Antioxidant and Antibacterial potential of Lycium shawii Roem. and Schult (Awsaj) and Tetraena qatarensis (Hadidi) Beier and Thulin leaves: A Herbal approach to Combat Drug Resistance and Oxidative Stress

 

Mashael W. Alruways, Nazam Khan

Department of Clinical Laboratory Sciences, College of Applied Medical Sciences,

Shaqra University, Shaqra, Saudi Arabia.

*Corresponding Author E-mail: m.alruways@su.edu.sa, nazamkahn@su.edu.sa

 

ABSTRACT:

The present investigation deals with the antioxidant and antibacterial activity of chloroform and methanolic extracts of Lycium shawii and Tetraena qatarensis leaves. Antioxidant activity was evaluated using DPPH and FRAP assay. In the DPPH assay, the lowest IC50 values 45.63 and 46.17µg/ml were observed with methanolic and chloroform extract Lycium shawii leaves, respectively. In FRAP assay most of the extracts showed optical density >0.5 at 40µg/ml. In the antibacterial activity test, all tested extracts were found active towards all bacterial strains with MIC ranged between 0.03125 to 0.12mg/mL. Subsequently, in the combined effect assay, the highest fold increase (92.31%) was observed against Salmonella typhi with methanol extract of Lycium shawii leaves. The examined plants could be used as a treatment for microbial infection and oxidative stress after detailed follow-up investigations.

 

KEYWORDS: Lycium shawii, Tetraena qatarensis, DPPH, FRAP, Antibacterial activity.

 

 


INTRODUCTION:

Microorganisms are the major source of infectious diseases, causing a large number of hospitalizations and deaths each year1. Numerous antimicrobial formulations are available to treat these infections, but bacterial pathogens are gaining resistance to these antibiotics at an alarming rate and making these infections difficult to treat2. Therefore, researchers across the world are now focused on the search for new antimicrobial substances. In the present scenario, one of the promising candidates against drug resistance could be the plants and their compounds.

 

In Ayurveda and Unani medicine, large numbers of Indian plants are recommended in the treatment of infectious diseases3. According to WHO, medicinal plants are used by about 80% of the World population for treating human diseases4.

 

Several plants employed in the traditional medicine viz., Emblica officinalis (Amla), Syzygium aromaticum (Clove), Piper nigrum (Black pepper), Withania somnifera (Ashwagandha), Zingiber officinale (Ginger), Azadirachta indica (Neem), Mentha piperita (Mint), Momordica charantia (Karela), Carica papaya (Papaya), and Crocus sativus (Saffron).5,6

 

On the other hand, the generation of reactive oxygen species (ROS) during normal metabolism resulted in oxidative damage to protein and DNA. Further, ROS are the major cause of cancer and cardiovascular disorders7,8. Antioxidants can neutralize ROS and their harmful effects9. The plants as well as their parts such as fruits viz. jamun (Syzygium cumini), apricot (Prunus armeniaca), raspberries (Rubus ellipticus), and plum (Prunus domestica) were found rich in antioxidants.10

 

A substantial number of plants have also been reported to have antibacterial and antioxidant activities.11-20

 

Lycium is an important genus of plants with a diverse variety of biological uses. The fruits, flowers, and roots of Lycium species have long been valued as a food or medicine source.21-22 On the other hand, Tetraena qatarensis also reported being utilized as food or medicine.23-24 Keeping in view the problem of multidrug resistance and oxidative stress, this study is endeavored to study the antioxidant as well as antibacterial activity of Lycium shawii Roem. and Schult. and Tetraena qatarensis (Hadidi) Beier and Thulin.

 

MATERIALS AND METHODS:

Sample collection:

The leaves of Lycium shawii Roem. and Schult. and Tetraena qatarensis (Hadidi) Beier and Thulin were collected from Shaqra, Saudi Arabia situated (N 25° 14' 57.6924", E 45° 15' 42.0084") at an elevation of 713m/ 2339feet. The collected plant samples were identified and validated at Shaqra University. The collected samples were subjected to surface cleaning by rinsing the sample with distilled water to remove dust particles. The leaves were sun-dried, ground and dried forms were sealed in plastic bags, followed by storage in a refrigerator until further use.

 

Bacterial strains:

For antibacterial activity, the clinical isolates of Pseudomonas aeruginosa, Escherichia coli, Klebsiella pneumoniae, and Salmonella typhi were obtained from the department of Clinical Laboratory Sciences, College of Applied Medical Sciences, Shaqra.

