Abstract

Background. The emergence of drug-resistant parasites impedes disease management and eradication efforts. Hence, a reinvigorated attempt to search for potent lead compounds in the mangroves is imperative. Aim. This study evaluates in vitro antiplasmodial activity, antioxidant properties, and cytotoxicity of A. africana leaf alkaloidal extracts. Methods. The A. africana leaves were macerated with 70% ethanol to obtain a total crude extract. Dichloromethane and chloroform-isopropanol (3 : 1, v/v) were used to extract the crude alkaloids and quaternary alkaloids from the total crude. The antiplasmodial activities of the alkaloidal extracts were performed against 3D7 P. falciparum chloroquine-sensitive clone via the SYBR Green I fluorescence assay with artesunate serving as the reference drug. The alkaloidal extracts were further evaluated for antioxidant properties via the total antioxidant capacity (TAC), the total glutathione concentration (GSH), the DPPH (2,2-diphenyl-1-picrylhydrazyl) assay, and the ferric-reducing antioxidant power (FRAP) methods. The cytotoxic activity of the alkaloidal extracts was tested on erythrocytes using a 3-(4,5-dimethylthiazol-2-yl)-5-diphenyltetrazolium bromide-MTT assay with little modification. The phytocompounds in the alkaloidal extracts were identified via gas chromatography-mass spectrometry (GC-MS) techniques. Results. The total crude extract showed good antiplasmodial activity (IC50 = 11.890 µg/mL). The crude and quaternary alkaloidal extracts demonstrated promising antiplasmodial effects with IC50 values of 6.217 and 6.285 µg/mL, respectively. The total crude and alkaloidal extracts showed good antioxidant properties with negligible cytotoxicity on erythrocytes with good selectivity indices. The GC-MS spectral analysis of crude alkaloidal extracts gave indole and isoquinoline alkaloids and several other compounds. Dexrazoxane was found to be the main compound predicted, with an 86% peak area in the quaternary alkaloidal extract. Conclusion. The crude and quaternary alkaloidal extracts exhibited antiplasmodial activities and ability to inhibit oxidative stress with negligible toxicity on erythrocytes. This may be good characteristics to avoid oxidative stress related to Plasmodium infection in the treatment of malaria.

1. Introduction

Malaria remains a fatal infection with public health significance. The infection is caused by plasmodial species such as Plasmodium vivax, P. malariae, P. ovale, P. knowlesi, and P. falciparum. Plasmodium falciparum is predicted to cause 99.7% of all the malaria cases in Africa [1]. The infection is spread by the bites of infected female Anopheles mosquitoes [2]. The World Health Organization (WHO) projected 241 million malaria cases in 2020, with 627,000 mortalities, the vast majority of which were children under the age of five [2]. Africa continues to be the infection hotspot, accounting for 94% of the global disease and mortality burden [2].

In several countries, including Ghana, artemisinin-based combination drugs are still the first-line treatment regime for uncomplicated malaria [3]. However, concerns about emerging and widespread antimalarial drug resistance pose a serious drawback for malaria control. Plasmodium falciparum has been reported to resist quinoline-based drugs such as chloroquine [4] and artemisinin [5, 6]. Resistance to these and other antimalarial drugs, as well as the lack of an effective vaccine [7], necessitates a renewed effort to find new, effective, and affordable antimalarial agents from a variety of natural resources available.

Natural compounds found in plants have been suggested to possess infinite therapeutic potential [8], with many of these agents having promising antimalarial properties. Both quinines, isolated from Cinchona bark [9], and artemisinin, developed from the Artemisia annua plant, are two well-known antimalarial lead compounds [10]. But quinine is often used to treat uncomplicated malaria in pregnancy, severe malaria, treatment failure in artemisinin-based combination treatment (ACT) therapies, and malaria in children under five [11, 12]. Consequently, various alkaloids have been reported to show varying biological activities, including notable antimalarial effects. Several classes of these alkaloids with antimalarial activity have been identified [13]. Bekeo and collaborators reported that antimalarial drugs with an alkaloidal base could be a good alternative to ACTs in Ghana [9].

Several mangrove plants used in folk medicine have been proposed to have tremendous therapeutic potential [14]. Preliminary research revealed that their extracts exhibit a diverse array of biological activities, including antifungal, antibacterial, anticancer, antidiabetic, and antiviral properties, due to the presence of bioactive metabolites [15]. Avicennia africana, which is associated with the West African mangrove, has been shown to have a high concentration of alkaloids and saponins [16, 17] and a variety of pharmacological properties, including antimalarial effects, in both in vitro and in vivo assays [18].

In malarial pathogenesis, haemoglobin degradation by malarial parasites generates redox-active by-products such as free haem [19], hydrogen peroxide, and hydroxyl radicals in P. falciparum-infected RBCs [20], which cause oxidative insult to host cells. This could suggest an association between parasite pathophysiology and free radical generation, as well as a drop in antioxidant levels in the host system [21]. The oxidative stress caused by malaria infections may cause significant pathological damage to important organs in humans, such as the liver and spleen, as well as cognitive impairment. It has been revealed that the use of antimalarial drugs frequently leaves residues of this damage following therapy, as evidenced by memory impairment after cerebral malaria [22]. Hence, plants or compounds with antimalarial effects and antioxidant properties could help in malaria management and possibly prevent infection aftereffects. In view of this, alkaloidal extracts from A. africana leaves found in mangroves may have the potential to revolutionise the battle against malaria.

