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Full Length
Research Paper
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Screening for
antibacterial activities in some marine algae from the red
sea (Hurghada, Egypt)
Salem, W. M.*, Galal, H. and Nasr El-deen, F.
Department of Botany, Faculty of Science, Qena, South Valley
University, 83523, Qena, Egypt.
*Corresponding author. E-mail:
wesam_3777@yahoo.com.
Tel: 002/0123318947.
Fax: 002/096 5211279.
Accepted 30 July, 2011 |
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Abstract |
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Methanolic and ethyl
acetate extracts from eight different seaweeds collected
from the red sea Hurghada, Egypt (June, 2009) were screened
for their antibacterial activities against both gram
positive bacteria (Staphylococcus
aureus
NCIMB 50080
and Bacillus cereus) and gram negative bacteria (Escherichia
coli
NCIMB 50034,
Enterococcus feacalis
NCIMB 50030, Salmonella sp. and Pseudomonase
aeruginosa). The antibacterial
activities were expressed as zone of inhibition and minimum
inhibitory concentrations (MIC). The seaweeds belong to
Phaeophyaceae (Cystoesira myrica, Cystoesira trinodis,
Padina gymnospora, Sargassum dentifolium and
Sargassum hystrix); Rhodophaceae (Actinotrichia
fragilis) and Chlorophyceae (Caulerpa racemosa
and Codium fragile). Ethyl acetate extracts of C.
racemosa, C. fragile and P. gymnospora;
methanolic extracts of P. gymnospora and C.
fragile showed higher antibacterial activities than
other members of the tested algae. The most resistant
bacteria was E. feacalis against both solvents
extracts of S. dentifolium, C. myrica and
A. fragilis while, Salmonella sp. and P.
aeruginosa were resistant to methanolic extracts of
C. racemosa, S. dentifolium and A. fragilis.
On the other hand, B. cereus, S. aureus and
E. coli were the most sensitive to all seaweed extracts.
Our conclusion confirmed that susceptibility of gram
positive bacteria to the algal extracts (zone of inhibition
up to 19 mm) was more than those of gram negative bacteria
(zone of inhibition up to 14 mm). The activities of ethyl
acetate extracts were higher than those of methanolic
extracts and the most powerful inhibitory extract was ethyl
acetate extract of C. racemosa.
Key word:
Antibacterial, ethyl acetate extracts, marine algae,
methanolic extracts, minimum inhibitory concentration,
seaweeds.
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Introduction |
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Bacterial infection causes high rate of mortality in human
population and aquaculture organisms (Kandhasamy and
Arunachalam, 2008). For example, Bacillus cereus is
responsible for causing food borne diseases (Wijnands,
2008). Enterococcus faecalis is the causative agent
of inflammatory bowel disease
(Balish and Warner, 2002). Escherichia coli,
Staphylococcus aureus and Pseudomonas aeruginosa
cause diseases like mastitis, abortion and upper
respiratory complications, while Salmonella sp.
causes diarrhea and typhoid fever (Jawetz et al., 1995).
P. aeruginosa is an important and prevalent pathogen
among burned patients capable of causing life-threatening
illness (Kandhasamy and Arunachalam, 2008).
The revolutionized therapy of infectious diseases by the use
of antimicrobial drugs has certain limitations due to
changing patterns of resistance in pathogens and side
effects they produced. These limitations demand for improved
pharmacokinetic properties, which necessitate continued
research for new antimicrobial compounds for the development
of drugs (Al-Haj et al., 2009). So accordingly,
pharmaceutical industries are giving importance to the
compounds derived from traditional sources (soil and plants)
and less traditional sources like marine organisms (Solomon
and Santhi, 2008). Hence, the interest in marine organisms
as a potential and promising source of pharmaceutical agents
has increased during recent years (Kim and Lee, 2008).
Marine algae or seaweeds are rich and varied source of
bioactive natural products so it has been studied as
potential biocidal and pharmaceutical agents (Rangaiah et al.,
2010).
There have been a number of reports of antibacterial
activity from marine plants (Al-Haj et al., 2010) and
special attention has been reported for antibacterial and/or
antifungal activities related to marine algae against
several pathogens (Kolanjinathan and Stella, 2009).
