Research Article | | Peer-Reviewed

Talinum fruticosum (L.) Juss. (Talinaceae), an Edible and Medicinal Plant, Enhances the Activity of Antibiotics Against Multidrug-Resistant Gram-Negative Bacteria

Received: 12 January 2026     Accepted: 2 February 2026     Published: 25 February 2026
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Abstract

The rapid acquisition of multidrug-resistant (MDR) phenotypes by bacteria creates life-threatening complications in infection control. Accordingly, this study aims to investigate the antibacterial activity of the methanol extract of Talinum fruticosum leaves and its interaction effects with antibiotics against MDR Gram-negative bacteria. The broth microdilution method was used to evaluate the antibacterial activity and antibiotic-resistance modulation effects of the extract. The interaction between antibiotics and T. fruticosum leaf extract (TFLE) was conducted using the checkerboard assay. Phytochemical screening was assessed using standardized qualitative tests. TFLE displayed low antibacterial activity, with MICs ranging from 512 to 2048 µg/mL against the tested bacteria. Interestingly, TFLE at its subinhibitory concentration (MIC/8) enhanced the efficacy of antibiotics by 2-to 64-fold, particularly tetracycline, doxycycline, imipenem, kanamycin, and ciprofloxacin, against at least one of the examined MDR bacteria. In addition, TFLE displayed a synergistic effect (ƩFIC < 0.5) with kanamycin and doxycycline against K. pneumoniae K2 and E. aerogenes EA298. The phytochemical screening indicated that TFLE contained flavonoids, saponins, tannins, terpenoids, phenols, and anthocyanins. Overall, this study shows that T. fruticosum leaf extract could be used in combination with commonly used antibiotics to fight infections involving MDR bacteria. Therefore, further studies are needed to identify in this plant a likely nontoxic antibiotic modulator.

Published in Journal of Diseases and Medicinal Plants (Volume 12, Issue 1)
DOI 10.11648/j.jdmp.20261201.12
Page(s) 11-19
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2026. Published by Science Publishing Group

Keywords

Talinum fruticosum, Gram-Negative Bacteria, Multidrug-Resistance, Antibacterial, Synergy

