In vitro antimicrobial activity of hydrosol from Litsea cubeba (Lour.) Pers. against Helicobacter pylori and Candida albicans

Use your smartphone to scan this QR code and download this article ABSTRACT Introduction: Helicobacter pylori and Candida albicans are classified as the most common pathogenic agents in humans. H. pylori is responsible for gastroduodenal diseases and greatly associated with gastric carcinogenesis, while C. albicans is themain cause of fungal urinary tract, genital yeast, and fungal skin infections. The increasing appearance of drug-resistant strains of H. pylori and C. albicans has made the treatment of the infections more serious. Hydrosols from plant steam distillation have been traditionally used in medicine, cosmetics, and culinary uses. They have been recently suggested as antimicrobial agents owing to their safety and ability to reduce the potential of resistance. The aim of the present study is to assess antibacterial and antifungal activities of hydrosols extracted from the fresh fruits of Litsea cubeba against H. pylori and C. albicans. Methods: The L. cubeba fruit hydrosol was obtained by steam distillation method. Evaluation of the growth-inhibiting and microbicidal effects of the hydrosol towards the H. pylori ATCC 43504 and C. albicans ATCC 10231 was determined through MIC (minimal inhibitory concentration), MBC (minimal bactericidal concentration), and MFC (minimal fungicidal concentration) measurements using broth dilution assays. Compositions of the dissolved essential oil (dEO) from the hydrosol were analyzed by GC-MS (gas chromatography-mass spectrometry). Results: The results indicated that the L. cubeba fruit hydrosol exhibited strong antimicrobial ability towards the bacterium H. pylori (MIC of 10%, MBC of 30%) and the yeast C. albicans (MIC of 10%, MFC of 40%). The cells of H. pylori and C. albicanswere killed completely after 24 and 18 hours of treatment with 30% and 40% of the hydrosol, respectively. The major constituents of the dEO were geranial (32.92%), neral (27.12%), p-menthan-8-yl acetate (8.45%), 2-cyclopropyl-2-methylspiro[2.2]pentane-1-carboxylic acid (8.09%), linalool (4.24%), andmethyl heptenone (4.15%). Conclusion: The results of the study suggest that L. cubeba fruit hydrosols could be used as potent natural antibacterial and antifungal preparations in the global effort to discover safe alternatives to toxic antimicrobial agents.


INTRODUCTION
Hydrosol is an aqueous layer (or aromatic water) located just below the essential oil (EO) layer during steam distillation of aromatic and medicinal plant materials. Hydrosol is the byproduct of steam distillation of EOs. Almost all hydrosols contain small quantities of dissolved essential oil (dEO). However, some plants contain a high amount of dEO 1 . Since hydrosols possess a wide range of beneficial properties, such as pH 5.5, pleasant scents, relaxing fragrance and antimicrobial ability, they are traditionally used in cosmetics, food applications, and medicinal purposes in many countries around the world 2,3 . These days, hydrosols have attracted an increasing number of researchers because of their eco-friendly, health-benefitting and safe characteristics 2,3 . Several recent studies have demonstrated that hydrosols from different plants ex-hibited strong antimicrobial activities against a wide variety of fungi and bacteria 2,[4][5][6][7] . Therefore, research on hydrosols would bring promising solutions for controlling pathogenic fungi and bacteria. Helicobacter pylori and Candida albicans are two of the most common human pathogens that cause a wide range of serious diseases for humans. H. pylori is a Gram-negative spiral bacterium with the ability to produce urease, persistently colonizing in the gastric mucosa of at least half of the world's population 8,9 . In some developing countries, the rate of infection with H. pylori can reach up to 80% or higher 10 . The bacterium has been proven to be responsible for gastroduodenal diseases and is greatly associated with gastric carcinogenesis 11,12 . C. albicans is a polymorphic fungus that is the common infectious agent of the skin, oral cavity and esophagus, gastrointestinal tract, vagina, and vascular system of humans 13,14 . The fungus, which is uniquely adapted to its human host, often exists as a harmless organism at various mucosa 15,16 . However, the pathogen can cause serious conditions under certain circumstances, including life-threatening systemic infection 14 . Antibiotic and antifungal therapies were successful in controlling the H. pylori and C. albicans infections, greatly contributing to reduction of diseases caused by these pathogens 17,18 . However, the side effects which resulted from the drugs and the rapid emergence of drug-resistant strains have made the therapies for the treatment of H. pylori and C. albicans lose their effectiveness [19][20][21] . Hence, there is an urgent need for new antimicrobial agents for more effective management of these infectious agents. Increasing public concern about healthy and natural products nowadays has promoted much research focusing on developing new medicines from plant sources. Numerous extracts and EOs were demonstrated to exhibit strong antimicrobial activities towards H. pylori and C. albicans without any resistance development of these microbes [22][23][24][25][26] . Fruit of Litsea cubeba, a member of Lauraceae family, has been used for stimulating the digestive system and in treatment of stomach ache in Vietnam [27][28][29] and Malaysia 30 . The EO from the fruit of Litsea cubeba was found to have a strong activity against both Gram-negative and Gram-positive bacteria [31][32][33] . In addition, the EO and terpenoid extraction from fruits of L. cubeba exhibited effective activity against several pathogenic fungi in plants and humans, including C. albicans 34,35 . However, no information has been obtained related to the constituents and the potential of the hydrosol from the L. cubeba fruit to control H. pylori and C. albicans. In the present study, the growth-inhibiting, bactericidal, and fungicidal effects of the hydrosol extracted from steam distillation of the L. cubeba fruit against H. pylori ATCC 43504 and C. albicans ATCC 10231 were assessed. Chemical constituents of dEO extracted from the hydrosol were also determined by gas chromatography-mass spectrometry (GC-MS).

