Pemanfaatan Produk Alam dalam Mengatasi Resistensi Antimikroba: Tinjauan Naratif Sistematis Menuju Inovasi Kesehatan Berkelanjutan
DOI:
https://doi.org/10.69836/ncrcs-sinesia.v1i2.92Keywords:
Natural product, Antimicrobial resistence, Phytochemicals, Sustainable health innovationAbstract
Resistensi antimikroba (AMR) telah menjadi ancaman kesehatan global yang serius, mengurangi efektivitas antibiotik konvensional dan menantang sistem kesehatan masyarakat. Produk alam, termasuk senyawa turunan tumbuhan dan jamur endofit, merupakan sumber potensial agen antimikroba baru. Tinjauan naratif sistematis ini bertujuan untuk mengidentifikasi dan merangkum studi-studi terbaru (2020–2025) mengenai potensi antimikroba produk alam dan perannya dalam inovasi kesehatan berkelanjutan. Pencarian literatur dilakukan secara komprehensif di PubMed, ScienceDirect, Google Scholar, dan ResearchGate. Studi disaring berdasarkan relevansi, kualitas metodologi, dan ketersediaan teks lengkap. Sebanyak 38 studi memenuhi kriteria inklusi, menyoroti efektivitas flavonoid, alkaloid, terpenoid, dan fenolik terhadap bakteri resisten obat, seperti Staphylococcus aureus, Pseudomonas aeruginosa, dan Escherichia coli. Mekanisme aksi meliputi gangguan membran sel, inhibisi pembentukan biofilm, dan intervensi pada quorum sensing bakteri. Meskipun bukti in vitro kuat, translasi klinis masih terbatas karena variasi metode ekstraksi, standar dosis, dan data farmakokinetik. Temuan ini menekankan potensi produk alam dalam menangani AMR sekaligus mendukung inovasi kesehatan berkelanjutan, khususnya di Indonesia dan Asia Tenggara. Upaya kolaboratif diperlukan untuk menstandarisasi metodologi, memvalidasi efektivitas in vivo, dan mengintegrasikan produk alam ke strategi kesehatan yang sejalan dengan Sustainable Development Goals.
References
Adeola Esther, F., Nancy, J., Williams, F., & Adrain, J. (2025). Synergistic Effects of Phytochemicals and Conventional Antibiotics in Combating Drug-Resistant Pathogens. https://www.researchgate.net/publication/395256266
Albanese, G., Giurgiu, A. I., Bobiș, O., Urcan, A. C., Botezan, S., Bonta, V., Ternar, T. N., Pașca, C., Iorizzo, M., De Cristofaro, A., Caprio, E., & Dezmirean, D. S. (2025). Functional and Antimicrobial Properties of Propolis from Different Areas of Romania. Applied Sciences (Switzerland), 15(2). https://doi.org/10.3390/app15020898
Angelini, P. (2024). Plant-Derived Antimicrobials and Their Crucial Role in Combating Antimicrobial Resistance. In Antibiotics (Vol. 13, Issue 8). Multidisciplinary Digital Publishing Institute (MDPI). https://doi.org/10.3390/antibiotics13080746
Arip, M., Selvaraja, M., Mogana, R., Tan, L. F., Leong, M. Y., Tan, P. L., Yap, V. L., Chinnapan, S., Tat, N. C., Abdullah, M., Dharmendra, K., & Jubair, N. (2022). Review on Plant-Based Management in Combating Antimicrobial Resistance - Mechanistic Perspective. In Frontiers in Pharmacology (Vol. 13). Frontiers Media S.A. https://doi.org/10.3389/fphar.2022.879495
Ayu, N., Pertiwi, N., Jumiarni, D., Efendi, M., Lailaty, I. Q., Supratman, J. W. R., & Limun, K. (2025). Antimicrobial Activity and Metabolite Profiles of Begonia multangula Blume from Cibodas Botanical Garden and Gunung Halimun Salak National Park, Indonesia. JSMARTech Journal of Smart Bioprospecting and Technology. https://doi.org/10.21776/ub.jsmartech.2025.006.01.18
