Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Antibacterial, Antibiofilm, and Anti-inflammatory Activities of Zingiber Officinale Extract Against Helicobacter Pylori

Version 1 : Received: 28 June 2023 / Approved: 29 June 2023 / Online: 29 June 2023 (13:17:17 CEST)

A peer-reviewed article of this Preprint also exists.

Elbestawy, M.K.M.; El-Sherbiny, G.M.; Moghannem, S.A.; Farghal, E.E. Antibacterial, Antibiofilm, and Anti-Inflammatory Activities of Ginger Extract against Helicobacter pylori. Microbiol. Res. 2023, 14, 1124-1138. Elbestawy, M.K.M.; El-Sherbiny, G.M.; Moghannem, S.A.; Farghal, E.E. Antibacterial, Antibiofilm, and Anti-Inflammatory Activities of Ginger Extract against Helicobacter pylori. Microbiol. Res. 2023, 14, 1124-1138.

Abstract

The increased emergence of multidrug-resistant Helicobacter pylori influences the prevention of stomach cancer. Zingiber officinale is a plant usually used in folk medicine to treat a variety of diseases involving infections, nausea, vomiting, peptic ulcer, dyspepsia, and inflammation. This study was conducted to evaluate the ability of Z. officinale extract to combat resistant H. pylori. The disc diffusion, microdilution, and microplate assays were performed to evaluate the susceptibility to antibiotics, and the antibacterial and antibiofilm activities of the Z. officinale extracts. Using the checkerboard method, the combined effects of the gentamicin and Z. officinale extract were investigated. In addition, anti-inflammatory activity and GC-MS analysis were determined by the modified protocol. According to the findings, H. pylori isolates exhibited resistance rates of 56.33, 50.0, and 45.85 for metronidazole, gentamicin, and tetracycline, respectively. The methanolic extract of Z. officinale had the strongest effectiveness against resistant H. pylori isolates with MIC of 20.0 to 50.0 µg/ml against both H. pylori isolates and the stranded strain NCTC 11637. Z. officinale extract suppress the biofilm formed by H. pylori isolates with a percentage of 92.96% at 50.0µg/ml, compared with 97.19% for gentamicin at the same concentration. According to FICI values, combination of methanolic Z. officinale extract to gentamicin increases bacterial sensitivity to such drugs. Moreover, the Z. officinale extract exhibits strong anti-inflammatory activity. The GC-MS analysis of Z. officinale extract exhibits 17 different chemical compounds. Conclusions: The Z. officinale extract contain the anti-inflammatory compound gingerol as the main constituent which inhibits the growth of H. pylori and its biofilm, are a promising natural therapeutic alternative or enhance antibiotics activity

Keywords

H. pylori; antibiotics resistant; Z. officinale antibacterial; biofilm suppression; anti-inflammatory; GC-MS

Subject

Medicine and Pharmacology, Medicine and Pharmacology

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