Abstract
The emergence of medication resistance and unfavorable side effects from existing antibiotics has prompted the quest for novel antimicrobial agents over the last 2 decades. Plant extracts have been shown to have antibacterial effects in numerous studies. The objective of this study was the evaluation of the antibacterial effect of economically important medicinal plants found in Pakistan. Onosma bracteatum (flowers and leaves), Viola odorata (flowers and leaves), Cuscuta reflexa (whole plant), Swertia chirata (whole plant), and Fagonia arabica (whole plant) were used against Bacillus subtilis, Escherichia coli, and Pseudomonas aeruginosa. Water and ethanol extracts were obtained from different parts of the plants. To evaluate the antibacterial effect of these plants, qualitative assay agar well diffusion method was performed. The minimum inhibitory concentration (MIC) was determined by the broth micro dilution method. Results revealed that the highest inhibition zone (18 mm) was shown by ethanol extract of V odorata flower against P aeruginosa. Ethanol extract of C reflexa plants is best for all 3 tested microbes (P aeruginosa, B subtilis, and E coli). The results concluded that all these plants have abilities to fight against these tested bacteria. Ethanol extract of V odorata flower has the highest activity against P aeruginosa.
Introduction
Instead of tremendous progress in antibiotic production, severe infections occurred that are responsible for deaths and health illnesses in patients. Doctors give a second- and third-degree medicine for curing, but these drugs produced dangerous side effects on patient’s health. To overcome this problem, there is a need to take serious steps in designing new antibiotics. The major advances in drugs are mostly derived from Unani herbal traditions. A large number of herbal medicines are used for curing human health problems because it contains antibacterial active compounds, such as alkaloids, polyphenols, and volatile oils, that are used in many familiar human drugs. 1 The plant extracts that stop the bacterial growth and kill them with no harmful side effects on host tissue are considered as more powerful drugs for new antibacterial medicine. Many years ago, plants were used as a drug for wound healing, reducing blood pressure, hormone disorders, enzyme production, and stopping blood clotting. 2
The plant species used in medicine ranged from 35 000 to 70 000 out of 422 127 worldwide. 3 All plant parts are accustoming as medicine, eg, roots, leaves, flowers, seeds, and fruits.4,5 Human health is maintained by natural plant parts for a longer period. Phytochemical extract of plants has an essential value against bacterial diseases.6,7 Plants contained nutrients that yield energy and help to overcome food-borne disease.8,9 Medicinal plants are used in various forms, such as decoction, distillation, extracts, oil, and powders. Extract forms of plants mostly show active action. Tincture or extract form mostly enters the pathogens’ cell wall, prevents cell growth, and decreases their cells number.
Approximately, 700 plants show medicinal value in Pakistan. More than 186 vegetables used as medicine against different diseases enlisted in Hamdard pharmacopoeia of Eastern Medicine, while the National Council of Tibb reported that 900 plants are used as a drug in Pakistan. 10 Alkaloids obtained from plants express a greater resistance against microbes, used as anti-inflammatory, anti-oxidants, and antitumor. 11 Herbal drugs demand increases periodically due to pathogens showing resistant against antibodies and the growth of multiple resistant microbes.12-14 Synthetic medicines cost higher, disease cure incomplete, and more health-related issues occur.
Onosma bracteatum wall is commonly known as Gaozaban. The pharmacologic values of O bracteatum are represented by flavonoids, alkannin, shikonin, vanillic acids, and ferulic. It is used as a primary element in a variety of Unani and Ayurvedic formulations to deal with a variety of human health problems. 15 Viola odorata is also used to treat health problems including cough, common cold, fever, headache, constipation, dysuria, insomnia, palpitation, epilepsy, dyspnea, and skin diseases. 16 However, Cuscuta reflexa is a parasitic weed plant with therapeutic characteristics and a significant role in Ayurvedic medicine. 17 Swertia chirata is a bitter tonic used in traditional medicine to cure fever, digestive problems, diabetes, loss of appetite, skin problems, and a variety of other ailments. 18 Fagonia cretica is a plant with unique chemicals that are effective in treating diseases that are currently supposed to be incurable or have severe adverse effects. 19 This study was designed to evaluate the antibacterial activity of Pakistan’s economically important medicinal plant extracts O bracteatum, V odorata, C reflexa, S chirata, and Fagonia arabica against Bacillus subtilis, Escherichia coli, and Pseudomonas aeruginosa.
