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Brazilian Oral Research

Print version ISSN 1806-8324On-line version ISSN 1807-3107

Braz. oral res. vol.32  São Paulo  2018  Epub May 24, 2018

http://dx.doi.org/10.1590/1807-3107bor-2018.vol32.0041 

Original Research

Microbiology

Antifungal, antibiofilm, and antiproliferative activities of Guapira graciliflora Mart

Carolina Medeiros de Almeida(a) 

Rennaly de Freitas Lima(a) 

Tereza Karla Vieira Lopes da Costa(a) 

Ilza Maria de Oliveira Sousa(b) 

Elaine Cristina Cabral(b) 

Rosanna Tarkany Basting(b) 

Adriana Della Torre(b) 

Yuri Wanderley Cavalcanti(c) 

Pedro Luiz Rosalen(d) 

Marta Cristina Teixeira Duarte(b) 

Ana Lúcia Tasca Gois Ruiz(b) 

Mary Ann Foglio(b) 

Gustavo Pina Godoy(a) 

Edja Maria Melo de Brito Costa(a) 

(a)Universidade Estadual da Paraíba – UEPB, Department of Dentistry, Campina Grande, PB, Brasil.

(b)Universidade Estadual de Campinas – Unicamp, Chemical, Biological and Agricultural Pluridisciplinary Research Center, Campinas, SP, Brazil.

(c)Universidade Federal da Paraíba – UFPB, Department of Dentistry, Campina Grande, PB, Brasil.

(d)Universidade Estadual de Campinas – Unicamp, Piracicaba Dental School, Department of Physiological Sciences, Piracicaba, SP, Brazil.

Abstract:

The aim of this study was to evaluate in vitro the antifungal, antibiofilm and antiproliferative activities of the extract from the leaves of Guapira graciliflora Mart. The phytochemical characterization of the extract was performed using electrospray ionization mass spectrometry (ESI-MS). The antimicrobial activity of the extract and its fractions was evaluated using the broth microdilution method against species of Candida. The inhibition of C. albicans biofilm was evaluated based on the number of colony-forming units (CFU) and metabolic activity (MTT). The antiproliferative activity of the extract and its fraction was evaluated in the presence of human tumor and non-tumor cells, and the cytotoxicity of the extract was determined on the RAW 264.7 macrophage line – both using the sulforhodamine B method. The phytochemical characterization indicated the presence of the flavonoids rutin and kaempferol. The extract and the methanol fraction exhibited moderate antifungal activity against C. albicans, C. krusei, and C. glabrata, and strong activity against C. dubliniensis. In the biofilms at 24 and 48 hours, the concentration of 12500 µg/mL of the extract was the most effective at reducing the number of CFU s/mL (44.4% and 42.9%, respectively) and the metabolic activity of C. albicans cells (34.6% and 52%, respectively). The extract and its fractions had no antiproliferative effect on the tumor lines tested, with mean activity (log GI50) equal to or greater than 1.71 µg/mL. Macrophage cell viability remained higher than 80% for concentrations of the extract of up to 62.5 µg/mL. G. graciliflora has flavonoids in its chemical composition and demonstrates potential antifungal and antibiofilm activity, with no evidence of a significant change in the viability of human tumor and non-tumor cell lines.

Keywords: Plants; Medicinal; Nyctaginaceae; Candida; Biofilms

Introduction

Oral candidiasis is a mucocutaneous mycosis caused by yeasts of the genus Candida, especially Candida albicans.1 Species of Candida are normally present in the microbiota of the oral cavity and their transition into a pathogenic form occurs when their virulence factors predominate in relation to the host defense mechanisms, giving rise to infection.2 Predisposing factors for oral candidiasis include systemic diseases, immunodeficiency, broad-spectrum antibiotic therapy, reduced salivary flow, nocturnal use of poorly cleaned dentures, and smoking.3

The incidence of candidiasis in recent years has become a public health concern, which may have stemmed from the growing number of immunocompromised individuals, the widespread use of broad-spectrum antibiotics, and the increase in the prevalence of candidiasis caused by non-albicans species, such as Candida glabrata, Candida tropicalis, Candida krusei, and Candida parapsilosis. These species are more closely related to a higher mortality rate and antifungal resistance than C. albicans.4

