<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2 20190208//EN" "http://jats.nlm.nih.gov/publishing/1.2/JATS-journalpublishing1.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article" dtd-version="1.2" xml:lang="en">
    <front>
        <journal-meta>
            <journal-id journal-id-type="pmc">F1000Research</journal-id>
            <journal-title-group>
                <journal-title>F1000Research</journal-title>
            </journal-title-group>
            <issn pub-type="epub">2046-1402</issn>
            <publisher>
                <publisher-name>F1000 Research Limited</publisher-name>
                <publisher-loc>London, UK</publisher-loc>
            </publisher>
        </journal-meta>
        <article-meta>
            <article-id pub-id-type="doi">10.12688/f1000research.16902.2</article-id>
            <article-categories>
                <subj-group subj-group-type="heading">
                    <subject>Research Article</subject>
                </subj-group>
                <subj-group>
                    <subject>Articles</subject>
                </subj-group>
            </article-categories>
            <title-group>
                <article-title>Borneo herbal plant extracts as a natural medication for prophylaxis and treatment of 
                    <italic>Aeromonas hydrophila</italic> and 
                    <italic>Pseudomonas fluorescens</italic> infection in tilapia (
                    <italic>Oreochromis niloticus</italic>)</article-title>
                <fn-group content-type="pub-status">
                    <fn>
                        <p>[version 2; peer review: 2 approved, 1 approved with reservations]</p>
                    </fn>
                </fn-group>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Hardi</surname>
                        <given-names>Esti Handayani</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Conceptualization</role>
                    <role content-type="http://credit.niso.org/">Data Curation</role>
                    <role content-type="http://credit.niso.org/">Funding Acquisition</role>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <role content-type="http://credit.niso.org/">Resources</role>
                    <uri content-type="orcid">https://orcid.org/0000-0002-4660-7532</uri>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <contrib contrib-type="author" corresp="yes">
                    <name>
                        <surname>Nugroho</surname>
                        <given-names>Rudy Agung</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <role content-type="http://credit.niso.org/">Validation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <uri content-type="orcid">https://orcid.org/0000-0001-9006-7329</uri>
                    <xref ref-type="corresp" rid="c1">a</xref>
                    <xref ref-type="aff" rid="a2">2</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Kusuma</surname>
                        <given-names>Irawan Wijaya</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Data Curation</role>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Visualization</role>
                    <xref ref-type="aff" rid="a3">3</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Suwinarti</surname>
                        <given-names>Wiwin</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <role content-type="http://credit.niso.org/">Resources</role>
                    <role content-type="http://credit.niso.org/">Validation</role>
                    <xref ref-type="aff" rid="a3">3</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Sudaryono</surname>
                        <given-names>Agung</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Formal Analysis</role>
                    <role content-type="http://credit.niso.org/">Project Administration</role>
                    <role content-type="http://credit.niso.org/">Validation</role>
                    <xref ref-type="aff" rid="a4">4</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Rostika</surname>
                        <given-names>Rita</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <role content-type="http://credit.niso.org/">Project Administration</role>
                    <role content-type="http://credit.niso.org/">Validation</role>
                    <xref ref-type="aff" rid="a5">5</xref>
                </contrib>
                <aff id="a1">
                    <label>1</label>Microbiology Laboratory, Department of Aquaculture, Faculty of Fisheries and Marine Science, Mulawarman University, Samarinda, East Kalimantan, 75123, Indonesia</aff>
                <aff id="a2">
                    <label>2</label>Animal Physiology, Development and Molecular Laboratory, Department of Biology, Faculty of Mathematics and Natural Sciences, Mulawarman University, Samarinda, East Kalimantan, 75123, Indonesia</aff>
                <aff id="a3">
                    <label>3</label>Laboratory of Forest Product Chemistry, Faculty of Forestry, Mulawarman University, Samarinda, East Kalimantan, 75123, Indonesia</aff>
                <aff id="a4">
                    <label>4</label>Department of Aquaculture, Faculty of Fisheries and Marine Science, Diponegoro University, Semarang, Central Java, 50275, Indonesia</aff>
                <aff id="a5">
                    <label>5</label>Department of Fisheries, Faculty of Fisheries and Marine Science, Padjajaran University, Bandung, West Java, 40600, Indonesia</aff>
            </contrib-group>
            <author-notes>
                <corresp id="c1">
                    <label>a</label>
                    <email xlink:href="mailto:rudysatriana@gmail.com">rudysatriana@gmail.com</email>
                </corresp>
                <fn fn-type="conflict">
                    <p>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>13</day>
                <month>2</month>
                <year>2019</year>
            </pub-date>
            <pub-date pub-type="collection">
                <year>2018</year>
            </pub-date>
            <volume>7</volume>
            <elocation-id>1847</elocation-id>
            <history>
                <date date-type="accepted">
                    <day>7</day>
                    <month>2</month>
                    <year>2019</year>
                </date>
            </history>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2019 Hardi EH et al.</copyright-statement>
                <copyright-year>2019</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <self-uri content-type="pdf" xlink:href="https://f1000research.com/articles/7-1847/pdf"/>
            <abstract>
                <p>
                    <bold>Background:</bold> The combination of some plant extracts to prevent and treat bacterial infections is gaining momentum, because of effectiveness against certain bacteria. This study aims to describe the antibacterial and immunostimulant abilities of 
                    <italic toggle="yes">Boesenbergia pandurata</italic> (BP), 
                    <italic toggle="yes">Solanum ferox</italic> (SF) and 
                    <italic toggle="yes">Zingiber Zerumbet</italic> (ZZ) plant extracts to treat and prevent 
                    <italic toggle="yes">Aeromonas hydrophila</italic> and 
                    <italic toggle="yes">Pseudomonas fluorescens</italic> infection on Tilapia (
                    <italic toggle="yes">Oreochromis niloticus</italic>).</p>
                <p>
                    <bold>Methods:</bold> Tilapia (initial weight 15&#x00b1;2 g) were injected intramuscularly (0.1 ml/fish) with a combination of 
                    <italic toggle="yes">A. hydrophila</italic> and 
                    <italic toggle="yes">P. fluorescens</italic> at a density of 1&#x00d7;10
                    <sup>5</sup> CFU ml
                    <sup>-1</sup> of each bacteria. Treatment trials were performed at day 7 post-injection with each combined extract, while the prevention trial was performed by including the combined extract into the commercial diet for six and seven days prior to injection. Various extract combinations were 60 mg SF extract/kg feed with 40 mg ZZ/kg feed (SF60/ZZ40), SF50/ZZ50, BP90/SF10, and BP50/SF50. Haemato-immunological parameters were performed for four weeks.</p>
                <p>
                    <bold>Results:</bold> In prevention trials, tilapia fed SF50/ZZ50 showed a significant increase of white and red blood cells. Similarly, significantly increased haematocrit was found in tilapia fed SF50/ZZ50 in the treatment trial but not in the prevention trial. In both trials, haemoglobin of tilapia was not affected by any combined extracts but decreased the number of bacteria. Phagocytic index, respiratory burst, lysozyme activity and survival rate of fish fed combined extracts were found significantly higher than controls. The amount of pathogenic bacteria in fish fed combined extracts was lower than the control at week 4 (
                    <italic toggle="yes">P&lt;0.05</italic>). In both trials The percentage of survival rate and relative percent survival of tilapia fed SF 50/ZZ 50, showed the optimum results compared to the other combinations.</p>
                <p>
                    <bold>Conclusions:</bold> The combined extract in feed, especially SF50/ZZ50 has a positive effect on the tilapia's innate immune system of tilapia to treat and prevent bacterial infections.</p>
            </abstract>
            <kwd-group kwd-group-type="author">
                <kwd>Imunomodulator</kwd>
                <kwd>Concoction</kwd>
                <kwd>Aeromonas hydrophila</kwd>
                <kwd>Pseudomonas fluorescens</kwd>
                <kwd>Prophylaxis</kwd>
            </kwd-group>
            <funding-group>
                <award-group id="fund-1" xlink:href="http://dx.doi.org/10.13039/501100009509">
                    <funding-source>Kementerian Riset Teknologi Dan Pendidikan Tinggi Republik Indonesia</funding-source>
                    <award-id>121/UN17.41/KL/2018</award-id>
                </award-group>
                <funding-statement>This research is supported by the Ministry of Research and Technology of the Republic of Indonesia for the support of research funds provided through the National Strategic Research Institutions Fiscal Year 2018, contract No. 121/UN17.41/KL/2018.</funding-statement>
                <funding-statement>
                    <italic>The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</italic>
                </funding-statement>
            </funding-group>
        </article-meta>
        <notes>
            <sec sec-type="version-changes">
                <label>Revised</label>
                <title>Amendments from Version 1</title>
                <p>We have added short information in the abstract background. The unit of extract is changed from ml/kg to mg/kg. The method of antibody titres has been deleted, while the term phagocytic activity is changed to phagocytic index. Notations in each bar of all graphs and values in tables have been added to show significantly differences. Discussion has been developed by adding some important relevant explanation. Footnotes in the graph have been revised in order to be much clearer. We have added some information regarding Borneo herbal plant extracts as a natural medication for prophylaxis and treatment of 
                    <italic>Aeromonas hydrophila</italic> and 
                    <italic>Pseudomonas fluorescens</italic> infection in tilapia (
                    <italic>Oreochromis niloticus</italic>) based on the reviews from peer reviewers.</p>
            </sec>
        </notes>
    </front>
    <body>
        <sec sec-type="intro">
            <title>Introduction</title>
            <p>Tilapia (
                <italic toggle="yes">Oreochromis niloticus</italic>) is one of the most widely cultivated fish species in Indonesia. Tilapia is a freshwater fish that can be easily cultivated
                <sup>
                    <xref ref-type="bibr" rid="ref-1">1</xref>
                </sup>. According to Pridgeon
                <sup>
                    <xref ref-type="bibr" rid="ref-2">2</xref>
                </sup> and Harikrishnan 
                <italic toggle="yes">et al</italic>.
