Transcriptomic Profile Analysis of Streptococcus mutans Response to Acmella paniculata Flower Extracts

Background Acmella paniculata has been used as a traditional medicine to treat oral health diseases such as dental caries and periodontitis. Streptococcus mutans is a common bacterium that initiates dental caries at an early stage. Aim The aim of this study was to determine the mode of action of A. paniculata (extracts) against S. mutans growth. Methods Time-kill assay has been done to investigate the rate of kill and effectiveness of Acmella paniculata (AP) extracts against S. mutans growth. Phytochemical analysis was done to identify major compounds in AP extracts using gas chromatography mass spectrometry (GCMS). Scanning and transmission electron microscopy (SEM and TEM) have been done to observe the morphological changes of treated bacteria. Transcriptomic profile analysis has been done using Next Gene Sequencing. Results AP flower n-hexane (APFH) and AP flower dichloromethane (APFD) extracts acted as bactericidal agents after killing >3 log10 cfu/mL of S. mutans after 24 hours. Oleic and hexadecenoic acids were found to be the major compounds in APFD and APFH extracts, respectively. Photomicrographs from SEM and TEM of treated S. mutans show that the bacterial cell wall has been lysed and the cytoplasm content was decreased. Pathway analysis revealed that the APFD extract significantly affected biosynthesis peptidoglycan, gene expression, RNA processing, and macromolecule metabolism processes in S. mutans. Conclusion Data analysis revealed that multiple mechanisms of action were involved in antibacterial activity of A. paniculata extracts toward S. mutans.


Introduction
Dental caries, also known as tooth decay or cavities, has become a common disease worldwide and is generally experienced by children. It is a process that involves the balance between mineral loss and replacement in the teeth in a certain period of time, as the reaction effect of acid attack resulting from food intake. Dental caries incident is affected by the frequency and amount of carbohydrate from starch and sugar that were consumed. Streptococcus mutans is a common bacterium that initiates dental caries at an early stage.
is bacterium is able to convert sugar into acid and form plaque on teeth.
is situation is becoming extremely challenging as commonly used antibiotics and chemotherapeutics such as penicillin, cephalosporin, erythromycin, and tetracycline have begun to be less effective against oral bacteria [1]. In addition, Prestinaci et al. (2015) stated that prolonged exposure to antibiotic drugs can cause major safety issues, for example, the development of resistant microorganisms [2]. erefore, they will have a greater chance of surviving and multiplying. Furthermore, mouthrinse consumption may cause oral cancer due to its alcohol content, particularly in smokers and/or those who consume alcohol on a regular basis [3]. In addition, the use of mouthrinse has also been linked to the occurrence of enamel staining and the formation of calculus, which has limited its usage as oral hygiene preventive measures [4]. erefore, many researchers have begun to find a new alternative by developing safer and organic medicines that offer effective plaque control with no or at least minimal side effects.
Bioactive compounds from plant extraction have been found to be effective as anti-microorganism, antidepressant, and antidiabetic agents with less minimal side effects [5][6][7]. Some examples of medicinal plants that have potential to be anti-microorganism agents are Andrographis paniculata, Lepidagathis hyalina, Syzygium fruticosum, and green tea [8][9][10][11]. ey contain bioactive compounds responsible for inhibiting the growth of bacteria and viruses such as lactones, diterpenes, flavonoids, quinic acid, xanthones, and noriridoids.
Spilanthes acmella, an attractive medicinal plant, and its metabolites have the potential to be antibacterial agents. It is also a synonym species for Acmella paniculata and has been used as a traditional medicine for many diseases such as rheumatism, fever, diuretics, flu, toothaches, and periodontitis. Previous studies have stated that this plant exhibits analgesic, cytotoxic, antimicrobial, and antiplaque effects [12]. Phytochemicals present in Acmella species such as alkyl ketones, alkamides, hydrocarbons, acetylenes, lactones, alkaloids, terpenoids, flavonoids, and coumarins are the main constituents considered to be responsible for the anti-microorganism activity [13][14][15]. Besides, toxicity level of A. paniculata extract was found to be the lowest and safe for animal. According to Dubey et al., crude extract of A. paniculata can be used in animal feed at 0.01% v/v and 1% v/ v, respectively, without any lethal, sublethal, or malformation effect [16].
Even though A. paniculata is believed traditionally to be an anti-toothache plant, scientific proof of the mechanism of action on the biological activity has yet to be reported. erefore, the aim of this study was to investigate the mode of action of bioactive compounds from A. paniculata against S. mutans using an antimicrobial assay and transcriptomic profile analysis.

