Anti-Helicobacter pylori activity and inhibition of gastritis by ......effects of standard...

5
Check for updates [SSN [738-6055 (Print) ISSN 2233-7660 (Onl ine) Lab Anim Res 2018: 34(2), 75-79 https: lldoi.orglI0.5625/lar.2018.34.2.7S Laboratory Animal Research hnpJ {submission , kaIas.(O".h Anti-Helicobacter pylori activity and inhibition of gastritis by Allium hookeri extract Hyun-A lee " Sunhwa Hong" Ji-Hyun Yoo!, Yungho Chungl, Okjin Kim 'A .• ICenter for Animal Resource Development, Wonkwang University, Iksan, Korea 2 Technlogy Service Division, National Institute of Animal Science, Rural Development Administration, Wanju, Korea 3 Deparlmenl of Companion Animal and Animal Resources Science, Joongbu UniversilY; Geumsan-gun, Korea ' InSlilure of Animal Experimelll & Efficacy Evaluarion, Wonk."vang Universiry, Iksall, Korea Allium hooked is widely consumed plant as a vegetable and herbal medicine in southeastern A si a. Allium hookeri has been reported antioxidant, improvement of bone health and antidiabetic effects. [n the prese nt study, we investigated the potential inhibitory effect of Allium hookeri extract (AHE) on Helicobader pylori. The in vitro a nti -bacteri al activiti es of AHE we re determined by disk agar diffusion method. Also, the inhibition effect of the AHE on H. pylori infection was inves ti gated using a mouse model. H. pylori coloni zation was confirmed by rapid urease tests, as described previousl y. Mucosal damage was evaluated g rossly and hi sto logically according to previously described criteria. As the results of the di sk agar diffusion assay, CL R, AMX and MTZ inhibited the bacte ri al growth with inhibition zone of 19.2, 15.2 and 7.5 mm , respectively. AHE 100 showed an inhibition zone value of 20.6 mm. Rapid urease tests of the mice stomachs demonstrated a significant reduction in H. pylori colonization. tn addition to the th erapeutic effect against H. pylori infection, th e AHE reduced mucosal inflammation and epithelial damages in Ihe stomach of H. pylori-in fected mice. These results demonstrate that the AHE successfull y cured an H. pylori infection and treated the H. pylori infcd:ion. This AHE could be a promis ing treatment for patients with gastric complaints including gastritis caused by H. pylori. Keywords: Allium hookeri, Hciicobadcr, H. pylori, gastritis, inhibit ion Received 24 April 2018, Revised version received 27 May 2018; Accepted 28 May 2018 HelicobaCler pylori is the most imponant etiologi cal The occurrence of strains resistant to antibiotics is agent of chronic gast rit is and peptic ulcers and also expected to increase; thus, it is imponant to search for increases the risk for gastric cancer [1 ,2]. Accumulating nonantibiotic substances to cure these infections [8]. evidence has demonstrated that eradicating H. pylori in A ll ium species conwin an abundance of organo-sulfur the stomach by administering oral antimicrobial agents compounds, vo latile sulfur compounds, proteins, results in the resolution of H. pylori-associated prostaglandins, frucwn, viwmins, and polyphenol s, and gastroduodenal diseases [3.4J. In add ition, eradication of particularly, i ts sulfur and numerous pheno li c compounds H. pylori also decreases the risk for gastric carcinogenesis make them great of interest [9J. A Ilium hookeri which is [5]. Triple combination therapy. using two ant ibacteri al a member of family Alliaceae subgenus Amerallium, is antibiotics and a proton pump inhibitor, achieves a high found in Ceylon, Greece, Yunnan, Southem China, eradication rate [6] ; however, such combination therapy Bhutan, Sri Lank, and India. nlese plants have been does not always successfu ll y eradicate fI. pylori. used by the local s 10 treat cough and cold, and heal bums Antibiotic chemotherapy occasionally produces side and wounds [10]. Several studies have demonstrated effects and fails to elim in ate the bacter ial in fection [7]. antioxidant acti vity and anti-inflammatory effect of 'Corresponding author: Okjin Kim, Center for Animal Resource Development, Wonkwang Un i versity, [ks<tn 54538, Korea Tel: +82-63-850-6668; Fax: +82-63-850-7308; E-ma i l: k imoj @wku.ac.kr This i5 all O""n Access nnictc under lhc lenns of tit.: Crealive Commons Allribulion Non-Commerciat Licenw (hllp :flcrc"ti\"c<:ommons.orgltic.:nwsl by·ncf3 .0) which ""nnils unreslricloo 'II)n-commercial usc, dimibution. and reproduclion in an}' mooium. provided lne original worl: is pm""rly citoo. 75

