Abstract
This study investigated the effect of Bauhinia forficata subsp. pruinosa leaf extract on four mycobacterial species and their biofilms, as well as its phenolic content. Phytochemical assays (total phenolic and flavonoid content, chromatographic analysis) and microbiological evaluations (minimum inhibitory concentration – MIC; minimum bactericidal concentration – MBC, time-kill curve, checkerboard assay, and antibiofilm assessment) were performed. Rutin was identified as the major compound. The extract exhibited an MIC of 0.31 mg/mL-1 for all tested strains; however, Mycobacteroides massiliense showed lower susceptibility, considering its MBC value and behavior in the time-kill curve. Additionally, the extract inhibited and eradicated biofilms of M. massiliense and Mycolicibacterium fortuitum and eradicated those of Mycobacteroides abscessus and Mycolicibacterium smegmatis when applied at the MIC value. Furthermore, the extract displayed an additive effect against M. abscessus and M. smegmatis in combination with clarithromycin and against M. massiliense when combined with imipenem. This study is the first to report the in vitro antimycobacterial and antibiofilm activity of B. forficata subsp. pruinosa leaf extract. The positive effects observed are partially attributed to the flavonol rutin. Our findings suggest its potential use as an adjuvant in the treatment of mycobacterial infections, addressing antibiotic resistance issues.