Materials and Methods
2.1. Sample Extraction. Acmella paniculata (AP) was collected at TKC Herbal Ampangan, Seremban. e plant was identified by Dr. Mohd Firdaus Ismail, a botanist from Institute of Bioscience, Universiti Putra Malaysia (UPM) (Voucher number: MF10164120). e extraction has been done by following the method from Nur Syahirah et al. [17]. e leaves of AP have been extracted using n-hexane and methanol solvents, whereas the flowers of AP have been extracted using n-hexane and dichloromethane (DCM) solvents.

Bacterial
Growth. Streptococcus mutans (ATCC 25175) was cultured in brain heart infusion broth (BHIB) for 24 hours under facultative anaerobic condition. en, the culture was grown on brain heart infusion agar (BHIA) to obtain a single colony. e single colony was further investigated in this study.

Scanning Electron Microscopy (SEM)
S. mutans was cultured on Mueller-Hinton agar (MHA) at 37°C under facultative anaerobic conditions with MIC and MBC values of 12.5 and 50 mg/mL for both APFH and APFD extracts, respectively. Control was prepared as an untreated culture. Each sample was incubated for 4 hours. After incubation, the agar was cut into 1 cm × 1 cm × 1 cm (square cm 3 ). All the samples were transferred into a 1.5 mL Eppendorf tube. Fixation of the samples was done by treating them with glutaraldehyde 2% for 24 hours at 4°C. After that, all the samples were washed using PBS 0.1 M. en, a drying process was done on all the samples using ethanol and critical point under CO 2 conditions. e samples were then placed on stubs and covered with gold before being observed using a scanning electron microscope (Carl Zeiss LEO 1450VP).

Transmission
Electron Microscopy (TEM). S. mutans was cultured on brain heart infusion broth (BHIB) (0.5 × 108 cfu/ mL) with MIC and MBC values of 12.5 and 50 mg/mL for both APFN and APFD extracts at 37°C under facultative anaerobic conditions. e BHIB contained 0.2% sucrose. Control had been prepared as an untreated culture. e time of incubation was four hours for each sample. After that, 10 mL of culture was centrifuged at 4000 rpm and 4°C for 15 minutes. e pellet was collected and washed with PBS 0.1 M. Glutaraldehyde 2% had been added to samples for 24 hours at 4°C. en, fixation was done by adding osmium tetroxide for 2 hours. en, a drying process was done on all the samples using ethanol (50-90%). e samples had been embedded in epoxy resin. After that, uranyl acetate and Reynolds' stain were added to the samples. e samples had been cut into thin ultrathin slices before being observed using a transmission electron microscope (Philips CM12).

Gas Chromatography Mass Spectrophotometry (GCMS)
Analysis. Bioactive compounds from APFH and APFD extracts were determined by GCMS analysis (Shimadzu, QP5050 A, Japan). Helium gas (1.0 mL/min) was used as a carrier gas in this analysis. e temperature and time for the setting were set at 60°C in 2 minutes and 280°C in 12 minutes, respectively. After that, the injector was maintained at 245°C, while the electron impact of the ion source was maintained at 295°C. Electron impact spectra were logged at e bioactive compounds were determined by comparing the GC retention indices with the mass spectra library provided by the National Institute of Standards and Technology (NIST) database.

