Susceptibility of helicobacter pylori to essential oil of dittrichia viscosa subsp. revoluta
PHYTOTHERAPY RESEARCH Phytother. Res.22, 259–263 (2008)
SUSCEPTIBILITYOF HELICOBACTER PYLORI
Published online 31 December 2007 in Wiley InterScience
(www.interscience.wiley.com) DOI: 10.1002/ptr.2284
SHORT COMMUNICATION Susceptibility of Helicobacter pylori to Essential Oil of Dittrichia viscosa subsp. revoluta Graça Miguel1, Leonor Faleiro1*, Carlos Cavaleiro2, Lígia Salgueiro2 and Joseph Casanova3 1Universidade do Algarve, FERN, Campus de Gambelas, 8005-139 Faro, Portugal 2Faculdade de Farmácia, Laboratório de Farmacognosia/CEF, Universidade de Coimbra 3000 Coimbra, Portugal 3Université de Corse, UMR CNRS 6134, Equipe Chimie et Biomasse, Route des Sanguinaires, 20000 Ajaccio, France The essential oil of Dittrichia viscosa subsp. revoluta and its fractions were assessed for anti-Helicobacter activity. The essential oil was isolated by hydrodistillation, submitted to flash column chromatography and analysed by gas chromatography, gas-chromatography coupled to mass spectrometry and 13C-nuclear magnetic resonance. The anti-Helicobacter activity was determined by incorporation of the crude essential oil and oxygenated fractions of the oil into the culture medium. At a concentration of 0.025 μL/mL no recovery was registered when one of the oxygenated fractions of the oil, mainly constituted by 3-methoxy cuminyl isobutyrate (about 40%), was used. This fraction revealed a higher activity against the six H. pylori strains tested when compared with the other oxygenated fractions. The crude essential oil at a concentration of 0.33 μL/mL reduced the initial population of H. pylori CCUG 15818 of 8.52 ± 0.30 log cfu/mL to 7.67 ± 0.22 log cfu/mL. The susceptibility of several Helicobacter pylori strains to the oxygenated fraction of Dittrichia viscosa subsp. revoluta essential oil suggests the possible use of these natural products in combating this widespread infec- tion. Copyright 2007 John Wiley & Sons, Ltd. Keywords:Helicobacter pylori; Dittrichia viscosa; essential oil; antibacterial activity.
side effect profile (headache, dizziness, nausea, diarrhea,
INTRODUCTION
pseudomembraneous colitis, mycosis, sore mouth andtongue, drug hypersensitivity and paraesthesia) are real
Helicobacter pylori is a Gram-negative spiral-shaped
problems of the triple therapy. The results of the double
bacterium that colonizes the human stomach and duo-
therapy on H. pylori eradication are also inconsistent
denum, despite the relative inhospitable gastric environ-
(Pakodi et al., 2000). Along with the development of
ment to the majority of bacteria (Lamarque and Peek
resistance to antibiotics there are other factors that
Jr, 2003; Stoicov et al.,2004). Chronic gastric infection
contribute to therapeutic failure: cost and efficacy of
by H. pylori may originate various gastric-related
antibiotics regarding the pH (for instance, amoxicillin
diseases such as chronic gastritis, peptic ulceration and
is most active at a neutral pH and tetracycline has
gastric cancer. Most colonized individuals (approxi-
greater activity at a low pH (Wang and Huang, 2005).
