Antibacterial, Mutagenic Properties and Chemical Characterisation of Sugar Bush (Protea caffra Meisn.): A South African Native Shrub Species

Protea caffra is used as a diarrhoeal remedy in South African herbal medicine, however, its pharmacological properties remain largely unknown. In the present study, extracts from different Protea caffra organs were screened against drug-sensitive and -resistant diarrhoeagenic pathogens using the microdilution assay (minimum inhibitory concentration, MIC). Twig extracts (70% methanol, MeOH) of the plant were purified and the resultant fractions screened for antibacterial properties (MIC). The chemical profiles of the fractions were determined by Gas Chromatography-Mass Spectrometry (GC-MS), while ultra-high-performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS) was used to quantify the phenolic acids in the plant. The mutagenic properties of bioactive extracts were assessed using the Ames test. The extracts demonstrated weak-moderate antibacterial properties (MIC: 0.3–0.6 mg/mL). A cold ethyl acetate fraction of MeOH twig extract exhibited significant antibacterial properties (MIC = 0.078 mg/mL) against Enterococcus faecalis. The presence of antibacterial compounds (1-adamantane carboxylic acid, heptacosanol, levoglucosan, nonadecanol) in the plant was putatively confirmed based on GC-MS analysis. Furthermore, UHPLC-MS/MS analysis revealed varying concentrations of phenolic acids (0.08–374.55 µg/g DW). Based on the Ames test, the extracts were non-mutagenic thereby suggesting their safety. To a certain degree, the current study supports the traditional use of Protea caffra to manage diarrhoea among local communities in South Africa.


Introduction
Diarrhoea is an intestinal disorder characterised by the passage of frequent loose or watery stools in a period of 24 h [1]. Infectious diarrhoea remains one of the leading causes of child mortality worldwide. In 2015 alone, diarrhoeal diseases caused an estimated 1.3 million deaths worldwide and were the fourth leading causes of death among children under the age of 5 years [2]. Some of the prominent etiological agents of community and hospital-aquired diarrhoea include Escherichia coli, Enterococcus faecalis, Klebsiella pneumonia and Staphylococcus aureus [3,4]. Globally, medicinal plants

Results
The antibacterial MIC values of evaluated plant extracts are presented in Table 1. The extracts were classified as having significant (MIC ≤ 0.1 mg/mL), moderate (0.1 < MIC ≤ 0.625 mg/mL) or weak (MIC > 0.625 mg/mL) antibacterial properties [24]. All aqueous extracts yielded MIC values >2.5 mg/mL (Table S1). Generally, the evaluated plant parts demonstrated moderate antibacterial properties with MIC values ranging from 0.3-0.6 mg/mL. Interestingly, extracts from the seed (MeOH and petroleum ether) and twigs (MeOH) demonstrated noteworthy antibacterial activities against Gram-negative bacterial strains (Escherichia coli and Klebsiella pneumonia). It was also worth noting that the methanolic leaf and twig extracts of the plant demonstrated promising bacteriostatic properties (MIC = 0.63 mg/mL) against the penicillin-resistant Staphylococcus aureus. However, the other drug-resistant bacterial strains were not susceptible to the plant extracts (MIC > 2.5 mg/mL) and hence were excluded from Table 1.
The UHPLC-MS/MS analysis revealed that Protea caffra contained varying quantities of both hydroxybenzoic and hydroxycinnamic acids (Tables 4 and 5). Overall, the most abundant hydroxybenzoic (p-hydroxybenzoic acid, 374.55 µg/g DW) and hydroxycinnamic (caffeic acid, 266.37 µg/g DW) acids were detected in the leaves. The leaves also contained the least abundant hydroxycinnamic acids (sinapic acid, 0.08 µg/g DW), while the bark contained the least abundant hydroxybenzoic acid (salicylic acid, 0.1 µg/g DW).   None of the evaluated plant extracts demonstrated concentration-dependent increase in the number of His + revertants ( Table 6). The average TA98 revertants ranged from 6.4-29.0, while the TA102 revertants ranged from 109.7-284. 3. The corresponding average number of TA98 and TA102 revertants in the negative control were 19.1 and 145.2, respectively. The evaluated extracts were therefore non-mutagenic against TA98 and TA102 tester strains [26]. The data presented are the mean ± standard error of six plates from two separate experiments each performed in triplicate. DCM = Dichloromethane, MeOH = Methanol, PE = Petroleum ether, -ve= negative. + ve = positive control.

