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The in vitro anti-giardial activity of extracts from plants that are used for self-medication by AIDS patients in southern Thailand

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Abstract

This study evaluated the anti-giardial activity of chloroform, methanol and water extracts of 12 medicinal plants (39 extracts), commonly used as self medication by AIDS patients in southern Thailand. The plant extracts and a standard drug, metronidazole, were incubated with 2×105 trophozoites of Giardia intestinalis per millilitre of growth medium in 96-well tissue culture plates under anaerobic conditions for 24 h. The cultures were examined with an inverted microscope and the minimum inhibitory concentration and the IC50 value for each extract was determined. The chloroform extracts from Alpinia galanga, Boesenbergia pandurata, Eclipta prostrata, Piper betle, Piper chaba, Zingiber zerumbet, and the methanol extracts from B. pandurata and E. prostrata were classified as “active”, i.e. with an IC50 of <100 μg/ml, whereas the chloroform extract from Murraya paniculata was classified as being “moderately active”. This study shows that extracts from some medicinal plants have potential for use as therapeutic agents against G. intestinalis infections.

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References

  • Abboud P, Lemee V, Gargala G, Brasseur P, Ballet JJ, Borsa-Lebas F, Caron F, Favennec L (2001) Successful treatment of metronidazole- and albendazole-resistant giardiasis with nitazoxanide in a patient with acquired immunodeficiency syndrome. Clin Infect Dis 32:1792–1794

    Article  CAS  PubMed  Google Scholar 

  • Agarwal AK, Tripathi DM, Sahai R, Gupta N, Saxena RP, Puri A, Singh M, Misra RN, Dubey CB, Saxena KC (1997) Management of giardiasis by a herbal drug ‘Pippali Rasayana’: a clinical study. J Ethnopharmacol 56:233–236

    Article  CAS  PubMed  Google Scholar 

  • Diamond LS, Clark CG, Cunnick CC (1995) YI-S, a casein-free medium for axenic cultivation of Entamoeba histolytica, related Entamoeba, Giardia intestinalis and Trichomonas vaginalis. J Eukaryot Microbiol 42:277–278

    CAS  PubMed  Google Scholar 

  • Farnsworth NR, Bunyapraphatsara N (1992) Thai medicinal plants recommended for primary health care systems. Prachachon, Bangkok

  • Feitosa G, Bandeira AC, Sampaio DP, Badaro R, Brites C (2001) High prevalence of giardiasis and strongyloidiasis among HIV-infected patients in Bahia, Brazil. Braz J Infect Dis 5:339–344

    CAS  PubMed  Google Scholar 

  • Ghoshal S, Krishna Prasad BN, Laksmi V (1996) Antiamoebic activity of Piper longum fruits against Entamoeba histolytica in vitro and in vivo. J Ethnopharmacol 50:166–170

    Article  Google Scholar 

  • Hailemariam G, Kassu A, Abebe G, Abate E, Damte D, Mekonnen E, Ota F (2004) Intestinal parasitic infections in HIV/AIDS and HIV seronegative individuals in a teaching hospital, Ethiopia. Jpn J Infect Dis 57:41–43

    PubMed  Google Scholar 

  • Janoff EN, Smith PD, Blaser MJ (1988) Acute antibody responses to Giardia lamblia are depressed in patients with AIDS. J Infect Dis 157:798–804

    CAS  PubMed  Google Scholar 

  • Jeng JH, Wang YJ, Chang WH, Wu HL, Li CH, Uang BJ, Kang JJ, Lee JJ, Hahn LJ, Lin BR, Chang MC (2004) Reactive oxygen species are crucial for hydroxychavicol toxicity toward KB epithelial cells. Cell Mol Life Sci 61:83–96

    Article  CAS  PubMed  Google Scholar 

  • Johnson PJ (1993) Metronidazole and drug resistance. Parasitol Today 9:183–186

    Article  CAS  PubMed  Google Scholar 

  • Joshi M, Chowdhary AS, Dalal PJ, Maniar JK (2002) Parasitic diarrhoea in patients with AIDS. Natl Med J India 15:72–74

    PubMed  Google Scholar 

  • Larsen K (1996) A Preliminary checklist of the Zingiberaceae of Thailand. Thai Forest Bull, Bot 24:35–49

  • Legator MS, Connor TH, Stoeckel M (1975) Detection of mutagenic activity of metronidazole and nitridazole in body fluids of humans and mice. Science 188:1118–1119

    CAS  PubMed  Google Scholar 

  • Lemee V, Zaharia I, Nevez G, Rabodonirina M, Brasseur P, Ballet JJ, Favennec L (2000) Metronidazole and albendazole susceptibility of 11 clinical isolates of Giardia duodenalis from France. J Antimicrob Chemother 46:819–821

    Article  CAS  PubMed  Google Scholar 

  • Llibre JM, Tor J, Manterola JM, Carbonell C, Foz M (1989) Blastocystis hominis chronic diarrhoea in AIDS patients. Lancet 1:221

    Article  CAS  Google Scholar 

  • Merchant RH, Shroff RC (1996) The prevalence of HIV infection in children with extensive tuberculosis and chronic diarrhoea. AIDS Asia 3:21–23

    CAS  PubMed  Google Scholar 

  • Mohandas, Sehgal R, Sud A, Malla N (2002) Prevalence of intestinal parasitic pathogens in HIV-seropositive individuals in northern India. Jpn J Infect Dis 55:83–84

    CAS  PubMed  Google Scholar 

  • Newman RD, Moore SR, Lima AA, Nataro JP, Guerrant RL, Sears CL (2001) A longitudinal study of Giardia lamblia infection in north-east Brazilian children. Trop Med Int Health 6:624–634

