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Current Traditional Medicine

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ISSN (Print): 2215-0838
ISSN (Online): 2215-0846

Research Article

Fighting H. pylori with Medicinal Plants: A Study on Jordan's Traditional Remedies

Author(s): Amal Mayyas*, Luay Abu-Qatouseh, Mohammad Abu Sini, Rula Amr, Rand T. Akasheh, Nasr Alrabadi, Rula M. Darwish and Talal Aburjai

Volume 10, Issue 7, 2024

Published on: 26 September, 2023

Article ID: e160823219806 Pages: 9

DOI: 10.2174/2215083810666230816095403

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Abstract

Aims of the Study: This study was designed to evaluate the antimicrobial activity of some medicinal plants used among Jordanians for the treatment of gastritis and gastric ulcers against H. pylori. Moreover, plants' inhibitory activity against the H. pylori urease enzyme was also evaluated.

Materials and Methods: The activity of 11 medicinal plants used by common people and herbalists to treat ulcers was evaluated against H. pylori (NCTC 11916). Ethanol and essential oil extracts from the tested plants were evaluated using a standard agar dilution method and the MICs were determined. Furthermore, the potential inhibitory effect of each preparation was tested against the enzyme urease using a kinetic colorimetric assay.

Results: Cinnamomum cassia oil showed the highest efficiency against H. pylori with the lowest MIC (0.0122 mg.mL-1), followed by Origanum syriacum and Foeniculum vulgare (MICs of 0.39 mg.mL-1). Furthermore, significant urease inhibition activity was recorded for Carum carvi oil (IC50~0.45 mg.mL-1). C. cassia oil (IC50 ~2.8 mg.mL-1), Aloysia citriodora, and Artemisia Judaica (IC50 5.8 mg.mL-1) reported potential urease inhibition activities.

Conclusion: Herbs used in Jordanian traditional medicine were found to have anti-H. pylori and significant urease inhibitory activity. These findings might support the use of medicinal plants as adjuvant or alternative therapy for the treatment of H. pylori.

Keywords: Essential oil, H. pylori, medicinal plants, ulcer, urease inhibition, gastritis.

