“…The mechanisms related to the synergistic effects of combining antibiotics and extracts relate primarily to factors such as the multiplicity of targets on which the mixture of bioactive compounds can act, including enzymes, receptors, ion channels, transport proteins, Chaves et al 847 DNA/RNA, antibodies and many others, as well as the suppression of bacterial resistance mechanisms for compounds present in the extract (Imming et al, 2006;Schmidt et al, 2008;Wagner and Ulrich-Merzenich, 2009). Both the antimicrobial activity and the synergistic effect may be related to the richness of S. brasiliensis regarding polyphenolic compounds and saponins since some of these compounds have already been cited as exhibiting such activities (Cowan, 1999;Gibbons, 2005Gibbons, , 2008.…”