Preparation of hydrosol
An amount of 800 gram of fresh fruit of L. cubeba was finely ground in a mixer and then subjected to steam distillation at 100 • C using a Clevenger-type apparatus with 3000 mL of water for 3 hours. The hydrosol was separated by a separation funnel; afterwards, the hydrosol (~1800 mL) was obtained and stored in dark bottles at 4 • C until used.

Microbial strains and culture conditions
The reference strains of H. pylori ATCC 43504 and C. albicans ATCC 10231 were provided by the Oxford University Clinical Research Unit Vietnam (OUCRU -VN) and Department of Plant Biotechnology and Biotransformation, Faculty of Biology and Biotechnology, University of Science, VNU -HCM, respectively. Authentication of these strains was done using MALDI-TOF MS (OUCRU -VN). The bacterial and the yeast strains were stored in BHIB and SDB media, respectively, supplemented with 25% glycerol and placed in a nitrogen liquid container until use. The H. pylori strain was cultured on Brucella agar added with 10% NBS, and then incubated at 37 o C for 3 days under a microaerophilic condition created by a 2.5 L Oxoid AnaeroJar and Oxoid CampyGen sachet (Thermo Fisher Scientific, Waltham, MA, USA). The bacterial suspensions (~5x10 7 CFU/mL) used for the bioassay were made in Brucella broth using a 72-h subculture of H. pylori on Brucella agar. The C. albicans strain was activated in SDB medium at 37 o C for 2 days. The yeast suspensions for bioassay (~5x10 6 CFU/mL) were prepared in SDB medium from a 48-h subculture of the activated C. albicans. Microbial density was determined using McFarland turbidity standards.

Separation and analysis of chemical constituents of dissolved essential oil
Dissolved essential oil (dEO) was extracted by vigorously shaking the hydrosol (900 mL) with hexane (10:1, v/v) for 30 minutes using the separation funnel. The mixture was allowed to settle and the hexane layer saturated with the dEO was separated from the water layer. The hexane layer was then evaporated at 42 o C under reduced pressure to obtain the dEO. The remaining water was removed from dEO by using anhydrous sodium sulphate. The yield of the dEO was determined based on the fresh weight of the sample. The dEO was kept in a dark vial and put in a fridge at -20 • C until analyzed. The dEO was analyzed by GC-MS, conducted at the Central Lab for Analysis, University of Science, VNU -HCM. In brief, 1 µL of the dEO was diluted in 1 mL hexane, and then 1 µL of the solution was analyzed by GC-MS using a Agilent 6890N gas chromatograph coupled to a mass spectrometer (Agilent 5975C inert MSD, Santa Clara, CA, USA). Compositions were separated on a fused silica capillary column (HP-5MS) coated with polydimethylsiloxane (60 m × 0.32 mm internal diameter, 0.30 µm film thickness). The following oven temperature program was initiated at 50 • C for 2 minutes, ramped at a rate of 2 • C/minute to 80 • C, 5 • C/minute to 150 • C, 10 • C/minute to 200 • C, and then increased at the rate of 20 • C/minute to a final temperature of 300 • C and held for 5 minutes. The MS operating parameters were an ionization voltage of 70 eV and electron multiplier energy of 1,024 V. Injector, interface, and ion source were kept at 220, 250 and 230 • C, respectively. Compound identifications were based on comparisons of their mass spectra (MS) with the MS obtained from a MS database of the National Institute for Standard Technology (NIST) (USA/Wiley, 2011).

