Synergistic antimicrobial activity of ethanolic extracts of Carica papaya and Senna didymobotrya against selected human pathogens in Western Kenya

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DOI:

https://doi.org/10.51867/ajernet.7.3.93

Keywords:

Synergy, medicinal plants, antimicrobial resistance, Carica papaya, Senna didymobotrya

Abstract

With the emergence of antimicrobial resistance, efforts have been made to find alternative therapeutic agents, especially medicinal plants. The present study assessed the synergistic antimicrobial effect of ethanol extracts of Carica papaya and Senna didymobotrya against the microorganisms Streptococcus pyogenes, Staphylococcus aureus, and Candida albicans. Seeds were obtained from four sub-counties of Bungoma County, Kenya, extracted using 95% ethanol, and tested both singly and in combination using the agar well diffusion method. Minimum inhibitory concentrations (MICs) and zones of inhibition (ZOI) were measured. Both extracts were found to contain flavonoids, tannins, saponins, alkaloids, glycosides, phenols, and terpenoids, as revealed by phytochemical screening. Both plants were found to be antimicrobial at concentrations ≥50%. Interestingly, synergistic combinations showed increased antibacterial activity against S. pyogenes and S. aureus, especially at 50–100% concentrations, but no synergistic activity was seen against C. albicans. Based on these results, it can be concluded that the combination of extracts from C. papaya and S. didymobotrya has potential as an alternative antimicrobial agent with good antibacterial synergy. The study recommends that a scientifically validated combination of C. papaya and S. didymobotrya ethanolic extracts be included in national antimicrobial resistance strategies and community-level health-resilience programmes as a complementary, locally available intervention to decrease the use of conventional antibiotics, especially in resource-limited settings. To facilitate safe clinical application, further translational research is needed, such as toxicity profiling, dosage standardization, and in vivo validation.

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References

Chanda, S., & Rakholiya, K. (2011). Combination therapy: Synergism between natural plant extracts and antibiotics against infectious diseases. Infectious Disorders-Drug Targets, 11(3), 1-8.

Cheesbrough, M. (2010). District laboratory practice in tropical countries (2nd ed., Part 2). Cambridge University Press.

Cheesman, M. J., Ilanko, A., Blonk, B., & Cock, I. E. (2017). Developing new antimicrobial therapies: Are synergistic combinations of plant extracts/compounds with conventional antibiotics the solution? Pharmacognosy Reviews, 11(22), 57-72.

https://doi.org/10.4103/phrev.phrev_21_17

Clinical and Laboratory Standards Institute. (2023). Performance standards for antimicrobial susceptibility testing (CLSI Supplement M100). CLSI.

Cowan, M. M. (1999). Plant products as antimicrobial agents. Clinical Microbiology Reviews, 12(4), 564-582. https://doi.org/10.1128/CMR.12.4.564

Cowen, L. E., Sanglard, D., Howard, S. J., Rogers, P. D., & Perlin, D. S. (2015). Mechanisms of antifungal drug resistance. Cold Spring Harbor Perspectives in Medicine, 5(7), a019752. https://doi.org/10.1101/cshperspect.a019752

Cunningham, M. W. (2000). Pathogenesis of group A streptococcal infections. Clinical Microbiology Reviews, 13(3), 470-511. https://doi.org/10.1128/CMR.13.3.470

Cushnie, T. T., & Lamb, A. J. (2011). Recent advances in understanding the antibacterial properties of flavonoids. International Journal of Antimicrobial Agents, 38(2), 99-107. https://doi.org/10.1016/j.ijantimicag.2011.02.014

Daglia, M. (2012). Polyphenols as antimicrobial agents. Current Opinion in Biotechnology, 23(2), 174-181. https://doi.org/10.1016/j.copbio.2011.08.007

Duru, C. M., Amadi, B. A., & Nwadike, C. (2019). Phytochemical composition and antimicrobial activity of Carica papaya leaf extracts. Journal of Medicinal Plants Research, 13(4), 76-84.

Eloff, J. N. (1998). Which extractant should be used for the screening and isolation of antimicrobial components from plants? Journal of Ethnopharmacology, 60(1), 1-8. https://doi.org/10.1016/S0378-8741(97)00123-2

Eloff, J. N., Angeh, I. E., & McGaw, L. J. (2017). Solvent-solvent fractionation can increase the antifungal activity of a Melianthus comosus (Melianthaceae) acetone leaf extract to yield a potentially useful commercial antifungal product. Industrial Crops and Products, 110, 103-112. https://doi.org/10.1016/j.indcrop.2017.10.013

Evans, W. C. (2009). Trease and Evans' pharmacognosy. Elsevier Health Sciences.

Field, A. (2013). Discovering statistics using IBM SPSS statistics (4th ed.). Sage Publications.

Forbes, B. A., Sahm, D. F., & Weissfeld, A. S. (2016). Study guide for Bailey and Scott's diagnostic microbiology. Elsevier Health Sciences.