    Article  CAS  PubMed  Google Scholar 

  • Ramji N, Ramji N, Iyer R, Chandrasekaran S (2002) Phenolic antibacterials from Piper betle in the prevention of halitosis. J Ethnopharmacol 83:149–152

    Article  CAS  PubMed  Google Scholar 

  • Razak FA, Rahim ZH (2003) The anti-adherence effect of Piper betle and Psidium guajava extracts on the adhesion of early settlers in dental plaque to saliva-coated glass surfaces. J Oral Sci 45:201–206

    PubMed  Google Scholar 

  • Runnie I, Salleh MN, Mohamed S, Head RJ, Abeywardena MY (2004) Vasorelaxation induced by common edible tropical plant extracts in isolated rat aorta and mesenteric vascular bed. J Ethnopharmacol 92:311–316

    Article  CAS  PubMed  Google Scholar 

  • Rustia M, Shubik P (1972) Induction of lung tumors and malignant lymphomas in mice by metronidazole. J Natl Cancer Inst 48:721–729

    CAS  PubMed  Google Scholar 

  • Saravanan R, Prakasam A, Ramesh B, Pugalendi KV (2002) Influence of Piper betle on hepatic marker enzymes and tissue antioxidant status in ethanol-treated Wistar rats. J Med Food 5:197–204

    Article  CAS  PubMed  Google Scholar 

  • Saravanan R, Rajendra Prasad N, Pugalendi KV (2003) Effect of Piper betle leaf extract on alcoholic toxicity in the rat brain. J Med Food 6:261–265

    Article  CAS  PubMed  Google Scholar 

  • Sawangjaroen N, Sawangjaroen K, Poonpanang P (2004) Effects of Piper longum fruit, Piper sarmentosum root and Quercus infectoria nut gall on caecal amoebiasis in mice. J Ethnopharmacol 91:357–360

    Article  PubMed  Google Scholar 

  • Shubik P (1972) Current status of chemical carcinogens. Proc Natl Acad Sci U S A 69:1052–1055

    CAS  PubMed  Google Scholar 

  • Singh B, Saxena AK, Chandan BK, Agarwal SG, Anand KK (2001) In vivo hepatoprotective activity of active fraction from ethanolic extract of Eclipta alba leaves. Indian J Physiol Pharmacol 45:435–441

    CAS  PubMed  Google Scholar 

  • Siripanth C, Chintana T, Tharaphan Y, Lekkra A (1995) Cloning of Thai strain Giardia intestinalis. Asian Pac J Allergy Immunol 13:71–73

    CAS  PubMed  Google Scholar 

  • Tewtrakul S, Subhadhirasakul S, Kummee S (2003) HIV-1 protease inhibitory effects of medicinal plants used as self-medication by AIDS patients. Songklanakarin J Sci Technol 25:239–243

    Google Scholar 

  • Tiwawech D, Hirose M, Futakuchi M, Lin C, Thamavit W, Ito N, Shirai T (2000) Enhancing effects of Thai edible plants on 2-amino-3, 8-dimethylimidazo(4,5-f)quinoxaline-hepatocarcinogenesis in a rat medium-term bioassay. Cancer Lett 158:195–201

    Article  CAS  PubMed  Google Scholar 

  • Tona L, Kambu K, Ngimbi N, Cimanga K, Vlietinck AJ (1998) Antiamoebic and phytochemical screening of some Congolese medicinal plants. J Ethnopharmacol 61:57–65

    Article  CAS  PubMed  Google Scholar 

  • Tracy JW, Webster LTJr (1996) Drugs used in the chemotherapy of protozoal infection. In: Hardman JG, Limbird LE (eds) Goodman and Gilman’s: The pharmacological basis of therapeutics. McGraw-Hill, New York, pp 987–1008

  • Trakoontivakorn G, Nakahara K, Shinmoto H, Takenaka M, Onishi-Kameyama M, Ono H, Yoshida M, Nagata T, Tsushida T (2001) Structural analysis of a novel antimutagenic compound, 4-hydroxypanduratin A, and the antimutagenic activity of flavonoids in a Thai spice, finger root (Boesenbergia pandurata Schult.) against mutagenic heterocyclic amines. J Agric Food Chem 49:3046–3050

    CAS  PubMed  Google Scholar 

  • Tripathi DM, Gupta N, Lakshmi V, Saxena KC, Agarwal AK (1999) Antigiardial and immunostimulatory effect of Piper longum on giardiasis due to Giardia lamblia. Phytother Res 13:561–565

    Article  CAS  PubMed  Google Scholar 

  • Tuchinda P, Reutrakul V, Claeson P, Pongprayoon U, Sematong T, Santisuk T, Taylor WC (2002) Anti-inflammatory cyclohexenyl chalcone derivatives in Boesenbergia pandurata. Phytochemistry 59:169–173

    Article  CAS  PubMed  Google Scholar 

  • Upcroft JA, Upcroft P (2001) Drug susceptibility testing of anaerobic protozoa. Antimicrob Agents Chemother 45:1810–1814

    Article  CAS  PubMed  Google Scholar 

  • Voolmann Y, Boreham PFL (1993) Metronidazole resistant Trichomonas vaginalis in Brisbane. Med J Aust 159:490

    CAS  Google Scholar 

Download references

Acknowledgements

This research was partly funded by a grant from the Thai Government. The authors would like to thank Prof. Brian Hodgson for useful advice.

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Correspondence to N. Sawangjaroen.

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Sawangjaroen, N., Subhadhirasakul, S., Phongpaichit, S. et al. The in vitro anti-giardial activity of extracts from plants that are used for self-medication by AIDS patients in southern Thailand. Parasitol Res 95, 17–21 (2005). https://doi.org/10.1007/s00436-004-1264-8

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  • DOI: https://doi.org/10.1007/s00436-004-1264-8

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