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Pharmacognosy Journal, Vol 10, Issue 5, Sep-Oct, 2018 983
Pharmacogn J. 2018; 10(5): 983-987
A Multifaceted Journal in the field of Natural Products and Pharmacognosy
www.phcogj.com | www.journalonweb.com/pj | www.phcog.net
Original Article
INTRODUCTION
Quorum sensing is a process of cell to cell commu-
nication in bacteria mediated by a small diffusible
molecule called auto inducers (oligopeptides in Gram
positive and N-acyl homoserine lactone (AHL) in
Gram negative bacteria). These auto inducers diffuse
freely from the bacterial cell and accumulate in the
surrounding environment. When a threshold con-
centration (quorum) has been reached they diffuse
back into the cell and regulate transcription of specific
genes as in a response to their changing environmental
conditions.1
Fungi, like bacteria, also use quorum
sensing to affect population-level behaviours such as
biofilm formation and pathogenesis.2
Examples of cellular processes modulated by quorum
sensing are biofilm formation,3
LasA protease produc-
tion, pigment production, and motility.4
These traits
have also shown to be involved in the pathogenicity of
bacteria.5
It has been suggested that targeting the quorum
sensing system by interruption of bacterial commu-
nication, instead of killing bacteria, is an example of
an antipathogenic effect and may give a solution to
antibiotics resistance.6
Therefore, anti-quorum sensing
Attenuation of Pseudomonas aeruginosa Virulence by Some
Indonesian Medicinal Plants Ethanolic Extract
ABSTRACT
Context: One strategy to address the emergence of infectious diseases supported by the
increasing cases of microbial antibiotic resistance is the development of anti-pathogenic
drugs, a quorum quenching compound(s) capable of inhibiting microbial communication (quorum
sensing inhibitor). Pseudomonas aeruginosa is one of the most common source of chronic
opportunistic infections, which demonstrates the most consistent resistance to antimicrobial
agents. Quorum sensing (QS) controls secretion of virulence factors in P. aeruginosa. Aim:
This study aims to discover quorum sensing inhibitors (QSI) from some Indonesian medici-
nal plants ethanol extract to analyze their inhibitory activities against QS-mediated virulence
factors in P. aeruginosa. Settings and Design: In-vitro experimental study-laboratory setting
Materials and Methods: Indonesian medicinal plant ethanolic extracts were tested for their
capability to inhibit P. aeruginosa motility, biofilm formation using microtiter plate method,
pyocyanin and LasA production using LasA staphylolytic assay. Statistical analysis used:
Statistical significance of the data were determined using one way ANOVA, followed by
Dunnett’s test. Differences were considered significant with P values of 0.05 or less. Results:
Ethanolic extract of T. catappa leaves and A. alitilis flower capable to inhibit P. aeruginosa
motility as well as pyocyanin production and biofilm formation. Both extracts also showed
capability in reducing LasA protease production. Conclusion: T. catappa and A. alitilis are an
interesting sources of innovative plant derived quorum quenching compound(s), thus can be
used in the development of new antipathogenic drug.
Key words: Ethanol extract, Anti-pathogenic drugs, Quorum quenching, Quorum sensing
inhibitor, Pseudomonas aeruginosa.
Sylvia Utami Tunjung Pratiwi1,2*
, Titik Tri Handayani1,2
Sylvia Utami Tunjung
Pratiwi1,2*
, Titik Tri
Handayani1,2
1,2
Department of Pharmaceutical
Biology, Faculty of Pharmacy,
Gadjah Mada University, Sekip Utara,
Yogyakarta, INDONESIA.
1,2
Centre for Natural Anti-infective
Research (CNAIR), Faculty of Pharmacy,
Gadjah Mada University, Sekip Utara,
Yogyakarta, INDONESIA.
Correspondence
Dr. Sylvia UtamiTunjung Pratiwi
Department of Pharmaceutical Biology,
Faculty of Pharmacy, Gadjah Mada
University, Sekip Utara, Yogyakarta,
INDONESIA.
Phone no : +62 (0)274 543120
E-mail: sylvia_pratiwi@ugm.ac.id
History
•  Submission Date: 20-02-2018;
•  Review completed: 14-03-2018;
•  Accepted Date: 28-06-2018
DOI : 10.5530/pj.2018.5.167
Article Available online
http://www.phcogj.com/v10/i5
Copyright
© 2018 Phcog.Net. This is an open-
access article distributed under the terms
of the Creative Commons Attribution 4.0
International license.
Cite this article: Pratiwi SUT, HandayaniTT. Attenuation of Pseudomonas aeruginosa Virulence by
Some Indonesian Medicinal Plants Ethanolic Extract. Pharmacog J. 2018;10(5):983-7.
(anti-QS) compounds can be of great interest in the
treatment of bacterial infections.7
Plants have long been a source of medicines and
continues to contribute significantly to the develop-
ment of today’s pharmaceuticals for therapeutics
and source of new bioactive compounds.8
Indonesia
harbours a very high flora of diverse species used in
traditional ways as medicine.9
Previous anti-infec-
tive studies on Indonesian medicinal plants have
focused mainly on antimicrobial drug discovery
perspectives. However, no systemic effort has been
made to explore its anti-QS activity. Furthermore,
shifting the focus from antibacterial activity to anti-
QS properties may disclose new quorum quenching
compounds.10
For this reason, research in determining
anti-QS activity of a compound is generating poten-
tial for development of a new therapeutic.
Motility of P. aeruginosa in aqueous and dry envi-
ronments has been shown to be associated with
its virulence. In the presence of a quorum sensing
inhibitory compound, the motility and therefore
the virulence will be limited.11
Six different forms of
bacterial movement have been described including
Pratiwi and Handayani, et al.: Attenuation of Pseudomonas aeruginosa Virulence
984 Pharmacognosy Journal, Vol 10, Issue 5, Sep-Oct, 2018
swimming, swarming, twitching, gliding, sliding and darting.12
These
various forms of surface motility enable bacteria to increase their efficiency
of nutrient uptake, avoid toxic substances, move to preferred hosts and
provide access to optimal colonization sites within, and spread themselves
into the environment.13
Bacterial motility plays a different role in biofilms.
They can promote adhesion of the cell to the surface for biofilm matura-
tion process and/or in be involved in the dispersal process.14
However,
motility is not critical to biofilm formation, which was shown for
biofilms produced by P. aeruginosa PAO1 mutant strain which is lack
flagella and type IV pili.15
In this study, we provide the screening result of some commonly used
Indonesian medicinal plants for anti-QS activity using the P. aeruginosa
PAO1 in reducing quorum sensing related motility of P. aeruginosa PAO1
such as swimming, swarming and twitching motility, biofilm formation
inhibition, pyocyanin pigment production, and LasA protease production
inhibition. We have found potential anti-QS activity in Terminalia catappa
leaves and Artocarpus alitilis flower ethanol extracts.
