Large scale screening of commonly used Iranian traditional medicinal plants against urease activity.

BACKGROUND AND PURPOSE OF THE STUDY: H. pylori infection is an important etiologic impetus usually leading to gastric disease and urease enzyme is the most crucial role is to protect the bacteria in the acidic environment of the stomach. Then urease inhibitors would increase sensitivity of the bacteria in acidic medium.
METHODS: 137 Iranian traditional medicinal plants were examined against Jack bean urease activity by Berthelot reaction. Each herb was extracted using 50% aqueous methanol. The more effective extracts were further tested and their IC50 values were determined.
RESULTS: 37 plants out of the 137 crude extracts revealed strong urease inhibitory activity (more than 70% inhibition against urease activity at 10 mg/ml concentration). Nine of the whole studied plants crude extracts were found as the most effective with IC50 values less than 500 μg/ml including; Rheum ribes, Sambucus ebulus, Pistachia lentiscus, Myrtus communis, Areca catechu, Citrus aurantifolia, Myristica fragrans, Cinnamomum zeylanicum and Nicotiana tabacum.
CONCLUSIONS: The most potent urease inhibitory was observed for Sambucus ebulus and Rheum ribes extracts with IC50 values of 57 and 92 μg/ml, respectively.

Introduction

Ureases (urea amidohydrolases, EC (3.5.1.5) are a group of widespread enzymes in nature, classified as the most proficient enzymes (with proficiency more than 1014), stand as protagonist in biochemistry for several reasons. Urease was the first ureolytic enzyme obtained and named in the late nineteenth century, with landmark significance in enzymology as the first enzyme crystallized (in 1926 by Sumner) to approve the proteinous nature of the enzymes [1]. Also, as ascertained by Dixon et al. in 1975, urease was the first enzyme shown to possess nickel ions in its active site, essential for activity [2]. Since its substrate; urea is pervasively available in nature, urease was important to provide organisms with nitrogen in the form of ammonia for growth [3]. Despite the diversity in the molecular structures of urease, the amino acid sequences of the active sites are principally similar in all of the known them and consequence of this fact is the same catalytic mechanism. The active sites are always located in α subunits and contain the binuclear nickel centre, in which the Ni–Ni distances range from 3.5 to 3.7 Angstrom [4].

Urease as the most characteristic feature of Helicobacter pylori constitutes 5–10% of the bacteria’s proteins. H. pylori a microaerophilic, gram-negative spiral bacterium which was first detected in 1984 by Marshall et al, is one of the most common chronic bacterial pathogens in humans [5]. Approximately more than 50% of people in the world are infected with it, and its prevalence is significantly higher in developing countries in compare with the developed ones. H. pylori infection is an important etiologic impetus usually leading to chronic gastritis, gastro duodenal ulcer and low grade gastric mucosa-associated lymphoid tissue lymphoma. Epidemiological data show that high H. pylori infection rate, result in the incidence of gastric cancer and adenocarcinoma [6,7]. Urease catalyzes the hydrolysis of urea to produce ammonia and carbon dioxide, and the most crucial role is to protect the bacteria in the acidic environment of the stomach [8]. It has been also reported that ammonia and monochloramine, which is a reaction product of ammonia and hypochlorous acid, exhibit potent toxicity in gastric epithelium [9]. Moreover, it has been demonstrated that H. pylori lacking urease activity are incapable of causing infection in animal models. Thus, it is most likely that urease is essential for bacterial colonization and perhaps the pathogenesis of related disease in vivo.

World Health Organization (WHO) has categorized H. pylori as a class 1 carcinogen [10]. Fortunately, its eradication with antibiotics can result in ulcer healing, prevent peptic ulcer recurrence and reduce the prevalence of gastric cancer in high-risk populations. However, it is not always successful because of its resistance to one or more antibiotics and other factors such as poor patient compliance, undesirable side effects of the drugs and significant cost of combination therapy [11]. Wolle et. al. reported that approximately 20% of the patients undergoing antibiotics therapy would experience therapeutic failure [12]. In developing countries, since the application of antibiotics is still under a poor management as a whole, there is a growing need for finding new anti-H. pylori agents that can hopefully eradicate the invasion and presence of survived H. pylori strains to avoid relapse of gastric ulcer. Hence, a considerable variety of studies involving tests for medicinal plants showing antimicrobial activity and discrepant susceptibility test results are available due to variations in the methods and conditions used for its susceptibility testing.