Materials and Methods
Collection of plants
The fresh herb C reflexa was collected from Hamdard chowk, plot number 71, Kotlak pat Lahore, and V odorata was collected from Swat, Pakistan. The dry plants O bracteatum, F arabica, and S chirata were purchased from a local market of Lahore. The authenticity of the plant was confirmed by Hamdard Laboratories, Kotlak pat Lahore, Pakistan. The foreign impurities were removed by the cleaning process and only specific parts of the therapeutic value were used. The local names of plants and their parts used in the study are described in Table 1.
Plant local, scientific, and family name, and part used.
Medicinal plant extract preparation
The plant parts were put in a grinder machine and made into a coarse powder. The plant’s coarse powder was dissolved in water and ethanol. The amount of herb, ethanol, and water varies according to the desired plant extract. 20 After filtering the extract with Whatman filter paper, it is stored in an ambient temperature.
Sub-culturing of bacterial strains
The clinically isolated strains of bacteria were obtained from the Department of Life Sciences University of Management and Technology, Johar Town, Lahore, Pakistan. The isolated bacterial strains were pathogenic, namely E coli, B subtilis, and P aeruginosa. The bacterial strains were sub-cultured and maintained on Nutrient agar, and stored at 4°C in a refrigerator for further use. 21
Qualitative antibacterial assays
Agar well diffusion method
The plates were prepared with Mueller–Hinton agar at a depth of 4 mm. The media pH ranges from 7.2 to 7.4. The bacterial lawn culture was prepared by swabbing and spreading in aseptic conditions. To produce growth uniformity, we streaked the media plate in one direction and moved the petri plate in 90°, and repeated this procedure for 3 times. Cork borer was sterilized and used to make a hole in media containing agar plate, label the media plate, and add 50 µL of each extract in each well (20 mm apart from one another in each well, 7 mm diameter holes). Positive control (pure solvent) was used in the well. In aerobic condition, the media plate was given an incubation period of 24 hours and incubated at the temperature of 36°C ± 1°C. The next day, after incubation, affluent growth was observed. Bacterial inhibition growth was determined in mm by a ruler. The tests were performed in duplicates. 22
Quantitative antibacterial assay
Minimum inhibitory concentration (MIC) of medicinal plant extracts was determined using a microtiter plate that contained 96-well. The first step was to took the required amount of Mueller–Hinton broth powder in a bottle and add distilled water to prepare broth media, and take 50 µL media through micropipette in each well of microtitration plate. Adding a 50 µL extract in first well and then diluted serially 2-fold to second last well and leave last well for control. Then, the inoculum suspensions of tested bacteria added in each well of microtitration plate and well mix. All plates of tested herbs were prepared by this method and incubated at 37°C for 24 hours. MIC and bacterial growth were measured after the incubation period; the well without turbidity was taken as MIC.23,24
Statistical Analysis
Zone of inhibition against B subtilis, E coli, and P aeruginosa was statistically analyzed by t-test (P < .05).