This study investigated the antiplasmodial activity of the 70% ethanol total crude extract and alkaloidal extracts of A. africana leaf against the chloroquine-sensitive clones of 3D7 parasites using the SYBR Green I fluorescent assay. In addition, the antioxidant activities of the extracts as well as their alkaloids were determined by utilising various quantitative techniques. The tetrazolium-based colorimetric (MTT) assay technique was used to test the cytotoxic effects of the alkaloids and total crude extract on human erythrocytes. Furthermore, the phytocompounds of the alkaloidal isolates were identified using GC-MS analysis.

2. Materials and Methods

2.1. Collection and Authentication of the Plant

The leaves of the A. africana plant, also locally called “Dwira Akyinim,” in Akan were sampled from a mangrove forest area called “Iture,” a coastal community near Elmina, Cape Coast, in the Central Region of Ghana (Figure 1). The plant sample was identified and validated by a botanist at the Department of Environmental Studies’ herbarium at the School of Biological Sciences, University of Cape Coast. A voucher number (CC3096) was assigned to the plant specimen for future reference.

2.2. Plant Extraction

The A. africana leaves were cleaned with tap water, shade-dried, and ground into a fine powder. The dried and powdered leaves (6.5 kg) were extracted by cold maceration in 70% ethanol (3 x 1.5 L) for 72 h [23]. The combined extracts were concentrated under reduced pressure in a Rotary thin-film evaporator (R-114 SABITA) to afford a greenish-gummy crude extract (AAE, 412.18 g, 6.34% w/w). All solvents and reagents used in the total crude and alkaloidal extractions were of analytical-grade quality and obtained from Merck Chemical Supplies (Darmstadt, Germany) and Sigma-Aldrich (Germany).

2.3. Extraction of Alkaloids from the Total Crude Extract (AAE) of A. africana

The crude extract (412.18 g) was dissolved in 30% acetic acid and filtered. The clear acidic solution was extracted with chloroform (3x500 mL). The chloroform layer was discarded and the aqueous layer was basified to a pH of 10.5 using 25% aqueous ammonia and extracted with dichloromethane (3x150 mL). The dichloromethane layer was dried using anhydrous magnesium sulphate and evaporated under reduced pressure to dryness to obtain a light brownish crude (AAA, 5.23 g, 1.26% w/w,) [24]. The screening of this extract using Dragendoff reagent, Mayer’s reagent, and 3% Ce (NH4)2SO4 in 85% H3PO4 revealed the presence of alkaloids. Once again, the aqueous layer was extracted with chloroform- isopropanol mixture (3 :1 v/v, 3x250 mL). The chloroform-isopropanol layer was concentrated to give a light brownish solid (AAQ, 6.13 g, 1.49%) [24, 25]. This light brownish solid gave a positive test with the Mayer’s reagent [25, 26].

2.4. Parasite Cultivation

The efficacy of the alkaloidal extracts (AAA and AAQ) and total crude (AAE) was tested against a 3D7 P. falciparum clone (chloroquine sensitive) obtained from the Immunology Department, Noguchi Memorial Institute for Medical Research, University of Ghana. The asexual forms of P. falciparum were preserved in continuous cultures by employing techniques suggested by Rapoport and Holden [26], with minor modifications. The parasites were cultured in 2% packed cell volume (ORh+ noninfected human erythrocytes) and maintained in a complete culture medium (CPM). The medium is composed of RPMI-1640 supplemented with 5.94 µg/L HEPES, 5 µg/L AlbuMAX II, 50 mg/L hypoxanthines, and 2.1 µg/L sodium carbonate (NaHCO3). All chemicals and reagents utilized in this study were procured from Sigma-Aldrich (Germany) and QualiChem’s Lab Reagents (India). The incubation conditions were 3% O2, 4% CO2, 93% N2, and 37°C. The culture media were changed daily to ensure that parasitaemia was greater than 5%. A solution of 5% sorbitol was used to treat cultures and incubated for 48 hours to attain synchrony of ring-stage parasites. The parasites were subcultured to obtain 1% parasitaemia before being used in assays.

2.5. Antiplasmodial Activity of Crude and Alkaloidal Extracts

The stock solutions (1000 μg/mL) of the alkaloidal extracts (AAA and AAQ) and total crude extract (AAE) were filter-sterilized using a 0.2 μm Millipore filter. A working solution (100 μg/mL) was achieved by diluting the stock solution 10-fold. It was further diluted to attain concentrations ranging from 100 to 0.39 μg/mL. An aliquot of 100 µL of each of the nine dilutions was plated in duplicate in each well of a 96-well coastal plate. A standard antimalarial reference drug, artesunate (15 ng/ml working concentration), was serially diluted up to the 9th concentration (15−0.06 ng/mL) and plated alongside. Each well received 100 μL of parasite culture (1% parasitaemia at 2% haematocrit). All the other extracts were taken through the same procedure. The plates were gassed for 5 minutes in a modular incubation chamber with 90% N2, 5% CO2, and 5% O2 before being kept at 37°C for 72 h for incubation.

