Peer Review History

Original SubmissionApril 24, 2024
Decision Letter - Divakar Sharma, Editor

PONE-D-24-16310Potential of methanol extracts of Nephelium lappaceum (Sapindaceae) and Hyphaene thebaica (Arecaceae) as adjuvants to enhance the efficacy of antibiotics against critical class priority bacteriaPLOS ONE

Dear Dr. Seukep,

Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process.

==============================

ACADEMIC EDITOR: Revision Requested

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We look forward to receiving your revised manuscript.

Kind regards,

Divakar Sharma

Academic Editor

PLOS ONE

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2. In your Methods section, please provide additional information regarding the permits you obtained for the work. Please ensure you have included the full name of the authority that approved the field site access and, if no permits were required, a brief statement explaining why.

3. We note that your Data Availability Statement is currently as follows: [All relevant data are within the manuscript and its Supporting Information files.]

Please confirm at this time whether or not your submission contains all raw data required to replicate the results of your study. Authors must share the “minimal data set” for their submission. PLOS defines the minimal data set to consist of the data required to replicate all study findings reported in the article, as well as related metadata and methods (https://journals.plos.org/plosone/s/data-availability#loc-minimal-data-set-definition).

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Additional Editor Comments:

Major Revision Requested

Comments from the Editorial Team: One or more of the reviewers has recommended that you cite specific previously published works. Members of the editorial team have determined that the works referenced are not directly related to the submitted manuscript. As such, please note that it is not necessary or expected to cite the works requested by the reviewer.

[Note: HTML markup is below. Please do not edit.]

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

Reviewer #2: Yes

Reviewer #3: Yes

Reviewer #4: Partly

Reviewer #5: No

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2. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: I Don't Know

Reviewer #2: Yes

Reviewer #3: Yes

Reviewer #4: No

Reviewer #5: Yes

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3. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: No

Reviewer #2: Yes

Reviewer #3: Yes

Reviewer #4: Yes

Reviewer #5: Yes

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4. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

Reviewer #2: Yes

Reviewer #3: Yes

Reviewer #4: Yes

Reviewer #5: No

**********

5. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: Methodology:

"All bacterial isolates were cultured on Mueller Hinton agar (MHA) (Liofilchem S.r.l., Italy) and

the microdilution testing was done using Mueller Hinton broth (MHB) (Titan Biotech Ltd.,

India) to determine the test samples' minimum inhibitory concentration (MIC), minimum

bactericidal concentration (MBC), and activity increase factor (AIF) (following combination

assays)."

Q: The combination assay should be elaborated in the methodology section.

Results:

Table 1- Why MBC values are not stated for all the tested microorganism?Hence it has resulted in not have the MBC/MIC ratio values for respective bacterial isolates.

Why only one Antibiotic (Imipenem) has been used as reference antibiotic for all the tested microorganism? Explain this.

Combination Testing result should be provided as part of the results and not as Supplemental information 2 and 3.

Reviewer #2: The authors have examined the efficacy of methanolic extracts from two food plants (Nephelium lappaceum and Hyphaene thebaica), alone and in combination with antibiotics, against normal and resistant bacteria strains. Below are some comments

Result section :

• The authors do not indicate the MIC unit of the reference antibiotic (Imipenem). Is it also in (μg/mL)?

• It would be possible to use the most recent MIC classification scales, which reflect the current level of bacterial virulence in clinical practice.

• The figures shown are not numbered.

• The first figure is not numbered on the x-axis.

Reviewer #3: This work reports the Potential of methanol extracts of Nephelium lappaceum (Sapindaceae) and Hyphaene thebaica (Arecaceae) as adjuvants to enhance the efficacy of antibiotics against critical class priority bacteria

The work is meaningful and interesting.

