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Table 1.

Panel of MDR clinical bacterial strains used in in vitro antibacterial testing with Piper betle extracts.

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Fig 1.

Representative plates for disc diffusion assay showing zones of inhibition produced by Piper betle ethanol, methanol, SC-CO2 15 MPA and SC-CO2 20 MPa extracts on multiple drug resistant clinical bacterial isolates, with the corresponding reference antibiotic discs.

A. Methicillin resistant Staphylococcus aureus or MRSA 5; B. Vancomycin resistant Enterococcus 3; C. Pseudomonas aeruginosa metallo β lactamase or MβL (+) 3; D. Klebsiella pneumoniae carbapenem resistant Enterobacteriaceae 3; E. MRSA 1; F. Acinetobacter baumannii MβL (+) 1.

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Fig 1 Expand

Table 2.

Diameters of zones of inhibition (mm)* of Piper betle extracts against multidrug-resistant bacteria.

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Table 2 Expand

Table 3.

Minimum inhibitory concentrations (μg/ml) of Piper betle extracts for multidrug-resistant bacteria.

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Table 3 Expand

Table 4.

Minimum bactericidal concentration (μg/mL) of Piper betle extracts against multidrug-resistant bacteria.

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Table 4 Expand

Fig 2.

Cytotoxicity index (CI%) of Piper betle (or “Ikmo”) ethanol extract on normal human dermal fibroblasts (HDFn) using the MTT cytotoxicity assay.

The CI% of the highest concentration tested (100μg/ml) is below the IC50 value, indicating nontoxicity to the cells. Positive control: Doxorubicin; Negative controls: DMSO and UnTx (untreated- no DMSO, no P. betle extract were added to the wells with HDFn).

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Fig 2 Expand

Fig 3.

MTT cytotoxicity results for Piper betle ethanol extract.

Positive control: Doxorubicin; Negative controls: DMSO and untreated (no DMSO, no P. betle extract were added to the wells with HDFn). Each treatment was done in triplicate.

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Fig 3 Expand

Table 5.

Cytotoxicity index (CI%) of Piper betle (or Ikmo) ethanol extract on normal human dermal fibroblasts (HDFn) using the MTT cytotoxicity assay.

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Table 5 Expand