                <sup>
                    <xref ref-type="bibr" rid="ref-3">3</xref>
                </sup>, freshwater fish culture is inseparable from bacterial infections which are caused by motile 
                <italic toggle="yes">Aeromonas</italic> septicaemia, furunculosis, edwardsiellosis and 
                <italic toggle="yes">Aeromonas hydrophila</italic>. Further, 
                <italic toggle="yes">Aeromonas</italic> species have been identified as major causative bacteria and a serious pathogen in fish
                <sup>
                    <xref ref-type="bibr" rid="ref-4">4</xref>,
                    <xref ref-type="bibr" rid="ref-5">5</xref>
                </sup>. In Indonesia, particularly East Kalimantan, infection of 
                <italic toggle="yes">A. hydrophila</italic> and 
                <italic toggle="yes">Pseudomonas fluorescens</italic> in fish results in high mortality rates of up to 60&#x2013;80%. In fish, both of these bacteria cause stresses, exophthalmia, ulcers, and watery-looking organs, particularly gallbladder rupture
                <sup>
                    <xref ref-type="bibr" rid="ref-6">6</xref>&#x2013;
                    <xref ref-type="bibr" rid="ref-8">8</xref>
                </sup>. In addition, combined bacterial infection in fish is also common, such as infections found in tilapia caused by 
                <italic toggle="yes">Salmonella agalactiae</italic> and 
                <italic toggle="yes">A. hydrophila</italic>
                <sup>
                    <xref ref-type="bibr" rid="ref-9">9</xref>,
                    <xref ref-type="bibr" rid="ref-10">10</xref>
                </sup>.</p>
            <p>To reduce high mortalities of cultured fish, aquaculturists and researchers use antibiotics to prevent and treat infection. Nevertheless, due to concerns for maintaining eco-friendly environments, the application of antibiotics should be avoided, because they may enhance antibiotic-resistant pathogens, increase the accumulation of drugs in fish tissue and trigger immunosuppression
                <sup>
                    <xref ref-type="bibr" rid="ref-11">11</xref>
                </sup>. Methods of controlling these infections should be developed as soon as possible because the pathogen disease type has significantly increased
                <sup>
                    <xref ref-type="bibr" rid="ref-12">12</xref>
                </sup>, while the type of pathogen that leads to edema in the cultivation area still cannot be overcome. One of the effective and safe methods for disease control in aquaculture is by improving the defence system of the fish through the provision of natural immunostimulants
                <sup>
                    <xref ref-type="bibr" rid="ref-13">13</xref>
                </sup>, through the use of several plant extracts.</p>
            <p>Recently, the popularity of plant extracts as natural immunostimulant is gaining in demand and importance in medical purposes. Various plant extracts, such as Indian almond leaves (
                <italic toggle="yes">Terminalia catappa</italic>), oats (
                <italic toggle="yes">Avena sativa</italic>), oyster mushroom (
                <italic toggle="yes">Pleurotus ostreatus</italic>), nettle (
                <italic toggle="yes">Urtica dioica</italic>), sea grass (
                <italic toggle="yes">Cymodocea serrulata</italic>) and beetroot (
                <italic toggle="yes">Beta vulgaris</italic>) have been used as alternatives to antibiotics
                <sup>
                    <xref ref-type="bibr" rid="ref-5">5</xref>,
                    <xref ref-type="bibr" rid="ref-14">14</xref>&#x2013;
                    <xref ref-type="bibr" rid="ref-16">16</xref>
                </sup>. Plant extracts also contain levamisole
                <sup>
                    <xref ref-type="bibr" rid="ref-13">13</xref>
                </sup> and saponin
                <sup>
                    <xref ref-type="bibr" rid="ref-17">17</xref>
                </sup> which can enhance the work of nonspecific immune systems and increase the activation of phagocytosis
                <sup>
                    <xref ref-type="bibr" rid="ref-14">14</xref>
                </sup>. Plant extracts could optimize the fish blood function, by enhancing the number of white blood cell to prevent the bacteria
                <sup>
                    <xref ref-type="bibr" rid="ref-5">5</xref>
                </sup>. Further, the plant extracts of 
                <italic toggle="yes">Boesenbergia pandurata</italic> (BP) and 
                <italic toggle="yes">Zingiber zerumbet</italic> (ZZ) from East Kalimantan have 
                <italic toggle="yes">in vitro</italic> and 
                <italic toggle="yes">in vivo</italic> antibacterial activity against 
                <italic toggle="yes">A. hydrophila</italic> bacteria, while 
                <italic toggle="yes">Solanum ferox</italic> (SF) has been found to be an antibacterial agent for 
                <italic toggle="yes">P. fluorescens</italic> bacteria. Similarly, for the prevention and treatment of bacterial infections in tilapia, BP and ZZ are also effective for treating 
                <italic toggle="yes">A. hydrophila</italic> and 
                <italic toggle="yes">P. fluorescens</italic> infection
                <sup>
                    <xref ref-type="bibr" rid="ref-8">8</xref>,
                    <xref ref-type="bibr" rid="ref-18">18</xref>
                </sup>.</p>
            <p>The incorporation of some extracts for the prevention and treatment of bacterial infections is likely to increase the effectiveness because some materials can work synergistically, so that the infection of both bacteria in the fish body can be controlled optimally. However, research regarding the combination of plant extracts to treat and prevent bacterial infection is limited. This study therefore aims to determine the effectiveness of the combination of three extracts (BP, ZZ and SF) to prevent and treat bacterial infections of 
                <italic toggle="yes">A. hydrophila</italic> and 
                <italic toggle="yes">P. fluorescens</italic> in tilapia.</p>
        </sec>
        <sec sec-type="methods">
            <title>Methods</title>
            <sec>
                <title>Fish and bacteria</title>
                <p>In total, 450 Tilapias (Initial weight 15 &#x00b1; 2 g, age &#x00b1;2.5 months, random sex) were obtained from Teluk Dalam Village in Tenggarong Seberang, Kutai Kartanegara, Indonesia. The fish were randomly distributed and assigned into five aquariums in triplicates, representing four treatments and one control. The fish were kept in the laboratory for two weeks for acclimatization in the aquarium (60&#x00d7;40&#x00d7;30 cm). Each aquarium was filled with 60 l of freshwater and the water was changed by as much as 50% every 2 days to remove remaining faeces and inedible feed. The average temperature of the water was 27&#x00b0;C. The feed given in the acclimation phase was a commercial feed (PT Rama Jaya Mahakam, Kutai Kartanegara East Kalimantan-Supplier, floating pellets, containing 31&#x2013;33% protein and 4&#x2013;6% fat) at a rate of 5% of the body weight of the fish per day. The bacteria used for the challenge test were 
                    <italic toggle="yes">A. hydrophila</italic> (EA-01) and 
                    <italic toggle="yes">P. fluorescens</italic> (EP-01), which was provided from the Aquatic Microbiology Laboratory, Faculty of Fisheries and Marine Sciences, Mulawarman University, Indonesia. To bring about bacterial challenge, a combination of bacteria at density of 10
                    <sup>5</sup> CFU ml
                    <sup>-1</sup> of each bacteria was used. Each fish was injected intramuscularly with 0.1 ml of the suspension of the bacteria.</p>
            </sec>
            <sec>
                <title>Plant and chemical materials</title>
                <p>The plant materials, BP, SF and ZZ, were collected from a traditional market in Samarinda City, East Kalimantan, Indonesia. The plants were cleaned, cut and dried at 40&#x00b0;C for 48 hours in the oven, finely powdered and stored at -4&#x00b0;C for the further extraction stage. Ethanol solution (95%) was used to extract the plant materials, following a method described by Limsuwan &amp; Voravuthikunchai
                    <sup>
                        <xref ref-type="bibr" rid="ref-19">19</xref>
                    </sup>. All chemicals used in this research was obtained from commercial sources (Sigma Aldrich, Inc. USA).</p>
            </sec>
            <sec>
                <title>Experimental design and challenge test</title>
                <p>This treatment and prevention trials were carried out for 28 days. The treatment experiments were conducted with five combination treatments with the following stages: tilapia (average initial weight 15 &#x00b1; 2 g, n = 30 fish per group, random sex) were injected intramuscularly (0.1 ml) with a mixture of 
                    <italic toggle="yes">A. hydrophila</italic> and 
                    <italic toggle="yes">P. fluorescens</italic> bacteria, each bacteria at density10
                    <sup>5</sup> CFU ml
                    <sup>-1</sup>. At day 7 after injection, the fish were fed with feed combined with extract as follows (mg per kg feed): P1, 60 mg SF extract/kg feed with 40 mg ZZ extract/kg feed (SF60/ZZ40); P2, SF50/ZZ50; P3, BP90/SF10; P4, BP50/SF50; and P5, fed with no additional extract (control). All fish were fed twice a day 
                    <italic toggle="yes">ad satiation</italic>. The remaining feed was siphoned out before the next feeding.</p>
                <p>Meanwhile, the prevention trial was performed by providing the same feeding combination and procedure for 6 days prior to intramuscular injection of the fish with 0.1 ml of mixed bacteria at day 7. After injection, feeding combination was continued until the 4
                    <sup>th</sup> week. Haematological and immunological parameters were measured every week after the injection with bacteria until week 4.</p>
            </sec>
            <sec>
                <title>Haematology and phagocytic index</title>
                <p>At days 14, 21 and 28 following bacterial challenge, haematological profiles of fish (n=3 per treatment group) were observed. Fish were anesthetized using 50 mg l
                    <sup>-1</sup> MS 222 (Sigma Aldrich, USA) / dm
                    <sup>3</sup> water. The fish blood was taken through the caudal vein, using a 1 ml syringe rinsed with 10% trisodium citrate anticoagulant (fish were kept alive after blood withdrawal). Total red blood cells (RBC) (10
                    <sup>6</sup> per mm
                    <sup>3</sup>) and white blood cells (WBC) (10
                    <sup>3</sup> / mm
                    <sup>3</sup>) were determined manually using an improved Neubauer counting chamber. The number of WBC was calculated using the method of Blaxhall and Daisley
                    <sup>
                        <xref ref-type="bibr" rid="ref-20">20</xref>
                    </sup>. Haemoglobin (Hb) was measured spectrophotometrically at 540 nm using the cyanmethemoglobin method
                    <sup>
                        <xref ref-type="bibr" rid="ref-17">17</xref>
                    </sup>. The haematocrit (Htc %) was counted using the microcentrifuge and heparinized was used as a standard solution. Meanwhile, phagocytic index was determined using a modification of previous methods by adding Turk solution into suspension of fish blood and bacteria to remove red blood cells. Thus, the number of white blood cells can be easily counted
                    <sup>
                        <xref ref-type="bibr" rid="ref-20">20</xref>&#x2013;
                        <xref ref-type="bibr" rid="ref-22">22</xref>
                    </sup>.</p>
            </sec>
            <sec>
                <title>Respiratory burst and lysozyme activity</title>
                <p>Respiratory burst activity test was performed using nitro blue tetrazolium (NBT) reagent, using the method outlined by Secombes and Olivier
                    <sup>
                        <xref ref-type="bibr" rid="ref-23">23</xref>
                    </sup>. Meanwhile, lysozyme activity was performed using a microtiter plate ELISA reader at wavelength of 520 nm, following the method described by Soltani and Pourgholam
                    <sup>
                        <xref ref-type="bibr" rid="ref-24">24</xref>
                    </sup>.</p>
            </sec>
            <sec>
                <title>Total Plate Count</title>
                <p>To perform the total plate count (TPC), a blood sample of each fish from each group was homogenized and diluted in physiological saline solution of 0.85%. The dilutions were then transferred to bacterial counts. The TPC was conducted following the method of Turkogfu 