1. Introduction
Multidrug-resistant (MDR) bacteria pose a significant challenge to the global health system, particularly affecting low- and middle-income countries . In fact, the swift acquisition of the MDR phenotypes enables bacteria to evade routinely used antibiotics, hence resulting in life-threatening difficulties in infection management . Antimicrobial resistance (AMR) is projected to result in 10 million annual deaths and economic losses exceeding 100 trillion dollars by 2050 . Gram-negative bacteria, including Enterobacteriaceae (Escherichia coli, Klebsiella pneumoniae, and Enterobacter aerogenes) and Pseudomonas aeruginosa, are particularly worrisome as they are becoming resistant to practically all known antibiotic treatments . This is mainly due to the overexpression of efflux pumps belonging to the Resistance Nodulation Cell Division (RND) family, respectively, the AcrAB-TolC and MexAB-OprM . Tackling this issue appears as a global health challenge.
Several developing countries use medicinal plants as a first response to certain diseases, including bacterial infections . Their characteristics, including bioavailability, target specificity, and microbial metabolism, have demonstrated their capacity to enhance the antibiotic drug discovery pipelines . The discovery of new chemical scaffolds from plants, together with their use in combination with traditional antibiotics, has emerged as a viable strategy for managing infections . Research has shown that plant extracts exhibit remarkable activity against microbes, including Gram-negative MDR bacteria, both alone and in conjunction with antibiotics .
Talinum fruticosum (L.) Juss, commonly called “waterleaf” in Cameroon, is a plant belonging to the Talinaceae family. It is an edible leafy vegetable with high nutritional and medicinal properties . In traditional medicine, T. fruticosum has been used to manage obesity, diabetes, stroke, gastrointestinal disorders, cancer, wounds, and measles . Leaf and root extracts of waterleaf are used to cure asthma, kidney disorders, gout, and rheumatoid arthritis . Moreover, this plant is used to treat diarrhoea and respiratory infections in Nigeria . The plant contains various phytoconstituents belonging to flavonoids and lignans, alkaloids, tannins, saponins, and benzoic acid derivatives, which are known for their wide range of pharmacological effects . Previous studies have demonstrated that T. fruticosum has antioxidant , anti-inflammatory , antidiabetic , neuroprotective , anticancer , and many other pharmacological activities . Furthermore, the antibacterial activity of the silver nanoparticles synthesized using the aqueous leaf extract of this plant was shown by the agar well diffusion method . This study aimed to evaluate the antibacterial activity of the methanol extract of Talinum fruticosum leaves and its interaction effects with antibiotics against MDR Gram-negative bacteria.
2. Materials and Methods
2.1. Plant Material and Extraction
Leaves of Talinum fruticosum were harvested in January 2023 in Dschang, Menoua Division, West Region of Cameroon. The plant was identified at the National Herbarium of Cameroon in Yaoundé under the reference number 630774/HNC. These leaves were cleaned, dried away from sunlight, and subsequently crushed. The obtained powder was soaked in 95% methanol at room temperature for 48 hours, with continuous stirring. Following this, the mixture was filtered through Whatman filter paper No. 1, and the filtrate was concentrated at 65°C under reduced pressure using a rotary evaporator (BÜCHI R-200). The crude extract was then collected, dried in an oven at 40°C, and stored at 4°C for future use.
2.2. Preliminary Phytochemical Screening
T. fruticosum leaf extract (TFLE) was subjected to a phytochemical screening to identify key secondary metabolites such as alkaloids, anthocyanins, flavonoids, phenols, saponins, tannins, and terpenoids. This screening was conducted using well-established phytochemical tests . The tests primarily relied on observing changes in colour or the formation of a precipitate.
2.3. Chemicals for Antibacterial Assays
Nine frequently used antibiotics, comprising chloramphenicol, tetracycline, doxycycline, kanamycin, ciprofloxacin, streptomycin, vancomycin, ceftriaxone, imipenem, and ampicillin (Sigma-Aldrich, St. Quentin Fallavier, France) were employed. p-Iodonitrotetrazolium chloride (INT) 0.2% (Loba Chemie, Mumbai, India) was the bacterial growth indicator. Dimethyl sulfoxide (BDH Chemicals Ltd, Poole, England) was used to dissolve the crude extract.
2.4. Microbial Strains and Culture Conditions
The Gram-negative bacteria tested included both reference strains and clinical isolates of Escherichia coli (ATCC 10536, AG100, and AG102), Klebsiella pneumoniae (ATCC 11296, KP2, and KP55), Enterobacter aerogenes (EA3, EA298, and EA27), and Pseudomonas aeruginosa (ATCC 27853, PA01, and PA124). Their antibiotic resistance features were previously reported and can also be found as supporting information (Table S1, Supplementary material). The microbial culture and antibacterial assays were conducted using Mueller-Hinton agar and Mueller-Hinton broth (Accumix, India), respectively.
2.5. Determination of Minimal Inhibitory and Minimal Bactericidal Concentrations
The minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of TFLE were determined by the microdilution method using INT calorimetric assays . Briefly, the tested samples were first dissolved in DMSO/MHB. The resulting solution was then added to MHB and serially diluted twice (in a 96-well microplate), followed by the addition of 100 µL of inoculum (2×106 CFU/mL) to each well. The final concentrations of extracts and chloramphenicol (reference antibacterial) ranged from 2048 to 16 µg/mL and from 64 to 0.5 µg/mL, respectively. Wells containing DMSO 2.5%+MHB and those with MHB alone were utilized as negative controls, while those containing bacterial inoculum served as a growth control. The MIC for each sample was defined as the lowest concentration that completely inhibited bacterial growth, indicated by the absence of pink color in the wells. In contrast, the MBC was determined as the lowest concentration of the samples that showed no coloration after an additional 48 h of incubation and the addition of INT . The antibacterial efficacy of TFLE was interpreted according to the latest MIC cut-off values. For Enterobacteriaceae, they were defined as follows: outstanding activity (MIC ≤ 8 µg/mL), excellent activity (8 < MIC ≤ 64 µg/mL), very good activity (64 < MIC ≤ 128 µg/mL), good activity (128 < MIC ≤ 256 µg/mL), average activity (256 < MIC ≤ 512 µg/mL), weak activity (512 < MIC ≤ 1024 μg/mL), and not active (MIC >1024 μg/mL) . For Pseudomonas aeruginosa, they were defined as follows: outstanding activity (MIC ≤ 32 µg/mL), excellent activity (32 < MIC ≤ 128 µg/mL), very good activity (128 < MIC ≤ 256 µg/mL), good activity (256 < MIC ≤ 512 µg/mL), average activity (512 < MIC ≤ 1024 µg/mL), weak activity or not active (MIC >1024 μg/mL) . Each assay was done in duplicate and repeated three times.
2.6. Modulation Assay
To evaluate the antibiotic-resistance modulation effects of TFLE, the MICs of antibiotics were determined alone and in the presence of plant extracts using the liquid microdilution method as previously described . Briefly, after a serial dilution of antibiotics, the plant extract at its sub-inhibitory concentration (MIC/8) was introduced to each well. Thereafter, the inoculum was added to the wells, and the MICs were assessed as previously described. The modulation factor (MF) was determined as the ratio of the MIC of the antibiotic alone to that of the antibiotic in the presence of the extract. MF ≥ 2 was set as the threshold for the biological significance of antibiotic potentiation effects . All experiments were conducted in triplicate.
2.7. Checkerboard Essay
The interactions involving antibiotics and TFLE were examined using the checkerboard broth microdilution technique as previously described . Briefly, the antibiotic was diluted along the x-axis, while the extract was diluted along the y-axis. Thereafter, inoculum (2×106 CFU/mL of bacteria) was introduced into the wells, and the plates were incubated for 18 hours at 37°C, followed by MIC detection as described above. The fractional inhibitory concentration index (∑FIC) was determined by the formula: ∑FIC = FIC of extract + FIC of antibiotic, where FIC of extract = MIC of extract in combination/MIC of extract alone and FIC of antibiotic = MIC of antibiotic in combination/MIC of antibiotic alone. The results were interpreted as: synergy (ƩFIC ≤ 0.5); additivity (0.5 < ƩFIC ≤ 1); indifference (ƩFIC ˃1 to 2); and antagonism (ƩFIC > 2) . All experiments were done in triplicate.
3. Results
3.1. Qualitative Chemical Composition of TFLE
T. fruticosum leaf extract was subjected to phytochemical screening to identify the main classes of secondary metabolites present. It was found that, except alkaloids, this extract contained all the other classes of secondary metabolites sought in this study, namely flavonoids, saponins, tannins, terpenoids, phenols, and anthocyanins (Table 1).
Table 1. Qualitative chemical composition of T. fruticosum leaf extract.