After 72 h of incubation, the cultures were treated with 100 µL of lysing buffer (SYBR Green I fluorescent), which is composed of 0.08% Triton-X 100, 5 mM EDTA, 20 mM Tris-Cl (pH 7.5), and 0.008% saponin as suggested by Johnson et al. [27], with slight modifications. The lysing buffer was treated carefully to avoid creating bubbles in the wells. Before reading the plates, they were left at room temperature for 30–60 minutes in the dark. The plates were read at 470 and 520 nm using the FLUOstar OPTIMA Fluorometer plate reader with Control Software version 2.20.

2.6. Screening of Alkaloidal and Crude Extracts for Cytotoxic Effect

The cytotoxic properties of the alkaloidal extracts and total crude extracts were tested on erythrocytes using a slightly modified version of the 3-(4,5-dimethylthiazol-2-yl)-5-diphenyltetrazolium bromide-MTT assay as described by Ayisi et al. [28]. A total of 100 µL of extracts (twofold serial dilution) ranging in concentration from 6.25 to 100 µg/mL were dispensed (in duplicate) into separate wells of a 96-well microtiter plate. A volume of 100 µL of noninfected erythrocytes was added to each well and incubated for 3 days at 37°C in a humidified incubator (5% CO2 and O2). Following that, each well received 20 µL of 7.5 mg/mL MTT in PBS and was kept for 2 h. After that, an aliquot (150 µL) of culture media was removed from each well and discarded. The plates were treated with 200 µL of Triton X-100 in acidified isopropanol to dissolve any formazan that had formed. The plates were maintained in the dark at room temperature for 24 hours before being read at 570 nm with a plate reader. The concentrations at which the extracts kill 50% of the cells (CC50 values) were determined using Microsoft Excel 2016 software to create a graph of the extract concentrations versus percentage mean cell viability with dose-response curves. The CC50 values were compared to standard values to find out if the total crude and the alkaloidal extracts were harmful to cells. In addition, to find the selectivity indices (SI), the ratios of toxic concentrations of extracts (CC50) to effective bioactive doses (IC50) are used to determine the amount of extract that inhibits or kills the parasites with no toxicity.

2.7. Antioxidant Assays
2.7.1. Evaluation of the Total Antioxidant Capacity (TAC) of Alkaloidal and Crude Extracts

The total antioxidant capacity of alkaloidal extracts (AAA and AAQ) and total crude extract (AAE) was determined using the phosphomolybdenum assay with minor modifications [29]. In this method, 50 µL of AAA, AAQ, and AAE were mixed with 500 µL of reagent solution (4 mM ammonium molybdate, 28 mM sodium phosphate, and 0.6 M sulfuric acid). The compositions were kept for one hour at 95°C before being cooled and read at 695 nm with a FLUOstar Optima (BMG Labtech) against a blank (50 µL of DMSO). Ascorbic acid (a standard antioxidant) in DMSO with varying concentrations (1, 0.5, 0.250, 0.125, 0.0625, 0.0312, and 0.0156 μg/mL) was used to create the calibration curve. The total antioxidant activity was expressed as mg/g of ascorbic acid.

2.7.2. Scavenging Activity of Alkaloidal and Crude Extracts on DPPH Radical

The antioxidant activities of alkaloidal extracts were assessed using a slightly modified DPPH (2,2-diphenyl-1-picrylhydrazyl) assay [30]. Ascorbic acid (0.5 mg/mL in methanol) was diluted 2-fold, which served as the positive control. The total crude (AAE), crude alkaloids (AAA), and quaternary alkaloids (AAQ) (2.5 mg/mL in methanol) were individually constituted to generate seven distinct concentrations. The reaction began with the transfer of 100 µL of each total crude or alkaloidal extract or ascorbic acid into a 96-well plate, followed by the addition of 100 µL of a 0.5 mM DPPH solution into the wells. The absorbances at 517 nm were measured with a plate reader (Tecan Infinite M200 Pro, Austria) after the mixture was kept for 20 minutes. Methanol was used as a negative control. The experiments were conducted in triplicates. The antioxidant activities of the extracts were expressed as a percentage of free-radical scavenging activity (%FRSA), which was calculated as follows:where Ao = absorbance of the blank solution and Ae = absorbance of the test (extract) solution or the standard (ascorbic acid).

The effective concentration at 50% free radical scavenging activity (EC50) was found by plotting a graph of the percentage of free radical scavenging activity vs. the concentration of the sample.