Bharathi, D., & Lee, J. (2024). Recent Advances in Marine-Derived Compounds as Potent Antibacterial and Antifungal Agents: A Comprehensive Review. In Marine Drugs (Vol. 22, Issue 8). Multidisciplinary Digital Publishing Institute (MDPI). https://doi.org/10.3390/md22080348
Casciaro, B., Mangiardi, L., Cappiello, F., Romeo, I., Loffredo, M. R., Iazzetti, A., Calcaterra, A., Goggiamani, A., Ghirga, F., Mangoni, M. L., Botta, B., & Quaglio, D. (2020). Naturally-occurring alkaloids of plant origin as potential antimicrobials against antibiotic-resistant infections. In Molecules (Vol. 25, Issue 16). MDPI AG. https://doi.org/10.3390/molecules25163619
Chi, Y., Wang, Y., Ji, M., Li, Y., Zhu, H., Yan, Y., Fu, D., Zou, L., & Ren, B. (2022). Natural products from traditional medicine as promising agents targeting at different stages of oral biofilm development. In Frontiers in Microbiology (Vol. 13). Frontiers Media S.A. https://doi.org/10.3389/fmicb.2022.955459
Devi, A., Kumari, V., Kumar, V., Kumar, R., kunal, R., Datyal, A., Sharma, P., Kumari, R., & Sharma, R. (2025). The Role of Phytochemicals in Combating Antimicrobial Resistance. 20(2). https://doi.org/10.63001/tbs.2025.v20.i02.S2.pp548-555
Ekwueme, C. T., Anyiam, I. V., Ekwueme, D. C., Anumudu, C. K., & Onyeaka, H. (2025). Reconstructing the Antibiotic Pipeline: Natural Alternatives to Antibacterial Agents. In Biomolecules (Vol. 15, Issue 8). Multidisciplinary Digital Publishing Institute (MDPI). https://doi.org/10.3390/biom15081182
Elmaidomy, A. H., Shady, N. H., Abdeljawad, K. M., Elzamkan, M. B., Helmy, H. H., Tarshan, E. A., Adly, A. N., Hussien, Y. H., Sayed, N. G., Zayed, A., & Abdelmohsen, U. R. (2022). Antimicrobial potentials of natural products against multidrug resistance pathogens: a comprehensive review. In RSC Advances (Vol. 12, Issue 45, pp. 29078–29102). Royal Society of Chemistry. https://doi.org/10.1039/d2ra04884a
El-Saadony, M. T., Saad, A. M., Mohammed, D. M., Korma, S. A., Alshahrani, M. Y., Ahmed, A. E., Ibrahim, E. H., Salem, H. M., Alkafaas, S. S., Saif, A. M., Elkafas, S. S., Fahmy, M. A., Abd El-Mageed, T. A., Abady, M. M., Assal, H. Y., El-Tarabily, M. K., Mathew, B. T., AbuQamar, S. F., El-Tarabily, K. A., & Ibrahim, S. A. (2025). Medicinal plants: bioactive compounds, biological activities, combating multidrug-resistant microorganisms, and human health benefits - a comprehensive review. In Frontiers in Immunology (Vol. 16). Frontiers Media SA. https://doi.org/10.3389/fimmu.2025.1491777
Guedes, B. N., Krambeck, K., Durazzo, A., Lucarini, M., Santini, A., Oliveira, M. B. P. P., Fathi, F., & Souto, E. B. (2024). Natural antibiotics against antimicrobial resistance: sources and bioinspired delivery systems. In Brazilian Journal of Microbiology (Vol. 55, Issue 3, pp. 2753–2766). Springer Nature. https://doi.org/10.1007/s42770-024-01410-1
Jaktaji, R. P., & Ghalamfarsa, F. (2021). Antibacterial activity of honeys and potential synergism of honeys with antibiotics and alkaloid extract of Sophora alopecuroides plant against antibiotic-resistant Escherichia coli mutant. Iranian Journal of Basic Medical Sciences, 24(5), 623–628. https://doi.org/10.22038/IJBMS.2021.54224.12179