mately 80%) remain asymptomatic, presenting mild
Many naturally occurring compounds found in the
but diffuse inflammation of the stomach, showing little
dietary and medicinal plants, herbs and fruit extracts
or no atrophy throughout their lifetimes indicating
have been reported to possess antimicrobial activities
that the bacterium and the host adapt to each other
(Lin et al., 2005; Li et al., 2005; Wang and Huang, 2005;
through a long-term equilibrium (Blaser and Atherton,
Chun et al., 2005). For instance, recent research has
2004; Joseph and Kirschner, 2004). On the other hand,
demonstrated that resveratrol produced during wine
there are those individuals that are chronically infected
fermentation is active in acidic conditions (e.g. in stom-
and develop severe disease such as adenocarcinoma
ach) and may be linked to inhibition of H. pylori (Lin
et al., 2005). Green tea catechins (epigallocatechin and
A combination of therapeutic agents has been used
epicatechin) have been shown to inhibit the growth
in the eradication of H. pylori: (a) triple therapy with
of H. pylori in a guinea-pig model of infection (Stoicov
the antibiotics metronidazole, tetracycline or amoxicillin
et al., 2004). In some cases, flavonoids and isoflavonoids
and bismuth; (b) double therapy constituted by anti-
present in ethanol extracts of some plants were revealed
biotics jointly with proton-pump inhibitors (omeprazole)
to possess potent anti-H. pylori activities (Fukai et al.,
or with H -blockers (ranitidine). The resistance to
2002; Li et al., 2005). Generally, flavonoids have a range
metronidazole, in about 20% of patients especially
of biological activities and pharmacological effects,
those already treated with metronidazole, and the high
including also a pronounced antiulcerogenic activity(Motilva et al., 1992). The activity of essential oils againstHelicobacter pylori was reported (Ohno et al., 2003)
* Correspondence to: Leonor Faleiro, Universidade do Algarve, FERN,
and amongst the 13 essential oils tested for H. pylori
Campus de Gambelas, 8005-139 Faro, Portugal.
growth inhibition, Cymbopogon citratus (lemongrass)
and Lippia citriodora (lemon verbena) were demon-
Contract/grant sponsor: Fundação para a Ciência e a Tecnologia (FCT);contract/grant number: SFRH/BSAB/348/2003 (POCTI).
strated to have the highest bactericidal activities even
Copyright 2007 John Wiley & Sons, Ltd. Phytother. Res. 22, 259 – 263 (2008)
Copyright 2007 John Wiley & Sons, Ltd.
at low pH values (pH 4.0 and 5.0). During another
i.d., film thickness 0.25 μm). Carrier gas: helium at
investigation the combination of 0.0312 mg/mL of
0.8 mL/min; splitting ratio: 1:60; injection temperature:
origanum and monolaurin was cidal for H. pylori strain
250 °C; oven temperature programmed from 60 to
ATCC 49503 (Preuss et al., 2005).
220 °C at 2 °C/min and then held isothermal (20 min);
Dittrichia viscosa W. Greuter Asteraceae is a subshrub
widespread in Europe, especially in Mediterraneanareas (Devesa, 1987). This species has been used for
Gas chromatography-mass spectrometry. Analyses were
years in folk medicine in the treatment of gastroduo-
carried out in a Hewlett-Packard 6890 gas chromato-
denal diseases (Font Quer, 1978). Some studies revealed
graph fitted with a HP1 fused silica column (polydime-
that the antiulcerogenic effect of D. viscosa is mainly
thylsiloxane 30 m × 0.25 mm i.d., film thickness 0.20 μm),
due to its flavonoid fraction (Grande et al., 1992; Martín
interfaced with a Hewlett-Packard mass-selective detec-
et al., 1988). In addition to the flavonoid fraction, other
tor 5973 (Agilent Technologies) operated by HP Enhanced
authors studied the volatile oil of D. viscosa collected
ChemStation software, version A.03.00. GC parameters
in Turkey and Spain (Pérez-Alonso et al., 1996; Camacho
as described earlier; interface temperature: 250 °C; MS
et al., 2000). The essential oil of D. viscosa subsp. viscosa
source temperature: 230 °C; MS quadrupole tempera-
collected in Portugal was also subjected to studies in
ture: 150 °C; ionization energy: 70 eV; ionization current:
order to elucidate its ability to prevent H. pylori growth
60 μA; scan range: 35 –350 units; scan/s: 4.51.
(Silva et al., 2005). The investigators concluded that thechemical composition of the oil isolated from plants
13C-NMR. 13C-NMR spectra of the crude oil as well as
collected in Portugal was closer to that previously
the fractions of flash chromatography were recorded
reported (Camacho et al., 2000) for the oil obtained
on a Bruker AC200 Fourier Transform spectro-
from plants from Spain (Province of Jaénz) and for
meter operating at 50.323 MHz, equipped with a 10 mm
that from Corsica (Blanc et al., 2006), mainly in the
probe (200 mg oil; 2 mL CDCl ; 5000 scans) or 5 mm
presence of the major components fokienol and (E)-
probe (70 mg oil; 0.5 mL CDCl ; 10 000 scans), with all
nerolidol. Moreover in that study, a small amount of
shifts referred to tetramethylsilane (TMS). 13C spectra
essential oil of D. viscosa subsp. viscosa from Portugal
were recorded with the following parameters: pulse
was detected, for the first time, which could drastically
width (PW), 5 μs [or 3 μs] (flip angle 45°); acquisi-
reduce the growth of H. pylori (Silva et al., 2005).