Harborne, J. B. (1998). Phytochemical methods: A guide to modern techniques of plant analysis (3rd ed.). Chapman & Hall.

Hemaiswarya, S., Kruthiventi, A. K., & Doble, M. (2008). Synergism between natural products and antibiotics against infectious diseases. Phytomedicine, 15(8), 639-652. https://doi.org/10.1016/j.phymed.2008.06.008

Houghton, P. J., & Raman, A. (1998). Laboratory handbook for the fractionation of natural extracts. Chapman & Hall.

https://doi.org/10.1007/978-1-4615-5809-5

Jeruto, P., Lukhoba, C., Ouma, G., Otieno, D., & Mutai, C. (2008). An ethnobotanical study of medicinal plants used by the Nandi people in Kenya. Journal of Ethnopharmacology, 116(2), 370-376. https://doi.org/10.1016/j.jep.2007.11.041

Kirkwood, B. R., & Sterne, J. A. C. (2003). Essential medical statistics (2nd ed.). Blackwell Science.

Kokwaro, J. O. (2009). Medicinal plants of East Africa (3rd ed.). University of Nairobi Press.

Mbuni, Y. M., Wang, S., Mwangi, B. N., Mbari, N. J., Musili, P. M., Walter, N. O., ... & Wang, Q. (2020). Medicinal plants and their traditional uses in local communities around Cherangani Hills, Western Kenya. Plants, 9(3), 331. https://doi.org/10.3390/plants9030331

Mworia, J. K., Muthee, J. K., & Nyamweya, N. N. (2021). Antimicrobial and phytochemical evaluation of Senna didymobotrya. African Journal of Traditional, Complementary and Alternative Medicines, 18(2), 45-56.

O'Neill, J. (2016). Tackling drug-resistant infections globally: Final report and recommendations. Review on Antimicrobial Resistance. https://amr-review.org/sites/default/files/160518_Final%20paper_with%20cover.pdf

Odds, F. C., Brown, A. J., & Gow, N. A. (2003). Antifungal agents: Mechanisms of action. Trends in Microbiology, 11(6), 272-279. https://doi.org/10.1016/S0966-842X(03)00117-3

Pappas, P. G., Kauffman, C. A., Andes, D. R., Clancy, C. J., Marr, K. A., Ostrosky-Zeichner, L., Reboli, A. C., Schuster, M. G., Vazquez, J. A., Walsh, T. J., Zaoutis, T. E., & Sobel, J. D. (2016). Clinical practice guideline for the management of candidiasis: 2016 update by the Infectious Diseases Society of America. Clinical Infectious Diseases, 62(4), e1-e50. https://doi.org/10.1093/cid/civ933

Prestinaci, F., Pezzotti, P., & Pantosti, A. (2015). Antimicrobial resistance: A global multifaceted phenomenon. Pathogens and Global Health, 109(7), 309-318. https://doi.org/10.1179/2047773215Y.0000000030

Silhavy, T. J., Kahne, D., & Walker, S. (2010). The bacterial cell envelope. Cold Spring Harbor Perspectives in Biology, 2(5), a000414. https://doi.org/10.1101/cshperspect.a000414

Singh, S. P., Kumar, S., Mathan, S. V., Tomar, M. S., Singh, R. K., Verma, P. K., ... & Acharya, A. (2020). Therapeutic application of Carica papaya leaf extract in the management of human diseases. DARU Journal of Pharmaceutical Sciences, 28(2), 735-744.

https://doi.org/10.1007/s40199-020-00348-7

Sofowora, A. (1993). Medicinal plants and traditional medicine in Africa. Spectrum Books.

Tong, S. Y. C., Davis, J. S., Eichenberger, E., Holland, T. L., & Fowler, V. G., Jr. (2015). Staphylococcus aureus infections: Epidemiology, pathophysiology, clinical manifestations, and management. Clinical Microbiology Reviews, 28(3), 603-661. https://doi.org/10.1128/CMR.00134-14

van Vuuren, S., & Viljoen, A. (2011). Plant-based antimicrobial studies-Methods and approaches to study the interaction between natural products. Planta Medica, 77(11), 1168-1182. https://doi.org/10.1055/s-0030-1250736

World Health Organization. (2011). Quality control methods for herbal materials. WHO Press.

World Health Organization. (2019). WHO global report on traditional and complementary medicine. World Health Organization.

World Health Organization. (2023). Global antimicrobial resistance and use surveillance system (GLASS) report. World Health Organization.

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Published

2026-08-27

How to Cite

Mukulo, S., Mureithi, L., & Busula, A. O. (2026). Synergistic antimicrobial activity of ethanolic extracts of Carica papaya and Senna didymobotrya against selected human pathogens in Western Kenya. African Journal of Empirical Research, 7(3), 1237-1248. https://doi.org/10.51867/ajernet.7.3.93