Results
Antibacterial screening of plant extracts
The 10 g of powdered extracts of plants were dissolved in 100 mL ethanol and water to determine the antibacterial activity. The ethanol extract of C reflexa revealed zones of inhibition range of 5 mm against B subtilis, 2 mm for E coli, and 4 mm inhibition zone against P aeruginosa by agar well diffusion method (Table 2). The water extract exhibited no zone of inhibition against all the 3 tested pathogens. The results of O bracteatum flowers ethanol extract manifest inhibition zone of 8 mm against B subtilis (Figure 1), 2 mm zone of inhibition for E coli (Figure 2), and no activity against P aeruginosa. Ethanol extract of O bracteatum leaves showed 2 mm inhibition zone for P aeruginosa (Figure 3) and none against B subtilis and E coli. S chirata ethanol extract exhibited a 6 and 8 mm inhibition zone against B subtilis and P aeruginosa, respectively, Figures 2 and 3, and no activity for E coli. The water extract of S chirata and O bracteatum expressed no activity against tested pathogens. Ethanol extract of V odorata flowers revealed 7 mm inhibition zone against B subtilis and 18 mm against P aeruginosa and none for E coli. Ethanol extract of V odorata leaves revealed inhibition zone measured 5 mm against B subtilis, 4 mm against P aeruginosa, and none for E coli (Table 2). The water extract of V odorata leaves expressed no antibacterial activity, while the water extract of V odorata flowers exhibited 3 mm inhibition zone against B subtilis. Ethanol extract of F arabica revealed inhibition zone of 5 mm against B subtilis, 7 mm inhibition zone against P aeruginosa, and no activity exhibited for E coli, and water extract of this plant showed 5 mm inhibition zone against B subtilis and 7 mm for E coli (Figure 4). Overall, ethanol extract of V odorata flower revealed the highest inhibition zone (18 mm) against P aeruginosa. Table 3 showed MIC of different plant extracts in water and ethanol against bacterial species through broth microdilution method.
Zones of inhibition (mm) by different plant extracts in water and ethanol against bacterial species.

Comparison of water and ethanolic plant extracts against B subtilis. (A) OBF-W; O bracteatum flower extract in water, CR-W; C reflexa in water, C-W; control water, OBL-W; O bracteatum leaf extract in water. (B) VOF-W; V odorata flower extract in water, SC-W; S chirata extract in water, C-W; control water, VOL-W; V odorata leaf in water. (C) OBF-E; O bracteatum flower extract in ethanol, CR-E; C reflexa in ethanol, C-E; control ethanol, OBL-E; O bracteatum leaf extract in ethanol. (D) VOF-E; V odorata flower extract in ethanol, SC-E; S chirata extract in ethanol, C-E; control ethanol, VOL-E; V odorata leaf in ethanol.

Comparison of water and ethanolic plant extracts against E coli. (A) OBF-W; O bracteatum flower extract in water, CR-W; C reflexa in water, C-W; control water, OBL-W; O bracteatum leaf extract in water. (B) VOF-W; V odorata flower extract in water, SC-W; S chirata extract in water, C-W; control water, VOL-W; V odorata leaf in water. (C) OBF-E; O bracteatum flower extract in ethanol, CR-E; C reflexa in ethanol, C-E; control ethanol, OBL-E; O bracteatum leaf extract in ethanol. (D) VOF-E; V odorata flower extract in ethanol, SC-E; S chirata extract in ethanol, C-E; control ethanol, VOL-E; V odorata leaf in ethanol.

Comparison of water and ethanolic plant extracts against P aeruginosa. (A) OBF-W; O bracteatum flower extract in water, CR-W; C reflexa in water, C-W; control water; OBL-W; O bracteatum leaf extract in water. (B) VOF-W; V odorata flower extract in water, SC-W; S chirata extract in water, C-W; control water, VOL-W; V odorata leaf in water. (C) OBF-E; O bracteatum flower extract in ethanol, CR-E; C reflexa in ethanol, C-E; control ethanol, OBL-E; O bracteatum leaf extract in ethanol. (D) VOF-E; V odorata flower extract in ethanol, SC-E; S chirata extract in ethanol, C-E; control ethanol, VOL-E; V odorata leaf in ethanol.

(A) Comparison of F arabica extract against B subtilis. (B) Comparison of F arabica extract against E.coli. (C) Comparison of F arabica extract against P aeruginosa.
MIC (µg/mL) of different plant extracts in water and ethanol against bacterial species through broth microdilution method.
Abbreviation: MIC, minimum inhibitory concentration.
