Antimicrobial potential, phytochemical profile, cytotoxic and genotoxic screening of Sedum praealtum A. DC. (balsam)

Background Sedum praealtum has been used for a long time in traditional medicine as an analgesic and anti-inflammatory agent. Its beneficial effects have been known since ancient times, when Latinos used it to treat sore and swollen eyes. This research evaluated the antimicrobial potential, the cytotoxic and genotoxic effects, and some chromatographic profiles of the hydroethanolic extract of leaves, stems and roots of S. praealtum. Methods The antimicrobial activities were carried out by broth microdilution and agar diffusion. In vitro cytotoxicity was evaluated by cell cultures of Aedes albopictus and the selectivity index (SI) was estimated: SI=CI50/MIC. Genotoxic and systemic toxic effects of S. praealtum leaves were analyzed by micronucleus assay in mice bone marrow. Chromatographic profiles and mass spectra were investigated by GC-MS. Results Gram-positive (B. subtilis, B. cereus, M. luteus, E. faecalis and S. aureus) and gram-negative (E. coli, E. aerogenes, S. marcescens, P. aeruginosa, P. mirabilis and S. typhimurium) bacteria exhibited MICs ranging from 12.5–50 and 0–50 mg/ml, respectively. Sedum praealtum showed no efficacy against M. tuberculosis and M. bovis. Cytotoxicity (CI50) of S. praealtum was 4.22 and 5.96 mg/ml for leaves and stems, respectively, while its roots showed no cytotoxicity. Micronucleated polychromatic erythrocytes (MNPCEs) analyzes showed no differences between treatment doses (0.5–2 g/kg) and negative control (NaCl), but the PCE/NCE ratio (polychromatic erythrocyte/normochromatic erythrocyte) showed significant differences. Phytochemical screening identified thirteen compounds in the leaves, stems and roots of S. praealtum potentially associated with their biological activities. Conclusions This research comprises a first scientific study on genotoxicity, cytotoxicity and antimicrobial effects of S. praealtum (Balsam), and it provides an initial theoretical foundation for its comprehensive use. Results showed antibacterial action of S. praealtum against gram-positive bacteria and some gram-negative species (depending on the plant anatomical part), but ineffective antimycobacterial action. However, S. praealtum leaves and stems display potential cytotoxicity, contributing to the SI < 1 values. In addition, S. praealtum leaves exhibit no clastogenic and/or aneugenic effects, but it has systemic toxicity dose-independent.


Background
The genus Sedum (family Crassulaceae) features more than 350 species, which encompasses a large number of pharmacologically active species. Chemical studies of Sedum species have led to the isolation of several classes of substances, such as alkaloids, tannins, flavonoids and cyanogenic compounds [1][2][3][4]. The Sedum praealtum A. DC. species (synonym. Sedum dendroideum and Sedum dendroideum ssp. praealtum (A. DC.) [5][6][7] is a little bush with yellow flowers, found from Mexico to Guatemala, popularly known as Balsam [6]. According to classification, balm occupies the following taxonomic position: Division: Magnoliophyta; Class: Magnoliopsida; Subclass: Rosidae; Order: Rosales; Family: Crassulaceae; Genus: Sedum; Species: Sedum dendroideum subsp. praealtum (DC.) [8]. Balm is native to semidesert areas, 30 to 60 cm tall, fleshy, smooth, spatulated and recurved leaves gathered in whorls. Its inflorescences are terminal and branched, with numerous yellow flowers, formed in autumn and winter [9]. Its cultivation occurs singly or in groups, in full sun and fertile and permeable soil, as well as in rock gardens, being a drought-and frost-resistant plant. The juice of its leaves is said to be healing. The spread of Balsam (Sedum praealtum) is mainly due to the cutting of branches, which must be planted in 0.5 × 0.5 m pits when plants have five to eight definite leaves [8].
Its beneficial effects have been known since ancient times, when Latinos used it to treat sore [10] and swollen eyes [11]. An aqueous decoction of S. praealtum parts has been used to ulcer treatments [12,13], general inflammatory problems [14] and as contraceptive [15]. A preliminary study of the water extract of S. praealtumhowever, under the name of S. dendroideum (Crassulaceae)showed an inhibitory effect on the motility of human sperm, as well as an anti-fertilization activity in Sprague-Dawley rats [16]. In another study, employing acetic acidinduced writhing (antinociceptive activity), croton oilinduced ear edema and carrageenan-induced peritonitis (anti-inflammatory activity) models in mice, it has been demonstrated that the main kaempferol glycosides can be responsible for the medicinal use of S. dendroideum against pain and inflammatory problems [13]. However, antimicrobial effects were reported only in two other species of the genus Sedum, S. aizoon, and S. tatarinowii [17]. The antimicrobial activity of medicinal plants has been attributed to small terpenoids and phenolics such as thymol, carvone, carvacrol, menthol and murolene, which also, in pure form, show antifungal or antibacterial activity. Although the mechanisms of action have been poorly characterized, this seems to be associated with the lipophilic nature of the compounds, with a buildup in membranes and loss of energy by the cells [18].