Seaweeds are considered as a source of bioactive compounds
as they are able to produce a great variety of secondary
metabolites characterized by a broad spectrum of biological
activities
(Cox
et al., 2010) with antiviral, antibacterial and
antifungal activities (Del Val et al., 2001) which acts as
potential bioactive compounds of interest for pharmaceutical
applications (Solomon and Santhi, 2008). Most of these
bioactive substances isolated from marine algae are
chemically classified as brominated, aromatics,
nitrogen-heterocyclic, nitrosulphuric-heterocyclic, sterols,
dibutanoids, proteins, peptides and sulphated
polysaccharides (Kolanjinathan et al., 2009).
The antibacterial activity of seaweeds is generally assayed
using extracts in various organic solvents, for example,
acetone, methanol-toluene, ether and chloroform-methanol (Cordeiro
et al., 2006). Using of organic solvents always provides a
higher efficiency in extracting compounds for antimicrobial
activity (Tüney et al., 2006). Several extractable
compounds, such as cyclic polysulfides and halogenated
compounds are toxic to microorganisms, and therefore,
responsible for the anti-biotic activity of some seaweeds (Wrattens
and Faulkner, 1976). Cox et al. (2010) revealed that
the extraction of antimicrobials from the different species
of seaweeds was solvent dependent; Methanol was a good
solvent for extraction of antimicrobials from brown seaweeds
whereas acetone was better for red and green species.
Screening of organic extracts from marine algae and other
marine organisms is a common approach to identify compounds
of biomedical importance. However, reports on antimicrobial
activity of seaweed extracts from Egypt are very limited.
Hence, the present work aimed to screen and evaluate the
efficiency of methanol and ethyl acetate extracts as
antibacterial agents from the Egyptian seaweeds and to
select the most active species against the most common
pathogenic bacteria, all were in focus as much as possible.
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Materials and Methods |
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Algae collection and extract preparation using two different
solvents
Eight marine algae were collected by hand picking from the
red sea in Hurghada, Egypt during june 2009 (Table 1 and
Figure 1). Algal samples were cleaned from epiphytes,
extraneous matter and necrotic were removed. Samples were
collected in sterilized polyethylene bags, and put in an ice
box, then transferred to the laboratory immediately until
the experimental work was done at the same day. Samples were
washed thoroughly with sea water then sterile distilled
water, air dried, cut into small pieces and then ground in a
tissue grinder (IKA A 10, Germany) until reach fine powder
shape.
10 g of each dried sample were extracted in two different
solvents: (100 ml of methyl alcohol or ethyl acetate) under
stirring condition (50 rpm) for 7 days at room temperature.
The solution was filtered through Whatman No. 1 sterile
filter paper. The filtrates then were dried using desiccator
(Cole- parmer instrument, Chicago). The dried precipitates
were dissolved in the above two solvents to give 50 mg/ml
extracts, then stored in airtight bottles in a refrigerator
before testing. These crude extracts were screened against
common pathogenic bacteria as shown in Table 1.
Table 1.
Species / class of the collected algae.
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Class / species* |
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Phaeophyceae |
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A- Cystoesira myrica |
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B- Cystoesira trinodes |
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C- Padina gymnospora |
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D- Sargassum dentifolium |
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E- Sargassum hystrix |
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Rhodophyceae |
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F- Actinotrichia fragilis |
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Bryopsidophyaceae |
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G- Caulerpa racemosa |
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H- Codium fragile |

Antibacterial activity
Bacterial source and culture condition
The bacteria used in this study were
E. coli
NCINB 50034,
S.
aureus
NCINB 50080,
E. feacalis
NCINB 50030, Salmonella sp., B. cereus and
P. aeruginosa.
These bacterial strains were maintained on suitable medium
at 4°C and subcultured on Mueller Hinton Broth at 37°C for
18 h before testing.
Antibacterial assay
Antibacterial activity was determined against the above
bacteria using the paper disk assay method (El-Masry et al.,
2000). Whatman No. 1 filter paper disk of 6-mm diameter was
sterilized by autoclaving for 15 min at 121°C. The sterile
disks were impregnated with different extracts (50 mg/ml).
Agar plates were surface inoculated uniformly from the broth
culture of the tested microorganisms. In all cases, the
concentration was approximately 1.2X108 CFU/ml.