SUBJECTS AND METHODS
Bacterial isolate and culture conditions
The bacterial strains used in this study were P. aeruginosa PAO1 and
Staphylococcus aureus Cowan I strain. Bacterial strains were grown on
Luria-Bertani (LB) Agar and incubated for 24 h at 30⁰C. Following the
incubation on agar plate, the colonies were transferred to LB broth and
incubatedforanother24hat30⁰C.Celldensitywasadjustedto108
CFU/mL
by altering the optical density of the suspension to 0.1 at 600 nm.
Medicinal plants and plant extraction
Indonesian medicinal plants were collected from Yogyakarta, Indonesia
and its surroundings based on ethnopharmacological information.
Plants samples were washed, cut into small pieces and oven dried at 40⁰C
for 48-72 h.16
The process of drying prevents degradation through metabolic
process, and prevents microbial development. The drying temperature
may vary from 35⁰C to 70⁰C depending on the part of the plant and
sensitivity of the active principles. For the leaves, a temperature range
of 20⁰C – 40⁰C is recommended. Drying plant material in oven with
low drying temperatures between 30⁰C and 50°C is faster than exposure
plant materials to fresh air (shaded from direct sunlight), and still capable
to protect sensitive active ingredients.17
The dried plant materials were
ground into a fine powder. The pulverized materials were extracted by
maceration using 70% ethanol in a ratio of 1g (plant material): 10 mL
to obtain crude ethanol extract. Furthermore, extracts were dried and
concentrated under reduced pressure using a rotary evaporator. Stock
solutions (100 mg/mL) of crude ethanol extract in dimethyl sulfoxide
(DMSO) were prepared, filter-sterilized (0.2 µm) and stored at 4o
C.
Determination of planktonic minimum inhibitory
concentration (PMIC) of plant oils
MIC values for different plant extracts against P. aeruginosa were deter-
mined by Micro broth dilution method as followed by Khan et al.18
Different concentrations within the range of 0.06 mg/mL – 1 mg/mL
were tested. The concentration at which the extract depleted the growth
of bacterial by at least 50% was labelled as the PMIC50
and was taken to
assess the anti QS activity.
Effect of Plant Extracts on Biofilm Formation
Biofilms were formed on polystyrene flat bottom 96-well microtiter
plates (IWAKI). To determine biofilm formation inhibition, extracts
at sub inhibitory concentration (concentration of PMIC50
and under)
ranging from 0.06-0.5 mg/mL were used to ensure a concentration that
is not affecting the microbial growth. Negative controls (cells + media:
LB medium for P. aeruginosa PAO1), positive control (cells + media +
chloramphenicol), vehicle controls (cells + media +DMSO), and media
controls were included. For the positive controls concentrations of 1 mg/mL
chloramphenicol was used, prepared by serial dilution techniques.
Blanks undergo the same treatment as samples, but without incubation.
All tests were performed in triplicate.
Plates were incubated for 24 h at 28⁰C. After 24 h incubation, the content
of the well was aspired, rinsed 3 times with distilled water, and dried at
room temperature for 10 min. Then, 125 µL of 1% crystal violet stain
was added to the wells for staining for 15 min. The excess stain was
rinsed off with tap water and 200µL methanol was added to the wells and
transferred to a flat-bottom 96-well plates. Optical density readings were
obtained by a plate reader at 600 nm. Biofilm formation inhibition was
calculated as % of inhibition by using the formula mentioned below.
The % of inhibition of replicate tests was used to determine the final
minimum biofilm inhibitory concentration (MBIC) values. The concen-
tration at which the extract depleted the bacterial biofilm by at least 50%
was labelled as the MBIC50
.
%
(
inhibition
x ODt x ODmc
x ODvc
= −
−













×1 100
ODt= optical density (595 nm) of the test well; ODmc: optical density
(595 nm) of the media control well; ODvc: optical density (595 nm) of
the vehicle control well.19
Pseudomonas aeruginosa PAO1 motility test
The plant ethanol extract and essential oils which inhibited violacein
production were further tested to explore their effects on quorum sensing
related swarming, swimming and twitching motility of P. aeruginosa
PAO1. Swimming, swarming and twitching motility assays were performed
by the method of Rashid and Kornberg.13
Briefly, LB agar (0.3%) plates
(for swimming motility), and LB agar (0.5%) plates (for swarming motility)
containing sub-inhibitory concentrations of ethanol extract or essential
oils were prepared and allowed to dry for 3-4 h at 30⁰C. Plates were point
inoculated with freshly grown culture cells using a blunt ended sterile
toothpick. For twitching motility, LB agar (1%) plates were used bacterial
cells were inoculated by using a sharp end toothpick and stabbing
through the agar to the bottom of the petri dish. After 24 h of incubation
in upright position at 30⁰C, the extent of motility was determined by
measuring the diameter of the bacterial colony.
Las A staphylolytic assay
Las-A protease activity was determined by measuring the ability of
culture supernatants to lyse boiled S. aureus cells. A 100μL aliquot of
P. aeruginosa LB culture supernatant with or without plant extracts
added to 900μl of boiled S. aureus suspension. OD600 was determined
after 0, 5, 10, 15, 20, 25, and 30 min. Activity was expressed by measuring
OD600 value.
Pyocyanin inhibition assay.
Pyocyanin was extracted from P. aeruginosa culture supernatant and
measured by the method as described by Ra’oof and Latif.20
Briefly, a
5-ml sample of culture grown for 72 h, in LB medium containing plant
extract tested, was centrifuged, and the supernatant extracted with 3 ml
of chloroform and then re-extracted into 1 mL of 0.2 mol/L HCl to give a
pink to deep red solution. The absorbance of this solution was measured
at 520 nm. Concentrations expressed as pyocyanin produced in l g/mL of
culture supernatant were determined by multiplying the optical density
at 520 nm (OD520) by 17.072.
Pratiwi and Handayani, et al.: Attenuation of Pseudomonas aeruginosa Virulence
Pharmacognosy Journal, Vol 10, Issue 5, Sep-Oct, 2018 985
Statistical methods
The data were initially analysed by a normal distribution using the
one-sample Kolmogorov-Smirnov test. Following the confirmation of
normal distribution, statistical significance of the data was determined
using one-way ANOVA, followed by Dunnett’s test. Differences were
considered significant with P values of 0.05 or less.
