Iridoids from Canthium subcordatum iso-butanol fraction with potent biological activities

Background The continuous emergence of multi-drug-resistant bacteria drastically reduces the efficacy of antibiotic armory and, consequently, increases the frequency of therapeutic failure. The discovery of new antibacterial drugs is an urgent need. The present study reports the antibacterial and antioxidant activities of the methanol extract, fractions and iridoids from Canthium subcordatum, a plant traditionally used as antidiabetic, anti-inflammatory, and antimicrobial. Methods Broth microdilution assay was used to determine minimum inhibitory concentrations (MICs) and minimum bactericidal concentrations (MBCs) of extracts and iridoids against Staphylococcus aureus, Vibrio cholerae and Shigella flexneri. Antioxidant activity was evaluated using 1,1-diphenyl-2-picrylhydrazyl (DPPH) and gallic acid equivalent antioxidant capacity (GAEAC) assays. The samples were also tested for their cytotoxicity against human red blood cells (RBC). Results The methanol extract, hexane, ethyl acetate and iso-butanol fractions from C. subcordatum fruits displayed different degrees of antioxidant (EC50 = 62.83–70.17 μg/ml; GAEAC = 45.63–58.23 μg/ml) and antibacterial (MIC = 128–512 μg/ml) activities. Canthiumoside 1(1) and linearin (7) were the most active antioxidant (EC50 = 1.12–2.03 μg/ml; GAEAC = 79.82–92.35 μg/ml) and antibacterial (MIC = 8–64 μg/ml) compounds while the most sensitive bacterium was Staphylococcus aureus. The tested samples were non-toxic to normal cells. Conclusion Our results demonstrated that compounds 1 and 7 were potent antibacterial agents and DPPH/ABTS·+ radical scavengers, so they warrant further investigation.


Background
The uses of plants in the indigenous cultures of developing countries are numerous and diverse. For many people, the high cost of imported conventional drugs and/or inaccessibility to western health care facilities has led to overreliance on traditional medicine since it is affordable and available to rural people. On the other hand, even when western health facilities are available, traditional medicine is viewed as an efficient and an acceptable system from a cultural perspective [1,2]. Oxidative stress and diarrheal diseases are among some of the indications treated using traditional remedies in Cameroon. Diarrheal disease is a leading cause of child mortality and morbidity in the world due to various factors such as the HIV/AIDS pandemic, poor hygiene, overcrowding and resistance to conventional antibacterials while oxidative stress can lead to many illnesses including cardiovascular diseases, diabetes, inflammation, degenerative diseases, cancer, anemia, and ischemia [3]. Among the diarrheal diseases, cholera is a serious epidemic disease caused by the gram-negative bacterium Vibrio cholerae [4]. Vibrio cholerae, serotypes O1 and O139 has ability to produce an enterotoxin, cholera toxin that is a major determinant of virulence for cholera. There is a consensus among the scientific community that plant derived products have been playing a dominant role in the discovery of leads for the development of drugs for the treatment of human diseases [3]. Canthium subcordatum (formely Psydrax subcordata) belonging to Rubiaceae family is a tree which grows in central and western Africa and reaches a height of more than 10 m [5]. Its roots, leaves and stem bark are used for medicinal purposes [6]. Alcoholic extracts of the stem bark have potential antidiabetic properties [6] and roots were used to treat malaria fever, inflammation and cardiovascular disease [7]. Petroleum ether and dichloromethane extracts of C. subcordatum have shown anti-inflammatory activity in COX-1 and COX-2 assays [8]. Previous phytochemical works on this plant species and other Canthium species revealed the presence of iridoids [8][9][10], iridoid peptidic alkaloids [11,12], flavonoids [10], terpenoids and miscellaneous [12,13]. However, it is not yet known which of the phytoconstituents is responsible of the antimicrobial effect of this plant, when it is used to cure infectious diseases and oxidative stress conditions. Therefore, the present study reports the antibacterial and antioxidant activities of extracts and iridoids from C. subcordatum fruits.

Plant material
The fruits of Canthium subcordatum DC (syn. Psydrax subcordata DC Bridson) were collected in Foto village (Menoua Division, Western region of Cameroon), in April 2012. Authentication was performed by Victor Nana, a Botanist of the Cameroon National Herbarium, Yaoundé, where a voucher specimen (N°19579/SRF/CAM) has been deposited.

Extraction and isolation
The iso-butanol, ethyl acetate and hexane fractions as well as the isolated compounds were obtained as previously described [10]. Briefly, the dried fruits of C. subcordatum (3.50 kg) were extracted with MeOH, and the resulting crude extract was suspended in water and successively extracted with n-hexane, ethyl acetate and iso-butanol to yield hexane, ethyl acetate and iso-butanol fractions. The hexane and iso-butanol-solute fractions were further fractionated and purified over silica gel column chromatography to yield compounds 11-12 and 1-10 respectively [10]. None compound has been isolated after the fractionation of the ethyl acetate fraction.

