Characterization and enhanced antibiofilm activity of Annona muricata extract in combination with fluconazole against Candida albicans

Introduction: Candida albicans biofilm formation contributes significantly to antifungal resistance, necessitating new treatment strategies. Annona muricata Lin., a traditional herbal remedy, has shown promise in combating microbial infections. This study evaluated the antibiofilm activity of the m...

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Main Authors: Abhay Mishra, Masande Yalo, Jennifer Nambooze, Carolina H. Pohl, Gabré Kemp, Lekgoana K. Setsiba, Motlalepula G. Matsabisa
Format: Article
Language:English
Published: AboutScience Srl 2025-01-01
Series:Drug Target Insights
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Online Access:https://journals.aboutscience.eu/index.php/dti/article/view/3171
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author Abhay Mishra
Masande Yalo
Jennifer Nambooze
Carolina H. Pohl
Gabré Kemp
Lekgoana K. Setsiba
Motlalepula G. Matsabisa
author_facet Abhay Mishra
Masande Yalo
Jennifer Nambooze
Carolina H. Pohl
Gabré Kemp
Lekgoana K. Setsiba
Motlalepula G. Matsabisa
author_sort Abhay Mishra
collection DOAJ
description Introduction: Candida albicans biofilm formation contributes significantly to antifungal resistance, necessitating new treatment strategies. Annona muricata Lin., a traditional herbal remedy, has shown promise in combating microbial infections. This study evaluated the antibiofilm activity of the methanol extract of A. muricata leaves, alone or combined with fluconazole, against C. albicans. Methods: Phytochemicals in the methanol extract were analyzed using LC-MS, biofilm metabolic activity was assessed with the XTT assay, and morphological changes were examined via scanning electron microscopy (SEM). Molecular docking evaluated the binding of compounds in the A. muricata extract to the Sap3 receptor (PDB: 2H6T). Results: LC-MS identified 17 phytochemicals in the methanol extract. The extract showed dose-dependent inhibition of biofilm formation, reaching ~60% inhibition at 240 μg/ml. Fluconazole inhibition increased from 32% to 76% as concentrations rose from 15 to 240 μg/ml. The combination of A. muricata and fluconazole enhanced inhibition, ranging from 74% to 78% at 15–240 μg/ml. SEM analysis revealed altered biofilm morphology and loss of cell integrity with the combination treatment. Phytochemicals showed high binding affinity (−9.7 to −8.0 kcal/mol) for the Sap3 enzyme, suggesting therapeutic potential. Conclusion: These findings suggest that compounds in the A. muricata methanol extract synergize with fluconazole at sub-inhibitory concentrations to suppress C. albicans biofilm formation. This paves the way for antifungal treatments that may mitigate fluconazole resistance using this plant extract.
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spelling doaj-art-5db16dbeed6045b09d4301e2bf089fa12025-01-13T14:03:25ZengAboutScience SrlDrug Target Insights1177-39282025-01-0119110.33393/dti.2025.3171Characterization and enhanced antibiofilm activity of Annona muricata extract in combination with fluconazole against Candida albicansAbhay Mishra0Masande Yalo1Jennifer Nambooze2Carolina H. Pohl3Gabré Kemp4Lekgoana K. Setsiba5Motlalepula G. Matsabisa6Department of Pharmacology, University of Free State, Bloemfontein - South Africa and Cosmetics and Natural Products Research Centre (CosNat), Department of Pharmaceutical Technology, Naresuan University, Tha Pho, Phitsanulok - ThailandDepartment of Chemistry, Cape Peninsula University of Technology, Cape Town - South AfricaDepartment of Chemistry, University of Free State, Bloemfontein - South AfricaDepartment of Microbiology and Biochemistry, University of Free State, Bloemfontein - South AfricaDepartment of Microbiology and Biochemistry, University of Free State, Bloemfontein - South AfricaDepartment of Microbiology and Biochemistry, University of Free State, Bloemfontein - South AfricaDepartment of Pharmacology, University of Free State, Bloemfontein - South Africa Introduction: Candida albicans biofilm formation contributes significantly to antifungal resistance, necessitating new treatment strategies. Annona muricata Lin., a traditional herbal remedy, has shown promise in combating microbial infections. This study evaluated the antibiofilm activity of the methanol extract of A. muricata leaves, alone or combined with fluconazole, against C. albicans. Methods: Phytochemicals in the methanol extract were analyzed using LC-MS, biofilm metabolic activity was assessed with the XTT assay, and morphological changes were examined via scanning electron microscopy (SEM). Molecular docking evaluated the binding of compounds in the A. muricata extract to the Sap3 receptor (PDB: 2H6T). Results: LC-MS identified 17 phytochemicals in the methanol extract. The extract showed dose-dependent inhibition of biofilm formation, reaching ~60% inhibition at 240 μg/ml. Fluconazole inhibition increased from 32% to 76% as concentrations rose from 15 to 240 μg/ml. The combination of A. muricata and fluconazole enhanced inhibition, ranging from 74% to 78% at 15–240 μg/ml. SEM analysis revealed altered biofilm morphology and loss of cell integrity with the combination treatment. Phytochemicals showed high binding affinity (−9.7 to −8.0 kcal/mol) for the Sap3 enzyme, suggesting therapeutic potential. Conclusion: These findings suggest that compounds in the A. muricata methanol extract synergize with fluconazole at sub-inhibitory concentrations to suppress C. albicans biofilm formation. This paves the way for antifungal treatments that may mitigate fluconazole resistance using this plant extract. https://journals.aboutscience.eu/index.php/dti/article/view/3171A. muricataCandida albicansFluconazoleLC-MSSynergismXTT assay
spellingShingle Abhay Mishra
Masande Yalo
Jennifer Nambooze
Carolina H. Pohl
Gabré Kemp
Lekgoana K. Setsiba
Motlalepula G. Matsabisa
Characterization and enhanced antibiofilm activity of Annona muricata extract in combination with fluconazole against Candida albicans
Drug Target Insights
A. muricata
Candida albicans
Fluconazole
LC-MS
Synergism
XTT assay
title Characterization and enhanced antibiofilm activity of Annona muricata extract in combination with fluconazole against Candida albicans
title_full Characterization and enhanced antibiofilm activity of Annona muricata extract in combination with fluconazole against Candida albicans
title_fullStr Characterization and enhanced antibiofilm activity of Annona muricata extract in combination with fluconazole against Candida albicans
title_full_unstemmed Characterization and enhanced antibiofilm activity of Annona muricata extract in combination with fluconazole against Candida albicans
title_short Characterization and enhanced antibiofilm activity of Annona muricata extract in combination with fluconazole against Candida albicans
title_sort characterization and enhanced antibiofilm activity of annona muricata extract in combination with fluconazole against candida albicans
topic A. muricata
Candida albicans
Fluconazole
LC-MS
Synergism
XTT assay
url https://journals.aboutscience.eu/index.php/dti/article/view/3171
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