Antifungal agents available on the market are effective, but have side effects, such as allergic reactions and adverse interactions with medications.5 Moreover, the emergence of resistant strains has led to serious, persistent infections. Thus, the search for effective therapeutic alternatives of microbiological control for use on humans6 has led to a growing interest in medicinal plants due to their therapeutic potential for the development of new effective drugs with fewer undesirable effects in comparison to existing drugs, providing healthcare professionals with viable options for the treatment of oral diseases.2 This possibility has motivated the investigation of the chemical composition of medicinal plants used by the population, which can lead to the discovery of compounds with therapeutic potential.7

Among the biodiversity studied, Guapira graciliflora Mart. belongs to the family Nyctaginaceae. This shrub is commonly found in the semiarid caatinga biome of Northeastern Brazil and is widely used as a medicinal plant by the local population8 due to its anti-tuberculosis, anti-inflammatory, and healing activities.9

The aim of the present study was to perform an in vitro evaluation of the antifungal, antibiofilm, and antiproliferative activities of an extract made from the leaf of G. graciliflora Mart.

Methodology

Preparation of the extract and fractioning

Leaves of Guapira graciliflora Mart. were collected in the month of August in the municipality of Queimadas, located in the micro-region Eastern Cariri, in the meso-region of Borborema and in the semi-arid region of the state of Paraíba in Northeastern Brazil. A voucher specimen was deposited in the collection of the Manuel de Arruda Câmara Herbarium of the Status University of Paraíba, Campus I, in Campina Grande, Paraíba, under register n° 907/ACAM.

The leaves (200 g) were dried, ground, and immersed in 50% ethanol (1 L) for 48 hours. The mixture was then filtered and the residue was immersed in 50% ethanol two more times. The three final phases were vacuum-concentrated (Quimis®/Q344 M,) and freeze-dried (Labconco®/Freezone 4.5).

The chemical compounds of the extract were initially monitored by thin-layer chromatography (TLC), using aluminum chromatoplates with a silica stationary phase (TLC silica gel 60 F254 – Merck) and mobile phase of ethyl acetate, formic acid, acetic acid, and water (100:11:11:26). The labeling of the chemical components of the sample was viewed under ultraviolet light (264 and 365 nm) and the chromatoplate was developed with anisaldehyde, with subsequent heating at 100°C for one minute. For the fractioning of the extract, solid-liquid partitioning was performed in a filtering chromatographic column with a porous plate funnel in accordance with the polarity gradient: hexane, dichloromethane, dichloromethane:methanol (95:5, 90:10, 50:50), methanol. and methanol:water (50:50). The resulting fractions were monitored by TLC and reunited based on the similarity profile and colorations in the presence of the developer, followed by vacuum concentration (BUCHI Rotavapor® R-215). Three final fractions (methanol fraction, methanol sub-fraction, and hydromethanol fraction [50:50]) that contained the labeling of the compounds of interest were obtained and reunited based on the similarity profile and colorations in the presence of the developer employed. The fractions were used for the evaluation of antimicrobial and antiproliferative activities, not for antibiofilm activity.

Phytochemical characterization

The phytochemical analysis of the extract was performed using electrospray ionization mass spectrometry (ESI-MS). The extract (10 mg) was dissolved in 1 mL of the appropriate solvent, and 10 µL of the resulting solution was diluted in 990 µL of a methanol/H2O mixture (1:1, v/v) with 0.1% auxiliary additives, following the ionization method. The auxiliary additives that favor ionization are formic acid (99%) or ammonium hydroxide (25%) used for ESI (+) or ESI (-), respectively, at a concentration of 0.1%. The sample solutions were injected by direct insertion into the mass spectrometer (7.2 T LTQ-FT Ultra, Thermo Scientific, Germany). The total time for the acquisition of each spectrum was fixed at one minute. The ESI-MS and ESI-MS/MS spectra were acquired in negative ionization mode. The full-scan spectra were acquired in the range of m/z 150 to 2000 and the ESI-MS/MS spectra were acquired beginning at m/z 50 to a value slightly above the ion in question and with a collision energy of 10 to 40 eV. The spectra were treated with the specific software program of the mass spectrometer (Xcalibur 2.0, Thermo Scientific, Germany)10.

