THE ANTIMYCOBACTERIAL POTENTIAL OF SAMBILOTO (Andrographis paniculata Nees) EXTRACT AGAINST Mycobacterium tuberculosis H37Rv WITH Microscopic-Observation AND Drug-Susceptibility (MODS) METHODE
Main Article Content
Abstract
Andrographis paniculata, commonly known as sambiloto, is empirically used for various treatments, including its ability to inhibit the growth of Mycobacterium tuberculosis (M. tuberculosis). This study aims to evaluate the growth inhibition activity of M. tuberculosis strain H37Rv using sambiloto herb extract (Andrographis paniculata). The sambiloto extract was prepared using the maceration method. M. tuberculosis was grown on MODS medium, and the toxicity of sambiloto (A. paniculata) was analyzed using pharmacokinetic prediction studies (pkCMS). The results showed that at concentrations of 0.255 mg/ml, 1.275 mg/ml, and 2.55 mg/ml of sambiloto extract, M. tuberculosis growth occurred on days 7 to 14. Further observations were made until day 28, and it was found that starting at a concentration of 6.375 mg/ml, sambiloto extract did not show M. tuberculosis growth in MODS medium. The positive control, isoniazid, did not show bacterial growth, while the negative control showed extensive bacterial growth on day 12. The determination of M. tuberculosis growth was based on microscopic observations of the bacterial colonies, focusing on cord formation. In conclusion, this study, the use of an extract with a concentration of 6.375 mg/ml in the MODS method showed no growth of Mycobacterium tuberculosis, indicating that the extract is effective in inhibiting bacterial growth at this concentration. The online pkCSM test conducted in this study showed that the extract used is not cytotoxic, meaning that the extract is safe for body cells and does not cause cellular damage. Therefore, it has the potential to be an adjunct therapy in the treatment of tuberculosis.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
a). Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Attribution-NonCommercial-ShareAlike 4.0 International that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
b). Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
c). Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
References
Alva A, Aquino F, Gilman RH, Olivares C, Requena D, Gutiérrez AH, Caviedes L, Coronel J, Larson S, Sheen P, Moore DAJ, Zimic M (2013) Morpho-logical characterization of Mycobacte-rium tuberculosis in a MODS culture for an automatic diagnostics through pattern recognition. Plos One 8:e82809. doi: 10.1371/journal.pone.0082809
Arifullah M, Namsa ND, Mandal M, Chiruvella KK, Vikrama P, Gopal GR (2013) Evaluation of anti–bacterial and anti–oxidant potential of andro-grapholide and echiodinin isolated from callus culture of Andrographis paniculata Nees. Asian Pac J Trop Biomed 3:604–610. doi: 10.1016/S2221-1691(13)60123-9
Brady MF, Coronel J, Gilman RH, Moore DA (2008) The MODS method for di-agnosis of tuberculosis and multidrug resistant tuberculosis. J Vis Exp JoVE 845. doi: 10.3791/845
Brady MF, Coronel J, Gilman RH, Moore DAJ. The MODS method for diagno-sis of tuberculosis and multidrug re-sistant tuberculosis. J Vis Exp. 2008;(18):1–5
Chauhan ES, Sharma K, Bist R (2019) An-drographis paniculata : A review of its phytochemistry and pharmacological activities. Res J Pharm Technol 12:891–900. doi: 10.5958/0974-360X.2019.00153.7
Garg HK, Shrivastava A (2013) Clinical use of andrographolide as a potential drug against vole tuberculosis. Int J Pure Appl Zool 1:223–226
Hadi DK, Erina E, Rinidar R, Fakhrurrazi F, Rasmaidar R, Sayuthi A (2019) Daya hambat ekstrak etanol daun mengku-du (Morinda citrifolia L.) terhadap per-tumbuhan Salmonella sp. dan Esche-richia coli (Inhibition effect of ethanol extract of noni leaf (Morinda citrifolia L.) on the growth of Salmonella sp. and Escherichia coli). J Ilm Mhs Vet 3:87–97
Harbone JB (2006) Metode fitokimia: Penuntun cara modern menganalisis tumbuhan. Penerbit ITB, Bandung
Huang Z, Qin C, Du J, Luo Q, Wang Y, Zhang W, Zhang X, Xiong G, Chen J, Xu X, Li W, Li J (2015) Evaluation of the microscopic observation drug sus-ceptibility assay for the rapid detection of MDR-TB and XDR-TB in China: A prospective multicentre study. J Anti-microb Chemother 70:456–462. doi: 10.1093/jac/dku384
Jayakumar T, Hsieh C-Y, Lee J-J, Sheu J-R (2013) Experimental and clinical pharmacology of Andrographis panic-ulata and its major bioactive phyto-constituent andrographolide. Evid Based Complement Alternat Med 2013:846740. doi: 10.1155/2013/846740
Joselin J, Jeeva S (2014) Andrographis pa-niculata: A review of its traditional us-es, Phytochemistry and Pharmacolo-gy. Med Aromat Plants 3:1–16. doi: 10.4172/2167-0412.1000169
Kementerian Kesehatan Republik Indonesia (2017) Formularies. In: Farmakope herbal indonesia edisi II tahun 2017. Direktorat Jenderal Kefarmasian dan Alat Kesehatan, Kementerian Kesehatan Republik Indonesia, Jakar-ta, pp 213–218
Kementerian Kesehatan Republik Indonesia (2020) Strategi nasional penanggu-langan tuberkulosis di Indonesia 2020-2024. Kementerian Kesehatan Republik Indonesia, Jakarta
Nugroho YS, Reviono R, Suradi S, Praset-yo DH. Effect of Andrographolide on The Expression of TNF-α and Pulmo-nary Tuberculosis in Rats Granulomas are Infected With Mycobacterium tu-berculosis. J Respirologi Indones. 2018;38(2):75–82.
