct Link    


  • Choedon, T., G. Mathan, S. Arya, V.L. Kumar and V. Kumar, 2006. Anticancer and cytotoxic properties of the latex of Calotropis procera in a transgenic mouse model of hepatocellular carcinoma. World J. Gastroenterol., 12: 2517-2522.
    PubMed    


  • CLSI, 2000. Performance standards for antimicrobial disc susceptibility tests. Approved Standard, M2-A7.


  • CLSI, 2002. Performance standards for antimicrobial susceptibility testing. 12th Informational Supplement. CLSI Document M100-S12, Vol. 22, No. 1, Pennsylvania, USA.


  • Cohen, M.L., 1992. Epidemiology of drug resistance: Implications for a post-antimicrobial era. Science, 257: 1050-1055.
    CrossRef    PubMed    


  • Cushnie, T.P.T. and A.J. Lamb, 2005. Antimicrobial activity of flavonoids. Int. J. Antimicrob. Agents, 26: 343-356.
    CrossRef    PubMed    Direct Link    


  • Deepak, D., 1995. Phytochemistry of Indian Asclepiadaceae. In: The Taxonomy and Phytochemistry of the Asclepidaceae in Tropical Asia, Kiew, R. (Ed.). University Pertanian, Malaysia, pp: 33-44


  • Dewan, S., H. Sangraula and V.L. Kumar, 2000. Preliminary stuies on the analgesic activity of latex of Calotropis procera. J. Ethnopharmacol., 73: 307-311.
    PubMed    


  • Diez-Gomez, M.L., S. Quirce, E. Aragoneses and M. Cuevas, 1998. Asthma caused by Ficus benjamina latex: Evidence of cross-reactivity with fig fruit and papain. Ann. Allergy Asthma Immuonol., 80: 24-30.
    Direct Link    


  • Dubey, V.K. and M.V. Jagannadham, 2003. Procerain, a stable cysteine protease from the latex of Calotropis procera. Phytochemistry, 62: 1057-1071.
    CrossRef    PubMed    Direct Link    


  • Eloff, J.N., 1998. Which extractant should be used for the screening and isolation of antimicrobial components from plants? J. Ethnopharmacol., 60: 1-8.
    CrossRef    Direct Link    


  • Eloff, J.N., 2004. Quantification the bioactivity of plant extracts during screening and bioassay guided fractionation. Phytomedicine, 11: 370-371.
    CrossRef    PubMed    Direct Link    


  • Giordani, R., J. Trebaux, M. Masi and P. Regli, 2001. Enhanced antifungal activity of ketoconazole by Euphorbia characias latex against Candida albicans. J. Ethnopharmacol., 78: 1-5.
    PubMed    


  • Jain, S.C., R. Sharma, R. Kain and R.A. Sharma, 1996. Antimicrobial activity of Calotropis procera. Fitoterapia, 67: 275-277.
    Direct Link    


  • Jazani, N.H., M. Zartoshti, H. Babazadeh, N. Ali-Daiee, S. Zarrin and S. Hosseini, 2009. Antibacterial effects of Iranian fennel essential oil on isolates of Acinetobacter baumannii. Pak. J. Biol. Sci., 12: 738-741.
    CrossRef    PubMed    Direct Link    


  • Jazani, N.H., M. Zartoshti, H. Babazadeh and N. Ali-Daiee, 2010. Antibacterial effect of Artemisia dracunculus essential oil on multi-drug resistant isolates of Acinobacter baumannii. Bacteriol. J.,


  • Kawo, A.H., A. Mustapha, B.A. Abdullahi, L.D. Rogo, Z.A. Gaiya and A.S. Kumurya, 2009. Phytochemical properties and antibacterial activities of the leaf and latex extracts of Calotropis procera (Ait.f.) Ait.f. Bayero J. Pure Appl. Sci., 2: 34-40.
    CrossRef    Direct Link    


  • Kareem, S.O., I. Akpan and O.P. Ojo, 2008. Antimicrobial activities of Calotropis procera on selected pathogenic microorganisms. Afr. J. Biomed. Res., 11: 105-110.
    Direct Link    


  • Laxminarayan, R., 2003. Battling Resistance to Antibiotics and Pesticides: An Economic Approach. Resources for the Future, Washington DC


  • Mahmoud, O.M., S.E.I. Adam and G. Tartour, 1979. The effects of Calotropis procera on small ruminants: I. Effects of feeding sheep with the plant. J. Comparative Pathol., 89: 241-250.
    CrossRef    


  • Mohsenzadeh, M., 2007. Evaluation of antibacterial activity of selected Iranian essential oils against Staphylococcus aureus and Escherichia coli in nutrient broth medium. Pak. J. Biol. Sci., 10: 3693-3697.
    CrossRef    PubMed    Direct Link    


  • Mossa, J.S., M. Tariq, A. Mohsin, A.M. Ageel, M.A. Al-Yahya, M.S. Al-Said and S. Rafatullah, 1991. Pharmacological studies on aerial parts of Calotropis procera. Am. J. Chin. Med., 19: 223-231.
    CrossRef    PubMed    Direct Link    