Graphical Abstract
[1]
Abdella B, Ibrahim M, Tadesse I, Hassen K, Tesfa M. Association between Helicobacter pylori infection and occurrence of anemia among pregnant women attending antenatal care in Kulito health center halaba zone, south Ethiopia. 2018. Anemia 2018; 2020: 2020.
[2]
Ozbey G, Hanafiah A. Epidemiology, diagnosis, and risk factors of Helicobacter pylori infection in children. Euroasian J Hepatogastroenterol 2017; 7(1): 34-9.
[http://dx.doi.org/10.5005/jp-journals-10018-1208] [PMID: 29201769]
[3]
Abu-Qatouseh L, Abu-Sini M, Mayyas A, Al-Hiari Y, Darwish R, Aburjai T. Synthesis of new nitrofluoroquinolone derivatives with novel anti-microbial properties against metronidazole resistant H. pylori. Molecules 2017; 22(1): 71.
[http://dx.doi.org/10.3390/molecules22010071] [PMID: 28054994]
[4]
Abu-Sini M, Mayyas A, Al-Karablieh N, et al. Synthesis of 1, 2, 3-triazolo [4, 5-h] quinolone derivatives with novel anti-microbial properties against Metronidazole resistant Helicobacter pylori. Molecules 2017; 22(5): 841.
[http://dx.doi.org/10.3390/molecules22050841] [PMID: 28531095]
[5]
Atapour M, Zahedi MJ, Mehrabani M, et al. In vitro susceptibility of the Gram-negative bacterium Helicobacter pylori to extracts of Iranian medicinal plants. Pharm Biol 2009; 47(1): 77-80.
[http://dx.doi.org/10.1080/13880200802434401]
[6]
Abu-Qatouseh LF, Boutennone H, Boussouf L, Madani K, Shihab P, Al-Qaoud K. In vitro anti-Helicobacter pylori and urease inhibitory effects of polyphenolic extracts of local herbs from Algeria. Int Arab J Antimicrob Agents 2013; 3(4)
[7]
Alomar HA, Fathallah N, Abdel-Aziz MM, Ibrahim TA, Elkady WM. Gc-ms profiling, anti-Helicobacter pylori, and anti-inflammatory activities of three apiaceous fruits’ essential oils. Plants 2022; 11(19): 2617.
[http://dx.doi.org/10.3390/plants11192617] [PMID: 36235480]
[8]
Aburjai T, Hudaib M, Tayyem R, Yousef M, Qishawi M. Ethnopharmacological survey of medicinal herbs in Jordan, the Ajloun Heights region. J Ethnopharmacol 2007; 110(2): 294-304.
[http://dx.doi.org/10.1016/j.jep.2006.09.031] [PMID: 17097250]
[9]
Abdelhalim A, Aburjai T, Hanrahan J, Abdel-Halim H. Medicinal plants used by traditional healers in Jordan, the Tafila region. Pharmacogn Mag 2017; 13(49): 95.
[http://dx.doi.org/10.4103/0973-1296.203975] [PMID: 28479733]
[10]
Karou SD, Tchacondo T, Djikpo Tchibozo MA, et al. Ethnobotanical study of medicinal plants used in the management of diabetes mellitus and hypertension in the Central Region of Togo. Pharm Biol 2011; 49(12): 1286-97.
[http://dx.doi.org/10.3109/13880209.2011.621959] [PMID: 22077164]
[11]
Orch H, Chaachouay N, Douiri EM, Faiz N, Zidane L, Douira A. Use of medicinal plants in dermato-cosmetology: An ethnobotanical study among the population of Izarène. Jordan J Pharm Sci 2021; 14(3): 2021-323.
[12]
Nawash O, Shudiefat M, Al-Tabini R, Al-Khalidi K. Ethnobotanical study of medicinal plants commonly used by local bedouins in the badia region of Jordan. J Ethnopharmacol 2013; 148(3): 921-5.
[http://dx.doi.org/10.1016/j.jep.2013.05.044] [PMID: 23727184]
[13]
Morvin Yabesh JE, Prabhu S, Vijayakumar S. An ethnobotanical study of medicinal plants used by traditional healers in silent valley of Kerala, India. J Ethnopharmacol 2014; 154(3): 774-89.
[http://dx.doi.org/10.1016/j.jep.2014.05.004] [PMID: 24832113]
[14]