2.7.3. Assessment of Glutathione GSH Concentration

The approach proposed by Cereser et al. [31], with minor modifications, was used in the assessment of the glutathione (GSH) concentration inherent in the AAE, AAA, and AAQ. The reaction solutions were made up of 10 µL of the crude extract and alkaloidal extracts (5 mg/mL in DMSO). In addition, 180 µL of GSH buffer (100 mM NaH2PO4, 1N NaOH, 5 mM EDTA, and pH 8.0) and 10 µL of O-phthaldehyde (0.75 mM) were used for the reaction. The mixture, together with the GSH standard solution (0.0001563–0.1 mg/mL in DMSO (2-fold serial dilution)), was kept at room temperature for 15 minutes. The fluorescence was read at 350 nm (the excitation wavelength) and 420 nm (the emission wavelength). The tests were run in triplicate. A calibration curve for the GSH standard solution, with a regression equation (y = 651473x + 103.69, R2 = 0.998) was made to figure out how much glutathione was present in the extracts. The total glutathione in the extracts was expressed as glutathione equivalent (GSH).

2.7.4. Ferric-Reducing Antioxidant Power (FRAP) Assay

The FRAP test, as proposed by Benzie and Strain [32], was used in this study with a minor modification using a 96-well microplate. In a 10 : 1:1 ratio, 2.5 mL of 20 mmol/L FeCl3 solutions, 2.5 mL of 10 mmol/L TPTZ solution, and 25 mL of 300.0 mmol/L acetate buffer were mixed to make the FRAP reagent. The AAE, AAA, and AAQ (20 μL) were mixed violently together with 180 μL of the FRAP reagent. In the presence of antioxidants, the complex compound ferric tripyridyltriazine (Fe3+-TPTZ) is reduced to its ferrous tripyridyltriazine (Fe2+-TPTZ) form, resulting in an intense blue colour that can absorb maximally at a wavelength of 593 nm.

2.8. Profiling of A. africana Extracts Using Gas Chromatography-Mass Spectrometry (GC-MS)

The profiles of alkaloidal extracts (AAA and AAQ) from A. africana leaf (70% ethanol extract, AAE) were analysed on an Agilent 7890 B GC with an Agilent Technologies GC sampler 80 (Agilent Technologies, CA, USA). The device was equipped with an MS Agilent 7000°C triple quadrupole with a column size of 30 m + 10 m EZ Guard × 0.25 mm internal diameter-fused silica capillary coated with VF-5 ms (0.25 mm film) from Agilent or equivalent. The temperatures of the injector (in splitless mode) and the MSD transfer line were set to 280°C and 325°C, respectively. The extract was dissolved in methanol and injected at an initial column temperature of 70°C for 25 min. The system temperature was increased up to 150°C (3°C/min), 200°C (8°C/min), and 280°C (2.133 minutes). Helium was the carrier gas with a constant flow rate of 2.25 mL/minute, with nitrogen serving as the collision gas with a constant flow rate of 1.5 mL/minute. The septum purge was performed at a rate of 30 mL/minute for 0.75 minutes at a pressure of 27.5 psi. The mass detector could scan at m/z values ranging from 50 to 550. To identify the phytocomponents in the extracts, an injection volume of 2 µL (10 mg/mL in acetonitrile) of the samples was used for analysis. The compounds detected were identified by correlating the various peaks produced with the mass spectral library NIST 2014 (National Institute of Standards and Technology, Mass Spectral Library) [33]. The confirmation and characterisation of the alkaloidal metabolites were done using isotopic fit ratios (iFit) and mass accuracy. This fragmentation pattern analysis provides important information regarding the number of isotopes in the molecule to facilitate molecular formula determination which ensured the dependability and correctness of the phytocompounds identified.

2.9. Analysis of Data

The tests were conducted in triplicate. The data were shown as the mean ± standard deviation (SD). The IC50 values were obtained from graphs of dose-response curves through the application of GraphPad Prism 5.0 version software (GraphPad Software Inc., San Diego, CA). The CC50 and EC50 values were also derived from a dose-response curve using Microsoft Excel 2016. The student t-test was employed for analysis, and statistical significance was set at .

3. Results

3.1. Total Crude and Alkaloidal Extracts Yield

The 70% v/v ethanol cold maceration of 6.5 kg of pulverised leaf material yielded 412.18 g (6.34% w/w) of the total crude extract (AAE). To allow the extraction of the alkaloidal components, the crude extract was treated with aqueous acid and washed with chloroform. The aqueous layer was made basic to convert the alkaloids back into their neutral forms and subsequently extracted with DCM to afford the alkaloidal extract (AAA: 5.23 g, 1.26% w/w). The aqueous layer was further partitioned into chloroform-isopropanol (3 : 1 v/v) to give a light brownish solid believed to be quaternary alkaloids (AAQ: 6.13 g, 1.49%), as shown in Figure 2 [25, 26]. The basified aqueous extract with DCM was preliminary confirmed by positive Mayer’s and Dragendoff tests. After chloroform-isopropanol extraction, the basified aqueous extract was tested for quaternary alkaloids and found to be positive for Mayer’s test [25, 26].