                    <italic toggle="yes">et al.</italic>
                    <sup>
                        <xref ref-type="bibr" rid="ref-25">25</xref>
                    </sup>.</p>
            </sec>
            <sec>
                <title>Disease resistance</title>
                <p>Both 
                    <italic toggle="yes">A. hydrophila</italic> and 
                    <italic toggle="yes">P. fluorescens</italic> (the pathogenic bacteria) were used for challenge testing (n = 10 fish per aquarium, in triplicates per group). The survival rate (SR) and relative percent survival (RPS) of the fish were recorded on a daily basis for 4 weeks
                    <sup>
                        <xref ref-type="bibr" rid="ref-26">26</xref>
                    </sup>.</p>
            </sec>
            <sec>
                <title>Statistical analysis</title>
                <p>Results are expressed as means &#x00b1; standard error (SE) and the data were analysed using SPSS version 22 (SPSS, Inc., USA). The data of WBC, RBC, haematocrit, Hb, TPC, phagocytic index, respiratory burst and lysozyme activity were subjected to ANOVA, followed by Duncan&#x2019;s post hoc test to evaluate significant differences among the groups of treatments. The percentage of fish survival were arcsine-transformed. All tests were significant at 
                    <italic toggle="yes">P</italic> &lt; 0.05.</p>
            </sec>
        </sec>
        <sec sec-type="results">
            <title>Results</title>
            <sec>
                <title>Haematological profile</title>
                <p>The present results revealed that the total WBC count of tilapia in the treatment and prevention trials were significantly increased (
                    <italic toggle="yes">P</italic>&lt;0.05) from weeks 2&#x2013;4 post-administration with combined extracts. The highest increase of WBC was found in tilapia fed with SF50/ZZ50. Similarly, total RBC and haematocrit of tilapia fed SF50/ZZ50 in the treatment trial showed a significant increase after week 2, while tilapia fed SF60/ZZ40 in the prevention trial led to a positively enhanced result from weeks 2&#x2013;4. Further, haemoglobin of fish both in treatment and prevention trials were not affected by any various combination of extracts (
                    <xref ref-type="table" rid="T1">Table 1</xref>).</p>
                <table-wrap id="T1" orientation="portrait" position="anchor">
                    <label>Table 1. </label>
                    <caption>
                        <title>Hematological profile of Tilapia (
                            <italic toggle="yes">Oreochromis niloticus</italic>) fed different extract combination in treatment and prevention trials.</title>
                    </caption>
                    <table content-type="article-table" frame="hsides">
                        <thead>
                            <tr>
                                <th align="left" colspan="1" rowspan="2" valign="top">Variables</th>
                                <th align="left" colspan="1" rowspan="2" valign="top">Trials</th>
                                <th align="left" colspan="1" rowspan="2" valign="top">groups</th>
                                <th align="center" colspan="2" rowspan="1" valign="top">Weeks</th>
                            </tr>
                            <tr>
                                <th align="center" colspan="1" rowspan="1" valign="top">2</th>
                                <th align="center" colspan="1" rowspan="1" valign="top">4</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td align="left" colspan="1" rowspan="10" valign="top">WBC
                                    <break/>(10
                                    <sup>4</sup> cell/mm
                                    <sup>3</sup>)</td>
                                <td align="left" colspan="1" rowspan="4" valign="top">Treatment</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">A</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">1.68&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">2.07&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">b</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">B</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">3.60&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">b</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">8.85&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">c</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">C</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">1.88&#x00b1;0.5
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">2.10&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">D</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">1.98&#x00b1;0.5
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">2.20&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">b</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">E</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">1.35&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">1.34&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="5" valign="top">Prevention</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">A</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">1.85&#x00b1;0.15
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">2.4&#x00b1;0.5
                                    <sup>
                                        <xref ref-type="other" rid="FN1">b</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">B</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">3.9&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">b</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">7.96&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">c</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">C</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">2.0&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">2.4&#x00b1;0.3
                                    <sup>
                                        <xref ref-type="other" rid="FN1">b</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">D</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">2.0&#x00b1;0.3
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">2.5&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">b</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">E</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">1.4&#x00b1;0.5
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">1.3&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="10" valign="top">RBC
                                    <break/>(10
                                    <sup>6</sup>cell/mm
                                    <sup>3</sup>)</td>
                                <td align="left" colspan="1" rowspan="5" valign="top">Treatment</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">A</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">5.4&#x00b1;0.3
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">4,2&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">b</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">B</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">7.7&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">b</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">8.8&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">c</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">C</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">6.3&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">b</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">7,2&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">D</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">6.8&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">7.0&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">b</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">E</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">2.7&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">2.7&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="5" valign="top">Prevention</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">A</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">6.42&#x00b1;0.25
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">6.0&#x00b1;0.5
                                    <sup>
                                        <xref ref-type="other" rid="FN1">b</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">B</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">6.97&#x00b1;0.3
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">7.0&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">C</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">6.23&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">5.53&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">D</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">5.67&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">7.0&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">E</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">2.7&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">2.47&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="10" valign="top">Hematocrit (%)</td>
                                <td align="left" colspan="1" rowspan="5" valign="top">Treatment</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">A</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">27&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">34&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">b</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">B</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">27&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">b</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">36&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">c</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">C</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">27&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">31&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">D</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">27&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">30&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">E</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">15&#x00b1;0.3
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">15&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="5" valign="top">Prevention</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">A</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">27&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">27.7&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">B</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">27&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">34&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">C</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">27&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">31.5&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">D</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">27&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">30&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">E</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">14.7&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">15&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="10" valign="top">Hemoglobin
                                    <break/>(g dL
                                    <sup>-1</sup>)</td>
                                <td align="left" colspan="1" rowspan="5" valign="top">Treatment</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">A</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">10&#x00b1;0.3
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">10&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">B</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">10&#x00b1;0.3
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">10&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">C</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">10&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">10&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">D</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">8&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">10&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">E</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">8&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">6&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="5" valign="top">Prevention</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">A</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">10&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">8&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">B</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">10&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">10&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">C</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">10&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">8.3&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">D</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">8&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">8&#x00b1;0.2
