Combination Test Chinese Leaves Extract (Leucaena leucocephala folium) and Aloe Vera Inhibiting Growth Escherichia coli Putra Rahmadea Utami1, Chairani1, Hendra Yudha1 1 Department of Medical Laboratory Technology, Fakultas of Health Science, Universitas Perintis Indonesia, Padang, Indonesia Correspondence: Putra Rahmadea Utami, Universitas Perintis Indonesia, Jl. Adinegoro KM 17, Simpang Kalumpang, Lubuk Buaya, Padang, West Sumatera, Indonesia Zip Code : 25586 Email: putrarahmadeautami123@gmail.com Received: June 10, 2020 Revised: Juni 29, 2020 Accepted: August 20, 2020 Abstract Chinese petai (Leucaena leucocephala folium) and aloe vera (Aloe vera L.) have medicinal properties among the plants. The objective of this study was to determine the number of inhibitory zones produced by the ethanol extract of Chinese petai and aloe vera on the growth of Escherichia coli. The research method was In-vitro Experimental Laboratory research design with the Kirby Bauer method. The samples used was Chinese petai and aloe vera with pure strains of E. coli. One Way ANOVA was used to compare the differences in inhibition of Chinese petai and aloe vera on the growth of E. coli. The results of a combination of Chinese petai and aloe vera extract test showed that there were significant differences in the concentration of 25 g, 50 g, 75 g, and 100 g (p <0.05). The ethanol extract of Chinese petai and aloe vera can inhibit the growth of E. coli. From the results of this study found that there was an interaction on the combination of ethanol extract of Chinese petai and aloe vera inhibiting the growth of E. coli with the most effective concentration being 100 g/mL. This study can find out the benefits of petai cina and aloe vera also the public will know the benefits and efficacy of Chinese petai and aloe vera leaves in medicine. Keywords Leucaena leucocephala folium, Aloe vera L., Escherichia coli, inhibition, combination calcium, phosphorus, iron, fatty acids, fibre, INTRODUCTION (Leucaena vitamin A and other vitamins. Besides that, leucocephala folium) and aloe vera (Aloe Chinese petai leaves also contain various vera) are one of the traditional medicines that flavonoids that become anti-inflammatory have the potential to be developed and and utilized by the people of Indonesia (1). stimulate skin cell growth while the alkaloids Chinese petai contains alkaloids, saponins, function lectins, tannins, mimosin, leucanin, protein, beneficial properties, including tannin, amino Chinese petai leaf antioxidants. as Lectins-contained antimicrobials. Aloe to vera 60 Putra Rahmadea Utami, et al. acids, anthraquinone which is a phenolic closed seed plants, can grow in dry areas and compound also in cold climates (7,8). that acts as a laxative, antimicrobial agent and has a strong E. coli belongs to the family analgesic effect. It also has campesterol, Enterobacteriaceae. This bacterium is a sitosterol and lupeol compounds. These Gram-negative bacterium, in the form of a compounds act as an anti-inflammatory and short stem, has a flagellum, measuring 0.4 to antibacterial agent (1,2). 0.7 μm x 1.4 μm. E. coli grows well in almost Escherichia coli is the bacteria that most all breeding media can ferment lactose and is often cause urinary tract infections and micro-aerophilic. These bacteria become nosocomial infections. E. coli can cause pathogens when outside intestinal tissue. primary intestinal infection and also used to Clinically frequently infected sites are the assess whether a water supply for household urinary tract, bile duct, and other places in the use is good or not. E. coli is a bacteria abdominal cavity and any anatomic site (e.g. commensal which can pathogenic, acting as a prostate gland, lung, bone) can be the site of primary cause of morbidity and mortality disease (9). E. coli is a gut flora in the throughout the world (1,3,4). digestive tract that can turn into pathogenic Chinese lamtoro and petai plants come opportunists and cause diseases such as from tropical America that has a deep root diarrhoea. This bacterium has various system and resistant to dry conditions. pathogenic Chinese petai contains alkaloids, saponins, Enteropathogenic Escherichia coli (EPEC), flavonoids, lectins, calcium, phosphorus, Enterotoxigenic Escherichia coli (ETEC), iron, tannins, mimosin, leukanin, proteins Enteroinvansive Escherichia coli (EIEC) and vitamin A and vitamin B (6). The leaves Enterohemorrhagic Escherichia coli (EHEC) contain 22% protein (4). Seeds, leaves and all (10,11). parts of the plant can use to treat several strains, including Combination therapy uses to broaden the diseases, such as diabetes, fracture, intestinal spectrum worms, menstruation, toxicity, slow down the process of antibiotic inflammation of the kidneys (nephritis) and resistance and reduce the dose of the drug and insomnia. has ulcer, late of antimicrobials, considerable antimicrobial minimize activity. Aloe vera is a traditional medicinal plant Recently, there has been no information that has many benefits and benefits. It is a about the effective concentration of the cactus-like plant originating from