 

Extracts preparation:

The leaf extracts were prepared by maceration. Briefly, 20g leaf powder is added to 100mL of methanol and chloroform separately in two conical flasks. The flasks containing the above mixture were kept on an orbital shaker at 40⁰C for 48 hours. This procedure was repeated twice and the resulting extracts were filtered and finally concentrated using a hot water bath at 60°C. The dried or concentrated methanol and chloroform extracts were then stored in an eppendorf tube for further use.

 

Antioxidant analysis:

The antioxidant activity of leaves extract of Lycium shawii and Tetraena qatarensis were evaluated using DPPH assay as described by Naznin and Hasan and Ferric reducing antioxidant power (FRAP) assay, described earlier by Oyaizu.25-26

 

In DPPH (2, 2-diphenyl-1-picryl hydrazyl) assay, briefly from stock an aliquot of 2, 4, 6, and 8 ml (20-80 μg/ml) were added in five test tubes followed by the addition of 2mL of DPPH solution (0.004% w/v in 95% ethanol, freshly prepared). The resulting mixture was kept in dark for 25 min. After that, optical density was recorded against blank (distilled water and sample) at 523nm. On the other hand, control was prepared using DPPH solution (2 ml) and ethanol (10 ml). In addition, for standard, ascorbic acid (20-100 µg/ml, w/v) was used.

 

The DPPH radical scavenging was calculated using the following equation:

 

                                       (Control – Test)

DPPH Sacavenged = -------------------------  x 100

                                          Control

 

In FRAP assay, briefly, one mL test samples containing various concentrations (20-80µg/mL w/v) were mixed in sodium phosphate buffer (1mL, 0.2 M, pH 6.6), followed by the addition of potassium ferricyanide (1%, 1mL). Further, reaction mixtures were kept in a water bath (20 minutes at 50°C). After that, tricholoacetic acid (1mL, 10%) was added to each tube, followed by centrifugation (10 minutes, 5000rpm, at room temperature). After this, supernatant (1mL) was mixed with deionized water (1mL) and 0.1% ferric chloride (200µl). The blank was prepared similarly to the samples, but potassium ferricyanide (1%) was replaced with distilled water. The absorbance was recorded using a spectrophotometer (EI, India) at 700nm. An increase in the absorbance obtained after blank subtraction was expressed as the reducing power of the sample.

 

Antibacterial Activity:

The antibacterial activity of leaf extracts was evaluated using a well diffusion assay.27 Further, minimum inhibitory concentration (MIC) was investigated using the broth microdilution method.28

 

Inoculums were prepared as per M7-A7-CLSI protocol with some modifications. Briefly, isolated colonies (4-5) of the same morphological type were transferred into a test tube containing nutrient broth medium (5mL), followed by 24 hours incubation at 37°C. 0.5 McFarland standard (1-2 × 108 CFU/mL) was used to compare turbidity of inoculums.

 

In well diffusion assay, 100µl inoculums (107-108 CFU/mL) were spread on Mueller Hinton agar (MHA) plates. After that, wells were cut out with cork borer and 30µl of different concentrations (1, 5, 10mg/mL) of leaf extracts were added. Ampicillin was used as a standard drug (50µg/mL), while chloroform, methanol were used as negative controls against respective extracts. MHA plates were kept for 24 hours at 37°C and Hi antibiotic zone scale was used for measuring inhibition zone diameter (mm). Additionally, a positive antimicrobial effect was considered when the inhibition zone diameter was ≥ 10mm.

 

MIC is the lowest concentration that inhibits the growth of tested microbes. MIC of seed and leaf extracts was investigated using the broth microdilution method (CLSI M7- A7). A double strength Mueller-Hinton broth, 2X strength extract solution were prepared and serial dilutions were done between 10-0.019mg/mL up to 9th well. In 96 well microtitre plate, double strength MHB (100µl) containing different concentration of extracts was mixed with bacterial suspension (10µl, 1-2 × 108 CFU/mL), followed by incubation for 24 hours at 37°C. While, 10th well-containing broth and inoculums only was used as control. In addition, the 11th well as positive control with antibiotics and inoculums and 12th well as negative control (methanol, chloroform, and inoculums). The lowest visual growth inhibitory concentration after 24 hours was the MIC against respective microbes.

