Evaluation of Antibacterial Efficacy and Antibiotic Synergy of Moringa oleifera Leaves Extracts Against  Some Clinical Pathogenic Bacterial Strains

Authors

  • Amna Ali Almajdoub
  • Ahmed Saleh Dow Libyan Center for Studies & Research in Environmental Science & Technology, Brack, Libya
  • Maryam B. Fadl
  • Hind Mohamed Khalafufallah

DOI:

https://doi.org/10.63359/fezetn81

Keywords:

Aqueous extract, Antimicrobial activity, Ethanolic extract, Medicinal plants, Moringa oleifera, Synergistic agent

Abstract

The rise of multidrug-resistant bacteria poses a significant threat of "incurable" infections, highlighting the urgent need for new infection-fighting strategies. This study evaluated the antimicrobial activity of aqueous and ethanolic extracts of Moringa oleifera leaves against various bacterial pathogens and their potential synergistic effects with commonly used antibiotics. The results showed that the ethanolic extract significantly increased antibiotic sensitivity in several bacterial strains. Staphylococcus aureus displayed inhibition zones of 7 mm at a 5% concentration and 15 mm at a 40% concentration Additionally, Pseudomonas sp. exhibited inhibition zones ranging from 0 mm at 5% to 8 mm at 40%. In contrast, the aqueous extract demonstrated no antimicrobial activity, with 0 mm inhibition zones across all tested concentrations.  Furthermore, the aqueous extract increased the sensitivity of S. aureus to antibiotics S10 and C30, indicating a synergistic effect, with p-values < 0.001. However, combinations with Gram-negative bacteria, such as Escherichia coli and Salmonella, resulted in antagonistic effects, reducing antibiotic effectiveness. While the ethanolic extracts improved efficacy against S. aureus and were effective against Pseudomonas, they were ineffective against other Gram-negative bacteria, indicating limitations in their antimicrobial spectrum. Further research is needed to enhance the efficacy of Moringa extracts against a broader range of bacterial species. These findings suggest that Moringa oleifera has potential as a synergistic agent to boost antibiotic efficacy, but the antagonistic properties observed with certain pathogens highlight the need for careful application, as it may reduce the effectiveness of antibiotics against disease-causing bacteria.

References

Abadallah, Muhammad S, & Ali, M. (2019). Antibacterial activity of Moringa oleifera leaf extracts against bacteria isolated from patients attending general Sani Abacha specialist hospital damaturu. J. Allied Pharm. Sci, 1, 61-66. https://doi.org/10.3389/fphar.2018.00108

Abd Rani, Nur Zahirah, Husain, Khairana, & Kumolosasi, Endang. (2018). Moringa genus: a review of phytochemistry and pharmacology. Frontiers in pharmacology, 9, 108. Abdalla, Alsadig Mohammed, Alwasilah, Hanaa Yousif, Mahjoub, Rasha Al Hussein, Mohammed, Hind Ibrahim, & Yagoub, Mohammed. (2016). Evaluation of antimicrobial activity of Moringa oleifera leaf extracts against pathogenic bacteria isolated from urinary tract infected patients. J Adv Lab Res Biol, 7(2), 47â.

Abdallah, Emad M., Alhatlani, Bader Y., de Paula Menezes, Ralciane, & Martins, Carlos Henrique Gomes. (2023). Back to Nature: Medicinal Plants as Promising Sources for Antibacterial Drugs in the Post-Antibiotic Era. Plants, 12(17), 3077. https://doi.org/10.3390/plants12173077

Adelakun, A. O., Awosika, A., Adabanya, U., Omole, A. E., Olopoda, A. I., & Bello, E. T. (2024). Antimicrobial and Synergistic Effects of Syzygium cumini, Moringa oleifera, and Tinospora cordifolia Against Different Candida Infections. Cureus, 16(1), e52857. doi: 10.7759/cureus.52857 https://doi.org/10.7759/cureus.52857

Adetitun, DO, Araoye, HK, Akinyanju, JA, & Anibijuwon, II. (2013). Antimicrobial Effect of the Leaf Extracts of Moringa oleifera on Some Selected Clinical Bacterial Isolates. Agrosearch, 13(1), 95-114. https://doi.org/10.4314/agrosh.v13i1.10