The impregnated disks were placed on the Muller Hinton
medium suitably spaced apart and the plates were incubated
at 37°C for 24 h. Methanol and ethyl acetate were used as a
negative control while commercial antibiotic discs (chloromophenicol,
10 mg/disc and tetracycline, 30 mg/disc) were used as a
positive control.
The diameter of the growth inhibition halos caused by the
methanolic and ethyl acetate extracts of marine organisms was
measured by a ruler and expressed in millimeter. All the assays
were carried out in triplicate.
Minimal inhibitory concentration (MIC)
Sensitivity of bacteria to methanol and ethyl acetate extracts
of marine algal suspension can be measured by using a tube
dilution technique, which determines the MIC of seaweeds used in
this study in vitro. These tests were done to determine
the lowest concentration of algal extracts that inhibit the
growth of bacteria. The test was performed in 96 well microtitre
plates, so that several replicates of each sample can be run.
All isolates were grown in Mueller Hinton Broth at 37°C and
diluted in Mueller Hinton Broth supplemented with 2% NaCl to a
concentration of 50 mg L-1. Then the suspension of
the bacterial cultures was added into 96 well microtitre plates
containing diluted samples of algal extract (50, 20, 10 and 5 mg
L-1).
The 96-well microtitre plate containing different diluted
samples of algal extracts and bacteria was then incubated
overnight at 37°C with constant shaking on the shaker. On the
next day, the diluted sample of the bacteria with the algal
extracts in the 96 well microtitre plates were plated out onto
the Muller-Hinton agar plate. The plates were then incubated at
37°C for 24 h in the incubator. Finally, the number of bacteria
colonies developed on each agar plates was counted to determine
the lowest concentration of algal extracts that inhibit the
growth of bacteria (MIC).
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Results |
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Disc diffusion test
Methanol and ethyl acetate extracts from eight marine algae were
assayed for antibacterial activity by using agar diffusion
method. Antibacterial activity of these extracts is shown in
Table 2.
Most of the algal extracts exhibited antibacterial activity
against all the tested bacterial species. Among gram positive
bacteria, S. aureus was the most sensitive to all the
seaweed extracts. The higher antibacterial activity (indicated
as zone of inhibition) was recorded for ethyl acetate
extracts of C. racemosa, S. dentifolium and P.
gymnospora (19.2, 14.3 and 17.8 mm) respectively; methanolic
extracts of S. hystrix, C. racemosa, S.
dentifolium and C. myrica (13.8, 19.8, 18 and 17 mm)
respectively, while the inhibition zone of chloromophenicol was
13.5 mm (Table 2). Hence, the susceptibility of S. auerus
to algal extracts was more pronounced when compared to the
antibiotic chloromophenicol. Next to S. aureus, B.
cereus and E. coli were very susceptible to all the
algal extracts used.The most observed antibacterial activity was
recorded for methanolic extract of C. fragile against
E. coli (16% increase) compared to chloromophenicol. On the
other hand, P. aeruginosa was resistant to the methanolic
extracts of C. racemosa, S. dentifolium, P. gymnospora
and A. fragilis; ethyl acetate of C. trinodis,
while it was sensitive to the other extracts. It is worthy to
mention that the clear zone caused by methanolic extract of
S. hystrix and ethyl acetate extract of C. racemosa
nearly double the inhibition zone caused by chloromophenicol
disc.
Methanolic extracts of S. hystrix, C. racemosa, S.
dentifolium, A. fragilis and ethyl acetate extract of C.
myrica had no antibacterial effect on Salmonella sp.
while the other extracts showed higher clear zones when compared
to tetera cycline (Table 2). E. feacalis was the most
resistant bacteria; it did not show any inhibition zones with
any extracts from three marine algae, S. dentifolium,
C. myrica, and A. fragilis.
Table 2.
Inhibition halo diameter and MIC of methanolic and ethyl acetate
extracts of some marine algae against gram positive and gram
negative bacteria.