In the "Introduction" or "Experimental Section", the authors need to provide or add a more detailed explanation about exploring the antibacterial activity of plants which in this study was used to methanol extracts. Here are some papers that can be used by the authors to find out more about antibacterial activity of plants and need to be added and cited by the authors in this manuscript:

doi: 10.1016/j.sjbs.2021.10.057

doi: 10.1155/2021/6663399

doi: 10.1038/s41598-023-32900-1

Reviewer #4: The current Manuscript Number: PONE-D-24-16310; entitled:Manuscript Title: Potential of methanol extracts of Nephelium lappaceum (Sapindaceae) and Hyphaene thebaica (Arecaceae) as adjuvants to enhance the efficacy of antibiotics against critical class priority bacteria

The current manuscript contained a good idea and i have the following comments:

- Please add statistical analysis in methods section and explain the significance along the whole manuscript.

- It essential to identify the bioactive compounds of extracts using one of the chromatographic analysis e.g : Gad chromatography and link the antimicrobial activity to these compounds.

- I highly recommend to examine antioxidant actions of extracts and compare all of them.

- Please rewrite the manuscript sections after the adding the suggesting experiments and statistics.

Reviewer #5: 1. Why do various portions of Nephelium lappaceum and Hyphaene thebaica have distinct antibacterial effects against multidrug-resistant bacteria?

2. What caused Nephelium lappaceum leaf extract to have the greatest antibacterial activity against all multidrug-resistant strains? What are its mechanisms?

3. What causes the extracts' MIC and MBC values to vary for various bacterial strains?

4. Given the synergy between plant extracts and antibiotics, how can Nephelium lappaceum and Hyphaene thebaica extracts boost antibiotic efficacy?

5. What does the MBC/MIC ratio of < 4 indicate for most extracts, and how does it affect their bactericidal vs bacteriostatic properties?

6. How does Nephelium lappaceum leaf extract's capacity to lower pH by inhibiting H⁺-ATPase relate to its antibacterial effectiveness?

7. How can certain secondary metabolites (saponins, phenols, tannins, steroids, alkaloids) affect the antibacterial activity of plant extracts, and how could their presence or absence affect results?

8. What does the absence of antagonistic interactions between plant extracts and antibiotics mean for future combination treatment methods for multidrug-resistant bacterial infections?

9. How do Nephelium lappaceum and Hyphaene thebaica phytochemical profiles and extraction yields differ, and how could they affect their antibacterial applications?

10. What further study is required to understand the cellular and molecular mechanisms of Nephelium lappaceum and Hyphaene thebaica extracts' antibacterial properties, especially their impact on bacterial cell membranes and metabolic processes?

11. The author needs to provide GC-MS data of the active molecules present in the extracts.

12. It is essential to compare the biological activity of the extract with that of the pure compound identified through GC-MS analysis. This comparison will add novelty to the study; otherwise, using extracts alone lacks significance, as there are already numerous studies (more than 1000 publications) focused on extract-based biological activities.

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If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: No

Reviewer #2: No

Reviewer #3: No

Reviewer #4: Yes: Mohammed Yosri

Reviewer #5: No

**********

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Attachments
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Submitted filename: Review comment MF.docx
Revision 1

REPLY TO JOURNAL REQUIREMENTS:

When submitting your revision, we need you to address these additional requirements.

1. Please ensure that your manuscript meets PLOS ONE's style requirements, including those for file naming. The PLOS ONE style templates can be found at

https://journals.plos.org/plosone/s/file?id=wjVg/PLOSOne_formatting_sample_main_body.pdf and

https://journals.plos.org/plosone/s/file?id=ba62/PLOSOne_formatting_sample_title_authors_affiliations.pdf

Response: Dear Editor, the manuscript was revised to meet PLOS ONE's style requirements as displayed in the PLOS ONE style templates.

2. In your Methods section, please provide additional information regarding the permits you obtained for the work. Please ensure you have included the full name of the authority that approved the field site access and, if no permits were required, a brief statement explaining why.

