1. Introduction
Flower buds and leaves of
Cleistocalyx operculatus (Roxb.) Merr. and L.M. Perry (or
Syzygium nervosum DC.) are rich sources of bioactive compounds, predominately containing flavonoids
, chalcones, and triterpenoids [
1,
2]
. Several solvent extracts of the flower buds have been reported to exert various pharmacological activities
in vitro and in vivo, including anti-hyperglycemic and cardio tonic effects [
3,
4,
5,
6]
. DMC (2’,4’-Dihydroxy-6’-methoxy-3’,5’-dimethylchalcone), a major constituent of the flower buds, was found to inhibit significantly the growth of human liver cancer cells and human umbilical vein endothelial cells [
2,
7]. Methanolic extract of the leaves was shown to have inhibitory activity against Gram-positive bacteria (e.g.,
Staphylococcus aureus,
Bacillus subtilis and
Streptococcus mutans) and the yeast
Candida maltosa, but no effect on Gram-negative bacteria (e.g.,
Escherichia coli and
Pseudomonas aeruginosa) [
4]. However, a previous study indicated that crude ethanolic extract of the leaves showed high antibacterial activity against
Helicobacter pylori ATCC 51932 and three clinical isolates of
H. pylori [
8]. Recent research has reported that crude hexane extract from flower buds of
C. operculatus displayed the most growth-inhibitory activity against
H. pylori and
Salmonella Typhimurium, while crude ethanol and methanol extracts of the flower buds exhibited the strongest antioxidant activities [
9]. Furthermore, the hexane extract was found to have the strongest inhibitory effect on
H. pylori urease activity [
9].
H. pylori is a Gram-negative bacterium with curved or spiral shape that infects and colonizes the human gastric mucosa [
10]. The bacterial infections are prevalent in over half of the world’s population, particularly in developing regions where the infections can affect as much as 90% of the population and tend to endure for a person’s lifetime [
11]. Despite being asymptomatic in most infected individuals,
H. pylori has been identified as the highly causative agent of chronic active gastritis, peptic ulcer disease, gastric adenocarcinoma, and mucosa-associated lymphoid tissue (MALT) lymphoma [
12,
13]. Several important factors, including vacuolating cytotoxin A (VacA), cytotoxin-associated gene A (CagA), chemotactic motility, adhesins, biofilm formation and urease production of
H. pylori, are known to contribute to the virulence of this organism [
14,
15,
16]. Its spiral shape is the predominant form involved in the ability to thrive and colonize the gastric epithelial cells. Under unfavorable conditions, the spiral forms can convert into coccoid forms as a survival mechanism, but the coccoid are much less infective and virulent, and less likely to colonize and cause inflammation [
16]. In addition, biofilm formation of
H. pylori provides the bacterium with protection and resistance to antimicrobial agents [
17]. Nowadays, global antibiotic resistance in
H. pylori is on the rise in many parts of the world leading treatment failures and reinfections [
10].
This study aims to investigate phytochemical contents in six solvent fractions of the C. operculatus flower buds and leaves, and evaluate their antioxidant, enzyme inhibitory, and anti-H. pylori activities. Effects of the fractions and DMC on biofilm formation, membrane permeability and cell morphology of H. pylori were also examined.
2. Materials and Methods
Chemicals, reagents, and enzymes used in bioactivity studies were purchased from Sigma-Aldrich (Schnelldorf, Germany) and Merck (Damstadt, Germany). Two strains of
Helicobacter pylori (ATCC 51932) and (ATCC 43504), and MCF-7 cells (HTB-22, human breast cancer cell line), HeLa cells (CCL-2, cervical carcinoma cell line), and Jurkat cells (TIB-152, blood cancer cell line) were provided by ATCC (The American Type Culture Collection, Manassas, Rockville), and fibroblast cells derived from human foreskins were provided by the Laboratory of Molecular Biology, Department of Genetics, VNUHCM-University of Science [
18]. Media and serum were provided by HIMEDIA (India), Becton, Dickinson and Company, Sparks, Gibco (New Zealand), and Sigma-Aldrich. All of the solvents and other chemicals were reagent grade and commercially available.