Jha, P., Kaur, T., Chhabra, I., Panja, A., Paul, S., Kumar, V., & Malik, T. (2023). Endophytic fungi: hidden treasure chest of antimicrobial metabolites interrelationship of endophytes and metabolites. In Frontiers in Microbiology (Vol. 14). Frontiers Media SA. https://doi.org/10.3389/fmicb.2023.1227830
Joseph, J., Boby, S., Mooyottu, S., & Muyyarikkandy, M. S. (2025). Antibiotic potentiators as a promising strategy for combating antibiotic resistance. Npj Antimicrobials and Resistance, 3(1). https://doi.org/10.1038/s44259-025-00112-4
Kashi, M., Noei, M., Chegini, Z., & Shariati, A. (2024). Natural compounds in the fight against Staphylococcus aureus biofilms: a review of antibiofilm strategies. In Frontiers in Pharmacology (Vol. 15). Frontiers Media SA. https://doi.org/10.3389/fphar.2024.1491363
Khare, T., Anand, U., Dey, A., Assaraf, Y. G., Chen, Z. S., Liu, Z., & Kumar, V. (2021). Exploring Phytochemicals for Combating Antibiotic Resistance in Microbial Pathogens. In Frontiers in Pharmacology (Vol. 12). Frontiers Media S.A. https://doi.org/10.3389/fphar.2021.720726
Kincses, A., Ghazal, T. S. A., & Hohmann, J. (2024). Synergistic effect of phenylpropanoids and flavonoids with antibiotics against Gram-positive and Gram-negative bacterial strains. Pharmaceutical Biology, 62(1), 659–665. https://doi.org/10.1080/13880209.2024.2389105
Kumar, H., Bhardwaj, K., Cruz-Martins, N., Nepovimova, E., Oleksak, P., Dhanjal, D. S., Bhardwaj, S., Singh, R., Chopra, C., Verma, R., Chauhan, P. P., Kumar, D., & Kuča, K. (2021). Applications of fruit polyphenols and their functionalized nanoparticles against foodborne bacteria: A mini review. In Molecules (Vol. 26, Issue 11). MDPI AG. https://doi.org/10.3390/molecules26113447
Kumar, M., Kaur, P., Garg, R., Patil, R. K., & Patil, H. C. (2020). A study on antibacterial property of curcuma longa – herbal and traditional medicine . Adesh University Journal of Medical Sciences & Research, 2, 103–108. https://doi.org/10.25259/aujmsr_11_2020
Kumar, V., Singh, A., Sharma, N., Saini, R., Kumar, H., El–Shazly, M., & Dev, K. (2025). Combating bacterial antibiotic resistance with phytocompounds: Current trends and future perspectives. In Medicine in Drug Discovery (Vol. 28). Elsevier B.V. https://doi.org/10.1016/j.medidd.2025.100228
Lavigne, J. P., Ranfaing, J., Dunyach-Rémy, C., & Sotto, A. (2020). Synergistic effect of propolis and antibiotics on uropathogenic escherichia coli. Antibiotics, 9(11), 1–11. https://doi.org/10.3390/antibiotics9110739
Li, S., Jiang, S., Jia, W., Guo, T., Wang, F., Li, J., & Yao, Z. (2024). Natural antimicrobials from plants: Recent advances and future prospects. In Food Chemistry (Vol. 432). Elsevier Ltd. https://doi.org/10.1016/j.foodchem.2023.137231
Mahizan, N. A., Yang, S. K., Moo, C. L., Song, A. A. L., Chong, C. M., Chong, C. W., Abushelaibi, A., Erin Lim, S. H., & Lai, K. S. (2019). Terpene derivatives as a potential agent against antimicrobial resistance (AMR) pathogens. In Molecules (Vol. 24, Issue 14). MDPI AG. https://doi.org/10.3390/molecules24142631
