<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">AJPS</journal-id><journal-title-group><journal-title>American Journal of Plant Sciences</journal-title></journal-title-group><issn pub-type="epub">2158-2742</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/ajps.2023.143023</article-id><article-id pub-id-type="publisher-id">AJPS-124068</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Biomedical&amp;Life Sciences</subject></subj-group></article-categories><title-group><article-title>
 
 
  Hydro-Alcoholic Leaf Extract and Fractions of &lt;i&gt;Codiaeum variegatum&lt;/i&gt; (var. Mollucanum) Exhibited an Improved Anti-Amoebic and Moderate Anti-Oxidant Potential
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Sylvain</surname><given-names>Pechangou Nsangou</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Carine</surname><given-names>Matsingang Fondjou</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Charifa</surname><given-names>Ngbetnkom Mandou</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Sunil</surname><given-names>Kumar</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Mfotie</surname><given-names>Njoya Emmanuel</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Frederic</surname><given-names>Nico Njayou</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Rakesh</surname><given-names>Sehgal</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Paul</surname><given-names>Fewou Moundipa</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib></contrib-group><aff id="aff1"><addr-line>Laboratory of Pharmacology and Toxicology, Department of Biochemistry, Faculty of Science, University of Yaoundé I, Yaoundé, Cameroon</addr-line></aff><aff id="aff3"><addr-line>Department of Medical Parasitology, Post-Graduate Institute of Medical Education and Research, Chandigarh, India</addr-line></aff><aff id="aff2"><addr-line>Department of Medical Lab Technology Chandigarh University, Mohali, India</addr-line></aff><pub-date pub-type="epub"><day>23</day><month>03</month><year>2023</year></pub-date><volume>14</volume><issue>03</issue><fpage>339</fpage><lpage>356</lpage><history><date date-type="received"><day>9,</day>	<month>January</month>	<year>2023</year></date><date date-type="rev-recd"><day>28,</day>	<month>March</month>	<year>2023</year>	</date><date date-type="accepted"><day>31,</day>	<month>March</month>	<year>2023</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  Amoebiasis, classified as the third intestinal parasitic infection, represents a public health problem in low-income countries where hygiene and sanitation conditions are poor. With the resurgence of resistant pathogenic strains as well as ancestral considerations in developing countries such as Cameroon, many people rely on medicinal plants to treat a plethora of diseases. This work aimed to highlight the anti-amoebic
   
  and anti-oxidant potential of Codiaeum variegatum extracts and fractions. The anti-amoebic potential of C. variegatum was assayed on 
  the 
  polyxenic culture of the clinical isolates of E. histolytica. Then, the anti-oxidant potential of the ethanolic/hydroethanolic extracts and fractions was evaluated through DPPH
   
  radical scavenging, iron reduction (FRAP), lipid peroxidation inhibitory potential and total antioxidant capacity tests followed by the determination of phenolic compound and flavonoid content. It was found that 
  the 
  fractionation process decreased the amoebicidal activities of C. variegatum leaf extracts. However hydroethanolic extract (CI<sub>50</sub>: 10.08 &#177; 0.42, 5.18 &#177; 0.09, 5.18 &#177; 0.09 μg/mL respectively after 24, 48 and 72 hours) was more active than ethanolic extract (CI<sub>50</sub>: 15.59 &#177; 6.17; 9.61 &#177; 2.37; 6.26 &#177; 3.22 μg/mL respectively after 24, 48 and 72 hours). Interestingly, the activities of hydroethanolic extract 
  were 
  significantly non
  -
  different compared to metronidazole CI<sub>50</sub>: 8.42 &#177; 0.44, 6.45 &#177; 0.22 and 3.42 &#177; 0.33
   
  μg/mL
  , 
  respectively after 24, 48 and 72 hours). Ethanolic extract and EF5 showed higher Phenolic compound contents and higher antioxidant activity than hydroethanolic extract and other fractions through DPPH
   
  radical scavenging power (EC50 = 311.50 &#177; 4.12
   
  μg/mL) and total antioxidant capacity (44 &#177; 0
  .
  07 mgEAA/gF). However, these activities are significantly lower than those of ascorbic acid (EC50 = 31.20 &#177; 4.39
   
  μg/mL, and 61.34 &#177; 4.42
   
  μg/mL respectively). This low antioxidant activity was confirmed by poor phenolic and flavonoid compounds contents found in the extracts and fractions.
   
  The present result brings 
  a 
  new approach to the ethnopharmacological uses of C. variegatum against dysentery in cases associated with Amoebiasis in Cameroun.