Lafi Z, Aboalhaija N, Afifi F. Ethnopharmacological importance of local flora in the traditional medicine of Jordan: (A mini review). Jordan J Pharm Sci 2022; 15(1): 132-44.
[http://dx.doi.org/10.35516/jjps.v15i1.300]
[15]
Lien HM, Wang CY, Chang HY, et al. Bioevaluation of Anisomeles indica extracts and their inhibitory effects on Helicobacter pylori-mediated inflammation. J Ethnopharmacol 2013; 145(1): 397-401.
[http://dx.doi.org/10.1016/j.jep.2012.11.015] [PMID: 23178270]
[16]
de Rapper S, Kamatou G, Viljoen A, van Vuuren S. The in vitro antimicrobial activity of Lavandula angustifolia essential oil in combination with other aroma-therapeutic oil. Evid Based Complement Alternat Med 2013; 2013: 852049.
[17]
Farhat M, Tóth J, Héthelyi B, Szarka S, Czigle S. Analysis of the essential oil compounds of Origanum syriacum L. Eur Pharm J 2012; 59(2): 6-14.
[18]
Lev E, Amar Z. Ethnopharmacological survey of traditional drugs sold in the Kingdom of Jordan. J Ethnopharmacol 2002; 82(2-3): 131-45.
[http://dx.doi.org/10.1016/S0378-8741(02)00182-4] [PMID: 12241988]
[19]
Khatib C, Nattouf A, Hasan Agha MI. Traditional medicines and their common uses in central region of Syria: Hama and Homs - an ethnomedicinal survey. Pharm Biol 2021; 59(1): 776-86.
[http://dx.doi.org/10.1080/13880209.2021.1936078] [PMID: 34165371]
[20]
Kooti W, Moradi M, Ali-Akbari S, Sharafi-Ahvazi N, Asadi-Samani M, Ashtary-Larky D. Therapeutic and pharmacological potential of Foeniculum vulgare Mill: A review. J HerbMed Pharmacol 2015; 4(1): 1-9.
[21]
Kaur GJ, Arora DS. Antibacterial and phytochemical screening of Anethum graveolens, Foeniculum vulgare and Trachyspermum ammi. BMC Complement Altern Med 2009; 9(1): 30.
[http://dx.doi.org/10.1186/1472-6882-9-30] [PMID: 19656417]
[22]
Manonmani R. Mohideen Akv. Antibacterial screening on foeniculum vulgare mill. Int J Pharma Bio Sci 2011; 2(4)
[23]
Ratha Bai V, Kanimozhi D. Evaluation of antimicrobial activity of Coriandrum sativum. Int J Sci Res Rev 2012; 1(3): 1-0.
[24]
Iacobellis NS, Lo Cantore P, Capasso F, Senatore F. Antibacterial activity of Cuminum cyminum L. and Carum carvi L. essential oils. J Agric Food Chem 2005; 53(1): 57-61.
[http://dx.doi.org/10.1021/jf0487351] [PMID: 15631509]
[25]
Mahady GB, Pendland SL, Stoia A, et al. In vitro susceptibility of Helicobacter pylori to botanical extracts used traditionally for the treatment of gastrointestinal disorders. Phytother Res 2005; 19(11): 988-91.
[http://dx.doi.org/10.1002/ptr.1776] [PMID: 16317658]
[26]
Soliman KM, Badeaa RI. Effect of oil extracted from some medicinal plants on different mycotoxigenic fungi. Food Chem Toxicol 2002; 40(11): 1669-75.
[http://dx.doi.org/10.1016/S0278-6915(02)00120-5] [PMID: 12176092]
[27]
El-Sayed MA. BaAbbad R, Balash A, Al-Hemdan NA, Softah A. The potential anti Helicobacter pylori and antioxidant effects of Artemisia judaica. Funct Food Health Dis 2013; 3(9): 332-40.
[http://dx.doi.org/10.31989/ffhd.v3i9.42]
[28]
Alzweiri M, Alrawashdeh IM, Bardaweel SK. The development and application of novel IR and NMR-based model for the evaluation of carminative effect of Artemisia judaica L. essential oil. Int J Anal Chem 2014; 2014: 627038.
[29]
Abuhamdah S, Abuhamdah R, Howes MJR, Al-Olimat S, Ennaceur A, Chazot PL. Pharmacological and neuroprotective profile of an essential oil derived from leaves of A loysia citrodora Palau. J Pharm Pharmacol 2015; 67(9): 1306-15.
