Effect of Punica granatum on the virulence factors of cariogenic bacteria Streptococcus mutans.

Dental caries is caused by acids produced by biofilm-forming Streptococcus mutans from fermentable carbohydrates and bacterial byproducts. Control of these bacteria is important in the prevention of dental caries. This study investigated the effect of the fruit peel of Punica granatum on biofilm formation, acid and extracellular polysaccharides production (EPS) by S. mutans. Pomegranate fruit peels crude extracts were prepared. The Minimum bactericidal concentrations (MBC) were determined against S. mutans. At 3 sub-bactericidal concentrations, the effect on the acid production, biofilm formation and EPS production was determined. The results were analysed using Kruskal-Wallis and Wilcoxon Rank Sum Tests. The lowest MBC was 6.25 mg/mL. Punica granatum significantly inhibited acid production (p < 0.01). After 6 and 24 h, it significantly reduced biofilm-formation by 91% and 65% respectively (p < 0.01). The plant extract did not inhibit the production of soluble EPS in either the biofilm or the planktonic growth. However, it significantly reduced the insoluble EPS in the biofilm and the plantktonic (p = < 0.01) form of S. mutans. The crude extract of P. granatum killed cariogenic S. mutans at high concentrations. At sub-bactericidal concentrations, it reduced biofilm formation, acid and EPS production. This suggests that P. granatum extract has the potential to prevent dental caries.

Inhibitory activity of Dodonaea viscosa var. angustifolia extract against Streptococcus mutans and its biofilm.

ETHNOPHARMACOLOGICAL RELEVANCE: The leaves of Dodonaea viscosa var. angustifolia (DVA) are traditionally used for the treatment of fever, colds, oral thrush, toothaches and related problems. Streptococcus mutans is implicated in many oral infections. This study investigated the inhibitory activity of DVA extract against Streptococcus mutans and its biofilm. MATERIALS AND METHODS: Crude extract of the leaves was prepared using methanol. The time-kill curve for Streptococcus mutans at different concentrations of methanol extract after 6 and 24 h was determined. Biofilms of Streptococcus mutans were grown in the presence of subinhibitory concentration of extract (0.78 mg/ml) for 30 h and the bacterial counts were obtained after 6, 24 and 30 h. The chemical profile of the crude extract was obtained using gas chromatography-mass spectrometry (GC-MS). RESULTS: The reduction of Streptococcus mutans was concentration and exposure time dependent. The crude extract killed 48% of S. mutans at a lowest concentration of 0.1 mg/ml and 100% at 25 mg/ml after 6h. Biofilm formation was reduced by 95, 97 and 99% after 6, 24 and 30 h of exposure to the subinhibitory concentration of crude extract respectively. GC-MS analyses revealed the presence of polyphenols such as catechin or chromene groups, chalcones with trimethoxyphenyl group and tannin with 4-O-ß-D-xylopyranoside. At high concentration the crude extract was bactericidal to Streptococcus mutans but subinhibitory concentration significantly reduced the planktonic cells and biofilm formation. CONCLUSIONS: These results suggest that this plant has the potential to be used to control S. mutans and its biofilm which are responsible for oral infections.

The effect of Dodonaea viscosa var. angustifolia on Candida albicans proteinase and phospholipase production and adherence to oral epithelial cells.

AIM OF THE STUDY: This study investigated effect of a crude extract of Dodonaea viscosa on the proteinase and phospholipase production and adherence to epithelial cells by Candida albicans isolated from HIV positive and HIV negative patients. MATERIALS AND METHODS: Twenty Candida albicans strains isolated from HIV positive and 20 from HIV negative patients were investigated. The isolates were exposed to subinhibitory concentration of crude plant extract and adherence, proteinase and phospholipase production were assessed. The results were analysed using Student's t-test and a two-way ANOVA. RESULTS: Dodonaea viscosa var. angustifolia inhibited the adherence of Candida albicans to oral epithelial cells (p=<0.01) but no significant effect of the plant extract on proteinase and phospholipase production was observed. Results from Candida albicans strains isolated from HIV positive and HIV negative patients were similar. CONCLUSIONS: Dodonaea viscosa var. angustifolia inhibited the adherence of Candida albicans to oral epithelial cells, which is the initial step of colonization in the infection process. This plant has a therapeutic potential at subinhibitory concentration.