Antifungal activity

The antimicrobial potential of the extract and selected fractions was analyzed in the presence of Candida species (C. albicans ATCC 10231; C. glabrata CBS 07; C. krusei CBS 573; and C. dubliniensis CBS 7889) using the broth microdilution method, with the determination of the minimum inhibitory concentration (MIC) and minimum fungicidal concentration (MFC) following the norms established by the Clinical and Laboratory Standards Institute.11 The G. graciliflora extract and fractions were diluted in RPMI-1640 culture medium (Angus Buffers & Biochemicals, Niagara Falls, NY, USA) and 10% dimethyl sulfoxide (DMSO) (Sigma-Aldrich®). The assay was performed in 96-well microplates containing 100 µL/well of RPMI-1640 culture medium. One hundred microliters of the test samples was added to the initial well (8 mg/mL), followed by serial microdilution, obtaining concentrations between 2000 and 0.4882 μg/mL.

To prepare the yeast suspension, 24-hour yeast cultures were added in 5 mL of sterile saline solution (NaCl 0.9%), adjusting its absorbance between 0.08 to 0.10 at 530 nm to obtain a density equivalent to 5.0 × 106 CFU/mL. From this suspension, serial dilutions were performed in RPMI-1640 culture medium, obtaining a final density of 5.0 × 103 CFU/mL. In the wells of the microplate, the final solution resulted in a concentration of 2.5 × 103 CFU/mL.

Next, 100 μL of yeast suspension was added to each well. The plates were incubated for 48 hours at 37°C. Nystatin (0.5 mg/mL) (Sigma-Aldrich®) was used as the positive control. The MIC was defined as the lowest concentration of the sample capable of inhibiting visible microbial growth, as confirmed by the change in the color of the RPMI-1640 medium. The MIC categories proposed by Holetz et al.12 were used for the classification of the antimicrobial activity of the extract and its fractions: <100 µg/mL = strong activity; between 100 and 500 µg/mL = moderate activity; between 500 and 1000 µg/mL = weak activity; and > 1000 µg/mL = no activity.

For the determination of the MFC, an aliquot of 50 μL from each well with concentrations equal to or higher than the MIC was sub-cultivated in Sabouraud Dextrose Agar medium (Merck®) and incubated at 37°C for 48 hours. The MFC was defined as the smallest concentration that inhibited visible growth. The assays were performed in duplicate and in two separate experiments.

Inhibition of biofilm formation

Chemically polymerized, colorless acrylic resin discs (10 mm diameter and 2 mm thickness) were prepared according to the manufacturers’ instructions. Discs were finished using a horizontal polisher (model APL-4; Arotec, São Paulo, Brazil) with progressively finer aluminum oxide sanding paper (320-, 400-, and 600-grit). The surface roughness was standardized to 0.30 ± 0.02 μm. Prior to use, acrylic discs were ultrasonically cleaned with 70% (v/v) alcohol and sterile ultra-purified water (20 min) to remove surface debris. The discs were immersed in a sodium hypochlorite solution (2 g/L) for 5 minutes and then thoroughly rinsed with sterile water. Discs were maintained in sterile distilled water until use.

C. albicans 10231 culture was subcultured on Sabouraud Dextrose Agar (Merck®) plates incubated at 37°C for 24 hours. Then, the cells were resuspended in Sabouraud Dextrose Broth (Himedia®). The concentration of the yeast suspension was determined in a Neubauer Chamber (KASVI®) to obtain a cell density of 2 × 105 CFU/mL.

The discs were individually placed in the wells of a 24-well plate (KASVI® 24-Well Tissue Culture Plate) containing 1 mL of the C. albicans suspension and 1 mL of the extract diluted in Sabouraud Dextrose Broth (supplemented with 1% glucose, obtaining the following final concentrations of extract, based on the minimum inhibitory concentration's value: 125 (MIC), 1250 (10 x MIC), and 12500 (100 x MIC) µg/mL. The plates were incubated for two hours with 75 rpm orbital shaking at 37°C (LABOR® SP-200). Nystatin 100 µg/mL (Sigma-Aldrich®) was used as the positive control. The discs were then transferred to a new 24-well plate (KASVI® 24-Well Tissue Culture Plate) containing 2 mL/well of Sabouraud Dextrose Broth supplemented with 1% glucose and incubated for 24 and 48 hours at 37°C. After each period, the discs were gently washed in 0.9% saline solution to remove non-adhered cells, and then transferred to tubes containing 2 mL of a new 0.9% saline solution in which the biofilm was removed from the discs with the aid of a tube shaker (KASVI®, Vortex Mixer K45-2810) for 30 seconds, obtaining a biofilm suspension, which was used for the quantification of viable cells (CFU/mL) and evaluation of the metabolic activity of C. albicans.13 The assays were performed in triplicate and in three separate experiments.