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">E</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">8&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">4&#x00b1;0.1
                                    <sup>
                                        <xref ref-type="other" rid="FN1">a</xref>
                                    </sup>
                                </td>
                            </tr>
                        </tbody>
                    </table>
                    <table-wrap-foot>
                        <fn>
                            <p id="FN1">Note: Mean&#x00b1;standard deviation followed by different superscript letters (a,b,c) in the same column in each variable and each treatment or prevention trial showed significantly different at 
                                <italic toggle="yes">P&lt;0.05</italic>. WBC = White blood cell, RBC = Red blood cell, A = SF60/ZZ40, B = SF50/ZZ50, C = BP90/SF10, D = BP50/SF50, E = No extract addition.  Extract ratio is in mg per kg feed. BP = 
                                <italic toggle="yes">Boesenbergia pandurata</italic>), SF = 
                                <italic toggle="yes">Solanum ferox</italic>, and ZZ = 
                                <italic toggle="yes">Zingiber Zerumbet</italic>. In treatment and prevention trials, fish was infected with 
                                <italic toggle="yes">Aeromonas hydrophila</italic> and 
                                <italic toggle="yes">Pseudomonas fluorescence.</italic>
</p>
                        </fn>
                    </table-wrap-foot>
                </table-wrap>
            </sec>
            <sec>
                <title>Phagocytic index</title>
                <p>All combination extracts fed to fish in the treatment (
                    <xref ref-type="fig" rid="f1">Figure 1</xref>) and prevention (
                    <xref ref-type="fig" rid="f2">Figure 2</xref>) trials increased the phagocytic index. The phagocytic index of fish fed SF50/ZZ50 in the diet, in both in treatment and prevention trials, were significantly higher than control and increased from the 2
                    <sup>nd</sup> to 4
                    <sup>th</sup> week of the post-challenge test.</p>
                <fig fig-type="figure" id="f1" orientation="portrait" position="float">
                    <label>Figure 1. </label>
                    <caption>
                        <title>Phagocytic index (%) of Tilapia (
                            <italic toggle="yes">Oreochromis niloticus</italic>) fed different extract combination in treatment trials.</title>
                        <p>BP = 
                            <italic toggle="yes">Boesenbergia pandurata</italic>), SF = 
                            <italic toggle="yes">Solanum ferox</italic>, and ZZ = 
                            <italic toggle="yes">Zingiber Zerumbet</italic>. In treatment trials, fish was infected with 
                            <italic toggle="yes">Aeromonas hydrophila</italic> and 
                            <italic toggle="yes">Pseudomonas fluorescence.</italic> Infected fish fed various combination and ratio of extract, namely: A = SF60/ZZ40, B = SF50/ZZ50, C = BP90/SF10, D = BP50/SF50, E = No extract addition. Extract ratio is in mg kg
                            <sup>-1</sup> feed. * = significantly different between week. Different letter above the bars in each week showed significantly different at 
                            <italic toggle="yes">P&lt;0.05</italic>.</p>
                    </caption>
                    <graphic orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/19635/223f3dde-6ff9-4637-9741-9b80b830fab2_figure1.gif"/>
                </fig>
                <fig fig-type="figure" id="f2" orientation="portrait" position="float">
                    <label>Figure 2. </label>
                    <caption>
                        <title>Phagocytic index (%) of Tilapia (
                            <italic toggle="yes">Oreochromis niloticus</italic>) fed different extract combination in prevention trials.</title>
                        <p>BP = 
                            <italic toggle="yes">Boesenbergia pandurata</italic>), SF = 
                            <italic toggle="yes">Solanum ferox</italic>, and ZZ = 
                            <italic toggle="yes">Zingiber Zerumbet</italic>. In treatment trials, fish was infected with 
                            <italic toggle="yes">Aeromonas hydrophila</italic> and 
                            <italic toggle="yes">Pseudomonas fluorescence.</italic> Infected fish fed various combination and ratio of extract, namely: A = SF60/ZZ40, B = SF50/ZZ50, C = BP90/SF10, D = BP50/SF50, E = No extract addition.. Extract ratio is in mg kg
                            <sup>-1</sup> feed. * = significantly different between week. Different letter above the bars in each week showed significantly different at 
                            <italic toggle="yes">P&lt;0.05</italic>.</p>
                    </caption>
                    <graphic orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/19635/223f3dde-6ff9-4637-9741-9b80b830fab2_figure2.gif"/>
                </fig>
            </sec>
            <sec>
                <title>Respiratory burst</title>
                <p>The respiratory burst activity of infected fish fed with combination extract increased from week 2 to week 4 in the treatment trial (
                    <xref ref-type="fig" rid="f3">Figure 3</xref>). In addition, SF50/ZZ50 (mg per kg feed) combination extract resulted in a significantly different respiratory burst to other combinations of extracts and the control. Meanwhile, in the prevention test, infected fish fed SF50/ZZ50 combination extract in week 4 were significantly higher than control and other combinations of extracts (
                    <italic toggle="yes">P</italic>&lt;0.05) (
                    <xref ref-type="fig" rid="f4">Figure 4</xref>).</p>
                <fig fig-type="figure" id="f3" orientation="portrait" position="float">
                    <label>Figure 3. </label>
                    <caption>
                        <title>Respiratory burst activity of Tilapia (
                            <italic toggle="yes">Oreochromis niloticus</italic>) fed different extract combination in treatment trials.</title>
                        <p>BP = 
                            <italic toggle="yes">Boesenbergia pandurata</italic>), SF = 
                            <italic toggle="yes">Solanum ferox</italic>, and ZZ = 
                            <italic toggle="yes">Zingiber Zerumbet</italic>. In treatment trials, fish was infected with 
                            <italic toggle="yes">Aeromonas hydrophila</italic> and 
                            <italic toggle="yes">Pseudomonas fluorescence.</italic> Infected fish fed various combination and ratio of extract, namely: A = SF60/ZZ40, B = SF50/ZZ50, C = BP90/SF10, D = BP50/SF50, E = No extract addition. Extract ratio is in mg kg
                            <sup>-1</sup> feed. * = significantly different between week. Different letter above the bars in each week showed significantly different at 
                            <italic toggle="yes">P&lt;0.05</italic>.</p>
                    </caption>
                    <graphic orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/19635/223f3dde-6ff9-4637-9741-9b80b830fab2_figure3.gif"/>
                </fig>
                <fig fig-type="figure" id="f4" orientation="portrait" position="float">
                    <label>Figure 4. </label>
                    <caption>
                        <title>Respiratory burst activity of Tilapia (
                            <italic toggle="yes">Oreochromis niloticus</italic>) fed different extract combination in prevention trials.</title>
                        <p>BP = 
                            <italic toggle="yes">Boesenbergia pandurata</italic>), SF = 
                            <italic toggle="yes">Solanum ferox</italic>, and ZZ = 
                            <italic toggle="yes">Zingiber Zerumbet</italic>. In treatment trials, fish was infected with 
                            <italic toggle="yes">Aeromonas hydrophila</italic> and 
                            <italic toggle="yes">Pseudomonas fluorescence.</italic> Infected fish fed various combination and ratio of extract, namely: A = SF60/ZZ40, B = SF50/ZZ50, C = BP90/SF10, D = BP50/SF50, E = No extract addition. Extract ratio is in mg kg
                            <sup>-1</sup> feed. * = significantly different between week. Different letter above the bars in each week showed significantly different at 
                            <italic toggle="yes">P&lt;0.05</italic>.</p>
                    </caption>
                    <graphic orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/19635/223f3dde-6ff9-4637-9741-9b80b830fab2_figure4.gif"/>
                </fig>
            </sec>
            <sec>
                <title>Lysozyme activity</title>
                <p>This study revealed that lysozyme activity of infected tilapia fed SF60/ZZ40, BP90/SF10 and BP50/SF50 combinations of extract did not show a significant increase (
                    <italic toggle="yes">P</italic>&lt;0.05) at weeks 2 and 4 in the treatment test. However, starting from weeks 2&#x2013;4, the addition of SF50/ZZ50 combination extract in the diet of fish resulted in significantly better lysozyme activity (
                    <xref ref-type="fig" rid="f5">Figure 5</xref>). Meanwhile, in the prevention test at weeks 2 and 4, the lysozyme activity of tilapia fed SF50/ZZ50 was significantly higher (
                    <italic toggle="yes">P</italic>&lt;0.05) (
                    <xref ref-type="fig" rid="f6">Figure 6</xref>) than in other combinations.</p>
                <fig fig-type="figure" id="f5" orientation="portrait" position="float">
                    <label>Figure 5. </label>
                    <caption>
                        <title>Lysozyme activity (&#x03bc;g mL
                            <sup>-1</sup>) of Tilapia (
                            <italic toggle="yes">Oreochromis niloticus</italic>) fed different extract combination in treatment trials.</title>
                        <p>BP = 
                            <italic toggle="yes">Boesenbergia pandurata</italic>), SF = 
                            <italic toggle="yes">Solanum ferox</italic>, and ZZ = 
                            <italic toggle="yes">Zingiber Zerumbet</italic>. In treatment trials, fish was infected with 
                            <italic toggle="yes">Aeromonas hydrophila</italic> and 
                            <italic toggle="yes">Pseudomonas fluorescence.</italic> A = SF60/ZZ40, B = SF50/ZZ50, C = BP90/SF10, D = BP50/SF50, E = No extract addition. Extract ratio is in mg kg
                            <sup>-1</sup> feed. * = significantly different between week. Different letter above the bars in each week showed significantly different at 
                            <italic toggle="yes">P&lt;0.05</italic>.</p>
                    </caption>
                    <graphic orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/19635/223f3dde-6ff9-4637-9741-9b80b830fab2_figure5.gif"/>
                </fig>
                <fig fig-type="figure" id="f6" orientation="portrait" position="float">
                    <label>Figure 6. </label>
                    <caption>
                        <title>Lysozyme activity (&#x03bc;g mL
                            <sup>-1</sup>) of Tilapia (
                            <italic toggle="yes">Oreochromis niloticus</italic>) fed different extract combination in prevention trials.</title>
                        <p>BP = 
                            <italic toggle="yes">Boesenbergia pandurata</italic>), SF = 
                            <italic toggle="yes">Solanum ferox</italic>, and ZZ = 
                            <italic toggle="yes">Zingiber Zerumbet</italic>. In treatment trials, fish was infected with 
                            <italic toggle="yes">Aeromonas hydrophila</italic> and 
                            <italic toggle="yes">Pseudomonas fluorescence.</italic> Infected-fish fed various combination and ratio of extract, namely: A = SF60/ZZ40, B = SF50/ZZ50, C = BP90/SF10, D = BP50/SF50, E = No extract addition.  Extract ratio is in mg kg