tion time, 1.3 s and relaxation delay (Dl), 2 s (total
The main goal of the present contribution was
recycling time, 3.3 s) for 32 K data table with a spec-
to determine the ability of the essential oil of the
tral width (SW) of 12 500 Hz (250 ppm); CPD mode
Portuguese endemic D. viscosa subsp. revoluta and some
decoupling; digital resolution, 0.763 Hz/pt. An exponen-
of its fractions to inhibit the growth of H. pylori.
tial multiplication of the free induction decay with theline broadening of 1.0 Hz was applied before Fouriertransformation. Qualitative and quantitative analyses. The identity of the components was achieved from their retention Plant material. The aerial parts of Dittrichia viscosa
indices on polar and apolar columns, determined
subsp. revoluta were collected in the region of
relative to the retention times of a series of C -C n-
Algarve, Portugal in the flowering phase, during
alkanes with linear interpolation with those of authen-
tic components included in our own laboratory database. Acquired mass spectra were compared with reference
Isolation procedure. An essential oil sample was isolated
spectra from our own library or from literature data
by water distillation for 4 h from fresh material, using a
(Adams, 2004; Joulain and Konig, 1998). The identity
Clevenger-type apparatus, according to the procedure
was also determined by 13C-NMR spectroscopy, follow-
described in the European Pharmacopoeia (Anonymous,
ing the methodology developed and computerized in
1996). The essential oil was stored at 4 °C in the dark
our laboratories (Tomi et al., 1995).
prior to analysis. The yield of the essential oil was 0.3%
Relative amounts of individual components were
calculated based on GC peak areas without flameionization detector (FID) response factor correction. Oil fractionation. The bulk oil (2 g) was submitted to flash chromatography (FC), silica gel 63–200 μm. Antibacterial determination. Crude essential oil and
The first two fractions (F) were eluted with pentane
oxygenated fractions of the oil were eluted in 2-propanol
(F1 = 26 mg; F2 = 133 mg); two fractions were eluted
(10%, v/v) and all concentrations were from the same
with pentane/diethyl oxide (95/5) (F3 = 48 mg; F4 =
stock solution of the eluted essential oil. Essential oil
134 mg); two fractions were eluted with pentane/diethyl
and the oxygenated fractions of the oil were incor-
oxide (75/25) (F5 = 459 mg; F6 = 443 mg); the last two
porated into the Columbia agar medium (supple-
fractions were eluted with diethyl oxide (F7 = 339 mg;
mented with 10% blood, v/v). The 2-propanol was
tested previously for antimicrobial activity and at theconcentration used no effect on bacterial viability was
Gas chromatography. Analytical GC was carried out
registered. Helicobacter pylori strain 3, 28, 30, 40 and
in a Perkin-Elmer Autosystem XL gas chromatograph
147 are clinical isolates from gastric biopsies obtained
apparatus with dual FID and fused-silica capillary
at Faro Hospital (Portugal) and belong to the Micro-
columns with different stationary phases: BP-1 (poly-
biology Laboratory of Faculty of Natural Resources
methylsiloxane 50 m × 0.22 mm i.d., film thickness
Engineering of University of Algarve. H. pylori strains
0.25 μm), and BP-20 (polyethylene glycol 50 m × 0.22 mm
CCUG 15818, 26695 and J99 were used as laboratory
Copyright 2007 John Wiley & Sons, Ltd. Phytother. Res. 22, 259 – 263 (2008)
SUSCEPTIBILITYOF HELICOBACTER PYLORI TO ESSENTIAL OIL
strains. Bacterial viability was determined by the dropmethod (Chen et al., 2003). Briefly, the dilutions of the
RESULTS AND DISCUSSION
sample were done using a 96-well plate, initially 250 μLof the sample was distributed into the first well of each
The identified compounds in the essential oil of D.
