Abstract

Strains of Helicobacter pylori (H. pylori) resistant to various antibiotics have increased in recent years. In this context, the search for new therapeutic approaches is crucial. The aim of the present study was to demonstrate the antibacterial activity of a procyanidin-rich extract obtained from food-grade winery grape seeds against 14 H. pylori strains and elucidate its phenolic composition. Ten strains (71.4%) showed resistance to at least some of the tested antibiotics, while four isolates (28.6%) were susceptible to all antibiotics. Resistance to more than one class of antibiotics was observed in six strains (42.9%). The extract was able to inhibit the growth of all H. pylori strains in a range of a minimum inhibitory concentration (MIC) from 0.015 mg/mL to 0.125 mg/mL, confirming also the existence of a strain-dependent effect. The phenolic composition determined by reverse phase high pressure liquid chromatography, photodiode array, and mass spectrometry detection (RP-HPLC-PAD-MS) analysis revealed the presence of 43 individual compounds and allowed the quantification of 41 of them, including seven procyanidin tetramers, seven procyanidin pentamers, and six galloylated procyanidin dimers, trimers, and tetramers. The extract was composed mainly by catechin and procyanidin oligomers with a total amount of 5801 mg/100 g, which represent 92% of the total individual phenolic content. Among them, the most abundant were catechins (2047 mg/100 g), followed by procyanidin dimers (1550 mg/100 g), trimers (1176 mg/100 g), tetramers (436 mg/100 g), and pentamers (296 mg/100 g) that represent 35, 27, 20, 8, and 5%, respectively of the total flavanol constituents. The composition profile information may help to improve the production process of useful antibacterial extracts against H. pylori.

Highlights

  • H. pylori is a Gram-negative spiral rod bacterium that colonizes the gastric mucosa, producing an inflammatory response

  • The obtained results have shown a predominance of antibiotic resistance in H. pylori which implies that new therapeutics alternatives should be explored

  • The procyanidin-rich extract used in this study was able to inhibit the growth of all H. pylori strains in a minimum inhibitory concentration (MIC) range from 0.015 to 0.125 mg/mL

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Summary

Introduction

H. pylori is a Gram-negative spiral rod bacterium that colonizes the gastric mucosa, producing an inflammatory response. It would be a promising tool to incorporate new therapeutic practices against this pathogen, reducing the high antibiotic dose of the current treatments and providing an alternative for 20% of infected people with symptoms (140 million people worldwide) [6] for which antibiotic treatment is ineffective, contributing to improve population health. In this regard, there is a growing interest in the use of natural antibacterial compounds, such as plant extracts, rich in phenolic compounds

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