Response: Dear Editor, no permits were required for the work. Investigations were performed within the Laboratory of Biochemistry of the Faculty of Health Sciences of the University of Buea (Cameroon) led by myself, and the Laboratory of Cancer Research of the University of Dschang (Cameroon) under the chair of Prof. Kuete Victor, who is our research group leader and co-author of this submission.

However, since the studied plants were identified on field sites, out of our leadership, the names of experts (botanists) who identified/authenticated the plant material were provided in the manuscript's ‘Plant material and extraction’ section. The plant samples are commonly edible plants, not listed as endangered species, and were collected in fresh form in the markets, requiring no special permit.

3. We note that your Data Availability Statement is currently as follows: [All relevant data are within the manuscript and its Supporting Information files.]

Please confirm at this time whether or not your submission contains all raw data required to replicate the results of your study. Authors must share the “minimal data set” for their submission. PLOS defines the minimal data set to consist of the data required to replicate all study findings reported in the article, as well as related metadata and methods (https://journals.plos.org/plosone/s/data-availability#loc-minimal-data-set-definition).

For example, authors should submit the following data:

- The values behind the means, standard deviations and other measures reported;

- The values used to build graphs;

- The points extracted from images for analysis.

Authors do not need to submit their entire data set if only a portion of the data was used in the reported study.

If your submission does not contain these data, please either upload them as Supporting Information files or deposit them to a stable, public repository and provide us with the relevant URLs, DOIs, or accession numbers. For a list of recommended repositories, please see https://journals.plos.org/plosone/s/recommended-repositories.

If there are ethical or legal restrictions on sharing a de-identified data set, please explain them in detail (e.g., data contain potentially sensitive information, data are owned by a third-party organization, etc.) and who has imposed them (e.g., an ethics committee). Please also provide contact information for a data access committee, ethics committee, or other institutional body to which data requests may be sent. If data are owned by a third party, please indicate how others may request data access.

Response: Dear Editor, we confirm that our submission contains all raw data required to replicate the results of the study. Moreover, there are no ethical or legal restrictions on sharing data. The Data Availability Statement has been added to the manuscript, before References, as follows:

‘We confirm that our submission contains all raw data required to replicate the results of the study. Moreover, there are no ethical or legal restrictions on sharing data.’

4. Please include captions for your Supporting Information files at the end of your manuscript, and update any in-text citations to match accordingly. Please see our Supporting Information guidelines for more information: http://journals.plos.org/plosone/s/supporting-information.

Response: Dear Editor, the captions for the Supporting Information files have been added at the end of the manuscript. In-text citations and the reference list were updated based on the additional information in the manuscript.

REPLY TO THE REVIEWERS’ COMMENTS:

Reviewer #1:

Methodology:

"All bacterial isolates were cultured on Mueller Hinton agar (MHA) (Liofilchem S.r.l., Italy) and the microdilution testing was done using Mueller Hinton broth (MHB) (Titan Biotech Ltd., India) to determine the test samples' minimum inhibitory concentration (MIC), minimum bactericidal concentration (MBC), and activity increase factor (AIF) (following combination assays)."

Q: The combination assay should be elaborated in the methodology section.

Response: Dear Reviewer, thanks for the observation. The full description of the protocol for combination assay is provided in the ‘Plant extract/antibiotic combination’ section of the methodology.

Results:

Table 1- Why MBC values are not stated for all the tested microorganisms? Hence it has resulted in not having the MBC/MIC ratio values for respective bacterial isolates.

Response: Dear Reviewer, thanks for the pertinent remark. Plant extracts were tested at 2048 µg/mL as the highest concentration. Therefore, MBC values were not stated for all extracts having a MBC > 2048 µg/mL. Hence, since exact MBC values were not recorded, this prevented us from calculating the MBC/MIC ratio. For clarification, the symbol (-) was added to Table 1 (besides MIC values) and the footnotes to indicate MBC values > 2048 µg/mL.