Malczak, I., & Gajda, A. (2023). Interactions of naturally occurring compounds with antimicrobials. In Journal of Pharmaceutical Analysis (Vol. 13, Issue 12, pp. 1452–1470). Xi’an Jiaotong University. https://doi.org/10.1016/j.jpha.2023.09.014
Matei, A. T., & Visan, A. I. (2025). Mechanism, Efficacy, and Safety of Natural Antibiotics. Antibiotics, 14(10), 981. https://doi.org/10.3390/antibiotics14100981
Ng, W. J., Matejczuk, K., Ee, K. Y., Boutrou, I., Hew, P. S., Szweda, P., & Mossialos, D. (2025). Honey Bee and Stingless Bee products: Effects on microbial virulence factors and pathogenicity mechanisms. In Journal of Functional Foods (Vol. 132). Elsevier Ltd. https://doi.org/10.1016/j.jff.2025.106967
Nitsch-Velásquez, L. (2020). Synergistic effects of natural products and commercial antibiotics—A mini–review 2010–2015. https://doi.org/10.1101/2020.09.01.20186353
Nourbakhsh, F., Lotfalizadeh, M., Badpeyma, M., Shakeri, A., & Soheili, V. (2022). From plants to antimicrobials: Natural products against bacterial membranes. In Phytotherapy Research (Vol. 36, Issue 1, pp. 33–52). John Wiley and Sons Ltd. https://doi.org/10.1002/ptr.7275
Okeke, E. S., Nweze, E. J., Anaduaka, E. G., Okoye, C. O., Anosike, C. A., Joshua, P. E., & Ezeorba, T. P. C. (2023). Plant-derived nanomaterials (PDNM): a review on pharmacological potentials against pathogenic microbes, antimicrobial resistance (AMR) and some metabolic diseases. In 3 Biotech (Vol. 13, Issue 9). Springer Science and Business Media Deutschland GmbH. https://doi.org/10.1007/s13205-023-03713-w
Oulahal, N., & Degraeve, P. (2022). Phenolic-Rich Plant Extracts With Antimicrobial Activity: An Alternative to Food Preservatives and Biocides? In Frontiers in Microbiology (Vol. 12). Frontiers Media S.A. https://doi.org/10.3389/fmicb.2021.753518
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. In BMJ (Vol. 372). BMJ Publishing Group. https://doi.org/10.1136/bmj.n71
Priya, O. I., Shanmugam, P., Chauhan, A., & Selvabai, A. P. (2025). Efficacy of plant-derived extracts against multidrug resistant pathogens: A potential alternative to conventional antibiotic therapy. Indian Journal of Microbiology Research, 12(3), 323–328. https://doi.org/10.18231/j.ijmr.98133.1758352054
Santos-Silva, C. A. dos, Tricarico, P. M., Vilela, L. M. B., Roldan-Filho, R. S., Amador, V. C., d’Adamo, A. P., Rêgo, M. de S., Benko-Iseppon, A. M., & Crovella, S. (2021). Plant Antimicrobial Peptides as Potential Tool for Topic Treatment of Hidradenitis Suppurativa. In Frontiers in Microbiology (Vol. 12). Frontiers Media S.A. https://doi.org/10.3389/fmicb.2021.795217
Sari, R., Pratiwi, S. U. T., Murti, Y. B., & Damayanti, E. (2024). Potential of Indonesian Plants as Polymicrobial Anti-Biofilm. In Borneo Journal of Pharmacy (Vol. 7, Issue 1, pp. 63–79). Institute for Research and Community Services, Universitas Muhammadiyah Palangkaraya. https://doi.org/10.33084/bjop.v7i1.5645
SeyedAlinaghi, S., Mehraeen, E., Mirzapour, P., Yarmohammadi, S., Dehghani, S., Zare, S., Gholami, S., Attarian, N., Abiri, A., Farahani Rad, F., Tabari, A., Afroughi, F., Gholipour, A., Roozbahani, M. M., & Jahanfar, S. (2025). A systematic review on natural products with antimicrobial potential against WHO’s priority pathogens. European Journal of Medical Research, 30(1). https://doi.org/10.1186/s40001-025-02717-x
