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7/27/2019 Scanning Electron Microscopic study of Piper betle L. leaves extract effect against Streptococcus mutans ATCC 251
1/10
J Appl Oral ci. 37
www.scielo.br/jaos
ABTACT
canning lectron Microscopic study ofPiper betle. leaves extract effect against Streptococcusmutans ACC 2515
Zubaidah aji Abdul AIM, Nalina TAIAJA2
1- Bc ons, h, epartment of ral Biology, ental chool, niversity of Malaya, uala umpur, Malaysia.
2- Bc ons, Mc, h, C niversity, ental chool, niversity of Malaya, uala umpur, Malaysia.
Corresponding address: ubaidah j Abd ahim (h - epartment of ral Biology, aculty of entistry - niversity of Malaya, 50603 - uala umpur -
Malaysia - hone: 603-964851 - ax: 603-964536 - e-mail address: [email protected]
5HFHLYHG-XQH0RGLFDWLRQ1RYHPEHU$FFHSWHG0DUFK
ntroduction: revious studies have shown that Piper betle . leaves extract inhibitsthe adherence ofStreptococcus mutans to glass surface, suggesting its potential rolein controlling dental plaque development. bjectives: n this study, the effect of thePiper betle . extract towards S. mutans with/without sucrose) using scanning electronPLFURVFRS\ 6(0 DQGRQSDUWLDOO\SXULHG FHOODVVRFLDWHGJOXFRV\OWUDQVIHUDVHDFWLYLW\were determined. Material and Methods: S. mutans were allowed to adhere to glass beadssuspended in different Brain eart nfusion broths without sucrose; with sucrose; withoutsucrose containing the extract 2 mg m-1 and 4 mg m-1); with sucrose containing theextract 2 mg m-1 and 4 mg m-1)]. ositive control was .12% chlorhexidine. he glassbeads were later processed for M viewing. Cell surface area and appearance and, cellpopulation ofS. mutans adhering to the glass beads were determined upon viewing usingthe M. he glucosyltransferase activity with/without extract) was also determined.ne- and two-way ANA were used accordingly. esults: t was found that sucroseincreased adherence and cell surface area ofS. mutans p
7/27/2019 Scanning Electron Microscopic study of Piper betle L. leaves extract effect against Streptococcus mutans ATCC 251
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J Appl Oral ci. 38
ther plant extracts like that of Syzygium
aromat icum21 , Polygonum cusp idatum 2,
Andrographis paniculata, Cassia alata, Chinese
black tea, uava, Harrisonia perforata1, ropolis
ype 3 and cacao bean18 also have an antiadherence
effect. he adhering property could contribute to
the virulence activity of the bacteria11,12. he ability
to adhere to oral surfaces so successfully is one of
the factors that afford these bacteria a critical role
in the formation of dental plaque which, eventually
lead to oral diseases such as caries, gingivitis and
periodontitis1,13,15. n previous studies, it has been
reported that the crude aqueous extract of Piper
betle . leaves exhibit antivirulence and antibacterial
activities towards S. mutans1. t was suggested
that the antimicrobial activity is attributed to the
hydroxychavicol component of the extract25.
Streptococcus mutans has been implicated
as one of the primary causative agents of dentalcaries in human and experimental animals,19.
he bacteria after the initial colonization of the
pellicle will attach strongly to the tooth surface
by the extracellular polysaccharides ). hese
extracellular polysaccharides are synthesized by
the S. mutans in the presence of sucrose via the
enzymatic action of one or more glucosyltransferases
s). activity may represent the virulence
factor of mutans Streptococciand can be used as
an index for determining the antivirulence activity
of the extract. he presence of -isoforms B, C
and as seen under electron microscopy within alllayers of the in situ formed pelliclePD\DIUPWKHLU
VLJQLFDQWUROHLQSODTXHGHYHORSPHQW7KHUHVXOWV
obtained from previous work1 have indicated the
Piper betle . extract affects the adhering capacity
ofS. mutans via inhibition of the activity and
hence the extracellular polysaccharide formation.
his conclusion was based on biochemical and
microbiological studies. he objectives of this study
were to use scanning electron microscopy M)
to demonstrate visually the effect of the aqueous
extract of Piper betle . leaves in the presence
and absence of sucrose on the cell adherence, cell
growth and extracellular polysaccharide formation
ofS. mutans and to relate the effect of the extract
on the activity with bacterial adherence.