Nugraha AC, Prasetya AT, Mursiti S (2017) Isolasi, identifikasi, uji aktivitas sen-yawa flavonoid sebagai antibakteri dari daun mangga. Indones J Chem Sci 6:91–96. doi: 10.15294/ijcs.v6i2.12087
Nursanti O, Aziz A, Hadisoebroto G (2022) Prediksi toksisitas dan farmakokineti-ka untuk mendapatkan kandidat obat analgesik. J Noncommunicable Dis 3:34–46. doi: 10.5236/jond.v3i1.654
Paramitha NA, Sribudiani Y, Rizal A (2018) Perbandingan positivitas metode MODS, pewarnaan ZN, dan GeneX-pert untuk mendeteksi M. tuberculosis pada pasien meningitis TB. Maj Kedokt Bdg 50:240–246
Pires DEV, Blundell TL, Ascher DB (2024) pkCSM: Theory. https://biosig.lab.uq.edu.au/pkcsm/theory. Accessed 29 July 2024
Rachmani, E. P. N. (2016). Aktivitas Anti-oksidan Ekstrak dan Fraksi Herba Sambiloto (Andrographis paniculata). MPI (Media Pharmaceutica Indone-siana), 1(2), 100–105
Radji M, Kurniati M, Kiranasari A (2015) Comparative antimycobacterial activi-ty of some Indonesian medicinal plants against multi-drug resistant Mycobacterium tuberculosis. J Appl Pharm Sci 5:19–22. doi: 10.7324/JAPS.2015.50104
Sandhu GK (2011) Tuberculosis: Current situation, challenges and overview of its control programs in India. J Glob Infect Dis 3:143–150. doi: 10.4103/0974-777X.81691
Sanogo M, Kone B, Diarra B, Maiga M, Ba-ya B, Somboro AM, Sarro YS, Togo ACG, Dembele BPP, Goita D, Kone A, M’Baye O, Coulibaly N, Diabate S, Traore B, Diallo MH, Coulibaly YI, Saleeb P, Belson M, Orsega S, Sid-diqui S, Polis MA, Dao S, Murphy RL, Diallo S (2017) Performance of micro-scopic observation drug susceptibility for the rapid diagnosis of tuberculosis and detection of drug resistance in Bamako, Mali. Clin Microbiol Infect 23:408.e1-408.e6. doi: 10.1016/j.cmi.2017.01.004
Sharma T, Pandey B, Shrestha BK, Koju GM, Thusa R, Karki N (2020) Phyto-chemical screening of medicinal plants and study of the effect of phy-toconstituents in seed germination. Tribhuvan Univ J 35:1–11. doi: 10.3126/tuj.v35i2.36183
Siregar MIT. Mekanisme Resistensi Isonia-zid &Mutasi Gen KatG Ser315Thr (G944C) Mycobacterium tuberculosis Sebagai Penyebab Tersering Re-sistensi Isoniazid. Jambi Med J. 2015;3(2):119–31.
Tirza Putri Dianda dan Profiyanti Hermien Suharti (2022) Pengaruh Waktu dan Kadar Etanol Pada Maserasi Lidah Buaya Terhadap Antiseptik Hand Sanitizer Gel. Distilat. 2022, 8 (4), 1000-1008 p-ISSN : 1978-8789, e-ISSN: 2714-7649. http://distilat.polinema.ac.id
WHO. (2018). TB burden report 2018. In World Health Organization (Vol. 63, Issue 10). https://apps.who.int/iris/handle/10665/274453
Wirda Wulan, A. Mu’nisa, A. Irma Suryani (2022) Uji Efektivitas Ekstrak Daun Sambiloto (Andrographis paniculata) dan Rumput Mutiara (Oldenlandia co-rymbosa) sebagai Antituberkulosis, Prosiding Seminar Nasional Biologi FMIPA UNM