2.1. General Experimental Procedures
An Agilent 1260 infinity series HPLC system (San Jose, CA, USA) was performed using a ZORBAX Eclipse Plus C18 column (4.6 x 150 mm, 3.5 μm) maintained at 25°C with UV detection at 320 nm. The mobile phase compositions were acetonitrile and formic acid 0.1% (70:30, v/v) with a flow rate of 1 ml/min. The injection volume was 10 μl running time for 75 minutes. 1H and 13C NMR (Nuclear Magnetic Resonance) spectra were obtained in CDCl3 at 25°C using a 500MHz Bruker AVANCE III HD spectrometer (Germany). The fourier transform infrared spectroscopy (FT-IR) spectrum was recorded by Bruker Tensor 27 FT-IR Spectrometer (Bruker Optik GmbH, Ettlingen, Germany). Silica Gel 60 (0.06-0.2 mm) (Scharlau, Spain) were used in a silica gel column (∅2 × 30 cm).
2.2. Extraction and Isolation of Plant Material
Flower bud and leaf ethanolic crude extracts of
Cleistocalyx operculatus were previously obtained and described by Thanh et al. (2024). The ethanolic extracts of flower buds (90 g) and leaves (81 g) were partitioned by liquid-liquid fractionation to yield 1.8 g of flower bud hexane fraction (BHF), 78 g of flower bud ethyl acetate fraction (BEF), and 10.2 g of flower bud aqueous fraction (BAF) and 26.7 g of leaf hexane fraction (LHF), 24.3 g of leaf ethyl acetate fraction (LEF) and 30 g of leaf aqueous fraction (LAF), respectively, presented as supplementary material (
Figure S1).
Guided by anti-
H. pylori tests, BHF (1.8 g), one of the most active fractions, was subjected to silica gel column chromatography eluted with a gradient of
n-hexane (H) and ethyl acetate (EA) (100:0–0:100) to obtain six column fractions, fraction 1 (34.7 mg), fraction 2–3 (17.6 mg), and fraction 4–6 (56.4 mg) described previously by (7) (
Figure S1). Repetitive column chromatography of the fraction 2–3 (17.6 mg) eluted with H:AE = 90:10 (
Figure S1) resulted in an active principle 1 (14.2 mg) as a yellow needle-shaped crystals.
The purity of principle 1 was found to be greater than 95 % by HPLC analysis (
Figure S2) and its spectroscopic data matched the data reported in previous research of Choommongkol et al. (2022) [
19]. The principle 1, DMC (2′,4′-Dihydroxy-6′-methoxy-3′,5′-dimethylchalcone) was identified on the following evidence: FT-IR ν (KBr): the stretching vibrations of the O-H (3421 cm
-1), ν
Ar-H and ν
=C–H (3001–3028 cm
-1), the stretching vibrations of the C–H (2855–2925 cm
-1), the C=O (1626 cm
-1), the C
Ar=C
Ar (1451–1540 cm
-1), the deformation vibrations of the C-H (1359–1419 cm
-1), the stretching vibrations of the C-O (1111–1220 cm
-1) and the out of plane deformation vibrations of the C
Ar-H and =C–H (612–987 cm
-1) (
Figure S3). The data of
1H NMR,
13C NMR, and HMBC of DMC were shown in
Table S1,
Figure S4 and S5. The spectral data were identical to the published data of Choommongkol et al. (2022) [
19]. Additionally,
1H -
13C HMBC-correlations of DMC were presented in
Figure S6.
2.3. Total Phytochemical Contents
Total phenolic content (TPC) was quantified using the Folin-Ciocalteu assay indicated by Temesgen et al. (2022) [
20]
. An aliquot of each fraction (0.9 ml) was shaken vigorously with 4.5 ml of Folin-Ciocalteu reagent (10%) and incubated for 5 min in the dark. Then 1.8 ml of Na
2CO
3 (7%) was added into the mixture and continued to incubate for 30 min. Absolute ethanol was used as a control (blank), and acid gallic (0
–100
µg/ml) was also prepared to build a standard curve (y = 0.0095x + 0.0029, R² = 0.9978). Absorbance at 765 nm was subsequently measured using a spectrophotometer (UV-5100, Metash, Shanghai, China). The TPC was expressed as the mg gallic acid equivalent (GAE)/g of dry fraction.
Total flavonoid content (TFC) was determined following the aluminum chloride colorimetric method [
21]. An aliquot of each fraction (300
µL) was mixed with 150
µL of NaNO
2 solution (5%) and incubated for 6 min at room temperature. The mixture was then added with 300
µL of AlCl
3 (5%) and 1 ml of NaOH 1 M and stand for 6 min. Absolute ethanol was prepared as a control (blank) to replace the extract. Quercetin (0–100
µg/ml) was used to estimate the standard curve (y = 0.0075x - 0.0017, R² = 0.9998). Absorbance of the mixture was measured at 510 nm. TFC was expressed as mg of quercetin equivalent (QE)/g of dry fraction.