3.2. Antiplasmodial Effects of A. africana Total Crude and Alkaloidal Extracts

The antiplasmodial effects of the total crude and crude alkaloidal extracts from the leaves of A. africana were tested against 3D7 P. falciparum strains, and the results are shown in Table 1. The IC50 values for the extracts (AAE, AAA, and AAQ) were 11.890 µg/mL, 6.217 µg/mL, and 6.285 µg/mL, respectively. The IC50 value for the control drug, artesunate, was 0.9 × 10−3µg/mL. Previous research suggests that extracts with IC50s below 5 µg/mL have “very active” antiplasmodial action, while those between 5 and 50 are “active,” 50 and 100 are “weakly active,” and those above 100 are “inactive.” [34]. Similarly, Kamaraj et al. [35] also suggested that plant extracts with IC50s of less than 10 µg/mL are classified as having “promising” antiplasmodial activity. They also said that IC50s between 10 and 20 µg/mL, 20 and 40 µg/mL, 40 and 70 µg/mL, and more than 70 µg/mL had “moderate,” “good,” “marginally potent,” and “poor” antiplasmodial activity, respectively. The latter antiplasmodial activity score categorization was used in this study. Based on the IC50 values obtained for AAE, AAA, and AAQ, the extracts demonstrated moderate to promising activity against 3D7 P. falciparum parasite clones.

3.3. Cytotoxicity of Alkaloidal Extracts of A. africana

The outcome of the erythrocytes’ survival is shown in Figure 3 after RBCs were subjected to different concentrations of the alkaloidal extracts. The cell survival rate of the alkaloidal extracts was similar to that of the artesunate reference drug. Also, both the crude and alkaloidal extracts showed good selectivity for 3D7 parasites, as indicated by their selectivity indices of >2 (Table 1).

3.4. Antioxidant Activity of Total Crude and Alkaloidal Extracts

The alkaloidal extracts and the total crude of A. africana yielded an appreciable amount of overall antioxidant activity. The AAE and AAQ had total antioxidant capacities (TAC) of 375.506 ± 0.047 and 373.638 ± 0.040 mg/g, respectively (Figure 4). The AAA had the highest TAC value, at 494.39 ± 0.058 mg/g ascorbic acid equivalent. In this test, both the total crude and the alkaloidal extracts contained adequate quantities of antioxidants required to neutralise free radicals at varying concentrations.

The scavenging abilities of AAE, AAA, and AAQ crude extracts compared to that of ascorbic acid (control) are presented in Figure 5. The various effective concentrations (EC50) of the extracts were found to be 0.929 ± 0.008 mg/mL, 0.287 ± 0.044 mg/mL, 0.245 ± 0.040 mg/mL, and 0.065 ± 0.006 mg/mL, respectively. Compared to ascorbic acid (0.065 ± 0.006), the alkaloidal extracts (AAA and AAQ) had the strongest scavenging activities (), with the total crude (AAE) extract having the least. This suggests that the alkaloidal components of the plant are mainly responsible for its radical scavenging activity.

The total glutathione (GSH) content inherent in AAE, AAA, and AAQ extracts yielded varying concentrations. The total GSH levels in the total crude and the alkaloidal extracts were AAE: 0.269 ± 0.0001, AAQ: 1.764 ± 0.0001, and AAA: 1.495 ± 0.0002 mg/g GSH equivalent, as shown in Figure 6. The AAQ and AAA extracts were found to have higher levels of glutathione concentrations () than the AAE. Similarly, the ferric-reducing antioxidant power (FRAP) of AAE, AAA, and AAQ extracts showed a considerable variance in EC50s (AAE, 1.722 ± 0.268 mg/mL; AAA, 3.568 ± 0.759 mg/mL, and AAQ, 3.386 ± 0.015 mg/mL) compared to ascorbic acid (0.077 ± 0.005 mg/mL) (Figure 7). The EC50s of the antioxidant activities of the extracts were concentration dependent. AAE exhibited the highest power-reducing activity in comparison to ascorbic acid, followed by AAQ and AAA.

3.5. GC-MS Analysis of Compounds from the Alkaloidal Extracts of A. africana

GC-MS analysis of the extract showed that AAA had 19 peaks and AAQ had 7 peaks, showing the presence of different phytocompounds. As presented in Figure 8 and Table 2, the peak with a retention time of 16.683 minutes was assigned to gramine. Gramine is an aminoalkylindole alkaloid (C11H14N2; MW-174.24 gmol−1) (M+) and had the highest peak area (31.97%) of all the compounds found in the AAA extract. On the other hand, dexrazoxane (C11H16N4O4; MW-268.27 gmol−1) with a retention time of 5.252 minutes was the major compound with the highest percentage composition (90.7%) in the AAQ extract, with traces of other six compounds as shown in Figure 9 and Table 3.

3.5.1. Identification and Characterization of Alkaloidal Metabolites

The respective MS spectrum of each alkaloidal metabolite was generated, and on the basis of isotopic fit ratios (iFit) close to zero and, more importantly, that the overall MS accuracy was within 5 mDa, the molecular formulae were computed [36]. The Dictionary of Natural Products online database (https://dnp.chemnetbase.com) was used to identify compounds. The molecular formulae of these respective alkaloids were carefully chosen on the 5 mDa mass accuracy range scale.