Biologically active compounds have been recognized for their pharmacological properties; however, several of these compounds could not be used in therapy because of their toxicological, carcinogenic, and mutagenic properties [19]. In the development of new drugs, analyses of genotoxicity assays represent a considerable weight, since most pharmaceutical industries deliberate the processing of new therapeutic agents also based on the data of in vitro and in vivo genotoxicity [20]. Thus, the assays for evaluation of mutagenic activity of plants used by the population as well as their isolated substances are essential to establish control measures on indiscriminate use. In addition, it is necessary to clarify the mechanisms and conditions that decided the biological effect, before the plants are viewed as therapeutic agents [21]. The in vivo micronucleus (MN) assay in mice bone marrow plays a crucial role in tests that aim to identify risks for mutagen agents [22], especially the evaluation of mutagenic risks that allows the consideration of in vivo metabolic factors, pharmacokinetics, and DNA repair processes although these may vary among species, tissues and genetic mechanisms [23]. In addition, the knowledge of genotoxic effects induced by herbal medicines and foods using the MN in vivo assay in mammals has been the aim of several research groups [24][25][26][27].
Although little information about the popular knowledge and the scientific research support the potential therapeutic effectiveness of the aqueous decoction, aqueous extract or lyophilization of balsam juice (S. praealtum), as ocular symptoms [10,11], gastric ulcer [12,13], anti-inflammatory action [14], contraceptive [15], inhibition of human sperm motility and anti-fertilization activity in mice [16], a limited and/or non-existent number of investigations aimed to examine the antimicrobial -only the Sedum aizoon and Sedum tatarinowii species [17] and genotoxic effects has been observed so far. Aiming to contribute with information about the antimicrobial and genotoxic potential of herbal medicine, particularly of the hydroethanolic extract of the stem, leaf, and root of S. praealtum (Balsam), we evaluated (i) in vitro antibacterial, antimycobacterial and antifungal action employing broth microdilution and the agar diffusion test and (ii) the in vitro cytotoxic activity using cellular culture of Aedes albopictus. We also analyzed the genotoxic effects of S. praealtum leaves through the in vivo micronucleus assay in mice bone marrow.

Plant extract
The whole plant of S. praealtum (stem, leaf and root) was collected from the urban area of the Alfenas city, Minas Gerais State, Brazil (21°24′ 44.98″ S and 45°57′ 39.87″ W, elevation of 818 m). This plant has been kindly identified by a plant taxonomist (Federal University of Alfenas -UNIFAL-MG) and filed in the Rede Nacional de Herbários da Sociedade Botânica do Brasil (UNIFAL-MG UALF), voucher specimen no. 1024. Anatomical parts of the plant (stem, leaf and root) were cleaned and manually cut and hydroalcoholic extracts have been macerated (200 mg/ml) for 7 days in ethanol 70 GL, in the dark and under daily stirring. Then, these extracts were subjected to the filtering process using nylon and paper filters.

Agar diffusion method (bacteria and yeasts)
The profile of the in vitro antimicrobial susceptibility of bacterial and yeast strains against S. praealtum extracts was determined by the agar diffusion method, following the guidelines established by the Clinical and Laboratory Standards Institute [29][30][31], with some adaptations [32]. Prior to testing, bacteria and yeasts were grown in BHI agar at 35°C for 24 h and in SDA agar at 35°C for 24 h, respectively. Then, a 10-μl loop inoculum of each microbial sample was resuspended in 5 ml of sterile saline solution (145 mM NaCl) and set to a turbidity of 0.5 on the McFarland scale (bacteria: 1-4 × 10 8 CFU/ml; yeasts: 1-5 × 10 6 CFU/ml) or equivalent to a transmittance of 79.5-83.2% using spectrophotometer (Thermo Scientific Multiskan GO UV/Vis, Microplate and Cuvette Spectrophotometer, ref. # 51119200, Thermo Fisher Scientific Inc., Waltham, MA, USA) with 625 nm wavelength (bacteria) and 530 nm (yeasts) (T = 79.5-83.2% → A 625 nm/530 nm = 2log 10 %T → A 625 nm/530 nm = 0.100-0.080). This cell suspension was vortex-stirred for 15 s and plated (Spread-Plate method) on sterile MH agar medium, 7.2 to 7.4 pH (Mueller Hinton no. 2 Control Cations, code # M1657, Himedia), and on sterile MH agar medium supplemented with 2% glucose for bacteria and yeasts, respectively, previously prepared in Petri dish (150 × 15 mm; 50 ml growth medium/plate; height in each plate equal to 4 ± 0.5 mm). These plates were kept at room temperature for 15 min to complete absorption of the inoculum into the culture medium. Then, 40 μl of each extract (100 mg/ml) were poured in wells (4 mm) evenly made on the surface of the inoculated culture medium, and the plates were inversely incubated at 35°C for 24 h. These tests were performed in triplicate assay systems and the interpretation of results was carried out from the zone of inhibition of microbial growth (∅ of the halo in mm). Chlorhexidine to 0.12% (m/v) and Type 1 water were used as positive control (zone of inhibition) and negative (lack of zone of inhibition), respectively.