Total alkaloid content (TAC) was quantified using the modified method of Ncube et al. (2015) [
22]. Briefly, 1 ml of each fraction diluted in HCl (2N) was transferred to a separating funnel containing 5 ml of bromocresol green (BCG) solution (0.01%) and 5 ml phosphate buffer solution at pH 4.7. The mixture was shaken vigorous and extracted twice with 5 ml of chloroform. The alkaloid extracts were collected and diluted in a 10 ml volumetric flask with chloroform. The absorbance of the mixture was measured at 470 nm. Atropine (0–100
µg/ml) was used as standard solution (y = 0.0128x - 0.0493, R² = 0.9927) and absolute ethanol was control. The total content of alkaloids was shown as mg atropine equivalent (AE)/g of dry fraction.
Total tannin content (TTC) was quantified using a previously reported method [
21]. An aliquot of each fraction (0.5 ml) was added into 3.0 ml of vanillin solution (4% in methanol, w/v). Then, the mixture was mixed with 1.5 ml of HCl and incubated for 15 min in the dark. Absorbance of the mixture was read at 500 nm, and absolute ethanol was used as control (blank) to replace the extract. The TTC was calculated using catechin standard curve (y = 0.0012x + 0.0261, R² = 0.9984) and expressed as mg of catechin equivalent (CE)/g of dry fraction.
Total saponins content (TSC) was determined using the vanillin method [
23]. Briefly, each fraction (0.5 ml) was mixed with 0.1 ml of vanillin solution (5% in acetic acid, w/v) and 0.4 ml of perchloric acid 70%. The mixture was heated at 60 °C for 15 min in water bath and then cooling it down to room temperature. After that, 5 ml of absolute acetic acid was mixed well into the mixture. Oleanolic acid (0
–300
µg/ml) was used to measure the standard curve (y = 0.0041x - 0.0256, R² = 0.9934). The absorbance values were measured at 548 nm. The TSC was expressed as mg oleanolic acid equivalent (OAE)/g of dry fraction.
2.4. Antioxidant Assay
DPPH (2,2-diphenyl-1-(2,4,6-trinitrophenyl)hydrazyl) radical scavenging assay was followed the previous study as described by Elouafy et al. (2023) [
24] to assess antioxidant activity. Briefly, different concentrations of each fraction (0–150
μg/ml) were prepared in methanol. Each dilution (1 ml) was mixed well with 1 ml of DPPH methanolic solution (25
µg/ml) and incubated at 37 °C in the dark condition for 30 min. Absorbance of the mixture was subsequently measured at 517 nm. Absolute methanol and ascorbic acid were used as blank and positive control, respectively. The DPPH scavenging activity was calculated using Equation (1).
where OD
1 and OD
2 are the absorbance values of the blank and each fraction or ascorbic acid, respectively. The concentration required to inhibit 50% of the free DPPH radial (IC
50) was calculated by plotting the DPPH scavenging activity versus the sample concentration.
The measurement of antioxidant activity was also performed using the ABTS•+ (2,2′-azinobis(3-ethylbenzothiazoline-6-sulfonic acid) diammonium salt) assay presented by Olszowy-Tomczyk and Typek (2024) [
25] with some modifications. Briefly, the initial solutions consisted of 7 mM ABTS•+ solution (5 ml) and 140 mM K
2S
2O
8 solution (88
μl) to 2.45 mM final concentration. The working solution was reacted in the dark at room temperature for 16 hours and then diluted in ethanol until the absorbance value of 0.7 ± 0.002 at 734 nm using a spectrophotometer. Fresh ABTS•+ solution was created for each assay. For the analysis, each fraction (0.01 ml) was mixed with 0.99 ml of the ABTS•+ solution. After 6 min storage in the dark, the absorbance was measured at 734 nm. Absolute methanol and trolox (6-hydroxy-2,5,7,8-tetramethylchroman-2-carboxylic acid) were used as negative control and positive control, respectively. The ABTS•+ scavenging capacity was evaluated as the percentage inhibition of ABTS radical scavenging activity, using Equation (2).
where OD
1 and OD
2 was absorbance of the ABTS•+ radical cation in methanol and in each fraction or Trolox, respectively. The concentration required to inhibit 50% ABTS•+ solution (IC
50) was subsequently estimated by plotting the ABTS radical scavenging activity versus the sample concentration.