Why only one Antibiotic (Imipenem) has been used as a reference antibiotic for all the tested microorganisms? Explain this.

Response: Dear Reviewer, thanks for the question. Imipenem has been chosen as the reference antibiotic for all the tested microorganisms because of its wide spectrum of antibacterial activity against both gram-negative and gram-positive aerobic bacteria, including many multi-drug resistant strains, as used in our study.

This justification and corresponding citation were added in the MIC determination section of the methodology.

Combination Testing results should be provided as part of the results and not as Supplemental information 2 and 3.

Response: Dear Reviewer, thanks for the constructive remark. The corresponding results from supplemental information 2 and 3 were moved to the main text of the results section. They have been renamed as Table 2 and Table 3.

Reviewer #2:

The authors have examined the efficacy of methanolic extracts from two food plants (Nephelium lappaceum and Hyphaene thebaica), alone and in combination with antibiotics, against normal and resistant bacteria strains. Below are some comments

Result section :

• The authors do not indicate the MIC unit of the reference antibiotic (Imipenem). Is it also in (μg/mL)?

Response: Dear Reviewer, thanks for the remark. The MIC of the reference drug Imipenem is in μg/mL, and this detail has been added to Table 1.

• It would be possible to use the most recent MIC classification scales, which reflect the current level of bacterial virulence in clinical practice.

Response: Dear Reviewer, thanks for the constructive comments. We updated the MIC classification of the antibacterial activity of botanicals to the most recent ones. Detailed information was provided in the new section ‘Data interpretation/analysis’ of the methodology, then, consistently used in the discussion section.

• The figures shown are not numbered.

Response: Dear Reviewer, thanks for the observation. The figures have been double-checked and numbered consistently.

• The first figure is not numbered on the x-axis.

Response: Dear Reviewer, thanks for the remark. The x-axis is numbered, however, there is a difference in the x-axis interval of the various figures to facilitate the appearance and reading of resulting interactions.

Reviewer #3:

This work reports the Potential of methanol extracts of Nephelium lappaceum (Sapindaceae) and Hyphaene thebaica (Arecaceae) as adjuvants to enhance the efficacy of antibiotics against critical class priority bacteria.

The work is meaningful and interesting.

Response: Dear Reviewer, we are grateful for your appreciation of our work. Thanks.

In the "Introduction" or "Experimental Section", the authors need to provide or add a more detailed explanation about exploring the antibacterial activity of plants which in this study was used to methanol extracts. Here are some papers that can be used by the authors to find out more about the antibacterial activity of plants and need to be added and cited by the authors in this manuscript:

doi: 10.1016/j.sjbs.2021.10.057

doi: 10.1155/2021/6663399

doi: 10.1038/s41598-023-32900-1

Response: Dear Reviewer, thanks for the suggested references. More details were added to justify the antibacterial activity of plants in the introduction, with additional references amongst which the three references suggested.

Reviewer #4:

The current Manuscript Number: PONE-D-24-16310; entitled: Manuscript Title: Potential of methanol extracts of Nephelium lappaceum (Sapindaceae) and Hyphaene thebaica (Arecaceae) as adjuvants to enhance the efficacy of antibiotics against critical class priority bacteria

The current manuscript contains a good idea and I have the following comments:

- Please add statistical analysis in the methods section and explain the significance along the whole manuscript.

Response: Dear Reviewer, thanks for valuing our research and the pertinent remark. The ‘data interpretation/analysis’ section was added to the methodology section, then the significance was consistently used to analyze and discuss the results obtained.

- It is essential to identify the bioactive compounds of extracts using one of the chromatographic analyses e.g.: Gas chromatography and link the antimicrobial activity to these compounds.