RESULT
Effects of plant ethanol extracts on planktonic growth
and biofilm formation of P. aeruginosa PAO1.
The maximum plant extract concentration of 1 mg/mL of plant ethanol
extracts for testing was chosen based on the previous study by Rios and
Recio21
who reported that extracts should be avoided exhibiting
minimum inhibitory concentration (MIC) values higher than 1 mg/mL
or isolated compounds exhibiting MIC values higher than 0.1 mg/mL.
The inoculums concentration used in this study is 105
CFU/mL. According
to Clinical and Laboratory Standards Institute (CLSI) guidelines,22
a 5x105
CFU/mL inoculum provides an acceptable challenge dose for
assessing the biological activity of anti-microbial agents and is large
enough to provide statistically satisfactory data. If the inoculum is too
small, significant bacteria resistance may not be detected. As demon-
strated by Barry et al.23
the growth phase may not have significant effect
on MIC determination assay, however, it does critical in the MBC assay
because if a stationary phase of inoculums is used, the number of
surviving cells tends to increase after 24 h incubation and makes the
MBC result artificially high.
The percentage of planktonic growth inhibition was measured from the
reduction in absorbance level of the treatments wells which is indirectly
measure the bacterial cells biomass, compare to negative control well
(without the presence of the test compounds). The negative control was
assumed to have 0% activity compare to the compounds tested. Extract
concentration around PMIC50
and below (sub-PMIC) were used for
further tests, to ensure a concentration that is not affecting the microbial
growth.
As shown in Table 1, most of the crude extracts used in this study have
anti-bacterial activity against planktonic growth of P. aeruginosa PAO1
except ethanol extract of languas rhizome, A. alitilis fruit and A. muricata
leaves.
In addition to testing of the plant extracts for inhibition of planktonic
growth we also have investigated their effect on biofilm formation. Crystal
violet staining has been widely adopted by microbiologist to investigate
biofilm formation and attachment of microorganisms to diverse surfaces.
This staining method is inexpensive, relatively quick, and adaptable for
use in high-throughput screening with microliter plates.24
Using the crystal violet method, we have found that the inhibition of
biofilm formation was dose dependent in P. aeruginosa PAO1. Plant
ethanol extract concentration of 0.5 mg/mL is the lowest concentration
which shows 50% inhibition on P. aeruginosa biofilm formation (Table 1).
Three extracts i.e. A. alitilis flower, M. indica leaves and T. catappa leaves,
tested inhibit 50% of P. aeruginosa PAO1 biofilm formation at concentra-
tion of 0.5 mg/mL.
Inhibition of bacterial motility
We investigated if the extracts which inhibited quorum sensing had any
effect on quorum sensing related motility in the human opportunistic
pathogen P. aeruginosa PAO1. Our result, shown in Table 2, indicated
that ethanol extracts of A. alitilis flower and T. catappa leaves at a
concentration of 0.5 mg/mL significantly reduced the swimming motility
of P. aeruginosa PAO1 by 47.38±0.76 % (P0.005) and 74.68±0.86 %
Table 1: Antibacterial and anti-biofilm activity of plant extracts against
P. aeruginosa.
Plant extract Local
name
Plant
part
Planktonic
antibacterial
activitivy (PMIC50
)
in mg/mL*
Antibiofilm
formation
activity
(MBIC50
) in
mg/mL*
Languas galanga Laos Rhizome 0.5 -
Centella asiatica Pegagan Leaves 0.5 1
Artocarpus alitilis Sukun Flower 1 0.5
Fruit - -
Andrographis
paniculata
Sambiloto Leaves 1 1
Annona muricata Sirsak Leaves - -
Muntingia
calabura
Talok
(Kersen)
Leaves - 1
Mangifera indica Mangga Leaves 1 0.5
Terminalia catappa Ketapang Leaves - 0.5
Table 2: Antimotility efficacy of some medicinal plants ethanol extract
against P. aeruginosa.
Plant
Extract
Part Concentration
(mg/mL)
Motility (mm)
Swimming Swarming Twitching
C. asiatica Leaves 1 54.37 ± 0.57 52.42 ± 0.28 46.72 ± 0.00
A. alitilis Flower 0.5 47.38 ± 0.76 56.81 ± 0.28 62.09 ± 0.28
Fruit 1 29.57 ± 0.57 47.00 ± 0.76 44.75 ± 0.00
A. paniculata Leaves 1 44.37 ± 0.76 51.40 ± 0.00 52.87 ± 0.57
A. muricata Leaves 1 27.39 ± 0.57 40.25 ± 0.76 38.76 ± 0.57
M. calabura Leaves 1 33.52 ± 0.42 60.47 ± 0.28 62.35 ± 0.42
M. indica Leaves 0.5 42.65 ± 0.00 33.56 ± 0.57 48.05 ± 0.57
T. catappa Leaves 0.5 74.68 ± 0.86 67.80 ± 0.28 75.80 ± 0.00
(p0.005), respectively. The swarming motility of P. aeruginosa PAO1
was also reduced as much as 56.81±0.28 % (p0.005) and 67.8±0.28 %
(p0.005) when extracts at concentrations of 0.5 mg/mL were applied.
The same concentrations of the extract also showed a decrease in twitching
motility namely, 62.09±0.28 % (p0.005) and 75.8±0.00 % (p0.005)
respectively.
Pyocyanin inhibition assay
We tested the effect of plant extracts on pyocyanin pigment production
in P. aeruginosa. Our result suggest that T. catappa leaves ethanol extract
showed inhibition of pyocyanin pigment formation by 63.41 ± 0.6 %
(p0.005) (Figure 1), whereas at the same concentration A. alitilis flower
ethanol extract showed inhibition of 63.41 ± 0.6 % (p0.005) (Figure 2),
respectively.
LasA Staphylolytic
Inhibition of LasA protease in P. aeruginosa by plant extracts tested was
assessed via LasA staphylolytic assay. T. catappa leaves ethanol extract
exhibited inhibition of LasA protease production by 73.2 ± 0.6% (p 0.005),
whereas at the same concentration A. alitilis flower ethanol extract
showed inhibition of 70.6 ± 0.8 % (p 0.005) (Figure 3) , respectively.