The FRAP assay was determined using a previously reported method [
21] with some modifications. Briefly, the FRAP reagent was prepared by mixing 300 mM sodium acetate buffer pH 3.6 (25 ml), 10 mM TPTZ (2, 4, 6- tripyridyl-s-triazine) solution in 40 mM HCl (2.5 ml), and 20 mM FeCl
3.6H
2O solution (2.5 ml) and then warmed at 37°C before using. To initiate the reaction, 150
μl of each fraction was mixed with 2850
μl of the FRAP reagent and then incubated at 37°C for 30 min in the dark condition. Standard curve of the assay was also prepared by using a serial concentration of Trolox (0–500
µg/ml). The absorbance of the colored product was read at 593 nm. The antioxidant capacity was expressed as mg Trolox equivalent (TE)/g of dry fraction.
2.5. Anti-Helicobacter pylori Assay
Two
H. pylori strains were stored in BHI (brain heart infusion) broth medium supplemented with 10% NBS (newborn bovine serum), which contained 10 mg/l vancomycin, 5 mg/l polymyxin B, 5 mg/l trimethoprim, and 2 mg/l amphotericin B, and 25% glycerol in a liquid nitrogen container until use. The minimal inhibitory concentrations (MICs) of the fractions and DMC were determined using a broth dilution assay in sterile 96-well plates for the bacterial strains [
26]. Different concentrations (1 to 1000
μg/ml) of tested samples were diluted in DMSO and then performed in 75
μl Brucella broth supplemented with 10% NBS to get the final concentration of DMSO in all assay less than 2.5%. Generally, 30
μl of bacterial suspension (5 × 10
6 CFU/ml) of each strain was added to 10
μl tested samples. Then, the plates were incubated at 37
oC and shaken at 50 rpm for 48 h in a microaerophilic jar using Oxoid CampyGen gas packs (Thermo Scientific, UK). The lowest concentration that visibly inhibited bacterial growth using resazurin as an indicator was defined as MIC value.
2.6. Enzyme Inhibitory Assay
Crude urease of
H. pylori ATCC 43504 was prepared according to the method of Ngan et al. (2012) [
27]. Briefly, 10
μl each fraction or DMC at various concentrations of 0–500
μg/ml were added in 30
μl EDTA-sodium phosphate buffer 20 mM (pH 7.3). Then 10
μl urease solution (75
μl urease/1 ml of the buffer) was added and incubated at room temperature for 1 h before adding 50
μl urea solution (0.24 mg urea/1 ml of the buffer) and continue to incubate at room temperature for 30 min. After that, 40
μl of solution A (40% sodium salicylate and 0.3% sodium nitroprusside) and 60
μl solution B (0.5% sodium hydroxide and 0.042% sodium hypochlorite) were added into the mixture. The ammonia released by the urease was quantified by measuring absorbance on a Microlisa Plus microplate reader (Micro Lab Instruments, India) at 625 nm with ammonium chloride as a standard and buffer solution as control.
The α-glucosidase activity was determined by measuring the release of p-nitrophenol from pNPG (p-nitrophenyl-α-D-glucopyranoside) according to the method of Shai et al. (2011) [
28] with slightly modification. Each fraction and DMC were dissolved in DMSO (dimethyl sulfoxide) to a serial concentration (0–500
μg/ml). A mixture containing 100
µl of potassium phosphate buffer (100 mM, pH = 6.8), 20
µl of α-glucosidase (2.0 U/ml) and 40
µl of tested samples was prepared and pre-incubated at 37 °C for 15 min. The reaction was initiated by adding 40
µl of pNPG 5 mM and incubated at 37 °C for 20 min. To stop the reaction, 100
µl Na
2CO
3 0.1 M was added to the solution. The amount of p-nitrophenol released was determined by measuring absorbance at 405 nm. Acarbose was used as standard inhibitor.
The control solution contained buffer solution (40 μl) instead of the fractions, DMC or standard
inhibitor.