Phytochemical classes

T. fruticosum leaf extract

Terpenoids

+

Saponins

+

Alkaloids

-

Phenols

+

Flavonoids

+

Tannins

+

Anthocyanins

+

(+): present; (-): absent.
3.2. In vitro Antibacterial Activity
The antibacterial activity of TFLE was assessed by determining its MIC and MBC against Gram-negative bacteria, including multi-resistant clinical isolates. The results showed that MIC of TFLE ranged from 512 to 2048 µg/mL and that for chloramphenicol (reference drug) from 4 to 256 µg/mL (Table 2).
Table 2. MIC and MBC (in μg/mL) of T. fruticusum leaf extract and chloramphenicol against Gram-negative bacteria.

Bacteria

T. fruticusum

Chloramphenicol

MIC

MBC

MIC

MBC

E. coli

ATCC 10536

1024

2048

4

16

AG100

8

16

AG102

512

64

>256

K. pneumoniae

ATCC 11296

4

32

KP2

2048

16

256

KP55

64

>256

E. aerogenes

EA3

64

>256

EA27

2048

8

64

EA298

64

256

P. aeruginosa

ATCC 27853

2048

8

64

PA01

8

32

PA124

32

>256

MIC: minimum inhibitory concentration; MBC: minimum bactericidal concentration; —: >2048 μg/mL.
3.3. Antibiotic-Resistance Modulation Effects
The antibiotics were tested in the presence of TFLE at its sub-inhibitory MIC/8 concentration against seven (07) MDR isolates, including E. coli (AG100 and AG102), P. aeruginosa (PA121 and PA124), K. pneumoniae (K2 and KP55), and E. aerogenes EA298. The results showed that TFLE (MIC/8) enhanced 2- to 64-fold the activity of the tested antibiotics against at least one of the MDR bacteria. It enhanced the activity of tetracycline on 85.71% (6/7); doxycycline and imipenem on 71.43% (5/7), and kanamycin and ciprofloxacin on 57.14% (4/7) of the tested isolates. Furthermore, the highest modulation factors (MF) were obtained with kanamycin and doxycycline (4 ≤ MF ≤ 64) (Table 3).
Table 3. Antibiotic-resistance modulation effects of Talinum fruticusum leaf extract against selected MDR bacteria.

Antibiotic

TFLE

Tested MDR bacteria, MIC (µg /mL), and modulation factor (in brackets)

E. coli

P. aeruginosa

K. pneumoniae

E. aerogenes

Modulation effect (%)

AG100

AG102

PA121

PA124

K2

KP55

EA298

Kanamycin

0

<2

128

<2

8

>256

4

>256

MIC/8

<2 (na)

2 (64)

<2 (na)

2 (4)

64 (>4)

4 (1)

32 (>4)

57.14

Ciprofloxacin

0

16

<0.25

0.5

>32

2

0.25

2

MIC/8

4 (4)

<0.25 (na)

0.25 (2)

16 (>2)

2 (1)

0.25 (1)

0.25 (4)

57.14

Streptomycin

0

32

4

128

32

4

<2

16

MIC/8

8 (4)

4 (1)

64 (2)

16 (2)

4 (1)

<2 (na)

16 (1)

42.86

Tetracycline

0

32

64

128

32

128

256

128

MIC/8

8 (4)

32 (2)

64 (2)

16 (2)

64 (2)

256 (1)

16 (8)

85.71

Doxycyclin

0

128

16

128

64

64

128

64

MIC/8

64 (2)

4 (4)

128 (1)

2 (32)

8 (8)

128 (1)

4 (8)

71.43

Ampicillin

0

>256

>256

>256

256

>256

>256

>256

MIC/8

128 (>2)

128 (>2)

256 (>1)

16 (16)

>256 (na)

>256 (na)

>256 (na)

42.86

Ceftriaxone

0

8

64

64

64

128

64

64

MIC/8

4 (2)

64 (1)

64 (1)

32 (2)

32 (4)

256 (0.25)

64 (1)

42.86

Imipenem

0

64

64

32

32

32

64

32

MIC/8

16 (4)

32 (2)

128 (0.25)

8 (4)

16 (2)

32 (2)

64 (0.5)

71.43

Vancomycin

0

64

>256

>256

256

>256

128

>256

MIC/8

8 (8)

>256 (na)

>256 (na)

128 (2)

256 (>1)

64 (2)

256 (>1)

42.86

TFLE: Talinum fruticusum leaf extract; MIC: Minimum inhibitory concentration; na: not applicable; Bold values represent modulation factors ≥ 2.
3.4. Interaction Effects Between Antibiotics and TFLE
The results of the interactions between antibiotics and TFLE against selected MDR bacteria showed that TFLE displayed synergy effects (ƩFIC < 0.5) with kanamycin and doxycycline against K. pneumoniae K2 and E. aerogenes EA298. Moreover, additive effects (0.5 < ƩFIC ≤ 1) were observed for the combination of TFLE with these antibiotics against E. coli AG102. No antagonist was observed for the tested combination (Table 4).
Table 4. Interaction effects between antibiotics and TFLE against selected MDR bacteria.