MATEIA AN MET
Preparation of crude aqueous extract of the
leaves ofPiper betle
he leaves ofPiper betle . were obtained from
one source in Mentakab, ahang. Crude aqueous
extract of the leaves was prepared according to
Nalina and ahim1 2). Before use the dried
pellets were weighed, dissolved and diluted to therequired concentrations using deionized distilled
ZDWHU7KLVLVIROORZHGE\OWUDWLRQXVLQJm
Q\ORQV\ULQJHOWHUV0LOLSRUHLOOHULFD0$6$
which is for sterilization process2.
Preparation of bacterial suspension
Streptococcus mutans ACC 2515 American
ype Culture Collection ACC), Manassas, A
2188, A] suspension was prepared according
to Nalina and ahim1 2). he bacterial stock
which was kept frozen in glycerol at -C before
use was thawed at room temperature to revive the
bacteria. he thawed stock was then dispersed in
3 m Brain eart nfusion B) broth xoid,
ampshire, ngland) before incubating it at 3C
for 18-2 h. he number of bacterial cells in the
suspension used in the study was standardized by
adjusting the absorbance of the bacterial suspension
spectrophotometrically 55 nm
) to .144. his
absorbance is equivalent to 1 cells m-1 23. o
ensure that only pure culture of the stock are usedin the study, the revived bacteria were consistently
tested for purity by culturing them on B plates
containing 5% blood.
EM analysis on the adherence capacity and
growth ofS. mutans
M analysis was done to determine a) the effect
of sucrose on the growth and adherence capacity
of S. mutans to glass surface and b) the effect
ofPiper betle . leaves extract on the adherence
capacity and growth of S. mutans on the glasssurface in the presence and absence of sucrose.
he adherence capacity was determined from the
bacterial cell population adhering to the surface
of glass beads and the growth from the size and
dividing appearance of the bacterial cells. he
extracellular surface appearance of bacterial cells
as viewed by M was also noted.
a) ffect of sucrose on the growth and adherence
capacity ofS. mutans to glass surface
7KHDVVD\ZDVEDVHGRQDPRGLFDWLRQRIWKH
method developed by oshima, et al.18 2).
3 m of Brain eart nfusion B) broth xoid)
containing 1% w/v) sucrose B) was pipetted
into a vial containing sterile glass beads diameter:
3 mm) Merck, armstadt, ermany). his was
followed by the addition of bacterial cell suspension
containing S. mutans equivalent to x1 cells m-
1). he mixture was then incubated at 3C in an
inclined position at an angle of 3 degrees for 18 h.
his time duration allows the bacterial cells to be in
the stationary phase. After the 18 h incubation, the
glass beads were then washed with sterile deionized
water and transferred into 1 m of glutaraldehyde
igma Aldrich Co., t. ouis, M, A) 4%) to[WKHFHOOVDQGOHIWRYHUQLJKWDW&IRUWKH6(0
analysis. M was used to view and record the cell
canning lectron Microscopic study ofPiper betle . leaves extract effect against Streptococcus mutans ATCC 27
2;9(2):3746
7/27/2019 Scanning Electron Microscopic study of Piper betle L. leaves extract effect against Streptococcus mutans ATCC 251
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J Appl Oral ci. 39
population, cell growth and extracellular surface
appearance ofS. mutans. he assay was carried
out in triplicate.
or blank control, the assay was repeated using
B without bacterial inoculation. he blank control
was to validate that the assay is devoid of bacterial
contamination. or negative control, the experiment
was repeated using B broth without sucrose.