Prior to the tests: (i) standard solutions of lyophilized extracts (concentrations of 20×) were diluted in MH liquid culture medium. Thus, 50 μl aliquots of these dilutions were applied to the first wells of each row of the microdilution plates containing MH liquid culture medium (50 μl), according to the procedures of serial dilutions (2×), to create different concentrations of the extracts to be tested; (ii) bacteria and yeasts were grown in BHI and SDA agar, respectively, at 35°C for 24 h. Then, a 10-μl loop inoculum of each microbial sample was resuspended in 5 ml of sterile saline solution (145 mM NaCl) and set to a turbidity of 0.5 on the McFarland scale (bacteria: 1 × 10 8 CFU/ml; yeasts: 1-5 × 10 6 CFU/ml) or equivalent to a transmittance of 79.5-83.2% using a spectrophotometer with a wavelength of 625 nm (bacteria) and 530 nm (yeasts) (T = 79.5-83.2% → A 625 nm/530 nm = 2log 10 %T → A 625 nm/530 nm = 0.100-0.080). The bacterial cell suspension was vortex-stirred for 15 s and diluted in a 1:10 proportion in sterile saline solution (1 × 10 7 CFU/ ml). In turn, the yeast cell suspension was vortex-stirred for 15 s and diluted in a 1:10 proportion in sterile saline solution (1-5 × 10 5 CFU/ml), followed by a new 1:10 dilution (1-5 × 10 4 CFU/ml). During the assays, aliquots of 5 μl of each working inoculum (5% of well volume) were placed in the microdilution wells, containing 100 μl/well of MH liquid culture medium and different concentrations of the products to be tested (S. praealtum): final concentration of the bacterial inoculum equal to 5 × 10 5 CFU/ml and yeast inoculum equal to 0.5-2.5 × 10 3 CFU/ml. Afterwards, these microdilution plates were incubated at 35°C for 24 h (bacteria) and 48 h (yeasts). Soon after the incubation period, 30 μl aliquots of resazurin solution (Resazurin sodium salt, Cat. #R7017, Sigma-Aldrich Co., St. Louis, MO., USA), previously prepared in 0.02% (m/v) in Type 1 water, sterilized by filtration and stocked at 4°C for up to 1 week, were added to each well and the plates were reincubated overnight. Interpretation of results was made through visual reading of test plates. A change in color from blue to pink indicated microbial growth. MIC was defined as the lowest concentration of drug that prevented this color change [36].

Minimum microbicidal concentration (MMC).
The minimum microbicide concentration (MMC) was determined according to the modifications previously proposed [37]. For each microbial strain, 50 μl aliquots of the total volume of the well corresponding to the MIC were homogenized with a pipette and grown in Petri dishes (90 × 15 mm) containing BHI and SDA agar to bacteria and yeasts, respectively. Each aliquot was placed gently at a given point on the growing medium and kept at room temperature for complete absorption. Therefore, the plate was streaked to separate microorganisms and remove them from drug sources (S. praealtum extracts) [38], and incubated at 35°C for 46-48 h. MMC was the lowest concentration of the drug (extract) able to eliminate ≥99.9% of the final inoculum (0.05-0.25 colony), whereas microstatic activity was defined from the reduction of ≤99.9% of the final inoculum [37].

