Antimicrobial Resistance (AMR) is a global health issue that causes significant mortality and morbidity. Multiple drug resistance in Gram-positive and Gram-negative bacteria has made treating common illnesses with standard medicines challenging (27). The rapid proliferation of multiple drug resistance bacteria, along with a lack of effective medications and suitable preventative measures, has prompted the development of innovative treatment alternatives and alternative antimicrobial treatments that are both less expensive and more effective (27).
Bioactive plant constituents have been used in the treatment of both Gram-positive and Gram-negative bacterial infections(28) for centuries of years. Several studies in the West African sub-region have reported that C. sanguinolenta is an anti-malarial plant (11, 12). There have been other reports on its antimicrobial properties by researchers such as Boakye-Yiadom, Mills-Robertson et al., and Paulo et al. (11–13, 29).
The current study found that C. sanguinolenta was susceptible to S. aureus (Gram-positive bacteria) but resistant to Gram-negative organisms such as P. aeuroginosa, S. saprophyticus, P. mirabilis, and S. typhi (Tables 2 and 3). This finding was consistent with another study by Boakye-Yiadom (29). Boakye-Yiadom (29), revealed that less than 50 mg/mL of aqueous extract generates mild antibacterial activity, a finding that is similar to a later investigation done by Paulo et al. (13, 29). This observation could be due to the action of cryptolepine (a bioactive ingredient in C. sanguinolenta) on the bacterial cell wall of both Gram-positive and Gram-negative organisms. Gram-negative bacteria have an outer cell membrane, a lipopolysaccharide with low permeability (30). Some Gram-negative microorganisms also express resistance to inducible cephalosporins or antibiotic efflux pumps that give them high intrinsic resistance to antibiotics; hence, such could be why the extracts of the C. sanguinolenta did not work successfully on the selected Gram-negative organisms (30). These current findings contradict the conclusions from Mills-Robertson et al. (12), in which the plant extract worked against both Gram-positive and Gram-negative microorganisms used in their studies.
Pycnanthus angolensis showed high potency against both selected Gram-negative and Gram-positive organisms except P. mirabilis. The potency was concentration and dose-dependent. This current study finding is consistent with a similar study by Chukwudozie and Ezeonu (21). Chukwudozie and Ezeonu (21), reported that the stem bark of P. angolensis showed higher inhibition when tested against Gram-positive and negative bacteria. In those studies, the ethanol extracts of the plant extracts were more susceptible than the aqueous extracts when used against the selected microorganisms (21). The resistance of P. mirabilis could be due to dose dependency and, therefore, will require a higher dose of the plant extract to be susceptible (27). The current study shows that the phytochemicals in P. angolensis are potent against both Gram-negative and Gram-positive organisms in a dose-dependent pattern. It will be ideal to investigate this further in developing novel antimicrobial agents to tackle the growing threat of AMR (27).
Results obtained from P. angolensis has confirmed the early claims by Omobuwajo et al. (10) and Sofidiya and Awolesi (6) (Table 1), that P. angolensis is a remedy for chest pains and skin diseases such as boils, furuncles caused by S. aureus, wound healing and gastrointestinal ailment which are usually caused by some of these microorganisms (6, 10). Agayare et al. (9), and Onocho and Otula (15) also claimed that P. angolensis is a medicinal source for the management of food poisoning, bloody diarrhoea, and urinary tract infections caused by S. typhi and S. saprophyticus.
Phenols have been reported to have antiseptic, anti-inflammatory, antimicrobial, and anti-tumour properties, and tannins have also been reported to have anti-ageing properties as well as skin regeneration, anti-inflammatory and diuretic properties (31). According to Agyare et al. (15), flavonoids have splendid antimicrobial and anticancer activities, while alkaloids are used as painkiller medications (32).
Extraction is necessary to separate plants' insoluble residues from their soluble active components. (33). It is one of the main steps in obtaining phytochemicals for use as supplements, food ingredients, drugs, and cosmetics (34). The aqueous and ethanolic extracts of C. sanguinolenta were prepared using the decoction process with water and ethanol as the solvents, respectively. They were used because they served as the most suitable solvent for the extraction process due to their differences in the polarity of the phytochemicals present and their safety for human consumption (35). Water is known to be a universal polar solvent, and it is therefore capable of dissolving numerous solubilizing substances. It also showed very effective performance in some studies on extraction and had the upper hand over all other solvents due to its unlimited usage. On the other hand, ethanol is a less polar solvent (due to its covalent bonds) and one of the most widely used in antioxidant extraction due to its generally recognized safe solvent ability, a term known as the "GRAS ability of ethanol" (36–38). The addition of water to ethanol also dramatically increases the rate of extraction of metabolites (39). Moreover, both solvents are massively used by herbalists in the preparation of herbal medicine despite their inadequate or no knowledge of the effects of their use on the active components in the plants involved; hence, the use of water and ethanol for this study (40).