  • Musumeci, R., A. Speciale, R. Costanzo, A. Annino and S. Ragusa et al., 2003. Berberis aetnensis C. Presl. extracts: Antimicrobial properties and interaction with ciprofloxacin. Int. J. Antimicrob. Agents, 22: 48-53.
    PubMed    


  • Nenaah, G., 2010. Antibacterial and antifungal activities of (β)-carboline alkaloids of Peganum harmala (L.) seeds and their combination effects. Fitoterapia, 81: 779-782.
    PubMed    


  • Okeke, I.N., R. Laxmaninarayan, Z.A. Bhutta, A.G. Duse and P. Jenkins et al., 2005. Antimicrobial resistance in developing countries. Part I: Recent trends and current status. Lancet Infect. Dis., 5: 481-493.
    CrossRef    PubMed    Direct Link    


  • Padhy, B.M., A. Srivastava and V.L. Kumar, 2007. Calotropis procera latex affords protection against carbon tetrachloride induced hepatotoxicity in rats. J. Ethnopharmacol., 113: 498-502.
    PubMed    


  • Rosato, A., C. Vitali, N. De Laurentis, D. Armenise and M.A. Millilo, 2007. Antibacterial effect of some essential oils administered alone or in combination with Norfloxacin. Phytomedicine, 14: 727-732.
    CrossRef    Direct Link    


  • Sehgal, R., S. Roy and V.L. Kumar, 2006. Evaluation of cytotoxic potential of latex of Calotropis procera and Podophyllotoxin in Allium cepa root model. Biocell, 30: 9-13.
    PubMed    Direct Link    


  • Silver, L. and K. Bostian, 1990. Screening of natural products for antimicrobial agents. Eur. J. Clin. Microbiol. Infect. Dis., 9: 455-461.
    PubMed    


  • Singer, R.S., R. Finch, H.C. Wegener, R. Bywater, J. Walters and M. Lipsitch, 2003. Antibiotic resistance-the interplay between antibiotic use in animals and human beings. Lancet Infect. Dis., 3: 47-51.
    CrossRef    


  • Singhal, A. and V.L. Kumar, 2009. Effect of aqueous suspension of dried latex of Calotropis procera on hepatorenal functions in rat. J. Ethnopharmacol., 122: 172-174.
    PubMed    


  • Srivastava, J., J. Lambert and N. Vietmeyer, 1996. Medicinal Plants: An Expanding Role in Development. World Bank, Washington DC, USA., pp: 320


  • Teng, Y., Q. Yang, Z. Yu, G. Zhou, Q. Sun, H. Jin and T. Hou, 2010. In vitro antimicrobial activity of the leaf essential oil of Spiraea alpina pall. World J. Microbiol. Biotechnol., 26: 9-14.
    CrossRef    


  • Tomar, V.P.S., P.K. Agarwal and B.L. Agarwal, 1970. Toxic iridocyclitis caused by Calotropis. J. All-India Ophthalmol. Soc., 18: 15-16.
    PubMed    


  • Vaghasiya, Y. and S. Chanda, 2010. Antimicrobial and free radical scavenging activity of different solvent extracts of Mangifera indica L. seeds. Res. J. Microbiol., 5: 1207-1212.
    CrossRef    Direct Link    


  • Wagner, H. and G. Ulrich-Merzenich, 2009. Synergy research: Approaching a new generation of phytopharmaceuticals. Phytomedicine, 16: 97-110.
    CrossRef    PubMed    Direct Link    


  • White, R.L., D.S. Burgess, M. Manduru and J.A. Bosso, 1996. Comparison of three different in vitro methods of detecting synergy: Time-kill, checkerboard and E test. Antimicrob. Agents Chemother., 40: 1914-1918.
    PubMed    Direct Link    


  • Williamson, E.M., 2001. Synergy and other interactions in phytomedicines. Phytomedicine, 8: 401-409.
    CrossRef    PubMed    Direct Link    


  • WHO, 2005. WHO Traditional Medicine Strategy 2002-2005. WHO, Geneva


  • Yesmin, M.N., S.N. Uddin, S. Mubassara and M. Ali Akond, 2008. Antioxidant and antibacterial activities of Calotropis procera. Am-Euras. J. Agric. Environ. Sci., 4: 550-553.


  • Jazani, N.H., M. Zartoshti, S. Shahabi, Z. Yekta and S. Nateghi, 2007. Evaluation of the synergetic effect of water soluble extracts of green tea (Camellia sinensis) on the activity of ciprofloxacin in urinary isolated E. coli. J. Biol. Sci., 7: 1500-1503.
    CrossRef    Direct Link    


  • Karim, A., M.N. Sohail, S. Munir and S. Sattar, 2011. Pharmacology and phytochemistry of Pakistani herbs and herbal drugs used for treatment of diabetes. Int. J. Pharmacol., 7: 419-439.
    CrossRef    

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