 
</p></abstract><kwd-group><kwd>Codiaeum Variegatum</kwd><kwd> Amoebiasis</kwd><kwd> Antiamoebic</kwd><kwd> Antioxidant</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Background</title><p>Entamoeba histolytica infection is ranked as the third leading intestinal parasitic cause of human mortality worldwide [<xref ref-type="bibr" rid="scirp.124068-ref1">1</xref>] [<xref ref-type="bibr" rid="scirp.124068-ref2">2</xref>] . Approximately 50 million people worldwide suffer from invasive amoebic infection and account for 10 million cases of dysentery each year, resulting in 40 - 100 thousand deaths annually [<xref ref-type="bibr" rid="scirp.124068-ref3">3</xref>] , 10% of the population worldwide suffer from this disease. In Cameroon, the percentage of infection varies between regions and the prevalence of this infection was reported to be 28.7% in patients infected with HIV in this country [<xref ref-type="bibr" rid="scirp.124068-ref4">4</xref>] [<xref ref-type="bibr" rid="scirp.124068-ref5">5</xref>] .</p><p>CHAPTERI: LITERATUREREVIEW</p></sec><sec id="s2"><title>2. Methods</title><sec id="s2_1"><title>2.1. Plant Material</title><p>Leaves of C. variegatum (var. mollucanum) were collected in the locality of Nomayos, in the Centre region of Cameroon. The specimen was identified under number HNC 33570 at the Cameroon National Herbarium (CNH) in Yaounde, Cameroon. The stems were washed and rinsed with distilled water and dried at laboratory temperature, then crushed in a blender to obtain the powder and preserved. The resulting powders were packaged and stored at 4˚C for later use.</p><sec id="s2_1_1"><title>2.1.1. Preparation of the Plant Extracts</title><p>Powdered plant material (400 g) was macerated in 4 l of ethanol/water in the ratio (70:30 v/v) or ethanol (95% v/v) for 48 hours at room temperature. The resulting extract was filtered through a whatman N˚1 filter paper and then dried using a rotary evaporator at 65˚C. The residues which constitute the crude extract were kept at 4˚C until further use.</p></sec><sec id="s2_1_2"><title>2.1.2. Fractionation of the Leaf Extracts of Codiaeum Variegatum</title><p>Fractionation was done by flash chromatography using several solvents or mixture of solvents in the following order: methylene chloride, methylene chloride/methanol (95:5 v/v), methylene chloride/methanol (90:10 v/v), methylene chloride/methanol (50:50 v/v) and methanol (<xref ref-type="fig" rid="fig1">Figure 1</xref>). The solvent change was made when the filtrate appeared clear. At the end of the procedure, all filtrates obtained with the same solvent were mixed and then concentrated in a rotary</p><p>evaporator. The final fraction obtained was kept in a clean bottle and stored at 4˚C. Each fractionation yield (FY) was calculated according to the formula below.</p><p>Fractionation yield = (masse of fraction/masse of extract) &#215; 100</p></sec></sec><sec id="s2_2"><title>2.2. Biological Material</title><p>The biological animal material used consisted of macrophages prepared from mice and clinical isolates of E. histolytica maintained on a polyxenic culture medium at the Laboratory of Pharmacology and Toxicology of the University of Yaounde 1.</p></sec><sec id="s2_3"><title>2.3. Evaluation of the Anti-Amoebic Properties of the Aqueous and Ethanolic Extract of the Leaves and Stems of S. rhombifolia in Polyxenic Culture</title><sec id="s2_3_1"><title>2.3.1. Polyxenic Culture of E. histolytica</title><p>Biphasic medium of Boeck and Drbohlav [<xref ref-type="bibr" rid="scirp.124068-ref25">25</xref>] that involves solid phase (ringer’s solution + egg) and liquid phase (lock’s solution containing nutrients) was used for E. histolytica poloyxenic cultivation. Before inoculation, complete media were pre incubated at 37˚C for 30 min to 1 h and 10 &#181;L of polyxenic culture maintained in the Laboratory of Pharmacology and Toxicology of the University of Yaounde1 containing the clinical isolates of viable E. histolytica trophozoites were introduced in each tube. The tubes were incubated at 37˚C and the E. histolytica growth verified after every 48 or 72 h. Then, the tubes were removed from the incubator and shacked to detach parasites from the solid phase and left for 5 min then the supernatant was decanted to obtain the subculture. The pellet containing the parasites was introduced in a tube containing pre incubated new medium as previously described [<xref ref-type="bibr" rid="scirp.124068-ref18">18</xref>] [<xref ref-type="bibr" rid="scirp.124068-ref26">26</xref>] .</p></sec><sec id="s2_3_2"><title>2.3.2. Test of Amoebic Viability by Trypan Blue Counting Method on E. histolytica Polyxenic Culture Medium</title><p>S. rhombifolia aqueous and ethanolic extracts were prepared using sterile DMSO (Sigma-Aldrich, and liquid phase of culture medium leading to concentrations of 200, 20, 2, 0.2 mg/ml respectively). Each mixture was filtered with sterile syringe filters (&#216; 22 &#181;m) and aliquots were prepared from these stock solutions. Parasites grown were harvested at midlog phase at the concentration of 1.67 &#215; 10<sup>7</sup> cells/ml of culture by counting using the haemocytometer (Neubauer, Hausser Scientific) and inoculated in tubes containing new 5 ml media in which 25 &#181;l of plant materials were added. MTZ was used as a standard drug and was tested at 1, 10, 50 and 100 &#181;g/mL. S. rhombifolia extracts were tested at the concentration of 1; 10; 50; 100 and 500 &#181;g/mL &#181;g/ml. One control tube was used in which parasites were incubated on culture medium containing 0.5% DMSO without any drug. Each testing concentration was made in triplicate and the experiment was repeated three times for each compound. All the tested tubes were incubated at 37˚C as previously described [<xref