b) ffect ofPiper betle . leaves extract on the
adherence capacity and growth ofS. mutans on the
glass surface in the i) absence and ii) presence of
1% sucrose
he assay procedure in a) was repeated with the
addition of the Piper betle extract at the respective
concentrations 2 mg. m-1 and 4 mg. m-1) to the
inoculated B broth. n the determination of i) the
effect of plant extract in the absence of sucrose, the
B broth devoid of sucrose was used and ii) the
effect of plant extract in the presence of sucrose,the B broth containing 1% sucrose was used.
terile deionized distilled water and .12%
chlorhexidine were used in place of the plant extract
for negative and positive controls respectively and
the assays were also carried out using the B
broth with or without sucrose. he beads from the
experiments were also processed for the M study.
All of the above assays were carried out in triplicates.
here were 9 beads to be viewed under M for each
experiment with the respective broths.
Preparation of the glass beads for EManalysis
7KHJODVVEHDGVWKDWKDGEHHQ[HGRYHUQLJKWLQ
glutaraldehyde were then processed for M analysis
according to the following steps. irst, the glass
beads were washed with sodium cacodylate igma
$OGULFK&REXIIHU0DWS+DQGWKHQ[HG
in 2% w/v) osmium tetroxide Merck) in the buffer
solution overnight. he next day, the beads were
gently washed in distilled water twice for 15 min and
then dehydrated in an ascending series of ethanol
B aboratories upplies; nternational,
utterworth, eicestershire, ) concentrations
1, 2, 3, 4, 5, , , 8, 9 and 95%) for
15 min for each step. ollowing this, the beads were
further dehydrated in 1% ethanol twice for 15
min and subsequently in ethanol:acetone mixture
DVIROORZVUVWO\HWKDQRODFHWRQHIRUPLQ
then ethanol:acetone 1:1) for 15 min and followed
by ethanol:acetone B) 1:3) for 15 min. inally,
the beads were treated 3 times with pure acetone
for 15 min.
he beads were then processed for critical
point drying for about 2 h. nce the beads were
completely dry, they were mounted onto metal
stubs with double sided tape and then coated with
gold. hree beads from each assay were then used
for viewing using a scanning electron microscope
hillips, indhoven, Netherlands).
etermination of the number of bacterial
cells adhering to the glass surface
he number of cells adhering to the glass surfaceon a 1 m2 area of the glass bead viewed at a
PDJQLFDWLRQRI[ZDVFDOFXODWHGDQGWKHWRWDO
number of cells was determined from an area of 1
mm2 of the glass surface. he area with high density
of bacteria cells was used in the calculation of the
number of cells igure 1). n total, 9 beads from
3 different assays per experiment were processed
and analyzed.
etermination of bacteria cell surface area
7KH EHDGVZHUHYLHZHGDWD PDJQLFDWLRQ RI
[$WWKLVPDJQLFDWLRQWKHVLHRIWKHFHOOLVPDJQLHGDQGWKXVPHDVXUHPHQWLVHDVLO\GRQH
he size of the individual adhered bacterial cell was
measured according its length ) and width ) in
PDQGH[SUHVVHGDVWKHPHDQVXUIDFHDUHD>6'
[6'@LQP2 of the total number of adhered cells
from 9 beads used in the determinations.
etermination of the appearance of the
extracellular surface
his was carried out by comparison with the
appearance of the extracellular surface ofS. mutans
adhering to hydroxyapatite beads28.