One of the best sources of new substances to treat H. pylori is natural products and their derivatives [13]. Variety of techniques such as synthesizing [6], and also molecular modeling and virtual screening methods [14,15] have been applied to find possible urease inhibitors. The biological activity of plant-derived substances may be considered as a source of new anti-H. pylori drugs come from different classes of compounds and are characterized by the diversity of their structures. Therefore, almost all traditional Iranian herbal medicines that are used as remedies and sold as medicines to manage different diseases were screened to discover possible plant-derived urease inhibitors.

Methods

Materials

Sodium nitroprusside (sodium pentacyanonitrosyloferrate III) and urease (EC 3.5.1.5) from Jack beans were purchased from Sigma (St. Louis, MO, USA). All other chemicals were of analytical reagent grade from Merck. Deionized water was used in all experiments. Potassium phosphate buffer (100 mM), pH 7.6 was prepared in distilled water.

The studied plants were collected from local medicinal herb shops, Tehran, Iran (June 2010) and were identified by one of our authors of the presented article (F. Mojab). The authenticated samples were deposited in the Herbarium of Shahid Beheshti University of Medical Sciences.

Extract preparation

10 g of air-dried and powdered plant material was extracted in 10 ml, 50:50 methanol: water at room temperature for 24 hrs. The resulting liquid extract was filtered and concentrated to dryness under reduced pressure. The dry extracts were stored at -20°C till used [16].

Determination of urease activity

All extracts were tested for urease inhibitory at concentration of 10 mg/ml by the modified spectrophotometric method developed by Berthelot reaction [17]. For herbal extracts that were proven to exert significant inhibition and also for positive controls, inhibitory assays were performed. The plant extracts were tested in a concentration range of 0 to 10 mg/ml. Hydroxyurea was used as standard inhibitor.

The solution assay mixture consisted of urea (30 mM) and (100 μl) crud extract with a total value of 950 μl. The reactions were initiated by the addition of 50 μl of urease enzyme solution in phosphate buffer (100 mM, pH 7.6, 1 mg/ml). Urease activity was determined by measuring ammonia concentration after 15 minutes of enzymatic reaction. The ammonia was determined using 500 μl of solution A (contained 5.0 g phenol and 25 mg of sodium nitroprusside in 500 ml of distilled water) and 500 μl of solution B (contained of 2.5 g sodium hydroxide and 4.2 ml of sodium hypochlorite 5% in 500 ml of distillated water) at 37°C for 30 minutes. The absorbance was read at 625 nm. Activity of uninhibited urease was designated as the control activity of 100%.

Data processing

The extent of the enzymatic reaction was calculated based on the following equation:

Where I (%) is the inhibition of the enzyme, T (test) is the absorbance of the tested sample (plant extract or positive control in the solvent) in the presence of enzyme, C (control) is the absorbance of the solvent in the presence of enzyme. Data are expressed as mean ± standard error (SD) and the results were taken from at least three times.

Determination of IC50 values

IC50 values (concentration of test compounds that inhibits the hydrolysis of substrates by 50%) were determined by studying the extracts urease inhibitory activity at their different concentrations in comparison to their individual positive control employing spectrophotometric measurement. IC50 values were obtained from dose-response curves by linear regression, using Graphpad software, prism 5.