The α-amylase inhibitory activity of the fractions and DMC were caried out according to the method of Ogunyemi et al. (2022) [
29] with slightly modifications. A mixture of 100
μl of various concentrations (0–500
μg/ml in DMSO) of each fraction or DMC and 100
μl of sodium phosphate buffer (0.02 M, pH 6.9) containing 200
μl of α-amylase solution (2.5 U/ml) were incubated at room temperature for 10 min. After preincubation, 200
μl soluble starch solution 1% in sodium phosphate buffer were added to the mixture. The reaction mixtures were then incubated at 30
°C for 10 min followed by addition of 300
μl of HCl 1 N to stop the reaction. The mixture was added 90
μl of iodine solution 10% to observe the color change and diluted with 10 ml of distilled water. The sodium phosphate buffer and acarbose were used as control and standard inhibitor, respectively. The absorbance was read at 540 nm.
These enzyme inhibitory activities were determined using Equation (3).
where Ac was the absorbance of the control and As was the absorbance of the fractions, DMC or standard inhibitors.
2.7. Biofilm Formation Inhibitory Assay
The biofilm inhibition of
H. pylori ATCC 43504 by the fractions and DMC was carried out in 96-well plates as reported previously [
30]. In brief, 30
μl the bacterial suspension (10
8 CFU/ml) and 10
μl the tested samples at sub-MICs (MIC/2, MIC/4 and MIC/8) were added into 60
μl of Brucella broth in each well of sterile 96-well plates. Blank wells containing DMSO and background wells containing samples was also similarly arranged as control wells without the bacterial suspension. After 48h incubation at 37°C in microaerobic environment with shaking at 150 rpm, the medium was removed and the wells washed with PBS (phosphate buffer saline 0.01 M, pH 7.2). The plates were then air dried before fixing with absolute methanol for 15 min and dried against. Each well was dyed with a 0.1% crystal violet solution for 10 min and washed with distilled water. The dried plates were dissolved crystal violet using 95% ethanol for 15 min and measured the absorbance at 595 nm using Microlisa Plus microplate reader.
2.8. Scanning Electron Microscopy
To determine the efficacy of BHF and DMC against
H. pylori through the morphological changes, scanning electron microscopy (SEM) analysis was performed [
31]. Overnight broth cultures of
H. pylori ATCC43504 were prepared in Brucella broth. The cell suspension of
H. pylori was cultured after 48 h with or without tested samples at MIC concentrations. Then the bacteria were harvested by centrifugation at 14000 rpm for 5 min. In brief, the specimens were fixed in modified Karnovsky’s fixative (2% glutaraldehyde and 2% paraformaldehyde in 0.05 M sodium cacodylate buffer, pH 7.2) for 4 h and post-fixed in 1% osmium tetroxide in 0.05 M sodium cacodylate buffer for 4h at 4
oC. The specimens were dehydrated through a series of increasing concentrations of ethanol (20, 40, 60, 80, 95% and absolute), then treated twice with hexamethyldisilazane, each for 15 min, and dried at room temperature overnight. SEM was performed by Institute of Chemical Technology, Ho Chi Minh city, Vietnam. The specimens were then mounted on SEM stubs by double-sided carbon conductive tape and coated with gold (JEC-3000FC ion sputter, JEOL Co., Japan). The SEM images were obtained using a scanning electron microscope JSM-IT200 (JEOL Co., Japan) operating at acceleration voltage of 5 kV.
2.9. Membrane Permeability Assay
The alteration in membrane permeability of
H. pylori was detected by crystal violet assay [
32]. Shortly, 30
μl suspensions of
H. pylori ATCC 43504 (10
8 CFU/ml) were prepared in 60
μl of BB medium and 10
μl of each fraction and DMC at different concentrations (MIC, MIC/2, MIC/4 and MIC/8). The mixture was incubated in 2 h and the cells were harvested at 4500 rpm for 5 min at 4°C. The cells were washed twice in PBS (0.01 M, pH 7.2). After that the cells were resuspended in 1 ml PBS containing 100
μl crystal violet 0.1 % and incubated for 5 min at 37 °C. The suspension was then centrifuged at 14000 rpm for 15 min and the OD
590 of the supernatant was measured in Microlisa Plus microplate reader. The percentage of crystal violet uptake of the
H. pylori cells in all the tested samples was calculated using Equation (4).
2.10. Cell line Cultures and Cytotoxicity Assay
MCF-7, HeLa, Jurkat, and fibroblast cell lines were grown in EMEM (Eagle’s minimal essential medium) for MCF-7 and HeLa cells, RPMI (Roswell Park Memorial Institute) medium for Jurkat cells, and DMEM/F12 (Dulbecco’s modified eagle medium: nutrient mixture F12) medium for fibroblast cells. These media were supplemented with 10% FBS (fetal bovin serum), 2 mM L-glutamine, 20 mM HEPES, 0.025 μg/ml amphotericin B, 100 IU/ml penicillin G, and 100 μg/ml streptomycin, at 37°C and 5% CO2. Fibroblast cells used were between passages 2 and 5, and HeLa, MCF7, and Jurkat cells used were between passages 4 and 20.
