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Table of Content
INTRODUCTION.......................................................................................................................................2
I.RESEARCH QUESTION...........................................................................................................................4
II.RESEARCH OBJECTIVES........................................................................................................................5
II.1. General objectives ......................................................................................................................5
II.2. Specific objective........................................................................................................................5
III.LITERATURE REVIEW ..........................................................................................................................6
III.1. GENERALITIES ON THE PLANTS..........................................................................11
III.2 GENERALITIES OF CANDIDASPECIES.........................................................................................11
IV.MATERIAL AND METHOD .................................................................................................................16
V.EXPECTED RESULTS............................................................................................................................22
REFERENCES...........................................................................................................................................23
ANNEX....................................................................................................................................................28
INTRODUCTION
Fungal infections are one of the major threats to public health with and increasing frequency
of drug resistance (1) accounting for an excess of 1.7million deaths annually worldwide
(2)A major part of common localized infections are caused by Candidaspecies, they cause
major opportunistic and invasive infections. Candidaspecies that reside in healthy host
include Candidaalbicans, C. tropicalis, C. auris, C. parasitosis, and C. krusei.
Candidanormally resides inside the body such as the mouth, throat, gut and vagina without
causing problems. The current treatment regimens against candidaspecies are based on the
use of the following class of anti-fungi: echinocandines, polyenes, heterocyclic
benzofuranes, flucytosine, azoles just to name a few. Antifungal resistance is an increasing
problem with the fungus Candidarecording considerate percentage of resistance to
antifungal drugs, making them difficult to treat.(3)[3]
According to the studies carried out by CDC’s Antibiotic Resistance Threat (ART) in the
United States 2019, about 7% of all candidablood samples tested are resistant to fluconazole.
Although Candidaalbicans, is the most common cause of severe candidainfections, resistance
is most common to other species particularly candidaauris, candidaglabatra, and
candidaparapsilosis.(4) [4]
Finding alternative treatments which are effective, accessible and less toxic remains a major
challenge. Plant kingdom has always been a hub for many natural compounds with novel
structure, results of new researchers showed that plants are enriched of many bioactive
secondary metabolites such as saponins, alkaloids, terpenoids and phenolic acids which are
characterized by antifungal property[(5)]. Depending on that, these plants can be considered
as a potent future source for antifungal drugs. Epidemiological data suggest that the incidence
and prevalence of serious mycoses continues to be a public health problem, so the spread of
multidrug-resistant strain of fungus and reduced number of drugs available make it necessary
to discover new classes of antifungals from natural products. Some examples of plants with
antifungal properties include: Eugenia uniflora, Psidium guajava, Curcuma longa, Persea
Americana, Cassia alata just to name a few[(6)].
Camellia sinensis (tea plant) of the family theaceae are ever green, medium size wooden
shrubs growing to a height of 1.8m.[(7)] C. sinensis teas have attracted a great deal of
This study was designed to investigate the in-vitro anti-candidaeffects of tea extracts on
antifungal resistant and non-resistant strands
Tea biomolecules mainly consist of non-protein amino acids theanine, free sugars,
methylxanthine or purine alkaloids like caffeine, theobromine, theophylline and theacrine,
phenolic acids like gallic acid, and eight other catechins[ (10)]. However, the state of research
on tea regarding its pharmacological properties in relation to fungi is limited and the majority
of work has been conducted on green tea with very little on black and white tea. Various
studies have shown significant suppressive effects of green tea polyphenols against many
microorganisms. Black tea, a major source of phenols including theaflavins and thearubigins
has also shown to have antimicrobial properties both invivo and invitro.(11)
This study attempts to establish the potentiality of C. sinensis plant product as a novel
modalities in the line of new drug discoveries and as a remedy to the multiple antimicrobial
resistance.
I. RESEARCH QUESTION
Does the ethanolic leaf extract of Camellia sinensis possess anti-fungal effect on
antifungal resistant Candidaspecies?
I. LITERATURE REVIEW
Phytotherapy in the past and even now has been used to treat various ailments
even before the introduction of modern medicine. Herbal medicines are still
widely used in many parts of the world especially in areas where people have
limited or no access to modern health care (12). In most developing countries
where phyto-therapy is still very much used due to high cost in chemotherapeutics,
there is a need for scientific research to evaluate the biological activities of
medicinal plants. For results obtained may lead to the development and validation
of traditionally used medicinal plants.