Antibiotic

Bacteria

Fractional inhibitory concentration

ƩFIC

Interpretation

Antibiotic

Extract

Kanamycin

K. pneumoniae K2

0.25

0.125

0.32

Synergy

E. aerogenes EA298

0.25

0.06

0.31

Synergy

E. coli AG102

0.5

0.03

0.53

Additivity

Doxycyclin

K. pneumoniae K2

0, 03

0.25

0.28

Synergy

E. aerogenes EA298

0.01

0.12

0.13

Synergy

E. coli AG102

0.03

0.5

0.53

Additivity

ƩFIC: Fractional Inhibitory concentration index.
4. Discussion
MDR bacteria have emerged as a significant global health issue . Consequently, it is imperative to find alternatives for the successful management of infections caused by MDR bacteria. Plants have diverse chemical structures and mechanisms of action, which may be valuable in developing new treatments against resistant infections. Many phytochemicals have demonstrated their potential as antimicrobial agents or modulators of conventional antibiotics . So, this study aimed at investigating the antibacterial activity of the methanol extract of Talinum fruticosum leaves and its interaction effects with antibiotics against MDR Gram-negative bacteria. The satisfying medicinal properties of herbal medicinal plants, such as their antimicrobial properties, are due to their secondary metabolites, such as phenols, terpenoids, alkaloids, flavonoids, monoterpenes, etc. . In this study, we found that the tested extract contained these metabolite classes except alkaloids. A previous study identified alkaloids such as theophylline and ellipticine in this plant . This absence may be due to the low sensitivity of the qualitative test used, which is not able to detect very low amounts of metabolites.
Based on the MIC cut-off values established by Kuete for Enterobacteriaceae, and by Tankeo et Kuete for P. aeruginosa, the TFLE was not active on the tested gram-negative bacteria except E. coli AG102 and ATCC10536, on which it presented average (256 < MIC ≤ 512 µg/mL) and weak activities (512 < MIC ≤ 1024 μg/mL), respectively. The resistance feature of the studied bacterial strains or a possible low quantity of bioactive ingredients in the extract could explain the lack or poor activity of this extract. In fact, it is commonly known that a plant extract's activity is influenced by the amounts of bioactive components it contains as well as any potential interactions with other constituents . To the best of our knowledge, no study has been carried out on the extract of T. fruticosum against MDR gram-negative bacteria. Therefore, Ojo et al. revealed low antimicrobial activity of silver nanoparticles from T. fruticosum against C. albicans, E. coli, and S. aureus, with zones of inhibition of 2.35 ± 0.64 mm for S. aureus, 2.55 ± 0.64 mm for E. coli, and 1.65 ±0.07 for Candida albicans. Similarly, the silver nanoparticles synthesized using its aqueous leaf extract showed antimicrobial properties against some Gram-positive (S. aureus and Bacillus subtilis), Gram-negative (Escherichia coli, Salmonella typhi) bacteria, as well as the fungus Candida albicans . This is in accordance with the findings obtained in this work.
Reversing resistance to counter antimicrobial resistance in the WHO’s critical priority list of most dangerous pathogens appears today as one of the strategies to solve the problem of bacteria's resistance . It was demonstrated that various phytochemicals can function as adjuvants by enhancing the effectiveness of antibacterials . In this study, it was found that T. fruticusum leaf extract enhanced the activity of the tested antibiotics, especially tetracycline, doxycycline, imipenem, kanamycin, and ciprofloxacin against the tested MDR bacteria. Knowing the MDR feature of the tested bacteria, this finding suggests that some compounds present in this extract might act as inhibitors by blocking the resistance mechanisms, such as efflux pumps . Several studies have shown that flavonoids and triterpenes could potentiate the activity of antibiotics against resistant bacteria. So, this potentiating activity could be attributed to the presence of flavonoids and terpenoids found in the tested extract. Additionally, this extract showed synergy with doxycycline and kanamycin. This suggests that its phytochemicals may act on different bacterial targets than the tested antibiotics. So, the possible modes of action of TFLE may include alteration in pH, DNA fragmentation, inhibition of bacterial gene expression, ion binding, free radical formation, etc. .
5. Conclusion
Globally, this study suggested that T. fruticosum leaf methanol extract in combination with antibiotics could lead to the development of new treatment options for infections caused by MDR bacteria. Future research regarding the identification of a prospective nontoxic antibiotic modulator should be done. As T. fruticosum is currently used in many parts of the world as an edible plant, we can encourage its consumption as a complementary medicine in patients suffering from infections due to MDR bacteria. Therefore, the toxicity and in vivo studies of this extract should be envisaged.
Abbreviations