Discussion
Given that water is one of the most commonly used solvent in folklore medicine [27], it was included in the present study to mimic traditionally prepared herbal medicines. However, water extracts have been widely reported to exhibit poor antibacterial activity. This is attributed to the fact that many antibacterial phyto-compounds are non-polar or have intermediate polarity and as such cannot be readily extracted from plant material using water [28,29]. In the current study, it is possible that the antibacterial compounds in Protea caffra water extracts occurred in very low, sub-lethal concentrations resulting in poor antibacterial activity (Table S1). It should, however, be noted that some phyto-compounds indirectly help patients fend off pathogenic infections by acting as immune boosters [30]. Furthermore, some of the bioactive compounds in water extracts may exist as pro-drugs, which only become bactericidal once they are modified in the human body [27]. The presence of immune stimulators and pro-drugs in plant extracts cannot be detected using the techniques employed in the current study, as such, further studies are warranted to determine the chemical profiles of traditionally prepared herbal medicines.
The current study revealed for the first time that Protea caffra has potent and extended-spectrum antibacterial properties, which could be attributed to a wide range of biologically active compounds present in the plant. The twigs, for instance, contained 8 putative antibacterial compounds (caffeic, p-coumaric, gallic, ferulic chlorogenic acids, adamantyl heterocycle, heptacosanol and nonadecanol, Tables 3-5) and they demonstrated moderate antibacterial properties against the majority of the evaluated bacterial strains (Table 1). In particular, they also exhibited significant antibacterial activities against Enterococcus faecalis (MIC = 0.078 mg/mL, Table 2). The antibacterial properties observed in the present study were generally comparable to those previously reported for some South African medicinal plants such as Newtonia hildebrandtii, Newtonia buchanannii, Ozoroa insignis, Syzgium cordatum, Terminalia. sericea, and Trichilia emetica (MIC range: 0.1-0.6 mg/mL) [4,12,13,31].
Relatively higher concentrations of caffeic and p-coumaric acids (>10 µg/g DW) in the seed (Table 5) could have contributed to the inhibitory effects MeOH seed extracts had on the growth of Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus ( Table 1). The current observations could perhaps explain why some herbalists in South Africa use Protea caffra seeds to manage bacterial infections including chlamydia [32]. The presence of different types of antibacterial compounds in the leaves and twigs could also perhaps justify the observed moderate antibacterial properties these organs had against penicillin-resistant Staphylococcus aureus ( Table 1).
The antibacterial compounds present in Protea caffra worked in different synergistic combinations or individually to affect the observed bacteriostatic properties. Different groups of phenolic compounds often exhibit unique antibacterial mechanisms. Gallic and ferulic acids for example, exert their bactericidal effects by binding to and rupturing bacterial cell membranes [33]. Chlorogenic acid on the other hand, binds to bacterial membranes and increases their permeability. This in turn causes the leakage of both cytoplasmic and nuclei material, eventually leading to bacterial cell death [34]. P-coumaric acid also causes intracellular material leakages and interferes with bacterial DNA replication and gene expression [35].