Ahmed, Hala Abd Elmonem, Kheiralla, Zeinab Hassan, & Ali, Doaa Abd ELrazk Shehata. (2020). Antimicrobial Efficiency of Moringa oleifera Leave Extracts against Some Multidrug Resistant Pathogen. Egyptian Journal of Microbiology, 55(1), 45-61. https://doi.org/10.21608/ejm.2020.32559.1162

Ahmed, Mostafa, Marrez, Diaa Attia, Abdelmoeen, Nadia Mohamed, Mahmoud, Ebtesam Abdelmoneem, Abdel-Shakur Ali, Mohamed, Decsi, Kincső, & Tóth, Zoltán. (2023). Proximate Analysis of Moringa oleifera Leaves and the Antimicrobial Activities of Successive Leaf Ethanolic and Aqueous Extracts Compared with Green Chemically Synthesized Ag-NPs and Crude Aqueous Extract against Some Pathogens. International Journal of Molecular Sciences, 24(4), 3529. https://doi.org/10.3390/ijms24043529

Al-Khalasi, Said, Al-Ghafri, Abdullah, Al-Saqri, Suad, & Al-Khatri, Munira. (2023). Antibacterial Activity of Moringa oleifera Plant Extracts in Comparison with Ciprofloxacin Antibiotic Against Staphylococcus aureus. European Journal of Theoretical and Applied Sciences, 1(5), 974-994. https://doi.org/10.59324/ejtas.2023.1(5).85

Al Saiqali, Mohammed, Kaiser Jamil, Rabiya Samreen, & Reddy, A Venkateshwar. (2024). Exploitation of Phytochemical Extracts of Moringa oleifera as Antimicrobial Agent against Human Pathogenic Bacteria. Saudi J Pathol Microbiol, 9(6), 130-138. https://doi.org/10.36348/sjpm.2024.v09i06.003

Anzano, Attilio, de Falco, Bruna, Ammar, Mohammad, Ricciardelli, Annarita, Grauso, Laura, Sabbah, Mohammed, . . . Lanzotti, Virginia. (2022). Chemical Analysis and Antimicrobial Activity of Moringa oleifera Lam. Leaves and Seeds. Molecules, 27(24), 8920. https://doi.org/10.3390/molecules27248920

Archana, H, & Bose, Vijaya Geetha. (2022). Evaluation of phytoconstituents from selected medicinal plants and its synergistic antimicrobial activity. Chemosphere, 287, 132276. https://doi.org/10.1016/j.chemosphere.2021.132276

Bagheri, Gholamreza, Martorell, Miquel, Ramírez-Alarcón, Karina, Salehi, Bahare, & Sharifi-Rad, Javad. (2020). Phytochemical screening of Moringa oleifera leaf extracts and their antimicrobial activities. Cellular and Molecular Biology, 66(1), 20-26. https://doi.org/10.14715/cmb/2019.66.1.3

Bakkiyaraj, S, & Pandiyaraj, S. (2011). Evaluation of potential antimicrobial activity of some medicinal plants against common food-borne pathogenic microorganism. Int J Pharma Bio Sci, 2(2), 484-491. https://doi.org/10.22376/ijpbs.2022.13.3.p1-15

Basavegowda, Nagaraj, & Baek, Kwang-Hyun. (2022). Combination Strategies of Different Antimicrobials: An Efficient and Alternative Tool for Pathogen Inactivation. Biomedicines, 10(9), 2219 https://doi.org/10.3390/biomedicines10092219

Bobis, O., Dezmirean, D. S., Tomos, L., Chirila, F., & Al. Marghitas, L. (2015). Influence of phytochemical profile on antibacterial activity of different medicinal plants against gram-positive and gram-negative bacteria. Applied Biochemistry and Microbiology, 51(1), 113-118. doi: 10.1134/S0003683815010044

Bubonja-Šonje, Marina, Knežević, Samira, & Abram, Maja. (2020). Challenges to antimicrobial susceptibility testing of plantderived polyphenolic compounds. Arhiv za higijenu rada i toksikologiju, 71(4), 300-311. https://doi.org/10.2478/aiht-2020-71-3396

