1. Introduction
Infectious diseases spread from one person to another and are caused by pathogenic microorganisms, such as bacteria, fungi, and parasites, among others [
1]. Infectious diseases are the most frequent diseases, representing an important cause of morbidity and mortality among the general population, particularly in developing countries [
2]. Infectious diseases are predominant in African and Asian countries due to the most prevalent vulnerable population, poor hygienic conditions, inadequate funding, poor microbiology services, limited technical experts and scarce epidemiological data to better inform preventive and treatment strategies [
3]. Bongomin et al. [
4] reported that patients with compromised immune function are especially prone to fungal pathogens that accounted for at least 13 million infections and 1.5 million deaths in the world annually [
4]. Annually, over 150 million severe cases of fungal infections occur worldwide, resulting in approximately 1.7 million deaths per year [
5]. Data generated by the Global Action Funds for Fungal Infections (GAFFI), suggests an estimate of 47.6 million Africans suffering from fungal diseases [
6]. In Cameroon, it is estimated that more than a million people are affected each year by serious fungal infection, among which 8.1% of cases of recurrent vulvovaginal candidiasis are reported in women aged 15 to 50 years [
7]. On the other hand, deaths caused by bacterial infections accounted for more than 1 in 8 global deaths in 2019, with five pathogens (
Staphylococcus aureus,
Escherichia coli,
Streptococcus pneumonia and
Klebsiella pneumoniae) accounting for more than half of those deaths [
8]. In 2019, bacterial infections caused most deaths in sub-Saharan Africa with an estimate of 230 deaths per 100,000 people [
9]. Recently, AMvomo et al. [
10] reported that out of 156 samples collected from the Jordan Hospital (Yaounde-Cameroon), 86 were cultured positive and 100 bacteria, including mostly
Enterobacter cloacae (17%),
Klebsiella pneumoniae (17%),
Staphylococcus aureus (16%) and
Escherichia coli (11%) were isolated [
10]. The entry of bacterial and fungal microorganisms induce a generation of free radicals, such as reactive oxygen species (superoxide ion, hydrogen peroxide and hydroxyl radical) and reactive nitrogen species [
11]. Whenever, the rate of these free radicals is high as a result of the imbalance between free radicals and the naturally occurring antioxidants, there is an occurrence of many cellular events that trigger certain diseases (atherosclerosis, cancer, cardiovascular diseases, diabetes, and high blood pressure, among others) due to oxidative stress. Moreover, the implication and contribution of oxidative stress in any pathological condition is undeniable [
12]. Indeed, oxidative stress has intricately been involved in the pathogenesis of infectious diseases as the overproduction of resulting products (ROS and RNS) are potentially harmful to host cells and create a highly cytotoxic milieu thereby contributing to cell damage [
13,
14]. The concerted action of antioxidants to ameliorate the harmful effect of oxidative stress is achieved by antioxidant enzymes (Superoxide dismutases-SODs, catalase, glutathione peroxidase-GPx), and small molecular weight antioxidants (vitamins C and E, flavonoids, carotenoids, melatonin, ergothioneine, and others) [
15].
Nowadays, various antimicrobial agents including antibiotics have been widely employed in treating diseases caused by these infectious pathogens. These include antifungal drugs, such as amphotericin B, fluconazole, itraconazole, voriconazole, and posaconazole [
16], as well as antibacterial therapies like the fluoroquinolones (ciprofloxacin, moxifloxacin, norfloxacin, etc.), penicillins (amoxicilline, dicloxacillin, etc.), aminoglycosides (amikacine, gentamicin, tobramycine), and cephalosporins (ceftriaxone, céfépime, ceftazidime), and others. In severe or uncomplicated cases of bacterial or fungal infections, combination therapies would be recommended for bacterial (ceftriaxone-vancomycin; Leekha et al. [
17]) and fungal (AmB-posaconazole; Campitelli et al. [
18]) diseases. However, the misuse and/or excessive use of these antimicrobials has developed drug resistance, resulting in low treatment efficacy. The growing resistance of microbes to antibacterial and antifungal treatments, as well as their toxic effects, suggested imperatively to search for alternative remedies against these maladies [
19]. Even though the antimicrobial drugs that possess antioxidant properties might help in the fight of microbial drug resistance, the side effects of these antioxidants (ethoxyquin and propyl gallate are carcinogenic, neurotoxic and hepatotoxic, etc.) are not negligible.