Apart from phenolic acids, Protea caffra contained additional antibacterial compounds as revealed by GC-MS analysis. For instance, 1-Adamantyl heterocycle, which was detected in the twigs of Protea caffra, is usually incorporated into anti-infectious molecules to improve their efficacy [36]. Several potent antimicrobial and antiviral agents such as Rimantadine [37], Oxadiazole [38], Isoxazole [39] and Thiadiazole [40] are all 1-adamantanyl derivatives. It was of great interest to note that Protea caffra produces levoglucosan (Table 3), an important source of C1-C10 and C1-C13 carbon skeletons used to produce the antibiotics erythromycin A and B, [41,42]. 1-Heptacosanol, another compound detected in Protea caffra, is a fatty alcohol present in plants [43], marine algae [44] and cuttlefish, Sepiella inermis [45]. The compound has potent antimicrobial properties [46]. The presence of 1-heptacosanol in Protea caffra suggests that the plant might have potent antioxidant [44,47], nematocidal [48] and antidiabetic [49] properties. Unlike 1-nonadecanol which is a known antibacterial phyto-compound [50], polygalitol has not yet been demonstrated to have antibacterial properties, but has been detected in several plant extracts with potent antibacterial activities [51]. Polygalitol was the most abundant compound in the cold ethyl acetate fraction which demonstrated broad-spectrum antibacterial activities in the present study (Table 2). Further studies are warranted to determine the compound's phytochemical properties.
Given that 1-heptacosanol, an antibacterial compound, was the major phyto-chemical constituent in the hot ethyl acetate fraction, it is logical to suggest that it was probably the one that inhibited the growth of both Enterococcus faecalis and Staphylococcus aureus ( Table 2). Polygalitol and other phyto-compounds detected in this sub-fraction could also have contributed to the observed antibacterial activities. Oxalyl chloride detected in the acetone sub-fraction is a synthetic compound used in oxidative processes involved in manufacturing antibiotics, pesticides, herbicides and other organic products [52,53]. There are no indications in the current literature suggesting that the compound is produced by plants and/or that it is biologically active. Oxalyl chloride was therefore probably incorporated into Protea caffra tissues from an external source. Further investigation would reveal which of the two compounds present in the sub-fraction (acetone) was responsible for the weak antibacterial activity observed against S. aureus (MIC ≥ 1.25 mg/mL). The principle antibacterial compounds in the Protea caffra should, however, be unequivocally identified and their respective antibacterial mechanisms elucidated.
Given that some plants are inherently toxic [54], the safety of traditional herbal remedies remains a serious cause of concern. It was encouraging to note that all evaluated plant extracts were non-mutagenic against both Salmonella typhimurium tester strains (TA98 and TA102, Table 6). Based on accessed literature, none of the plant species within the genus Protea have been reported to have potential toxic effects on humans. It is, however, important to note that while some medicinal plants exhibit non-mutagenic effects in vitro, they may possess cytotoxic effects [55]. It should also be kept in mind that besides mutagenesis, carcinogens can also induce cancerous growth in animals through altering intracellular signals and gene expressions both of which are not detected by the Ames test [56]. It is therefore imperative that further toxicological studies be conducted to ascertain the plant's safety.