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[SSN [738-6055 (Print) ISSN 2233-7660 (Onl ine)

Lab Anim Res 2018: 34(2), 75-79 https:lldoi.orglI0.5625/ lar.2018.34.2.7S

Laboratory Animal

Research hnpJ {submission ,kaIas.(O".h

Anti-Helicobacter pylori activity and inhibition of gastritis by Allium hookeri extract

Hyun-A lee" Sunhwa Hong" Ji-Hyun Yoo!, Yungho Chungl, Okjin Kim 'A .•

ICenter for Animal Resource Development, Wonkwang University, Iksan, Korea 2Technlogy Service Division, National Institute of Animal Science, Rural Development Administration, Wanju, Korea

3Deparlmenl of Companion Animal and Animal Resources Science, Joongbu UniversilY; Geumsan-gun, Korea ' InSlilure of Animal Experimelll & Efficacy Evaluarion, Wonk."vang Universiry, Iksall, Korea

Allium hooked is widely consumed plant as a vegetable and herbal medicine in southeastern Asia. Allium hookeri has been reported antioxidant, improvement of bone health and antidiabetic effects. [n the present study, we investigated the potential inhibitory effect of Allium hookeri extract (AHE) on Helicobader pylori. The in vitro anti-bacterial activities of AHE we re determined by disk agar diffusion method. Also, the inhibition effect of the AHE on H. pylori infection was investigated using a mouse model. H. pylori colonization was confirmed by rapid urease tests, as described previously. Mucosal damage was evaluated grossly and histologically according to previously described criteria. As the results of the disk agar diffusion assay, CLR, AMX and MTZ inhibited the bacterial growth with inhibition zone of 19.2, 15.2 and 7.5 mm, respectively. AHE 100 ~1g/mL showed an inhibition zone value of 20.6 mm. Rapid urease tests of the mice stomachs demonstrated a significant reduction in H. pylori colonization. tn addition to the therapeutic effect against H. pylori infection, the AHE reduced mucosal inflammation and epithelial damages in Ihe stomach of H. pylori-in fected mice. These results demonstrate that the AHE successfully cured an H. pylori infection and treated the H. pylori infcd:ion. This AHE could be a promising treatment for patients with gastric complaints including gastritis caused by H. pylori.

Keywords: Allium hookeri, Hciicobadcr, H. pylori, gastritis, inhibit ion

Received 24 April 2018, Revised version received 27 May 2018; Accepted 28 May 2018

HelicobaCler pylori is the most imponant etiological The occurrence of strains resistant to antibiotics is agent of chronic gastrit is and peptic ulcers and also expected to increase; thus, it is imponant to search for increases the risk for gastric cancer [1 ,2]. Accumulating nonantibiotic substances to cure these infections [8]. evidence has demonstrated that eradicating H. pylori in All ium species conwin an abundance of organo-sulfur the stomach by administering oral antimicrobial agents compounds, volatile sulfur compounds, proteins, results in the resolution of H. pylori-associated prostaglandins, frucwn, viwmins, and polyphenols, and gastroduodenal diseases [3.4J. In add ition, eradication of particularly, its sulfur and numerous phenolic compounds H. pylori also decreases the risk for gastric carcinogenesis make them great of interest [9J. A Ilium hookeri which is [5]. Triple combination therapy. using two antibacterial a member of family Alliaceae subgenus Amerallium, is antibiotics and a proton pump inhibitor, achieves a high found in Ceylon, Greece, Yunnan, Southem China, eradication rate [6]; however, such combination therapy Bhutan, Sri Lank, and India. nlese plants have been does not always successfully eradicate fI. pylori. used by the locals 10 treat cough and cold, and heal bums

Antibiotic chemotherapy occasionally produces side and wounds [10]. Several studies have demonstrated effects and fails to elim inate the bacterial in fection [7]. antioxidant acti vity and anti-inflammatory effect of

'Corresponding author: Okjin Kim, Center for Animal Resource Development, Wonkwang Un iversity, [ks<tn 54538, Korea Tel: +82-63-850-6668; Fax: +82-63-850-7308; E-mail: [email protected]

This i5 all O""n Access nnictc dislribUl~-d under lhc lenns of tit.: Crealive Commons Allribulion Non-Commerciat Licenw (hllp :flcrc"ti\"c<:ommons.orgltic.:nwsl by·ncf3 .0) which ""nnils unreslricloo 'II)n-commercial usc, dimibution. and reproduclion in an}' mooium. provided lne original worl: is pm""rly citoo.

