In this study, to determine their alternative/complementary properties, organic cornelian cherry vinegar samples prepared by traditional (CCV), thermal pasteurization (P-CCV), and ultrasound (UT-CCV) methods were tested for antibacterial, antidiabetic, antihypertensive, and anticancer activities. As a result of response surface methodology optimization, the bioactive compounds were increased. With ultrasound treatment, the total phenolic content increased by 4.6%. The antibacterial activity was detected in all samples, while the lowest MIC values (28.4 μl/ml) in the presence of UT-CCV were found in Pseudomonas aeruginosa, Klebsiella pneumoniae, Bacillus cereus, and Staphylococcus aureus. In addition, apoptosis was induced in HT-29 and MDA-MB-231 cells were treated with the CCV, P-CCV, and UT-CCV samples compared to the control group. It was determined that UT-CCV has antidiabetic and antihypertensive effects. Therefore, our study encourages further clinical research on the alternative/complementary property of cornelian cherry vinegar in the treatment of various health manifestations including infections, cancer, diabetes, and hypertension. Novelty Impact Statement Bioactive components of organic cornelian cherry vinegar increased with ultrasound treatment. Organic cornelian cherry vinegar stimulates apoptosis in cancer cells. Vinegar samples prepared by the UT-CCV method show better antibacterial activity compared to CCV and P-CCV samples.
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