Abstract Book - 3rd International Symposium on Medicinal Plants ...
Abstract Book - 3rd International Symposium on Medicinal Plants ...
Abstract Book - 3rd International Symposium on Medicinal Plants ...
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2.22 The Ethnopharmacological Use of Polyherbals for Infectious Diseases<br />
in South Africa<br />
Van Vuuren Sandy 1 , Makunga Nokwanda 2 , De Wet Helene 3 , and Van Zyl<br />
Robyn 1<br />
1 Department of Pharmacy and Pharmacology, University of the Witwatersrand, 7 York Road,<br />
Parktown. 2 Department of Botany and Zoology, Stellenbosch University, Private Bag X1,<br />
Stellenbosch. 3 Department of Botany, University of Zululand, KwaDlangezwa, 3886, South Africa.<br />
<str<strong>on</strong>g>Abstract</str<strong>on</strong>g>: Traditi<strong>on</strong>al healing is widely practiced in South Africa, however, there has been very<br />
little documented research undertaken <strong>on</strong> the validati<strong>on</strong> of medicinal plant mixtures. This study<br />
presents a selecti<strong>on</strong> of highlights from our studies <strong>on</strong> the antimicrobial efficacies of plant<br />
combinati<strong>on</strong>s. Organic and aqueous extracts were prepared for all plants and their combinati<strong>on</strong>s<br />
which were then tested against pathogens relative to the traditi<strong>on</strong>al use of the plants. Antimicrobial<br />
activity was assessed using the minimum inhibitory c<strong>on</strong>centrati<strong>on</strong> micro-diluti<strong>on</strong> assay and activity<br />
of the combined plants were analysed using the ∑FIC index and isobolograms in order to<br />
determine antag<strong>on</strong>istic, indifferent, additive or synergistic interacti<strong>on</strong>s. For toxicity studies, the 3-<br />
(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide cell viability assay was performed <strong>on</strong><br />
human kidney epithelial cells. C<strong>on</strong>venti<strong>on</strong>al antimicrobials were tested in combinati<strong>on</strong> with<br />
commercially relevant indigenous medicinal plants. A study <strong>on</strong> plants used to treat sexually<br />
transmitted infecti<strong>on</strong>s in Maputaland emphasised the importance of performing tandem toxicity<br />
assays. When Sclerocarya birrea and Syzygium cordatum (aqueous extracts) were independently<br />
studied, they possessed no toxicity. However, when combined the toxicity levels increased.<br />
C<strong>on</strong>versely, multiple plants in a combinati<strong>on</strong> (Euphorbia hypericifolia, Hypoxis hemerocallidia,<br />
Senecio serratuloides and Ozoroa engleri) dem<strong>on</strong>strated synergy (∑FIC 0.4). The 1:1 mixtures<br />
within this selecti<strong>on</strong> displayed antag<strong>on</strong>ism (∑FIC 4.5) against Oligella ureolytica. Agathosma<br />
crenulata, Dod<strong>on</strong>aea viscosa and Eucalyptus globulus, a herbal mix frequently traded informally in<br />
Cape Town and used by herbalists descendent from the Khoi-San, dem<strong>on</strong>strated synergistic<br />
interacti<strong>on</strong>s as low as ∑FIC 0.05 (Staphylococcus aureus) when used in a multiple combinati<strong>on</strong>.<br />
<strong>Plants</strong> with allopathic antimicrobials dem<strong>on</strong>strated various interacti<strong>on</strong>s. Aspalathus linearis, for e.g.<br />
dem<strong>on</strong>strated interacti<strong>on</strong>s ranging from synergistic (∑FIC 0.15) to antag<strong>on</strong>istic (∑FIC 6.03) when<br />
combined with ciprofloxacin and gentamicin respectively. Whether interactive efficacies of<br />
medicinal plants yield synergistic or even antag<strong>on</strong>istic efficacies, the importance of combinati<strong>on</strong><br />
therapy cannot be ignored and further validati<strong>on</strong>s could <strong>on</strong>ly enhance the field of phytosynergy.<br />
Key words: Ethnopharmacological, infectious diseases, polyherbals, South Africa.<br />
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