The MS fragmentation pattern analysis of the alkaloidal extract (AAA) identified several alkaloidal derivatives (Figure 8). For instance, the most abundant peak (Figure 10, Table 2) was cautiously identified to be gramine, an aminoalkylindole alkaloid with a molecular weight and formulae of MW-174.24 gmol−1 [M+] and C11H14N2, respectively. This compound was fragmented by the loss of CH3· to produce a precursor ion at m/z 155.6. Further fragmentation gave a more stable molecule (Figure 10) to generate precursor ions at m/z 129.5 and 96.4 from the loss of amide (−26 Da), amine (−18 Da), and methyl groups (−15 Da) side chains after a possible 1,3 methyl McLafferty rearrangement of the dimethyl derivative of gramine to a more stable (E)-N-((3H-indol-3-ylidene)methyl)methanimine derivative (Figure 10(a)) [36]. Similarly, at retention times of 5.578 and 14.744 min, 1,2,3,4-tetrahydroisoquinoline and 1H-indol oxime derivatives were tentatively identified with molecular weights of m/z 131.5 and 173.7, respectively (Figures 11 and 12). The molecular formulae for these compounds are C9H11N and C10H10N2O, respectively (Table 2). The fragmentation of 1,2,3,4-tetrahydroisoquinoline led to the abstraction of two hydrogens to a more stable 1,4-dihydroisoquinoline (m/z 131.5), confirming the structure of the compound (Figure 11) [37]. In the case of 1H indole-oxime, the loss of –OH gave a precursor ion at m/z 159, followed by the loss of an amide and propyl groups to a molecular ion of m/z 129 and 96, respectively (Figure 12(a)).

The GC-MS profiles of phytocompounds from the quaternary alkaloidal extract (AAQ) of the A. africana plant also presented seven compounds. The major molecules were identified at RT 5.111 and 5.252 min (Figure 9) with a molecular ion at m/z 267.27 [M+]- (C11H16N4O4) and m/z 267.27 [M+]- (C11H16N4O4), respectively (Figure 13). Surprisingly, the molecular masses of these two compounds were the same, with a similar fragmentation pattern. These compounds were identified as dexrazoxane (85.59%) (C11H16N4O4), m/z 268.27, and its isomer razoxane (5.14%) (C11H16N4O4), m/z 268.27, a synthesized bisdioxopiperazine compound. It was determined that these two compounds were isomers of quaternary alkaloids in the form of QA1 and its zwitter-ionic form, QA2 (Figure 13(a)), similar to what has been reported by Rapoport and Holden [26]. The fragmentation pattern of this molecule at a higher CE level produced product ions at m/z 140.14 and 112.50, resulting from the cleavage of the tertiary carbon (Figure 13(a)). The rest of the compounds were in trace amounts (Table 3 and Figure 9).

4. Discussion

Plant medicine is largely prepared locally by decoction [38] or soaking in locally brewed alcohol for maximum infusion of phytoconstituents and A. africana is no exception. This plant has been an important folk remedy for people who have lived in mangrove-covered areas for a very long time. The paucity of data regarding the plant’s antimalarial effects reinforces the need to investigate its antimalarial, antioxidant, and cytotoxic activities. Consequently, the extract yield in this study was within the predicted range of 1%–10% or more [39]. It is noteworthy that in an extraction process, the extract yield may be affected by several factors, including the type of solvent used, the extraction method employed, and the duration of the extraction [39]. In this study, the cold maceration extraction process was used for the extraction of the total crude (AAE). It was the most convenient and suitable method for the supposed thermolabile alkaloidal extracts inherent in the plant [39]. Several secondary metabolites have been identified in this plant in previous studies [17, 18], and such bioactive compounds have served as the foundation for the advancement and production of novel conventional drugs [8, 40].

In this study, crude alkaloids (AAA and AAQ) were extracted from the total crude extract (AAE) obtained from the leaves of A. africana. The extracts were evaluated for antiplasmodial activity using the SYBR Green I fluorescence assay. This method has been found not only to be fast, reliable, and relatively inexpensive but also to provide high-throughput screening of antimalarial drugs [4]. The SYBR Green I dye binds to the parasite’s DNA in infected RBCs, resulting in high fluorescence that is detectable by flow cytometry.

The antiplasmodial properties of the alkaloidal extracts and the total crude extract yielded IC50 values that ranged from 6.217 to 11.890 µg/mL in the order AAA < AAQ < AAE of activity. The results of this research suggest that the alkaloidal extracts (AAA = 6.217 µg/mL and AAQ = 6.287 µg/mL) showed better antiplasmodial effects than the total crude extract (AAE = 11.890 µg/mL) as opposed to the reference drug (artesunate). Although the hydroethanolic extract of A. africana (AAE) showed good activity, as was similarly reported by Okokon et al. [41] for other plants, the alkaloidal extracts in our current study performed better and looked more promising. It further suggests that the antiplasmodial effects can be attributed mainly to the alkaloids present or may also be due to the synergy effect of the various compounds in this plant. Our findings are consistent with those of Erhunse et al. regarding the antimalarial effect of isoquinoline alkaloids such as berberine and palmatine [42]. Kyei et al. also demonstrated the potential antimalarial activity of cryptolepine and isocryptolepine [43]. The display of the potent antiplasmodial activity of the alkaloidal extracts in the present study confirmed earlier reports regarding the diversity of bioactive metabolites and, importantly, the antiplasmodial properties of several classes of alkaloids, such as the indole and isoquinoline classes [13, 44, 45].