ref-type="bibr" rid="scirp.124068-ref27">27</xref>] and the viability was evaluated by trypan blue method after 24, 48 and 72 h. Amoebicidal activity was evaluated using the method described by [<xref ref-type="bibr" rid="scirp.124068-ref28">28</xref>] . In 1.5 ml micro centrifuge tube, 25 &#181;l of parasite suspension and 225 &#181;l of 0.4% trypan blue solution prepared in 0.9% NaCl was introduced. The mixture was homogenized and 10 &#181;l of this mixture was used for cells counting. The chamber was covered with cover slip and the viable (bright) cells as well as the dead (blue) cells were counted at 40&#215; on a light microscope. The concentration of the cell has been calculated using the following formula:</p><p>N = (n &#215; d)/v</p><p>where, N = concentration of viable cells/ml; n = number of the viable cells counted in the chamber, d = dilution factor and v = the volume of the chamber (0.1 &#181;l) The percentages of inhibition were calculated also using the formula below and IC50 were determined using the software Graphpad Prism 3.0,</p><p>Percentage inhibition (%) = (NC − NT)/NC &#215; 100</p><p>NC = Number of viable amoebae in the control tube and NT = Number of viable amoebae in the testing tube.</p></sec></sec><sec id="s2_4"><title>2.4. Evaluation of the Antioxidant Property of Codiaeum variegatum</title><p>The antioxidant property of C. variegatum was evaluated by using the 2,2-diphenyl-1-picryl hydrazyl (DPPH) radical scavenging, lipid peroxidation inhibition, ferric iron reducing power assays and by determining the total antioxidant capacity. For these different tests 50 &#181;L of extracts at concentrations of 1; 10; 100; 500 and 1000 &#181;g/mL were used.</p><sec id="s2_4_1"><title>2.4.1. DPPH Radical Scavenging Assay</title><p>This assay was carried out following a method previously described [<xref ref-type="bibr" rid="scirp.124068-ref29">29</xref>] . Briefly in a series of test tubes containing 3.1 mL of the methanolic solution of DPPH (40 &#181;g/mL), 50 &#181;L of plant extracts at different concentration was added. In the negative control tubes, the extract was replaced by 50 &#181;L of solvent and the positive control by 50 &#181;L of ascorbic acid. The mixtures were homogenized and incubated in the dark for 30 minutes at room temperature, and the absorbance was measured at 517 nm with a spectrophotometer. The percentages of inhibition were calculated by using the following formula:</p><p>% of DPPH scavenging activity = [(OD<sub>control</sub> − OD<sub>assay</sub>)/OD<sub>control</sub>] &#215; 100</p><p>where: OD<sub>control</sub>: absorbance of the negative control tube;</p><p>OD<sub>assay</sub>: absorbance of the test tube.</p><p>The IC50 value expressed in &#181;g of extract per mol of DPPH for each extract was determined by using a non-linear regression curve of the DPPH scavenging activity against the concentration of extracts tested.</p></sec><sec id="s2_4_2"><title>2.4.2. Evaluation of the Inhibition of lipid Peroxidation</title><p>1) Preparation of the liver homogenate</p><p>One Wistar rat was sacrificed by cervical dislocation and the liver was excised. The rest of the manipulation was done in ice. The organ was washed in a saline solution of 0.9% NaCl and then spin-dried and weighed. Once the mass of the liver was known, it was cut into small pieces in a solution of 1.15% KCl and crushed using the Teflon plunger of the Potter apparatus and Bleau fountain sand. A 10% homogenate in a 1.15% KCl solution was then prepared taking into account the weight of the liver, divided into several tubes and centrifuged (720 g, 10 min, 4˚C). Each supernatant was collected and the volume noted. Depending on the number of assays to be performed, aliquots were prepared and stored in the freezer until use.</p><p>2) Lipid peroxidation inhibition assay</p><p>Thiobarbituric acid reactive substances were determined by using previously described method [<xref ref-type="bibr" rid="scirp.124068-ref30">30</xref>] . In each test tube, 50 &#181;L of plant extracts, 1 mL of 10% rat liver homogenate, 50 &#181;L of 0.5 mM FeCl<sub>2</sub> and 50 &#181;L of 0.5 mM H<sub>2</sub>O<sub>2</sub> were successively introduced. In the blank tube, FeCl<sub>2</sub> and H<sub>2</sub>O<sub>2</sub> were replaced by 100 &#181;L 1.15% KCl while in the negative control tube, the extraction solvent was used instead of the extract. The mixtures were incubated (1 hour, 37˚C). After incubation, 1mL trichloroacetic acid (TCA 15%) and 1 mL 0.67% TBA were added to all tubes and boiled in a water bath for 15 minutes. After cooling and centrifugation (1620 g, 5 min, 4˚C), the supernatants were collected and the absorbance of the pink stain read at 532 nm against the blank. The percentages of inhibition were calculated using the formula below.</p><p>% of lipid peroxidation inhibition = [(OD<sub>control</sub> − OD<sub>assay</sub>)/OD<sub>control</sub>] &#215; 100</p><p>where: OD<sub>control</sub>: absorbance of the negative control tube;</p><p>OD<sub>assay</sub>: absorbance of the test tube.</p><p>The evolution of the percentage of inhibition according to the concentration of extract used allowed us to determine the IC<sub>50</sub> in &#181;g/mL.</p></sec><sec id="s2_4_3"><title>2.4.3. Ferric Reducing Power Assay</title><p>The ferric reduction power assay was performed as previously described [<xref ref-type="bibr" rid="scirp.124068-ref31">31</xref>] . In each tube 50 &#181;L of plant extracts, 1100 &#181;L of phosphate buffer (0.6 M pH 6.6), 1000 &#181;L of 0.25% potassium ferricyanide were introduced. In the blank, 1100 &#181;L of distilled water was added instead of potassium ferricyanide. After incubation for 20 min at 50˚C, 1 mL of 10% trichloroacetic acid (TCA) was added to all tubes. The whole set was centrifuged (1620 g, 10 min 4˚C) then, to 1mL of supernatant were added 1mL of distilled water and 200 &#181;L of ferric chloride. The whole was well homogenized and then left to stand for 10 min. The absorbance was measured at 700 nm against the blank in a spectrophotometer and the percentages of iron reduction were calculated by the following formula:</p><p>% reduction = [(OD<sub>control</sub> − OD<sub>assay</sub>)/OD<sub>control</sub>] &#215; 100</p><p>where: OD<sub>control</sub>: absorbance of the negative control tube;</p><p>OD<sub>assay</sub>: absorbance of the test tube.