Agar diffusion method (mycobacteria)
The profile of the antimicrobial susceptibility against S. praealtum extracts was determined by the agar diffusion method, following the guidelines established by the Clinical and Laboratory Standards Institute [39]. M. tuberculosis ATCC® 25,177 (H37Ra) and M. bovis (BCG) strains were tested on Middlebrook 7H10 agar (Middlebrook 7H10 AgarBD, Cat. #295964, Becton, Dickinson and Company, New Jersey, USA), with Middlebrook OADC Enrichment added (BBL Middlebrook OADC Enrichment, Cat. #212240, Becton, Dickinson and Company, New Jersey, USA). Prior to testing, filter paper discs (10 mm ∅) were moistened with solutions of extracts (50 mg/ml) and oven-dried at 37°C. Discs containing 0.12% m/v chlorhexidine and Type 1 water were used as positive control (zone of inhibition) and negative (lack of zone of inhibition), respectively. Freshly cultivated mycobacterial cells were resuspended in 5 ml of sterile saline solution (145 mM NaCl), adjusted to a turbidity of 0.5 on the McFarland scale, with the aid of glass beads for breakdown of the colonies, and poured (Spread-Plate method) on the agar. Agars were kept at room temperature for 15 min to complete absorption of the inoculum. Afterwards, discs containing S. praealtum extracts were dispensed on the surface of the inoculated culture medium, and the plates were inversely incubated at 35°C for 8 weeks (i.e., cultures were analyzed within 5-7 days after inoculation and once a week thereafter, until 8 weeks). These tests were performed in triplicate assay systems and the interpretation of results was carried out from the zone of inhibition of microbial growth (∅ of the halo in mm). For satisfactory susceptibility results (i.e., presence of growth inhibition zone), the determination of MIC against S. praealtum extracts can be performed following the guidelines established by the Clinical and Laboratory Standards Institute [39].

In vitro cytotoxicity assay
In vitro cytotoxicity (CI) of S. praealtum extracts was determined by the MTT method (Methylthiazolyldiphenyl-tetrazolium bromide), as previously described [32]. Cells (derived from Aedes albopictus mosquito larvae) were poured (1 × 10 4 cells per well) in microdilution plates with multiple wells (96-well), containing 100 μl of L-15 medium (L-15 Medium [Leibovitz], without Lglutamine, liquid, sterile-filtered, suitable for cell culture. Cat. #L5520, Sigma-Aldrich Co., St. Louis, MO., USA), supplemented with 1% fetal bovine serum (Fetal Bovine Serum, USA origin, sterile-filtered, suitable for cell culture. Cat. #F6178, Sigma-Aldrich Co., St. Louis, MO., USA). Then, microdilution plates were incubated at 37°C for 72 h under a atmosphere of 5% CO 2 . Shortly after the incubation period, 100 μl aliquots of L-15, added with decreased dilutions of S. praealtum extracts (0.039 to 5 mg/ml) were dispensed into the wells of the microdilution plates, which were incubated at room temperature for 48 h. As cellular growth control of Aedes albopictus, we used only the culture medium L-15 added with bovine fetal serum. After the reincubation period, aliquots of 10 μl of MTT solution (5 mg/ml) (Thiazolyl Blue Tetrazolium Bromide, powder, BioReagent, suitable for cell culture, suitable for insect cell culture, ≥ 97.5% [HPLC]. Cat. #M5655, Sigma-Aldrich Co., St. Louis, MO., USA) were added to the wells of the microdilution plates and incubated for 4 h at room temperature, to incorporate the MTT cell and create formazan crystals. The reading of results was done by spectrophotometric analysis with wavelength of 600 nm (A 600 nm ). The percentage of in vitro cytotoxicity (CI % ) was calculated using the following formula: A × B/ A × 100, where A and B correspond to the values of A 600 nm obtained from the control of cell growth (L-15 medium + bovine fetal serum + Aedes albopictus) and cell growth in the presence of S. praealtum (L-15 medium + bovine fetal serum + Aedes albopictus + dilutions of extracts), respectively. In vitro cytotoxicity (CI) of 50% (CI 50 ) and 90% (CI 90 ) were estimated using linear regression and defined as the extract concentrations capable of reducing 50 and 90%, respectively, of the A 600 nm values obtained from cell growth in the presence of S. praealtum in comparison with those of the control of cell growth. All these tests were performed in duplicate assay system with control of cell viability.