The GC-MS profile of AAA revealed about nineteen phytocompounds (Table 2). A good number of compounds were predicted to be present in the extract used in this study. Notable among them are indole and isoquinoline alkaloids. Of the various compounds identified in the alkaloidal extract (AAA), gramine, a simple indole alkaloid, was found to have the highest percentage peak area of all the phytocompounds. Gramine has recently gained prominence due to its diverse biological activities, which include insecticidal, antibacterial, antiviral, antitumor, and anti-inflammatory properties [46]. It may be suggested that the antiplasmodial effects of the AAA extract in this study are largely due to the intrinsic indole alkaloids and isoquinoline alkaloids in the extract. Several indole alkaloids, including vinblastine and vincristine, have shown promising antimalarial effects. They are thought to disrupt the parasite’s microtubule assembly, affecting its growth [47]. Tryptanthrin kills the parasite by interfering with the parasite’s DNA synthesis [48]. Importantly, indole alkaloids are basic compounds that ionise in the acidic environments of the parasite’s food vacuoles, contributing to their antimalarial activity. The quinoline ring was reported to have the potential to interfere with parasites’ production of hemozoin, resulting in a buildup of toxic haem species that are harmful to the parasites. Also, some indole alkaloids have lipophilicity, which is a vital pharmacokinetic property that allows these drugs to penetrate the membrane of the parasite and interact with target sites [49].

Our current study supports previous research regarding the antimalarial properties of indole alkaloids isolated from natural products [50, 51]. It is important to note that indole alkaloids have long been suggested to possess a significant number of potent pharmacological properties, such as anti-inflammatory, cytotoxic, antiparasitic, antiviral, antagonistic, and serotonin-related activities [52]. Omar and colleagues reported on the antiplasmodial activities of two indole alkaloidal compounds, ellipticine and olivacine, that were isolated from plants of the genus Aspidosperma [49]. Another study found that isoquinoline alkaloids have antifungal, enzyme-inhibitory, antioxidant, antiviral, anticancer, antispasmodic [53], and antimalarial properties [54].

In addition, the GC-MS spectral analysis of the AAQ extracts revealed several compounds (Table 3). Among them were two enantiomorphic-pair compounds, dexrazoxane and razoxane (5.14%), with dexrazoxane having the highest (86%) peak area and the other five compounds having peak areas ranging from 0.93 to 3.09%. The antiplasmodial activity of the extract in this study may be due to the synergy of the various compounds or the single effect of dexrazoxane identified in AAQ. Dexrazoxane has been shown to have cardioprotective efficacy against doxorubicin-induced cardiotoxicity in breast cancer therapy [55]. Research has shown that the hydrolyzed product of dexrazoxane chelates with both bound and free iron [56], and the iron-chelator’s strong iron binding properties may inhibit the intraerythrocytic development of plasmodium parasites [57].

Plasmodium metabolism is iron dependent. The iron-containing enzymes such as delta-aminolevulinate synthase and ribonucleotide reductase, which are needed for DNA synthesis, de novo haem production in the parasite, electron transport, and mitochondrial activity [58, 59], may have been deprived of iron by dexrazoxane in AAQ. It may be possible that the antiplasmodial effects of the AAQ extract are due to dexrazoxane. Dexrazoxane may have chelated with the irons required for the optimum function of these enzymes, which interferes with the parasite’s metabolic activities and inhibits the intraerythrocytic growth process.

In natural product-based pharmacotherapy research for infectious diseases, the plant extract may possess high therapeutic efficacy but could cause potential harm to cells or organs; hence, screening for toxicity of promising or lead compounds is crucial. The current study evaluated the cytotoxic effects of the alkaloidal extracts and total crude extract using the MTT assay, as chronicled by Ayisi et al. [28]. This technique is based on the viable enzyme-mediated conversion of the yellowish tetrazolium to a purple compound (formazan) after reacting extracts with uninfected human erythrocytes. The CC50 values of AAA, AAQ, and AAE extracts were determined to be >100 µg/mL in this study, and they have negligible cytotoxic effects on red blood cells (RBCs) [60]. A similar outcome was obtained for artesunate (the positive control drug). The high cell survival percentages recorded for alkaloidal extracts, total crude, and artesunate support the low toxicity or weak cytotoxicity to erythrocytes. The inability of plant extracts to cause the lysis of red blood cells in vitro may be highly connected to the inherent biological constituents in the plant, which ensure the protection of the erythrocytes against malaria parasite-mediated cellular damage [61]. The alkaloidal extracts (AAA and AAQ) and the total crude extract (AAE) gave good selectivity indices (greater than 2), which suggests that the extracts possess curative properties against P. falciparum parasites [62]. The determination of selectivity indices is key for evaluating the therapeutic potential of extracts in natural product drug discovery; it seeks to assess the relative safety as well as the efficacy of the plant extracts and their ability to target specific pathogens or cells, while at the same time, minimising any detrimental effects on normal cells.