</p><p>The evolution of the percentage of reduction as a function of the extract concentration allowed us to determine the EC<sub>50</sub>.</p></sec><sec id="s2_4_4"><title>2.4.4. Evaluation of the Total Antioxidant Capacity</title><p>The TAC was measure following the method previously described [<xref ref-type="bibr" rid="scirp.124068-ref32">32</xref>] . In each test tube 50 &#181;L of plant extracts, 1 mL of 0.6 M sulphuric acid, 1050 &#181;L of 28 mM sodium phosphate and 1050 &#181;L of 4 mM ammonium molybdate were successively introduced. The tubes were capped with the beads and heated for 90 min then cooled on a stream of cold water. The absorbance of the blue staining mixture was measured in a spectrophotometer at 695 nm. The antioxidant capacity of the extracts expressed in g ascorbic acid/mg extract was determined from the calibration curve obtained by using different concentrations of ascorbic acid instead of plant extracts.</p></sec><sec id="s2_4_5"><title>2.4.5. Determination of Total Phenolic Compound and Total Flavonoid Contents</title><p>The total phenolic and total flavonoid contents of different extracts and fractions were determined using the modified Folin-Ciocalteu method [<xref ref-type="bibr" rid="scirp.124068-ref20">20</xref>] [<xref ref-type="bibr" rid="scirp.124068-ref33">33</xref>] . Gallic acid and Quercetin were use as standard respectivly.</p></sec></sec><sec id="s2_5"><title>2.5. Data Analysis</title><p>Data analyses were performed using GraphPad Prism 8.0.1 software. The results were expressed as mean &#177; standard deviation and the different values were compared using the analysis of variance test “one-way ANOVA” followed by the multiple comparison test of Turkey with a p-value p &lt; 0.05.</p></sec></sec><sec id="s3"><title>3. Results</title><sec id="s3_1"><title>3.1. Extraction and Fractionation Yields</title><p>Ethanolic extraction yield was higher than hydroethanolic extraction yield (20.5% and 16.5% respectively. Amoung fractions, EEF5 exhibited the highest fractionation yield (57.9%), whereas EEF3 exhibited the lowest fractionation yield (0.8%). (<xref ref-type="table" rid="table1">Table 1</xref>)</p><table-wrap id="table1" ><label><xref ref-type="table" rid="table1">Table 1</xref></label><caption><title> Extraction and fractionation yield of C. variegatum</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Extracts/Fractions</th><th align="center" valign="middle" >HE</th><th align="center" valign="middle" >EE</th><th align="center" valign="middle" >HEF1</th><th align="center" valign="middle" >HEF2</th><th align="center" valign="middle" >HEF3</th><th align="center" valign="middle" >HEF4</th><th align="center" valign="middle" >HEF5</th><th align="center" valign="middle" >EEF1</th><th align="center" valign="middle" >EEF2</th><th align="center" valign="middle" >EEF3</th><th align="center" valign="middle" >EEF4</th><th align="center" valign="middle" >EEF5</th></tr></thead><tr><td align="center" valign="middle" >Fractionation yields</td><td align="center" valign="middle" >16.50%</td><td align="center" valign="middle" >20.50%</td><td align="center" valign="middle" >3.54%</td><td align="center" valign="middle" >3.54%</td><td align="center" valign="middle" >9.60%</td><td align="center" valign="middle" >18.70%</td><td align="center" valign="middle" >24.80%</td><td align="center" valign="middle" >29.90%</td><td align="center" valign="middle" >0.80%</td><td align="center" valign="middle" >0.80%</td><td align="center" valign="middle" >2.40%</td><td align="center" valign="middle" >57.90%</td></tr></tbody></table></table-wrap></sec><sec id="s3_2"><title>3.2. Anti-Amoebic Potential of Leaf Extracts and Fractions of Codiaeum variegatum on Polyxenic Culture of Clinical Isolate of E. histolytica Trophozoites</title><p>The clinical isolates of E. histolytica maintained on biphasic medium of Boeck and Drbohlav were incubated with different plant extracts and fractions. The variation of trophozoites number as a function of concentration at different incubation times observed with the optical microscope showed a significant decrease in number of the parasites (<xref ref-type="fig" rid="fig2">Figure 2</xref>). From this figure, it can be observed that subsequently, after 24 h, 48 and 72 h post-treatment, there was a significant reduction of amoebic viability in the tested tubes as compared to the control tubes. The amoebicidal activity of leaf extracts and fractions of C. variegatum are represented by the percentage of parasite viability, assessed by the trypan blue counting method at different incubation periods and at different concentrations of plant extracts, fractions and metronidazole (<xref ref-type="fig" rid="fig3">Figure 3</xref>). As results, it was observed that the amoebicidal activities of the extracts, fractions and metronidazole were concentration-dependent. From these amoebicidal activities, inhibitory concentrations fifty (IC<sub>50</sub>) were determined (<xref ref-type="table" rid="table2">Table 2</xref>) and it was found that fractionation process decreased the amoebicidal activities of C. variegatum leaf extract. However hydroethanolic extract (CI<sub>50</sub>: 10.08 &#177; 0.42, 5.18 &#177; 0.09, 5.18 &#177; 0.09 &#181;g/mL respectively after 24, 48 and 72 hours) was found to be more active than ethanolic extract (CI<sub>50</sub>: 15.59 &#177; 6.17; 9.61 &#177; 2.37; 6.26 &#177; 3.22 &#181;g/mL respectively after 24, 48 and 72 hours) at all the incubation period. Interestingly, no significant difference was observed between the activities of hydroethanolic extract compared to that metronidazole (CI<sub>50</sub>: 8.42 &#177; 0.44, 6.45 &#177; 0.22 and 3.42 &#177; 0.33 &#181;g/mL respectively after 24, 48 and 72 hours) (the reference drug).