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76 Hyun-A Lee et al.

Lab Anim Res | June, 2018 | Vol. 34, No. 2

Allium hookeri [11-13], however, there is still insufficient

information available on the anti-helicobacter effect of

Allium hookeri extract.

The goal of this study was to determine the anti-

Helicobacter pylori activity and inhibition of Helicobacter

pylori-induced inflammation effects of the Allium

hookeri root extract (AHE).

Materials and Methods

Preparation of Allium hookeri extract

The dry mass of Allium hookeri was purchased from

an Oriental Pharmacy (Iksan, Korea), was according to

the standard as mentioned in Korean Pharmacopoeia and

Korean Herbal Pharmacopoeia, which are the official

compendia of standard. The procedure for preparing

AHE was as follows. The air-dried mass of Allium

hookeri (100 g) was cut into pieces and extracted twice

with 70% (v/v) ethanol (three times as much as the

weight of the dried plants) for 3 hours at 100o

C. After

filtration through a 400-mesh filter cloth, the filtrate was

refiltered through filter paper (Whatman, No. 5) and

concentrated on a rotary evaporator (N-2110, EYELA,

Tokyo, Japan) and the concentrated filtrate was evaporated

to dryness under vacuum with freezing dryer (FreeZone

2.5, Labconco, Kansas, USA). Finally, the solid residue

was collected, placed in sealed bottles and stored at

−20o

C.

Determination of anti-bacterial activity

The in vitro anti-bacterial activities of AHE were

determined by disk agar diffusion method [14]. Briefly,

a total volume of 100 μL of H. pylori suspension (1×108

colony forming units (CFUs)/mL) was spread onto

Mueller Hinton agar plates (BBL) containing 10% sheep

blood. Sterile paper disks (6 mm, BBL) were placed on

the agar surface with 3 different concentrations of AHE

extracts (12.5, 25 and 50 μg/mL) individually. DMSO

was used as negative control and antibiotics amoxicillin

(AMX, 0.05 mg/mL), clarithromycin (CLR, 0.05 mg/

mL), metronidazole (MTZ, 0.8 mg/mL), and alliin (0.05

mg/mL) were used as positive control. After 72 h for

incubation at 37o

C under the microaerophilic condition

with humidity, the inhibition zone was determined in

diameter.

Animals

5-week aged Specific pathogen-free (SPF) male

C57BL/6 mice were procured from Samtako Co. (Osan,

Korea). All animals were kept at the inspecting facility

of Wonkwang University (Iksan, South Korea) for 1

week to allow acclimation before experimentation.

Thereafter, they were kept in an isolated SPF barrier

room with regulated temperature (23±1o

C), humidity

(50±5%) and light/dark cycle (12/12 h). The animals

were fed a sterilized (2 M rad radiation) pellet diet

(Purina, Seoul, Korea) and sterilized water ad libitum.

All studies were performed in accordance with the Guide

for Animal Experimentation of Wonkwang University

and approved by the Institutional Animal Care and Use

Committee of Wonkwang University. All efforts were

made to minimize pain or discomfort to the animals

used.

Bacterial inoculation

H. pylori SS1 (B0890, Helicobacter pylori Korean

Type Culture Collection, HPKTCC) was incubated in

brain-heart

infusion broth containing 10%

fetal bovine

serum at 37o

C overnight

under a micro-aerophilic atmosphere

and allowed to grow to a density

of ~2.0×109

CFU/mL

culture broth. Animals were inoculated 3 times at 3-day

intervals by intragastric inoculation of 1.0×109

CFU H.

pylori suspended in 0.5 mL broth. The challenged

animals were confirmed to be H. pylori-positive by the

stool antigen analysis with SD Bioline H. pylori Ag kit

(Standard Diagnostics, Inc, Yongin, Korea) as described

previously [15].

In vivo study protocol

The inhibition effect of the AHE on H. pylori infection

was investigated using a mouse model. Mice were

divided into four groups: negative control (group I, n=

10); H. pylori-infected, AHE-untreated animals (group

II, n=10); and H. pylori-infected, AHE (25 mg/kg)-

treated animals-treated animals (group III, n=10); and H.

pylori-infected, AHE (50 mg/kg)-treated animals (group

IV, n=10); and H. pylori-infected, AHE (100 mg/kg)-

treated animals (group V, n=10). The AHE was

administered orally daily at 25, 50 and 100 mg/kg/day

dose during a 4 week treatment period.