Green tea is selected for this study because its consumption has its legendary
origins in China of more than 4,000 years ago. Green tea has been used as both a
beverage and a medicine in most of Asia (13). All the types of teas are
manufactured from the leaves of Camellia sinensis. Tea possesses significant anti-
oxidative, anti-inflammatory, anti-microbial, anti-carcinogenic, antihypertensive,
neuroprotective, cholesterol lowering and thermogenic properties(14)These due to
it rich concentration in bioactive polyphenols.
a) BOTANICAL STUDY
Superkingdom Eukaryote
Kingdom Plantae
Phylum Spermatophyta
Subphylum Angiospermae
Class Dicotyledonae
Order Theales
Family Theaceae
Genus Camellia
Species Camellia sinensis
C.sinensis plants are evergreen, medium size woody shrubs growing into a
height of 1.8m.
Leaves: oval and pointed at the tip, usually 5-10cm long, shiny, dark-green
above. Leaf margin finely dentate.
b) GEOGRAPHICAL STUDY
Culticated using the cutting method and a hectare of land can provide 2500
tones per year.
Our case study the Ndu Tea Estate, located at the Northeast edge
of the bamenda grasfield. Ndu is the highest elavation town in
Cameroon with an average temperature of 27℃
PHYTOCHEMICAL STUDIES
Table 2:
- Ethnobotanic study
- Harvesting
- Washing
- Drying
- Crushing
- Extraction
a) DEFINITION
b) CLASSIFICATION
Superkingdom Eukaryote
Kingdom Fungi
Subkingdom Dikarya
Phylum Ascomycota
Subphylum Saccharomycotina
Class Saccharomycetes
Subclass Saccharomycetidae
Order Saccharomycetales
Family Debaryomycetaceae
Genus Candida
c) PHYSIOPATHOLOGY
b) IDENTIFICATION
a) Conventional methods
Germ tube test Presence of hypha in C.albicans 24-36
Chlamysdospore Sporulation 24-72
formation
Biochemical test Assimilation/fermentation of carbohydtrates 48
API Candida Assimilation/fermentation of carbohydrates 18/24
ID YST/VITEK 2 Biochemical tests 15
API 20C AUX Assimilation tests
Pagno-levin Agar Color change/reduction of triphenyltetrazolium to 48
triphenylformazin
CandidaID Agar Hydrolysis indolyl glucosaminide by C.albicans 48
Albican ID A chromogenic substrate hydrolysed by the hexosaminidase >24
of C.albicans
Fluoroplate A fluorogenic substrate hydrolysed by hexosaminidase of >24
C.albicans
CHROM Agar β-glucosaminidase metabolized to produce colored colonies 48
of different Candidaspp
BiGGY Agar Reduction of bismuth sulfate to bismuth sulphide 48
Corn Meal Agar Stimulates sporulation in Candida >48
CandidaDiagnosti Glucosaminidase hydrolysis by different species of Candidato 48
c Agar produce varying color
AlbiQuick Detection of the enzymes β–galactosaminidase and ւ–proline >24
aminopeptidase
ChromID Candida Hydrolysis of hexosaminidase chromogenic substrate 24
Macrospically colonies of candida, on the routinely used sabouraud destose agar (SDA) and
are cream to yellow in colour. Depending on the species colony texture they may be smooth,
glistering, dry, wrinkled or dull.(27)
1. Type of study
2. Place of study
Our plant will be harvested at the Ndu tea estate in the Donga-
mantung Division by factory manager.
1. Period of study
The study will be done for a period of six months, ranging from the 14 th
November 2022 to the 14 of May 2023.
2. Study population
1. Materials
2. Methods
a) Administrative procedure
Apply for an authorization which permits this work to take place. These
authorization letter is addressed to;
a) Recruitment procedure
b) Extraction
a) Phytochemical screening
- Procedure: 1ml of methanol will be added to 2ml of crude extract and later
0.5ml of NaOH 10%
Sample collection
Patients after being consulted and sent to the clinical laboratory by any physician, will be
escorted to the collection room by the personnel in charge. The collection procedure will be
done according to the type of sample needed; High vaginal specimens, Blood specimen,
Sputum specimen, Feces specimen, Nail clippings, Pus and scares.
- Api candidagallery
- Germ-tube test
- vitek®
- Mass spectrophotometry
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