Plant Material Collection, Sample Preparation and Extraction
Plant samples were collected, prepared and preserved as previously described [57]. The plant was positively identified by the Curator of the Bews Herbarium [University of KwaZulu-Natal (UKZN), Pietermaritzburg, South Africa] and the voucher specimen (NU0048533) deposited in the UKZN Bews Herbarium.
At a ratio of 10:1 (10 mL/g), dry powdered samples were mixed with different solvents (water, methanol = MeOH, dichloromethane = DCM, and petroleum ether = PE) and stirred in a rotary shaker (Edmund Bühler, Tübingen, German) for 12 h at 150 rpm at room temperature, after which they were sonicated for 1 h on ice (Julabo GMBH, Seelbach, Germany). Organic solvent extracts were filtered using Whatman No. 1 filter paper under vacuum and later concentrated using a rotary evaporator (Heldolph vv 2000, Germany) at 35 • C. Concentrated organic solvent extracts were transferred into glass pill vials and air-dried in front of a fan. All water extracts were freeze-dried. The resultant dried extracts were kept in closed glass pill vials in the dark at 10 • C until required for further use.

Antibacterial Susceptibility Test
Minimum inhibitory concentration (MIC) values of aqueous and organic solvent extracts obtained from the plant were determined using 96-well microplates (Greiner Bio-one, Germany) as previously described [25]. Dried plant extracts were re-suspended in 2% dimethylsulfoxide (DSMO, 10 mg/mL) after which they were serially diluted (2-fold) with sterile distilled water. Neomycin (1 mg/mL) was used as a positive control. Sterile distilled water and 2% DSMO were included as the negative controls for each bacterial strain (Escherichia coli ATCC 11775, Enterococcus faecalis ATCC 19433, Klebsiella pneumoniae ATCC 13883, MDR E. coli ATCC 25218, MDR Klebsiella pneumoniae ATCC 70603, drug-sensitive Staphylococcus aureus ATCC 12600 and penicillin-resistant Staphylococcus aureus ATCC 11632). Diluted overnight cultures were used at a final inoculum of ≈ 5 × 10 5 cfu/mL.
GC-MS analysis of the four fractions was carried out at the School of Chemical and Physical Sciences, University of KwaZulu-Natal, Pietermaritzburg, South Africa, using a Shimadzu QP-2010 SE Gas Chromatography coupled with (an Agilent) 5973 Mass Selective detector and driven by Agilent Chemstation software. A Zebron ZB-5MSplus capillary column (30 m × 0.25 mm internal diameter, 0.25 µm film thickness) was used. The carrier gas was ultra-pure helium at a flow rate of 1.0 mL/min and a linear velocity of 37 cm/s. Three microlitres of the sample were injected into the column with the injector temperature set at 250 • C. The initial oven temperature was at 60 • C which was programmed to increase to 280 • C at the rate of 10 • C per min with a hold time of 3 min at each increment. The mass spectrometer was operated in the electron ionization mode at 70 eV and electron multiplier voltage at 1859 V. Other MS operating parameters were as follows: ion source temperature 230 • C, quadrupole temperature 150 • C, solvent delay 4 min and scan range 50-700 amu. The compounds were identified by direct comparison of the mass spectrum of the analyte at a particular retention time to that of reference standards found in the 2011 National Institute of Standards and Technology (NIST) library. The area percentage of each component was calculated by comparing its average peak area to the total area obtained.

Ultra-High Performance Liquid Chromatography-MS/MS (UHPLC) Analysis of Phenolic Acids
Phenolic acids present in aqueous (80%) methanol extracts of the different plant parts were identified and quantified using Ultra-high performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS) as previously described [58]. The assay was done in triplicate and results presented as mean ± standard error. The mean values obtained were compared using one-way analysis of variance (ANOVA) and where statistical significance (p ≤ 0.05) existed, these values were further separated using the Duncan's multiple range test. Bio-statistical analysis were done using the SPSS version 24.0 for Windows (IBM SPSS Inc., Chicago, IL, USA).

Ames Test
The mutagenic properties of different extracts from the plant were evaluated using the Ames Salmonella/ -Microsome assay involving two Salmonella typhimurium tester strains, TA98 and TA102, in the absence of S9 metabolic activation [59,60]. One hundred microliters of sterile distilled water served as the negative control, while 2 µg/plate of 4NQO were used as the positive control. The assay was conducted twice, and results presented as mean ± standard error number of reverted colonies per plate. Plant samples that induced a 2-fold increase in the number of His + revertants compared to the negative control were considered to be mutagenic. Additionally, samples that exhibited a dose-dependent increase in the number of His + revertants were classified as mutagenic [26].

Conclusions
Natural products and their derivatives have, of late, attracted much attention as potential sources of drug leads that could be effective in combating microbial infections prevalent in humans. The present study revealed that Protea caffra is a potential source of antibacterial compounds effective against both drug-sensitive and -resistant bacterial strains. It is, however, pertinent that the antibacterial compounds in the plant be unequivocally identified and their mode of action elucidated. This is the first report on the pharmacologically properties of Protea caffra and based on the current findings, it is recommended that the other members of Protea species (>300) be explored for potential therapeutic properties.