RNA Extraction.
Two pellets of treated bacteria (APFD 1 × MIC) and untreated bacteria were prepared for RNA extraction. All the samples were suspended in 3.2 mL of SDS lysis buffer and divided into four portions. Each portion (∼800 μL) was transferred into a 2 mL tube containing bead; 100 μL of phenol : chloroform : isoamyl alcohol; and 100 μL of enhanced lysis buffer. e cells were lysed by bead beating for 5 min at 2280 rpm on a cell disruptor. e sample tubes were then centrifuged for 2 min at full speed. e supernatants were pooled into a 15 mL tube to a final volume of 2.5 mL. Aliquots of 313 μL of binding buffer were added, vortexed, and incubated for 2 min at room temperature. e tube was then centrifuged for 2 min at full speed. e supernatant was transferred into a column (including a filter) which was pre-equilibrated with 12 mL of equilibration buffer. e filter column was flushed and washed with washing buffers. RNA was then eluted with 5 mL of elution buffer. e first eluted RNA was mixed with 3.5 mL of isopropanol, loaded into a purification column, and centrifuged for 2 min at full speed. e column was washed with buffer followed by drying using centrifugation force for 2 min at full speed. Finally, the RNA was eluted with 100 μL of water. e RNA sample was subjected to DNase treatment at 37°C, followed by column purification and concentration. Lastly, the purified RNA was dissolved in 40 μL of water. RNA degradation and contamination were monitored on 1% agarose gels. RNA purity was checked using a Nano-Photometer ® spectrophotometer (IMPLEN, CA, USA).
RNA integrity and quantitation were assessed using the RNA 6000 Nano Assay Kit of the Bioanalyzer 2100 system (Agilent Technologies, CA, USA).

Library Preparation for Transcriptome Sequencing.
A total of 1 μg RNA per sample was used as input material for the RNA sample preparations. Sequencing libraries were generated using NEBNext ® Ultra ™ RNA Library Prep Kit for Illumina ® (NEB, USA) following manufacturer's recommendations, and index codes were added to attribute sequences to each sample. Briefly, mRNA was purified from total RNA using poly-T oligo-attached magnetic beads. Fragmentation was carried out using divalent cations under elevated temperature in NEBNext First Strand Synthesis Reaction Buffer (5X). First strand cDNA was synthesized using random hexamer primer and M-MuLV Reverse Transcriptase (RNase H−). Second strand cDNA synthesis was subsequently performed using DNA polymerase I and RNase H. Remaining overhangs were converted into blunt ends via exonuclease/polymerase activities. After adenylation of 32032 ends of DNA fragments, NEBNext adaptor with hairpin loop structure was ligated to prepare for hybridization. In order to select cDNA fragments of preferentially 150∼200 bp in length, the library fragments were purified with AMPure XP system (Beckman Coulter, Beverly, USA). en, 3 μL USER Enzyme (NEB, USA) was used with size-selected, adaptor-ligated cDNA at 37°C for 15 min followed by 5 min at 95°C before PCR. en, PCR was performed with Phusion High-Fidelity DNA polymerase, Universal PCR Primers, and Index (X) Primer. Lastly, PCR products were purified (AMPure XP system), and library quality was assessed on the Agilent Bioanalyzer 2100 system.

Clustering and Sequencing.
e clustering of the index-coded samples was performed on a cBot Cluster Generation System using PE Cluster Kit cBot-HS (Illumina) according to the manufacturer's instructions. After cluster generation, the library preparations were sequenced on an Illumina platform, and paired-end reads were generated.

Quality Control.
Raw data (raw reads) of FASTQ format were firstly processed through fastp. In this step, clean data (clean reads) were obtained by trimming reads containing adapter and removing poly-N sequences and reads with low quality from raw data. At the same time, Q20, Q30, and GC content of the clean data were calculated. All the downstream analyses were based on the clean data with high quality.

Reads Mapping to the Reference Genome.
Reference genome and gene model annotation files were downloaded from genome website directly. Both building index of reference genome and aligning clean reads to reference genome were conducted using Bowtie 2 [18].

Quantification of Gene Expression Level.
featureCounts was used to count the reads' numbers mapped to each gene. en, FPKM of each gene was calculated based on the length of the gene and reads' count mapped to this gene. FPKM, expected number of fragments per kilobase of transcript sequence per million base pairs sequenced, considers the effect of sequencing depth and gene length for the read count at the same time and is currently the most commonly used method for estimating gene expression levels [19].

Differential Expression Analysis.
For DESeq2 with biological replicates, differential expression analysis of two conditions/groups (two biological replicates per condition) was performed using the DESeq2 R package. DESeq2 provides statistical routines for determining differential expression in digital gene expression data using a model based on the negative binomial distribution. e resulting p values were adjusted using the Benjamini and Hochberg's approach for controlling the false discovery rate. Genes with adjusted p value <0.05 found by DESeq2 were assigned as differentially expressed.