Pratiwi and Handayani, et al.: Attenuation of Pseudomonas aeruginosa Virulence
986 Pharmacognosy Journal, Vol 10, Issue 5, Sep-Oct, 2018
DISCUSSION
The aim of this study was to determine the anti-QS potential of ethanol
extracts and essential oils from Indonesian medicinal plants with a
potential to a possible use in controlling detrimental infections. Quorum
sensing in P. aeruginosa has been well studied. This organism has two QS
systems, LasR/I and RhlR/I systems. The lasI produces diffusible extra-
cellular signal, N-(3-oxododecanoyl)-L-homoserine lactone (3-oxo-C12-
HSL) which binds with LasR to activate a number of virulence genes and
biofilm maturation, and to regulate the expression of LasI. In the Rhl
system, the RhlI synthase produces N-butyryl-L-homoserine lactone
(C4-HSL), which interacts with RhlR protein and activated C4-HSL-
RhlR complex, further stimulates the expression of RhlI, virulence genes
and biofilm associated genes and biofilm associated genes.25
P. aeruginosa produces a third signalling molecule, 2-heptyl-3-hydroxy-
4(1H)-quinolone, called Pseudomonas quinolone signal (PQS). It is
produced by the pqs (pqsABCDE) operon and pqsH gene, wherein the
pqsABCDE operon products synthesize 2-heptyl-4-hydroxyquinoline
(HHQ), and the PqsH converts HHQ into PQS. PQS diffuses in and out
of the cell, accumulates in the environment, and when a threshold
concentration reached, it binds to the regulator protein, PqsR, which
modulates genes encoding virulence factors and the synthesis of PQS
itself, resulting in autoinduction.25
There are several reports in literature that propose different mechanisms
of quorum sensing inhibition by natural products, either by inhibition
of the signal molecule biosynthesis,26
preventing the binding of the AHL
molecules to its receptors6
or enzymatic inactivation and biodegradation
of the quorum sensing signalling molecules.27
Plants are the sources of varied bioactive metabolites which useful for
the development of successful and effective drugs. Various plants have
demonstrated the ability to interfere with microbial QS systems that
further and control its virulence. Vanilla (Vanilla planifolia), garlic
(Allium sativum), weeping bottlebrush (Callistemon viminalis), Zaragoza
mangrove (Conocarpus erectus), graceful sandmat (Chamaesyce hyper-
icifolia), black olive (Bucida buceras), Florida clover ash (Tetrazygia
bicolour), and southern live oak (Quercus virginiana), showed quorum
sensing inhibitory properties against C. violaceum and Agrobacterium
tumefaciens.5
Study from Zahin et al.13
Chong et al.28
and Priya et al.29
also revealed quorum sensing property of Mangifera indica, Punica
granatum, Myristica cinnamomea and Phyllanthus amarus, which
showed efficacy in regulating violacein production of C. violaceum and
inhibiting motility of P. aeruginosa. The result in our study have revealed
that the ethanol extract of T. catappa leaves and A. alitilis flower signifi-
cantly inhibit the quorum sensing mechanism of P. aeruginosa PAO1
as indicated by a reduction in pyocyanin production, inhibition of
P. aeruginosa motility, reduction in LasA protease production and inhi-
bition of P. aeruginosa biofilm formation which is an important trait for
its pathogenicity. It is concluded that anti-QS is as important as antibac-
terial activity as it will unlikely cause resistance problems as it does not
pose selection pressure.
CONCLUSION
In conclusion, the finding from this study conclusively demonstrated the
in vitro antiquorum sensing activity of T. catappa and A. alitilis ethanol
extract, makes them as an interesting sources to be used in the devel-
opment of new antipathogenic drug. Further purification of the active
compounds may be suggested on the basis of the present study.
ACKNOWLEDGEMENT
The research fund from Faculty of Pharmacy Universitas Gadjah Mada,
Yogyakarta, Indonesia was gratefully acknowledged.
Figure 1: Efficacy of T. catappa flower ethanol extracts in various
concentration against pyocanin production in P. aeruginosa. 0.3% v/v
DMSO was used as vehicle control.
Figure 2: Efficacy of A. alitilis flower ethanol extracts in various
concentration against pyocanin production in P. aeruginosa. 0.3% v/v
DMSO was used as vehicle control.
Figure 3: LasA protease activity.
Pratiwi and Handayani, et al.: Attenuation of Pseudomonas aeruginosa Virulence
Pharmacognosy Journal, Vol 10, Issue 5, Sep-Oct, 2018 987
Cite this article: Pratiwi SUT, HandayaniTT. Attenuation of Pseudomonas aeruginosa Virulence by Some Indonesian Medicinal Plants
Ethanolic Extract. Pharmacog J. 2018;10(5):983-7.
CONFLICT OF INTEREST
The authors declare no conflict of interest.
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aeruginosa. International Journal of Pharmacy and Pharmaceutical Sciences
(IJPPS). 2014;6(8):20-5.
26.  Vattem DA, Mihalik K, Crixell SH, McLean R. Dietary Phytochemicals as
Quorum Sensing Inhibitors. Fitoterapia. 2007;78(4):302-10.
27.  Defoirdt T, Boon N, Dossier P, Verstraete W. Disruption of Bacterial Quorum
Sensing: An Unexplored Strategy to Fight Infections in Aquaculture. Aquaculture.
2004;240(1-4):69-88.
28.  Chong YM, Yin WF, Ho CY, Mustafa MR, Hadi AH, Awang K. Malabaricone C
from Myristica cinnamomea exhibits anti-quorum sensing activity. J Nat Prod.
2011;74(10):2261-4.
29.  Priya K, Yin WF, Chan KG. Anti-quorum Sensing Activity of The Traditional
Chinese Herb, Phyllanthus amarus. J Sensors. 2013;13(11):14558-69.
GRAPHICAL ABSTRACT
SUMMARY
•  Quorum sensing is a process of cell to cell communication in bacteria mediated by
a small diffusible molecule called auto inducers. Quorum sensing regulate bacterial
cell activities in order to be able to survive in the environment. Among the many
activities controlled by quorum sensing is the expression of virulence factors by
pathogenic bacteria.Targeting the quorum sensing system by interruption of bacte-
rial communication, instead of killing bacteria, is an example of an antipathogenic
effect and it may also give a solution to the emergence of bacterial resistance to
current antibiotics.This research aimed to evaluate anti-QS activity of some Indone-
sian medicinal plants ethanol extract against QS-mediated virulence factors in P. ae-
ruginosa. Our result showed that ethanolic extract of T. catappa leaves and A. alitilis
flower capable to inhibit P. aeruginosa motility as well as pyocyanin production and
biofilm formation. Both extracts also showed capability in reducing LasA protease pro-
duction. We conclude that the ethanol extract from T. catappa leaves and A.alitilis
flower are an interesting sources of innovative plant derived anti-quorum sensing
agents, thus can be used in the development of new antipathogenic drug.
