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INNOSC Theranostics and
            Pharmacological Sciences                                      Transformative natural product-drug combinations




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            Figure  2. Attenuated total reflectance-Fourier transform infrared spectroscopy spectra of guava extract (A) and reacted guava extract (B). Image
            reproduced with permission from Gideon. 26

            Table 1. Fourier transform infrared spectroscopy analysis of guava extract and reacted guava extract, including attributed
            functional groups. Reproduced with permission from Gideon 26
            FTIR functional    Wavenumber      Guava extract    Reacted guava        Associated phytochemicals
            group region       range (cm⁻¹)    peaks (cm⁻¹)     peaks (cm⁻¹)
            O-H/N-H Stretch     3,200–3,600    3,693.8; 3,280.1   3,250.2       Alcohols, phenols, amines, or carboxylic acids
            C-H Stretch         2,850–3,000    2,918.5; 2,851.4     -           Alkanes
            Clkanes Stretch     2,100–2,260    2,109.7; 1,994.1  2,117.1; 1,994.1  Alkynes or nitriles
            C=O Stretch         1,630–1,820       1,617.7       1,688.5; 1,610.2  Ketones, aldehydes, esters, or carboxylic acids
            N-H Bending         1,500–1,600         -             1,513.3       Primary and secondary amines
            C-H Bending         1,400–1,500       1,449.9         1,442.5       Aromatic compounds
            Abbreviation: FTIR: Fourier transform infrared spectroscopy.
            Saddaf  et al.’s results showed that the root extracts of   – such as an inorganic/organic acid, alkali, or catalyst –
            Bergenia ciliata and  Bergenia stracheyi (at 1200  μg/well)   and modifying the reaction conditions. For antibacterial
            and their synthesized AgNPs (at 150  μg/well) did not   applications, multiple plant extracts can be reacted with
            inhibit the growth of E. coli, Staphylococcus haemolyticus,   different inexpensive antibiotics. The antibiotic must be
            or Bacillus cereus. In contrast, the root extracts of Rumex   confirmed to be ineffective against the target bacteria, as
            dentatus and Rumex hastatus (at 1200 μg/well) were unable   using an antibiotic that is fully effective against the bacteria
            to inhibit these bacteria, but their synthesized AgNPs   of interest could reduce the effectiveness of the final product
            (at 150  μg/well) successfully inhibited bacterial growth.   if structural changes are made. For example, Gideon and
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            According to Saddaf  et al.  (p321),  “the antibacterial   Ladan  achieved consistent synergistic effects preparing
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            activity  of  each  type  of  AgNPs  depends  on  the  surface   a mixture of (i) 1  mg/mL amoxicillin with aqueous leaf
            modification by plant extract, which makes them effective   extract of  Calotropis procera; (ii) 1  mg/mL ampicillin
            against specific bacteria.” In response to this statement, it   with aqueous leaf extract of  C. procera; (iii) 100  μg/mL
            can be argued that if the modification occurred on AgNPs   azithromycin with aqueous leaf extract of C. procera; and
            themselves, rather than on the plant extract, lower levels   (iv) 100  μg/mL ampicillin with aqueous leaf extract of
            of inhibition would have been observed in B. ciliata and   C. procera, and reacting each with concentrated sulfuric
            B. stracheyi due to the contributory effect of silver’s inherent   acid  at  110°C  for  20  min.  Greater  zones  of  inhibition
            antimicrobial activity. Instead, it is the modification of   were observed, as shown in Figure 3. The clear zones of
            the phytoconstituents in these aqueous root extracts that   inhibitions in  Figure  2 predominantly reflect the acid-
            promotes antimicrobial functionality, as demonstrated by   treated plant extract in combination with the antibiotics.
            Gideon. 26                                         This method increased the synergism of the plant extract-
                                                               antibiotic combinations, enhancing their effectiveness
            2.2. Strategy 2                                    from 33% (as reported by Eze  et al.,  Moussaoui and
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            This strategy involves initiating a reaction between a single   Alaoui,  and Haq et al. ) to 100% at 1 mg/mL.
            plant extract and an ineffective drug, known for treating the   In a follow-up study by Gideon et al.,  GC-MS analysis
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            disease of interest. The process includes adding a reagent   of combination (i) from Gideon and Ladan’s study  was
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             Volume 8 Issue 2 (2025)                        90                               doi: 10.36922/itps.4068
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