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Seaweed extracts |
Inhibition halo diameter (mm) * |
MIC (mg/ ml) |
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S. aureus |
B. cereus |
E. coli |
Salmonella
sp. |
P. aeruginosa |
E.
faecalis |
S. aureus |
B. cereus |
E. coli |
Salmonella
sp. |
P. aeruginosa |
E. faecalis |
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Control |
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Chloromphenicol |
13.5±0.7 |
23.5±0.5 |
12.5±0.5 |
13.5±0.5 |
8.5±0.5 |
10±1 |
10 |
10 |
10 |
10 |
10 |
10 |
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Tetracycline |
23.5±1 |
19.5±1.2 |
15±0.4 |
7.5±0.3 |
12.5±0.4 |
-ve |
30 |
30 |
30 |
30 |
30 |
-ve |
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Ethyl acetate extracts |
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S. hystrix |
11.8±0.8 |
9±1 |
8.5±0.5 |
7.5±0.5 |
8±0.8 |
7±1.5 |
20 |
20 |
10 |
50 |
50 |
20 |
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C. racemosa |
19.2±1.2 |
13.3±0.6 |
9.5±0.2 |
10.5±1 |
14.3±0.3 |
8±1.7 |
50 |
5 |
50 |
50 |
20 |
50 |
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S. dent. |
14.3±0.5 |
10.8±0.8 |
12.3±0.3 |
11±0.6 |
9.8±0.4 |
-ve |
50 |
10 |
50 |
20 |
50 |
-ve |
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C. myrica |
10±0.5 |
9.3±1.3 |
11±1 |
-ve |
9±0.5 |
-ve |
50 |
20 |
10 |
-ve |
50 |
-ve |
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P. gymnospora |
17.8±0.8 |
11.3±0.3 |
11.3±0.8 |
9.5±1.2 |
10±1.2 |
9±0.5 |
20 |
50 |
10 |
50 |
10 |
50 |
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C. fragile |
10±0.2 |
9.8±0.4 |
11.8±0.3 |
10±0.5 |
9±0.8 |
9±0.7 |
20 |
10 |
50 |
50 |
50 |
20 |
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A. fragil. |
9±1 |
8±0.5 |
10.5±0.5 |
10±1 |
9.7±0.7 |
-ve |
20 |
50 |
50 |
50 |
50 |
-ve |
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C. trinodis |
11±0.4 |
9.5±0.2 |
7±0.5 |
10±0.4 |
-ve |
13±1 |
20 |
50 |
50 |
50 |
-ve |
50 |
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Methanolic extracts |
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S. hystrix |
13.8±0.8 |
9±0.5 |
11.3±0.3 |
-ve |
15±1 |
7±1 |
50 |
10 |
20 |
-ve |
20 |
50 |
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C. racemosa |
19.8±0.4 |
10.5±0.3 |
9.5±0.3 |
-ve |
-ve |
8±0.8 |
5 |
20 |
50 |
-ve |
-ve |
50 |
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S. dent. |
18±0.5 |
10±0.8 |
13.3±1.2 |
-ve |
-ve |
-ve |
50 |
20 |
10 |
-ve |
-ve |
-ve |
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C. myrica |
17±1 |
6.5±0.5 |
8±1 |
8.5±0.5 |
8±0.7 |
-ve |
10 |
50 |
50 |
50 |
50 |
-ve |
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P. gymnospora |
11.5±0.5 |
12.8±0.8 |
13.3±0.3 |
15±1 |
-ve |
7±0.5 |
20 |
20 |
50 |
10 |
-ve |
20 |
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C. madagasc. |
11.3±1.3 |
15.5±0.5 |
14.5±1 |
6±0.6 |
7.5±0.5 |
9±1 |
20 |
5 |
50 |
50 |
50 |
50 |
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A. frail. |
7.8±0.6 |
8.5±0.7 |
12±1 |
-ve |
-ve |
-ve |
50 |
50 |
50 |
-ve |
-ve |
-ve |
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C. trinodis |
11.5±0.5 |
11.8±0.7 |
10±1.2 |
10±0.4 |
9±0.3 |
12±2 |
20 |
10 |
50 |
50 |
50 |
50 |
* measured as mm, mean ± SD, n=3.
Minimum inhibitory concentration (MIC)
Table 2 and Figure 2 showed the MIC of seaweed extracts. MIC of the
tested marine algal extracts was ranging from 5 mg/ml to 50 mg/ml.