row of the microplate followed by the preparation of
viscosa subsp. revoluta are indicated in Table 1, where
10-fold serial dilutions using a multichannel pipette
the components are listed in order of their elution
(Transferpette-8, Brandtech, USA) by transferring 20 μL
on the BP-1 column. The essential oil of D. viscosa
from the first row into 180 μL of medium on the next
subsp. revoluta was mainly constituted by oxygenated
column. The inocula were homogenized by pipetting
compounds. The fractions eluted with pentane/diethyl
at least 10 times and the followed dilutions were done
oxide (75/25), that is, fraction F5 and F6 provided 459
by repeating the process having changed pipette tips
and 443 mg, respectively; the elution with diethyl oxide
between dilutions. Afterwards, six replicates of 10 μL
produced fractions F7 and F8 with a total mass of 339
from each of the six selected dilutions were distributed
and 88 mg, respectively. The major components present
onto Columbia agar medium (supplemented with 10%
in the oil were 3-methoxy cuminyl isobutyrate (12%),
blood, v/v) at appropriate essential oil concentration.
α-cadinol (6.3%), eudesm-6-en-4α-ol (4.8%) and δ-
Inocula were allowed to dry before to introduce them
cadinene (4.6%). The presence of 3-methoxy cuminyl
in anaerobic jars (Oxoid, Basingstoke, Hampshire, UK)
isobutyrate was previously reported by Ascensão et al.
in the presence of Anaerocult A pack for generation
(1999) in the oil of D. viscosa subsp. revoluta repre-
of anaerobic conditions. The plates were incubated
senting 15% of the total oil of the inflorescences. The
presence of costic acid, isocostic acid and 4-en-ilicic
The MIC of the antibiotic amoxicillin was determined
acid were reported by Blanc et al. (2006, 2005, 2004)
by the ε-test (AB Biodisk, Sweden) in Columbia medium
for D. viscosa ssp. viscosa and Inula graveolens
from Corsica. The direct quantification of these three
Table 1. Composition of the essential oil of D. viscosa subsp. revoluta. Components listed according to their elution on the BP1 column
a RI: retention indices measured on apolar column (BP-1). b RI: retention indices measured on polar column (BP-20). nd: not determined.
Copyright 2007 John Wiley & Sons, Ltd. Phytother. Res. 22, 259 – 263 (2008)
eudesman-type acids by GC was not performed due totheir relative low volatility, being necessary to proceedto a previous derivatization in order to transform themin the corresponding methyl esters prior to the GCanalysis (Grande et al., 1992; Blanc et al., 2005). Regarding this, such acids were identified by 13C-NMR. The fractions used for the determination of anti-H. pylori activity were those mainly composed of oxygen-ated compounds not only by their highest mass ob-tained but also by the oxygenated components that aregenerally responsible for biological activities, namelyfraction 4, 5, 6 and 7. 3-Methoxy cuminyl isobutyratewas the major component detected in fraction F5constituting about 40% of the fraction. In fraction 6,one component not identified constituted 25% ofthe total oil, followed by T-cadinol, T-muurolol andcaryophylla-4(14),8(15)-diene-5α-ol that reached apercentage of 18% and finally eudesm-6-en-4α-ol (10%). The fraction F7 was mainly constituted by α-cadinoland α-eudesmol with a total percentage of 31%. Theolefinic fractions F1 and F2 eluted by pentane weremainly composed of α-copaene (34%), γ-cadinene (19%),
α-ylangene (15%), α-gurjunene (14%), α-muurolene(10%) and δ-cadinene (10%).
Crude essential oil of Dittrichia viscosa subsp. revoluta
demonstrated to have anti-Helicobacter activity deter-
Figure 1. Susceptibility of Helicobacter pylori strains CCUG
mined against the laboratory strain CCUG 15 818. At
15 818, 26 695, J99, 3, 28 and 40 to the oxygenated fractions
a concentration of 0.33 μL/mL the initial population
5 (A) and 7 (B) of the essential oil of Dittrichia viscosa subsp.
of 8.52 ± 0.30 log cfu/mL was reduced to 7.67 ±
revoluta. Data are the mean of three independent experiments.
Bars represent the standard deviation.