Quantification of viable cells

The biofilm suspension was submitted to serial dilutions (10-1, 10-2, 10-3, 10-4, 10-5, and 10-6). One aliquot (10 μL) of each dilution was plated in triplicate in Sabouraud Dextrose Agar medium. The plates were incubated at 37°C for 48 hours (LABOR® SP-200). The CFU were counted and the results were reported as CFU/mL.13

Metabolic activity

The metabolic activity of the cells was determined using the MTT [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide] method (Sigma-Aldrich® - Thiazolyl Bromide Tetrazolium Blue). A volume of 1 mL of solution containing cells from the residual biofilm was centrifuged (KASVI®, K14-0602) at 1500 rpm for 5 minutes. The supernatant was discarded and 200 µL of MTT solution was added to the pellet at a concentration of 0.5 mg/mL. The cells were incubated for three hours at 37°C (LABOR® SP-200). The supernatant was discarded and 200 µL of isopropyl alcohol were added to the cells. The cells were incubated again at 37°C for 15 minutes on an orbital shaker. Absorbance was read using a microplate reader (Biochrom®, EZ Reader 400 Microplate Reader) at a wavelength of 570 nm.14

Antiproliferative assay

The antiproliferative activity of the G. graciliflora extract and its fractions was evaluated using human tumor cells lines (U251 [glioma], MCF-7 [breast], NCI-ADR/RES [resistant ovary], 786-0 [kidney], NCI-H460 [lung], PC-3 [prostate], and HT-29 [colon]) and a non-tumor line (HaCat [keratinocyte]). Cell suspensions were prepared in RPMI-1640 medium with the addition of 5% fetal bovine serum (Gibco-BRL, Grand Island, NY, USA) and 1% penicillin:streptomycin. The suspensions were adjusted to their respective densities, placed in 96-well plates (100 μL/well), and exposed to the extract and its fractions (0.25, 2.5, 25, and 250 μg/mL) diluted with 10% DMSO (Sigma-Aldrich, St. Louis, MO, USA), remaining at 37°C for 48 hours in a humid atmosphere with 5% CO2 (Forma Scientific®, CO2 Water Jacketed Incubator). Before (plate T0) and after (plate T) the addition of the samples, the cells were fixed with 50% trichloroacetic acid (Sigma®). Cell proliferation was determined by spectrophotometric quantification (540 nm) of the protein content, using sulforhodamine B (Sigma®). The chemotherapeutic drug doxorubicin (0.1 mg/mg) was used as the positive control. Based on the concentration-response for each cell line, the GI50 (concentration of the sample necessary for 50% growth inhibition) was determined using a nonlinear regression analysis with the aid of the Origin 8.0 program (OriginLab Corporation).15,16 The assays were performed in triplicate and in two separate experiments.

Cytotoxicity assay

Cell suspensions were prepared with the RAW 264.7 macrophage line (ATTC, Manassa, VA, USA) in RPMI-1640 medium (Gibco-BRL, Grand Island, NY, USA) supplemented with 5% fetal bovine serum and 1% penicillin:streptomycin. The suspensions were placed in 96-well plates (100 μl/well) and exposed to the extract (125, 62.5, 31.25, 15.63, 7.8, 3.91, 1.95, 0.98, 0.49 and 0.24 μg/mL) diluted with 10% DMSO (Sigma-Aldrich, St. Louis, MO, USA), remaining at 37°C for 48 hours in a humid atmosphere with 5% CO2 (Forma Scientific®, CO2 Water Jacketed Incubator). Before (plate T0) and after (plate T) the addition of the samples, the cells were fixed with 50% trichloroacetic acid (Sigma®). Cell proliferation was determined by spectrophotometric quantification (540 nm) of the protein content using sulforhodamine B (Sigma®). Cell viability was calculated using the following equation: cell viability (%) = (Asample/Acontrol) × 100%, in which Asample and Acontrol equal absorbance of the treated and untreated samples, respectively.15 The assays were performed in triplicate and in two separate experiments.

Statistics

Statistical analysis was undertaken using Statistical Package for Social Sciences software (SPSS, v. 21, IBM, Chicago IL). Data from cell viability and metabolic activity from the biofilms and from the cytotoxicity assay were analyzed through 2-way analysis of variance (2-way ANOVA) with post-hoc comparisons by Tukey tests, under 5% significance level.