Discussion
Sudden growth of antibiotic-resistant bacteria caused infection with high morbidity and mortality. P aeruginosa caused pneumonia and lung infections. This bacteria form colonies in kidneys, urinary tract, and lungs results in failure of the functions of these body organs. E coli caused many diseases in soft tissue and skin infection, bone and joint infection, meningitis, pneumonia, urinary tract infection, and gastroenteritis. 25 The diseases caused by these bacteria lead stimulating researchers to develop a powerful active compound or antibacterial agents from the herbs, plants, and food spices. Plants play a crucial role to fight against pathogens that caused disease and are used as a potent source for modern synthetic drugs in pharmaceutical industries worldwide. 26
Ethanol extract of V odorata flower revealed the highest inhibition zone (18 mm) against P aeruginosa as compared with all other plants used in this study. Alkaloid’s violin is present in seeds, flowers, roots, and leaves of V odorata. It formed salts with acids and has volatile oil.27,28 Aslam et al. (2018) estimated the antibacterial property of different extracts of V odorata against 5 bacterial strains including E coli, B subtilis, B cereus, M luteus, and K pneumonia, and exposed that the ethanol extract was more efficient against the tested pathogens. Previous studies indicated that methanol and ethanol extract of leaves of this plant showed significance zone of inhibition against 2-gram negative bacteria, eg, B subtilis, S aureus, and gram-positive bacteria, eg, P aeruginosa, E coli. The aqueous extracts of this herb leaves exhibited no zone of inhibition against selective pathogens due to loss of active compounds during boiling or phytochemicals not soluble in water. 29 Phytochemical’s screening of this plant extract revealed various compounds, such as tannins, saponins, terpenes, alkaloids, glycosides, flavonoids, and steroids. 30
In this study, ethanol extract of O bracteatum flower showed maximum inhibition zone (8 mm) against B subtilis, then E coli and P aeruginosa. 31 The study by Yasmin et al also exposed the antibacterial property of O bracteatum leaves against P aeruginosa, S aureus, and E coli. 32 Gaozaban herb is used as an essential ingredient of familiar herbal drug Joshanda. This plant’s dry stems and leaves are used to cure asthma and bronchitis. 33 In a study, O bracteatum showed maximum activity against S aureus. 34
In this study, ethanol extract of S chirata represents a larger zone of inhibition (8 mm) against P aeruginosa than B subtilis and E coli. Aqueous and ethanol extract of F arabica revealed the same zone of inhibition, respectively, against B subtilis (7 mm), P aeruginosa (7 mm), and no inhibition zone observed for E coli. However, 35 Syed et al documented that dichloromethane extract of F arabica possessed antibacterial properties against E coli. Previous studies indicated that S chirata promisingly exhibited antibacterial properties.36,37 S chirata showed maximum inhibition against the P aeruginosa, K pneumonia, S aureus, and E faecalis. 38
In our study, C reflexa showed maximum inhibition zone (5 mm) against B subtilis as compared with others. 39 Mishra and Dixit also indicated that ethanol extract of C reflexa has antibacterial property against B subtilis and E coli. In another study, C reflexa also showed antibacterial property against Xanthomonas campestris, K pneumonia, Proteus vulgaris, Paracoccus denitrificans, and E coli. 40 C reflexa also exhibited antibacterial property against Salmonella typhimurium. 41
Conclusions
In this study, ethanol extract of C reflexa plants is best for all 3 tested microbes (P aeruginosa, B subtilis, and E coli). The ethanol extract of V odorata flower revealed highest inhibition zone (18 mm) against P aeruginosa. Aqueous extract of V odorata revealed potential against B subtilis, and F arabica showed activity against B subtilis and E coli while other aqueous extracts of plants shows no inhibition zone. This study succeeded to demonstrate scientific justifications for these plants’ use in traditional medicine for the treatment of infections. Hence, it could be concluded that these plants may be a good source of antimicrobials that could be an alternative to antibiotics.
Footnotes
Funding:
The author(s) received no financial support for the research, authorship, and/or publication of this article.
Declaration of Conflicting Interests:
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Author Contributions
All authors have equal contributions.