Medicinal plants have been used for several decades to cure a variety of diseases, including bacterial and fungal diseases [
20]. In addition, contemporary medicines derive basically from herbs with reference to traditional knowledge and practices, and beliefs. According to the World Health Organization (WHO), more than 80% of the world's population relies on traditional medicine for their basic health care [
21]. One such plant include
Cocos nucifera, which is used for the traditional treatment of diarrhoea and stomach aches, and as a topic ointment for dermatitis, abscesses, and injuries, etc. [
22]. On the other hand, modern chemistry and pharmacological studies have demonstrated the implication of active principles from diverse sources (especially, from plants) in the discovery of antimicrobial drugs [
20,
23]. For instance, previous reports have demonstrated the anti-inflammatory, anti-viral, anthelminthic, anti-leishmanial, antimalarial and hepatoprotective activities of
Cocos nucifera [
22].
Materials in the nanoscale range have been employed to deliver therapeutic agents to specific targeted sites in a well-ordered method [
24]. These nanoparticles have created huge interest in a wide range of applications owing to their controllable size and shape along with excellent reactivity and unique physical, chemical, and biological properties [
19]. Although metal-based nanoparticles have been reported to exhibit antimicrobial activity against a wide range of bacterial and fungal diseases [
25,
26,
27], biocapping with plant extracts is an effective approach for the fabrication of nanoparticles with minimum toxicity [
28,
29]. More recently, new approaches have been developed to enhance the antimicrobial activity of nanoscale materials by tagging nanoparticles on the surface of activated carbon to acquire nanocomposites [
30]. Moreover, it is well known that nanocomposites exhibit more efficient antibacterial activity than the nanoparticle counterparts [
30].
Indeed, activated carbon (AC) is a porous material exhibiting amphoteric characteristics and is usually used for the adsorption of organic and inorganic compounds. Additionally, activated carbon have the ability to adsorb bacteria, fungi, toxins and other chemicals [
31]. Based on the foregoing, there is evidence that biologically synthesized nanomaterials (nanoparticles and nanocomposites) can afford potentially active antimicrobial compounds that might serve as a baseline for the discovery of effective antimicrobial agents. Thus, the present study aims to green synthesis of
Cocos nucifera-based nanomaterials and study of the mechanistic basis of their antimicrobial action. The cytotoxicity of the active antimicrobial nanoparticles is also evaluated against the human mammalian cells Vero.