Response: Dear Reviewer, thanks for the insightful comment. We agree with the suggestion, but due to limited equipment, we were unable to perform further phytochemical analyses such as GC-MS. However, we carried out a preliminary screening of the test samples which provided an overview of the major classes of bioactive secondary metabolites from the plants that may account for the recorded activities. The in-depth analysis of the bioactive extracts is in perspective and we expect to develop future collaboration to achieve it.

However, in addition to the preliminary phytochemical screening we performed, we reviewed the major phytochemicals previously identified from the studied plants and highlighted the link to their antibacterial effects. We expect that this can be sufficient at this level.

- I highly recommend to examine antioxidant actions of extracts and compare all of them.

Response: Dear Reviewer, thanks for the pertinent recommendation, we appreciate it. Although the antioxidant actions would be an important addition to the current work, we currently focus in our group on the antibacterial actions of herbals against multi-drug resistant phenotypes. However, we appreciate the suggestion and may consider it as a perspective for further biopharmaceutical examination of the plants of interest.

- Please rewrite the manuscript sections after adding the suggested experiments and statistics.

Response: Dear Reviewer, thanks for the comments. The manuscript was revised and details about data interpretation/analysis (statistics) were added.

Reviewer #5:

Dear Reviewer, we especially thank you for the thorough and constructive questions. These permit us to significantly improve the discussion section of the manuscript, where most of the answers (when not yet previously explained) provided here have been added.

1. Why do various portions of Nephelium lappaceum and Hyphaene thebaica have distinct antibacterial effects against multidrug-resistant bacteria?

Response: Dear Reviewer, thanks for the pertinent question. The differences recorded in the antibacterial effects of various parts of the test plants can be explained by the differences in phytochemicals content, both qualitatively and quantitatively, the possible interactions amongst the phytoconstituents, and the antibacterial modes of action. This explanation has been added to the discussion section.

2. What caused Nephelium lappaceum leaf extract to have the greatest antibacterial activity against all multidrug-resistant strains? What are its mechanisms?

Response: Dear Reviewer, thanks for the insightful question. Nephelium lappaceum leaf extract may contain key constituents capable of neutralizing drug-resistant components in studied bacteria. In the present study, the phytochemical analysis of the extract from Nephelium lappaceum leaves revealed the presence of steroids, phenolics, tannins, and saponin, which are classes of secondary metabolites from which well-established plant antibacterial drugs have been reported against multi-drug resistant bacteria strains.

In addition, possible mechanisms of its antibacterial actions were unveiled in our research. Indeed, the findings revealed the potential of the extract to alter the bacterial cell membrane and induce leakage of genetic material, which could destroy the bacteria cell and kill the bacteria. Furthermore, the extract has been revealed to inhibit the H+-ATPase bacterial pump, limiting the provision of energy for cellular function and proliferation of bacteria.

3. What causes the extracts' MIC and MBC values to vary for various bacterial strains?

Response: Dear Reviewer, thanks for the question. The difference may be probably due to each pathogen's intrinsic characteristic and specific resistance feature. Moreover, the various phyto-components in each extract may have different antibacterial targets. This explanation has been added to the discussion section.

4. Given the synergy between plant extracts and antibiotics, how can Nephelium lappaceum and Hyphaene thebaica extracts boost antibiotic efficacy?

Response: Dear Reviewer, thanks for the pertinent question. The bacteria used in the study are known to over-express active efflux which is one of the main resistance strategies resulting in multiple-drug resistance in bacteria. The noteworthy synergistic interactions recorded may suggest that the extracts block the efflux machinery in bacteria thereby favoring an increased concentration of antibiotics within the bacterial cell, enough to produce inhibitory or killing effects. Moreover, extracts may alter the bacterial cell membrane, thereby increasing the cell permeability to various agents including antibiotics. Furthermore, possible interactions with key bacterial enzymes (such as beta-lactamases) can inhibit their activities thereby preventing further destruction of antibiotics having beta-lactam moiety such as imipenem used in our study. This additional explanation has been added to the discussion section.

