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INNOSC Theranostics and
            Pharmacological Sciences                                      Transformative natural product-drug combinations




























            Figure 3. Antibacterial activities of prepared samples against resistant Salmonella spp., Shigella spp., Staphylococcus aureus, Escherichia coli, and Proteus
            spp. Image reproduced with permission from Gideon and Ladan. 30
            carried out to investigate the transformations in both the   of co-trimoxazole with clove extract (Scl), a two-stage
            phytoconstituents and the antibiotic that contributed to the   combination of aspirin and clove extract (Ac2), and a two-
            observed synergistic activity. The clear inhibition zones in   stage combination of aspirin and guava extract (Ag2) were
            Figure 3 primarily represent the acid-treated plant extract   all effective against the resistant isolates of Salmonella spp.
            combined with the antibiotics.                       The antibacterial activity optimization of aqueous leaf
              The GC-MS analysis revealed 53 phytoconstituents, of   extract of  P. guajava against resistant clinical isolates of
            which 18 were known for their biological activity, as shown   S. aureus, E. coli, Streptococcus spp., and Salmonella spp. was
                                                                                 26
            in Table 2. Three of these constituents – farnesol, 4-amino-  carried out by Gideon.  He added 4 mL of guava extract to
                                                 35 
            1-pentanol,  and an imidazole derivative resembling   4 mL of aspirin solution, boiled the mixture in a water bath,
                     36
            the drug ribavirin 37,38  – were reported to have anticancer   then added 0.4  mL of sodium hydroxide and continued
            properties.                                        boil for 5 min. A fresh 2 mL portion of guava extract was
                                                               added, followed by 0.3 mL of sulfuric acid, and the mixture
              Further exploration can involve reactions between   was boiled for another 10 min before centrifugation. The
            non-bioactive constituents from different plant extracts,   antimicrobial activity is shown in Figure 4.
            the bioactive constituents of one plant combined with the
            non-bioactive constituents of another, chloroform extracts   The  ATR-FTIR  analysis  revealed  significant
            of various plants, or isolated compounds with n-hexane   findings regarding the interaction between aspirin and
            extracts. Multiple combinatorial reactions can be designed   P. guajava. From the ATR-FTIR results depicted in
            and carried out based on predicted outcomes.       Figure 5 and Table 3, new peaks emerged in the combined
                                                               product, including 3,235.3 cm  (O-H stretching from
                                                                                         -1
            2.3. Strategy 3                                    guava extract), 2,918.5 cm  (C-H stretching, alkanes from
                                                                                    -1
                                                                                    -1
            This strategy involves initiating a reaction between a   guava extract), 2,105.9 cm  (C5. stretching, alkynes from
            plant extract and a drug not originally intended for   aspirin solution), 1,455.7 cm-1 (C-H bending, alkanes from
                                                                                    -1
            treating the disease of interest, or any reagent suspected to   guava extract), 1,748.1 cm  (C=O stretching, esters from
                                                                                       -1
            possess good structural functionality that might enhance   aspirin solution), 1,677.3 cm  (C=C stretching, alkenes
                                                               from aspirin solution), 1,602.8 cm  (C=C stretching,
                                                                                             -1
            antimicrobial activities. Various methods can be employed   aromatics from aspirin solution), and 1,453.7 cm  (C-H
                                                                                                       -1
            while modifying the reaction conditions.
                                                               bending, alkanes from aspirin solution). These changes in
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              Gideon  et al.  developed a regimen by making 24   peak positions and transmittance levels suggest significant
            different combinations of guava leaves and clove aqueous   structural modifications, with reduced transmittance
            extracts with aspirin, tetracycline, and co-trimoxazole,   indicating higher concentrations of compounds with
            each underwent different reaction stages. Antimicrobial   specific  functional  groups.   The combined presence
                                                                                      26
            susceptibility tests revealed that a single-stage combination   of peaks from both guava extract and aspirin solution
             Volume 8 Issue 2 (2025)                        91                               doi: 10.36922/itps.4068
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