GO and KEGG Enrichment Analysis of Differentially
Expressed Genes. Gene ontology (GO) enrichment analysis of differentially expressed genes was implemented by the clusterProfiler R package, in which gene length bias was corrected. GO terms with corrected p value less than 0.05 were considered significantly enriched by differential expressed genes. KEGG is a database resource for understanding high-level functions and utilities of the biological system, such as the cell, the organism, and the ecosystem, from molecular level information, especially large-scale molecular datasets generated by genome sequencing and other high-throughput experimental technologies https:// www.genome.jp/kegg/. ClusterProfiler R package was used to test the statistical enrichment of differential expression genes in KEGG pathways.

Time-Kill Assay.
e results presented in the time-kill assay are the changes in the log 10 cfu/mL of viable colonies. Bactericidal activity was defined as reduction equal to or greater than 3 log 10 cfu/mL in the viable colony count relative to the initial inoculum [20]. Time-kill assay was performed using MIC and MBC concentration values from previous study for APLH, APLM, APFH, and APHD extracts [17]. MIC and MBC values for APLH and APLM extracts were 25 mg/mL and 100 mg/mL, respectively. Meanwhile, the MIC and MBC values for APFH and APFD extracts were 12.5 mg/mL and 50 mg/mL, respectively. e finding of time-kill assay is presented in Table 1. After 4hour incubation, S. mutans treated with APLM, APLH, APFH, and APFD extracts (MIC) was reduced by a range of 0.91-2.07 log 10 cfu/mL. After 8 hours of incubation, the log reduction in the viable cell count ranged between 0.84 and 2.17 log 10 cfu/mL. Log reduction equal to or greater than 3 log 10 cfu/mL occurred when cells were treated with 2 × MIC APLM, APLH, APFH, and APFD extracts from 4 until 8 hours of incubation, respectively. Obvious reduction of S. mutans (log 10 cfu/mL) has been observed when it is treated with 1 × MIC APFH and APFD extracts.

SEM Analysis.
Scanning electron microscopy (SEM) and transmission electron microscopy (TEM) analysis were carried out to unravel S. mutans morphology after being exposed to APFD and APFH extracts for 4 h. SEM and TEM analysis were focused only on APFD and APFH because they exhibit greater antibacterial activities when compared to APLM and APLH. SEM analysis showed that the morphology of untreated S. mutans (control group) was aggregated preferentially within clusters (Figure 1(a)). Morphology of S. mutans exposed to APFH at 12.5 mg/mL and 50 mg/mL was changed when compared to control (Figures 1(b) and 1(c)). e close-up micrographs of the same culture showed that S. mutans cells became elongated and shrunk. A few holes were found on the surface of S. mutans cells, and smaller size of S. mutans cells was observed because of leakage from cytoplasm content. S. mutans treated with APFD at 12.5 mg/mL and 50 mg/mL was observed to have lysed, wrinkled cell walls and a lack of cytoplasm content (Figures 1(d) and 1(e)).

TEM Analysis.
TEM analysis results showed untreated S. mutans (control) presence with bodies, granules, vacuoles, and cell membrane that encapsulated the bacterial cells (Figure 2(a)). On the other hand, TEM images of S. mutans treated with APFD extracts (12.5 and 50 mg/mL) showed lysis of the cell wall and decreased cytoplasm content (Figures 2(b) and 2(c)). Disintegration of membrane cells due to cytoplasm leakage represents an abnormal intracellular reaction of treated bacteria. e coccus shape of S. mutans was not conserved and distorted after being treated with APFH extracts at 12.5 and 50 mg/mL (Figures 2(d) and 2(e)). e morphological characteristics of treated cells were observed as the presence of changes in peripheral cell surface and formation of hollows, and cells were destroyed.

GCMS Analysis.
GCMS analysis was carried out to identify bioactive compounds in APFH and APFD extracts. e bioactive compounds of APFD and APFH extracts are given in Tables 2 and 3, respectively. e ion chromatograms of APFD and APFH extracts are given in Figures 3 and 4, respectively. e peaks in the chromatogram were integrated and compared with the database of spectra of known components from the GCMS library. e volatile compounds with the highest peaks in APFD extract were linoelaidic acid, octadecanoic acid, and palmitoleic acid. Meanwhile, the highest peaks of bioactive compounds in APFH extract were hexadecanoic acid and oleic acid. Phytochemical analysis of APFD and APFH extracts revealed the presence of different fatty acids and heterocyclic compounds.