Results

Phytochemical characterization

The ESI(-)-MS spectra of the G. graciliflora extract exhibited ions referring to deprotonated [M – H]- molecules: m/z 193, with a molecular formula compatible with C7H14O6, suggesting the presence of 3-O-methyl-chiro-inositol (pinitol); m/z 593, with a molecular formula compatible with C27H29O15, suggesting the presence of kaempferol-3-O-β-D-glucopyranosyl-(6”→1”’)-O-α-L-rhamnopyranoside; and m/z 609, with a molecular formula compatible with C27H29O16, suggesting the presence of quercetin-3-O-β-D-glucopyronasyl-(6”→1”’)-O-α-L-rhamnopyranoside (rutin) (Table 1).

Table 1 Proposed identification of molecules and mass data for crude extract from leaves of G. graciliflora

Compound Molecular formula Calculated (m/z) Experimental (m/z) Error (ppm)
3-O-methyl-chiro-inositol (pinitol) C7H13O6 1.930.706 1.930.714 3.96
Kaempferol-3-O-β-D-galactopyranosyl-(6”à1”’)-O-α-L-rhamnopyranoside C27H29O15 5.931.501 5.931.524 3.85
Quercetin-3-O-β-D-glucopyronasyl-(6”à1”’)-O-α-L rhamnopyranoside (rutin) C27H29O16 609.145 609.147 2

Antimicrobial activity

The G. graciliflora extract and its methanol fraction demonstrated moderate fungistatic activity for C. albicans, C. glabrata, and C. krusei. All samples tested demonstrated strong fungistatic activity for C. dubliniensis, based on the classification proposed by Holetz et al.11 No fungicidal activity was evidenced at any concentration tested (Table 2).

Table 2 Distribution of minimum inhibitory concentration and minimum fungicidal concentration of G. graciliflora extract and fractions according to species of Candida. 

Samples Yeasts (μg/mL)
C. albicans C. glabrata C. krusei C. dubliniensis
MIC MFC MIC MFC MIC MFC MIC MFC
G. graciliflora 125 >2000 250 >2000 125 >2000 390.625 >2000
Methanol fraction 125 >2000 250 >2000 250 >2000 390.625 >2000
Methanol sub-fraction 2000 >2000 >2000 >2000 250 >2000 78.125 >2000
Hydromethanol fraction (50:50) >2000 >2000 >2000 >2000 >2000 >2000 31.25 >2000
Nystatin 0.9765 0.9765 0.9765 0.9765

Antibiofilm activity

The concentration corresponding to MIC × 100 (12,500 µg/mL) was the most effective in reducing the number of viable CFU/mL and metabolic activity of the C. albicans cells. The number of viable cells of C. albicans biofilm was not statistically different (p > 0.05) between the concentration groups and the times, but the concentration groups differed significantly (p < 0.05) from the growth and the positives controls. For the results of the metabolic activity, all concentration groups differed significantly (p < 0.05) from one another, except for time (Figure 1).

Figure 1 Cell viability and metabolic activity of C. albicans cells at 24 and 48 hours after exposure to different concentrations of extract from leaves of G. graciliflora. 

Antiproliferative activity

Doxorubicin produced a cytocidal effect on all cell lines tested. The G. graciliflora extract demonstrated nonspecific cytostatic activity, inhibiting the proliferation of all tumor cell lines tested, with no evidence of cytocidal potential up to a concentration of 250 µg/mL. The methanol fraction produced a cytostatic effect on the cell lines as well as a cytocidal effect on the M-CF7, 786-0 and NCI/ADR-RES lines. The methanol sub-fraction and hydromethanol fraction (50:50) demonstrated no cytotoxic effect on the cell lines up to a concentration of 250 µg/mL (Figure 2). The antiproliferative activity of the extract and its fractions was reported as GI50 (Table 3).

Figure 2 Proliferation of cell lines as a function of concentration (0.25, 2.5, 25 and 250 μg/mL) after 48 hours according to treatment. 

Table 3 Growth Inhibition 50 (GI50) (sample concentration necessary for 50% cell growth inhibition) of G. graciliflora and fractions for cultures of human tumor cell lines. 