Broth dilution assay
The values of MICs (Minimal Inhibitory Concentrations) and MBCs/MFCs (Minimal Bactericidal/Fungicidal Concentrations) were determined by the method of broth dilution in sterile 15 mL test tubes 26,36 . In brief, an amount of 100 mL bacterial suspension (~5x10 7 CFU/mL) or yeast suspension (5 x10 6 CFU/mL) was dispensed into each tube containing 1.9 mL of culture medium (BB medium for H. pylori and SDB medium for C. albicans)-without or with the hydrosol at various percentages of 10, 20, 30, 40, or 50% (v/v). The tubes were then shaken at 150 rpm and incubated at 37 • C for 48 hours. After incubation, 50 µL of resazurin indicator solution (0.01%) was added to each test tube. After the post incubation for 1 hour at 37 • C, the change of color in each tube was assessed visually. MIC values of the hydrosol against the microbial strains were determined as the lowest percentage values at which blue color of the indicator remained (indicating no microorganism growth) or changed from blue to slightly purple (equivalent to prominent growth inhibition). Test tubes containing bacterial or yeast suspensions, culture medium, and sterile distilled water were used as negative controls. Antibiotic amoxicillin and antifungal nystatin (as positive controls) were used to assure the reliability of the experiment results, and were similarly prepared. All bioassays were repeated three independent times and on triplicate samples. In order to determine the MBC/MFC values, the suspensions of the tubes without the color change of resazurin in the MIC assay were taken and made into 10-fold serial dilutions. Subsequently, the dilutions (each 100 µL) were spread on the surface of Petri dishes with Brucella agar and SDA for H. pylori and C. albicans, respectively. The dishes were incubated at 37 o C for 3 days, and the growth of the microorganisms was then checked. The lowest hydrosol percentage values that showed no growth on the subcultures were determined as MBC or MFC values.

Time-killing assay
The growth curves of H. pylori ATCC 43504 and C. albicans ATCC 10231 treated with the hydrosol 10, 20, 30 and 40% (v/v) were established. An amount of 100 µL of the microbial suspensions was inoculated onto test tubes containing 1.9 mL of cuture medium alone (control curve) or containing 10, 20, 30 or 40% of the hydrosol. Then, the test tubes were put in the incubator at 37 o C with shaking (150 rpm) for 0, 6, 12, 18, 24, 36, and 48 hours of incubation. At each of the incubation times, the suspensions were taken and 10-fold serial dilutions were made. The dilutions (each 100 µL) were spread on the surface of Petri dishes with Brucella agar and SDA for H. pylori and C. albicans, respectively. After the 3-day incubation, colonies were counted by a plate colony count technique.

Data analysis
All bioassays were repeated three to five times in triplicate, and mean values ± SD were presented. The Bonferroni multiple-comparison method was used to test for significant differences among the treatments using GraphPad Prism 5 software (GraphPad Software, Inc., La Jolla, CA, USA).

Antimicrobial effects of the L. cubeba fruit hydrosol on H. pylori and C. albicans
The MIC and MBC values of the hydrosol towards the H. pylori strain ATCC 43504 are shown in Table 2.
The hydrosol displayed a high growth inhibitory activity with a MIC value of 10% against the H. pylori strain. The hydrosol also exhibited a relatively strong bactericidal activity towards the bacterial strain with an MBC value of 30%. The growth-inhibiting and fungicidal effects of the hydrosol on the C. albicans strain ATCC 10231 are shown in Table 1. The hydrosol inhibited the growth of the yeast with the same MIC value (10%), in comparison with its effect on H. pylori. These results also indicate that the hydrosol had a potential fungicidal activity on the C. albicans strain with an MFC value of 40%.