Transcriptomic Profile Analysis
3.5.1. RNA Extraction Analysis. Transcriptomic profile analysis has been done to determine the differential expression genes (DEGs) of S. mutans treated with APFD (MIC) extract for 4 hours. APFD extract was used for this analysis because it exhibited greater antibacterial activity in SEM and TEM analysis compared with APFH extract. Four RNAs were successfully extracted from two treated bacteria (1 × MIC APFD) and two untreated bacteria (Control). e concentration and RNA integrity number (RIN) analysis for all samples are given in Table 4. e RNA integrity numbers of all samples were more than 8.6. e RNA samples were further utilized to investigate the gene expression profile of treated S. mutans.

Mapping to Reference Genome.
e genome of SmuNN2025 has been used as a reference genome when mapping against untreated and treated S. mutans RNA. e result of the mapping was more than 90% for all the samples. e highest genome mapping score was the control sample, above 95% (Table 5). e accuracy of genome mapping analysis should be more than 70%, and the percentage of mapping to multiple sites in the reference genome should be less than 10%.

Gene Expression Level.
Gene expression levels were measured by transcript abundance. e greater the transcript abundance, the higher the gene expression level. e gene expression level is estimated by counting the reads mapped to genes or exons.
e number of reads is proportionate not only to the level of gene expression, but also to the gene length and the sequencing depth. In order for the gene expression levels estimated from different genes and experiments to be comparable, the number of fragments per kilobase of transcript sequence per million base pairs sequenced (FPKM) was used. In RNA-sequence, FPKM is the most common method of estimating gene expression levels,  Evidence-Based Complementary and Alternative Medicine 5 which takes into account the effects of both sequencing depth and gene length on the counting of fragments [19].      Evidence-Based Complementary and Alternative Medicine untreated genes has been done using duplicate samples. RNA-sequence analysis showed that APFD extract has significant (p < 0.05) effects on the transcriptomic profile of S. mutans compared to control. Out of 1266 genes, 622 genes were downregulated, and 644 genes were upregulated ( Figure 5). Data analysis of differential expression genes (DEGs) showed that APFD extracts strongly induced the differential expression (11, p < 0.05). Gene expression changes were visualized as a heatmap and volcano plot to identify specific genes with high fold changes and statistical significance. e results of the heatmap and volcano plot are shown in Figures 6(a) and 6(b). Genes that were significantly different are expressed and presented in red (upregulated) and blue (downregulated).

Upregulated and Downregulated Genes.
In APFDtreated S. mutans, genes of biosynthesis peptidoglycan such as murD, uppS, murC2, pbp2b, murE, murN, and murB were among the top downregulated genes. All the genes are responsible for forming peptidoglycan in S. mutans. Table 6 contains a list of downregulated genes involved in peptidoglycan biosynthesis. Other genes that were also strongly downregulated when treated with APFD were DNA replication genes such as SmuNN2025_1359, ssb, dnaG, rnh3, and holB. e genes that were strongly upregulated when treated with APFD (MIC) were those encoding proteins involved in microbial metabolism in diverse environments, such as pdhD, pf1, pdhA, SmuNN2025_1677, glk, Ldh and serA. Genes that were upregulated during treatment are frequently involved in the bacterial response to other environmental stress conditions like heat exposure, osmotic shock, or starvation conditions [21]. A list of upregulated genes is given in Table 7.

Gene Ontology Enrichment Analysis.
Further investigation has been done to investigate the biological functions and the metabolic pathway by analyzing the gene ontology (GO) of S. mutans treated with APFD extract. e GO categories of DEGs are shown in Figure 7. It is divided into three sections: molecular function, cellular components, and biological processes. GO terms with padj <0.05 were regard as significant enrichment. In molecular function (MF), about 20 categories were downregulated, and nucleic acid binding of molecular function was higher compared to other categories (Figure 7(a)). Meanwhile, genes involved in the binding process were the most downregulated after being treated with APFD. In cellular components, about 19 of cell components were downregulated after S. mutans was treated with APFD (Figure 7(b)). e cytoplasmic component was the most downregulated after being treated with APFD. About 524 genes of cellular components were downregulated in this analysis. Gene expression, RNA processing,    (Figure 7(c)). e most downregulated genes were involved in the biological process and cellular component.

