Antimicrobial potency of toothpaste containing gambir (Uncaria gambir) extract

Siti Rusdiana Puspa Dewi, Pudji Handayani, Danica Anastasia, Shania Tri Maulina

Abstract


ABSTRACT

Introduction: The biggest problem in oral health is dental caries and periodontal disease. The way to prevent dental and mouth problems is to keep oral hygiene. One of them is adequate plaque control. Plaque control can be done by brushing teeth and using toothpaste. Currently, many herbal ingredients have been used as antibacterials such as gambir (Uncaria gambir). Gambir mainly contains catechins and tannins, which have the ability to inhibit the growth of bacteria. The purpose of this study was to determine the antimicrobial potential of toothpaste containing gambir (Uncaria gambir). Methods: The total sample was 30, and it divided into three groups. Samples were toothpaste containing ten percent of Uncaria gambir extract, fluoride, placebo toothpaste, Streptococcus mutans (Gram-positive), Phorphyromonas gingivalis (Gram-negative), and Candida albicans. Antimicrobial activity of toothpaste with gambir (Uncaria gambir) extract against microorganisms was observed with the formation of inhibitory zone diameter in agar. Data were analyzed by using SPSS with one-way ANOVA and Tukey test. Results: The results showed that toothpaste containing gambir extract could inhibit the Streptococcus mutans (p<0.05), Phorphyromonas gingivalis (p<0.05), Candida albicans (p<0.05) compared significantly with placebo (p<0.05). Antimicrobial toothpaste containing gambir extract had no different effect from toothpaste containing fluoride. However, toothpaste containing gambir extract had significantly different effect than toothpaste containing fluoride. Conclusion: It can be concluded that toothpaste containing gambir (Uncaria gambir) extract has antimicrobial potential against Streptococcus mutans, Phorphyromonas gingivalis, and Candida albicans. These findings showed that the extract of Uncaria gambir possesses potent antimicrobial activity.


Keywords


antimicrobial, Candida albicans, Phorphyromonas gingivalis, Streptococcus mutans, Uncaria gambir

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References


Kementerian Kesehatan Republik Indonesia. Riset Kesehatan Dasar (Riskesdas) 2018. Jakarta: Kementerian Kesehatan RI; 2018,pp 114-118.

Rathee M, Sapra A. Dental Caries. [Updated 2022 Jun 12]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551699/

Lemos JA, Palmer SR, Zeng L, Wen ZT, Kajfasz JK, Freires IA, Abranches J, Brady LJ. The Biology of Streptococcus mutans. Microbiol Spectr. 2019 Jan; 7(1): 10. doi: 10.1128/microbiolspec.GPP3-0051-2018.

Zhang Y, Fang J, Yang J, Gao X, Dong L, Zheng X, Sun L, Xia B, Zhao N, Ma Z, Wang Y. Streptococcus mutans-associated bacteria in dental plaque of severe early childhood caries. Journal of Oral Microbiology 2022: 14: 1. DOI: 10.1080/20002297.2022.2046309

Könönen E, Gursoy M, Gursoy UK. Periodontitis: A Multifaceted Disease of Tooth-Supporting Tissues. J Clin Med. 2019 Jul 31; 8(8):1135. DOI: 10.3390/jcm8081135.

How KY, Song KP, Chan KG. Porphyromonas gingivalis: An Overview of Periodontopathic Pathogen below the Gum Line. Front Microbiol. 2016 Feb 9;7:53. DOI: 10.3389/fmicb.2016.00053

Mysak J, Podzimek S, Sommerova P, Lyuya-Mi Y, Bartova J, Janatova T, Prochazkova J, Duskova J. Porphyromonas gingivalis: major periodontopathic pathogen overview. J Immunol Res. 2014;2014:476068. DOI: 10.1155/2014/476068.

Stephen J. Challacombe, Penelope J. Shirlaw, Martin H. Thornhill. Chapter 102 - Immunology of Diseases of the Oral Cavity. Editor(s): Mestecky J, Strober W, Russell MW, Kelsall BL, Cheroutre H, Lambrecht BN. Mucosal Immunology (Fourth Edition). Academic Press: 2015. 1943-1983. DOI: 10.1016/B978-012491543-5/50093-0

Vila T, Sultan AS, Montelongo-Jauregui D, Jabra-Rizk MA. Oral Candidiasis: A Disease of Opportunity. J Fungi (Basel). 2020 Jan 16;6(1):15. DOI : 10.3390/jof6010015.