At 4 weeks after H. pylori inoculation, all animals

were sacrificed and their stomachs were dissected after

ether euthanasia. Each stomach was opened along the

greater curvature and washed with saline. Then, half of

the glandular mucosa was scraped for detecting colonizing

H. pylori, and the residual part was formalin-fixed and

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Inhibition of H. pylori by Allium hookeri 77

Lab Anim Res | June, 2018 | Vol. 34, No. 2

embedded in paraffin for histological observations. H.

pylori colonization was confirmed by rapid urease tests,

as described previously [16]. Mucosal damage was

evaluated grossly and histologically according to

previously described criteria [16].

Statistical analysis

Values for all parameters under study were recorded

for each experimental unit, and the statistical analysis

was performed using a general linear model. Values are

reported as average ± standard deviation, when appropriate.

Student’s t-test was used for pair-wise comparisons.

Incidence percentages (95% confidence intervals [CIs])

were calculated with the MiniTab statistical software

program (Minitab, State College, PA, USA). A P-value

<0.05 was considered significant.

Results

Yield of Allium hookeri extract

The extract yield of the Allium hookeri extract with

70% ethanol was 12.54%. We analyzed AHE composition

by LC. The retention time of alliin in the specified LC

condition was 9.667 min. The concentration of alliin in

AHE was 710 μg/mL

Growth inhibition of H. pylori

We conducted the investigation of relative inhibitory

potency of AHE against H. pylori SS1 growth, using the

disk agar diffusion assay. AHE were tested at a maximum

concentration of 100 μg/mL. For referencing, inhibitory

effects of standard antimicrobial agents for treatment of

H. pylori infection, with CLR and AMX at 50 μg/mL,

and metronidazole (MTZ) at 800 μg/mL, and alliin at 50

μg/mL, were determined as well. To quantitative the

inhibitory effect of H. pylori, the diameter of growth

inhibition area was measured and expressed in millimeters

and presented in Table 1. As shown in Table 1, tested

agents showed a wide range of inhibitory effect against

H. pylori growth with inhibition zone ranging from 0 to

20.2 mm. The antibiotics CLR, AMX and MTZ inhibited

the bacterial growth with inhibition zone of 19.5, 15.6

and 7.6 mm, respectively. Alliin, an active ingredient of

Allium hookeri, inhibited the bacterial growth with

inhibition zone of 15.6 mm. AHE 100 μg/mL showed an

inhibition zone value of 20.6 mm (Table 1).

Rapid urease test

Repeated intragastric inoculation (1.0×109

CFU/

mouse, 3 times) of H. pylori to C57BL/6 mice revealed

positive reaction (red color) in Campylobacter-like

organism test (CLO) test on the gastric mucosa (Figure

1). The stomachs of H. pylori-infected mice orally

treated with AHEs 25, 50 and 100 mg/kg/day dose

during a 4 week treatment period displayed positive

reaction in 70, 50, and 10%, respectively (Table 2). Also,

we calculated CLO scores as described previously [16].

As shown in Figure 2, AHEs exhibited a significant

decrease of CLO scores as compared to H. pylori

infected group. These mean that AHE could eliminate

significantly the cases of H. pylori colonization.

Histopathological analysis

Pathological changes in the gastric mucosa were

negligible in animals from non-H. pylori inoculated

group I. In contrast, gastric atrophy and ulceration

developed in the gastric mucosa of mice in group II (H.

pylori inoculation only), indicating marked mucosal

destruction. However, mice in group III, IV and V (H.

pylori + AHEs 25, 50 and 100 mg/kg/day individually)

Table 1. Anti-H. pylori activities of Allium hookeri extract (AHE)

using the disk agar diffusion method

Treatment (μg/mL) Clear zone (mm)

Clarithromycin (50) 19.5±0.70*

Amoxicillin (50) 15.6±0.60*

Metronidazole (800) *7.6±0.45

Alliin (50) 15.6±0.61*

AHE

(0) 0±0*

(12.5) *5.6±0.61

(25) 10.9±0.46*

(50) 16.6±0.51*

(100) 20.2±0.57*

*Significantly different with Metronidazole (P<0.05).

Figure 1. Gross findings of rapid urease test with CLO test kit.