Susceptibility of H. pylori strain CCUG 15 818 to all
oxygenated fractions tested; F4, F5, F6 and F7 wasobserved. However, fraction 5, mainly constituted of3-methoxy cuminyl isobutyrate, showed the highest
that are highly resistant to the antibiotic amoxicillin
activity against the seven strains used, followed by frac-
are susceptible to oxygenated fraction F5.
tion F7 mainly composed of α-cadinol and α-eudesmol.
In spite of chemical differences detected in both
Anti-Helicobacter activity of the two active fractions is
subspecies, our previous results on the determina-
represented in Fig. 1. H. pylori strain CCUG 15 818
tion of the antimicrobial activity of Dittrichia viscosa
was the most susceptible; at a concentration of 0.025 μL/
subsp. viscosa essential oil indicated a specific activity
mL no growth was registered. H. pylori strains J99 and
of this essential oil against H. pylori but a null activity
strain 3 were middle resistant. At a concentration of
against an important foodborne pathogen Listeria
0.03 μL/mL the initial population of strains J99 (9.61 ±
monocytogenes (Silva et al., 2005). The use of the
0.07 cfu/mL) and strain 3 (9.77 ± 0.28 log cfu/mL) were
essential oil of Dittrichia viscosa subsp. viscosa and
reduced 1 log. At the highest concentration no recov-
D. viscosa subsp. revoluta may greatly contribute to an
ery of cells was registered. The most resistant strains
efficient control of this bacterial pathogen that is spread
were strain 26 695 and strain 147. At the highest con-
amongst the world population and for which the mode
centration tested (0.035 μL/mL) the initial population
of transmission is still controversial. Moreover due to
of strain 26 695 (9.02 ± 0.76 log cfu/mL) was reduced
the increase of the multiresistance pattern and also the
4 log, whereas the initial population of strain 147
increasing tendency of the public to consume ‘green
(9.04 ± 0.07 log cfu/mL) was reduced 6 log. Fraction 7
products’ the use of these types of compounds will
demonstrated an anti-Helicobacter pylori activity only
greatly help to combat this infection accompanied
against the strain H. pylori CCUG 15 818 (Fig. 1). At
by consumer confidence and support which plays an
a concentration of 0.025 μL/mL the initial population
important role to the therapy success.
of this strain (9.01 ± 0.04 log cfu/mL) was reduced 5 log.
The other strains did not experience a significant re-duction (Fig. 1). Regarding the susceptibility of H. pyloriAcknowledgement
strains to the antibiotic amoxicillin the MIC value forH. pylori strain J99, CCUG 15 818, 147, was 0.50 μg/
We thank Dr Maria de Lurdes Monteiro from Instituto Nacional de
mL, 0.16 μg/mL, 0.16 μg/mL and H. pylori strains 3,
Saúde, Dr Ricardo Jorge (Lisboa, Portugal) for providing the strainsof Helicobacter pylori CCUG 15 818, 26 695 and J99. We are grateful
28 and 40 were resistant to higher than 256 μg/mL. It is
to the Fundação para a Ciência e a Tecnologia (FCT) for a grant to
interesting to verify that the H. pylori strains 3 and 28
M. G. Miguel SFRH/BSAB/348/2003 (POCTI).
Copyright 2007 John Wiley & Sons, Ltd. Phytother. Res. 22, 259 – 263 (2008)
SUSCEPTIBILITYOF HELICOBACTER PYLORI TO ESSENTIAL OIL
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Gastroenterology Thursday 11 November 2010 Venue: Royal College of Physicians of Edinburgh, 9 Queen Street, Edinburgh Registration and Coffee Welcome by Dr Mike Jones, Vice-President, Royal College of Physicians of Edinburgh Session 1 – How do I manage Chair: Dr David Nylander, Consultant Gastroenterologist, Sunderland Royal Hospital C Diff diarrhoea Professor Chris P
nin beim Menschen absolut tödlich. Das Gegen- „Tierversuche zum Wohle des Menschen?“ teil ist bei etlichen Tierarten der Fall: Schafe, Pferde, Ziegen, Meerschweinchen, Kaninchen, Man kann es nur als Verdummung der Bevölke-Affen und Igel zum Beispiel können das eine oder rung bezeichnen, wenn trotz immer wiederkeh- Mensch Umwelt andere der genannten Gifte problemlos vertra-ren