Sylvia UtamiTunjung Pratiwi is a lecturer at Dept. of Pharmaceutical Biology, Faculty of Pharmacy, Gadjah Mada
University. Her research focused on biofilm, antimicrobial resistance and finding novel compound(s) with anti-
pathogenicity activity or high activity against biofilm
ABOUT AUTHORS
Titik Tri Handayani is a laboratory staff at microbiology Laboratory, Dept. of Pharmaceutical Biology, Faculty of
Pharmacy, Gadjah Mada University.

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Attenuation of Pseudomonas aeruginosa Virulence by Some Indonesian Medicinal Plants Ethanolic Extract

  • 1. Pharmacognosy Journal, Vol 10, Issue 5, Sep-Oct, 2018 983 Pharmacogn J. 2018; 10(5): 983-987 A Multifaceted Journal in the field of Natural Products and Pharmacognosy www.phcogj.com | www.journalonweb.com/pj | www.phcog.net Original Article INTRODUCTION Quorum sensing is a process of cell to cell commu- nication in bacteria mediated by a small diffusible molecule called auto inducers (oligopeptides in Gram positive and N-acyl homoserine lactone (AHL) in Gram negative bacteria). These auto inducers diffuse freely from the bacterial cell and accumulate in the surrounding environment. When a threshold con- centration (quorum) has been reached they diffuse back into the cell and regulate transcription of specific genes as in a response to their changing environmental conditions.1 Fungi, like bacteria, also use quorum sensing to affect population-level behaviours such as biofilm formation and pathogenesis.2 Examples of cellular processes modulated by quorum sensing are biofilm formation,3 LasA protease produc- tion, pigment production, and motility.4 These traits have also shown to be involved in the pathogenicity of bacteria.5 It has been suggested that targeting the quorum sensing system by interruption of bacterial commu- nication, instead of killing bacteria, is an example of an antipathogenic effect and may give a solution to antibiotics resistance.6 Therefore, anti-quorum sensing Attenuation of Pseudomonas aeruginosa Virulence by Some Indonesian Medicinal Plants Ethanolic Extract ABSTRACT Context: One strategy to address the emergence of infectious diseases supported by the increasing cases of microbial antibiotic resistance is the development of anti-pathogenic drugs, a quorum quenching compound(s) capable of inhibiting microbial communication (quorum sensing inhibitor). Pseudomonas aeruginosa is one of the most common source of chronic opportunistic infections, which demonstrates the most consistent resistance to antimicrobial agents. Quorum sensing (QS) controls secretion of virulence factors in P. aeruginosa. Aim: This study aims to discover quorum sensing inhibitors (QSI) from some Indonesian medici- nal plants ethanol extract to analyze their inhibitory activities against QS-mediated virulence factors in P. aeruginosa. Settings and Design: In-vitro experimental study-laboratory setting Materials and Methods: Indonesian medicinal plant ethanolic extracts were tested for their capability to inhibit P. aeruginosa motility, biofilm formation using microtiter plate method, pyocyanin and LasA production using LasA staphylolytic assay. Statistical analysis used: Statistical significance of the data were determined using one way ANOVA, followed by Dunnett’s test. Differences were considered significant with P values of 0.05 or less. Results: Ethanolic extract of T. catappa leaves and A. alitilis flower capable to inhibit P. aeruginosa motility as well as pyocyanin production and biofilm formation. Both extracts also showed capability in reducing LasA protease production. Conclusion: T. catappa and A. alitilis are an interesting sources of innovative plant derived quorum quenching compound(s), thus can be used in the development of new antipathogenic drug. Key words: Ethanol extract, Anti-pathogenic drugs, Quorum quenching, Quorum sensing inhibitor, Pseudomonas aeruginosa. Sylvia Utami Tunjung Pratiwi1,2* , Titik Tri Handayani1,2 Sylvia Utami Tunjung Pratiwi1,2* , Titik Tri Handayani1,2 1,2 Department of Pharmaceutical Biology, Faculty of Pharmacy, Gadjah Mada University, Sekip Utara, Yogyakarta, INDONESIA. 1,2 Centre for Natural Anti-infective Research (CNAIR), Faculty of Pharmacy, Gadjah Mada University, Sekip Utara, Yogyakarta, INDONESIA. Correspondence Dr. Sylvia UtamiTunjung Pratiwi Department of Pharmaceutical Biology, Faculty of Pharmacy, Gadjah Mada University, Sekip Utara, Yogyakarta, INDONESIA. Phone no : +62 (0)274 543120 E-mail: sylvia_pratiwi@ugm.ac.id History •  Submission Date: 20-02-2018; •  Review completed: 14-03-2018; •  Accepted Date: 28-06-2018 DOI : 10.5530/pj.2018.5.167 Article Available online http://www.phcogj.com/v10/i5 Copyright © 2018 Phcog.Net. This is an open- access article distributed under the terms of the Creative Commons Attribution 4.0 International license. Cite this article: Pratiwi SUT, HandayaniTT. Attenuation of Pseudomonas aeruginosa Virulence by Some Indonesian Medicinal Plants Ethanolic Extract. Pharmacog J. 2018;10(5):983-7. (anti-QS) compounds can be of great interest in the treatment of bacterial infections.7 Plants have long been a source of medicines and continues to contribute significantly to the develop- ment of today’s pharmaceuticals for therapeutics and source of new bioactive compounds.8 Indonesia harbours a very high flora of diverse species used in traditional ways as medicine.9 Previous anti-infec- tive studies on Indonesian medicinal plants have focused mainly on antimicrobial drug discovery perspectives. However, no systemic effort has been made to explore its anti-QS activity. Furthermore, shifting the focus from antibacterial activity to anti- QS properties may disclose new quorum quenching compounds.10 For this reason, research in determining anti-QS activity of a compound is generating poten- tial for development of a new therapeutic. Motility of P. aeruginosa in aqueous and dry envi- ronments has been shown to be associated with its virulence. In the presence of a quorum sensing inhibitory compound, the motility and therefore the virulence will be limited.11 Six different forms of bacterial movement have been described including