The Folin-Ciocalteu reagent assay is the most readily available and straightforward method for determining the total phenol contents present in samples. The yellow reagent comprises phosphomolybdic and phosphotungstic acids, which are heterocyclic acids with molybdenum and tungsten in an oxidation state of + 6 (41). The assay works on the principle that, under primary conditions (that is, the addition of sodium carbonate), phenolic compounds if present, dissociate to form a phenolate ion, which reduces the phosphomolybdic and phosphotungstic acids of the Folin-Ciocalteu reagent to form molybdenum blue and tungsten blue with a mean oxidation state between 5 and 6 (41). These products are chromogens; thus, the blue colour they produce and their intensity can be measured using absorbance readings from a spectrophotometer with wavelength ranges between 500 nm and 760 nm (41). This principle is a typical oxidation-reduction reaction, and this study considered absorbance readings at 750 nm (41). Results from this study (Table 7) revealed that the crude sap of P. angolensis contained the highest amount of total phenol content compared to the roots of C. sanguinolenta. In comparison, it was observed that the ethanol extract had a significantly higher total phenol content than the aqueous solution. The aqueous solution recorded a low value, possibly due to the inability of water to adequately extract non-polar polyphenols into the solution (42). In the current study, 70% ethanol was also used to prepare the ethanol extract. Combined with water, ethanol has a much greater potential to extract polar and non-polar polyphenols into solution than it would if it were used alone (that is, at 100% ethanol) (42). Low values were also recorded in the aqueous extract, possibly due to the action of the enzyme polyphenol oxidase, which works best in an aqueous medium and acts on polyphenols and degrades them, thereby reducing their presence in solution (42). From the hypothesis test carried out, it was realised that a comparison of the three extracts produced a p-value of 0.0001, indicating that the various extracts were very different from each other and, as such, one extract could not be substituted for another for its usage in the manufacturing of potent drugs (40).
This study showed an increase in the mean percentage of antioxidant activity as the concentrations increased. This was reflected in all the extracts and the standard BHT to which the extracts were compared. It was observed that P. angolensis (sap), C. sanguinolenta (aqueous), and C. sanguinolenta (ethanol) recorded IC50 values of 0.0674 mg/mL, 2.1609 mg/mL and 1.002 mg/mL, respectively, compared to the BHT of 0.0432 mg/mL (Figs. 3–6). Comparing the extracts for the study to the standard, P. angolensis (sap) recorded values comparable to the reference value (43). Even though the IC50 values of the aqueous and ethanol forms of C. sanguinolenta are not close to that of the standard, it can be said conclusively that they are good antioxidants as few amounts of these extracts can mop up 50% of free radicals (44). It was also observed that C. sanguinolenta (ethanolic) recorded an IC50 value much closer to the standard than C. sanguinolenta (aqueous). This indicates that the ethanol crude extract of C. sanguinolenta is a much better antioxidant than the aqueous extract. This is likely due to the percentage of ethanol (70%) used for the extraction. Coupled with some amount of water, ethanol had a more significant potential to dissolve more phenolic compounds than using only distilled water or ethanol (45). It must be noted, that the closer an IC50 value of an extract is to zero, the more likely it is for the extract to possess potent antioxidant capabilities (24). Thus, the crude sap of P. angolensis was a more powerful antioxidant than the ethanol extract of C. sanguinolenta, which was also a better antioxidant than the aqueous extract of C. sanguinolenta. On the whole, all three extracts proved to be very effective antioxidants. The current study findings agree with study by Khanc et al. (46), where it was reported that in the nitric oxide scavenging experiment, the crude extract of P. angolensis showed astounding efficacy with a 99.0% Radical Scavenging Activity (RSA) compared to the reference, n-propyl gallate (90.3% RSA) (46). Another study conducted by Oladimeji and Akpan (7) also showed that P. angolensis had a moderate antioxidant activity of 0.55 µg/mL when compared with the standard drug (Vitamin C) with an antioxidant activity of 0.45 µg/mL (7). Furthermore, the antioxidant activities of P. angolensis were better than those of vitamins A and E at 0.57 and 0.59 µg/mL (7), respectively. The antioxidant capabilities of the extracts were instructive since the phytochemical analysis of the plants revealed the presence of terpenes, flavonoids, and tannins, all of which have antioxidant properties. Studies have shown a direct correlation between the total phenol content and extracts' antioxidant activity (47–49). It is therefore not surprising that the crude sap of P. angolensis, which recorded a higher IC50 value of 0.0674 mg/mL, had a higher amount of phenol content (55.427 ± 4.248) compared to the ethanol extract of C. sanguinolenta which also recorded a higher IC50 value of 1.002 mg/mL and an amount of 26.888 ± 4.248 g/100g GAE of phenol content than its aqueous extract which recorded the least values (11, 12).