Africa, combination of extracts of Chinese petai which belongs to the Liliaceae family and leaves and aloe inhibiting the growth of the Ina J Med Lab Sci Tech 2020; 2(2): 60-67 61 bacteria E. coli. The purpose of this study Putra Rahmadea Utami, et al. was to analyze the interaction effects of physiological NaCl (in packaging), steril ethanol extracts of Chinese petai leaves and empty disks, Aquades as negative controls aloe vera leaves in inhibiting the growth of E. and antibiotic as the positive control. While, coli (4,5). the culture media used were MHA (Muller Hilton Agar), NB (Nutrient Broth), Endo MATERIALS AND METHODS This research conducted using the Solution. experimental The extraction method used to extract laboratory method. The research method Chinese petai plants and aloe vera is a cold involves making ethanol method completely randomized extract from extraction method, namely Simplicia (Crude drugs) by maceration using maceration. Chinese petai leaves that turned 96% ethanol solvent. It also examines the into Simplicia powder are added with 70% interaction between ethanol extracts of ethanol solvent until submerged. Maceration Chinese petai leaves and aloe vera stem on poured and squeezed. The pulp is macerated the inhibitory power of E. coli and in vitro by again with a new solution until submerged. measuring the inhibitory by diffusion method The maceration process carried out three according to Kirby Bauer. The principle of times then it was evaporated on a rotary the Kirby Bauer method is the inhibition of evaporator until a thick extract of Chinese the growth of microorganisms, the diameter petai leaf obtained then lastly weighed to of the zone of inhibition of bacterial growth determine its weight. shows the sensitivity of the bacteria, the Extraction of Chinese Petai Leaves and wider the zone diameter formed by bacteria, Aloe Vera the better it is to inhibit bacterial growth. 62 Agar, Nutrient Agar, and Mc Farland Aloe vera leaves peeled first to get as The tools used in this study were Petri much as 1000 grams of aloe vera gel mashed dishes, tissue cotton, test tubes, wire mesh, with a blender then soaked with 96% ethanol syringes, matches, bunsen burner analytical solvent until aloe vera is submerged scales, slide callipers, microscopes, sterile completely, after that it is allowed to stand for stick cotton, Erlenmeyer, beaker glass, 2-3 days in a closed jar. Then, the liquid parchment ovens, extract was filtered with gauze filter and incubators, label paper, measuring pipettes, collected the extract in a bottle. Steering of all water baths, paper cutters, rotary evaporators. filtrates obtained from the immersion. The materials used in this study are pure Concentrated with a rotary evaporator until strains of E. coli ethanol extracts of Chinese thick extract is obtained (1). petai leaves paper, and tweezers, aloe vera, sterile Ina J Med Lab Sci Tech 2020; 2(2): 60-67 Putra Rahmadea Utami, et al. Extract Determination The extract yield RESULTS calculated by Inhibition test of the ethanol extract of comparing the weight of the ethanol extract Chinese Petai Leaves and Aloe Vera with the obtained with the initial sample weight. The disc diffusion method that carried out with yield obtains through this formula: (extract various concentrations of the extract. weight obtained/initial sample weight) x 100%. Table 1. Results of Inhibitory Tests of Chinese Petai Leaf Extract Against Escherichia coli Extract Concentration (mg/mL) 25 50 75 100 Control (+) Chloramphenicol Extract Repetition (mm) 1 2 3 0 0 0 0 0 0 6 6 7 7 8 8 30 29 30 X̄ SD 0 0 6.3 7.7 29.7 ± 0. ± 0. ± 0.58 ± 0.58 ± 0.58 P. sig 0.00 Table 2. Results of Inhibitory Aloe Vera Leaf Extract Against Escherichia coli Bacteria (mm) Extract Concentration (mg/mL) 25 50 75 100 Control (+) Chloramphenicol Extract Repetition (mm) 1 2 3 8 10 9 10 11 10 12 12 11 14 15 14 30 28.5 30 X̄ SD 9 10.3 11.7 14.3 29.5 1 0.58 0.58 0.58 0.87 P. Sig 0.00 Table 3. Test Results of Combination Inhibition of Chinese Petai Leaf Extract and Aloe Vera on Escherichia coli (mm) Extract Concentration (mg / ml) Control (+) Chloramphenicol Ina J Med Lab Sci Tech 2020; 2(2): 60-67 X̄ SD 6.3 8.3 10.3 11.7 27.2 0.58 0.58 0.58 0.58 1.26 P. Sig 0.00 63 25 50 75 100 Extract Repetition (mm) 1 2 3 6 7 6 8 9 8 10 11 10 12 12 11 27 28.5 26 Putra Rahmadea Utami, et al. Fig 1. The results of the test for the inhibition of aloe vera against Escherichia coli with a concentration of 4 samples. Each sample size was carried out 3 times. In the middle is the (+) chloramphenicol control Based on Table 1, the inhibitory test it increases following the increase of the results of Chinese Petai leaf extract against E. extract concentrations. A positive control coli (mm) bacteria with a concentration of 75 using mg/mL formed inhibition zone 6.3 ± 0.58 obtained the broadest inhibition zone (29.5 ± mm. Moreover, the amount of 100 mg/mL 0.87 mm) compared to others. extract created an inhibition zone of 7.7 ± 0.58 mm. A positive control Based the Chloramphenicol antibiotic on Table 3, the extract using concentration of 25 mg/ml formed an the Chloramphenicol