                            <sup>-1</sup> feed. * = significantly different between week. Different letter above the bars in each week showed significantly different at 
                            <italic toggle="yes">P&lt;0.05</italic>.</p>
                    </caption>
                    <graphic orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/19635/223f3dde-6ff9-4637-9741-9b80b830fab2_figure6.gif"/>
                </fig>
            </sec>
            <sec>
                <title>TPC</title>
                <p>The overall combination of extracts administered to treat and prevent infection by 
                    <italic toggle="yes">A. hydrophila</italic> and 
                    <italic toggle="yes">P. fluorescens</italic> may decrease the number of bacteria in the fish body until the 4
                    <sup>th</sup> week of observation (
                    <xref ref-type="table" rid="T2">Table 2</xref>). The bacterial density, in both the treatment and prevention trials was lower than in the control. Total bacteria 
                    <italic toggle="yes">of A. hydrophila</italic> and 
                    <italic toggle="yes">P. fluorescens</italic> in tilapia fish fed combination extract in the treatment trial decreased from weeks 2&#x2013;4. Further, the lowest bacterial density in tilapia was obtained from the fish fed SF50/ZZ50 combination extracts in their diet, which was also significantly different (
                    <italic toggle="yes">P</italic>&lt;0.05) compared to the control.</p>
                <table-wrap id="T2" orientation="portrait" position="anchor">
                    <label>Table 2. </label>
                    <caption>
                        <title>Total Plate Count (10
                            <sup>6</sup> CFU/mL) in Tilapia (
                            <italic toggle="yes">Oreochromis niloticus</italic>) fed different extract combination in treatment and prevention trials.</title>
                    </caption>
                    <table content-type="article-table" frame="hsides">
                        <thead>
                            <tr>
                                <th align="left" colspan="1" rowspan="2" valign="top">Trials</th>
                                <th align="left" colspan="1" rowspan="2" valign="top">Groups</th>
                                <th align="center" colspan="2" rowspan="1" valign="top">Week</th>
                            </tr>
                            <tr>
                                <th align="center" colspan="1" rowspan="1" valign="top">2</th>
                                <th align="center" colspan="1" rowspan="1" valign="top">4</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td align="left" colspan="1" rowspan="5" valign="top">Treatment</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">A</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">17.4&#x00b1;5
                                    <sup>
                                        <xref ref-type="other" rid="FN2">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">10.86&#x00b1;10
                                    <sup>
                                        <xref ref-type="other" rid="FN2">c</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">B</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">22.4&#x00b1;15
                                    <sup>
                                        <xref ref-type="other" rid="FN2">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">3.05 &#x00b1;10
                                    <sup>
                                        <xref ref-type="other" rid="FN2">d</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">C</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">55&#x00b1;10
                                    <sup>
                                        <xref ref-type="other" rid="FN2">b</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">16&#x00b1;15
                                    <sup>
                                        <xref ref-type="other" rid="FN2">c</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">D</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">47&#x00b1;10
                                    <sup>
                                        <xref ref-type="other" rid="FN2">b</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">4.82&#x00b1;10
                                    <sup>
                                        <xref ref-type="other" rid="FN2">d</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">E</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">42.85&#x00b1;15
                                    <sup>
                                        <xref ref-type="other" rid="FN2">b</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">30.9&#x00b1;5
                                    <sup>
                                        <xref ref-type="other" rid="FN2">b</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="5" valign="top">Prevention</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">A</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">7.8&#x00b1;15
                                    <sup>
                                        <xref ref-type="other" rid="FN2">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">5.71&#x00b1;15
                                    <sup>
                                        <xref ref-type="other" rid="FN2">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">B</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">9.16&#x00b1;5
                                    <sup>
                                        <xref ref-type="other" rid="FN2">b</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">3.15&#x00b1;10
                                    <sup>
                                        <xref ref-type="other" rid="FN2">d</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">C</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">6.65&#x00b1;10
                                    <sup>
                                        <xref ref-type="other" rid="FN2">a</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">4.6&#x00b1;5
                                    <sup>
                                        <xref ref-type="other" rid="FN2">d</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">D</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">11.15&#x00b1;11
                                    <sup>
                                        <xref ref-type="other" rid="FN2">c</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">8.27&#x00b1;10
                                    <sup>
                                        <xref ref-type="other" rid="FN2">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">E</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">12.68&#x00b1;11
                                    <sup>
                                        <xref ref-type="other" rid="FN2">c</xref>
                                    </sup>
                                </td>
                                <td align="center" colspan="1" rowspan="1" valign="top">15.3&#x00b1;10
                                    <sup>
                                        <xref ref-type="other" rid="FN2">c</xref>
                                    </sup>
                                </td>
                            </tr>
                        </tbody>
                    </table>
                    <table-wrap-foot>
                        <fn>
                            <p id="FN2">Note: Mean&#x00b1;standard deviation followed by different superscript letters (a,b,c,d) in the same column in each treatment or prevention trial showed significantly different at 
                                <italic toggle="yes">P&lt;0.05</italic>. A = SF60/ZZ40, B = SF50/ZZ50, C = BP90/SF10, D = BP50/SF50, E = No extract addition. Extract ratio is in mg kg
                                <sup>-1</sup> feed. BP = 
                                <italic toggle="yes">Boesenbergia pandurata</italic>), SF = 
                                <italic toggle="yes">Solanum ferox</italic>, and ZZ = 
                                <italic toggle="yes">Zingiber Zerumbet</italic>. CFU = Colony forming unit. In treatment and prevention trials, fish was infected with 
                                <italic toggle="yes">Aeromonas hydrophila</italic> and 
                                <italic toggle="yes">Pseudomonas fluorescence.</italic>
</p>
                        </fn>
                    </table-wrap-foot>
                </table-wrap>
            </sec>
            <sec>
                <title>Survival rate</title>
                <p>The administration of extract with different combinations on tilapia injected with 
                    <italic toggle="yes">A. hydrophila</italic> and 
                    <italic toggle="yes">P. fluorescens</italic> bacteria increased the SR and RPS when compared to those not given the extracts (
                    <xref ref-type="table" rid="T3">Table 3</xref> and 
                    <xref ref-type="table" rid="T4">Table 4</xref>). The percentage of survival of tilapia in treatment and prevention trials with combination extracts of SF 50/ZZ 50 had the highest SR compared to the other combinations of extract.</p>
                <table-wrap id="T3" orientation="portrait" position="anchor">
                    <label>Table 3. </label>
                    <caption>
                        <title>Survival rate (%) of Tilapia (
                            <italic toggle="yes">Oreochromis niloticus</italic>) fed different extract combination in treatment and prevention trials.</title>
                    </caption>
                    <table content-type="article-table" frame="hsides">
                        <thead>
                            <tr>
                                <th align="left" colspan="1" rowspan="2" valign="top">Trials</th>
                                <th align="left" colspan="1" rowspan="2" valign="top">Groups</th>
                                <th align="center" colspan="1" rowspan="1" valign="top">Week</th>
                            </tr>
                            <tr>
                                <th align="center" colspan="1" rowspan="1" valign="top">4</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td align="left" colspan="1" rowspan="5" valign="top">Treatment</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">SF 60/ZZ 40</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">76.67
                                    <sup>
                                        <xref ref-type="other" rid="FN3">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">SF 50/ZZ 50</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">87.00
                                    <sup>
                                        <xref ref-type="other" rid="FN3">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">BP 90/SF 10</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">76.67,30
                                    <sup>
                                        <xref ref-type="other" rid="FN3">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">BP 50/SF 50</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">83.33.00
                                    <sup>
                                        <xref ref-type="other" rid="FN3">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">No extract</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">33.00
                                    <sup>
                                        <xref ref-type="other" rid="FN3">b</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="5" valign="top">Prevention</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">SF 60/ZZ 40</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">86.67
                                    <sup>
                                        <xref ref-type="other" rid="FN3">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">SF 50/ZZ 50</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">90
                                    <sup>
                                        <xref ref-type="other" rid="FN3">b</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">BP 90/SF 10</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">80
                                    <sup>
                                        <xref ref-type="other" rid="FN3">b</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">BP 50/SF 50</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">76.67
                                    <sup>
                                        <xref ref-type="other" rid="FN3">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">No extract</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">27
                                    <sup>
                                        <xref ref-type="other" rid="FN3">c</xref>