 

Combined effect of leaves extracts of Lycium shawii with standard drug ampicillin:

The combined effect of leaves methanolic extract of Lycium shawii with ampicillin was evaluated using well diffusion method as described earlier in the antibacterial activity section.27 Additionally, 30µl of mixture containing 15µl each (10 mg/mL methanolic extract + 50µg/mL amipicillin) were loaded in the wells. The results were recorded by measuring the diameter of the inhibitory zone in mm after 24 h of incubation at 370C.

 

The fold increase was calculated using the following formula29: (b-a/a) 100%. Where b is combined inhibition zone diameter, a is the inhibtion zone of leaves extract alone.

 

Statistical Analysis:

GraphPad Prism was used to evaluate analysis of variance (ANOVA). A p value <0.05 was considered statistically significant.

 

RESULTS AND DISCUSSION:

Antioxidant activity of Lycium shawii and Tetraena qatarensis leaves:

In DPPH assay, scavenging of DPPH is increased in a dose dependent manner (20-80µg/ml). Further, the IC50 values of the tested extracts were lies at a concentration between 45.63-74.26µg/mL, which were similar to standard ascorbic acid (48.07µg/mL). In contrary, Lycium shawii extracts were found more active (Fig. 1). In the existing literature, different extracts (methanol, ethyl acetate, ethanol, and aqueous) from Lycium shawii leaves were investigated for antioxidant activity using DPPH and ABTS assay. The methanol extract outperformed the others in DPPH and ABTS, with IC50 values of 0.06 and 0.007mg/mL, respectively, which can be attributable to the presence of phenolics and flavonoids.30 Similarly, Tetraena qatarensis exhibited IC50 values 67.9 ± 4.8 μg/mL in DPPH assay.31

 

Fig. 1. DPPH scavenging activity of methanolic and chloroform leaves extracts of (a) Lycium shawii (b) Tetraena qatarensis (c) standard ascorbic acid. When the mean values were statistically different (p<0.05), different letters were used.

 

In FRAP assay, all the extracts were found active with optical density (O.D.) >0.5 at 40 µg/mL except methanolic extract of Tetraena qatarensis (60 µg/mL). The effect is more pronounced in methanolic extract of Lycium shawii leaves (O.D. 0.5 at 20 µg/mL) (Fig. 2). While, in case of ascorbic acid O.D. >0.5 was observed at 60 µg/mLl.

 

Fig. 2. FRAP of methanolic and chloroform leaves extracts of (a) Lycium shawii (b) Tetraena qatarensis (c) standard ascorbic acid. When the mean values were statistically different (p<0.05), different letters were used.

 

Antibacterial activity:

In antibacterial activity, all tested extracts exhibited broad-spectrum effect towards all tested strains evident from inhibition zone diameter ranged between 10±2 to 18±0.6 mm. Further, the highest zone of inhibition i.e. 18±0.6 mm at 10 mg/mL was reported against E. coli with leaf methanol extract of Lycium shawii (Table 1). The results were compared with the literature. Ali et al. (2020)30 reported that, methanol extract of Lycium shawii was found most detrimental effect against the multi and pan-drug resistant bacterial strains at 50 mg/mL.


 

Table 1 Antibacterial activity (in vitro) of leaves extracts from Lycium shawii and Tetraena qatarensis

Bacterial strains

IZD (mm) ± SD

LS ME

LS CE

TQ ME

TQ CE

Conc. (mg/mL)

1

5

10

1

5

10

1

5

10

1

5

10

Escherichia coli

14±

0.6a

16±

0.6b

18±

0.6c

12±

3a

15±

1.5b

16±2.5c

14±

1a

15±1.5a

16±1b

12±2a

13±2b

15±0.5c

Salmonella typhi

11±

0.6a

12±

0.6a

14±

0.6b

12±

0.6a

13±

1.0a

14±0.6b

11±

2a

13±1.5b

15±0.5c

10±1a

12±2b

13±1.5c

Pseudomonas aeruginosa

11±

0.6a

12±

0.6a

14±

0.6b

10±

2a

13±

1.5b

14±1.5b

10±

2a

12±1.5b

13±1.1c

11±0.6a

13±0.6b

15±0.6c

Klebsiella pneumoniae

10±

0.6a

12±

0.6b

13±

0.6c

10±

1a

12±

2b

13±1.5b

12±

2a

14±2b

15±1.5c

11±0.6a

12±0.6a

14±

1.2b

IZD: Inhibition zone diameter; SD: Standard deviation; LS: Lycium shawii; TQ: Tetraena qatarensis; ME: Methanol extract; CE: Chloroform extract. When the mean values were statistically different (p<0.05), different letters were used.