Das, Sudip Kumar, Juyal, Divya, & Ali, Mahtab. (2015). COMPARATIVE PHYTOCHEMICAL EVALUATION, INVESTIGATION AND ACTIVITY OF MORINGA OLEIFERA LEAVES AND FLOWERS EXTRACT. World Journal of Pharmaceutical Research, 4(12,), 1348-1362. https://doi.org/10.1063/1.5066766

Dhingra, Sameer, Rahman, Nor Azlina A., Peile, Ed, Rahman, Motiur, Sartelli, Massimo, Hassali, Mohamed Azmi, . . . Haque, Mainul. (2020). Microbial Resistance Movements: An Overview of Global Public Health Threats Posed by Antimicrobial Resistance, and How Best to Counter. Frontiers in Public Health, 8. doi: 10.3389/fpubh.2020.535668

Dixit, Saurabh, Tripathi, Astha, & Kumar, Prabhat. (2016). Medicinal properties of Moringa oleifera: A review. International Journal of education and Science research review, 3(2), 173-185.

Dzotam, Joachim K, Touani, Francesco K, & Kuete, Victor. (2015). Antibacterial and antibiotic-modifying activities of three food plants (Xanthosoma mafaffa Lam., Moringa oleifera (L.) Schott and Passiflora edulis Sims) against multidrug-resistant (MDR) Gram-negative bacteria. BMC complementary and alternative medicine, 16, 1-8. https://doi.org/10.1186/s12906-016-0990-7

El-Wafa, Wael Mohamed Abu, & Abd El-All, Walaa Said Mohamed. (2016). Effect of methanol extract of Moringa oleifera leaves on antibacterial activity of β-lactam antibiotics against some pathogenic bacteria. Der Pharmacia Lettre, 3(8), 1-6.

Eladl, Afaf, Attia, Rasha, Abdullatif, Hemat K, & El-Ganiny, Amira M. (2024). The Effect of Combinations of Antibiotics and Natural Products on the Antimicrobial Resistance of Staphylococcus aureus and Pseudomonas aeruginosa. The Open Infectious Diseases Journal, 16(1). https://doi.org/10.2174/0118742793303419240422094438

Enerijiofi, Kingsley Erhons, Akapo, Funmilayo Hannah, & Erhabor, Joseph Omorogiuwa. (2021). GC–MS analysis and antibacterial activities of Moringa oleifera leaf extracts on selected clinical bacterial isolates. Bulletin of the National Research Centre, 45(1), 179. doi: 10.1186/s42269-021-00640-9

Ferreira, Gustavo Ramos Salles, Brito, Jéssica de Santana, Procópio, Thamara Figueiredo, Santos, Nataly Diniz de Lima, de Lima, Bárbara José Rocha Cardoso, Coelho, Luana Cassandra Breitenbach Barroso, . . . Napoleão, Thiago Henrique. (2018). Antimicrobial potential of Alpinia purpurata lectin (ApuL): Growth inhibitory action, synergistic effects in combination with antibiotics, and antibiofilm activity. Microbial Pathogenesis, 124, 152-162. doi: https: //doi.org/10.1016/j.micpath.2018.08.027

Galindo-Méndez, Mario. (2020). Antimicrobial resistance in Escherichia coli. E. Coli Infections-Importance of Early Diagnosis and Efficient Treatment, 1-20. https://doi.org/10.5772/intechopen.93115

Harley, John P. (2008). Laboratory exercises in microbiology (7th ed. ed.): McGraw-Hill/Higher Education.

Ilanko, Pavithra, McDonnell, Pauline Ann, van Vuuren, Sandy, & Cock, Ian Edwin. (2019). Interactive antibacterial profile of Moringa oleifera Lam. extracts and conventional antibiotics against bacterial triggers of some autoimmune inflammatory diseases. South African Journal of Botany, 124, 420-435. doi: https://doi.org/10.1016/j.sajb.2019.04.008

Isitua, CC, Ibeh, IN, & Olayinka, JN. (2016). Antibacterial activity of Moringa oleifera Lam leaves on enteric human pathogens. Indian journal of applied research, 6(9), 553-556.