4. Discussion
In this study, the aqueous extract of
Cocos nucifera was used as a reducing and stabilizing agent for the bio-fabrication of silver nanoparticles. After preparing an activated carbon from this plant species, the as-prepared nanoparticles were loaded on activated carbon by simple impregnation to afford the nanocomposite. As it is essential that these materials be thoroughly characterized to ensure reproducibility in their fabrication, UV-vis spectrometry and FTIR analyses were used for the characterization of the as-prepared nanomaterials. As a result, the nanoparticles presented λmax value at 432 nm, which confirmed the synthesis of the nanoparticles as it is well known that silver nanoparticles are formed at λmax values within the visible range of 400-500 nm [
38,
39,
40]. This result is consistent with a study by Das et al. [
33] who recently prepared coconut shell-based silver nanoparticles that displayed a maximum absorbance at 447 nm. The color change from colorless to dark brown was due to the presence of Ag nano-dot embedded organic light emitting diode by localized Surface Plasmon Resonance [
41,
42]. The intensity of the peaks shows the crystalline nature of the nanoparticles. A number of authors [
43,
44] have identified several phenolic compounds in
Cocos nucifera shells, which compounds might have contributed to the reduction of and stabilization of prepared nanoparticles. The FTIR analysis of
Cocos nucifera aqueous extract, activated carbon, and the nanomaterials revealed a number of functional groups present at the surface of these materials. For instance, the main surface functional groups present in
C. nucifera aqueous extract were a combination of hydroxyl (OH), methylene , carbonyl (C=O), and ether (C-O-C) groups as evidenced by the report of Sulaeman and coworkers in 2016 [
45]. As the
C. nucifera aqueous extract is converted into silver nanoparticle using silver nitrate, there is a gradual change in the composition of the functional groups. For instance, there was a marked shift of peaks in the chromatogram of synthesized silver nanoparticles [
26,
46,
47]. After activation and carbonization, all the functional groups present in the
C. nucifera precursor disappeared due to decomposition of cellulose, hemicellulose and lignin during the carbonization process [
48]. The disappearance of functional groups from the CNS to the activated carbon (AC) shows the effect of temperature and activating agent during the preparation of the AC. Nanoparticles and nanocomposites were further evaluated for antimicrobial activity against selected bacterial and fungal strains. As a result, these nanomaterials inhibited the growth of bacteria and fungi with MIC values ranging from 7.813 to 500 μg/mL. The most susceptible microorganisms were found to be
Escherichia coli and
Candida albicans among bacteria and fungi, respectively. It is worth noting that
Cocos nucifera aqueous extract, activated carbon did not reveal antimicrobial activity (MIC>1000 μg/mL) (data not shown); however, the role of these entities in the fabrication of nanomaterials with reduced toxicity and the enhancement of the antimicrobial activity is undeniable [
33,
47]. Through their small diameter, activated carbons efficiently bind onto microbes by adsorption to yield better or enhanced bactericidal property [
49,
50]. Other features of activated carbons include high porosity, high specific surface area, and desired surface functionalization [
47,
51]. Although there is almost no standard reported threshold values for antimicrobial nanomaterials to ascertain their degree of activity, it is generally known that the less is the MIC values of the test samples the more is the antimicrobial activity. Other authors have speculated that very active and active antimicrobial plant extracts should exhibit MIC values < 100 μg/mL and 100 ≤MIC ≤512 μg/mL, respectively [
52,
53]. Cytotoxic studies of 5 and 10 mM of the nanomaterials on the human mammalian cells Vero revealed no toxic effect as evidenced by the median cytotoxic concentration (CC
50: >1000 μg/mL). At 20 mM concentration, the nanocomposite was not found to be toxic to Vero cells, whereas the nanoparticle showed mild cytotoxicity (CC
50: 60.52 μg/mL) at this concentration. This observation might justify the plausible toxicity of nanoparticles over their nanocomposite counterparts. These results demonstrated that the antibacterial (SI: >16 to >32 and >16 to >128 for nanoparticle and nanocomposite, respectively) and antifungal (SI: >4 to >16 and >16 to >32, for nanoparticle and nanocomposite, respectively) nanomaterials revealed high selectivity indices, thus highlighting the non-toxicity of these entities.
The kinetic of bacterial deaths, which was further evaluated revealed a bactericidal orientation of the nanomaterials at MIC and 2MIC on
E. coli as evidenced by the trend of the curves obtained while plotting optical densities versus time of incubation. This observation helps to conclude about a putative mode by which
Cocos nucifera-based nanomaterials affected the bacterial growth. Indeed, there was a direct killing of bacteria for the overall period of incubation (30 hours) studied rather than an ephemeral inhibition of bacterial growth. It is worth nothing that a decrease in the absorbance indicates a reduction of the bacterial population that might have resulted in the death of cells [
54]. On the other hand, since
Candida albicans was found to be the most susceptible fungus strain, the inhibitory potential of the nanomaterials was followed up at different time intervals for a period of 48 hours at MIC/2, MIC and 2MIC. As a result, 8 to 10 hours’ incubation of
C. albicans along with MIC-based concentrations of nanomaterials showed significant fungal growth inhibition as evidenced by a marked decrease of the curves of test samples compared to the negative control without treatment (
Figure 5A,B). From 10 to 48 hours of incubation time period, there was a slight growth of the fungal population as shown by the curves’ inclination, which tends to be horizontal within the entire time period considered. A similar trend was observed with the standard drug fluconazole (
Figure 5A,B). These results demonstrate the fungistatic orientation of the nanomaterials at MIC and 2MIC.