Results and discussion

Medicinal plants as an appropriate and renewable source of active chemical compounds can be used as templates to discover new lead compounds. Doxorubicin, vincristine, and taxol, are examples of these herbal compounds which are clinically applied. According to the literature, 50% of commercially presented medicines in 1985 was from herbal origins [18]. Gastrointestinal diseases, especially gastric, duodenal and peptic ulcer, arise from different factors, in particular microbial agent H. pylori. Common multi-drug therapies not only have side effects, but are also expensive. On the other hand, the probability of drug resistance occurrence and disease retrogression is quite concerning. Already reported studies have shown that herbal compounds have the ability to prevail this microbe. Among the studied herbal essences and extracts, many did not exceed the study level due to production limits, toxicity and impossibility of drug form preparation. Majority of the researches have focused on ways to inhibit the bacteria growth or it’s elimination from the culture, while a few has particularly concerned inhibition of urease enzyme which is responsible for the bacteria defense system against the stomach very acidic medium.

Specific inhibition or reduction of urease enzyme activity would result in an increased sensitivity of the bacteria in acidic medium and therefore it’s natural elimination by stomach acidic condition or the body immune system.

In the presented study, urease enzyme inhibition potency of 137 herbal extracts was investigated from which 37 extracts have shown inhibitory activity up to more than 70% in the concentration of 10 mg/ml (Table 1). Further examinations and IC50 determination revealed that Sambucus ebulus, Rheum ribes, Pistachia lentiscus, Myrtus communis, Myristica fragrans, Areca catechu, Cinnamomum zeylanicum, Citrus aurantifolia and Nicotiana tabacum extracts inhibit urease enzyme in concentrations less than 500 μg/ml. It should also be mentioned that C. zeylanicum, M. chamomilla and M. spicata are already used as gastrointestinal remedies and this research has proved that these herbs can inhibit urease activity and prevent gastric upsets. Names of the studied plants and the 37 final more active extracts are presented in Table 2. As it is shown, the most potent urease inhibitory was observed for S. ebulus and R. ribes with IC50 values less than 100 μg/ml.