Jeong, Jae-Young, Jung, In-Geun, Yum, Seung-Hoon, & Hwang, You-Jin. (2023). In Vitro Synergistic Inhibitory Effects of Plant Extract Combinations on Bacterial Growth of Methicillin-Resistant Staphylococcus aureus. Pharmaceuticals, 16(10), 1491. https://doi.org/10.3390/ph16101491

Khan, Usman Ali, Rahman, Hazir, Niaz, Zeeshan, Qasim, Muhammad, Khan, Jafar, Tayyaba, & Rehman, Bushra. (2013). Antibacterial activity of some medicinal plants against selected human pathogenic bacteria. European Journal of Microbiology and Immunology, 3(4), 272-274. https://doi.org/10.1556/eujmi.3.2013.4.6

Kheir, Sahar M, Kafi, SK, & Elbir, Haitham. (2014). The antimicrobial activity and phytochemical characteristic of moringa oleifera seeds, leaves, and flowers. WJPR, 3(4), 258 -271.

Khodaie, Laleh, Patel, Priya, Deore, Sumit, Surana, Vilas, & Byahatti, Vivek. (2024). Chapter 4 - Synergistic effects of plant extracts for antimicrobial therapy. In M. Kaneria & K. Rakholiya (Eds.), Herbal Formulations, Phytochemistry and Pharmacognosy (pp. 55-76): Elsevier. https://doi.org/10.1016/b978-0-443-15383-9.00005-6

Kirby, G. C. (1996). Medicinal plants and the control of protozoal disease, with particular reference to malaria. Trans R Soc Trop Med Hyg, 90(6), 605-609. doi: 10.1016/s0035-9203(96)90404-6

Li, Xian-Zhi, Plésiat, Patrick, & Nikaido, Hiroshi. (2015). The challenge of efflux-mediated antibiotic resistance in Gram-negative bacteria. Clinical microbiology reviews, 28(2), 337-418. https://doi.org/10.1128/cmr.00117-14

Malhotra, Satinder Pal Kaur, & Mandal, Tapan Kumar. (2018). Phytochemical screening and in vitro antibacterial activity of Moringa oleifera (Lam.) leaf extract. Archives of Agriculture and Environmental Science, 3(4), 367-372. https://doi.org/10.26832/24566632.2018.030406

Masoumian, Majid, & Zandi, Mohammad. (2017). Antimicrobial activity of some medicinal plant extracts against multidrug resistant bacteria. Zahedan Journal of Research in Medical Sciences, 19(11). https://doi.org/10.5812/zjrms.10080

Messerschmidt, James W. (2020). And now, the rest of the story…: A critical reflection on Paechter (2018) and Hamilton et al.(2019). Paper presented at the Women's Studies International Forum. https://doi.org/10.1016/j.wsif.2020.102401

Moyo, Busani, Masika, Patrick Julius, & Muchenje, Voster. (2012). Antimicrobial activities of Moringa oleifera Lam leaf extracts. African Journal of Biotechnology, 11(11), 2797-2802.

Mursyid, M, Annisa, RN, Zahran, I, Langkong, J, & Kamaruddin, I. (2019). Antimicrobial activity of moringa leaf (Moringa oleifera L.) extract against the growth of Staphylococcus epidermidis. Paper presented at the IOP Conference Series: Earth and Environmental Science.https://doi.org/10.1088/1755-1315/343/1/012145

NGEMENYA, MOSES NJUTAIN, ITOE, LAMSON OTTOTOH, AWAH, LAUPY ANNE, ASONGANA, RODOLPH, & NDIP, RITA AYUK. (2024). Antibacterial activity against multidrug-resistant Salmonella, toxicity and biochemical effects of Moringa oleifera leaf extracts in mice. Asian Journal of Natural Product Biochemistry, 22(1). https://doi.org/10.13057/biofar/f220106

Pathak, Ishwor, Budhathoki, Rabin, Yadav, Nisha, Niraula, Muna, & Kalauni, Surya Kant. (2020). Phytochemical screening, cytotoxic and antioxidant activity of Alternathera sessilis and Moringa oleifera. Amrit Research Journal, 1(1), 65-71. https://doi.org/10.3126/arj.v1i1.32456

Ruttarattanamongkol, Khanitta, & Petrasch, Angelika. (2015). Antimicrobial activities of Moringa oleifera seed and seed oil residue and oxidative stability of its cold pressed oil compared with extra virgin olive oil. Songklanakarin Journal of Science & Technology, 37(5).