antibiotic obtained the inhibition zone 6.3 ± 0.58 mm, its increases broadest inhibition zone (29.7 ± 0.58 mm) following the increase of the extract compared to other concentrations. concentrations. A positive control using Based on Table 2, the inhibitory test the Chloramphenicol antibiotic obtained the results of Aloe Vera extract against E. broadest inhibition zone (27.2 ± 1.26 mm) coli (mm) bacteria with a concentration of 25 compared to others. mg/mL formed inhibition zones 9± 1 mm and DISCUSSION 64 Interaction of the combination of ethanol close together. The test to identify the synergistic effect of antibacterial extract of Chinese petai leaves and aloe vera combinations, discs used and treated with a against E. coli bacteria showed in the test of single antimicrobial agent each, then both are direct mixing of the two antibacterial agents. placed at a distance equal to the average It formed the inhibitory zone when placed number of the radius of the zone of inhibition Ina J Med Lab Sci Tech 2020; 2(2): 60-67 Putra Rahmadea Utami, et al. of the antimicrobial agent when tested cytoplasmic membrane in bacteria that cause separately (12,4). leakage of metabolites that inactivate the The interaction showed the formation of bacterial enzyme systems. Damaged a bridge at or near the intersection of two cytoplasmic membranes can prevent the inhibitory zones or no longitudinal inhibitory entry of nutrients needed by the nutrients the zones formed. The combination is said to be bacteria produce energy. It causes bacteria to synergistic if it created like a bridge at or near experience growth retardation and even cause the intersection point of two inhibitory zones, bacterial death (6). or an obstacle to growth which is the Aloe vera contains active substances combined effect of the two antimicrobial such as anthraquinone, tannins and agents (13). flavonoids. Anthraquinone binds with Based on observations of the results of a nucleic acids and forms a complex that can combination of inhibitory test of Chinese damage the acid (DNA and RNA) of Petai leaf extract and aloe vera on E. coli inhibited bacteria. Tannin as antibacterial (mm) bacteria, the concentration was 25 works by inactivating adhesin so that bacteria mg/mL producing a zone of inhibition 6.3 ± cannot stick to host epithelial cells. Aloe vera 0.58 mm, a concentration of 50 mg/mL also contains flavonoids, which will cause resulted in an inhibition zone of 8, 3 ± 0.58 lysis and inhibit the formation of cell walls. mm, concentration of 75 mg/mL produces This mechanism causes aloe vera to kill or inhibition mm, inhibit the formation of bacteria (15,16,17). concentration of 100 mg/mL with inhibition Flavonoids are efficient to inhibit the zone 10.3 ± 0.58 zone 11.7 ± 0.58 mm. Positive control using growth the antibiotic Chloramphenicol obtained the Flavonoids are polar compounds which are biggest inhibition zone compared to other easy to penetrate the peptidoglycan layer. concentrations of 27.2 ± 1.26 mm. Furthermore, the Gram-positive cell wall According to Davis stout in A'lana (14), contains of Gram-positive polysaccharides bacteria. (acidic the strength criteria for the combination of polysaccharides) is a water-soluble polymer. Chinese vera This cell wall functions as the media of concentrations of 25 mg/mL and 50 gr/mL positive ions transport to get in and out. This categorized as moderate, at a concentration of solubility indicates that the Gram-positive 75 mg/mL and 100 mg/mL classified as cell wall is polar. Flavonoids disrupt cell wall strong criteria. function. This results in cell lysis (3,20,21). petai leaves and aloe The mechanism of bacterial inhibition of growth of bacteria E. coli by damaging the tannin compounds is by protein reproduction, Ina J Med Lab Sci Tech 2020; 2(2): 60-67 65 Petai China has saponins to inhibit the Putra Rahmadea Utami, et al. ie through reaction with cell membranes, vera inhibited the growth of E. coli. The most enzyme inactivation and inactivation of efficient extract concentration was 100 genetic material functions, in addition to mg/mL. The combination of extracts can inhibiting the reverse transcriptase enzyme provide effective results in inhibiting the and DNA topoisomerase so that bacterial growth of bacteria, especially E. coli bacteria. cells cannot be formed. Saponins which can provide antibacterial activity are avenacin. Saponin compounds cytoplasmic will membrane damage and kill CONFLICT OF INTEREST the There are no conflicts of interest. cells (20,22,23). ACKNOWLEDGMENT(S) This study is supported by Ministry of CONCLUSIONS The conclusion of this research is there is an interaction in the combination of ethanol Research, Technology and Higher Education of Indonesia through the research funding for beginner lecturers in 2019. extracts of Chinese petai leaves with aloe REFERENCES 1. 2. 3. 4. 5. 66 6. Utami PR, Chairani C, Ilhamdi I. Interaction of Ethanol Extract of Chinese Petai Leaves (Leucaena leucocephala folium) and Aloe Vera (Aloe vera L.) Inhibits the Growth of Staphylococus aureus by Invitro. 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