5. What does the MBC/MIC ratio of < 4 indicate for most extracts, and how does it affect their bactericidal vs bacteriostatic properties?

Response: Dear Reviewer, thanks for the question. The extracts having MBC/MIC ratio ≤ 4 were considered to have a bactericidal effect. This suggests the ability of the specified extracts to produce drug concentrations that will kill 99.9% of the organisms exposed. If the MBC/MIC ratio is high (MBC/MIC >4), it may be impossible to safely deliver quantities of the antibiotic that kill 99.9% of the bacteria, and the drug is classified as bacteriostatic. This explanation has been added to the discussion section.

6. How does Nephelium lappaceum leaf extract's capacity to lower pH by inhibiting H⁺-ATPase relate to its antibacterial effectiveness?

Response: Dear Reviewer, thanks for the question. The proton pumps (H⁺-ATPase) in bacteria are responsible for maintaining the homeostatic media required to function correctly. The inhibition of H+-ATPase-dependent proton pumps can lead to a decrease in the survival of bacteria, as they require a certain level of energy in the medium for metabolism, growth, and multiplication. Th

Attachments
Attachment
Submitted filename: Response to Reviewers.docx
Decision Letter - Divakar Sharma, Editor

Potential of methanol extracts of Nephelium lappaceum (Sapindaceae) and Hyphaene thebaica (Arecaceae) as adjuvants to enhance the efficacy of antibiotics against critical class priority bacteria

PONE-D-24-16310R1

Dear Dr. Seukep,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication.

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If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org.

Kind regards,

Divakar Sharma

Academic Editor

PLOS ONE

Additional Editor Comments (optional):

Accept

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #3: All comments have been addressed

Reviewer #4: All comments have been addressed

Reviewer #5: All comments have been addressed

**********

2. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #3: Yes

Reviewer #4: Partly

Reviewer #5: Yes

**********

3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #3: Yes

Reviewer #4: Yes

Reviewer #5: Yes

**********

4. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #3: Yes

Reviewer #4: Yes

Reviewer #5: Yes

**********

5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #3: Yes

Reviewer #4: Yes

Reviewer #5: Yes

**********

6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #3: The manuscript has modified well by the authors and the scientific level of the manuscript is acceptable for publication.

Reviewer #4: Manuscript Number PONE-D-24-16310R1; entitled Potential of methanol extracts of Nephelium lappaceum (Sapindaceae) and Hyphaene thebaica (Arecaceae) as adjuvants to enhance the efficacy of antibiotics against critical class priority bacteria

The manuscript has improved to some extent and it could be accepted for publication.

Reviewer #5: The author addressed all questions. No further revisions needed. I recommend acceptance of this paper.

**********

7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #3: No

Reviewer #4: Yes: Mohammed Yosri

Reviewer #5: No

**********

Formally Accepted
Acceptance Letter - Divakar Sharma, Editor

PONE-D-24-16310R1

PLOS ONE

Dear Dr. Seukep,

I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now being handed over to our production team.

At this stage, our production department will prepare your paper for publication. This includes ensuring the following:

* All references, tables, and figures are properly cited

* All relevant supporting information is included in the manuscript submission,

* There are no issues that prevent the paper from being properly typeset

If revisions are needed, the production department will contact you directly to resolve them. If no revisions are needed, you will receive an email when the publication date has been set. At this time, we do not offer pre-publication proofs to authors during production of the accepted work. Please keep in mind that we are working through a large volume of accepted articles, so please give us a few weeks to review your paper and let you know the next and final steps.

Lastly, if your institution or institutions have a press office, please let them know about your upcoming paper now to help maximize its impact. If they'll be preparing press materials, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org.

If we can help with anything else, please email us at customercare@plos.org.

Thank you for submitting your work to PLOS ONE and supporting open access.

Kind regards,

PLOS ONE Editorial Office Staff

on behalf of

Dr. Divakar Sharma

Academic Editor

PLOS ONE

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