This study investigated the antimicrobial and antioxidant properties of Tetracera macrophylla leaf extracts to support its traditional use in treating infections. Five extracts were prepared (Hexane [HEX], ethyl acetate [EA1, EA2], and methanol [ME1, ME2]), among which ME2 exhibited the strongest bioactivity. ME2 showed high total phenolic content (TPC: 254.96 ± 0.43 mg GAE/g), total flavonoid content (TFC: 162.53 ± 0.89 mg QE/g), ferric reducing antioxidant power (FRAP: 1605.94 ± 0.32 mg AAE/g), and potent radical scavenging activity (DPPH• IC50: 3.46 ± 0.09 µg/mL; ABTS•+ IC50: 0.62 ± 0.01 µg/mL). Antimicrobial assays revealed that ME2 exerted the strongest inhibitory effect against S. aureus (ZOI: 8.51 ± 0.05 to 10.53 ± 0.03 mm; MIC and MBC: 0.625 mg/mL), with additional activity against S. mutans and C. albicans. To identify bioactive constituents, Q-ToF LCMS profiling of ME2 was performed, followed by molecular docking against S. aureus DNA gyrase B protein (PDB ID: 3U2D). Several compounds demonstrated strong binding affinities and favourable drug-likeness properties including (-)-epicatechin-3-O-gallate (-9.4 kcal/mol), epigallocatechin-3-O-caffeate (-9.1 kcal/mol), luteolin-4'-sulfate (-8.5 kcal/mol), 5,7,4'-trihydroxyflavanone 7-sulfate (-8.0 kcal/mol), 4,2',3',4'-tetrahydroxychalcone (-7.9 kcal/mol), isovitexin (-7.9 kcal/mol), 7,8,4'-trihydroxyflavanone (-7.7 kcal/mol), betulinic acid (-7.0 kcal/mol), and gallic acid (-6.0 kcal/mol). These findings provide scientific support for the traditional use of T. macrophylla in managing infections and highlight its potential as a promising source of lead compounds for novel antibacterial drug development.
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