Abstract

Background and Aim:Interest in plants with antimicrobial properties has been revived due to emerging problems associated with using antibiotics to eradicate Helicobacter pylori. Accordingly, this study aims to assess the antibacterial effects of Punica granatum and the possible synergistic effect of its extract along with metronidazole against H. pylori.Materials and Methods:Pomegranate peel ethanol extracts (PPEE) was tested against a control strain of H. pylori (NCTC 11916) in vitro and in vivo in female Wistar rats. Moreover, the synergistic effect of PPEE in combination with metronidazole was tested in vitro.Results:The PPEE exhibited a remarkable activity against H. pylori with a minimum inhibitory concentration (MIC) of 0.156 mg/mL. Furthermore, the extract exhibited a pronounced urease inhibitory activity (IC50 ~6 mg/mL) against the tested strain. A synergistic effect between PPEE and metronidazole was also observed (fractional inhibitory concentrations <0.5). Oral treatment of rats with PPEE for 8 days produced a significant reduction in H. pylori gastritis and a significant decrease in both lymphocytic and positive chronicity.Conclusion:Pomegranate extract is probably safe and represents a potential alternative and complementary therapy for reducing H. pylori associated with gastric ulcers.

Highlights

  • Peptic ulcer disease caused by Helicobacter pylori infection is a worldwide problem [1]

  • The Pomegranate peel ethanol extracts (PPEE) exhibited a remarkable activity against H. pylori with a minimum inhibitory concentration (MIC) of 0.156 mg/mL

  • Oral treatment of rats with PPEE for 8 days produced a significant reduction in H. pylori gastritis and a significant decrease in both lymphocytic and positive chronicity

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Summary

Introduction

Peptic ulcer disease caused by Helicobacter pylori infection is a worldwide problem [1]. H. pylori can weaken the protective mucus coating of the stomach and the upper part of the small intestine, making them more vulnerable to the acidic gastric juices. This could lead to gastritis and ulcers. These plants represent a rich source for drug discovery [3]. Plant extracts contain bioactive compounds that can be used prophylactically and therapeutically over synthetic drugs [4,5] and may display potent antimicrobial properties [6]. Interest in plants with antimicrobial properties has been revived due to emerging problems associated with using antibiotics to eradicate Helicobacter pylori. This study aims to assess the antibacterial effects of Punica granatum and the possible synergistic effect of its extract along with metronidazole against H. pylori

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