The antioxidant properties of alkaloidal extracts and the total crude extract of A. africana were tested using various procedures based on assay principles and assay conditions [63]. The following assays were used in this study to assess antioxidant activity: total antioxidant capacity, DPPH radical scavenging activity, total glutathione, and ferric-reducing antioxidant power. The alkaloidal extracts and total crude extract demonstrated good antioxidant and reducing properties in a concentration-dependent manner. The display of scavenging abilities of the extracts for free radicals may be, to a greater extent, associated with the extracts’ intrinsic properties [64]. The findings of this study on the antioxidant and antiplasmodial properties of isoquinoline and indole alkaloids, as well as several other compounds in the plant, agree with previous studies on alkaloids [6568]. The artesunate reference drug used in this study had been reported to have antioxidant properties [6972].

The reactive oxygen species (ROS) produced by oxidative stress-mediated damage to host RBCs and other organs during blood-stage schizogony may aggravate the infection. In addition, haemolysis produced by oxidative stress is a typical clinical occurrence after a few days of antimalarial therapy with artemisinin drugs and derivatives. The drug kills parasites by inducing ROS to be produced within infected red blood cells after the endoperoxide bridge is activated [73]. In this regard, it has been suggested that any potential antimalarial drugs should have scavenging properties to get rid of the extra free radicals generated by parasite metabolism and other exogenous factors [67, 7476].

Generally, all the AAE, AAA, and AAQ extracts exhibited antioxidant properties in this study, and this may have contributed to the antiplasmodial activities recorded. Particularly, the dexrazoxane identified in AAQ, which is a known iron chelator, may be responsible for both the antiplasmodial and anticytotoxic effects on RBCs. Furthermore, the indole and isoquinoline alkaloids identified in the AAA extract potentially mediated the antiplasmodial and antioxidant activities in the current study. The pharmacodynamic profile of indole alkaloids and isoquinoline in malaria infection has been established [44]. The mechanism of dexrazoxane’s antiplasmodial activity has been linked to iron but its anticardiotoxicity remains unknown.

The anticytotoxic and antioxidant properties of the extracts in this study may have contributed to protecting against the development of complications related to malarial infections. This may have also increased the efficacy of the extracts to promote rapid recovery. The identification of indole and isoquinoline alkaloids, as well as dexrazoxane compounds, in A. africana for the first time offers significant promise for advancing drug discovery and contributing to the development of novel therapies with potential advantages to human health. This study used the 3D7 P. falciparum strain for the antimalarial activity assay. Hence, other strains of the parasites are recommended to ascertain the effect of the alkaloids on them. The current study confirmed the antimalarial effects of these known indole and isoquinoline alkaloidal compounds. However, this is the first time these alkaloids, including dexrazoxane, have been identified in A. africana leaves.

We recommend in vivo studies of the alkaloidal extracts. Furthermore, we suggest that more studies be conducted by fractionating, isolating, and purifying these alkaloidal extracts to obtain pure phytocompounds for structure elucidation and optimisation studies. This will potentially introduce novel lead compounds from this plant into the antimalarial drug discovery pipeline.

5. Conclusion

The findings of this study suggest that the alkaloidal extracts of A. africana leaves possess promising antiplasmodial effects against 3D7 P. falciparum chloroquine-sensitive parasites. The results also showed that the A. africana leaves had antioxidant properties with negligible cytotoxic effects on erythrocytes. We acknowledge that the in vitro antimalarial study may not translate to clinical application as the protocol used has some limitations though the outcome of the study supports folklore application for malaria infection treatment. So far, this is the first time that isoquinoline alkaloids, indole alkaloids, as well as razoxane and dexrazoxane have been identified in A. africana leaves to the best of our knowledge.

Abbreviations

ART:Artesunate
ACT:Artemisinin-based combination treatment
AAA:Crude alkaloids
CPM:Complete culture medium
CC50:Cytotoxic concentration
DCM:Dichloromethane
DPPH:2,2-diphenyl-1-picrylhydrazyl assay
EDTA:Ethylenediaminetetraacetic acid
EC50:Effective concentration at 50%
Fe2+-TPTZ:Ferrous tripyridyltriazine
Fe3+-TPTZ:Ferric tripyridyltriazine
FRAP:Ferric-reducing antioxidant power
GC-MS:Gas chromatography-mass spectrometry
GC:Gas chromatograph
GSH:Glutathione
IC50:Inhibition concentration
MF:Molecular formula
MW:Molecular weight
NIST:National Institute of Standards and Technology
AAQ:Quaternary alkaloids
RBCs:Red blood cells
RT:Retention time
ROS:Reactive oxygen species
SD:Standard deviation
TAC:Total antioxidant capacity
GSH:Total glutathione concentration
AAE:Total crude extract
WHO:The World Health Organization
MTT:The tetrazolium-based colorimetric
TLC:Thin layer chromatography.

Data Availability

The data used to support the findings of this study are included within the article.

Ethical Approval

The University of Cape Coast’s Institutional Review Board examined and approved the study protocol (ID: UCCIRB/CHAS/2016/13).

Conflicts of Interest

The authors declare that they have no conflicts of interest.

Acknowledgments

The authors wish to extend their appreciation to the University of Cape Coast and the University of Cape Coast’s Directorate of Research, Innovation, and Consultancy (DRIC) for financial assistance.