</p></sec><sec id="s3_3"><title>3.3. Antioxidant Activities of the Studied Plant Extracts</title><sec id="s3_3_1"><title>3.3.1. DPPH Free Radical Scavenging Activity</title><p>The antiradical activity was evaluated throughout the scavenging of the DPPH radical. C. variegatum leaf extracts and fractions effectively trap the DPPH radical in a concentration-dependent manner between 1 and 500 &#181;g/mL (<xref ref-type="fig" rid="fig4">Figure 4</xref>(a)). The IC<sub>50</sub> revealed that the extracts and fractions exhibited moderate antiradical potential but this remained lower compared to ascorbic acid. The fractionation process decreased the DPPH antiradical activity of hydroethanolic extract and increased that of ethanolic extract.</p></sec><sec id="s3_3_2"><title>3.3.2. Lipid Peroxidation Inhibitory Activity</title><p>The ability of the different extracts and fractions of Codiaeum variegatum to inhibit membrane lipid peroxidation was effective (<xref ref-type="fig" rid="fig4">Figure 4</xref>(b)). Moreover, the ethanolic extract shows the highest inhibitory activity. However, ascorbic acid</p><table-wrap id="table2" ><label><xref ref-type="table" rid="table2">Table 2</xref></label><caption><title> Anti-amoebic efficacy of C. variegatum extract and fractions through IC<sub>50</sub> determination</title></caption><table><tbody><thead><tr><th align="center" valign="middle"  colspan="4"  >IC<sub>50</sub> in &#181;g/ml (Mean &#177; SD)</th></tr></thead><tr><td align="center" valign="middle" >Extracts/Fractions</td><td align="center" valign="middle" >24 hours</td><td align="center" valign="middle" >48 hours</td><td align="center" valign="middle" >72 hours</td></tr><tr><td align="center" valign="middle" >HE</td><td align="center" valign="middle" >10.08 &#177; 0.42*</td><td align="center" valign="middle" >5.18 &#177; 0.09*</td><td align="center" valign="middle" >3.72 &#177; 0.11*</td></tr><tr><td align="center" valign="middle" >EE</td><td align="center" valign="middle" >17.59 &#177; 2.17</td><td align="center" valign="middle" >9.61 &#177; 2.37*</td><td align="center" valign="middle" >6.26 &#177; 1.22</td></tr><tr><td align="center" valign="middle" >HEF1</td><td align="center" valign="middle" >81.17 &#177; 9.72</td><td align="center" valign="middle" >45.69 &#177; 3.59</td><td align="center" valign="middle" >17.14 &#177; 0.23</td></tr><tr><td align="center" valign="middle" >HEF2</td><td align="center" valign="middle" >86.18 &#177; 5.84</td><td align="center" valign="middle" >43.22 &#177; 4.06</td><td align="center" valign="middle" >10.03 &#177; 0.85</td></tr><tr><td align="center" valign="middle" >HEF3</td><td align="center" valign="middle" >89.07 &#177; 4.40</td><td align="center" valign="middle" >41.34 &#177; 4.21</td><td align="center" valign="middle" >14.84 &#177; 1.04</td></tr><tr><td align="center" valign="middle" >HEF4</td><td align="center" valign="middle" >85.38 &#177; 11.05</td><td align="center" valign="middle" >41.25 &#177; 5.28</td><td align="center" valign="middle" >18.31 &#177; 3.69</td></tr><tr><td align="center" valign="middle" >HEF5</td><td align="center" valign="middle" >ND</td><td align="center" valign="middle" >74.27 &#177; 3.36</td><td align="center" valign="middle" >55.51 &#177; 6.42</td></tr><tr><td align="center" valign="middle" >EEF1</td><td align="center" valign="middle" >81.4 &#177; 19.5</td><td align="center" valign="middle" >50.1 &#177; 10.2</td><td align="center" valign="middle" >14.00 &#177; 4.01</td></tr><tr><td align="center" valign="middle" >EEF2</td><td align="center" valign="middle" >ND</td><td align="center" valign="middle" >89 &#177; 5.06</td><td align="center" valign="middle" >39.02 &#177; 2.14</td></tr><tr><td align="center" valign="middle" >EEF3</td><td align="center" valign="middle" >63.52 &#177; 14.06</td><td align="center" valign="middle" >44.85 &#177; 10.20</td><td align="center" valign="middle" >15.00 &#177; 1.25</td></tr><tr><td align="center" valign="middle" >EEF4</td><td align="center" valign="middle" >ND</td><td align="center" valign="middle" >ND</td><td align="center" valign="middle" >59.37 &#177; 0.37</td></tr><tr><td align="center" valign="middle" >EEF5</td><td align="center" valign="middle" >71.00 &#177; 8.42</td><td align="center" valign="middle" >46.95 &#177; 6.45</td><td align="center" valign="middle" >18.40 &#177; 2.16</td></tr><tr><td align="center" valign="middle" >MTZ</td><td align="center" valign="middle" >8.42 &#177; 0.44</td><td align="center" valign="middle" >6.45 &#177; 0.22</td><td align="center" valign="middle" >3.42 &#177; 0.33</td></tr></tbody></table></table-wrap><p>* = value significantly non different from the standard drug MTZ.</p><p>activity was more pronounced compared to that extract (respectively 21.52 &#177; 9.87 &#181;g/mL and 10.26 &#177; 4.02 &#181;g/mL). Three fractions (EEF1, EEF3, and EEF5) exhibited moderate inhibitory potentials.</p></sec><sec id="s3_3_3"><title>3.3.3. Ferric Reducing Activity (FRAP) of Codiaeum variegatum Stem Extracts</title><p>The ferric reducing power assay revealed that ethanolic extract exhibited the highest activity extract with an evolution going in a concentration-dependent manner (<xref ref-type="fig" rid="fig4">Figure 4</xref>(c)) However the activity of ethanolic extract was lower than that of ascorbic acid (543.60 &#177; 42.52 &#181;g/mL and 21.34 &#177; 2.91 &#181;g/mL respectively) (<xref ref-type="table" rid="table3">Table 3</xref>). All the fractions exhibited very low ferric reducing powers.