Jeremie Ngezahayo

Medicinal plants used by Burundian traditional healers for the treatment of microbial diseases

ETHNOPHARMACOLOGICAL RELEVANCE Infectious diseases represent a serious and worldwide public health problem. They lead to high mortality, especially in non-developed countries. In Burundi, the most frequent infectious diseases are skin and respiratory (mainly in children) infections, diarrhea, added to malaria, HIV/AIDS and tuberculosis. Local population used mostly traditional herbal medicines, sometimes animal and mineral substances, to fight against these plagues. OBJECTIVES To survey in different markets and herbal shops in Bujumbura city, medicinal plants sold to treat microbial infections, with particular emphasis on the different practices of traditional healers (THs) regarding plant parts used, methods of preparation and administration, dosage and treatment duration. MATERIALS AND METHODS The ethnobotanical survey was conducted by interviewing, using a pre-set questionnaire, sixty representative healers, belonging to different associations of THs approved and recognised by the Ministry of Health. Each interviewed herbalist also participated in the collection of samples and the determination of the common names of plants. The plausibility of recorded uses has been verified through an extensive literature search. RESULTS Our informants enabled us to collect 155 different plant species, distributed in 51 families and 139 genera. The most represented families were Asteraceae (20 genera and 25 species), Fabaceae (14 genera and 16 species), Lamiaceae (12 genera and 15 species), Rubiaceae (9 genera and 9 species), Solanaceae (6 genera and 6 species) and Euphorbiaceae (5 genera and 6 families). These plants have been cited to treat 25 different alleged symptoms of microbial diseases through 271 multi-herbal recipes (MUHRs) and 60 mono-herbal recipes (MOHRs). Platostoma rotundifolium (Briq.) A. J. Paton (Lamiaceae), the most cited species, has been reported in the composition of 41 MUHRs, followed by Virectaria major (Schum.) Verdc (Rubiaceae, 39 recipes), Kalanchoe crenata (Andrews) Haw. (Crassulaceae, 37 recipes), Stomatanthes africanus (Oliv. & Hiern) R. M. King & H. Rob. (35 recipes), and Helichrysum congolanum Schltr. & O. Hoffm. (Asteraceae, 33 recipes). Regarding MOHRs, Pentas longiflora Oliv. (Rubiaceae) is the most important species with 19 recipes, followed by Kalanchoe crenata (Andrews) Haw. (Crassulaceae, 10 recipes), Gymnosporia senegalensis (Lam.) Loes. (Celastraceae, 9 recipes), Tetradenia riparia (Hochst.) Codd (Lamiaceae, 8 recipes) and Cardiospermum halicacabum L. (Sapindaceae, 6 recipes). Concerning the preparation and administration of recipes, our informants state to be able to adjust the doses based on the patients age (child or adult) and/or his/her physiology (e.g. pregnancy). CONCLUSION This study indicates that medicinal plants are still widely used for the treatment of microbial diseases in Bujumbura city. However, there is much to do in this area, especially in the assessment and monitoring of the quality, effectiveness and safety of the different recipes preconised by Burundian traditional healers.

Terpenoids from Platostoma rotundifolium (Briq.) A. J. Paton Alter the Expression of Quorum Sensing-Related Virulence Factors and the Formation of Biofilm in Pseudomonas aeruginosa PAO1

Platostoma rotundifolium (Briq.) A. J. Paton aerial parts are widely used in Burundi traditional medicine to treat infectious diseases. In order to investigate their probable antibacterial activities, crude extracts from P. rotundifolium were assessed for their bactericidal and anti-virulence properties against an opportunistic bacterial model, Pseudomonas aeruginosa PAO1. Whereas none of the tested extracts exert bacteriostatic and/or bactericidal proprieties, the ethyl acetate and dichloromethane extracts exhibit anti-virulence properties against Pseudomonas aeruginosa PAO1 characterized by an alteration in quorum sensing gene expression and biofilm formation without affecting bacterial viability. Bioguided fractionation of the ethyl acetate extract led to the isolation of major anti-virulence compounds that were identified from nuclear magnetic resonance and high-resolution molecular spectroscopy spectra as cassipourol, β-sitosterol and α-amyrin. Globally, cassipourol and β-sitosterol inhibit quorum sensing-regulated and -regulatory genes expression in las and rhl systems without affecting the global regulators gacA and vfr, whereas α-amyrin had no effect on the expression of these genes. These terpenoids disrupt the formation of biofilms at concentrations down to 12.5, 50 and 50 µM for cassipourol, β-sitosterol and α-amyrin, respectively. Moreover, these terpenoids reduce the production of total exopolysaccharides and promote flagella-dependent motilities (swimming and swarming). The isolated terpenoids exert a wide range of inhibition processes, suggesting a complex mechanism of action targeting P. aeruginosa virulence mechanisms which support the wide anti-infectious use of this plant species in traditional Burundian medicine.

In vitro Study of Five Herbs Used Against Microbial Infections in Burundi

The emergence of antimicrobial resistant infectious diseases remains a major threat to worldwide public health, in developed and in developing countries. Therefore, new antimicrobial agents acting by new mechanisms of action are urgently needed. As plants used in traditional medicine may help to overcome these problems, Justicia subsessilis, Platostoma rotundifolium, Pavetta ternifolia, Stomatanthes africanus, and Virectaria major (plants highly cited to be used against microbial infections in traditional Burundian medicine) were studied to assess their traditional use efficacy. We conducted a preliminary phytochemical screening of the extracts, as well as their direct and indirect (effect on antibiotic resistance) antibacterial activity on four bacterial strains (Staphylococcus sp. and Escherichia coli) by broth microdilution methods. All five medicinal plants investigated in this work were found to have direct antibacterial activity against all tested bacterial strains (minimum inhibitory concentration = 62.5–1000 μg/mL) that may support the use of these species in traditional Burundian medicine. Extracts (with no direct antibacterial activity), tested at 200 μg/mL, decreased the MIC values of β‐lactams and aminoglycoside antibiotics by a factor of 2 to 64‐fold. These interactions between plant extracts and antibiotics could open an avenue of research against antibiotic resistance. Copyright