                                    </sup>
                                </td>
                            </tr>
                        </tbody>
                    </table>
                    <table-wrap-foot>
                        <fn>
                            <p id="FN3">Note: Mean&#x00b1;standard deviation followed by different superscript letters (a,b,c) in the same column in each treatment or prevention trial showed significantly different at 
                                <italic toggle="yes">P&lt;0.05</italic>. A = SF60/ZZ40, B = SF50/ZZ50, C = BP90/SF10, D = BP50/SF50, E = No extract addition. Extract ratio is in mg per kg feed. BP = 
                                <italic toggle="yes">Boesenbergia pandurata</italic>), SF = 
                                <italic toggle="yes">Solanum ferox</italic>, and ZZ = 
                                <italic toggle="yes">Zingiber Zerumbet</italic>. In treatment and prevention trials, fish was infected with 
                                <italic toggle="yes">Aeromonas hydrophila</italic> and 
                                <italic toggle="yes">Pseudomonas fluorescence.</italic>
</p>
                        </fn>
                    </table-wrap-foot>
                </table-wrap>
                <table-wrap id="T4" orientation="portrait" position="anchor">
                    <label>Table 4. </label>
                    <caption>
                        <title>Relative Percent Survival (RPS) of Tilapia (
                            <italic toggle="yes">Oreochromis niloticus</italic>) fed different extract combination in treatment and prevention trials.</title>
                    </caption>
                    <table content-type="article-table" frame="hsides">
                        <thead>
                            <tr>
                                <th align="left" colspan="1" rowspan="2" valign="top">Trials</th>
                                <th align="left" colspan="1" rowspan="2" valign="top">Groups</th>
                                <th align="center" colspan="1" rowspan="1" valign="top">Week</th>
                            </tr>
                            <tr>
                                <th align="center" colspan="1" rowspan="1" valign="top">4</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td align="left" colspan="1" rowspan="5" valign="top">Treatment</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">SF 60/ZZ 40</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">65
                                    <sup>
                                        <xref ref-type="other" rid="FN4">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">SF 50/ZZ 50</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">80
                                    <sup>
                                        <xref ref-type="other" rid="FN4">b</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">BP 90/SF 10</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">65
                                    <sup>
                                        <xref ref-type="other" rid="FN4">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">BP 50/SF 50</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">75
                                    <sup>
                                        <xref ref-type="other" rid="FN4">b</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">No extract</td>
                                <td colspan="1" rowspan="1"/>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="5" valign="top">Prevention</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">SF 60/ZZ 40</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">82
                                    <sup>
                                        <xref ref-type="other" rid="FN4">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">SF 50/ZZ 50</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">86
                                    <sup>
                                        <xref ref-type="other" rid="FN4">b</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">BP 90/SF 10</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">73
                                    <sup>
                                        <xref ref-type="other" rid="FN4">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">BP 50/SF 50</td>
                                <td align="center" colspan="1" rowspan="1" valign="top">68
                                    <sup>
                                        <xref ref-type="other" rid="FN4">a</xref>
                                    </sup>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">No extract</td>
                                <td colspan="1" rowspan="1"/>
                            </tr>
                        </tbody>
                    </table>
                    <table-wrap-foot>
                        <fn>
                            <p id="FN4">Note: Mean&#x00b1;standard deviation followed by different superscript letters (a,b,c) in the same column in each treatment or prevention trial showed significantly different at 
                                <italic toggle="yes">P&lt;0.05</italic>. A = SF60/ZZ40, B = SF50/ZZ50, C = BP90/SF10, D = BP50/SF50, E = No extract addition. Extract ratio is in ml per kg feed. BP = 
                                <italic toggle="yes">Boesenbergia pandurata</italic>), SF = 
                                <italic toggle="yes">Solanum ferox</italic>, and ZZ = 
                                <italic toggle="yes">Zingiber Zerumbet</italic>. In treatment and prevention trials, fish was infected with 
                                <italic toggle="yes">Aeromonas hydrophila</italic> and 
                                <italic toggle="yes">Pseudomonas fluorescence.</italic> Extract ratio is in mg kg
                                <sup>-1</sup> feed.</p>
                        </fn>
                    </table-wrap-foot>
                </table-wrap>
            </sec>
        </sec>
        <sec sec-type="discussion">
            <title>Discussion</title>
            <p>The number of infectious diseases caused by pathogenic bacteria such as 
                <italic toggle="yes">A. hydrophila</italic> have become a pivotal concern in fish culture, causing high economic losses owing to high mortality rates
                <sup>
                    <xref ref-type="bibr" rid="ref-5">5</xref>
                </sup>. The use of plant-based extracts as immunodulators has been applied to increase survival and immune system of fish to prevent or cure bacterial pathogen. Several plant extracts that contain active phytochemicals have been found and used as supplements in the feed of fish
                <sup>
                    <xref ref-type="bibr" rid="ref-26">26</xref>&#x2013;
                    <xref ref-type="bibr" rid="ref-29">29</xref>
                </sup>.</p>
            <p>The current study found that the WBC of tilapia infected by both bacteria in the prevention and treatment trials increased significantly (
                <italic toggle="yes">P</italic>&lt;0.05), while the RBC of tilapia infected by both bacteria in the prevention and treatment trials decreased significantly (
                <italic toggle="yes">P</italic>&lt;0.05). This result is similar to those of a previous study, which stated that the WBC increased in order to tackle the infection, while the RBC was decreased in tilapia infected with 
                <italic toggle="yes">Streptococcus agalactiae</italic> bacteria
                <sup>
                    <xref ref-type="bibr" rid="ref-30">30</xref>
                </sup>, 
                <italic toggle="yes">S. iniae</italic>
                <sup>
                    <xref ref-type="bibr" rid="ref-10">10</xref>
                </sup>, 
                <italic toggle="yes">A. hydrophila</italic> and 
                <italic toggle="yes">Pseudomonas</italic> sp.
                <sup>
                    <xref ref-type="bibr" rid="ref-7">7</xref>
                </sup>. In contrast, tilapia fed with a combination of extracts SF60/ZZ40 showed a similar RBC value both in treatment and prevention trials. In addition, tilapia fed SF50/ZZ50 in treatment trial resulted the highest RBC at the end of the trial. The Hb and Htc values were unchanged during the first week of all treatments including control; the decrease in Htc and Hb values occurred in controls without extract from weeks 2&#x2013;4 post-infection in the prevention and treatment trials. This result indicated that the combined administration of the extracts was capable of improving the performance of the fish immune system by producing more WBC, thus making the fish more able to suppress the growth of bacteria in the body.</p>
            <p>RBC, WBC, Hb and Htc can be used as an indicator of the blood profile in fish with respect to the innate immune defence and regulation of immunological function
                <sup>
                    <xref ref-type="bibr" rid="ref-31">31</xref>
                </sup>. WBC are particularly responsible for providing protection or resistance to disorders caused by infectious pathogens and non-infectious factors (nutrition, temperature and handling)
                <sup>
                    <xref ref-type="bibr" rid="ref-32">32</xref>
                </sup>. Total value of WBC also describes the health status and immune system of the fish. In addition to haematological statues, the Hb content decreases due to RBC swelling and poor Hb mobilization of the spleen and other haematopoesis organs
                <sup>
                    <xref ref-type="bibr" rid="ref-33">33</xref>
                </sup>.</p>
            <p>Besides blood profiles, the phagocytic index, respiratory burst and lysozyme activity are good indicators for immunological status of fish during infection periods. The present results revealed that infected fish treated with a compound extract of SF50/ZZ50 showed the highest IP and increased from weeks 2&#x2013;4 post-injection. These results are in line with the results of a previous study, which found that fish treated with immunostimulants usually show enhanced phagocytic cell activities
                <sup>
                    <xref ref-type="bibr" rid="ref-34">34</xref>
                </sup>. Fish have several types of phagocytic leukocytes, which are part of WBC, in the peritoneal cavity, and various tissues. The phagocytic index is also associated with the production of oxygen free radicals by using respiratory bursts, which are important events in bactericidal pathways in fish
                <sup>
                    <xref ref-type="bibr" rid="ref-35">35</xref>,
                    <xref ref-type="bibr" rid="ref-36">36</xref>
                </sup>.</p>
            <p>According to Isnansetyo 
                <italic toggle="yes">et al.</italic>
                <sup>
                    <xref ref-type="bibr" rid="ref-37">37</xref>
                </sup>, the phagocytic index is an important indicator of the enhancement of the immune system, which is showed by increasing the function of phagocytes. In addition, the increasing of phagocytic activity is affected by a complement that enhances the frequency of antigen-antibody, attaches to the receptor of phagocytosis cells, and stimulates phagocytes cells to make a forward migration to the site of infection Further, the forward migration to the site of infection has a close relationship with phagocytosis index. In addition, Secombes and Olivier
                <sup>
                    <xref ref-type="bibr" rid="ref-23">23</xref>
                </sup> revealed that the release of superoxide anions, hydrogen peroxide and hypochlorous acid into the phagosome and extracellular space during the respiratory burst can be also considered as the pivotal mechanisms involved in the bactericidal activity of macrophages.</p>
            <p>Total lysozyme level is a tool to measure the humoral component of the non-specific defence mechanism (innate immunity), which can be used to detect infections or injections of foreign material, including bacteria
                <sup>
                    <xref ref-type="bibr" rid="ref-38">38</xref>&#x2013;
                    <xref ref-type="bibr" rid="ref-40">40</xref>
                </sup>. The present findings determined that tilapia fed SF 50/ZZ 50 had significantly higher (
                <italic toggle="yes">P</italic>&lt;0.05) lysozyme activity. This finding is in line with past research, stating that the lysozyme activity of Jian carp (
                <italic toggle="yes">Cyprinus carpio</italic> var. Jian)
                <sup>
                    <xref ref-type="bibr" rid="ref-41">41</xref>
                </sup> and large yellow croaker, 
                <italic toggle="yes">Pseudosciaena crocea</italic>