Lines GI50 (μg/mL)
Doxorubicin G. graciliflora Methanol fraction Methanol sub-fraction Hydromethanol fraction (50:50)
U251 0.03 211.32 40.56 > 250 > 250
Glioma
MCF-7 < 0.025 142.08 33.64 > 250 > 250
Breast
NCI-ADR/RES 0.36 52.57 28.55 > 250 > 250
Resistant ovary
786-0 0.06 160.23 33.19 > 250 195.64
Kidney
NCI-H460 < 0.025 105.18 52.72 > 250 > 250
Lung
PC-3 0.08 95.92 95.41 > 250 > 250
Prostate
HT-29 0.07 > 250 78.84 > 250 > 250
Colon
HaCat 0.04 109.06 92.74 > 250 > 250
Keratinocyte
Mean log GI50 < −1.03 > 2.16 1.71 > 2.39 > 2.38

Cytotoxicity

The G. graciliflora extract demonstrated a non-toxic profile on RAW 264.7 macrophage cell cultures up to a concentration of 62.5 µg/mL, with cell viability remaining higher than 80%. The analysis of variance showed a statistical difference (p < 0.05) between the highest concentration (125 μg/mL) and the other concentrations (Figure 3).

Figure 3 Percentage of cell viability of RAW 264.7 macrophage line according different concentrations of G. graciliflora leaves extract. 

Discussion

G. graciliflora has secondary metabolites that confer different pharmacological properties to the plant and justify its use in folk medicine. In the present study, the ESI-MS spectra enabled the identification of quercetin-3-O-β-D-glucopyronasyl-(6”→1”’)-O-α-L-rhamnopyranoside (rutin) and kaempferol-3-O- β-D-galactopyranosyl-(6”→1”’)-O-α-L-rhamnopyranoside, which are compounds belonging to the flavonoid group, as 3-O-methyl-chiro-inositol (pinitol), which belongs to the class of cyclic polyols.17

Flavonoids present different pharmacological properties, including antimicrobial and antioxidant activities. These compounds can inactivate enzymes and form complexes with proteins in the cell wall of microorganisms, which are the probable mechanisms of antimicrobial action.18 Moreover, flavonoids have strong antioxidant action, which explains the capacity to regulate the immune system.19

Rutin and kaempferol are known to have antioxidant, antitumor, antimicrobial, and anti-inflammatory properties.20 These compounds exhibit antimicrobial activity against Staphylococcus aureus, Escherichia coli, Enterococcus faecalis, Pseudomonas aeruginosa, Proteus mirabilis, Bacillus subtilis, and C. albicans, and present potential activity against herpes simplex virus type I as well as antiproliferative activity in the presence of hepatocellular carcinoma.21,22 In turn, polyols are products of carbohydrate metabolism and have strong antioxidant effects.23

Considering the criteria established by Holletz et al.,12 the antifungal activity of G. graciliflora was classified as moderate for C. albicans, C. krusei, and C. glabrata, and the fungistatic potential for C. dubliniensis was considered strong. These results are positive, as non-albican species of Candida are associated with more severe infections due to the greater resistance to available antifungal agents.1,4 The conditions and consequences of candidiasis, especially in immunocompromised patients, have led to the search for new effective treatment agents in an attempt to impede the progression of the infection (initially restricted to mucocutaneous surfaces) to more aggressive forms involving the invasion of deeper tissues and dissemination to other organs.24

The G. graciliflora extract and its fractions demonstrated a fungistatic profile, with no evidence of fungicidal capacity (>2000 µg/mL). Thus, the extract is able to inhibit the growth of yeast without causing its death. This could be favorable in controlling infection without causing an imbalance in the normal oral microbiota, which commonly occurs with fungicidal substances. These findings may be attributed to the kaempferol and rutin in the composition of the G. graciliflora, which are known to be potent antibacterial and antifungal agents.25,26 These compounds can inactivate adhesion, transport proteins, and cause the rupture of the microbial cell.27

The reduction in the metabolism of biofilm cells treated with G. graciliflora extract, as demonstrated by the MTT assay, may be related to the reduction in the number of viable C. albicans cells,28 generally presenting proportional profiles.29 The cell number reduction (CFU/mL) and metabolic activity was greater in the biofilm treated with the extract at a concentration of 12,500 µg/mL after 24 and 48 hours. This may stem from the antifungal action, with the disaggregation of cells and the inhibition of adherence ability. In turn, the reduction in metabolic activity may have occurred due to intracellular stress from the action of the extract when at a higher concentration.28