Lowest MIC value was recorded for the methanolic and ethyl acetate
extract of C. racemosa; methanolic extract of C. fragile
(5 mg/ml) followed by methanolic and ethyl acetate extracts of S.
dentifolium, P. gymnospora, ethyl acetate extracts of
S. hystrix, C. myrica, C. fragile and methanolic
extract of C. trinodis (10 mg/ ml). Consequently, C.
racemosa was considered as the ideal algal extract (inhibition
zone 19.8 mm and MIC 5 mg/ml).Among the three groups (Phaeophyaceae,
Rhodophaceae and Chlorophyceae)
of seaweeds, maximum activities were recorded in Chlorophyceae
species (C. racemosa) and Phaeophyaceae species (P.
gymnospora and S. dentifolium) which the most
effective seaweeds and minimum activities were recorded in
Rhodophaceae species (A. fragilis).
The efficiency of extraction of antibacterial natural products from
marine macroalgae was higher with the organic solvent ethyl acetate
and the above results confirm the broad antimicrobial effect of
marine algae by using ethyl acetate extract.

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Discussion |
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Antibacterial activity of red, brown and green algae against
both Gram positive and Gram negative bacteria has been
established by several scientists (Kolanjinathan et al.,
2009). But variation in antibacterial activity may be due to the
method of extraction, solvent used in extraction and season at
which samples were collected (Kandhasamy and Arunachalam, 2008).
Several different organic solvents have been used to screen
algae for antibacterial activity (Marasneh et al., 1995).
Early, Sastry and Rao (1994) showed antibacterial activity
against Gram-positive and Gram-negative pathogenic strains after
successive extraction with benzene, chloro-form and methanol.
Kim and Lee (2008) used methanolic extracts of Esiena
bicyclis (B32) and Sargassum sp. (B36) which showed
strong antibacterial activities against Methicillin-resistant
Staphylococcus aureus (MRSA) strains, Vibrio
parahemolyticus and Edward tarda. Kolanjinathan and
Stella (2009) indicated that acetone was the best solution for
extracting the effective antimicrobial materials from
Sargassum myricystum, Turbinaria conoides, Hypnea
musiformis,n Gracilaria edulis and Halimedia
gracilis; whereas, Karthikaidevi et al. (2009) used
seven different solvents including methanol and ethyl
acetate for extraction of antibacterial substances from
Codium adherens, Ulva reticulata and Halimeda tuna.
In our study, eight different marine algae collected from the
red sea, Hurghada, Egypt were screened for their antibacterial
activities using methanolic and ethyl acetate. The results
showed that, C. racemosa member of green algae, P.
gymnospora and S. dentifolium members of brown algae
were more active compared to other groups of algae tested.
Similar results were also obtained by Kandhasamy and Arunachalam
(2008) and Karthikaidevi et al. (2009). These strong
activities related to brown algae may be due to the phenolic
compounds such as phlorotannins, eckol and eckol- related
compounds that have strong bactericidal activity (Nagayama et al.,
2002).
Antibacterial activities of seaweeds varied with the species
from different division; Caccamese et al. (1985) have
reported that brown algal extracts showed higher activity than
the extracts of red algae which was in accordance with our
results, whereas Viachosi et al. (2001) reported that
extracts of the Phaeophyta exhibited the highest level of
antibacterial activity, followed by the Rhodophyta and then the
Chlorophyta. In contrast, Yi et al. (2001) reported that
species of Rhodophyta showed the highest antibacterial activity.
The reason for this variation was not explained by these workers
but it was suggested that more species have to be screened
before coming to a definite conclusion (Vallinayagam et al.
2009).
Of the two solvents tested, ethyl acetate was determined to be
the best solvent for isolation of antimicrobial compounds from
the tested marine algae followed by methanol (Table 2). These
results were in close agreement with those obtained by Patra et
al. (2008). It was revealed that the chloroform and ethyl
acetate extracts Enteromorpha compressa, Chaetomorpha linum
and Polysiphonia subtilissima were active against
most of the pathogens whereas methanol and ethanol extracts were
active only against Shigella flexneri (Patra et al.,
2009). This may indicate that the extraction method had definite
effects on the isolation of bioactive principles. Some authors
showed that methanol extraction yielded higher antimicrobial
activity than n-hexane and ethyl acetate which in contrast to
our results (Manilal et al., 2009 and Rangaiah et al.,
2010). This difference in results may be firstly due to
difference in species used, time and place of sample collection,
secondly; there may also be differences in the capability of the
extraction protocols to recover the active metabolites and
finally, differences in the assay methods that would result in
different susceptibilities of the target strains.