igure iagram showing the calculation for the number of bacterial cells on 100 Pm2 area in a total area of 1 mm2 of
the glass surface. The area with high density of bacteria cells was used in the calculation of the number of cells in Table 1
AIM ZA, TAIAJA N
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Preparation of partially purified cell-
associated T ofS. mutans
Crude was isolated from S. mutans ACC
2515 strain in the research laboratory, ral
Biology epartment, niversity of Malaya using the
method described by oshima, et al.18 2) with
VOLJKWPRGLFDWLRQ1,21. he crude enzyme was then
VXEHFWHG WRSDUWLDOSXULFDWLRQE\XOWUDOWUDWLRQ
Macrosep mega membrane - mw cut off=3 kd;
all ife cience, xton, A, A). he crude enzyme
ZDV WKHQ FHQWULIXJHGXVLQJ WKHFHQWULIXJDOOWHU
Macrosep mega membrane; all ife cience) at
5, g for 2 min to remove residual cells and the
supernatant collected was then referred as partially
SXULHGFUXGHHQ\PH7KHSDUWLDOO\SXULHGFUXGH
enzyme was kept in the freezer -2C) to be used
for further analyses.
etermination the effect of the extractWRZDUGV SDUWLDOO\ SXULHG FHOODVVRFLDWHG
T (CA) activities
he reaction mixture used in the determination
RIWKHSDUWLDOO\SXULHGFHOODVVRFLDWHG*7DFWLYLW\
was adapted from the method described by Mukasa,
et al.14DQGPRGLHGWRVXLWWKHH[SHULPHQW
carried out in this study. he reaction mixture
consists of .1% of thimerosal igma Aldrich Co.),
1.4 g of sucrose, 34.3 mg of exogenous dextran
CN Biomedicals, Aurora, , A) and mixed in
1 m of 5 mM sodium phosphate igma Chemical
Co.) buffer p .5). 1 m of the partiallySXULHGFHOODVVRFLDWHG*7ZDVSLSHWWHGLQWRWKH
UHDFWLRQPL[WXUHWR JLYHDQDOYROXPHRIP
he mixture was then incubated at 3C. After 18
h to allow the enzyme to catalyze the formation
RIJOXFDQVXIFLHQWIRUTXDQWLFDWLRQRIJOXFRVH
the reaction was terminated by placing the tube
in a boiling water bath for 5 min. After 5 min, the
mixture was centrifuged igma 32, sterode,
ermany) at 2, g for 1 min. he pellet obtained
after centrifugation was collected and used in the
determination of water-insoluble ) extracellular
polysaccharide content while the supernatant was
discarded.
he pellet was washed 3 times each with 5 m
of distilled water and then uniformly suspended in
1 m of distilled water by agitation. 5 m of the
extracellular polysaccharide suspension was
then pipetted into a clean test tube and assayed
for glucose content.
he experiment was repeated by adding the plant
extract at the respective concentrations 4. mg
m-1) to the enzyme reaction mixtures. Comparison
ZDVPDGHEHWZHHQWKHDFWLYLWLHVRISDUWLDOO\SXULHG
CA treated with plant extract and that without
the treatment. he activity of the enzyme in thepresence of .12% chlorhexidine igma Aldrich
Co.) was also determined using the same procedure.
etermination of glucose content of the
I glucan
he determination of glucose was carried out
according to the method by ubois, et al.4 195).
o 5 m of the glucan suspension, 5 m of
deionized distilled water was added and this was
followed by the addition of 5 m of phenol igma
Aldrich Co.) 8% w/v). he mixture was vortexed
and subsequently 2 m of concentrated sulfuric
acid M Chemicals, ssex, ) was added to
the mixture. his mixture was then allowed to
stand for 1 min at room temperature before its
optical density at 49 nm was measured. or the
standards, a range of volumes 1 m) of the
stock glucose igma Aldrich Co.) solution 1 mg m-
1ZDVSUHSDUHGWRJLYHDUDQJHRIQDOFRQFHQWUDWLRQ
from to 1 mg m-1. or the blank control, 1 m
of deionized distilled water was used instead. he
determinations were carried out in triplicates.he glucose content determined corresponds to
the amount of extracellular polysaccharide formed
E\WKHSDUWLDOO\SXULHG*7ZLWKLQWKHVSHFLFWLPH
which was then used in the calculation of the
activity. he enzyme activity is expressed as mol
glucose in the extracellular polysaccharide produced
per min mole glucose min-1)21.
tatistical analysis
Normality tests for all the data obtained were
carried out using the hapiro-ilks analysis. he
data for the comparison of the cell populationand cell growth in the respective experiments
were analyzed using a two-way ANA. or the
FRPSDULVRQRIWKHSDUWLDOO\SXULHG&$*DFWLYLWLHV
between the different experiments, a one-way
ANA was used.