KEGG Enrichment
Analysis. e interactions of multiple genes may be involved in certain biological functions. KEGG (Kyoto Encyclopedia of Genes and Genomes) is a collection of manually curated databases dealing with genomes, biological pathways, diseases, drugs, and chemical substances. KEGG is utilized for bioinformatics research and education, including data analysis in genomics, metagenomics, metabolomics, and other omics studies. Pathway enrichment analysis identifies significantly enriched metabolic pathways or signal transduction pathways associated with differentially expressed genes compared with the whole genome background. Figure 8 is a KEGG enrichment scatter plot of DEGs (downregulated) for S. mutans treated with   Controlvs Treated_DOWN (GO)

Discussion
is study was a continuation of previous research which investigated the antibacterial activities of A. paniculata   extracts against S. mutans [17]. From previous studies, the minimum inhibitory concentration of APLH and APLM was 25 mg/mL, and that of APFH and APFD was 12.5 mg/mL. Meanwhile, the minimum bactericidal concentrations of the samples were 50 mg/mL for APLH, APFD, and APFH. However, MBC value for APLM was 100 mg/mL. is study was furthered by investigating the rate of kill and the effectiveness of the sample bactericidal activity as indicated by the time-kill assay. Bactericidal activity is achieved when the extracts reduce >3 log 10 colony forming units (cfu) from the initial inoculum. Meanwhile, bacteriostatic activity is achieved when antibacterial agents reduce <3 log 10 cfu from the initial inoculum [22].
is study showed that APFD (MIC) and APFH (MIC) extracts reduced S. mutans by about >3 log 10 cfu after 8 hours of incubation. Both extracts killed the bacteria after 8 hours of incubation. Leaf extracts (APLH and APLM) were shown to have fewer antibacterial activities compared to flowers. A. paniculata flowers have been used traditionally to treat toothaches more than A. paniculata leaves [23]. Traditionally, A. paniculata flowers were pounded to powder and then applied on tooth surface to reduce the pain. Investigation of phytochemicals is a crucial part of confirming the ethnomedicine values of certain parts of medicinal plants. is study was furthered to determine the phytochemicals of AP flower extracts since they were more potent and possessed greater antibacterial activity when compared to AP leaf extracts [17].
In phytochemical analysis, the major bioactive compounds of APFH and APFD extracts were fatty acids such as palmitic, oleic, linoleic, and linolenic acids which were also reported as major and common constituents in most plants [24]. APFH and APFD extracts contain all the major components of fatty acids, and the highest fatty acids were hexadecanoic and oleic acid. An earlier study found that hexadecanoic and oleic acids exhibited antibacterial properties against pathogens. Hexadecanoic acid (palmitic acid) is a saturated fatty acid, and its chemical formula is CH 3 (CH 2 ) 14 COOH [25]. A previous study reported that hexadecanoic acid exhibited antibacterial activity against Staphylococcus aureus, Pseudomonas aeruginosa, and Klebsiella pneumoniae [26]. Shaaban et al. (2021) discovered that hexadecanoic acid was the main compound in clove alcoholic extract and possessed antibacterial activities against pathogen bacteria isolated from diabetic patients' swabs [27]. Compounds of oleic acid are monounsaturated fatty acids, and their chemical formula is C 18 H 34 O 2 [24]. Agoramoorthy et al. reported that oleic acid exhibited antibacterial activities against Gram positive and Gram negative bacteria such as Bacillus subtilis, Pseudomonas aeruginosa, and Escherichia coli [28].
is compound also possessed antifungal activities against Candida spp. A previous study also reported that oleic acid inhibited bacterial growth of Staphylococcus aureus by disturbing the bacteria's enzyme for carrier protein (enoyl-acyl carrier protein reductase, FabI) [29]. e antibacterial activities of fatty acids such as hexadecanoic and oleic acid are stimulated by their structure, shapes, number of carbons, positions, and orientation of double bonds [30]. Fatty acid compounds disrupted bacterial membranes and inhibited fatty acid synthesis in microorganisms.
erefore, SEM and TEM analysis have been done to observe the morphological changes in S. mutans cell membrane treated with APFD and APFH extracts.