It is worthy to mention that, in some species (such as S.
dentifolium and A. fragilis) the inhibitory activity
was only observed in the extract obtained with one kind of
solvent but not in the extract obtained in other solvents. This
result could be related to the presence of bioactive metabolites
present in this species of algae, which are not soluble in one
solvent but they can be soluble in the other. Karthikaidevi et
al. (2009) who obtained the same results suggested that a
particular solvent is required to extract some antimicrobial
substances within the algal plant and therefore the inhibitory
activity will go up when several solvents are used in the
screening.
All the seaweeds extracts inhibited both gram positive and gram
negative bacteria except E. feacalis which was resistant
to S. dentifolium, C. myrica and A. fragilis
extracts; Salmonella sp. which was resistant to
methanolic extracts of S. hystrix, C. racemosa, S.
dentifolium, A. fragilis, ethyl acetate extract of C.
myrica and P. aeruginosa which was resistant to the
methanolic extracts of C. racemosa, S. dentifolium, P.
gymnospora, A. fragilis and ethyl acetate of C. trinodes.
Thus the susceptibility of gram positive bacteria to the algal
extracts was more than those of gram negative bacteria. Many
authors made similar observations (Demirel et al., 2009
and Ibtissam et al., 2009). The more susceptibility of
Gram-positive bacteria to the algal extract was due to the
differences in their cell wall structure and their com-position
(Taskin et al., 2007). In Gram-negative bacteria, the
outer membrane acts as a barrier to many environ-mental
substances including antibiotics (Tortora et al., 2001).
The presence of thick murine layer in the cell wall also
prevents the entry of the inhibitors (Kandhasamy and Arunachalam,
2008).
According to our results, the higher antibacterial activity was
recorded for ethyl acetate extracts of C. racemosa, S.
dentifolium, P. gymnospora; methanolic extracts of S.
hystrix, C. racemosa, C. fragile, S.
dentifolium and C. myrica which also showed lowest
MIC ranging from 5 to 10 mg/ml. Marine macro algae can inhibit
the growth of some bacteria (Abd El Mageid et al., 2009).
Many pervious authors (Kumar et al., 2008; Rajasulochana et al.,
2009) reported the activities of P. gymnospora, Padina
sp., Sargassum wightii and Caulerpa sp.
against gram positive and gram negative bacteria. Rangaiah et al.
(2010) investigated the antimicrobial potentiality of the marine
Chlorophycean algae Ulva lactuca, Caulerpa taxifolia and
Spongomorpha indica against six strains of Gram positive,
Gram negative bacterial and fungal organisms that cause diseases
and disorders in man, animals and plants. According to the later
author and Patra et al. (2008), this indicates the
presence of active constituents in the extractions of seaweeds
which can be exploited for the production of lead molecules
which are of use in pharmaceutical industry. In close agreement,
Yamashita et al. (2001) attributed that to the high
concentration of polysaccharides in these species which are
known to have antimicrobial properties.
C. racemosa
was the most active against all the tested pathogens. This may
be due to active components which are present in seaweed
extract. However some seaweeds extracts were unable to exhibit
antibacterial activity against tested bacterial strains (Vallinayagam
et al., 2009). In study carried by Mtolera and Semesi (1996),
the antimicrobial activity shown by C. racemosa
attributed to caulerpin or caulerpein (Paul et al., 1987), or
flexin and trifarin (Blackman and Wells, 1978) or by
caulerpanyene (Amico et al., 1978). The noteworthy capability of
caulerpales to produce antimicrobial activities has been also
reported (Del Val et al., 2001).
Taking all of the previous results together, we conclude that
all the crude extracts of seaweeds showed promising activity
against the test pathogens. The highest activities were recorded
for ethyl acetate extracts of C. racemosa, S.
dentifolium, P. gymnospora, methanolic extracts of S.
hystrix, C. racemosa, C. fragile, S.
dentifolium and C. myrica. C. racemosa was the
ideal seaweed extract used against the tested pathogenic
bacteria. Among marine the algal extracts tested, some appeared
to be specific in their activity against several test bacteria.
This point may be important for the development of specific
antibiotics, and further work is needed to identify the
compounds causing the activity, to evaluate specific
antimicrobial activity against pathogenic bacteria especially
those causing the human diseases. Finally, we can recommend
that, macroalgae from the red sea Hurghada, Egypt are potential
sources of bioactive compounds and should be investigated for
natural antibiotics.
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