ET
Effect of sucrose on the adherence capacity
and growth ofS. mutans on glass surface
igure 2 shows M micrographs 1,x
magnification) for blank control B without
bacterial inoculation), negative control inoculated
B without sucrose) and test inoculated B
with sucrose) based on M viewing at. hese
images provide qualitative observations of the
cell population which was used to determine the
adherence capacity ofS. mutans to glass surface.
t was shown that there were no cells adhering
to the glass surface in blank control B without
bacterial inoculation) igure 2A). his indicates
that the experimental procedures are assured of the
exclusion of bacterial contamination. he number of
cells adhering to the glass surface when grown in the
absence of sucrose was less igure 2B) comparedto that in the presence of 1% sucrose as shown in
igure 2C. t was observed more cells were adhering
canning lectron Microscopic study ofPiper betle . leaves extract effect against Streptococcus mutans ATCC 27
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7/27/2019 Scanning Electron Microscopic study of Piper betle L. leaves extract effect against Streptococcus mutans ATCC 251
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J Appl Oral ci. 4
to the glass surface and they are in aggregates. he
extracellular surface of the cells appeared to have
DOD\HURIXII\DSSHDUDQFHVSUHDGLQJDFURVVWKH
surface of the glass bead igure 2C).
he quantitative measurement of the bacterial
cell population was carried out during the M
YLHZLQJDW[PDJQLFDWLRQWZDVIRXQGWKDW
the number of cells adhering to the glass surface
increases in the presence of sucrose and the
increase was -fold higher than that in the absence
p
7/27/2019 Scanning Electron Microscopic study of Piper betle L. leaves extract effect against Streptococcus mutans ATCC 251
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Effect of the Piper betle . leaves extract on
the growth ofS. mutans with and without
sucrose
he cell surface area of the bacterial cells grown
in the presence of the extract, with and without
sucrose based on the M viewing at 1,x
PDJQLFDWLRQ LVVKRZQLQ7DEOH W ZDV IRXQG
that the bacterial cells grown in the presence of 2
mg m-1 of the extract without sucrose exhibited
FHOOVXUIDFHDUHDWKDWLVQRWVLJQLFDQWO\GLIIHUHQW
Cell surface area (m2)
xperiments Absence of sucrose resence of sucrose
Negative control (without the CA 0.2090.018a,b 0.280.026a
2 mg m-1 CA 0.2160.016b,x 0.2440.018d,x
4 mg m-1 CA 0.1460.010c,y 0.1450.009e,y
ositive control (0.12% chlorhexidine nd nd
The number of cells adhered to the glass beads 100 m 2 was expressed as the mean standard deviation from nine
determinations
a p
7/27/2019 Scanning Electron Microscopic study of Piper betle L. leaves extract effect against Streptococcus mutans ATCC 251
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J Appl Oral ci. 43
from those grown in the absence of the extract.
ncreasing the concentration of the extract to 4
mg m-1 decreases the cell surface area by 3%
p
7/27/2019 Scanning Electron Microscopic study of Piper betle L. leaves extract effect against Streptococcus mutans ATCC 251
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J Appl Oral ci. 44
was expressed as mol glucose content of the
extracellular polysaccharide perminute and was
found to decrease in the presence of the extract.