The SRB (Sulforhodamine B) assay was performed as previously done by Nguyen and Huynh (2016) [
18]. In brief, cells were seeded in 96-well plates at a density of 10,000 cells/well for MCF-7, HeLa, and fibroblast, and 50,000 cells/well for Jurkat cells. These cells were then cultured for 24 h before exposure to varying concentrations of each fraction or DMC for a duration of 48 h. Treated cells were fixed with a cold 50 % (w/v) trichloroacetic acid solution for 1–3 h, then washed and stained with 0.2 % (w/v) SRB for 20 min. After five subsequent washes with 1 % acetic acid, protein-bound dye was solubilized in a 10 mM Tris base solution. Optical density values were determined using Microlisa Plus microplate reader at wavelengths of 492 nm and 620 nm. Camptothecin served as a positive control and DMSO 0.25% as negative control. The percentage of growth inhibition was determined using Equation (5).
In which ODt and ODc are the optical density value of the tested sample and the control sample, respectively.
2.11. Statistical Analysis
MIC values of each tested extract and amoxicillin were obtained from at least three independent experiments performed in triplicate (n ≥ 9). Tested materials with MIC values of ≤ 130, > 130–< 630, 630–1250, > 1250–< 2500, and ≥ 2500
µg/ml was classified as the extremely high, high, moderate, low, and no inhibitory activity against the growth of tested bacteria, respectively [
33]. All other experiments were performed in triplicate and data were shown as mean ± standard derivations (SD) (n ≥ 3). Analysis of variance (ANOVA) by Tukey’s multiple comparison tested as
P < 0.05 and half maximal inhibitory concentration
value (IC
50) and half cytotoxicity concentration (CC
50) values were conducted using
GraphPad Prism 8 software program (San Diego, CA).
4. Discussion
Phytochemicals (e.g., polyphenols, flavonoids, alkaloids, tannins and saponins) are known to play an important role in overall health and disease prevention. In the
C. operculatus flower bud and leaf fractions, the contents of phytochemicals significantly varied depending on the solvents used. Similarly with other previous studies, high polyphenols content was mostly found in the aqueous extracts of both
C. operculatus flower buds and leaves [
20,
21,
35,
36,
37]. Minh et al. (2023) [
38] recently showed that flavonoids content was only present at low level in the aqueous extracts of
C. operculatus fresh leaves (2.73 mg QE/g) when compared with that in the hexane and ethyl acetate extracts
. The flavonoid contents were present at low level in aqueous extracts of
C. operculatus fresh leaves (2.73 mg QE/g) [
38] and flower buds (81.1 mg QE/g) [
9] when compared with that in the hexane fraction.
In our study, flavonoids have been found to be remarkably rich in the hexane and ethyl acetate fractions. Chalcones belonging to flavonoids family, especially DMC, have been presented as bioactive agents isolated from the non- or low-polar solvent extracts of the flower buds [
1,
2,
7,
39,
40]. The contents of saponin and tannin were also high in these hexane and ethyl acetate fractions, particularly in the flower buds of
C. operculatus. The tannin content in hexane fraction was reported to be higher than that in aqueous extract of
C. nervosum pulp [
41].
It is well known that the higher polyphenol and flavonoid contents could significantly increase the antioxidant capacity of plant extracts [
42]. In the present study, hexane and ethyl acetate fractions exhibited weaker antioxidant capacities than the aqueous counterparts. This may be because the content of flavonoids was present at lower levels than those of other phenolic compounds in the flower buds and leaves of
C. operculatus. The aqueous fractions in our study exhibited similar antioxidant capacity to those of aqueous extracts from the flower buds and leaves of
C. operculatus reported by Mai et al. (2009) [
35]. Comparing to the other studies, most of the
C. operculatus fractions performed higher antioxidant capacity than those of
Psidium guajava L. [
43],
Halimium halimifolium [
21] and
Syzygium aromaticum flower buds [
20].
The researches of Mai et al. (2009) [
35] and Minh et al. (2023) [
38] have shown that there were very little to no alkaloids in
C. operculatus. Our study identified alkaloids in all of the tested fractions at significantly lower concentrations than other phytochemicals. Although the antioxidant activity of alkaloids was also demonstrated [
4], the presence of alkaloids at low levels in the fractions of the
C. operculatus flower buds and leaves could make them contribution secondary when compared with polyphenols and flavonoids.