Antibacterial assay Microorganisms
A total of six bacterial strains were tested for their susceptibility to compounds and these strains were taken from our laboratory collection (kindly provided by Dr. T. Ramamurthy, NICED, Kolkata). Among the clinical strains of Vibrio cholerae used in this study, strains NB2 and SG24(1) belonged to O1 and O139 serotypes, respectively. These strains were able to produce cholera toxin and hemolysin. The other strains used in this study were V. cholerae non-O1, non-O139 (strains CO6 and PC2); and Shigella flexneri SDINT. The V. cholerae non-O1 and non-O139 strains, were positive for hemolysin production but negative for cholera toxin production. The strains of V. cholerae and S. flexneri included in the present study were MDR clinical isolates and these were resistant to commonly used drugs such as ampicillin, streptomycin, tetracycline, nalidixic acid, furazolidone, co-trimoxazole, etc. A reference strain, Staphylococcus aureus ATCC 25923, was used for quality control. The bacterial strains were maintained on agar slant at 4°C and subcultured on a fresh appropriate agar plates 24 h prior to any antibacterial test. The Mueller Hinton Agar (MHA) was used for the activation of bacteria. The Mueller Hinton Broth (MHB) and nutrient agar (Hi-Media) were used for the MIC and MBC determinations respectively.

Determination of minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC)
MIC values were determined by a broth micro-dilution method as described earlier [14] with slight modifications. Each test sample was dissolved in dimethylsulfoxide (DMSO) and the solution was then added to Mueller Hinton Broth (MHB) to give a final concentration of 1024 μg/ml. This was serially diluted twofold to obtain a concentration range of 0.50-1024 μg/ml. Then, 100 μl of each concentration was added in each well (96-well microplate) containing 95 μl of MHB and 5 μl of inoculums (at 1.5 × 10 6 CFU/ml) for final concentrations varying from 0.25-512 μg/ml. Dilutions of Ciprofloxacin and Ampicillin (256 -0.125 μg/ml) served as positive controls, while broth with 5 μL of DMSO was used as negative control. The plates were covered with sterile lids, then the contents of each well were mixed using a shaker and incubated at 35°C for 24 h. The MIC values of samples were determined by adding 50 μl of a 0.20 mg/ml p-iodonitrotetrazolium violet solution followed by incubation at 35°C for 30 min. MIC values were defined as the lowest sample concentrations that prevented this change in color indicating an inhibition of visible growth. Viable microorganisms reduced the yellow dye to a pink color. For the determination of minimum bactericidal concentration (MBC) values, a portion of liquid (5 μl) from each well that showed no growth of microorganism was plated on Mueller Hinton Agar and incubated at 35°C for 24 h. The lowest concentrations that yielded no growth after this subculturing were taken as the MBC values [15]. All the analyses were carried out in triplicate.

Antioxidant assay DPPH free radical scavenging assay
The free radical scavenging activity of extracts as well as most of their isolated compounds was performed according to Brand-Williams et al. [16] with slight modifications. Briefly, different concentrations (10 to 2000 μg/ml) of extracts/compounds and vitamin C (positive control) were thoroughly mixed with 3 ml of methanolic DPPH solution (20 mg/l) in test-tubes and the resulting solution was kept standing for 30 min at room temperature before the optical density (OD) was measured at 517 nm. The percentage radical scavenging activity was calculated from the following formula: % [16]. Where A 0 was the absorbance of the negative control (methanolic DPPH solution) and A 1 was the absorbance in the presence of the samples. IC 50 value was determined from the graph obtained using standard vitamin C by using the "y = mx + c" formula from the slope of the graph. All the analyses were carried out in triplicate.

Hemolytic assay
Hemolysis test was performed to determine cellular toxicity of the compounds as previously described [19]. Whole blood (10 ml) from a healthy man was collected into a conical tube containing heparin as an anticoagulant (blood group O was used). Extracts (at concentrations ranging from 32 to 2048 μg/ml) and pure compounds (16 to 256 μg/ml), were incubated with an equal volume of 1% human red blood cells in phosphate buffered saline (10 mM PBS, pH 7.4) at 37°C for 1 h. 1% human red blood cells in buffer was used as a non-hemolytic control whereas buffer containing 1% Triton X-100 and 1% human red blood cells served as a 100% hemolytic control. Cell lysis was monitored by measuring the release of hemoglobin at 540 nm. The assay was repeated thrice. Percent hemolysis was calculated as follows: " A595 of sample treated with compound -A595 of sample treated with buffer A595 of sample treated with Triton X−100 -A595 of sample treated with buffer !#