AMR

Antimicrobial Resistance

DMSO

Dimethyl Sulfoxide

FIC

Fractional Inhibitory Concentration

INT

p-Iodonitrotetrazolium Chloride

MBC

Minimum Bactericidal Concentration

MDR

Multidrug-Resistant

MF

Modulation Factor

MHB

Mueller-Hinton Broth

MIC

Minimum Inhibitory Concentration

RND

Resistance Nodulation Cell Division

TFLE

Talinum fruticosum Leaf Extract

Acknowledgments
The authors thank the National Herbarium of Cameroon, Yaoundé, Cameroon, for the identification of this plant.
Author Contributions
Aimé Gabriel Fankam: Conceptualization, Data curation, Methodology, Resources, Supervision, Validation, Writing – original draft, Writing – review & editing
Varelle Lambou Diffo: Investigation, Methodology, Resources, Writing – review & editing
Richard Mouozong: Investigation, Writing – review & editing
Valaire Yemene Matieta: Investigation, Writing – review & editing
Fabrice Junior Megaptche: Investigation, Writing – review & editing
Victor Kuete: Resources, Writing – review & editing
Funding
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Data Availability Statement
The data supporting the findings of this study are available within the article.
Conflicts of Interest
The authors report no conflicts of interest.
Supplementary Material

Below is the link to the supplementary material:

Supplementary Material 1

References
[1] Sulis G, Sayood S, Gandra S. Antimicrobial resistance in low- and middle-income countries: current status and future directions. Expert Rev Anti Infect Ther. 2022; 20(2): 147-60.
[2] Wright GD. Molecular mechanisms of antibiotic resistance. Chem Commun (Camb). 2011; 47(14): 4055-61.
[3] Blair JM, Webber MA, Baylay AJ, Ogbolu DO, Piddock LJ. Molecular mechanisms of antibiotic resistance. Nat Rev Microbiol. 2015; 13(1): 42-51.
[4] O’Neill J. Review on Antimicrobial Resistance. Tackling drug resistant infections globally: final report and recommendations. UK: HM Government and Welcome Trust. 2016.
[5] Rossolini GM, Arena F, Pecile P, Pollini S. Update on the antibiotic resistance crisis. Curr Opin Pharmacol. 2014; 18: 56-60.
[6] Golkar Z, Bagasra O, Pace DG. Bacteriophage therapy: a potential solution for the antibiotic resistance crisis. J Infect Dev Ctries 2014; 8(2): 129-36.
[7] Li XZ, Poole K, Nikaido H. Contributions of MexAB-OprM and an EmrE homolog to intrinsic resistance of Pseudomonas aeruginosa to aminoglycosides and dyes. Antimicrob Agents Chemother. 2003; 47(1): 27-33.
[8] Kuete V, Ngameni B, Tangmouo JG, Bolla JM, Alibert-Franco S, Ngadjui BT, Pagès JM. Efflux pumps are involved in the defense of Gram-negative bacteria against the natural products isobavachalcone and diospyrone. Antimicrob Agents Chemother. 2010; 54(5): 1749-52.
[9] Kim HS. Do not put too much value on conventional medicines. J Ethnopharmacol. 2005; 100(1-2): 37-9.
[10] Rossiter SE, Fletcher MH, Wuest WM. Natural Products as Platforms To Overcome Antibiotic Resistance. Chem Rev. 2017; 117(19): 12415-12474.
[11] Porras G, Chassagne F, Lyles JT, Marquez L, Dettweiler M, Salam AM, Samarakoon T, Shabih S, Farrokhi DR, Quave CL. Ethnobotany and the Role of Plant Natural Products in Antibiotic Drug Discovery. Chem Rev. 2021; 121(6): 3495-3560.
[12] Tyers M, Wright GD. Drug combinations: a strategy to extend the life of antibiotics in the 21st century. Nat Rev Microbiol. 2019; 17(3): 141-55.
[13] Tankeo SB, Lacmata ST, Noumedem JA, Dzoyem JP, Kuiate JR, Kuete V. Antibacterial and antibiotic-potentiation activities of some Cameroonian food plants against multi-drug resistant gram-negative bacteria. Chin J Integr Med. 2014; 20(7): 546-54.
[14] Fankam AG, Kuiate JR, Kuete V. Antibacterial and antibiotic resistance-modifying activity of the extracts from Allanblackia gabonensis, Combretum molle and Gladiolus quartinianus against Gram-negative bacteria, including multi-drug resistant phenotypes. BMC Complement Altern Med. 2015; 15: 206.
[15] Ngakam R, Matieta VY, Kengne Fonkou G, Mapie Tiwa S, Megaptche JF, Nayim P, Mbaveng AT, Kuete V. Antibacterial potential and modes of action of methanol extracts of flowers and leaves of Vernonia glabra (Steetz) Vatke (Asteraceae) against multidrug-resistant Gram-negative bacteria overexpressing efflux pumps. Invest Med Chem Pharmacol. 2024; 7(1): 87.
[16] Swarna J, Ravindhran R. Pharmacognostical and phytochemical evaluation of Talinum triangulare (Jacq.) Willd. Int J Pharm Pharm Sci. 2013; 5(2): 249-256.
[17] Barman D, Puro KN, Boruah JL, Kumar D, Medhi K, Mazumder B, Baishya R. Talinum triangulare (Jacq.) Willd: A review of its traditional uses, phytochemistry, and pharmacology, along with network pharmacology analysis of its components and targets. Food Chem Adv. 2025; 5: 100768.
[18] John NAA, Shobana G. Anti-inflammatory activity of Talinum fruticosum l. on formalin-induced paw edema in albino rats. J App Pharm Sci. 2012; 02(01): 123-7.
[19] Oguntona T. Green Leafy Vegetables. In: Nutritional Quality of Plant Food, [Osagie, A. U. and O. U. Eka (Eds.)]. Ambik Press. 1998, p. 120-33.
[20] Offiah NV, Makama S, Elisha IL, Makoshi MS, Gotep JG, Dawurung CJ, Oladipo OO, Lohlum AS, Shamaki D. Ethnobotanical survey of medicinal plants used in the treatment of animal diarrhoea in Plateau State, Nigeria. BMC Vet Res. 2011; 7: 36.
[21] Bioltif YE. Review on the Medicinal Potentials of Waterleaf (Talinum triangulare). Mediterr J Basic appl Sci 2020; 4(2): 01-07.
[22] Liang D, Zhou Q, Gong W, Wang Y, Nie Z, He H, Li J, Wu J, Wu C, Zhang J. Studies on the antioxidant and hepatoprotective activities of polysaccharides from Talinum triangulare. J Ethnopharmacol 2011; 136(2): 316-21.
[23] Esho BA, Samuel B, Akinwunmi KF, Oluyemi WM. Membrane stabilization and inhibition of protein denaturation as mechanisms of the Anti-inflammatory activity of some plant species. Trends Pharmacol Sci 2021: 7(4): 269-278.
[24] Oluba OM, Adebiyi FD, Dada AA, Ajayi AA, Adebisi KE, Josiah SJ, Odutuga AA. Effects of Talinum triangulare leaf flavonoid extract on streptozotocin-induced hyperglycemia and associated complications in rats. Food Sci Nutr. 2018 Oct 11; 7(2): 385-394.
[25] Ebuehi, OA, Ajagun-Ogunleye MO. Neurochemical impact of the aqueous extract of Vernonia amygdalina and Talinum triangulare on learning and memory in male Wistar rats. Int J Brain Cogn Sci. 2017; 6(5): 81-8.
[26] Ranjan A, Ramachandran S, Gupta N, Kaushik I, Wright S, Srivastava S, Das H, Srivastava S, Prasad S, Srivastava SK. Role of Phytochemicals in Cancer Prevention. Int J Mol Sci 2019; 20(20): 4981.
