DEVELOPMENT AND STABILITY EVALUATION OF VAGINAL SUPPOSITORY CONTAINING GLYCYRRHIZA GLABRA L. FOR THE TREATMENT OF CANDIDA ALBICANS INFECTION
DOI:
https://doi.org/10.22159/ajpcr.2018.v11i7.25927Keywords:
Antimicrobial activity, Candida albicans, Glycyrrhiza glabra L, Suppository formula, Licorice, Ethanolic extractAbstract
Objective: The present study assessed the antioxidant activity, phytochemical content, and anti-Candida albicans property of ethanolic extract of Glycyrrhiza glabra L. (licorice). In addition, suppository formula (SF) was developed with licorice extract (LE), and the stability of SF was evaluated.
Methods: The total phenolic and flavonoid content was measured by colorimetric methods. 2, 2′-azino-bis-3-ethylbenzthiazoline-6-sulfonic acid (ABTS), ferric reducing antioxidant power (FRAP), inhibition of lipid peroxidation (LPO), nitric oxide (NO), and superoxide (SO) radical scavenging assays were performed to evaluate antioxidant property. Antimicrobial activity was determined by plating method. The active principle was determined by high-performance liquid chromatography method.
Results: The licorice sample was extracted with 95% ethanol, and 26.91±1.35% of yield was observed. The LE contains phenolic acids (167.70±3.18 mg gallic acid equivalent/g extract), flavonoids (162.53±9.95 mg quercetin equivalent/g extract), and glabridin (3.90±0.05 mg/g extract). LE exhibited the scavenging activity in terms of 810.53±25.37 μM of Trolox equivalent/mg of extract, 165.04±5.10 μM of FeSO4 equivalent/mg of extract, and 3750.35±1.25, 68.25±0.07, and 511±0.80 μM of Trolox equivalent/mg of extract in ABTS, FRAP, LPO, NO, and SO assays, respectively. About ≥62.50, ≥125, and ≥250 μg/mL of LE was recorded as minimal inhibitory concentration against C. albicans, Lactobacillus casei, and Lactobacillus acidophilus, respectively. The SF was formulated and the stability was evaluated. The activity and color of SFs did not differ on storage. Moreover, no spot formation was observed.
Conclusion: The SF with LE could be the safe therapeutic strategy for the treatment of candida infection in vaginal region.
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References
Blanco JL, Garcia ME. Immune response to fungal infections. Vet Immunol Immunopathol 2008;125:47-70.
Brunke S, Hube B. Two unlike cousins: Candida albicans and C. glabrata infection strategies. Cell Microbiol 2013;15:701-8.
Pierce GE. Pseudomonas aeruginosa, Candida albicans, and device-related nosocomial infections: Implications, trends, and potential approaches for control. J Ind Microbiol Biotechnol 2005;32:309-18.
Tsai PW, Chen YT, Hsu PC, Lan CY. Study of Candida albicans and its interactions with the host: A mini review. Biomedicine 2013;3:51-64.
Phillips AJ. Treatment of non-albicans Candida vaginitis with amphotericin B vaginal suppositories. Am J Obstet Gynecol 2005;192:2009-13.
Devasagayam TP, Tilak JC, Boloor KK, Sane KS, Ghaskadbi SS, Lele RD. Free radicals and antioxidants in human health: Current status and future prospects. J Assoc Phys India 2004;52:794-804.
Medeiros CI, Silva DD, Filho GG, Filho AA, Lima ED. Activity anti-c. Tropicalis and effects of the combination of (s)-(-)-citronellal with four antifungal applied in vulvovaginal candidiasis. Int J Pharm Pharm Sci 2016;8:347-51.
Bhat A, Raveesha KA. Antifungal activity of Pimenta dioica (L.) Merril an aromatic medicinal tree. Int J Pharm Pharm Sci 2016;8:92-5.
Muzna S, Divya D, Kamat SD, Kamat DV. Antifungal activity of lipase modified flavonoids from Citrus limetta. Int J Pharm Pharm Sci 2014;6:116-8.
Vito MD, Mattarelli P, Modesto M, Girolamo A, Ballardini M, Tamburro A, et al. In vitro activity of tea tree oil vaginal suppositories against Candida spp. and probiotic vaginal microbiota. Phytother Res 2015;29:1628-33.
Fatima A, Gupta VK, Luqman S, Negi AS, Kumar JK, Shanker K, et al. Antifungal activity of Glycyrrhiza glabra extracts and its active constituent glabridin. Phytother Res 2009;23:1190-3.
Lucas RM, editor. Nature’s Medicines: The Folklore, Romance, and Value of Herbal Remedies. New York: Parker Pub Co. West Nyack; 1966.
Rebhun JF, Glynn KM, Missler SR. Identification of glabridin as a bioactive compound in licorice (Glycyrrhiza glabra L.) extract that activates human peroxisome proliferator-activated receptor gamma (PPARγ). Fitoterapia 2015;106:55-61.
Nakagawa K, Kishida H, Arai N, Nishiyama T, Mae T. Licorice flavonoids suppress abdominal fat accumulation and increase in blood glucose level in obese diabetic KK-A(y) mice. Biol Pharm Bull 2004;27:1775-8.
Ahn J, Lee H, Jang J, Kim S, Ha T. Anti-obesity effects of glabridin-rich supercritical carbon dioxide extract of licorice in high-fat-fed obese mice. Food Chem Toxicol 2013;51:439-45.
Martins N, Ferreira IC, Henriques M, Silva S. In vitro anti-candida activity of Glycyrrhiza glabra L. Ind Crops Prod 2016;83:81-5.
Pengkumsri N, Chaiyasut C, Saenjum C, Sirilun S, Peerajan S, Suwannalert P, et al. Physicochemical and antioxidative properties of black, brown and red rice varieties of northern Thailand. Food Sci Technol Campinas 2015;35:331-8.
Sales MD, Costa HB, Fernandes PM, Ventura JA, Meira DD. Antifungal activity of plant extracts with potential to control plant pathogens in pineapple. Asian Pac J Trop Biomed 2016;6:26-31.
Bussmann RW, Malca-GarcÃa G, Glenn A, Sharon D, Chait G, DÃaz D, et al. Minimum inhibitory concentrations of medicinal plants used in Northern Peru as antibacterial remedies. J Ethnopharmacol 2010;132:101-8.
Nicoara AC, Cazacincu RG, Lupuleasa D, Miron DS, Radulescu FR. Formulation and in vitro release testing of rectal suppositories containing nimesulide. Farmacia 2015;63:111-7.
Fan S, Liu X, Wu C, Xu L, Li J. Vaginal nystatin versus oral fluconazole for the treatment for recurrent vulvovaginal candidiasis. Mycopathologia 2015;179:95-101.
Fan S, Liu X, Liang Y. Miconazole nitrate vaginal suppository 1,200 mg versus oral fluconazole 150 mg in treating severe vulvovaginal candidiasis. Gynecol Obstet Invest 2015;80:113-8.
Ray D, Goswami R, Banerjee U, Dadhwal V, Goswami D, Mandal P, et al. Prevalence of Candida glabrata and its response to boric acid vaginal suppositories in comparison with oral fluconazole in patients with diabetes and vulvovaginal candidiasis. Diabetes Care 2007;30:312-7.
Ray D, Goswami R, Dadhwal V, Goswami D, Banerjee U, Kochupillai N. Prolonged (3-month) mycological cure rate after boric acid suppositories in diabetic women with vulvovaginal candidiasis. J Infect 2007;55:374-7.
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