Antimicrobial effect of Pistacia atlantica leaf extract

The antimicrobial effect of the mastic tree (Pistacia atlantica) under in vitro conditions has been reported. Therefore, it is of interest to evaluate the effect of the plant leaf extract (aqueous) on bacterial load in mouth and saliva. The leaf of the Pistacia atlantica plant was collected and cleaned, dried at 40⁰c and then powdered. The extraction was carried out using the maceration method in vacuum with the rotary evaporator device. Bacterial inhibition (Streptococcus species) by the leaf extract was studied using the disc diffusion and embedding sink diffusion methods. The values of MIC and MBC were determined. The collected data was further analyzed using t-test and repeated measure statistical tests. The disc diffusion technique showed a significant inhibitory effect for Pistacia atlantica leaf extract on S. mutans (ATCC 35668) and S. mitis (ATCC 49456) with inhibition zones of 19 and 25 millimeters, respectively. This is for the highest leaf extract concentration used in this study (p<0.01). The values of MIC and MBC for S.mutans was 60, 90 μg/ml and for S. mitis was 75, 110 μg/ml (p<0.01 significance). The leaf extract has no significant effect on S. salivarius (ATCC 13419). Thus, the antimicrobial properties of the aqueous leaf extract from Pistacia atlantica is demonstrated in this study.


Background:
Streptococcus mutans is gram-positive cocci and is a facultative anaerobe that exists in the normal flora of the human mouth. It is the most important factor in dental caries [1,2]. S. salivarius is a type of streptococcus which exists in the normal flora of the mouth and in the upper respiratory system of humans. This bacterium is known as an opportunistic pathogen. It often causes septicemia in patients with neutropenia in the blood circulatory system [3,4].
S. mitis is an alpha hemolytic and mesophilic type of Streptococcus (genus), which inhabits the oral cavity. These bacteria can cause endocarditis [5,6]. The treatment of the disease using extracts from several plant parts is known through regional yet traditional practice and possible documentation in several parts of the world. The modern drug discovery process using advanced robotic screening of traditionally known plant parts is well known [7]. The use of plant derived herbal products as food supplements for medication is largely in practice [8-9]. The Pistacia (genus) plant is known for its medicinal property. The plant species P. atlantica mutica (sub species) and P. atlantica kurdica (sub species) is in the northern mountains of the Iranian Ilam province.
The antimicrobial properties of the native species are known [10][11][12]. The use of different species of Pistachio as antibacterial, antifungal, antiviral, anti-atherogenic, hypoglycemia, antitumor and facilitating hepatic function is known [9]. Therefore, it is of interest to evaluate the effect of P. atlantica leaf extract (aqueous) on bacterial (S. mutans, S. mitis and S. salivarius.) load in mouth and saliva.

Methodology: Collection and extraction of the P. atlantica leaf
The plant leaf was collected from the mountains of the Ilam province. The leaf is rinsed with water, dried at 40⁰c and then powdered [13]. Subsequently, 10 grams of powdered plant leaf was mixed with 200 ml of boiled distilled water and the solution was mixed constantly for 20 minutes. It was then poured into a close lid container and kept at room temperature. The solution was passed through a fabric filter with fine texture. The filtered extracted solution was centrifuged for 15 minutes at 3500 rpm and then it was exposed to air until the solvent had completely evaporated to retain the powder [14].

Bacteria
Bacterial standard strains of Streptococcus mutans (ATCC 35668), Streptococcus mitis (ATCC 49456) and Streptococcus salivarius (ATCC 13419) were used. The BHI broth and agar and chocolate agar culturing medium was used in an environment with 5% CO2 for initial culturing. The sensitivity test of the bacteria was analyzed in the Mueller Hinton agar medium (Pronadisk co. Italy) containing 5% de-fibrinated blood was used.

Disk diffusion Method
This method was completed using a 1x 10 8 CFU/ml suspension of bacteria and blank disks with a diameter of 6.4mm (MAST Co. UK) treated with different concentrations of the extract (5, 10, 20, 40, 80 and 100 mg/ml) were used. Mueller Hinton agar culture medium containing 5% de-fibrinated blood under completely sterile conditions was used as described elsewhere [15,16]. The results were checked at 24, 48 and 72 hours after culturing. Amoxicillin with a concentration of 25 µg/ml (MAST Co. UK) was used as positive control and blank disks were used as negative control in this experiment.

Embedding sink diffusion method
The diffusion in agar method was used with slight modifications. Wells with a diameter of 5mm were created in the Mueller Hinton agar medium after adding 1 x 10 8

MIC determination
The micro-broth dilution method was used to determine MIC. Solutions with concentrations (100, 200 and 400 µg/ml) were added in 2 ml Mueller Hinton Broth medium. 20 µl of bacteria suspension with turbidity equal to 0.5 McFarland was added to each tube. Then the tubes were incubated at 35°C for 24 hours [19].

MBC determination
The MBC determination method is similar to the method used for MIC with the difference that bacteria counting were carried out on test tubes with concentrations of MIC and or higher [19].

Statistical analysis
The results were analyzed using the SPSS (version 18) software. The t-test and repeated measure statistical tests were used for the analysis [14].

MIC and MBC results
The results from the micro dilution method showed that the MIC of the extract for S. mutans and S. mitis is 60 and 75µg/ml, respectively. The MBC of the extract on S. mutans and S. mitis is 90 and 115 µg/ml, respectively (P<0.01).

Discussion:
The use of medicinal plants derived compounds for treatment of illness is traditional and often believed to be simple yet naturally safe [20].

Conclusion:
Data presented in this report show the effect of the plant Pistacia atlantica leaf extract on S. mutans and its desirable effects on S. mitis. The leaf extract is rich in phenol compounds and it is implied to be associated with anti-bacterial properties [34]. Further studies are necessary to determine the anti-cellular effects of the plant extract.