</p><table-wrap id="table3" ><label><xref ref-type="table" rid="table3">Table 3</xref></label><caption><title> Antioxidant efficacy of C. variegatum extracts and fractions through IC<sub>50</sub> determination</title></caption><table><tbody><thead><tr><th align="center" valign="middle"  colspan="4"  >IC<sub>50</sub> &#177; SD (&#181;g/ml)</th></tr></thead><tr><td align="center" valign="middle" >Extracts/Fractions</td><td align="center" valign="middle" >DPPH scavenging activity</td><td align="center" valign="middle" >Lipid peroxidation inhibition (MDA)</td><td align="center" valign="middle" >Ferric reducing power (FRAP)</td></tr><tr><td align="center" valign="middle" >HE</td><td align="center" valign="middle" >142.8 &#177; 14.02</td><td align="center" valign="middle" >189.40 &#177; 6.81</td><td align="center" valign="middle" >&gt;500</td></tr><tr><td align="center" valign="middle" >EE</td><td align="center" valign="middle" >311.50 &#177; 4.12</td><td align="center" valign="middle" >144.30 &#177; 11.33</td><td align="center" valign="middle" >&gt;500</td></tr><tr><td align="center" valign="middle" >HEF1</td><td align="center" valign="middle" >427.10 &#177; 6.37</td><td align="center" valign="middle" >&gt;500</td><td align="center" valign="middle" >&gt;500</td></tr><tr><td align="center" valign="middle" >HEF2</td><td align="center" valign="middle" >&gt;500</td><td align="center" valign="middle" >&gt;500</td><td align="center" valign="middle" >&gt;500</td></tr><tr><td align="center" valign="middle" >HEF3</td><td align="center" valign="middle" >&gt;500</td><td align="center" valign="middle" >&gt;500</td><td align="center" valign="middle" >&gt;500</td></tr><tr><td align="center" valign="middle" >HEF4</td><td align="center" valign="middle" >&gt;500</td><td align="center" valign="middle" >&gt;500</td><td align="center" valign="middle" >&gt;500</td></tr><tr><td align="center" valign="middle" >HEF5</td><td align="center" valign="middle" >457.90 &#177; 8.83</td><td align="center" valign="middle" >&gt;500</td><td align="center" valign="middle" >&gt;500</td></tr><tr><td align="center" valign="middle" >EEF1</td><td align="center" valign="middle" >&gt;500</td><td align="center" valign="middle" >282.00 &#177; 7.84</td><td align="center" valign="middle" >&gt;500</td></tr><tr><td align="center" valign="middle" >EEF2</td><td align="center" valign="middle" >&gt;500</td><td align="center" valign="middle" >&gt;500</td><td align="center" valign="middle" >&gt;500</td></tr><tr><td align="center" valign="middle" >EEF3</td><td align="center" valign="middle" >279.90 &#177; 7.60</td><td align="center" valign="middle" >324.00 &#177; 6.25</td><td align="center" valign="middle" >&gt;500</td></tr><tr><td align="center" valign="middle" >EEF4</td><td align="center" valign="middle" >&gt;500</td><td align="center" valign="middle" >&gt;500</td><td align="center" valign="middle" >&gt;500</td></tr><tr><td align="center" valign="middle" >EEF5</td><td align="center" valign="middle" >205.30 &#177; 6.05</td><td align="center" valign="middle" >359.00 &#177; 10.39</td><td align="center" valign="middle" >&gt;500</td></tr><tr><td align="center" valign="middle" >Ascorbic Acid</td><td align="center" valign="middle" >31.20 &#177; 4.39</td><td align="center" valign="middle" >61.34 &#177; 4.42</td><td align="center" valign="middle" >17.68 &#177; 4.42</td></tr></tbody></table></table-wrap></sec><sec id="s3_3_4"><title>3.3.4. Total Antioxidant Capacity of Codiaeum variegatum Stem Extracts</title><p>The determination of the total antioxidant capacity was done by the phosphomolybdenum method, the results expressed in milligram ascorbic acid equivalent per gram of plant extract (mgEAA/g extract) showed us that hydroethanolic extract has the greatest ability to reduce the phosphomolybdic complex (54.77 &#177; 0.08 mgEq AA/g) followed by EEF5 (44.00 &#177; 0.01 mgEqAA/g) (<xref ref-type="table" rid="table4">Table 4</xref>). EH and EEF2 exhibited the lowest phosphomolybdic reducing power (13.72 &#177; 0.0 mgEq AA/g and 12.91 &#177; 0.13 mgEq AA/g respectively.</p></sec><sec id="s3_3_5"><title>3.3.5. Total Phenolic Compound and Total Flavonoid Contents</title><p>Total phenolic and flavonoid contents were determined for the extracts and fractions of C. variegatum. It was noticed that the phenolic ranged from 2 mgGAE/g to 35 mgGAE/g and flavonoid contents ranged from 0.04 mgQE/g to 2 mgQE/g (<xref ref-type="table" rid="table4">Table 4</xref>). EEF5 exhibited the highest phenolic compound content (35.13 &#177; 0.01 mgGAE/g) followed by the ethanolic (14.00 &#177; 0.02 mgGAE/g) and hydroethanolic (4.18 &#177; 0.04 mgGAE/g). Ethanolic fractions and extract exhibited higher flavonoid contents compared to hydroethanolic extract and fractions. No significant difference was found between the flavonoid content of hydroethanolic extract and those of its fractions.