Rao PS, Majumdar RS, Anil S. Clinical Appearance of Oral Candida Infection and Therapeutic Strategies. Frontiers in Microbiology 2015; 6. DOI: 10.3389/fmicb.2015.01391

Vyas T, Bhatt G, Gaur A, Sharma C, Sharma A, Nagi R. Chemical plaque control - A brief review. J Family Med Prim Care. 2021 Apr;10(4):1562-1568. DOI: 10.4103/jfmpc.

Nwakanma C, Ejim JN, Unachukwu M. The Effects of selected toothpaste on the microbial flora of the mouth of GOU Student. Int J Curr Mcrobiol Appl Sci. 2014; 3(9): pp 785-92

Manja NK. Review on- ingredients used in toothpaste formulation. Indian Journal of Medical Research and Pharmaceutical Sciences 2020; 7(9): pp 9–15.

Thornton-Evans G, Junger ML, Lin M, Wei L, Espinoza L, Beltran-Aguilar E. Use of Toothpaste and Toothbrushing Patterns Among Children and Adolescents - United States, 2013-2016. MMWR Morb Mortal Wkly Rep. 2019 Feb 1;68(4): pp 87-90. DOI: 10.15585/mmwr.mm6804a3.

Septiani S, Indrawan D, Arista GS, Rakhmat A, Sari YW, Nuzulia NA, Wahyuni WT. Choosing herbal toothpaste: study on consumer behaviour and preferences in the greater Jakarta area. Jurnal Aplikasi Manajemen and Bisnis 2022; 8(3): pp 758-68. DOI: 10.17358/jabm.8.3.758

Hidayaturrahman, Asidiki H, Sari CN, Harismah N. Development of Herbal Toothpaste Formulation with Combination of Binahong and Stevia (Stevia Rebaudina) Leaves Extract and Lemon Juice. J Nutracheutical and Herbal Med. 2020; 3(1): pp 15-22

Nuraskin CA, Addilla ID, Reca. Effectiveness Of Herbal And Non-Herbal Toothpaste To Decrease Plac Index In Class Iv Students At Sd Neg E Ri 62 Cot Mesjid, Banda Aceh. Dental Health Journal of Aceh 2022; 1(2): 34–9. https://doi.org/10.30867/dheja.v1i2.110

Yaman E, Woerdenbag HJ, Kayser O. Jamu: Indonesian traditional herbal medicine towards rational phytopharmacological use. J Herbal Med 2014; 4(2): 34-41. DOI: 10.1016/j.hermed.2014.01.002

Auliana FR, Ifora I, Fauziah F. Phytochemical and Anti-Inflammatory of Uncaria gambir: A Review Asian Journal of Pharmaceutical Research and Development. 2022; 10(1): pp. 79-83 Available online on 15.2.2022 at http://ajprd.com

Dewi SRP, Marlamsya DO, Bikarindrasari R. Efek antikaries ekstrak gambir pada tikus jantan galur Wistar. Maj. Ked. Gigi Indonesia 2017; 3(2): 83-92. DOI: 10.22146/majkedgiind.17407

Wu M, Brown AC. Applications of Catechins in the Treatment of Bacterial Infections. Pathogens. 2021 May 1;10(5): pp 546. doi: 10.3390/pathogens10050546. PMID: 34062722; PMCID: PMC8147231.

Melia S, Novia D, Juliayarsi I. Antioxidant and Antimicrobial Activities of Gambir (Uncaria gambir Roxb) Extracts and Their Application in Rendang. Pakistan Journal of Nutrition 2015; 14(12):938-41. DOI: 10.3923/pjn.2015.938.941

Saito H, Tamura M, Imai K, Ishigami T, Ochiai K. Catechin inhibits Candida albicans dimorphism by disrupting Cek1 phosphorylation and cAMP synthesis. Microb Pathog. 2013 Mar;56:16-20. Doi: 10.1016/j.micpath.2013.01.002. Epub 2013 Jan 18. PMID: 23337884.