  • 2. Pratiwi and Handayani, et al.: Attenuation of Pseudomonas aeruginosa Virulence 984 Pharmacognosy Journal, Vol 10, Issue 5, Sep-Oct, 2018 swimming, swarming, twitching, gliding, sliding and darting.12 These various forms of surface motility enable bacteria to increase their efficiency of nutrient uptake, avoid toxic substances, move to preferred hosts and provide access to optimal colonization sites within, and spread themselves into the environment.13 Bacterial motility plays a different role in biofilms. They can promote adhesion of the cell to the surface for biofilm matura- tion process and/or in be involved in the dispersal process.14 However, motility is not critical to biofilm formation, which was shown for biofilms produced by P. aeruginosa PAO1 mutant strain which is lack flagella and type IV pili.15 In this study, we provide the screening result of some commonly used Indonesian medicinal plants for anti-QS activity using the P. aeruginosa PAO1 in reducing quorum sensing related motility of P. aeruginosa PAO1 such as swimming, swarming and twitching motility, biofilm formation inhibition, pyocyanin pigment production, and LasA protease production inhibition. We have found potential anti-QS activity in Terminalia catappa leaves and Artocarpus alitilis flower ethanol extracts. SUBJECTS AND METHODS Bacterial isolate and culture conditions The bacterial strains used in this study were P. aeruginosa PAO1 and Staphylococcus aureus Cowan I strain. Bacterial strains were grown on Luria-Bertani (LB) Agar and incubated for 24 h at 30⁰C. Following the incubation on agar plate, the colonies were transferred to LB broth and incubatedforanother24hat30⁰C.Celldensitywasadjustedto108 CFU/mL by altering the optical density of the suspension to 0.1 at 600 nm. Medicinal plants and plant extraction Indonesian medicinal plants were collected from Yogyakarta, Indonesia and its surroundings based on ethnopharmacological information. Plants samples were washed, cut into small pieces and oven dried at 40⁰C for 48-72 h.16 The process of drying prevents degradation through metabolic process, and prevents microbial development. The drying temperature may vary from 35⁰C to 70⁰C depending on the part of the plant and sensitivity of the active principles. For the leaves, a temperature range of 20⁰C – 40⁰C is recommended. Drying plant material in oven with low drying temperatures between 30⁰C and 50°C is faster than exposure plant materials to fresh air (shaded from direct sunlight), and still capable to protect sensitive active ingredients.17 The dried plant materials were ground into a fine powder. The pulverized materials were extracted by maceration using 70% ethanol in a ratio of 1g (plant material): 10 mL to obtain crude ethanol extract. Furthermore, extracts were dried and concentrated under reduced pressure using a rotary evaporator. Stock solutions (100 mg/mL) of crude ethanol extract in dimethyl sulfoxide (DMSO) were prepared, filter-sterilized (0.2 µm) and stored at 4o C. Determination of planktonic minimum inhibitory concentration (PMIC) of plant oils MIC values for different plant extracts against P. aeruginosa were deter- mined by Micro broth dilution method as followed by Khan et al.18 Different concentrations within the range of 0.06 mg/mL – 1 mg/mL were tested. The concentration at which the extract depleted the growth of bacterial by at least 50% was labelled as the PMIC50 and was taken to assess the anti QS activity. Effect of Plant Extracts on Biofilm Formation Biofilms were formed on polystyrene flat bottom 96-well microtiter plates (IWAKI). To determine biofilm formation inhibition, extracts at sub inhibitory concentration (concentration of PMIC50 and under) ranging from 0.06-0.5 mg/mL were used to ensure a concentration that is not affecting the microbial growth. Negative controls (cells + media: LB medium for P. aeruginosa PAO1), positive control (cells + media + chloramphenicol), vehicle controls (cells + media +DMSO), and media controls were included. For the positive controls concentrations of 1 mg/mL chloramphenicol was used, prepared by serial dilution techniques. Blanks undergo the same treatment as samples, but without incubation. All tests were performed in triplicate. Plates were incubated for 24 h at 28⁰C. After 24 h incubation, the content of the well was aspired, rinsed 3 times with distilled water, and dried at room temperature for 10 min. Then, 125 µL of 1% crystal violet stain was added to the wells for staining for 15 min. The excess stain was rinsed off with tap water and 200µL methanol was added to the wells and transferred to a flat-bottom 96-well plates. Optical density readings were obtained by a plate reader at 600 nm. Biofilm formation inhibition was calculated as % of inhibition by using the formula mentioned below. The % of inhibition of replicate tests was used to determine the final minimum biofilm inhibitory concentration (MBIC) values. The concen- tration at which the extract depleted the bacterial biofilm by at least 50% was labelled as the MBIC50 . % ( inhibition x ODt x ODmc x ODvc = − −              ×1 100 ODt= optical density (595 nm) of the test well; ODmc: optical density (595 nm) of the media control well; ODvc: optical density (595 nm) of the vehicle control well.19 Pseudomonas aeruginosa PAO1 motility test The plant ethanol extract and essential oils which inhibited violacein production were further tested to explore their effects on quorum sensing related swarming, swimming and twitching motility of P. aeruginosa PAO1. Swimming, swarming and twitching motility assays were performed by the method of Rashid and Kornberg.13 Briefly, LB agar (0.3%) plates (for swimming motility), and LB agar (0.5%) plates (for swarming motility) containing sub-inhibitory concentrations of ethanol extract or essential oils were prepared and allowed to dry for 3-4 h at 30⁰C. Plates were point inoculated with freshly grown culture cells using a blunt ended sterile toothpick. For twitching motility, LB agar (1%) plates were used bacterial cells were inoculated by using a sharp end toothpick and stabbing through the agar to the bottom of the petri dish. After 24 h of incubation in upright position at 30⁰C, the extent of motility was determined by measuring the diameter of the bacterial colony. Las A staphylolytic assay Las-A protease activity was determined by measuring the ability of culture supernatants to lyse boiled S. aureus cells. A 100μL aliquot of P. aeruginosa LB culture supernatant with or without plant extracts added to 900μl of boiled S. aureus suspension. OD600 was determined after 0, 5, 10, 15, 20, 25, and 30 min. Activity was expressed by measuring OD600 value. Pyocyanin inhibition assay. Pyocyanin was extracted from P. aeruginosa culture supernatant and measured by the method as described by Ra’oof and Latif.20 Briefly, a 5-ml sample of culture grown for 72 h, in LB medium containing plant extract tested, was centrifuged, and the supernatant extracted with 3 ml of chloroform and then re-extracted into 1 mL of 0.2 mol/L HCl to give a pink to deep red solution. The absorbance of this solution was measured at 520 nm. Concentrations expressed as pyocyanin produced in l g/mL of culture supernatant were determined by multiplying the optical density at 520 nm (OD520) by 17.072.