 


 

Fig. 3. MIC of leaves extract of Lycium shawii (LS) and Tetraena qatarensis (TQ) against bacterial pathogens. ME: Methanolic extract; CE: Chloroform extract.


The MIC of all tested extracts were observed in the concentration ranged between 0.03125 to 0.125mg/. The lowest MIC (0.03125mg/mL) was observed with chloroform extract of Lycium shawii against E. coli and Pseudomonas aeruginosa and methanolic extract of Tetraena qatarensis against E. coli (Fig. 3). Balkrishna et al. (2021)32 demonstrated that, antimicrobial mode of action of plants is still obscure, they are thought to interfere with cell membrane organization, resulting in reduced membrane potential as well as ATP generation.

 

Combined effect of Lycium shawii leaves with ampicillin:

The combined effect study revealed that, the activity of leaves methanolic extract was increased in combination with ampicillin. The highest fold increase (92.31%) was observed against Salmonella typhi followed by Klebsiella pneumoniae (84.61%) (Table 2 and Fig. 4).


 

Table 2. Lycium shawii leaves methanolic extract with and without ampicillin against different bacterial strains

Bacterial strains

Zone Of Inhibition (mm)

 

Lycium shawii leaves methanolic extract (10 mg/mL)

Ampicillin (50 µg/mL)

Lycium shawii leaves methanolic extract With Ampicillin

Fold Increase (b-a/a) 100%

E. coli

19±1.2

18±1.5

23±1.26

21.05

Salmonella typhi

13±2.38

16±0.63

25±0.6

92.31

Pseudomonas aeruginosa

15±1

17±1

22±1

46.67

Klebsiella pneumoniae

13±0.63

15±0.6

24±0

84.61

 


Fig. 4. Combined antibacterial effect of methanolic leaves extract of Lycium shawii against A) Pseudomonas aeruginosa; B) Klebsiella pneumoniae; C) Escherichia coli; D) Salmonella typhi. LS: Lycium shawii ; AB: Ampicillin.

 

Several studies in the literature have shown that plant extracts in combination with regular antibiotics have a beneficial combined impact; the improved activity is attributed to a synergistic interaction between plant extracts and antimicrobial drugs.33,34

 

CONCLUSION:

In conclusion, the methanol and chloroform leave extracts from Lycium shawii and Tetraena qatarensis were found active free radical scavenger as compared with standard ascorbic acid. Further, they exhibited broad-spectrum antibacterial activity. Furthermore, the combined action of Lycium shawii leaves and ampicillin was reported to be effective. These findings could indicate that plant extract enhances antibiotics' antibacterial activity. Therefore, the leaves of the studied plants can be used in the development of antibacterial formulations and antioxidant-rich value-added products after detailed follow-up studies.

 

CONFLICTS OF INTEREST:

No conflict of interest was declared by the authors.

 

REFERENCES:

1       Freeman CD, Klutman NE and Lamp KC. Metronidazole: A therapeutic review and update. Drugs 1997 Nov. 54: 679-708. doi: 10.2165/00003495-199754050-00003.

2       Weir M, Rajić A, Dutil L, Uhland C and Bruneau N. Zoonotic bacteria and antimicrobial resistance in aquaculture: opportunities for surveillance in Canada. Can. Vet. J., 53: 619-622. Weir M, Rajić A, Dutil L, Uhland C, Bruneau N. Zoonotic bacteria and antimicrobial resistance in aquaculture: opportunities for surveillance in Canada. Canadian Veternary Journal 2012 Jun;53(6):619-22.PMCID: PMC3354819.

3       Padmini E, Valarmathi A and Rani MU. Comparative analysis of chemical composition and antibacterial activities of Mentha spicata and Camellia sinensis. Asian Journal of Experimental Biology amd Science 2010; 1: 772-781. Corpus ID: 8809692.

4       Calzada F, Yépez-mulia L and Tapia-contreras A. Effect of Mexican medicinal plant used to treat trichomoniasis on Trichomonas vaginalis trophozoites. Jourbnal of Ethnopharmacol 2007 Jun7; 113: 248-251. Doı: 10.1016/j.jep.2007.06.001

5       Yang J, Liu RH and Halim L. Antioxidant and antiproliferative activities of common edible nut seeds. LWT - Food Sciences and Technology 2009; 42: 1-8. Doi: 10.1016/j.lwt.2008.07.007

6       Aderinboye RY, Oladeji OT, Abaire MA, Sobayo RA, Oso AO, Oni AO, Yusuf KO, Osho SO and Bamgbose AM. Performance of weaner rabbits fed a concentrate diet supplemented with pawpaw leaves. Trop. Anım. Health Pro 2015; 47: 323-329.