Ifora I, Efelzita D, Bellatasie R, Uyun HSK. Antifungal Potential of Purified Gambier (Uncaria gambir Roxb.). Int J Pharm Sci Med. 2023; 8 (2): pp. 40-43. DOI: 10.47760/ijpsm.2023.v08i02.004

Dewi SRP, Kamaluddin MT, Theodorus, Pambayun R. Anticariogenic effect of gambir (Uncaria Gambir [Roxb.]) extract on enamel tooth surface exposed by Streptococcus mutans. Int. J Health Sci. Res. 2016; 6(8): pp 171-9

Isromarina R, Rosa E, Rusli D. Antibacterial activity of Uncaria gambir (Hunter) Roxb extract leaves against Vibrio Cholerae ATCC 14033. Jurnal Ilmiah Bakti Farmasi 2019; 4(1): pp 21-6

Dewi SRP, Pratiwi A, Teodorus. The effect of gambier extract (Uncaria gambir [Roxb]) as antiseptic on gingival wound in rats. Odonto J. 2018; 5(1): pp 80-8

Aspinall SR, Parker JK, Khutoryanskiy VV. Oral care product formulations, properties and challenges. Colloids Surf B Biointerfaces. 2021 Apr; 200: pp 111567. doi: 10.1016/j.colsurfb.2021.111567.

Uc-Cachón AH, Gracida-Osorno C, Luna-Chi IG, Jiménez-Guillermo JG, Molina-Salinas GM. High Prevalence of Antimicrobial Resistance Among Gram-Negative Isolated Bacilli in Intensive Care Units at a Tertiary-Care Hospital in Yucatán Mexico. Medicina (Kaunas). 2019 Sep 13; 55(9): pp 588. doi: 10.3390/medicina55090588.

de Vries C, Ruacho G, Kindstedt E, Potempa BA, Potempa J, Klinge B, Lundberg P, Svenungsson E, Lundberg K. Antibodies to Porphyromonas gingivalis Are Increased in Patients with Severe Periodontitis, and Associate with Presence of Specific Autoantibodies and Myocardial Infarction. J Clin Med. 2022; 11(4): pp. 1008. https://doi.org/10.3390/jcm11041008

Smithee S, Tracy S, Drescher KM, Pitz LA, McDonald T. A novel, broadly applicable approach to isolation of fungi in diverse growth media. Journal of Microbiological Methods 2014; 105: 155-61.DOI: 10.1016/j.mimet.2014.07.023.

Nafisa S, Swandiny GF, Gangga E, Zaenudin YA. Antimicrobial activity and phytochemical screening of Citrus aurantifolia leaves ethanolic extract. Jurnal Ilmu Kefarmasian Indonesia 2021; 19(2): 287-91. DOI: 10.20959/wjpr20171-7634

Marlinda. Identifikasi kadar katekin pada gambir (Uncaria gambier Roxb.). Jurnal Optimalisasi. 2018; 4(1): 47-53DOI: 10.35308/jopt.v4i1.1474

Inmawaty J, Indrati, Satari MH. Inhibitory concentrations of gambier (Uncaria gambir Roxb.) catechins extract against Streptococcus mutans. Padjajaran J Dent. 2012; 24(3): 161-6 DOI : 10.24198/pjd.vol24no3.26832

Bernatoniene J, Kopustinskiene DM. The Role of Catechins in Cellular Responses to Oxidative Stress. Molecules. 2018; 23(4): 965. DOI: 10.3390/molecules23040965.

Wu M, Brown AC. Applications of Catechins in the Treatment of Bacterial Infections. Pathogens. 2021 May 1;10(5):546. DOI: 10.3390/pathogens10050546.

Mai-Prochnow A, Clauson M, Hong J, Murphy AB. Gram positive and Gram negative bacteria differ in their sensitivity to cold plasma. Sci Rep. 2016 Dec 9;6:38610. DOI: 10.1038/srep38610.

Taylor PW. Interactions of Tea-Derived Catechin Gallates with Bacterial Pathogens. Molecules. 2020; 25(8):1986. DOI :10.3390/molecules25081986

Ren Z, Chen L, Li J, Li Y. Inhibition of Streptococcus mutans polysaccharide synthesis by molecules targeting glycosyltransferase activity. J Oral Microbio 2016; 18(1): 31095. DOI : 10.3402/jom.v8.31095

Xu X, Zhou XD, Wu CD. The tea catechin epigallocatechin gallate suppresses cariogenic virulence factors of Streptococcus mutans. Antimicrob Agents Chemother. 2011; 55(3): 1229-36

Kong C, Zhang H, Li L. Effects of green tea extract epigallocatechin-3-gallate (EGCG) on oral disease-associated microbes: a review. J Microbiol. 2022; 14(1): 1-14. https://doi.org/10.1080/20002297.2022.2131117

Lestari C. The effect of subgingival irrigation of gambir (Uncaria gambir [Hunter] Roxb) catechin to the number of Actinobacillus actinomycetemcomitans in the gingival sulcus of periodontitis mice. Padjajaran J Dent. 2011; 23(3): 167-71.DOI : 10.24198/pjd.vol23no3.14033

Sari LA, Deynilisa S. Effectiveness of gargling gambier sap boiled water for the treatment of gingivitis. Jurnal Kesehatan Gigi dan Mulut 2019; 1(2): 17-20.