Among the fractions of
C. operculatus flower buds and leaves, the hexane fractions and the isolated compound DMC presented the strongest growth inhibitory activity against
H. pylori. This indicated that flavonoids and other phenolic compounds could have a high synergistic activity against the growth of
H. pylori. Especially, the single compound DMC, isolated from the flower buds of
C. operculatus, was found to have 2.5 to 5 times more potent inhibitory activity than these hexane fractions. Similarly, terpenes (e.g., diterpenes and sesquiterpenes) and phenolic compounds from leaf extract of
Caseria sylvestris have been reported to provide a high synergism against
H. pylori [
44]. Several studies have shown that extracts from the flower buds and leaves possessed antibacterial activity against many types of Gram-negative and -positive bacteria such as
Xanthomonas spp. [
45],
Staphylococcus aureus,
S. epidermidis, S. haemolyticus,
Bacillus subtilis, and
Streptococcus mutans [
4],
H. pylori [
8], and
S. pyogenes [
46]. In addition, DMC has been also known as a bioactive agent against cellular oxidative stress [
2] and cytotoxic effect [
19,
47]
. Crude ethanolic extract from leaves [
8] and crude hexane extract from flower buds of
C. operculatus [
9] had previously reported to have high antibacterial activity against
H. pylori. However, to date, there is no data reported on antibacterial activity of DMC isolated from
C. operculatus flower buds against the pathogenic bacterium.
The antibacterial activity of
C. operculatus fractions against
H. pylori was found to be higher than those of other reported medicinal plants such as
Cichorium intybus (MICs of 1.25–10 mg/ml),
Cinnamomum zeylanicum (MICs of 1.25 to 5 mg/ml), and
Foeniculum vulgare (MICs of >10 mg/ml) [
48]
, and
H. rosa sinensis (MICs of 0.2–0.25 mg/ml) [
26]
. It was previously reported that 2’,4’- dihydroxychalcone isolated from leaves of
Muntingia calabura provided antibacterial activity against methicillin-susceptible and -resistant
Staphylococcus aureus (MICs of 50 and 100 mg/ml, respectively) [
49]. Recently, the flavonoids naringenin, myricetin, and luteolin isolated form red flowers of
H. rosa sinensis were reported to display effective anti-
H. pylori properties (MICs of 100–150 μg/ml) [
30]. In our study, DMC (2′,4′-Dihydroxy-6′-methoxy-3′,5′-dimethylchalcone) was found to possess the potent growth inhibitory activity against
H. pylori (MICs of 25–50
µg/ml).
H. pylori can produce urease for successful survival in acidic condition and colonization in gastric mucosa of the human stomach. Therefore, inhibition of the bacterial enzyme could prevent the bacterial growth and colonization. The crude hexane extract from flower buds
C. operculatus was found to have a strong inhibitory effect on
H. pylori-urease activity [
9] The
C. operculatus fractions and DMC in our present study have also been found to possess potent inhibitory effects on the urease of
H. pylori and much stronger than those of
Fagonia arabica L. and
Casuarina equisetifolia L. reported by Amin et al. (2013) [
50]. The flavonoid quercetin, present in acetone extract of
Heterotheca inuloides Cass. (Asteraceae), has been known to display a high in vitro inhibition against the enzyme with IC
50 = 132.4
μg/ml [
51]
. Several other flavonoids (such as naringenin, myricetin, and luteolin) and phenolic acid (protocatechuic acid) from red flowers of
Hibiscus rosa sinensis were also reported to produce the potent inhibition of
H. pylori-urease activity [
30]
.
In addition, inhibition of α-amylase and α-glucosidase activities has been known to be one of the treatments for diabetes since it helps to control glucose levels in the blood. Previously reported by Zhang and Lu (2012) [
6]
, the aqueous extract of
C. operculatus flower buds and DMC inhibited α-amylase with IC
50 values of 73.10 and 20.67
µg/ml, respectively. Recently, Chukiatsiri et al. (2023) [
52] indicated that hexane extract of
C. nervosum had no inhibitory activity against both α-amylase and α-glucosidase, but the aqueous extract of this plant revealed depressing effect on both of the enzymes with IC
50 values of 0.61 and 0.44 mg/ml, respectively. In the recent study, we found that the
C. operculatus fractions had strong inhibitory effect on α-glucosidase, while DMC displayed inhibitory activity against α-amylase.