7       Halliwell B. Antioxidants and human disease: a general introduction. Nutr. Rev 1997Jan, 55: S44-S49. Doı: 10.1111/j.1753-4887.1997.tb06100.x

8       Parmar J, Sharma P, Verma P and Goyal PK. Chemopreventive action of Syzygium cumini on DMBA-induced skin papillomagenesis in mice. Asian Pacific Journal of Cancer Preview 2010;11: 261-266. PMID: 20593968.

9       Kohen R and Nyska A. Oxidation of biological systems: oxidative stress phenomena, antioxidants, redox reactions, and methods of their quantification. Toxicological Pathology 2002 Dec; 30: 620-650. Doı: 10.1080/01926230290166724

10    Kumar A and Kumar D. Development of antioxidant rich fruit supplemented probiotic yogurts using free and microencapsulated Lactobacillus rhamnosus culture. Journal of Food Science and Technology 2016 Jan; 53: 667-675. Doi: 10.1007/s13197-015-1997-7

11    Mariyappan, M., Bharathidasan, R., Mahalingam, R., Madhanraj, P., Panneerselvam, A., and Ambikapathy, V. Antibacterial Activity of Cardiospermum halicacabum and Melothria heterophylla. Asian Journal of Pharmaceutical Research 2011; 1(4), 111-113. DOI: 10.5958/2231–5691

12    Paul, S., and Saha, D. Comparative Study of the Efficacy of Barleria prionitis Leaf extracts against Bacteria. Asian Journal of Pharmaceutical Research 2012; 2(3), 107-110. DOI: 10.5958/2231–5691

13    Valli, G., and Jeyalakshmi, M. Preliminary phytochemical and antioxidant study of Odina woodier leaf extract. Asian Journal of Pharmaceutical Research 2012; 2(4), 153-155. DOI: 10.5958/2231–5691 .

14    Madhu, C., Swapna, J., Neelima, K., and Shah, M. V. A comparative evaluation of the antioxidant activity of some medicinal plants popularly used in India. Asian Journal of Research in Pharmaceutical Science 2012; 2(3), 98-100. DOI: 10.3923/ajps.2020.127.132.

15    Malathi, R., John, S. A., and Cholarajan, A. Antioxidant activity of extract from the leaves of Tylophora asthmatica. Journal of Microbiology and Antimicrobials 2012; 4(4), 70-73. DOI: 10.5897/JMA11.104.

16    Kamleshiya, P., Meshram, V. G., and Ansari, A. H. The in-vitro Bacteriostatic Potential of Some Traditionally used Indian Spices. Asian Journal of Research in Chemistry 2012; 5(4), 492-496. DOI: 10.5958/0974-4150

17    Jaiganesh, K. P., Sreedharren, B., Arunachalam, G., Nirmala, R., and Nepolean, R. Pharmacognostical and Antimicrobial investigation of Jatropha curcas, Linn., Leaf. Asian Journal of Research in Pharmaceutical Science 2013; 3(4), 195-199. DOI: 10.52711/2231-5659

18    Jadhav, G. B., and Saudagar, R. B. (2014). Free radical scavenging and antioxidant activity of Punica granatum Linn. Asian Journal of Research in Pharmaceutical Science 2014, 4(2), 51-54. DOI: 10.52711/0974-360X.2021.00363

19    Rej, S., Dutta, M., Jamal, S., Das, S., and Chatterjee, S. Study of phytochemical constituents and antibacterial activity of Clerodendrum infortunatum. Asian Journal of Research in Pharmaceutical Science 2014; 4(4), 187-195. DOI: 10.52711/2231-5659

20    Rammo, R. N. Bactericidal and anti-biofilm formation of aqueous plant extracts against pathogenic bacteria. Asian Journal of Pharmaceutical Research 2017; 7(1), 25-29. DOI: 10.5958/2231–5691

21    Dahech I, Farah W, Trigui M, et al. Antioxidant and antimicrobial activities of Lycium shawii fruits extract. International Journal of Biological Macromolecule 2013. Jun1;60:328-333. Doi: 10.1016/j.ijbiomac.2013.05.020.