Kurhekar JV. Tannins-antimicrobial chemical components. Int J Tec Sci. 2016; 9: p 5-9

Kaczmarek B. Tannic Acid with Antiviral and Antibacterial Activity as A Promising Component of Biomaterials-A Minireview. Materials (Basel). 2020 Jul 20;13(14): pp 3224. doi: 10.3390/ma13143224. PMID: 32698426; PMCID: PMC7412100.

Ho KY, Tsai CC, Huang JS, Chen CP, Lin TC, Lin CC. Antimicrobial activity of tannin components from Vaccinium vitis-idaea L. Journal of Pharmacy and Pharmacology. 2001; 53(2): 187-91.

Choi O, Yahiro K, Morinaga N, Miyazaki M, Noda M. Inhibitory effects of various plant polyphenols on the toxicity of staphylococcal-toxin. J Microb Pathog. 2007; 42: 215–24.

Aboody MSA, Mickymaray S. Anti-Fungal Efficacy and Mechanisms of Flavonoids. Antibiotics (Basel). 2020 ; 9(2): 45. DOI: 10.3390/antibiotics9020045.

Anand J, Rai N. Anticandidal synergistic activity of green tea catechins, antimycotics and copper sulphate as a mean of combinational drug therapy against candidiasis. J Mycol Med. 2017; 27(1): 33-45. DOI: 10.1016/j.mycmed.2016.08.004.

Congyi Zhu, Mengying Lei, Mebeaselassie Andargie, Jiwu Zeng, Jianxiong Li. Antifungal activity and mechanism of action of tannic acid against Penicillium digitatum. Physiological and Molecular Plant Pathology 2019; 107: 46-50. DOI: 10.1016/j.pmpp.2019.04.009.

Rahayuningsih E, Setiawan FA, Ayanie CJ, Aditya A, Ayuningtyas YI. A Study on the Effectiveness of Antifungal Agents on Cotton Fabrics Colored by Gambir Natural Dyes (Uncaria gambir). Jurnal Konversi Universitas Muhammadiyah Jakarta 2019; 8(1): 45-54. DOI:10.24853/konversi.8.1.10.

Johnston NR, Cline G, Strobel SA. Cells Adapt to Resist Fluoride through Metabolic Deactivation and Intracellular Acidification. Chem Res Toxicol. 2022; 35(11): 2085-96. DOI: 10.1021/acs.chemrestox.2c00222.

Sperandio FF, Huang YY, Hamblin MR. Antimicrobial photodynamic therapy to kill Gram-negative bacteria. Recent Pat Antiinfect Drug Discov. 2013; 8(2): 108-20. DOI: 10.2174/1574891x113089990012.

Budisa N, Kubyshkin V, Schulze-Makuch D. Fluorine-rich planetary environments as possible habitats for life. Life (Basel). 2014; 4(3): 374-85. DOI: 10.3390/life4030374.

Li S, Breaker RR. Fluoride enhances the activity of fungicides that destabilize cell membranes. Bioorg Med Chem Lett. 2012; 22(9): 3317-22. DOI: 10.1016/j.bmcl.2012.03.006.

Mozayeni MA, Hadian A, Bakhshaei P, Dianat O. Comparison of Antifungal Activity of 2% Chlorhexidine, Calcium Hydroxide, and Nanosilver gels against Candida Albicans. J Dent (Tehran). 2015; 12(2): 109-17.

Adwan G, Salameh Y, Adwan K, Barakat A. Assessment of antifungal activity of herbal and conventional toothpastes against clinical isolates of Candida albicans. Asian Pac J Trop Biomed. 2012; 2(5): 375-9. DOI: 10.1016/S2221-1691(12)60059-8.

Costa-de-Oliveira S, Rodrigues AG. Candida albicans Antifungal Resistance and Tolerance in Bloodstream Infections: The Triad Yeast-Host-Antifungal. Microorganisms. 2020 Jan 22;8(2):154. DOI: 10.3390/microorganisms8020154.

Zaidi KU, Mani A, Thawani V, Mehra A. Total Protein Profile and Drug Resistance in Candida albicans Isolated from Clinical Samples. Mol Biol Int. 2016;2016:4982131. DOI: 10.1155/2016/4982131.




DOI: https://doi.org/10.24198/pjd.vol35no2.47130

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