Salam, Md. Abdus, Al-Amin, Md. Yusuf, Salam, Moushumi Tabassoom, Pawar, Jogendra Singh, Akhter, Naseem, Rabaan, Ali A., & Alqumber, Mohammed A. A. (2023). Antimicrobial Resistance: A Growing Serious Threat for Global Public Health. Healthcare, 11(13), 1946. https://doi.org/10.3390/healthcare11131946

Sanusi, Shuaibu Babaji, Mainasara, Muhammad Murtala, Maishanu, Hassan Muhammad, Saidu, Nafisa, & Dirisu, Halima. (2017). Antimicrobial Activities and Phytochemical Investigation of Moringa oleifera. Lam. Leaf Extracts. International Journal of Research and Review, 4(4), 9-14. https://doi.org/10.56919/usci.1122.001

Shafiq, Nada E, Mahdee, Anas F, & Mohammed Hasan, Zainab Y. (2024). Leaf Extracts of Moringa oleifera Cultivated in Baghdad: Characterization and Antimicrobial Potential against Endodontic Pathogens. The Scientific World Journal, 2024(1), 1-16. https://doi.org/10.1155/2024/6658164

Sinaga, NURSANNA IRAWATY, Hanafi, Muhammad, & Yantih, NOVI. (2021). Identification of chemical compounds and antibacterial activity of 96% ethanol extract from moringa oleifera lam. Leaves against mrsa (methicillin resistant staphylococcus aureus). International Journal of Applied Pharmaceutics, 13(2), 111-114. https://doi.org/10.22159/ijap.2021.v13s2.21

Suhartono, Suhartono, Ismail, Yulia Sari, & Muhayya, Syarifah Raisha. (2019). The interference of Moringa oleifera leaf extracts to modulate quorum sensing-facilitated virulence factors. Biodiversitas Journal of Biological Diversity, 20(10). https://doi.org/10.13057/biodiv/d201031

Tahany, MA, Hegazy, AK, Sayed, A Mohsen, Kabiel, HF, El-Alfy, T, & El-Komy, SM. (2010). Study on combined antimicrobial activity of some biologically active constituents from wild Moringa peregrina Forssk. Journal of Yeast and Fungal Research, 1(1), 15-24.

Van Baarlen, Peter, Troost, Freddy J, van Hemert, Saskia, van der Meer, Cindy, de Vos, Willem M, de Groot, Philip J, . . . Kleerebezem, Michiel. (2009). Differential NF-κB pathways induction by Lactobacillus plantarum in the duodenum of healthy humans correlating with immune tolerance. Proceedings of the National Academy of Sciences, 106(7), 2371-2376. https://doi.org/10.1073/pnas.0809919106

van den Berg, Jorrit, & Kuipers, Saskia. (2022). The antibacterial action of Moringa oleifera: A systematic review. South African Journal of Botany, 151, 224-233. doi: https://doi.org/10.1016/j.sajb.2022.09.034

Vaou, Natalia, Stavropoulou, Elisavet, Voidarou, Chrysoula, Tsakris, Zacharias, Rozos, Georgios, Tsigalou, Christina, & Bezirtzoglou, Eugenia. (2022). Interactions between Medical Plant-Derived Bioactive Compounds: Focus on Antimicrobial Combination Effects. Antibiotics, 11(8), 1014.

Wahyuningsih, Eko Sri, Sumaryono, Wahono, & Chaidir, Chaidir. (2021). Combination Gel Formulation Extracts of Moringa Leaf and Red Betel Leaf as an Inhibitor of Acne-Causing Bacteria (Propionibacterium acne and Staphylococcus aureus). Jurnal Fitofarmaka Indonesia, 8(3), 18-23. https://doi.org/10.33096/jffi.v8i3.727

Downloads

Published

31-12-2025

How to Cite

Evaluation of Antibacterial Efficacy and Antibiotic Synergy of Moringa oleifera Leaves Extracts Against  Some Clinical Pathogenic Bacterial Strains. (2025). Libyan Journal of Ecological & Environmental Sciences and Technology, 7(3), 53-63. https://doi.org/10.63359/fezetn81