22    Phondani PC, Bhatt A, Elsarrag E, Horr YA. Ethnobotanical magnitude towards sustainable utilization of wild foliage in Arabian Desert. Journal of Traditional Complement Medicine 2016. July3;6:209-218. Doi: https://doi.org/10.1016/j.jtcme.2015.03.003

23    Ksouri, R., Ksouri, W. M., Jallali, I., Debez, A., Magné, C., Hiroko, I., and Abdelly, C. Medicinal halophytes: Potent source of health promoting biomolecules with medical, nutraceutical and food applications. Critical Reviews Biotechnology 2012 Dec; 32, 289–326. doi: 10.3109/07388551.2011.630647.

24    Lopes, A., Rodrigues, M. J., Pereira, C., Oliveira, M., Barreira, L., Varela, J., Custódio, L. Natural products from extreme marine environments: Searching for potential industrial uses within extremophile plants. Industrial Crops Products 2016; 94, 299–307.

25    Oyaizu M. Studies on products of browning reaction: antioxidative activity of products of browning reaction. Japanese Journal of Nutrition and Diet 1986; 44: 307-315. Doi: https://doi.org/10.5264/eiyogakuzashi.44.307.

26    Naznin A and Hasan N. In vitro antioxidant activity of methanolic leaves and flowers extracts of Lippia alba. Int. J. Res.Med. Sci 2009; 4: 107-110.

27    National Committee for Clinical Laboratory Standards. Performance standard for antimicrobial disc susceptibility test, Approved Standard. NCCL Publication, Villanova, USA.1993.

28    Chemical Laboratory Standards Institute (2006). Methods for dilution antimicrobial susceptibility tests for Bacteria that grow aerobically; Approved Standard, Seventh ed., CLSI Document M7- A7, Wayne, Pennsylvania, USA.

29    Thangapandiyan, S., and Prema, P. Chemically fabricated silver nanoparticles enhances the activity of antibiotics against selected human bacterial pathogens. International Journal of Pharmaceutical Sciences and Research 2012; 3(5), 1415-1422. DOI: http://dx.doi.org/10.13040/IJPSR.0975-8232.

30    Ali, S. S., El-Zawawy, N. A., Al-Tohamy, R., El-Sapagh, S., Mustafa, A. M., and Sun, J. Lycium shawii Roem. and Schult.: A new bioactive antimicrobial and antioxidant agent to combat multi-drug/pan-drug resistant pathogens of wound burn infections. Journal of traditional and complementary medicine 2020 Jan12; 10(1), 13-25. doi:10.1016/j.jtcme.2019.01.004

31    Jitan, S. A., AlKhoori, S., Ochsenkühn, M., Amin, S. A., and Yousef, L. F. Ethanol/water extracts from halophyte species Arthrocnemum macrostachyum and Tetraena qatarensis. Cogent Chemistry 2018 Oct 22; 4(1), 1-6. https://doi.org/10.1080/23312009.2018.1536311

32    Balkrishna A, Rohela, A, Kumar A, Kumar A, Arya V, Thakur P, Oleksak P, Krejcar O, Verma R, Kumar D, Kuca K. Mechanistic insight into antimicrobial and antioxidant potential of Jasminum species: A herbal approach for disease management. Plants 2021 May 28;10:1-25. https://doi.org/10.3390/plants10061089

33    Olajuyigbe, O. O., and Afolayan, A. J. Evaluation of combination effects of ethanolic extract of Ziziphus mucronata Willd. subsp. mucronata Willd. and antibiotics against clinically important bacteria. The Scientific World Journal 2013; 1-9. Doi: https://doi.org/10.1155/2013/769594.

34    Saquib, S. A., AlQahtani, N. A., Ahmad, I., Kader, M. A., Al Shahrani, S. S., and Asiri, E. A. Evaluation and comparison of antibacterial efficacy of herbal extracts in combination with antibiotics on periodontal pathobionts: An in vitro microbiological study. Antibiotics 2019 July1; 8(3), 1-12. Doi: 10.3390/antibiotics8030089.

 

 

 

 

Received on 06.08.2021            Modified on 03.10.2021

Accepted on 10.11.2021           © RJPT All right reserved

Research J. Pharm.and Tech 2022; 15(4):1543-1548.

DOI: 10.52711/0974-360X.2022.00257