In vivo micronucleus assay
Healthy, heterogeneous, young adult male and female Swiss albinus (Unib: SW) mice (between 7 and 12 weekspubescent period), with a body weight between 30 g and 40 g (i.e., the variation weight between the animals, for each sex, should not exceed ±20% of medium mass) were provided by CEMIB (Multidisciplinary Center for Biological Investigation on Laboratory Animal Science -UNICAMP), and erythrocytes from the bone marrow of these mice were used in the micronucleus assay. Animals were kept in same-sex groups, in polypropylene boxes, in an air-conditioned environment of 22 ± 3°C, with relative humidity of 50-60 ± 10%, and 12-h day-night cycles (i.e., 12 h light and 12 h dark). Mice were fed with Purina® Labina commercial rations (Nestlé Purina Pet Care Company) and water ad libitum. In addition, they were acclimated to laboratory conditions for 7 days (trial period) before the experiment. At the end of the trial period, each animal was weighed and, according to weight, received 1 ml/100 g body weight of the indicated liquid (negative control, positive control and herbal medicine). After the experimental treatment, animals were euthanized by CO 2 asphyxiation in adapted acrylic chambers [23,27]. This research was approved by the Ethics Committee in Research Involving Animals of UNIFENAS (CEPEAU Protocol No. 08A/2014).
Groups of animals (consisting of 5 males and 5 females each) were treated using a single dosing regimen administered by gavage (herbal medicine and negative control) or intraperitoneally (positive control) and two euthanasia times (24 and 48 h), based on the regulatory recommendation regarding the in vivo micronucleus assay: (i) Control groups: 150 mM NaCl (negative control), 50 mg/kg of N-Nitroso-N-ethylurea (positive control: NEU, Sigma N8509, CAS No. 759-73-9); (ii) Genotoxicity test (herbal medicines): 500, 1000 and 2000 mg/kg of lyophilized extracts of S. praealtum leaves diluted in Type 1 water. The maximum tolerated dose (MTD) was defined as the highest dose that can be administered without inducing lethality or excessive toxicity during the study, causing moribund euthanasia, or a dose that produces some indication of toxicity of the bone marrow (e.g. a reduction in the proportion of immature erythrocytes among total erythrocytes in the bone marrow), or 2000 mg/kg [23,27].
Shortly after euthanasia, the femora were surgically and aseptically removed, and the animals were appropriately discarded. Each femur was sectioned at the proximal end and the contents of the spinal canal were washed with 1.5 ml of a 150 mM NaCl solution and then transferred to a 15 ml centrifuge tube. This material was resuspended with a Pasteur pipette to ensure a random distribution of bone marrow cells. The suspension was then centrifuged at 1000 rpm (Centrífuga de Bancada Microprocessada, Mod. NT 810, Nova Técnica Ind. e Com. de Equip. para Laboratório Ltda., Piracicaba, SP, Brasil) for 5 min. The supernatant was discarded and the resulting sediment was resuspended in 500 μl of a 150 mM NaCl solution enhanced with 4% formaldehyde. Slides were smeared (2 slides per animal), then dried at room temperature for 24 h and stained with Leishman's eosin methylene blue dye (pure dye for 3 min, followed by diluted dye in Type 1 water in a 1:6 proportion for 15 min) to tell apart polychromatic erythrocyte (PCE) from normochromatic erythrocyte (NCE) [23,27].
Polychromatic erythrocytes (PCEs) were observed at a magnification of 1000× using optical microscopy (Nikon Eclipse E-200), counted (at least 4000 enucleated polychromatic erythrocytes were scored per animal for the incidence of micronucleated polychromatic erythrocytes) with the aid of a digital cell counter (Contador Diferencial CCS02, Kacil Indústria e Comércio Ltda., PE, Brasil) and photographed using an 8.1 Megapixel Digital Camera (DC FWL 150). The number of PCEs and NCEs and the number and frequency of micronucleated polychromatic erythrocytes (MNPCEs) were reported. To evaluate bone marrow toxicity, the ratio of PCE to NCE was also observed. This PCE:NCE ratio indicates the acceleration or inhibition of erythropoiesis and it has been reported to vary with scoring time. A continuous decline in the PCE:NCE ratio may be due to the inhibition of cell division, the killing of erythroblasts, the removal of damaged cells, or dilution of the existing cell pool with newly-formed cells [23,27].

Data analysis
Data obtained in the extract disk diffusion testing were submitted to analysis of one-way variance (ANOVA) and medium comparison with Scott-Knott's test (α = 0.05). IC 50 and MIC data were used to calculate the selectivity index (SI) of each extract (SI = IC 50 /MIC), as previously reported [40]. Data obtained in the micronucleus assay were submitted to ANOVA using a factorial scheme of 5 × 2 × 2 (treatment × sex × euthanasia time), and medium comparison with Tukey's test (α = 0.05) using the SAS® version 9.3 computer software [27].