                <sup>
                    <xref ref-type="bibr" rid="ref-41">41</xref>,
                    <xref ref-type="bibr" rid="ref-42">42</xref>
                </sup> were increased after being fed with traditional Chinese medicine formulated from Astragalus root (
                <italic toggle="yes">Radix astragalin seu Heydsari</italic>) and Chinese Angelica root (
                <italic toggle="yes">R. angelicae Sinenesis</italic>).</p>
            <p>Past research stated that the increasing survival rate and relative percent survival related to the increasing immune function of the fish which is affected by plant extract supplementation. Plant extracts containing important phytochemicals may increase monocytes, granulocytes, macrophages and neutrophils in fish, improving non-specific immune responses
                <sup>
                    <xref ref-type="bibr" rid="ref-5">5</xref>
                </sup>. Moreover, activated macrophages and neutrophils in the blood of fish also increase the number of reactive oxygen and nitrogen intermediates (ROIs and RNIs), which are toxic to bacteria
                <sup>
                    <xref ref-type="bibr" rid="ref-22">22</xref>
                </sup>.</p>
        </sec>
        <sec sec-type="conclusions">
            <title>Conclusion</title>
            <p>A combination of plant extracts was found to affect the health status of tilapia when compared with control. A combination of extracts of SF and ZZ (50:50 mg/kg of feed) provides the optimum protection against bacterial infections of 
                <italic toggle="yes">A. hydrophila</italic> and 
                <italic toggle="yes">P. fluorescens</italic> in both prevention and treatment assays.</p>
        </sec>
        <sec>
            <title>Data availability</title>
            <p>Raw data for Tables and Figures can be accessed on OSF, DOI: 
                <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.17605/OSF.IO/A42JB">https://doi.org/10.17605/OSF.IO/A42JB</ext-link>
                <sup>
                    <xref ref-type="bibr" rid="ref-43">43</xref>
                </sup>.</p>
            <p>Data are available under the terms of the 
                <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">Creative Commons Zero &#x201c;No rights reserved&#x201d; data waiver</ext-link> (CC0 1.0 Public domain dedication).</p>
        </sec>
    </body>
    <back>
        <ack>
            <title>Acknowledgments</title>
            <p>The research team would like to thank the Department of Aquaculture, Faculty of Fisheries and Marine Sciences Mulawarman University, East Kalimantan, for the support of facility and equipment during the research.</p>
        </ack>
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    </back>
    <sub-article article-type="reviewer-report" id="report44765">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.19635.r44765</article-id>
            <title-group>
                <article-title>Reviewer response for version 2</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Hancz</surname>
                        <given-names>Csaba</given-names>
                    </name>
                    <xref ref-type="aff" rid="r44765a1">1</xref>
                    <role>Referee</role>
                    <uri content-type="orcid">https://orcid.org/0000-0001-9730-063X</uri>
                </contrib>
                <aff id="r44765a1">
                    <label>1</label>Aquaculture and Fishery, Kaposv&#x00e1;r University, Kaposv&#x00e1;r, Hungary</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>28</day>
                <month>3</month>
                <year>2019</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2019 Hancz C</copyright-statement>
                <copyright-year>2019</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport44765" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.16902.2"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>approve-with-reservations</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>
                <list list-type="bullet">
                    <list-item>
                        <p>There is a significant weakness in the part of M&amp;M of this article but this can be corrected after which its scientific value could surely be elevated.</p>
                    </list-item>
                    <list-item>
                        <p>Some statistical re- evaluation of the data would also be useful.</p>
                    </list-item>
                    <list-item>
                        <p>Please see my annotated copy of the article 
                            <ext-link ext-link-type="uri" xlink:href="https://f1000researchdata.s3.amazonaws.com/linked/241762.Annotated_copy_of_manuscript_16902_Rudy_Nugroho_et_al._%28Version_2%29_-_corrected_by_reviewer_Csaba_Hancz.pdf">
                                <underline>here</underline>
                            </ext-link> which includes additional corrections and suggestions.</p>
                    </list-item>
                </list>
            </p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>Yes</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>Partly</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>Partly</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>Partly</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>Partly</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>Partly</p>
            <p>Reviewer Expertise:</p>
            <p>Aquaculture, fish nutrition, experimental statistcs</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above.</p>
        </body>
    </sub-article>
    <sub-article article-type="reviewer-report" id="report44431">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.19635.r44431</article-id>
            <title-group>
                <article-title>Reviewer response for version 2</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Isnansetyo</surname>
                        <given-names>Alim</given-names>
                    </name>
                    <xref ref-type="aff" rid="r44431a1">1</xref>
                    <role>Referee</role>
                </contrib>
                <aff id="r44431a1">
                    <label>1</label>Department of Fisheries, Faculty of Agriculture, Gadjah Mada University, Yogyakarta, Indonesia</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>28</day>
                <month>3</month>
                <year>2019</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2019 Isnansetyo A</copyright-statement>
                <copyright-year>2019</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport44431" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.16902.2"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>approve</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>The authors already addressed almost all reviewer commands, and overall the manuscript quality is improved significantly. However, there is one parameter that should be clarified: 
                <list list-type="bullet">
                    <list-item>
                        <p>It is still confusing between Phagocytic activity (PA) and Phagocytic Index (PI). The unit for PA is percent (%) and the unit of PI is cells or particles/Phagocyte. I think, the authors observed PA, instead of PI as the unit is %. Please replace the PI to PA.</p>
                    </list-item>
                </list>
            </p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>Partly</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>Yes</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>Partly</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>Yes</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>Partly</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>Partly</p>
            <p>Reviewer Expertise:</p>
            <p>Immunology, microbiology, fish diseases, natural products</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard.</p>
        </body>
    </sub-article>
    <sub-article article-type="reviewer-report" id="report44432">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.19635.r44432</article-id>
            <title-group>
                <article-title>Reviewer response for version 2</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Venugopal</surname>
                        <given-names>Vishnu K.</given-names>
                    </name>
                    <xref ref-type="aff" rid="r44432a1">1</xref>
                    <role>Referee</role>
                </contrib>
                <aff id="r44432a1">
                    <label>1</label>Centre for Marine Living Resources &amp; Ecology, Kochi, Kerala&#x00a0;, India</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>27</day>
                <month>3</month>
                <year>2019</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2019 Venugopal VK</copyright-statement>
                <copyright-year>2019</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport44432" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.16902.2"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>approve</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>I am happy to note that the manuscript has now improved significantly from the original submission. The corrections made by the authors are satisfactory and I can now recommend&#x00a0;this paper for indexing.</p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>Yes</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>No</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>Yes</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>Yes</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>Yes</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>Yes</p>
            <p>Reviewer Expertise:</p>
            <p>NA</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard.</p>
        </body>
    </sub-article>
    <sub-article article-type="reviewer-report" id="report41178">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.18481.r41178</article-id>
            <title-group>
                <article-title>Reviewer response for version 1</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Isnansetyo</surname>
                        <given-names>Alim</given-names>
                    </name>
                    <xref ref-type="aff" rid="r41178a1">1</xref>
                    <role>Referee</role>
                </contrib>
                <aff id="r41178a1">
                    <label>1</label>Department of Fisheries, Faculty of Agriculture, Gadjah Mada University, Yogyakarta, Indonesia</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>13</day>
                <month>12</month>
                <year>2018</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2018 Isnansetyo A</copyright-statement>
                <copyright-year>2018</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport41178" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.16902.1"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>approve-with-reservations</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>This article presented the finding of Indonesian herbal extracts for preventing and treating fish diseases. This article might be indexed after several major issues are addressed: 
                <list list-type="order">
                    <list-item>
                        <p>Are 
                            <italic>Boesenbergia pandurata&#x00a0;</italic>(BP),&#x00a0;
                            <italic>Solanum ferox&#x00a0;</italic>(SF) and&#x00a0;
                            <italic>Zingiber Zerumbet</italic>&#x00a0;(ZZ) typical plants in Borneo? Are the plants not found in the other parts of Indonesia? If yes, please replace the "Borneo" with "Indonesia" in the title and throughout the article.</p>
                    </list-item>
                    <list-item>
                        <p>Write one sentence of background in the Abstract.</p>
                    </list-item>
                    <list-item>
                        <p>Describe systematically in the Abstract: how to prepare the extracts, design&#x00a0;experiment, feed preparation, infection, data collecting (hematology, non-specific immune etc.) and data analysis.</p>
                    </list-item>
                    <list-item>
                        <p>Write the exact concentration for the extract in&#x00a0;mg/kg feed instead of&#x00a0;ml/kg. Using units of ml/kg feed is not appropriate as the exact concentrations are not known.&#x00a0;</p>
                    </list-item>
                    <list-item>
                        <p>Write systematically the results in the Abstract as described in the Methods.</p>
                    </list-item>
                    <list-item>
                        <p>The units are written inconsistently: format (.../...., .... per ...., ....&#x00a0; ....