</p></sec></sec></sec><sec id="s4"><title>4. Discussion</title><p>The search for the efficacy of plant extracts and determination of their mechanism of action are major and permanent challenges for the valorization of phytotherapy</p><table-wrap id="table4" ><label><xref ref-type="table" rid="table4">Table 4</xref></label><caption><title> Total antioxidant capacity, total phenolic compound content, and total flavonoid content of C. variegatum extracts and fractions</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Extracts/Fractions</th><th align="center" valign="middle" >TAC mgAAE/g (Mean &#177; SD)</th><th align="center" valign="middle" >TPC in mgGAE/g (Mean &#177; SD)</th><th align="center" valign="middle" >TFC in mgQE/g (Mean &#177; SD)</th></tr></thead><tr><td align="center" valign="middle" >HE</td><td align="center" valign="middle" >54.77 &#177; 0.58</td><td align="center" valign="middle" >4.18 &#177; 0.04</td><td align="center" valign="middle" >2.09 &#177; 0.07</td></tr><tr><td align="center" valign="middle" >EE</td><td align="center" valign="middle" >13.72 &#177; 0.01</td><td align="center" valign="middle" >14.00 &#177; 0.02</td><td align="center" valign="middle" >0.35 &#177; 0.02</td></tr><tr><td align="center" valign="middle" >HEF1</td><td align="center" valign="middle" >32.51 &#177; 0.13</td><td align="center" valign="middle" >2.65 &#177; 0.63</td><td align="center" valign="middle" >2.04 &#177; 0.02</td></tr><tr><td align="center" valign="middle" >HEF2</td><td align="center" valign="middle" >39.77 &#177; 0.13</td><td align="center" valign="middle" >2.58 &#177; 0.05</td><td align="center" valign="middle" >1.69 &#177; 0.12</td></tr><tr><td align="center" valign="middle" >HEF3</td><td align="center" valign="middle" >32.85 &#177; 0.43</td><td align="center" valign="middle" >3.60 &#177; 0.04</td><td align="center" valign="middle" >1.73 &#177; 0.14</td></tr><tr><td align="center" valign="middle" >HEF4</td><td align="center" valign="middle" >29.80 &#177; 0.59</td><td align="center" valign="middle" >2.65 &#177; 0.06</td><td align="center" valign="middle" >1.36 &#177; 0.05</td></tr><tr><td align="center" valign="middle" >HEF5</td><td align="center" valign="middle" >30.51 &#177; 0.55</td><td align="center" valign="middle" >2.59 &#177; 0.05</td><td align="center" valign="middle" >2.13 &#177; 0.01</td></tr><tr><td align="center" valign="middle" >EEF1</td><td align="center" valign="middle" >39.00 &#177; 0.24*</td><td align="center" valign="middle" >3.84 &#177; 0.10</td><td align="center" valign="middle" >0.16 &#177; 0.01</td></tr><tr><td align="center" valign="middle" >EEF2</td><td align="center" valign="middle" >12.91 &#177; 0.13</td><td align="center" valign="middle" >2.76 &#177; 0.02</td><td align="center" valign="middle" >0.04 &#177; 0.01</td></tr><tr><td align="center" valign="middle" >EEF3</td><td align="center" valign="middle" >16.55 &#177; 0.04</td><td align="center" valign="middle" >35.13 &#177; 1.26</td><td align="center" valign="middle" >0.26 &#177; 0.01</td></tr><tr><td align="center" valign="middle" >EEF4</td><td align="center" valign="middle" >23.14 &#177; 0.17</td><td align="center" valign="middle" >3.74 &#177; 0.02</td><td align="center" valign="middle" >0.23 &#177; 0.01</td></tr><tr><td align="center" valign="middle" >EEF5</td><td align="center" valign="middle" >44.00 &#177; 0.01</td><td align="center" valign="middle" >3.24 &#177; 0.25</td><td align="center" valign="middle" >0.33 &#177; 0.02</td></tr></tbody></table></table-wrap><p>[<xref ref-type="bibr" rid="scirp.124068-ref34">34</xref>] . Thus a fractionation of the hydroethanolic and ethanolic extracts of Codiaeum variegatum was carried out and the effect of each fraction was evaluated on a polyxenic culture of a clinical isolate of E. histolytica. Although the axenic culture of HM1:IMSS strain is mostly used for antiamoebic assays [<xref ref-type="bibr" rid="scirp.124068-ref17">17</xref>] [<xref ref-type="bibr" rid="scirp.124068-ref35">35</xref>] , polyxenic culture of E. histolytica clinical isolate was previously used in an in vitro model for the evaluation of the amoebicidal activity of extracts and fraction [<xref ref-type="bibr" rid="scirp.124068-ref18">18</xref>] [<xref ref-type="bibr" rid="scirp.124068-ref26">26</xref>] [<xref ref-type="bibr" rid="scirp.124068-ref36">36</xref>] . Upon fractionation of the extracts, the antiamoebic activity decreased. This decrease might be due to the heterogeneous distribution of biologically active secondary metabolites in the different fractions. Previously published research with the fractionation of crude aqueous extract of the same plant showed an increase in activity with regard to the fractionation process using different solvent system [<xref ref-type="bibr" rid="scirp.124068-ref17">17</xref>] . Among extracts, the hydroethanolic extract exhibited the highest antiamoebic activity. However, no significant difference was observed between the antiamoebic activities of extracts compared to that of metronidazole. These results are similar to those obtained with the aqueous leaf extract of C. variegatum against clinical isolates of E. histolytica trophozoites on polyxenic culture [<xref ref-type="bibr" rid="scirp.124068-ref18">18</xref>] . However, these activities are higher compared to those obtained with the aqueous extract of the same plant against HM1:IMSS strain of E. histolytica trophozoites on axenic culture [<xref ref-type="bibr" rid="scirp.124068-ref17">17</xref>] , the aqueous leaf extract and fractions of E. hirta against the same isolates [<xref ref-type="bibr" rid="scirp.124068-ref26">26</xref>] . Forty plant extracts and their one hundred and twenty fractions were studied for the antiamoebic activity against clinical isolates of E. histolytica, and the results obtained were similar to those of the present finding [<xref ref-type="bibr" rid="scirp.124068-ref37">37</xref>] . During E. histolytica invasion the contact with intestinal epithelial cells triggers the host innate immune response leading to the secretions of pro-inflammatory mediators and pro-oxidants such as reactive oxygen species (ROS) and reactive nitrogen species (RNS) by macrophages [<xref ref-type="bibr" rid="scirp.124068-ref38">38</xref>] [<xref ref-type="bibr" rid="scirp.124068-ref39">39</xref>] . An unbalance between the secreted pro-oxidant and host antioxidant may lead to DNA, proteins and lipids damage as well as the alteration of their functions [<xref ref-type="bibr" rid="scirp.124068-ref40">40</xref>] . To