Qualitative analysis by GC-MS
Chromatographic profiles and mass spectra of lyophilized extracts (stem, leaf and root of S. praealtum) were summarized in Table 1 and Fig. 1 In vitro antimicrobial susceptibility testing and cytotoxicity assay The in vitro antimicrobial susceptibility profile of gramnegative bacterial strains (E. coli, E. aerogenes, S. marcescens, P. aeruginosa, P. mirabilis and S. typhimurium) against lyophilized extracts of the stem, leaf and root of S. praealtum, as determined by the agar diffusion method, showed absence of inhibition zones of microbial growth (∅ mm of the halo equivalent to 0). Considering the gram-positive bacterial strains, the presence of the inhibition zone of microbial growth (∅ mm of halo) was observed for a greater number of the analyzed strains against the hydroalcoholic extract of the root of S. praealtum (4 out of 5 strains: B. subtilis, B. cereus, M. luteus and S. aureus), followed by the stem (3 out of 5: B. cereus, M. luteus and S. aureus) and the leaf (2 out of 5: B. cereus and M. luteus). However, significant statistical differences (p < 0.05) were observed only on the inhibition zones of microbial growth (∅ mm of halo) formed from the M. luteus species and the lyophilized extract of the S. praealtum stem. Among the analyzed yeast strains (C. albicans and S. cerevisiae), only for the S. cerevisiae species there were growth inhibition zones against the lyophilized extracts of S. praealtum stems and roots. Hydroalcoholic extracts of S. praealtum stem, leaf and root did not show any growth inhibition zones against M. tuberculosis and M. bovis strains. All positive controls (chlorhexidine for bacteria and yeasts; rifamycin to mycobacteria) produced significantly different (p < 0.05) growth inhibition zones from those observed in lyophilized extracts of S. praealtum stem, leaf and root ( Table 2).
Although without any zone of inhibition of gramnegative bacterial growth, the minimum inhibitory concentration (MIC) revealed (i) MIC values equal to 25 mg/ml in five species (E. coli, S. marcescens, P. aeruginosa, P. mirabilis and S. typhimurium) and 50 mg/ml in one species (E. aerogenes) using the lyophilized extract of S. praealtum leaves, (ii) MIC value equal to 25 mg/ml in one species (E. coli) using the S. praealtum stem extract, and (iii) MIC value equal to 50 mg/ml in one species (P. mirabilis) using the S. praealtum root extract. For gram-positive bacteria, MIC values were (i) equal to 12.5 mg/ml (M. luteus), 25 mg/ml (B. cereus, E. faecalis and S. aureus) and 50 mg/ml (B. subtilis) using the lyophilized extract of S. praealtum leaves, (ii) equal to 25 mg/ml (B. cereus, M. luteus, E. faecalis and S. aureus) and 50 mg/ml (B. subtilis) using the extract of S. praealtum stems, (iii) and equal to 12.5 mg/ml (B. cereus, M. luteus, E. faecalis and S. aureus) and 25 mg/ml (B. subtilis) using S. praealtum root extracts. Among yeast strains, S. cerevisiae showed MIC values equal to 6.25 mg/ml, 12.5 mg/ml and 6.25 mg/ml using lyophilized extracts of S. praealtum leaves, stems and roots, respectively. C. albicans showed susceptibility only against the S. praealtum roots (MIC equal to 25 mg/ml) ( Table 2).
Microbicide activities (25-50 mg/ml) of lyophilized extracts of S. praealtum were observed only in two species of gram-negative bacteria (S. marcescens: leaf; and P. mirabilis: root), three species of gram-positive bacteria (B. subtilis: root; M. luteus: leaf, stem and root; and S. aureus: leaf and root) and in the S. cerevisiae yeast (leaf, stem and root) ( Table 2).  For all gram-negative and gram-positive bacterial species that had a MIC between 12.5 and 50 mg/ml against lyophilized extracts of S. praealtum leaves and stems, the SI was < 1.0 (0.08-0.34). A SI < 1 (0.68-0.90) was also observed in the S. cerevisiae specie for the lyophilized extracts of S. praealtum leaves (MIC equal to 6.25 mg/ml) and stems (MIC equal to 12.5 mg/ml). Since the lyophilized extract of the S. praealtum root showed no in vitro cytotoxicity (CI) under tested conditions, the SI of the root extract was considered > 1 against MICs of P. mirabilis, B. subtilis, B. cereus, M. luteus, E. faecalis, S. aureus, C. albicans and S. cerevisiae (Table 2). These SI were obtained from the results of the percentage of in vitro cytotoxicity (CI 50 and CI 90 ), whose corresponding values from the regression analysis were 4.22 mg/ml (CI 50 ) and 8.61 mg/ml (CI 90 ) for leaf extracts, 5.96 mg/ ml (CI 50 ) and 11.14 mg/ml (CI 90 ) to stem extracts, and no in vitro cytotoxicity for the S. praealtum root extracts ( Table 2).