Statistical analysis
Data were analyzed by one-way analysis of variance followed by Waller-Duncan Post Hoc test. The experimental results were expressed as the mean ± Standard Deviation (SD). Differences between groups were considered significant when p <0.05. All analyses were performed using the Statistical Package for Social Sciences (SPSS, version 12.0) software.
Each year, some 500,000 patients in American hospitals contract a staphylococcal infection [15,22]. Such findings stress the importance of finding an antibiotic against which Staphylococcus aureus is sensitive. It can also be noted that the reference antibiotics were in most of the case more active than all studied samples, except on Vibrio cholerae NB2, Vibrio cholerae PC2 and Shigella flexneri where ampicillin was not active. However, these bacterial strains were found to be sensitive to most of the tested samples, suggesting that their administration may represent an alternative treatment against the V. cholerae, the causative agent of cholera and S. flexneri, the causative agent of shigellosis. Taking into account the medical importance of the tested bacteria, this result can be considered as promising in the perspective of new antibacterial drugs development. Although iridoids (sanshiside methyl ester, sanshiside-D, mussaein, verbascoside, plumieride, protoplumericin A, plumieride acid, plumericin and isoplumericin) have been reported to possess antiviral, antimicrobial, anticancer and antioxidant properties [23][24][25][26][27][28], this study report for the first time the antibacterial activity of iridoids on MDR clinical multi-drug resistant (MDR) pathogenic bacteria.
The results of Table 1 also showed detectable MBC values for most of the studied samples on the tested bacterial strains. When analysing carefully the MIC and MBC results for the extracts and compounds, it can be noted that MBC/MIC ratios lower than 4 were obtained with these samples on most of the tested microbial species, suggesting that a bactericidal effect could be expected [29,30].

Antioxidant activity
Plant based antioxidant compounds [31,32] play a defensive role by preventing the generation of free radicals and hence are extremely beneficial to alleviate the diseases caused by oxidative stress such as cardiovascular diseases, diabetes, inflammation, degenerative diseases, cancer, anemia, and ischemia [33,34]. In this study, free radical scavenging capacities were measured using DPPH radical and ABTS radical cation. The results are expressed as gallic acid equivalent antioxidant capacity of tested samples (Figs. 2 and 3) and as equivalent concentrations of test samples scavenging 50% of DPPH radical (Fig. 3). Compounds 1 (EC 50 = 2.03 μg/ml; GAEAC = 79.82 μg/ml) and 7 (EC 50 = 1.12 μg/ml; GAEAC = 92.35 μg/ml) exerted the greatest activity Fig. 2 Gallic acid equivalent antioxidant capacity (GEAC; μg/ml) of tested samples. Bars represent the mean ± SD of three independent experiments carried out in triplicate. Letters a-i indicate significant differences between samples according to one way ANOVA and Waller Duncan test; p < 0.05. 1: canthiumoside 1; 2: canthiumoside 2; 3: canthiumoside 3; 4: canthiumoside 4; 5a: canthiumoside 5a; 6: shanzhigenin methyl ester; 7: linearin; 7': 1-epilinearin; 8: mussaenoside; 9: shanzhiside methyl ester whereas compound 4 (EC 50 = 178.57 μg/ml; GAEAC = 22.63 μg/ml) displayed the lowest antioxidant activity in both assays (p < 0.05); suggesting that the ability of these samples to scavenge DPPH could also reflect their ability to inhibit the formation of ABTS+. Apart from compounds 1 and 7, the EC 50 value of vitamin C is lower than those of the other tested samples, showing that these samples are less active compared with vitamin C. However, the EC 50 value of compound 7 (EC 50 = 1.12 μg/ml) is lower than that of standard vitamin C (EC 50 = 1.74 μg/ml), clearly indicating that this compound is more potent than vitamin C in scavenging free radicals in vitro (Fig. 3). Moreover, the EC 50 value of compound 1 (EC 50 = 2.03 μg/ml) is comparable to that of vitamin C (EC 50 = 1.74 μg/ml). In all, the DPPH and ABTS scavenging activities in this study indicated that compounds 1 and 7 belonging to iridoids were potent antioxidants. Previous studies reported the antioxidant activities of some iridoids from plant origin [35][36][37]. Hence, the antioxidant activity of extracts in this study may be due to the presence of iridoids and phenolic compounds that are capable of donating hydrogen to a free radical in order to remove odd electron, which is responsible for the radical's reactivity [28,38].

Hemolytic activity
In this study, none of the tested samples showed hemolytic activities against human red blood cells at concentrations up to 512 μg/ml for the extracts and 256 μg/ml for pure compounds (results not shown) indicating that it is non-toxic to normal cells.