[27] Ojo OA, Oyinloye BE, Ojo AB, Afolabi OB, Peters OA., Olaiya O. et al. Green synthesis of silver nanoparticles (AgNPs) using Talinum triangulare (Jacq.) Willd. Leaf extract and monitoring their antimicrobial activity. J Bionanosci. 2017; 11: 292-296.
[28] Elemike EE, Onwudiwe DC, Fayemi OE, Ekennia AC, Ebenso EE, Tiedt LR. Biosynthesis, electrochemical, antimicrobial and antioxidant studies of silver nanoparticles mediated by Talinum triangulare aqueous leaf extract. J Clust Sci 2017; 28: 309-330.
[29] Tiwari P, Kumar B, Kaur M, Kaur G, Kaur H. Phytochemical screening and extraction: a review. Int Pharm Sci. 2011; 1(1): 98-106.
[30] Kuete V. Medicinal Plant Research in Africa: Pharmacology and Chemistry In: Pharmacology and Chemistry. Edited by Kuete V, 1 Ed. Oxford: Elsevier. 2013.
[31] Voukeng IK, Kuete V, Dzoyem JP, Fankam AG, Noumedem JA, Kuiate JR, Pages JM. Antibacterial and antibiotic-potentiation activities of the methanol extract of some Cameroonian spices against Gram-negative multi-drug resistant phenotypes. BMC Res Notes. 2012; 5: 299.
[32] Seukep JA, Sandjo LP, Ngadjui BT, Kuete V. Antibacterial and antibiotic-resistance modifying activity of the extracts and compounds from Nauclea pobeguinii against Gram-negative multi-drug resistant phenotypes. BMC Complement Altern Med. 2016; 16: 193.
[33] Eloff JN. A sensitive and quick microplate method to determine the minimal inhibitory concentration of plant extracts for bacteria. Planta Med. 1998; 64(8): 711-713.
[34] Kuete V, Ngameni B, Simo CC, Tankeu RK, Ngadjui BT, Meyer JJ, Lall N, Kuiate JR. Antimicrobial activity of the crude extracts and compounds from Ficus chlamydocarpa and Ficus cordata (Moraceae). J Ethnopharmacol. 2008; 120(1): 17-24.
[35] Kuete V. Potential of African medicinal plants against Enterobacteria: Classification of plants antibacterial agents. In: African Flora to Fight Bacterial Resistance, Part I: Standards for the Activity of Plant-Derived Products. Ed; Kuete V. Advances in Botanical Research. 106(1): 151-335.
[36] Tankeo SB, Kuete V. 2023. Chapter Seven - African plants acting on Pseudomonas aeruginosa: Cut-off points for the antipseudomonal agents from plants. Adv Bot Res 2023; 106: p.337-412.
[37] Fankam AG, Kuiate JR, Kuete V. Antibacterial and antibiotic resistance modulatory activities of leaves and bark extracts of Recinodindron heudelotii (Euphorbiaceae) against multidrug-resistant Gram-negative bacteria. BMC Complement Altern Med. 2017; 17(1): 168.
[38] Prasch S, Duran AG, Chinchilla N, Molinillo JM, Macías FA, Bucar F. Resistance modulatory and efflux-inhibitory activities of capsaicinoids and capsinoids. Bioorg Chem. 2019; 82: 378-84.
[39] Daly SM, Sturge CR, Greenberg DE. Inhibition of Bacterial Growth by Peptide-Conjugated Morpholino Oligomers. In: Moulton, H., Moulton, J. (eds) Morpholino Oligomers. Methods in Molecular Biology, vol 1565. Humana Press, New York, NY, 2017.
[40] European Committee for Antimicrobial Susceptibility Testing (EUCAST) of the European Society of Clinical Microbiology and Infectious Dieases (ESCMID). EUCAST Definitive Document E.Def 1.2, May 2000: Terminology relating to methods for the determination of susceptibility of bacteria to antimicrobial agents. Clin Microbiol Infect. 2000; 6(9): 503-8.
[41] Venter H. Reversing resistance to counter antimicrobial resistance in the World Health Organisation's critical priority of most dangerous pathogens. Biosci Rep. 2019; 39(4): BSR20180474.
[42] Khare T, Anand U, Dey A, Assaraf YG, Chen ZS, Liu Z, Kumar V. Exploring Phytochemicals for Combating Antibiotic Resistance in Microbial Pathogens. Front Pharmacol. 2021; 12: 720726.
[43] Molyneux RJ, Lee ST, Gardner DR, Panter KE, James LF. Phytochemicals: the good, the bad and the ugly? Phytochemistry. 2007; 68(22-24): 2973-85.
[44] Ikewuchi CC, Ikewuchi JC, Ifeanacho MO. Bioactive phytochemicals in an aqueous extract of the leaves of Talinum triangulare. Food Sci Nutr. 2016; 5(3): 696-701.
[45] Vauzour D. Dietary polyphenols as modulators of brain functions: biological actions and molecular mechanisms underpinning their beneficial effects. Oxid Med Cell Longev. 2012; 2012: 914273.
[46] González-Bello C. Antibiotic adjuvants - A strategy to unlock bacterial resistance to antibiotics. Bioorg Med Chem Lett. 2017; 27(18): 4221-4228.
[47] Veras HN, Rodrigues FF, Colares AV, Menezes IR, Coutinho HD, Botelho MA, Costa JG. Synergistic antibiotic activity of volatile compounds from the essential oil of Lippia sidoides and thymol. Fitoterapia. 2012; 83(3): 508-12.
[48] Waditzer M, Bucar F. Flavonoids as Inhibitors of Bacterial Efflux Pumps. Molecules. 2021; 26(22): 6904.
[49] Sharma A, Biharee A, Kumar A, Jaitak V. Antimicrobial Terpenoids as a Potential Substitute in Overcoming Antimicrobial Resistance. Curr Drug Targets. 2020; 21(14): 1476-94.
[50] Dias KJSO, Miranda GM, Bessa JR, Araújo ACJ, Freitas PR, Almeida RS, Paulo CLR, Neto JBA, Coutinho HDM, Ribeiro-Filho J. Terpenes as bacterial efflux pump inhibitors: A systematic review. Front Pharmacol. 2022; 13: 953982.
[51] Suganya T, Packiavathy IASV, Aseervatham GSB, Carmona A, Rashmi V, Mariappan S, Devi NR, Ananth DA. Tackling Multiple-Drug-Resistant Bacteria with Conventional and Complex Phytochemicals. Front Cell Infect Microbiol. 2022; 12: 883839.
Cite This Article
  • APA Style