In vivo micronucleus assay
Given the broad spectrum of antimicrobial action of the lyophilized extract of S. praealtum leaves, as noted in this study, only the extracts from leaves have been studied in the in vivo micronucleus assay. Numbers and frequencies of MNPCEs and the PCE/NCE ratio in the mice bone marrow were statistically analyzed for each of the animal groups treated with lyophilized extracts of S. praealtum leaves and for each of the groups treated with 150 mM NaCl and N-Nitroso-N-ethylurea (control groups)genotoxic assay.
For animal groups treated with extracts of S. praealtum leaves, analysis of MNPCEs showed no significant differences (p < 0.05) between treatment doses (500-2000 mg/kg) and negative control (NaCl). These results suggest an absence of genotoxicity (no clastogenic and/ or aneugenic effects) of lyophilized hydroalcoholic extract of S. praealtum leaves, regardless of the dose of herbal medicine administration (500-2000 mg/kg) and treatment time (24 and 48 h), but gender-dependent (male and female). The analysis obtained from the PCE/ NCE ratio showed significant differences (p < 0.05) between the control groups (150 mM NaCl and 50 mg/kg of N-Nitroso-N-ethylurea) and all doses of extracts of S. praealtum leaves (500-2000 mg/kg). Therefore, these results suggest that there is a systemic toxicity of the lyophilized hydroalcoholic extract of S. praealtum leaves under MN assay conditions, regardless of the herbal  medicine dose and the treatment time (24 and 48 h), but gender-dependent (male and female) ( Table 3).
In particular, S. praealtum has been used for a long time in traditional medicine as an analgesic and antiinflammatory agent because of its beneficial effect on the treatment of eye pain [10], eye swelling [11], ulcer treatment [12,13], general inflammatory problems [13,14], as contraception [15], anti-fertilization [16] and antinociceptive activity [13]. However, scientific studies on the S. praealtum species aiming to understand its antimicrobial, cytotoxic and genotoxic effects have been scarce so far. Therefore, these observations also drove us to evaluate the antimicrobial (gram-negative and grampositive bacteria, yeasts and mycobacteria), cytotoxic (Aedes albopictus cells) and genotoxic potential (clastogenic and/or aneugenic effects) of the lyophilized hydroalcoholic extract S. praealtum using in vitro antimicrobial susceptibility and cytotoxicity tests and the in vivo micronucleus assay.
Scientific evidence showed that the organic extracts (solvents of increasing polarity, e.g., ethanolic and ethyl acetate extracts) of medicinal plants have been considered as best solvents for the extraction of antimicrobial substances when compared with aqueous extracts [32,45,46]. Our antimicrobial studies, as determined by the agar diffusion method, showed absence of antimicrobial susceptibility (null growth inhibition zone) of gramnegative bacterial strains (E. coli, E. aerogenes, S. marcescens, P. aeruginosa, P. mirabilis and S. typhimurium) against the lyophilized hydroalcoholic extracts of S. praealtum stems, leaves and roots. However, grampositive bacterial strains showed susceptibility (zone of inhibition of growth) against the root extract (B. subtilis, B. cereus, M. luteus and S. aureus), followed by the stem (B. cereus, M. luteus and S. aureus) and leaf (B. cereus and M. luteus) of S. praealtum, with considerable scope of gram-positive bacterial species using root extract, followed by the stem and leaf. In addition, a single smaller growth inhibition zone (p < 0.05) was observed on the M. luteus specie against the stem extract. The S. cereviseae yeast showed susceptibility (zone of inhibition of growth) against the stem and root extracts. The E. faecalis, C. albicans, M. tuberculosis and M. bovis strains did not show susceptibility to any parts of the S. praealtum extract. Unlike the agar diffusion method, the broth microdilution showed antimicrobial action of lyophilized extracts of S. praealtum, its leaves responsible for the greater spectrum of bacterial species and variable values of MIC against gram-negative bacterial species. These results suggested that (i) the lyophilized extracts of S. praealtum show gram-negative antibacterial action, showing variable MICs depending on the anatomical part of the plant and the gram-negative bacterial species: leaf (E. coli, S. marcescens, P. aeruginosa, P. mirabilis and S. typhimurium: MIC = 25 mg/ml; E. aerogenes: MIC = 50 mg/ml), stem (E. coli: MIC = 25 mg/ml) and root (P. mirabilis: MIC = 50 mg/ml); (ii) the broth microdilution method has increased sensibility to gram-negative antibacterial tests against the plant extracts of S. praealtum, when compared with the agar diffusion method; and (iii) bioactive phytochemicals compounds (less polar in nature and/or apolar) of S. praealtum with potentially gramnegative antibacterial actions can interact physically and/ or chemically with the conditions of the agar diffusion method and, therefore, generate understated data about the antimicrobial susceptibility profile. To the grampositive bacteria tested, the broth microdilution assay showed antimicrobial action in all lyophilized extracts of S. praealtum and variable values of MIC. Thus, these data also reinforce the previous hypothesis about the greater sensitivity of the broth microdilution method, also suggesting that the lyophilized extracts from leaves, stems and roots of S. praealtum have gram-positive antibacterial action, showing variable MIC according to the gram-positive bacterial species: leaf (M. luteus: 12.5 mg/ ml; B. cereus, E. faecalis and S. aureus: 25 mg/ml; B. subtilis: 50 mg/ml), stem (B. cereus, M. luteus, E. faecalis and S. aureus: 25 mg/ml; B. subtilis: 50 mg/ml) and root (B. cereus, M. luteus, E. faecalis and S. aureus: 12.5 mg/ ml; B. subtilis: 25 mg/ml).