                            <sup>-1</sup>&#x00a0;).</p>
                    </list-item>
                    <list-item>
                        <p>&#x201c;Antibody titre&#x201d; is a term to evaluate the effect of vaccines. To evaluate the effect of immunostimulants, we should use the term "Natural Agglutination" as we are not evaluating the specific antibody. No data are presented for Antibody titre/Natural Agglutination, even though this parameter is described in the Methods.</p>
                    </list-item>
                    <list-item>
                        <p>The authors are confused by the terms of phagocytic activity and phagocytic index. Phagocytic index is not described before either in the Abstract or Materials and Methods. However, the authors describe phagocytic activity in Materials and Methods.&#x00a0;Phagocytic index and phagocytic activity are two different parameters. Please refer to some of the recommended references.&#x00a0;Add deviation standard for each bar in all graphs.</p>
                    </list-item>
                    <list-item>
                        <p>Add the notation in each bar of all graphs and values in tables&#x00a0;to show insignificant or significant difference based on DMRT test results.</p>
                    </list-item>
                    <list-item>
                        <p>Discussion: please interpret properly and add additional explanation about why the extracts affect&#x00a0;the immune system of fish and increase the SR and RPS. Describe the possible constituents in the extracts by citing the previous publications.</p>
                    </list-item>
                    <list-item>
                        <p>Add these references in the Introduction, Materials and Methods, and Discussion: Yudiati 
                            <italic>et al.</italic> (2016
                            <sup>
                                <xref ref-type="bibr" rid="rep-ref-41178-1">1</xref>
                            </sup>), Isnansetyo 
                            <italic>et al.</italic> (2016
                            <sup>
                                <xref ref-type="bibr" rid="rep-ref-41178-2">2</xref>
                            </sup>) and Isnansetyo 
                            <italic>et al.</italic> (2015
                            <sup>
                                <xref ref-type="bibr" rid="rep-ref-41178-3">3</xref>
                            </sup>).</p>
                    </list-item>
                    <list-item>
                        <p>Some grammatical errors were found.</p>
                    </list-item>
                </list>
            </p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>Partly</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>Yes</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>Partly</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>Yes</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>Partly</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>Partly</p>
            <p>Reviewer Expertise:</p>
            <p>Immunology, microbiology, fish diseases, natural products</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above.</p>
        </body>
        <back>
            <ref-list>
                <title>References</title>
                <ref id="rep-ref-41178-1">
                    <label>1</label>
                    <mixed-citation publication-type="journal">
                        <person-group person-group-type="author"/>:
                        <article-title>Innate immune-stimulating and immune genes up-regulating activities of three types of alginate from Sargassum siliquosum in Pacific white shrimp, Litopenaeus vannamei.</article-title>
                        <source>
                            <italic>Fish Shellfish Immunol</italic>
                        </source>.<year>2016</year>;<volume>54</volume>:
                        <elocation-id>10.1016/j.fsi.2016.03.022</elocation-id>
                        <fpage>46</fpage>-<lpage>53</lpage>
                        <pub-id pub-id-type="pmid">26993614</pub-id>
                        <pub-id pub-id-type="doi">10.1016/j.fsi.2016.03.022</pub-id>
                    </mixed-citation>
                </ref>
                <ref id="rep-ref-41178-2">
                    <label>2</label>
                    <mixed-citation publication-type="journal">
                        <person-group person-group-type="author"/>:
                        <article-title>Non-specific immune potentiating activity of fucoidan from a tropical brown algae (Phaeophyceae), Sargassum cristaefolium in tilapia (Oreochromis niloticus)</article-title>.
                        <source>
                            <italic>Aquaculture International</italic>
                        </source>.<year>2016</year>;<volume>24</volume>(<issue>2</issue>) :
                        <elocation-id>10.1007/s10499-015-9938-z</elocation-id>
                        <fpage>465</fpage>-<lpage>477</lpage>
                        <pub-id pub-id-type="doi">10.1007/s10499-015-9938-z</pub-id>
                    </mixed-citation>
                </ref>
                <ref id="rep-ref-41178-3">
                    <label>3</label>
                    <mixed-citation publication-type="journal">
                        <person-group person-group-type="author"/>:
                        <article-title>Oral Administration of Alginate From A Tropical Brown Seaweed, Sargassum sp. To Enhance Non-Spesific Defense In Walking Catfish (Clarias sp.)</article-title>.
                        <source>
                            <italic>Aquacultura Indonesiana</italic>
                        </source>.<year>2015</year>;<volume>15</volume>(<issue>1</issue>) :
                        <elocation-id>10.21534/ai.v15i1.29</elocation-id>
                        <pub-id pub-id-type="doi">10.21534/ai.v15i1.29</pub-id>
                    </mixed-citation>
                </ref>
            </ref-list>
        </back>
        <sub-article article-type="response" id="comment4385-41178">
            <front-stub>
                <contrib-group>
                    <contrib contrib-type="author">
                        <name>
                            <surname>Nugroho</surname>
                            <given-names>Rudy</given-names>
                        </name>
                        <aff>Mulawarman University, Indonesia</aff>
                    </contrib>
                </contrib-group>
                <author-notes>
                    <fn fn-type="conflict">
                        <p>
                            <bold>Competing interests: </bold>No competing interests</p>
                    </fn>
                </author-notes>
                <pub-date pub-type="epub">
                    <day>29</day>
                    <month>1</month>
                    <year>2019</year>
                </pub-date>
            </front-stub>
            <body>
                <p>Dear Dr. Alim Isnansetyo,</p>
                <p>Thank you for your valuable comment on our article. We have added some important information based on your comment and suggestions. We really appreciate it. For further details of our responses to your comment, please download the details of our responses from this link below:</p>
                <p>
                    <ext-link ext-link-type="uri" xlink:href="https://osf.io/qwy8z/download">https://osf.io/qwy8z/download</ext-link>&#x00a0;[direct download link]</p>
            </body>
        </sub-article>
    </sub-article>
    <sub-article article-type="reviewer-report" id="report41177">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.18481.r41177</article-id>
            <title-group>
                <article-title>Reviewer response for version 1</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Venugopal</surname>
                        <given-names>Vishnu K.</given-names>
                    </name>
                    <xref ref-type="aff" rid="r41177a1">1</xref>
                    <role>Referee</role>
                </contrib>
                <aff id="r41177a1">
                    <label>1</label>Centre for Marine Living Resources &amp; Ecology, Kochi, Kerala&#x00a0;, India</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>28</day>
                <month>11</month>
                <year>2018</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2018 Venugopal VK</copyright-statement>
                <copyright-year>2018</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport41177" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.16902.1"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>approve-with-reservations</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>After checking the research article &#x201c;Borneo herbal plant extracts as a natural medication for prophylaxis and treatment of Aeromonas hydrophila and Pseudomonas fluorescens infection in tilapia (Oreochromis niloticus)&#x201d; by Dr. Rudy 
                <italic>et al.</italic>, I reached&#x00a0;the following suggestions to be made for the article&#x2019;s acceptance:</p>
            <p> &#x00a0; 
                <list list-type="order">
                    <list-item>
                        <p>The overall structure of the manuscript is satisfactory, though some changes are recommended.</p>
                    </list-item>
                    <list-item>
                        <p>In the introduction the mechanism of action of plant extracts and its medical importance could have been added.</p>
                    </list-item>
                    <list-item>
                        <p>The authors didn&#x2019;t mention the composition of feed.</p>
                    </list-item>
                    <list-item>
                        <p>There is a possibility of residual ethanol in the sample. How can you conclude the results with this concern?</p>
                    </list-item>
                    <list-item>
                        <p>The nature and source of chemicals (Materials) used in this experiment are not mentioned.</p>
                    </list-item>
                    <list-item>
                        <p>Footnotes can be much clearer and the legends used in the figure should be mentioned properly. Also,&#x00a0;in some graphs standard deviation is missing.</p>
                    </list-item>
                    <list-item>
                        <p>Give enough information about the figures in figure legends.</p>
                    </list-item>
                    <list-item>
                        <p>The Discussion part can be much stronger.</p>
                    </list-item>
                </list> &#x00a0;</p>
            <p> In conclusion, the content of the manuscript has value for indexing. The mentioned suggestions can be considered and resubmitted.</p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>Yes</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>No</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>Yes</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>Yes</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>Yes</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>Yes</p>
            <p>Reviewer Expertise:</p>
            <p>Clinical biochemistry, Lipid chemistry, Bioactive compounds characterization</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above.</p>
        </body>
        <back>
            <ref-list>
                <title>References</title>
                <ref id="rep-ref-41177-1">
                    <label>1</label>
                    <mixed-citation publication-type="journal">
                        <person-group person-group-type="author"/>:
                        <article-title>Dietary Withania sominefera root confers protective and immunotherapeutic effects against Aeromonas hydrophila infection in Nile tilapia (Oreochromis niloticus).</article-title>
                        <source>
                            <italic>Fish Shellfish Immunol</italic>
                        </source>.<year>2018</year>;<volume>80</volume>:
                        <elocation-id>10.1016/j.fsi.2018.06.009</elocation-id>
                        <fpage>641</fpage>-<lpage>650</lpage>
                        <pub-id pub-id-type="pmid">29886140</pub-id>
                        <pub-id pub-id-type="doi">10.1016/j.fsi.2018.06.009</pub-id>
                    </mixed-citation>
                </ref>
            </ref-list>
        </back>
        <sub-article article-type="response" id="comment4384-41177">
            <front-stub>
                <contrib-group>
                    <contrib contrib-type="author">
                        <name>
                            <surname>Nugroho</surname>
                            <given-names>Rudy</given-names>
                        </name>
                        <aff>Mulawarman University, Indonesia</aff>
                    </contrib>
                </contrib-group>
                <author-notes>
                    <fn fn-type="conflict">
                        <p>
                            <bold>Competing interests: </bold>No competing interests</p>
                    </fn>
                </author-notes>
                <pub-date pub-type="epub">
                    <day>29</day>
                    <month>1</month>
                    <year>2019</year>
                </pub-date>
            </front-stub>
            <body>
                <p>Dear Dr. Vishnu Venugopal,</p>
                <p>First of all, we would like to say thank you for your valuable review and comment. We have revised our article according to your review. We have also made some responses to your review - for the details of our responses, please see the link below:</p>
                <p>
                    <ext-link ext-link-type="uri" xlink:href="http://osf.io/vzsqe/download">http://osf.io/vzsqe/download</ext-link>&#x00a0;[direct download link]</p>
            </body>
        </sub-article>
    </sub-article>
</article>