Furthermore, the antimicrobial activity of nanoparticles has been attributed to three main mechanisms of action, including (i) adhesion onto the outer membrane, accumulation in the inner membrane, increase of membrane permeability, leakage of cell content followed by cell death; (ii) interaction with sulphur and phosphate groups of the DNA (deoxyribonucleic acid) and proteins to alter their functions; (iii) interaction with cellular components to alter the metabolic pathways, membranes, and genetic material, among others.
As the oxidative stress is intricately involved in any pathological condition, including infectious disease conditions, antioxidant activity of the nanomaterials was evaluated to further detail whether the potential antioxidant activity of the nanomaterials might have contributed to their antibacterial action. In DPPH assay, 5 mM of the nanoparticle showed antiradical activity, whereas in ABTS test, the nanocomposite showed scavenging activity at all the concentrations tested (5, 10 and 20 mM). Several authors attributed the antioxidant activity of plant extracts or nanomaterials thereof to their abundance in a variety of polyphenols that are endowed with a high reducing capacity [
55,
56,
57]. Both the nanomaterials revealed antioxidant activity, attesting their implication in a plausible reduction of oxidative stress following microbial infection. Accumulating evidence has shown the involvement of oxidative stress in the pathogenesis of several diseases [
12,
58], thus, the intervention of antioxidants during an infectious condition might prevent cell damage induced by oxidative stress.
Overall, Cocos nucifera-based nanomaterials were fabricated using an eco-friendly method. UV-vis and FTIR analyses are used to characterize these nanomaterials, which further exhibited concentration-dependent antibacterial and antifungal activities with no cytotoxic effects toward the human mammalian cells Vero. The mechanistic basis of the antibacterial action revealed a bactericidal orientation of the nanomaterials on Escherichia coli at MIC and 2MIC, whereas the antifungal action displayed a fungistatic inclination on Candida albicans at these concentrations, possibly, through inhibition of the free radicals produced by the bacteria or fungi. This novel contribution has demonstrated the involvement of Cocos nucifera-based nanomaterials in targeting bacterial or fungal systems that mediate free-radical damage or by inhibiting the oxidative impairment caused by selected bacteria and fungi.
Author Contributions
Conceptualization, P.K.L., J.N.N. and F.F.B; methodology, Z.Y.T., N.O.A., A.L.M., F.L.T.T., and B.-N.N.-D.; software, V.N., B.-N.N.-D., and F.L.T.T.; validation, P.K.L., J.N.N., and F.F.B.; formal analysis, Z.Y.T., F.L.T.T., N.O.A., A.L.M., B.P.K. and V.N.; investigation, Z.Y.T., F.L.T.T., N.O.A., A.L.M., B.-N.N.-D., B.P.K and V.N.; resources, P.K.L., J.N.N., B.P.K. and F.F.B; data curation, Z.Y.T., F.L.T.T., N.O.A., A.L.M., B.-N.N.-D. and V.N.; writing—original draft preparation, Z.Y.T., F.L.T.T. and V.N.; writing—review and editing, Z.Y.T. and B.P.K.; visualization, P.K.L., B.P.K. and J.N.N.; supervision, P.K.L., J.N.N. and F.F.B; project administration, P.K.L., J.N.N., B.P.K. and F.F.B; funding acquisition, P.K.L., B.P.K., J.N.N. and F.F.B. All authors have read and agreed to the published version of the manuscript.