The present work revealed that the root extracts (aqueous and ethanolic) of C. sanguinolenta possess alkaloids, cardiac glycosides, and saponins. In contrast, the crude sap of P. angolensis possessed alkaloids, cardiac glycosides, tannins, saponins, terpenoids, and phenols. These secondary metabolites have been found to possess antimicrobial and anticancer properties. Alkaloids are mostly known for their toxicity against cells of foreign organisms, and these have the potential to eliminate and reduce human cancer cell lines (15). Alkaloids are naturally occurring metabolites in plants and are mostly present as heterocyclic compounds containing nitrogen atoms (which are very essential for plant growth) and are in the form of salts coupled with organic acids (15). It was therefore not surprising that they were found to be present in various extracts. Eleazu and Eleazu(50) reported that isolated alkaloids and their derivatives possess medicinal properties due to their antispasmodic, antibacterial, and analgesic properties (50).
Tannins are known to form irreversible complexes with proline-rich proteins (51). Parekh and Chanda (52) also found that tannins react with proteins to produce essential effects for the treatment of inflamed or ulcerated tissues. Plants rich in tannins are astringent and may be used for treating intestinal disorders like dysentery and diarrhoea (52). P. angolensis is a plant used to treat intestinal disorders like dysentery and diarrhoea diseases in West Africa. This may prove the antimicrobial and anticancer properties of P. angolensis based on its phytochemical constituents (11). The absence of flavonoids in both aqueous and ethanolic extracts of the root extracts of C. sanguinolenta and crude sap of P. angolensis does not mean a lack of bioactive constituents (12). However, this may be due to the low levels of the bioactive compounds in the crude plant extracts used in this current study (12). Saponins possess hypolipidemic and anticancer activities and are also important for co-functioning with cardiac glycosides to enable them to carry out their activities which include serving as cardiac drugs and promoting nitrogen retention in osteoporosis or with animals with wasting illness (53–55). Terpenoids also have a broad range of properties including antitumor, antiviral, bactericidal, fungicidal, analgesic, anti-inflammatory, spermicidal, and cytotoxic activities (56). Phenolic compounds are most notable for their antioxidant action due to their high tendency to chelate metals and inactivate their actions (57). All these medicinal effects of the various phytoconstituents make them possible for their usage in treating numerous diseases.
Results from this current study were consistent with the works carried out by others. Considering the sap of P. angolensis, the work done by Udeozo et al. (58), on the powdered stem revealed the presence of flavonoids, alkaloids, saponins, tannins, terpenoids, and glycosides. Oladimeji et al. (7), who also worked on the ethanolic extract revealed the presence of saponins, cardiac glycosides, and terpenoids except for alkaloids, tannins, and flavonoids. Akinyenye and Olatunya (59) also confirmed positive tests for alkaloids, saponins, tannins, terpenoids, flavonoids, and cardiac glycosides upon working on the aqueous extract of the plant. Their results were also compared with that of Udeozo et al. (58). This study was consistent with the works by Mills-Robertson et al. (12), who worked on the cold and hot water extracts as well as the ethanol extracts and revealed the presence of alkaloids. Bunalema (60), worked on the crude extracts of the roots and revealed the presence of alkaloids, tannins, and flavones. Claude et al. (61) worked on the methanol extracts and obtained positives for alkaloids, tannins, and flavones just as obtained by Bunalema (60). Mills-Robertson et al. (11), worked on the aqueous, ethanol, and chloroform extracts that revealed the presence of alkaloids and the absence of saponins and flavonoids in all three extracts. Chahar et al. (14), also worked on the aqueous, ethanol, and chloroform extracts and their study revealed the presence of alkaloids and terpenes (for only the aqueous extract) and the absence of saponins and flavonoids in all the three extracts. A study carried out by Chime (62) on the ethanol crude extracts of C. sanguinolenta revealed the presence of alkaloids, terpenoids and glycosides. Saponins, tannins, but flavonoids were absent. From the various studies on C. sanguinolenta, it was realized that alkaloids tested positive throughout and this confirms the work done by Gibbons et al. (63), who not only identified the alkaloid cryptolepine but also went a step further to isolate this potent alkaloid. The differences in results from this study as compared to the others could be genuinely due to their absence or the difference in the methods of preparation and the types or parts of crudes used in the various extracts (11).