Moreover, adverse effects on the bacterial biofilm formation, cell morphology and membrane permeability have been also well described as mode of action of plant secondary metabolites on the bacterial survival [
53,
54]
. In the current study, we found that all
C. operculatus fractions and DMC inhibited urease with the IC
50 values significantly smaller than their MIC values. At sub-MICs, they also exhibited the pronounced antibiofilm activity as the biofilm growth can be reservoirs for the spread of the pathogenic bacterium, persistent infection and resistance to adverse factors [
55]. EtOAc fraction of
H. rosa-sinensis red flowers at MIC/2 (0.125 mg/ml) has been reported to inhibit biofilm formation of
H. pylori by 79.3% and cause considerable transformation of the spiral forms to the coccoid forms (91 vs 18% at 1.5 and 0.75 mg/ml after 48 h of treatment) [
26]. The flavanone naringenin was found to display the most antibiofilm activity (85.9 versus 52.7% of inhibition at MIC/2 and MIC/4 = 25 μg/ml) [
30]. The flavanone also induced morphological conversion of
H. pylori to the coccoid forms (95 versus 16.5% at 1000 and 500 μg/ml) followed by the flavone luteolin (87.5 versus 14.7%) which caused higher conversion to the coccoid forms than the flavonol myricetin (79 versus 15%) [
30]. Previously, the m
ethanolic extract of C. operculatus leaves have been known to have the anticaries activity against
Streptococcus mutans in terms of inhibition of acid production and biofilm formation [
4]
. This current study is
first report of
anti-H. pylori and antibiofilm activities and morphological conversion of the bacterial cells caused by C. operculatus flower bud and leaf fractions and DMC.
Furthermore, naturally occurring chalcones found in many medicinal and edible plants have been known to be precursors of plant flavonoids [
56]. Flavonoids possessing antibacterial properties could penetrate the lipid bilayer membrane causing increase in membrane permeability and alleviating the bacterial pathogenicity [
57]. In our study, the
C. operculatus flower bud and leaf fractions, especially the isolated DMC were proven to effectively increase the membrane permeability of
H. pylori. Results from SEM images indicated that hexane fraction of
C. operculatus flower buds and DMC produced extensive morphological damages causing increase in the membrane permeability and exerted bactericidal effects. The
H. pylori cells treated with hesperetin, naringenin, 7-O-butylnaringenin were shown to be damaged and resulted in morphological alterations or irregular shapes and rough surfaces [
58,
59]
. Hesperidin was reported to interact with bacterial cells and induce membrane disruption leading to leakage of cytoplasmic components prior to cell death [
60]. Ergüden and Ünver (2021) [
61] proposed that phenolic chalcones induced ion leakage from Gram-positive bacterial cytoplasm prior to the membrane deformation and cell death.
Cytotoxicity experiments showed that the
C. operculatus fractions and DMC are not toxic to the tested cell lines, in which the flower bud hexane fraction (DMC-rich fraction) was more toxic to the three cancer cell lines (MCF-7, Jurkat, and HeLa) than to the fibroblast cells. The DMC-rich extract obtained from fruits of
S. nervosum was also reported to have stronger anticancer activities against A549 (human lung cancer cells) and HepG2 (human liver cancer cells) than the individual DMC [
19] These showed that the fractions and DMC have selective inhibitory effects on
H. pylori-urease and induce morphological conversions and membrane disruption leading to the cell death.
Author Contributions
Conceptualization, D.T.T., L.T.M.N. and T.T.H.; methodology, D.T.T., M.T.T., N.T.M.T., P.N.P.T., P.T.H.T, P.T.G.T.,L.T.M.N. and T.T.H.; software, D.T.T.; validation, D.T.T., L.T.M.N. and T.T.H.; formal analysis, D.T.T., M.T.T., P.T.G.T., investigation, D.T.T., M.T.T., N.T.M.T., P.N.P.T., P.T.H.T, P.T.G.T., L.T.M.N. and T.T.H.; resources, D.T.T., L.T.M.N. and T.T.H.; data curation, D.T.T., M.T.T., N.T.M.T.; writing—original draft preparation, D.T.T. and T.T.H.; writing—review and editing, D.T.T. and T.T.H.; supervision, L.T.M.N. and T.T.H.; project administration, L.T.M.N.; funding acquisition, L.T.M.N. All authors have read and agreed to the published version of the manuscript.