[http://dx.doi.org/10.1111/jphp.12424] [PMID: 25877296]
[30]
Fukuda S, Shimoyama T, Umegaki N, Mikami T, Nakano H, Munakata A. Effect of Helicobacter pylori eradication in the treatment of Japanese patients with chronic idiopathic urticaria. J Gastroenterol 2004; 39(9): 827-30.
[http://dx.doi.org/10.1007/s00535-004-1397-7] [PMID: 15565400]
[31]
Tarek N, Hassan HM, AbdelGhani SMM, Radwan IA, Hammouda O, El-Gendy AO. Comparative chemical and antimicrobial study of nine essential oils obtained from medicinal plants growing in Egypt. Beni Suef Univ J Basic Appl Sci 2014; 3(2): 149-56.
[http://dx.doi.org/10.1016/j.bjbas.2014.05.009]
[32]
Adeniyi BA, Lawal TO, Otegbayo JA, et al. Cultural characteristics and antibiotic susceptibility pattern of Helicobacter pylori isolated from dyspepsia patients. Gastroenterol Insights 2012; 4(2): 21.
[http://dx.doi.org/10.4081/gi.2012.e21]
[33]
Weisskopf L. The potential of bacterial volatiles for crop protection against phytophathogenic fungi. Formatex Research Center 2013.
[34]
Romano M, Cuomo A. Eradication of Helicobacter pylori: A clinical update. MedGenMed 2004; 6(1): 19.
[PMID: 15208531]
[35]
Farid A, Kamel D, Abdelwahab MS, Mohamed AM, El Amir M, El Amir A. Assessment of antioxidant, immune enhancement, and antimutagenic efficacy of fennel seed extracts in irradiated human blood cultures. J Radiat Res Appl Sci 2020; 13(1): 260-6.
[http://dx.doi.org/10.1080/16878507.2020.1728963]
[36]
Lee HA, Hong S, Oh HG, et al. In vitro and in vivo antibacterial activities of Cinnamomum cassia extracts against Helicobacter pylori. Lab Anim Res 2010; 26(1): 21-9.
[http://dx.doi.org/10.5625/lar.2010.26.1.21]
[37]
Bae EA, Han MJ, Kim NJ, Kim DH. Anti-Helicobacter pylori activity of herbal medicines. Biol Pharm Bull 1998; 21(9): 990-2.
[http://dx.doi.org/10.1248/bpb.21.990] [PMID: 9781854]
[38]
Tabak M, Armon R, Neeman I. Cinnamon extracts’ inhibitory effect on Helicobacter pylori. J Ethnopharmacol 1999; 67(3): 269-77.
[http://dx.doi.org/10.1016/S0378-8741(99)00054-9] [PMID: 10617061]
[39]
Tran TH, Luong TMN, Bui VL, Tran TH. Effects of plant essential oils and their constituents on Helicobacter pylori: A Review. Plant Sci Today 2023; 10(2): 334-44.
[http://dx.doi.org/10.14719/pst.2200]
[40]
Zhang C, Fan L, Fan S, et al. Cinnamomum cassia Presl: A review of its traditional uses, phytochemistry, pharmacology and toxicology. Molecules 2019; 24(19): 3473.
[http://dx.doi.org/10.3390/molecules24193473] [PMID: 31557828]
[41]
Mehrpouri M, Hamidpour R, Hamidpour M, Hamidpour M. Cinnamon inhibits platelet function and improves cardiovascular system. Faslnamah-i Giyahan-i Daruyi 2020; 1(73): 1-11.
[http://dx.doi.org/10.29252/jmp.1.73.1]
[42]
Goel B, Mishra S. Medicinal and nutritional perspective of cinnamon: A mini-review. European J Med Plants 2020; 31(3): 10-6.
[http://dx.doi.org/10.9734/ejmp/2020/v31i330218]
[43]
Alkofahi A, Atta AH. Pharmacological screening of the anti-ulcerogenic effects of some Jordanian medicinal plants in rats. J Ethnopharmacol 1999; 67(3): 341-5.
[http://dx.doi.org/10.1016/S0378-8741(98)00126-3] [PMID: 10617070]
[44]
Masadeh MM, Alkofahi AS, Alzoubi KH, Tumah HN, Bani-Hani K. Anti- Helicobactor pylori activity of some Jordanian medicinal plants. Pharm Biol 2014; 52(5): 566-9.
[http://dx.doi.org/10.3109/13880209.2013.853811] [PMID: 24251817]
[45]