  • 3. Pratiwi and Handayani, et al.: Attenuation of Pseudomonas aeruginosa Virulence Pharmacognosy Journal, Vol 10, Issue 5, Sep-Oct, 2018 985 Statistical methods The data were initially analysed by a normal distribution using the one-sample Kolmogorov-Smirnov test. Following the confirmation of normal distribution, statistical significance of the data was determined using one-way ANOVA, followed by Dunnett’s test. Differences were considered significant with P values of 0.05 or less. RESULT Effects of plant ethanol extracts on planktonic growth and biofilm formation of P. aeruginosa PAO1. The maximum plant extract concentration of 1 mg/mL of plant ethanol extracts for testing was chosen based on the previous study by Rios and Recio21 who reported that extracts should be avoided exhibiting minimum inhibitory concentration (MIC) values higher than 1 mg/mL or isolated compounds exhibiting MIC values higher than 0.1 mg/mL. The inoculums concentration used in this study is 105 CFU/mL. According to Clinical and Laboratory Standards Institute (CLSI) guidelines,22 a 5x105 CFU/mL inoculum provides an acceptable challenge dose for assessing the biological activity of anti-microbial agents and is large enough to provide statistically satisfactory data. If the inoculum is too small, significant bacteria resistance may not be detected. As demon- strated by Barry et al.23 the growth phase may not have significant effect on MIC determination assay, however, it does critical in the MBC assay because if a stationary phase of inoculums is used, the number of surviving cells tends to increase after 24 h incubation and makes the MBC result artificially high. The percentage of planktonic growth inhibition was measured from the reduction in absorbance level of the treatments wells which is indirectly measure the bacterial cells biomass, compare to negative control well (without the presence of the test compounds). The negative control was assumed to have 0% activity compare to the compounds tested. Extract concentration around PMIC50 and below (sub-PMIC) were used for further tests, to ensure a concentration that is not affecting the microbial growth. As shown in Table 1, most of the crude extracts used in this study have anti-bacterial activity against planktonic growth of P. aeruginosa PAO1 except ethanol extract of languas rhizome, A. alitilis fruit and A. muricata leaves. In addition to testing of the plant extracts for inhibition of planktonic growth we also have investigated their effect on biofilm formation. Crystal violet staining has been widely adopted by microbiologist to investigate biofilm formation and attachment of microorganisms to diverse surfaces. This staining method is inexpensive, relatively quick, and adaptable for use in high-throughput screening with microliter plates.24 Using the crystal violet method, we have found that the inhibition of biofilm formation was dose dependent in P. aeruginosa PAO1. Plant ethanol extract concentration of 0.5 mg/mL is the lowest concentration which shows 50% inhibition on P. aeruginosa biofilm formation (Table 1). Three extracts i.e. A. alitilis flower, M. indica leaves and T. catappa leaves, tested inhibit 50% of P. aeruginosa PAO1 biofilm formation at concentra- tion of 0.5 mg/mL. Inhibition of bacterial motility We investigated if the extracts which inhibited quorum sensing had any effect on quorum sensing related motility in the human opportunistic pathogen P. aeruginosa PAO1. Our result, shown in Table 2, indicated that ethanol extracts of A. alitilis flower and T. catappa leaves at a concentration of 0.5 mg/mL significantly reduced the swimming motility of P. aeruginosa PAO1 by 47.38±0.76 % (P0.005) and 74.68±0.86 % Table 1: Antibacterial and anti-biofilm activity of plant extracts against P. aeruginosa. Plant extract Local name Plant part Planktonic antibacterial activitivy (PMIC50 ) in mg/mL* Antibiofilm formation activity (MBIC50 ) in mg/mL* Languas galanga Laos Rhizome 0.5 - Centella asiatica Pegagan Leaves 0.5 1 Artocarpus alitilis Sukun Flower 1 0.5 Fruit - - Andrographis paniculata Sambiloto Leaves 1 1 Annona muricata Sirsak Leaves - - Muntingia calabura Talok (Kersen) Leaves - 1 Mangifera indica Mangga Leaves 1 0.5 Terminalia catappa Ketapang Leaves - 0.5 Table 2: Antimotility efficacy of some medicinal plants ethanol extract against P. aeruginosa. Plant Extract Part Concentration (mg/mL) Motility (mm) Swimming Swarming Twitching C. asiatica Leaves 1 54.37 ± 0.57 52.42 ± 0.28 46.72 ± 0.00 A. alitilis Flower 0.5 47.38 ± 0.76 56.81 ± 0.28 62.09 ± 0.28 Fruit 1 29.57 ± 0.57 47.00 ± 0.76 44.75 ± 0.00 A. paniculata Leaves 1 44.37 ± 0.76 51.40 ± 0.00 52.87 ± 0.57 A. muricata Leaves 1 27.39 ± 0.57 40.25 ± 0.76 38.76 ± 0.57 M. calabura Leaves 1 33.52 ± 0.42 60.47 ± 0.28 62.35 ± 0.42 M. indica Leaves 0.5 42.65 ± 0.00 33.56 ± 0.57 48.05 ± 0.57 T. catappa Leaves 0.5 74.68 ± 0.86 67.80 ± 0.28 75.80 ± 0.00 (p0.005), respectively. The swarming motility of P. aeruginosa PAO1 was also reduced as much as 56.81±0.28 % (p0.005) and 67.8±0.28 % (p0.005) when extracts at concentrations of 0.5 mg/mL were applied. The same concentrations of the extract also showed a decrease in twitching motility namely, 62.09±0.28 % (p0.005) and 75.8±0.00 % (p0.005) respectively. Pyocyanin inhibition assay We tested the effect of plant extracts on pyocyanin pigment production in P. aeruginosa. Our result suggest that T. catappa leaves ethanol extract showed inhibition of pyocyanin pigment formation by 63.41 ± 0.6 % (p0.005) (Figure 1), whereas at the same concentration A. alitilis flower ethanol extract showed inhibition of 63.41 ± 0.6 % (p0.005) (Figure 2), respectively. LasA Staphylolytic Inhibition of LasA protease in P. aeruginosa by plant extracts tested was assessed via LasA staphylolytic assay. T. catappa leaves ethanol extract exhibited inhibition of LasA protease production by 73.2 ± 0.6% (p 0.005), whereas at the same concentration A. alitilis flower ethanol extract showed inhibition of 70.6 ± 0.8 % (p 0.005) (Figure 3) , respectively.