The lyophilized extracts of S. praealtum leaves and stems did not show any potential of anti-C. albicans action, as demonstrated by both methods (i.e. agar diffusion and broth microdilution), except for the extract of S. praealtum roots (MIC equal to 25 mg/ml). However, antifungal action of all these extracts was observed against the S. cerevisiae yeast assay and associated with more favorable MIC results (leaf and root: 6.25 mg/ml; stem: 12.5 mg/ml). In this case, the broth microdilution method also showed greater sensibility in determining the antifungal action. No in vitro antimycobacterial action was observed using S. praealtum extracts, M. tuberculosis and M. bovis strains, and only the agar diffusion method. Bacteriostatic, bactericidal, fungistatic and fungicidal patterns of S. praealtum extracts were observed in the susceptible microbial species, and MMCs values were typically above MIC values, and dependent on or independent of the anatomical parts of S. praealtum: e.g., S. marcescens (leaf displaying MMC + ), P. mirabilis (root displaying MMC + ), B. subtilis (root displaying MMC + ), M. luteus (leaf, stem and root displaying MMC + ), S. aureus (leaf and root displaying MMC + ) and S. cerevisiae species (leaf, stem and root displaying MMC + ).
The absence of correlation between agar diffusion and microdilution methods has been observed in some studies on antimicrobial susceptibility and plant extracts [32,47]. Although both methods have feasible simplicity and relatively low cost, the microdilution method [48] has showed greater sensitivity to results. Several factors can influence the antimicrobial susceptibility analyses employing various phytochemicals compounds (e.g., culture media, pH, oxygen availability, inoculum and incubation conditions) [49] and, consequently, generate irreproducible results among methods (e.g., microbial growth inhibition zone versus MIC). On the other hand, the methods of extraction of phytochemical compounds (e.g., based on the use of organic solvents, which extract compounds with increasing polarity and better diffusion in agar) and interaction, alteration, depletion or destruction of phytochemical compounds, under test conditions, may reflect on the result of antimicrobial action of plant extracts over the micro-organisms [32,45,46]. The conditions of plant cultivation are also prevalent with the influence of biotic and abiotic factors, resulting in limiting effects on the production of bioactive metabolites and influencing the antimicrobial effects (e.g., zone of inhibition, MIC and MMC) [50].
This study showed, for the first time in the literature, data on the antimicrobial action of S. praealtum for some strains of gram-negative and gram-positive bacteria, yeasts and mycobacteria. A single comparative study on the amount of some active ingredients of Sedum aizoon and Sedum tatarinowii was conducted to develop and use new sources of plants of Shanxi Huoshan, in China [17]. In this study, the antibacterial assay using the agar diffusion method showed that the polysaccharide extracts of both species of Sedum did not have inhibitory effects against E. coli, S. aureus, S. typhimurium and L. monocytogenes strains. However, the free phenol extracts had significant inhibitory effects on some bacteria: S. aizoon (S. aureus, S. typhimurium and L. monocytogenes) and S. tatarinowii (E. coli, S. aureus and L. monocytogenes). Bound phenol or total falconoid extracts of S. tatarinowii showed the strongest activity against L. monocytogenes (i.e., ∅ of growth inhibition zone). These results provided a theoretical basis for the