    Fankam, A. G., Diffo, V. L., Mouozong, R., Matieta, V. Y., Megaptche, F. J., et al. (2026). Talinum fruticosum (L.) Juss. (Talinaceae), an Edible and Medicinal Plant, Enhances the Activity of Antibiotics Against Multidrug-Resistant Gram-Negative Bacteria. Journal of Diseases and Medicinal Plants, 12(1), 11-19. https://doi.org/10.11648/j.jdmp.20261201.12

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    ACS Style

    Fankam, A. G.; Diffo, V. L.; Mouozong, R.; Matieta, V. Y.; Megaptche, F. J., et al. Talinum fruticosum (L.) Juss. (Talinaceae), an Edible and Medicinal Plant, Enhances the Activity of Antibiotics Against Multidrug-Resistant Gram-Negative Bacteria. J. Dis. Med. Plants 2026, 12(1), 11-19. doi: 10.11648/j.jdmp.20261201.12

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    AMA Style

    Fankam AG, Diffo VL, Mouozong R, Matieta VY, Megaptche FJ, et al. Talinum fruticosum (L.) Juss. (Talinaceae), an Edible and Medicinal Plant, Enhances the Activity of Antibiotics Against Multidrug-Resistant Gram-Negative Bacteria. J Dis Med Plants. 2026;12(1):11-19. doi: 10.11648/j.jdmp.20261201.12

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  • @article{10.11648/j.jdmp.20261201.12,
      author = {Aimé Gabriel Fankam and Varelle Lambou Diffo and Richard Mouozong and Valaire Yemene Matieta and Fabrice Junior Megaptche and Victor Kuete},
      title = {Talinum fruticosum (L.) Juss. (Talinaceae), an Edible and Medicinal Plant, Enhances the Activity of Antibiotics Against Multidrug-Resistant Gram-Negative Bacteria},
      journal = {Journal of Diseases and Medicinal Plants},
      volume = {12},
      number = {1},
      pages = {11-19},
      doi = {10.11648/j.jdmp.20261201.12},
      url = {https://doi.org/10.11648/j.jdmp.20261201.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jdmp.20261201.12},
      abstract = {The rapid acquisition of multidrug-resistant (MDR) phenotypes by bacteria creates life-threatening complications in infection control. Accordingly, this study aims to investigate the antibacterial activity of the methanol extract of Talinum fruticosum leaves and its interaction effects with antibiotics against MDR Gram-negative bacteria. The broth microdilution method was used to evaluate the antibacterial activity and antibiotic-resistance modulation effects of the extract. The interaction between antibiotics and T. fruticosum leaf extract (TFLE) was conducted using the checkerboard assay. Phytochemical screening was assessed using standardized qualitative tests. TFLE displayed low antibacterial activity, with MICs ranging from 512 to 2048 µg/mL against the tested bacteria. Interestingly, TFLE at its subinhibitory concentration (MIC/8) enhanced the efficacy of antibiotics by 2-to 64-fold, particularly tetracycline, doxycycline, imipenem, kanamycin, and ciprofloxacin, against at least one of the examined MDR bacteria. In addition, TFLE displayed a synergistic effect (ƩFIC K. pneumoniae K2 and E. aerogenes EA298. The phytochemical screening indicated that TFLE contained flavonoids, saponins, tannins, terpenoids, phenols, and anthocyanins. Overall, this study shows that T. fruticosum leaf extract could be used in combination with commonly used antibiotics to fight infections involving MDR bacteria. Therefore, further studies are needed to identify in this plant a likely nontoxic antibiotic modulator.},
     year = {2026}
    }
    

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  • TY  - JOUR
    T1  - Talinum fruticosum (L.) Juss. (Talinaceae), an Edible and Medicinal Plant, Enhances the Activity of Antibiotics Against Multidrug-Resistant Gram-Negative Bacteria
    AU  - Aimé Gabriel Fankam
    AU  - Varelle Lambou Diffo
    AU  - Richard Mouozong
    AU  - Valaire Yemene Matieta
    AU  - Fabrice Junior Megaptche
    AU  - Victor Kuete
    Y1  - 2026/02/25
    PY  - 2026
    N1  - https://doi.org/10.11648/j.jdmp.20261201.12
    DO  - 10.11648/j.jdmp.20261201.12
    T2  - Journal of Diseases and Medicinal Plants
    JF  - Journal of Diseases and Medicinal Plants
    JO  - Journal of Diseases and Medicinal Plants
    SP  - 11
    EP  - 19
    PB  - Science Publishing Group
    SN  - 2469-8210
    UR  - https://doi.org/10.11648/j.jdmp.20261201.12
    AB  - The rapid acquisition of multidrug-resistant (MDR) phenotypes by bacteria creates life-threatening complications in infection control. Accordingly, this study aims to investigate the antibacterial activity of the methanol extract of Talinum fruticosum leaves and its interaction effects with antibiotics against MDR Gram-negative bacteria. The broth microdilution method was used to evaluate the antibacterial activity and antibiotic-resistance modulation effects of the extract. The interaction between antibiotics and T. fruticosum leaf extract (TFLE) was conducted using the checkerboard assay. Phytochemical screening was assessed using standardized qualitative tests. TFLE displayed low antibacterial activity, with MICs ranging from 512 to 2048 µg/mL against the tested bacteria. Interestingly, TFLE at its subinhibitory concentration (MIC/8) enhanced the efficacy of antibiotics by 2-to 64-fold, particularly tetracycline, doxycycline, imipenem, kanamycin, and ciprofloxacin, against at least one of the examined MDR bacteria. In addition, TFLE displayed a synergistic effect (ƩFIC K. pneumoniae K2 and E. aerogenes EA298. The phytochemical screening indicated that TFLE contained flavonoids, saponins, tannins, terpenoids, phenols, and anthocyanins. Overall, this study shows that T. fruticosum leaf extract could be used in combination with commonly used antibiotics to fight infections involving MDR bacteria. Therefore, further studies are needed to identify in this plant a likely nontoxic antibiotic modulator.
    VL  - 12
    IS  - 1
    ER  - 

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  • Abstract
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  • Document Sections

    1. 1. Introduction
    2. 2. Materials and Methods
    3. 3. Results
    4. 4. Discussion
    5. 5. Conclusion
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