El-Moneim A, Afify MR, Sherif HE, El-Hadidy EM. Antioxidant content and cytotoxicity of Origanum syriacum L. Adv Food Sci 2014; 36(2): 58-64.
[46]
Khalil M, Abdallah H, Razuka-Ebela D, Calasso M, De Angelis M, Portincasa P. The impact of za’atar antioxidant compounds on the gut microbiota and gastrointestinal disorders: Insights for future clinical applications. Antioxidants 2023; 12(2): 426.
[http://dx.doi.org/10.3390/antiox12020426] [PMID: 36829984]
[47]
Alwafa RA, Mudalal S, Mauriello G. Origanum syriacum L.[Za’atar], from raw to go: a review. Plants 2021; 10(5): 1001.
[http://dx.doi.org/10.3390/plants10051001] [PMID: 34067806]
[48]
Shamseddine L, Chidiac JJ. Composition’s effect of Origanum Syriacum essential oils in the antimicrobial activities for the treatment of denture stomatitis. Odontology 2021; 109(2): 327-35.
[http://dx.doi.org/10.1007/s10266-020-00547-3] [PMID: 32808051]
[49]
Mesmar J, Abdallah R, Badran A, Maresca M, Baydoun E. Origanum syriacum phytochemistry and pharmacological properties: A comprehensive review. Molecules 2022; 27(13): 4272.
[http://dx.doi.org/10.3390/molecules27134272] [PMID: 35807517]
[50]
Zaidi SF, Muhammad JS, Shahryar S, et al. Anti-inflammatory and cytoprotective effects of selected Pakistani medicinal plants in Helicobacter pylori-infected gastric epithelial cells. J Ethnopharmacol 2012; 141(1): 403-10.
[http://dx.doi.org/10.1016/j.jep.2012.03.001] [PMID: 22433535]
[51]
Gani HMO, Hoq MO, Tamanna T. Pharmacological and phytochemical analysis of Foeniculum vulgare Mill: A review. Int J Unani Integr Medicine 3(2): 82.
[http://dx.doi.org/10.33545/2616454X.2019.v3.i2a.82]
[52]
Anka Z, Gimba S, Nanda A, Salisu L. Phytochemistry and pharmacological activities of Foeniculum vulgare. IOSR J Pharm 2020; 10: 1-10.
[53]
O’Mahony R, Al-Khtheeri H, Weerasekera D, et al. Bactericidal and anti-adhesive properties of culinary and medicinal plants against Helicobacter pylori. World J Gastroenterol 2005; 11(47): 7499-507.
[http://dx.doi.org/10.3748/wjg.v11.i47.7499] [PMID: 16437723]
[54]
Matsubara S, Shibata H, Ishikawa F, et al. Suppression of Helicobacter pylori-induced gastritis by green tea extract in Mongolian gerbils. Biochem Biophys Res Commun 2003; 310(3): 715-9.
[http://dx.doi.org/10.1016/j.bbrc.2003.09.066] [PMID: 14550260]
[55]
Roller S, Ernest N, Buckle J. The antimicrobial activity of high-necrodane and other lavender oils on methicillin-sensitive and -resistant Staphylococcus aureus (MSSA and MRSA). J Altern Complement Med 2009; 15(3): 275-9.
[http://dx.doi.org/10.1089/acm.2008.0268] [PMID: 19249919]
[56]
Khan MA, Khan H, Tariq SA, Pervez S. Urease inhibitory activity of aerial parts of Artemisia scoparia: Exploration in an in vitro study Ulcers 2014; 2014
[http://dx.doi.org/10.1155/2014/184736]
[57]
Mann CM, Cox SD, Markham JL. The outer membrane of Pseudomonas aeruginosa NCTC 6749 contributes to its tolerance to the essential oil of Melaleuca alternifolia (tea tree oil). Lett Appl Microbiol 2000; 30(4): 294-7.
[http://dx.doi.org/10.1046/j.1472-765x.2000.00712.x] [PMID: 10792649]
[58]
Al-Bayati FA. Synergistic antibacterial activity between Thymus vulgaris and Pimpinella anisum essential oils and methanol extracts. J Ethnopharmacol 2008; 116(3): 403-6.
[http://dx.doi.org/10.1016/j.jep.2007.12.003] [PMID: 18226481]

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