  • 4. Pratiwi and Handayani, et al.: Attenuation of Pseudomonas aeruginosa Virulence 986 Pharmacognosy Journal, Vol 10, Issue 5, Sep-Oct, 2018 DISCUSSION The aim of this study was to determine the anti-QS potential of ethanol extracts and essential oils from Indonesian medicinal plants with a potential to a possible use in controlling detrimental infections. Quorum sensing in P. aeruginosa has been well studied. This organism has two QS systems, LasR/I and RhlR/I systems. The lasI produces diffusible extra- cellular signal, N-(3-oxododecanoyl)-L-homoserine lactone (3-oxo-C12- HSL) which binds with LasR to activate a number of virulence genes and biofilm maturation, and to regulate the expression of LasI. In the Rhl system, the RhlI synthase produces N-butyryl-L-homoserine lactone (C4-HSL), which interacts with RhlR protein and activated C4-HSL- RhlR complex, further stimulates the expression of RhlI, virulence genes and biofilm associated genes and biofilm associated genes.25 P. aeruginosa produces a third signalling molecule, 2-heptyl-3-hydroxy- 4(1H)-quinolone, called Pseudomonas quinolone signal (PQS). It is produced by the pqs (pqsABCDE) operon and pqsH gene, wherein the pqsABCDE operon products synthesize 2-heptyl-4-hydroxyquinoline (HHQ), and the PqsH converts HHQ into PQS. PQS diffuses in and out of the cell, accumulates in the environment, and when a threshold concentration reached, it binds to the regulator protein, PqsR, which modulates genes encoding virulence factors and the synthesis of PQS itself, resulting in autoinduction.25 There are several reports in literature that propose different mechanisms of quorum sensing inhibition by natural products, either by inhibition of the signal molecule biosynthesis,26 preventing the binding of the AHL molecules to its receptors6 or enzymatic inactivation and biodegradation of the quorum sensing signalling molecules.27 Plants are the sources of varied bioactive metabolites which useful for the development of successful and effective drugs. Various plants have demonstrated the ability to interfere with microbial QS systems that further and control its virulence. Vanilla (Vanilla planifolia), garlic (Allium sativum), weeping bottlebrush (Callistemon viminalis), Zaragoza mangrove (Conocarpus erectus), graceful sandmat (Chamaesyce hyper- icifolia), black olive (Bucida buceras), Florida clover ash (Tetrazygia bicolour), and southern live oak (Quercus virginiana), showed quorum sensing inhibitory properties against C. violaceum and Agrobacterium tumefaciens.5 Study from Zahin et al.13 Chong et al.28 and Priya et al.29 also revealed quorum sensing property of Mangifera indica, Punica granatum, Myristica cinnamomea and Phyllanthus amarus, which showed efficacy in regulating violacein production of C. violaceum and inhibiting motility of P. aeruginosa. The result in our study have revealed that the ethanol extract of T. catappa leaves and A. alitilis flower signifi- cantly inhibit the quorum sensing mechanism of P. aeruginosa PAO1 as indicated by a reduction in pyocyanin production, inhibition of P. aeruginosa motility, reduction in LasA protease production and inhi- bition of P. aeruginosa biofilm formation which is an important trait for its pathogenicity. It is concluded that anti-QS is as important as antibac- terial activity as it will unlikely cause resistance problems as it does not pose selection pressure. CONCLUSION In conclusion, the finding from this study conclusively demonstrated the in vitro antiquorum sensing activity of T. catappa and A. alitilis ethanol extract, makes them as an interesting sources to be used in the devel- opment of new antipathogenic drug. Further purification of the active compounds may be suggested on the basis of the present study. ACKNOWLEDGEMENT The research fund from Faculty of Pharmacy Universitas Gadjah Mada, Yogyakarta, Indonesia was gratefully acknowledged. Figure 1: Efficacy of T. catappa flower ethanol extracts in various concentration against pyocanin production in P. aeruginosa. 0.3% v/v DMSO was used as vehicle control. Figure 2: Efficacy of A. alitilis flower ethanol extracts in various concentration against pyocanin production in P. aeruginosa. 0.3% v/v DMSO was used as vehicle control. Figure 3: LasA protease activity.
  • 5. Pratiwi and Handayani, et al.: Attenuation of Pseudomonas aeruginosa Virulence Pharmacognosy Journal, Vol 10, Issue 5, Sep-Oct, 2018 987 Cite this article: Pratiwi SUT, HandayaniTT. Attenuation of Pseudomonas aeruginosa Virulence by Some Indonesian Medicinal Plants Ethanolic Extract. Pharmacog J. 2018;10(5):983-7. CONFLICT OF INTEREST The authors declare no conflict of interest. REFERENCES 1. Waters CM, Bassler BL. Quorum Sensing: Cell-to Cell Communication in Bacteria. Annu Rev Cell Dev Biol. 2005;21:319-46. 2.  Albuquerque P, Casadevall A. Quorum Sensing in Fungi - A Review. Med Mycol. 2012;50(4):337-45. 3.  McClean KH, Winson MK, Fish L, Taylor A, Chhabra SR, Camara M, et al. Quorum Sensing and Chromobacterium violaceum: Exploitation of Violacein Production for The Detection of N-Acylhomoserine Lactones. Microbiol. 1997; 143(12):3703-11. 4.  Eberl L, Molin S, Givskov M. Surface Motility of Serratia liquefaciens MG1. 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J Sensors. 2013;13(11):14558-69. GRAPHICAL ABSTRACT SUMMARY •  Quorum sensing is a process of cell to cell communication in bacteria mediated by a small diffusible molecule called auto inducers. Quorum sensing regulate bacterial cell activities in order to be able to survive in the environment. Among the many activities controlled by quorum sensing is the expression of virulence factors by pathogenic bacteria.Targeting the quorum sensing system by interruption of bacte- rial communication, instead of killing bacteria, is an example of an antipathogenic effect and it may also give a solution to the emergence of bacterial resistance to current antibiotics.This research aimed to evaluate anti-QS activity of some Indone- sian medicinal plants ethanol extract against QS-mediated virulence factors in P. ae- ruginosa. Our result showed that ethanolic extract of T. catappa leaves and A. alitilis flower capable to inhibit P. aeruginosa motility as well as pyocyanin production and biofilm formation. Both extracts also showed capability in reducing LasA protease pro- duction. We conclude that the ethanol extract from T. catappa leaves and A.alitilis flower are an interesting sources of innovative plant derived anti-quorum sensing agents, thus can be used in the development of new antipathogenic drug. Sylvia UtamiTunjung Pratiwi is a lecturer at Dept. of Pharmaceutical Biology, Faculty of Pharmacy, Gadjah Mada University. Her research focused on biofilm, antimicrobial resistance and finding novel compound(s) with anti- pathogenicity activity or high activity against biofilm ABOUT AUTHORS Titik Tri Handayani is a laboratory staff at microbiology Laboratory, Dept. of Pharmaceutical Biology, Faculty of Pharmacy, Gadjah Mada University.