(A) Negative reaction (yellow color change) with control mice.

(B) Positive reaction (red color change) with H. pylori infected

mice.

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78 Hyun-A Lee el al.

Table 2. Reactivity in CLO test on the gastric mucosa of mice infected with H. pylori followed by treatment with or without Allium hookeri extract (AHE)

Group Treatment " Positive %" Therapeutic %

No treatment 10 0% (ClbO_27.6)

II H. pylori 10 100% (CI72.2-100) 0% (el 0-27,6)

III H. pyJori+AHE 25 mg/kg 10 70% (CI39.7-89.2) 30% (el 10.8-60.3)

IV H. pyJori+AHE 50 mg/kg 10 50% (CI23.7-76,3) 50% (el 23.7-76.3)

V H. py/ori+AHE 100 mglkg 10 10%(Cll.8-40.4r 90% (el 60.0-98.2)'

"The pos~ive percent revealed H. pylori colonization, which was observed as red color change from yellow color medium. "Incidence percentage (95% confidential interval) was calculated with MinlTab statistic software program. 'SigniffCantly different wrth H. pylori-infected Group II (P<O.05)

-

9 v ••

Con H. pylori AHE2S AHESO AHElOO

Figure 2. Score of rapid urease test with CLO test kit in H. pylori infected mice was significantly decreased by Allium hookeri extracts (AHE) (·P<O.05, HP<O,01).

Table 3. Histopathological lesions scores of mice infected with H. pylori followed by treatment with or without Allium hooken extract (AHE)

Group Treatment " Histopathological

lesions score

No treatment 10 0'" II H. pylori 10 6.4±1.07

III H. pyloritAHE 25 mgfkg 10 3.5±1.18·

IV H. pyloritAHE 50 mgfkg 10 2.3±1.34·

V H. pyloritAHE 100 mg/kg 10 0.8±O.79"

'SignifiCantly drfferent from the H. pylori-infected group II ("P<0.05, "P<0,01)

In the present study, we identified inhibition activity of

the AHE against H. pylori in a mouse model. Rapid

urease tests of the mice stomachs demonstrated a significant reduction in H, pylori colonization. In addition to the

therapeutic effect against H. pylori infection, the AHE reduced mucosal inflammation and epithelial damages in the stomach of H pylori-infected mice. It is likely that

H. pylori eradication caused a decrease in the degree of

inflammation in the stomach, although there is a

possibility that AHE itself has an anti-inflammatory effect on gastric mucosa.

Allium hookeri is a w ild herb cultivated in India,

Myanmar, Nepal , and China. It is mainly used as food

supplement and medicinal food. llle beneficial effects of

Allium hookeri has been extensively investigated including,

anti-oxidant [18], anti-inflammatory [11], anti-microbial [19], anti-obesity [20] and antidiabetic [21]. [IS beneficial

effect is attributed to the sulfur compounds, phenolic compounds, phytosterols and vitamin C [22]. Allicin and

ten alkyl thiosulfinates from AlliulII hookeri root extract were characterized by HPLC-ESIMS [23]. Non-volatile

organosulfur compounds, methiin and cycloalliin were detected as major compounds and volatile compounds

such as allyl methyl sulphides and dimethyl sulphides revealed markedly improved the vi ll i lesions. The were identified from AlliuIII hookeri [24]. Some of

histopathological lesion score in AHEs treated animals chemicals in Allium hookeri have showed biological

significantly lower than that in the infection control activities. Fendic acid4-0-p-o-g1ucopyranoside isolated group II (H. pylori inoculation only) (Table 3). from Allillm hookeri root has antioxidant activity [25].

TIle hot-water extract of Allium hookeri containing

Discussion alliin, sinapic acid, and ferulic acid exhibited beneficial effects on bone health [26].

H. pylori highly colonize the human gastric mucosa Although triple therapy, using two antibacterial

and perfectly adapted to that environment. Conceming antibiotics and a proton pump inhibitor, is effective and pathology, H. pylori causes gastritis and is classified as its short duration helps maintain patient compliance, a

a major primary risk factor for the development of considerable number of patients experience undesirable

gastric or peptic ulcers, gastric adenocarcinoma and side effects, such as diarrhea, epigastric pain, nausea, and mucosa-associated lymphoid tissue lymphoma [17]. bloating [27]. In contrast, AlliuIII hookeri is relatively

Lab Anim Res I June, 2018 I Vol, 34, No.2

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Inhibition of H. pylori by AUium hooken 79

safe and contains a wide range ofthiosulphinates such as allicin which arc thought t o be responsible for the

antibacterial activity [21·23]. These safety characteristics

of AHE may therefore be appropriate for use in prevention and therapy against H. pylori infec tion.