The G. graciliflora extract inhibited the growth of the cell lines tested, but did not exhibit significant antiproliferative potential. According to the criteria of the US National Cancer Institute, samples with a GI50 greater than 1.5 have no activity, those between 1.1 and 1.5 have weak anticancer activity, those between 0 and 1 have moderate activity, and those with log GI50 less than zero have potent activity.30

The methanol fraction demonstrated cytostatic activity for the majority of cell line tested and cytocidal activity against the M-CF7 (breast), 786-0 (kidney), and NCI/ADR-RES (multidrug-resistant ovary phenotype) lines, the latter of which was the most susceptible (GI50 = 28.55 µg/mL). The US National Cancer Institute considers a GI50 lower than 30 µg/mL to be indicative of a promising extract,31 which suggests possible selectivity of this fraction for ovarian tumor cells.

The antiproliferative activity of the methanol fraction of the G. graciliflora extract against tumor cells may be associated with the presence of flavonoids. This class of compounds inhibits the effects of cancer by combating free radicals, modifying carcinogenesis-activating enzymes, and inhibiting the transcription factor of proteins activated by tumor promoting factors.32

Kaempferol has significant antiproliferative potential on uterine cancer tumor cells (SiHa and HeLa), breast cancer cells (MCF-7), stomach cancer cells (SGC-7901), and lung cancer cells (A549).33,34 The proliferation and viability of these cell lines were significantly reduced when submitted to treatment with these compounds due to the increase in intracellular calcium, nuclear condensation, DNA fragmentation, and rupture of the mitochondrial membrane, thereby inducing the mechanism of apoptosis.33,34

Pinitol is also reported to have the capacity to reduce the occurrence of metastasis in cases of lung cancer35 and prostate cancer36. This effect is suggested to be due to the reduction in RNAm and the expression of integrins, which are cell adhesion molecules that play a key role in the control of cell adhesion, migration, and differentiation, as well as in the mechanism of apoptosis,37 all of which are closely related to tumor progression and the process of metastasis.37

The cytotoxic activity of the extract was evaluated using a murine macrophage line (RAW 264.7), which is widely used in in vitro cytotoxicity studies.6,14,38,39 This is an adequate model for screening new substances with anti-inflammatory potential and for evaluating inhibitors of pathways that lead to the induction of pro-inflammatory enzymes and cytokines.40

According to the International Standard Organization,41 concentrations that maintain cell viability lower than 70% are considered cytotoxic. In the present study, the G. graciliflora extract did not have a cytotoxic effect on the macrophages up to a concentration of 62.5 µg/mL, as cell viability remained at 80%.

The cytotoxicity results on macrophages can help define the concentrations to be used in in vitro assays of anti-inflammatory activity analyzed based on the stimulation of macrophages and the measurement of nitric oxide production.38 Nitric oxide is an important pro-inflammatory mediator in different physiological and physiopathological events.39 Agents that inhibit its production are considered as having strong anti-inflammatory potential.39

Plant extracts are investigated for different therapeutic purposes and represent an important contribution to science. Few studies have been conducted on G. graciliflora and many of the biological and pharmacological properties of the chemical components of this plant need to be analyzed before its putative properties can be confirmed. The results of the present study suggest that the extract from the leaves of this plant is a possible source of bioactive substances that can be used in the development of novel products for the treatment of oral candidiasis.

Conclusions

The extract from the leaves of G. graciliflora showed antifungal activity capable of inhibiting the growth of Candida species as well as the formation of C. albicans biofilm, with no evidence of a significant change in the viability of human tumor and non-tumor cell lines.

Acknowledgements

This study was supported by CNPq/CAPES (N° 552561/2011-8). The authors declare that they had no competing interests with other people or organizations that could inappropriately influence their work.

References

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2. Ferreira GL, Pérez AL, Rocha ÍM, Pinheiro MA, Castro RD, Carlo HL et al. Does scientific evidence for the use of natural products in the treatment of oral candidiasis exist? A systematic review. Evid Based Complement Alternat Med. 2015;2015:147804. https://doi.org/10.1155/2015/147804Links ]

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Received: July 18, 2017; Revised: March 08, 2018; Accepted: April 05, 2018

Corresponding Author: Carolina Medeiros de Almeida, E-mail: ccarol_21@hotmail.com

Declaration of Interests: The authors certify that they have no commercial or associative interest that represents a conflict of interest in connection with the manuscript.

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