he inhibitory effect was found to be concentration
GHSHQGHQWDQGZDV PRUH VLJQLFDQWDW KLJKHU
concentrations of the extract. At .5 mg m-1 of
WKHH[WUDFWWKHSDUWLDOO\SXULHG&$*DFWLYLW\ZDV
reduced by 29% p
7/27/2019 Scanning Electron Microscopic study of Piper betle L. leaves extract effect against Streptococcus mutans ATCC 251
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t was thought that the reduced adherence is
attributed to extracellular polysaccharide not being
IRUPHGHIFLHQWO\ZKLFK LVGXH WRUHGXFHG*7
activity in the presence of the extract.
n this study, it was shown that there are
bacteria though few in number adhering to the
glass surface despite the undetectable activity
in the presence of 4 mg m-1 of the extract. n the
presence of .12% chlorhexidine there were no
bacterial cells adhering to the glass surface and at
that concentration, the activity corresponds
to that of 2.5 mg m-1 of the extract and, cell
adherence was observed in the presence of the later.
his suggests that is not involved and that other
factors such as hydrophobic and ionic interactions
maybe involved in the adherence or attachment of
bacteria to the tooth surfaces which, is in agreement
with what had been reported in previous work11,12.
owever, it has been shown that the cell surfacehydrophobicity of S. mutans is reduced in the
presence of the plant extract1. he crude Piper
betle OHDYHVH[WUDFWPD\ KDYH LQXHQFHG WKH
adhesion between the cell surface of the bacteria
and the host surface via ionic interaction which
could be responsible for the adherence effect
demonstrated at 4 mg m-1 extract concentration.
t was also shown that the Piper betle . leaves
H[WUDFWKDVDQLQXHQFHRQWKHFHOOVXUIDFHDUHD
size) of the bacterial cells. he presence of sucrose
appears not to have effect on the cell surface area
of bacterial cells in the presence of the 4 mg m-1
extract as with or without sucrose, the bacterial
cells appear to attain similar cell surface area. his
indicates that bacteria grown in the presence of
the extract could experience environmental stress,
ZKLFKFRXOG LQXHQFH LWVDELOLW\ WRXVHQXWULHQWV
HIFLHQWO\DQGWKHUHE\VORZVGRZQLWVJURZWK5,29. t
has been reported that the aqueous Piper betle .
extract exhibited similar effect towards other oral
bacteria for example, S. sanguinis, S. mitis and
Actinomyces sp.5.
CNCN
he M analysis provided visual qualitative)
and quantitative evidence that the Piper betle
. leaves extract has a reducing effect on cell
adhesion, cell growth and extracellular appearance
ofS. mutans. he effect of the Piper betle . leaves
extract on the activity and adherence capacity
ofS. mutans suggests the involvement of other
factors in the adherence of bacterial cells to the
glass surface.
ACNEEMENT
his project was supported by research grants
ote and A) provided by the Malaysian
government. he authors would like to acknowledge
Ms ubaidah Abu assan of the lectron Microscopy
nit, Medicine chool, niversity of Malaya for their
assistance in the electron microscopy procedure.
EEENCE
ODF&$OODQRUG6LOVRQ00FDELROPVSHFLF
surface properties and protein expression in oral Streptococcus
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ral Biol. 28;53:13-1.
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Caries es. 1993;2:38-42.
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12- Marsh , Martin M. ral Microbiology. 5th ed. hiladelphia:
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insoluble glucan formation by glucosyltransferase ofStreptococcus
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VXFURVHLQWDHDQGRZUDWHRIVDOLYD&DULHVHV
25- harma , han A, Ali , Ali , umar M, umar A, et al.
(YDOXDWLRQRIWKHDQWLPLFURELDODQWLR[LGDQWDQGDQWLLQDPPDWRU\
activities of hydoxychavicol for its potential use as an oral care
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ofmutans streptococci. thnopharmacol. 2;112:419-25.
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. Bacteriol. 198;19:2543-
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LQWKHGHYHORSPHQWRIRUDOELROPLQDVLPXODWHGPRXWKV\VWHP
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