In t his study, AH E showed a significant inhibition

effect against H. pylori infection. It could be a prom ising

AHE treatment for paticnts with gastric complaints

inc luding gastric ulcers caused by H. pylori. AHE may be useful to treat patients w ith an H. pylori infection with

high thcrapeutic Cffi CllCY and safety.

Acknowledgments

This paper was supported b y Wonk wang Universi ty in 20 18.

Conflict of interests The authors declare thai there is

no fi nancial conflict of interests to publish these results.

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18. Lee EB. Kim JI I, Yang 111. Kim YS. lun HI. Ki B. Vi SH. Kim YS. Han SC. Kim DG Antioxidant and Jonb'C' it) proper1ics oflhc root of Allilllll I"JOke,.i in Cacnorhabdilis clcgans. Kor 1 I'hannaeogn 20 15; 46(3). 234-2-'2.

19. Li R. Wang YF. Sun Q. I lu 1t9. Chemical composi1ion and antimicrobial (lelil it)' of Ihe essential oil from Allillm hooker; t"Ollslunt'tl in Xishu;ulgbann.1. southwest China Nat Pmd Commun 2014: 9(6): 863-864.

20. Yang liS. Choi Y J. Jin I IY. Lt'C SC. I [uh CK. EIlL'Cts of Allium hooked rool water cxlmelS on inhibition of adipogcnt'Sis lll1d GLUT-4 c.xpn::ssion in ; 1")-1., adipocytcs. Food Sci Aiolcdmol 2016: 25(2): 6 15-621.

21. Roh SS, Kwon OJ. Yn1lg J11. Kim YS. Lee SII. Jin JS. Jeon YD. Yokozawa T. Kim IIJ. AIliI/I11 //OQkeri rool pmlcrts oxidmil'c stress-illduc~'tl inflalllnmlOI)' Tt'Sponscs and ]3-ccll d,mlage in IXUICrC3.S of Sln:ptw.olocin-indoo..'tl diaoclic r.us. B:\1C Complement Altcm Mcd 2016: 16: 63-72.

22. Ayalll VS. Allium hooke";. Th". Enulll. A lesser known Icrn.:strial perennial hcrb used as food and ilS cthnobotanical n::]cl·ancc in Manipur. Arric J Food Agric NulT Dc, 20 tl : tI(6): 5389-5412.

23. Rhyu DY. I'art; SI !. Charactcriallion of Alkll Ihiosulfin.1tC in AlliulII 11OOIr.,.,.i root using I I ]>LC-ESI-~·t S. J -Korean Soc Appl Iliol Coon 2013: 56(4): -'57-459.

24. Kim S. Kim Dfl, Lee S. part; J. Shin D. Yoo M. Profiling of organosulphur oompounds using 1ll'l.C·I'DA and GC/MS system and arllioxidanl aclhilk's in hooker chile (Allilllll hooken). Nat I'rod R~"S 2016: 30(24). 2798-28O.:l.

25. Jun II I. Jang II. Ahn D. Kim DK. Yang lH. Yun 9S. Kim YS. Isolation and chamc1cri/~lion of phenolic compound from AlliuJII hook('I"i rooI for pott'ntial use as antioxidant in foods. Food Sci lliOlt'ChnoI20I S. 24(6). 203 1-2034.

26. I'art; I I. JoongJ.II)"un II. Kim 1. Kim H. Oh HI. Choi JY. Hwang IIS.0h DI1. Kim JI. Kim 1111. Eflects ofa hot-watcr cxtracl of A/I;, .. " I,,)oker; roolS on bonl: fOmlalion in human ostcoblasl-likc MG-63 cells;II ,·ilm and in r:lts ill ,.il"O.I' lanta Mcd 2016; 82(16): 1410.14 15.

27. Sakamoto l. 19amshi M. Kimur.l K. Takagi A. Miwa T. Koga Y. Suppress ive eITt'Cl of L(II.·,(}fKlI:iIIn~ ga.l"se/"i 0 1.1.2716 (LG21) on IldicofKlClI:I" fI)"lori infection in humans. J Amimicmb Chcmothcr 2001: 47(5): 709-710.

Lab Anim Res I June, 2018 I Vol. 34, No. 2