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Medicinal Plants Classification Biosynthesis and ... - Index of

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318<br />

Philippe N. Okusa, Caroline Stevigny <strong>and</strong> Pierre Duez<br />

The agar diffusion technique can also be used to study the effect <strong>of</strong> plant extracts on<br />

antibiotics resistance. In this purpose, inactive plant extracts are dissolved <strong>and</strong> incorporated<br />

in molten agar medium <strong>and</strong> cast in Petri dish (Okusa et al., 2007); suitable controls are<br />

prepared with medium without plant extracts. The susceptibility <strong>of</strong> antibiotics is then<br />

evaluated by a classical disk diffusion method. Another possible approach is the<br />

incorporation <strong>of</strong> antibiotic in the agar layer overlaid by disks containing tested plant extracts<br />

(Shahverdi et al., 2004).<br />

2.3. Liquid-<strong>and</strong> Agar-Dilution Methods<br />

Liquid broth dilution methods, including microdilution methods, are widely used to<br />

quantitatively measure the in vitro activity <strong>of</strong> an antimicrobial agent against a given bacterial<br />

strain. A series <strong>of</strong> serial dilutions <strong>of</strong> the tested agent in broth tubes or multiwell plates are<br />

inoculated with a st<strong>and</strong>ardized suspension <strong>of</strong> the test microorganism. After overnight<br />

incubation, the minimum inhibitory concentration (MIC) is visually or spectrometrically<br />

estimated by determination <strong>of</strong> turbidity (NCCLS, 2003) or <strong>of</strong> reaction products from redoxindicators<br />

such as MTT or resazurin (Gabrielson et al., 2002). Test samples may react with<br />

the chromogenic reagent or, if not fully soluble, may interfere with turbidity readings,<br />

emphasizing the need for suitable controls, i.e. extract dissolved in blank medium without<br />

micro-organisms. The liquid-dilution method also allows determination whether a compound<br />

or extract has a cidal or static action at a particular concentration. The minimal bactericidal or<br />

fungicidal concentration (MBC or MFC) is determined by plating-out samples <strong>of</strong> completely<br />

inhibited dilution cultures on agar medium <strong>and</strong> visually assessing growth (static, MIC) or nogrowth<br />

(cidal, MBC) after incubation (NCCLS, 2002, 2003).<br />

In agar-dilution methods, various concentrations <strong>of</strong> antibacterial substance are mixed<br />

with nutrient agar <strong>and</strong> caste. Casted agar plates are then inoculated <strong>and</strong> incubated. The lowest<br />

concentration <strong>of</strong> antimicrobial compound resulting in no visible growth is considered as the<br />

MIC value.<br />

Liquid-<strong>and</strong> agar-dilution methods can also be used to study the effect <strong>of</strong> plant extracts on<br />

antibiotics resistance.<br />

2.4. Synergy between Plant Extracts <strong>and</strong> Antibiotics<br />

Antimicrobial combinations are considered to be synergistic if the effect <strong>of</strong> combination<br />

is greater than the effect <strong>of</strong> either agent alone or greater than the sum <strong>of</strong> the effects <strong>of</strong><br />

individual agents. Antagonism results if the combination provides an effect less than the<br />

effect <strong>of</strong> either agent alone or less than the sum <strong>of</strong> the effects <strong>of</strong> the individual agents.<br />

Indifference results if the combination provides an effect equal to the effect <strong>of</strong> either agent<br />

alone. The distinction between synergy, antagonism <strong>and</strong> indifference classically relies on the<br />

determination <strong>of</strong> Fractional Inhibitory Concentrations (FIC= MIC <strong>of</strong> a drug given in<br />

combination/MIC <strong>of</strong> the same drug alone) <strong>and</strong> FIC index (for a mixture <strong>of</strong> drugs A <strong>and</strong> B,<br />

FIC index = FICA + FICB). The FIC index is classically evaluated as follows: synergy (FIC

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