Shahin, H. H., Baroudi, M., Dabboussi, F., Ismail, B., Salma, R., Osman, M., & El Omari, K. (2025). Synergistic Antibacterial Effects of Plant Extracts and Essential Oils Against Drug-Resistant Bacteria of Clinical Interest. Pathogens, 14(4). https://doi.org/10.3390/pathogens14040348
Shariati, A., Noei, M., Askarinia, M., Khoshbayan, A., Farahani, A., & Chegini, Z. (2024). Inhibitory effect of natural compounds on quorum sensing system in Pseudomonas aeruginosa: a helpful promise for managing biofilm community. In Frontiers in Pharmacology (Vol. 15). Frontiers Media SA. https://doi.org/10.3389/fphar.2024.1350391
Sujitha, J. W. R., Senthilkumar, D., & Nandhagopal, M. (2024). Antimicrobial Potential of Secondary Metabolites Produced by Bacillus sp. and Their Gas Chromatography (GC)-Mass Spectrometry (MS) Analysis. Cureus. https://doi.org/10.7759/cureus.70472
United Nation. (2023). The-Sustainable-Development-Goals-Report-2023. https://unstats.un.org/sdgs/report/2023/
Unnam, S., Mouid, M. G., Thota, R. D., Bantaram, J., Sulthana, N., Pilli, G. D., & Gudise, V. (2025). Natural products as antimicrobials: An exploratory overview of current research and future perspectives. In Journal of Applied Pharmaceutical Science (Vol. 15, Issue 7, pp. 48–66). Open Science Publishers LLP Inc. https://doi.org/10.7324/JAPS.2025.224409
Wang, Z., Ding, Z., Li, Z., Ding, Y., Jiang, F., & Liu, J. (2021). Antioxidant and antibacterial study of 10 flavonoids revealed rutin as a potential antibiofilm agent in Klebsiella pneumoniae strains isolated from hospitalized patients. Microbial Pathogenesis, 159. https://doi.org/10.1016/j.micpath.2021.105121
Who. (2024). Planning for health system recovery Guidance for application in countries. https://iris.who.int/.
Wiart, C., Kathirvalu, G., Raju, C. S., Nissapatorn, V., Rahmatullah, M., Paul, A. K., Rajagopal, M., Sathiya Seelan, J. S., Rusdi, N. A., Lanting, S., & Sulaiman, M. (2023). Antibacterial and Antifungal Terpenes from the Medicinal Angiosperms of Asia and the Pacific: Haystacks and Gold Needles. In Molecules (Vol. 28, Issue 9). MDPI. https://doi.org/10.3390/molecules28093873
Woo, S., Marquez, L., Crandall, W. J., Risener, C. J., & Quave, C. L. (2023). Recent advances in the discovery of plant-derived antimicrobial natural products to combat antimicrobial resistant pathogens: insights from 2018-2022. In Natural Product Reports (Vol. 40, Issue 7, pp. 1271–1290). Royal Society of Chemistry. https://doi.org/10.1039/d2np00090c
Yan, Y., Xia, X., Fatima, A., Zhang, L., Yuan, G., Lian, F., & Wang, Y. (2024). Antibacterial Activity and Mechanisms of Plant Flavonoids against Gram-Negative Bacteria Based on the Antibacterial Statistical Model. Pharmaceuticals, 17(3). https://doi.org/10.3390/ph17030292
Zhai, X., Wu, G., Tao, X., Yang, S., Lv, L., Zhu, Y., Dong, D., & Xiang, H. (2023). Success stories of natural product-derived compounds from plants as multidrug resistance modulators in microorganisms. In RSC Advances (Vol. 13, Issue 12, pp. 7798–7817). Royal Society of Chemistry. https://doi.org/10.1039/d3ra00184a
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Rona Hawa Kamilah, Fatmawati, Apt. S.Farm (Author)

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