explain other health benefit of C. variegatum, the antioxidant potentials of the plant were assayed through DPPH-scavenging radical, inhibition of lipid peroxidation, FRAP and total antioxidant capacity assays followed by quantitative analysis. Extracts and fractions exhibited weak antioxidant activity within the limits of the tests carried out as compared to those of Ascorbic acid. Although the scavenging ability of DPPH free radical is widely used to analyze the antioxidant potential of naturally derived foods and plants, DPPH is not specific to any particular class of antioxidants, and thus provides the overall antioxidant capacity of the sample [<xref ref-type="bibr" rid="scirp.124068-ref41">41</xref>] . In fact, the scavenging of DPPH free radical implies the activity of hydroxyl groups carried by secondary metabolites in plant extracts [<xref ref-type="bibr" rid="scirp.124068-ref42">42</xref>] . The use of biochemical assays to assess the antioxidant power of plants has emerged and become the best reliable and readily available methods. Because of variable response engendered by a specific antioxidant in various testing systems, it is important to utilize diverse antioxidant assays to appreciate the mechanism of action of the bioactive principle involved [<xref ref-type="bibr" rid="scirp.124068-ref43">43</xref>] . The FRAP, Malonedialdehyde and the phosphomolybdenum assays are good indicators to achieve such work [<xref ref-type="bibr" rid="scirp.124068-ref44">44</xref>] . Extracts were found to be more effective than fractions for all the above mentioned tests, ranging from moderate to low activities as compared to vitamin C. previous work reported higher antioxidant activity of the stem hydroethanolic extract of the same plant [<xref ref-type="bibr" rid="scirp.124068-ref21">21</xref>] . Phenolic compounds may constitute the main class of natural antioxidants present in plants, food and beverages [<xref ref-type="bibr" rid="scirp.124068-ref45">45</xref>] . These have been investigated mainly due to their ability to delay or inhibit the oxidation process and inflammatory disorders, as consequences of some cellular pathological conditions [<xref ref-type="bibr" rid="scirp.124068-ref46">46</xref>] [<xref ref-type="bibr" rid="scirp.124068-ref47">47</xref>] . In the present study, it was found that ethanolic extract and EEF5 fraction exhibited the higher phnolic compound contents than hydroethanolic extract and other fractions. The results are similar to those obtained previously with the aqueous extract of 31 plant species with the highest antioxidant activity [<xref ref-type="bibr" rid="scirp.124068-ref48">48</xref>] [<xref ref-type="bibr" rid="scirp.124068-ref49">49</xref>] . However, flavonoid contents in hydroethanolic extract and fractions were higher than those of ethanolic extract and fractions. The result confirmed the moderate antioxidant activity of C. variegatum hydroethanolic and ethanolic extracts and fractions [<xref ref-type="bibr" rid="scirp.124068-ref50">50</xref>] .</p></sec><sec id="s5"><title>5. Conclusion</title><p>The present result brings a new approach to the ethnopharmacological uses of the plant as antidiarrheal in cases associated with Amoebiasis in Western Cameroun. Further investigations regarding the mode of action and other related pharmacological studies such as in vivo investigation, drug formulation and clinical trials are highly recommended.</p></sec><sec id="s6"><title>Funding</title><p>This work received funding from the Cameroonian Ministry of Higher Education throughout the special allowance for the modernization of research.</p></sec><sec id="s7"><title>Disclosure</title><p>The study was independently designed by the authors and the funding body had no role in Lab experiments, analysis and interpretation of the data.</p></sec><sec id="s8"><title>Conflicts of Interest</title><p>The authors have no conflicts of interest to declare.</p></sec><sec id="s9"><title>Author Contributions</title><p>SNP, CMF, SK, NMC and EMN carried out all experiments reported in the manuscript. SNP, SK, FNN and PFM designed the study. All authors read and approved the final manuscript.</p></sec><sec id="s10"><title>Cite this paper</title><p>Nsangou, S.P., Fondjou, C.M., Mandou, C.N., Kumar, S., Emmanuel, M.N., Njayou, F.N., Sehgal, R. and Moundipa, P.F. (2023) Hydro-Alcoholic Leaf Extract and Fractions of Codiaeum variegatum (var. Mollucanum) Exhibited an Improved Anti-Amoebic and Moderate Anti-Oxidant Potential. American Journal of Plant Sciences, 14, 339-356. https://doi.org/10.4236/ajps.2023.143023</p></sec><sec id="s11"><title>Abbreviation</title><p>EE: Ethanolic extract of C. variegatum</p><p>HE: Hydroethanolic extract of C. variegatum,</p><p>EEF1: fractions of ethanolic extract;</p><p>EEF2: fractions of ethanolic extract;</p><p>EEF3: fractions of ethanolic extract;</p><p>EEF4: fractions of ethanolic extract;</p><p>EEF5: fractions of ethanolic extract;</p><p>HE: Hydroethanolic extract of C. variegatum;</p><p>HEF1: fraction hydroethanolic extract of C. variegatum;</p><p>HEF2: fraction hydroethanolic extract of C. variegatum</p><p>HEF3: fraction hydroethanolic extract of C. variegatum</p><p>HEF4: fraction hydroethanolic extract of C. variegatum</p><p>HEF5: fraction hydroethanolic extract of C. variegatum</p><p>MTZ: Metronidazole;</p><p>TAC: Total antioxidant capacity</p><p>TPC: Total phenolic compound content</p><p>TFC: Total flavonoid content</p><p>AAE: Ascorbic acid equivalent</p><p>GAE: Gallic acid equivalent</p><p>QE: Quercetin equivalent</p></sec></body><back><ref-list><title>References</title><ref id="scirp.124068-ref1"><label>1</label><mixed-citation publication-type="other" xlink:type="simple">WHO (1997) Amebiasis. 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