Microbicidal time-kill of the L. cubeba fruit hydrosol against H. pylori and C. albicans
The growth curves of H. pylori ATCC 43504 were performed in order to evaluate the H. pylori bactericidal activity of the hydrosol over time. The results provided in Figure 2 indicated that the bacterial cells grew in a log phase from the start to 18 hours of the culture (5.92 -8.15 Log 10 CFU/mL) and in a stationary phase (8.48 -8.62 Log 10 CFU/mL) after 18 -48 hours in the negative control culture. In the cultures with the hydrosol, the viable count of the bacteria decreased in a concentration-and time-dependent manner. The H. pylori population treated with 10%, 20% and 30% of the hydrosol decreased significantly (p<0.05) compared with the negative control after 12 -48 hours. In the cultures treated with 10% hydrosol, the H. pylori strain was inhibited and could survive for 48 hours with no significant change in cell density (5.92 -6.08 Log 10 CFU/mL). The populations of the test strains declined significantly in the treatments of H. pylori with the hydrosol (20%) with cell density ranging from 3.74 -3.25 Log 10 CFU/mL in comparison with 8.48 -8.62 Log 10 CFU/mL for the controls after 24 -48 hours of treatment. In the cultures of 30% hydrosol, the microbial strains had sharp decreases in the viable count-from 5.92 to 2.61 Log 10 CFU/mL after 18 hours-and completely killed after 24 hours of treatment. Fungal time-kill curves of C. albicans after exposure to the hydrosol at various percentages were also determined and are shown in Figure 3. In the negative control cultures, the yeast population increased steadily (5.09 -7.81 Log 10 CFU/mL) during the period of 48 hours. In the cultures treated with the hydrosol, the growth of the yeast populations reduced in a concentration-and time-dependent manner. The C. albicans population gradually increased (5.09 -6.92 Log 10 CFU/mL) for 48 hours treatment with 10% of hydrosol, but the growth was significantly slower (p<0.05) than that in the control culture at 48 h (7.81 Log 10 CFU/mL). The C. albicans population treated with 20%, 30% and 40% of the hydrosol decreased significantly (p<0.05), compared with the negative control after 12 -48 hours. When treated with the hydrosol 20% and 30%, the number of the yeast cells had a significant fall (p<0.05) after 24 -48 hours of treatments with cell density ranging 3.51 -2.94 and 2.86 -2.48 Log 10 CFU/mL, in comparison with 7.19 -7.81 Log 10 CFU/mL of the controls, respectively. The exposure to the hydrosol 40% caused the yeast population to obviously drop, ranging from 5.09 to 2.60 Log 10 CFU/mL after 12 hours and completely killed after 18 hours of treatment.

DISCUSSION
Hydrosols from some plants were identified chemical constituents [37][38][39][40][41] , but there was no information about the composition of the L. cubeba fruit hydrosol. The previous studies of EOs from L. cubeba fruits collected in Vietnam, China, and India indicated that neral and geranial were the two main components of the EOs (66.3 -83.9%) [42][43][44] . Both of the two compounds were also the predominant constituents accounting for 60.04% of the dEO from the hydrosol in our study. Furthermore, other compounds, including methyl heptenone, eucalyptol, linalool, isopulegol, citronellal, terpinen-4-ol, and α-terpineol, were found present in the fruit EOs in several previous studies [42][43][44] . Interestingly, they were also found in the hydrosol in our study herein. In addition, the      positions. The richness in oxygenated monoterpenes, oxygenated sesquiterpenes, and phenolic compounds contributed to the strong antimicrobial activities of hydrosols 7,53,54 . Phenolic compounds can interfere with microbial membranes, cell walls, or the action of microbial enzymes 2 . Terpenoid compounds may disrupt the lipid structure and thus cause loss of membrane integrity, membrane protein functions (proton pumps and enzymes), and synthesis of cellular metabolites, leading to cell death 31,55 . The antimicrobial effects of the L. cubeba fruit hydrosol may be mainly due to the presence of citral (geranial and neral) 32,56 . Neral and geranial were found to be the two main components of lemongrass EO, which was demonstrated to have strong antibacterial activity against Gram-negative and Gram-positive bacteria 57 and resulted in a considerable decrease in the density of H. pylori in mouse stomach 24 . Citral and sabinene were reported to exhibit strong anti-H. pylori activities 58 . Citral was also shown to exhibit excellent activities against dermatophytes, thereby suggesting its potency as a fungicidal agent 59 . Furthermore, citral showed strong anti-fungal abilities towards pathogenic microbes E. coli, P. aeruginosa, S. aureus, and C. albicans, and was considered as a potential agent to control skin and mucosal infections 60 . The synergistic effects among major and minor components of the L. cubeba fruit hydrosol against H. pylori and C. albicans need to be further studied.

CONCLUSION
The present study revealed that the L. cubeba fruit hydrosol exhibited pronounced inhibitory and microbicidal effects against H. pylori and C. albicans. The results suggest that the L. cubeba fruit hydrosol warrants further study and could be developed as a potent antimicrobial product for treating C. albicans and H. pylori infections.

AUTHOR'S CONTRIBUTIONS
All authors made substantial contributions to conception and design, acquisition of data, or analysis and interpretation of data; took part in drafting the article or revising it critically for important intellectual content; gave final approval of the version to be published; and agree to be accountable for all aspects of the work.

AVAILABILITY OF DATA AND MATERIALS
Data and materials used and/or analysed during the current study are available from the corresponding author on reasonable request.

ETHICS APPROVAL AND CONSENT TO PARTICIPATE
Not applicable.

CONSENT FOR PUBLICATION
Not applicable.