SEM and TEM analysis of treated S. mutans showed membrane cell damage and lysis due to cytoplasm leakage. A study by Parsons et al. (2012) reported that fatty acid was an antibacterial agent which depolarized the cells by creating pores in the membrane [31]. Linoleic acid has been previously shown to alter peptidoglycan synthesis in S. aureus [32]. Peptidoglycan is an essential component that builds the cell wall of bacteria. e changes in the outer membrane can be visualized by SEM and pinpoint the possibility of plasma membrane leakage and loss of cell functionality [33]. Meanwhile, TEM showed the structure of the plasma membrane, the roughness of the outer surface, and the irregularity of the subcellular structures. Fatty acid bioactive compounds modify the cell membrane, cytoplasm, enzymes, and proteins of the cells. Furthermore, fatty acids disrupted the microbial metabolism and caused leaking of ions, which led to cell death [34]. ese analyses (SEM and TEM) confirmed that fatty acid in A. paniculata caused the abnormal cell morphology in S. mutans, possibly due to membrane leakage, ultimately resulting in cell lysis.
Transcriptomic profile analysis was done to investigate the gene regulation of S. mutans treated with A. paniculata extracts, especially in peptidoglycan synthesis. RNA sequencing is a new technology for transcriptome analysis profiling which can provide quantitative analysis of all transcripts with high accuracy and sensitivity [35]. Besides, RNA sequencing can expose specific biological functions affected after treatment with natural products or drugs [36]. Molecular analysis confirmed the results from SEM, TEM, and phytochemical analysis; that is, fatty acids disrupted the membrane cells of S. mutans. In this study, the genes for peptidoglycan biosynthesis were downregulated (Table 6) after S. mutans was exposed to APFD. ese transcriptional changes are partially in agreement with the previous report using P. aeruginosa in which the drugs inhibited the murC and murD gene regulations. ey also found that cell of P. aeruginosa was lysed in SEM analysis [37]. e downregulated genes were related to cell envelope biosynthesis in S. mutans exposed to APFD due to disruption of the electron transport and low production of ATP. ATP is a fundamental element for many metabolic processes in bacteria, including cell wall biosynthesis and protein synthesis [37]. MurC and MurD genes are involved in the accumulation of L-and D-amino acids to form UDP-MurNAc-L-Ala-c-D-Glumeso-A2pm-D-Ala-D-Ala of peptidoglycan [38]. e inhibition of both genes will disrupt the process of creating the peptidoglycan, which is sufficient to determine the cell shape [39].
e transcriptomic analysis showed that DNA replication genes of S. mutans were downregulated after treated with APFD. dnaG (primase) and ssb genes are hexameric helicase enzymes that act as the replicative DNA polymerase to process DNA synthesis [40]. DNA primase is a crucial molecule that produces RNA primers that are used to form Okazaki fragments (on DNA strands) [41]. e inhibition of primase genes (dnaG and ssb) is expected to halt DNA replication and inhibit cell proliferation [42]. erefore, DNA primase is a potential gene for clinical targets for novel antibiotics. DNA replication inhibition has shown an effective antibacterial activity against bacterial pathogens. Kling et al. (2015) reported that peptide of griselimycin targeted DNA replication genes and caused Mycobacterium tuberculosis death [43]. Other than that, the inhibition of DNA replication genes stopped the growth of S. aureus. Inhibition of DNA replication will affect the growth of several bacteria [44]. Protein and DNA replication genes such as ssb, dnaG, rnh3, and holB have the potential to be an attractive drug discovery targets [42]. Streptococcus mutans is a common bacterium that initiates dental caries. e mechanism of action of APFD extracts was lysing the cell wall and inhibiting the DNA replication of S. mutans. is finding will reduce the incidents of dental caries worldwide.

Conclusions
In conclusion, A. paniculata extracts acted as bactericidal agents toward S. mutans. Bioactive compounds presented in the flower extracts such as oleic and hexadecenoic acids are the main constituents considered to be responsible for antibacterial activity. is study suggested that the mode of action of A. paniculata flower extracts was to disrupt the cell wall and inhibit the DNA replication of S. mutans.

Data Availability
e study data are available from the corresponding author on reasonable request. e whole methodology of this study is included in the Materials and Methods section.

Conflicts of Interest
e authors declare that they have no conflicts of interest.