Table 1

Urease inhibitory activity of plants extract at concentration of 10 mg/ml

	Scientific name	Plant family	Common name in English	Common name in Persian	Part used in traditional	Inhibition (%)
1.	Abrus precatorius	Fabaceae	Paternoster Seed	Cheshm-e khorus	Seed	9.21 ± 0.04
2.	Acacia Senegal	Fabaceae	Gum Arabic	Samgh-e arabi	Gum	12.81± 0.09
3.	Acanthophyllum squarrosum	Asparagaceae	Soap Root	Chubak	Root	14.15 ± 0.02
4.	Alpinia officinarum	Zingiberaceae	Galangal	Khulanjan	Rhizome	41.75 ± 0.05
5.	Althaea officinalis	Malvaceae	Hollyhoch	Khatmi	Flower	20.94 ± 0.06
6.	Alyssum homolocarpum	Brassicaceae	Madword & Pepper Weed	Qodume	Seed	13.57± 0.12
7.	Amaranthus lividus	Amaranthaceae	Cock's Comb Seed	Tokhm-e tajkhorus	Seed	17.48 ± 0.11
8.	Anethum graveolins	Apiaceae	Dill Seed	Tokhm-e shevid	Seed	37.50 ± 0.03
9.	Apium graveolens	Apiaceae	Celery Seed	Tokhm-e karafs	Seed	2.43 ± 0.01
10.	Aquilaria sinensis	Thymelaeaceae	Agarwood	Udeqamari	Fruit	32.03 ± 0.08
11.	Arctium Lappa	Asteraceae	Burdock Root	Bâbââdam	Root	19.99 ± 0.08
12.	Areca catechu	Arecaceae	Betel Nuts	Fufel	Fruit	96.67 ± 0.01
13.	Artemisia absinthium	Asteraceae	Worm Wood	Afsantin	Herb	52.50 ± 0.06
14.	Artemisia dracunculus	Asteraceae	Tarragon	Tarkhon	Leaf	57.53 ± 0.03
15.	Asperugo procumbens	Boraginaceae	German Madwort	Bâdranjbuye	Herb	12.43 ± 0.02
16.	Astragalus arbusculinus	Fabaceae	Sarcocola	Anzarut	Gum	17.68 ± 0.06
17.	Astragalus gossypinus	Fabaceae	Gum Tragacanth	Katirâ	Gum	1.33 ± 0.02
18.	Bambusa vulgaris	Poaceae	Golden Bamboo	Tabâshir sadaf	Secretions	12.81 ± 0.04
19.	Brassica nigra	Brassicaceae	Mustard	Khardel	Seed	27.63 ± 0.01
20.	Calendula officinalis	Asteraceae	Marigold	Hamishe bahar	Flower	0.16 ± 0.06
21.	Calendula sp.	Asteraceae	Marigold	Hamishe bahar	Flower	8.21 ± 0.07
22.	Camellia sinensis	Theaceae	Green Tea	Chây-e sabz	Leaf	89.40 ± 0.02
23.	Camellia sinensis	Theaceae	Green Tea	Châyeparsefid	Twig	90.45 ± 0.01
24.	Cannabis sativa	Cannabaceae	Hemp Seed	Shâhdane	Seed	9.71 ± 0.02
25.	Capsicum annuum	Solanaceae	Red Pepper	Felfel-e qermez	Fruit	99.01 ± 0.01
26.	Carthamus tinctorius	Asteraceae	Saf	Golrang	Flower	50.78 ± 0.04
27.	Cassia angustifolia	Fabaceae	Senna	Sena	Leaf	3.29 ± 0.03
28.	Celosia cristata	Amaranthaceae	Cockscomb	Gol-e halva	Flower	82.55 ± 0.03
29.	Centaurea sp.	Asteraceae	Centaurea	Gol-e gandom	Flower	70.33 ± 0.02
30.	Chenopodium botrys	Amaranthaceae	Lamb's Quarter	Dermane-e torki	Herb	15.13 ± 0.04
31.	Cichorium intybus	Asteraceae	Chicory	Kâsni	Herb	40.55 ± 0.04
32.	Cinchona officinalis	Rubiaceae	Cinchona	Gne gne	Bark	67.03 ± 0.02
33.	Cinnamomum camphora	Lauraceae	Camphre	Kâfur	Camphor	10.14 ± 0.08
34.	Cinnamomum cassia	Lauraceae	Cassia	Salikhe	Bark	91.19 ± 0.02
35.	Cinnamomum zeylanicum	Lauraceae	Cinnamon	Darchin	Bark	84.22 ± 0.05
36.	Citrus aurantifolia	Rutaceae	Limu Fruit	Limu ammâni	Fruit	99.02 ± 0.02
37.	Citrus aurantium	Rutaceae	Bitter Orange Peel	Khalâl-e nârenj	Rind	1.43 ± 0.05
38.	Citrus bigardia	Rutaceae	Orange	Gol-e nârenj	Twig	24.31 ± 0.03
39.	Colchicum macrophyllum	Colchicaceae	Colchicum Corms	Suranjan	Corm	9.44 ± 0.08
40.	Commiphora molmol	Burseraceae	Myrrh	Morr-e Makki	Gum	8.22 ± 0.04
41.	Crataegus microphylla	Rosaceae	Hawthorn	Sorkhe valik	Flower	82.19 ± 0.03
42.	Curcuma zedoaria	Zingiberaceae	Zedoary	Zorombad	Seed	4.70 ± 0.06
43.	Cuscuta epithymum	Convolvulaceae	Hellweed	Aftimun	Herb	9.66 ± 0.01
44.	Cymbopogon	Poaceae	Lemongrass	Putar	Root	14.02 ± 0.03
45.	Descureania	Brassicaceae	Flixweed Seed	Khakshir	Seed	21.81 ± 0.01
46.	Diplotaenia damavendica	Apiaceae	Diplotaenia	Gozal	Seed	12.59 ± 0.06
47.	Doronicum bracteatum	Asteraceae	Doronicum	Darunj-e aqrabi	Herb	10.73 ± 0.01
48.	Dracaena cinnabari	Asparagaceae	Dragon Blood	Khone siyavosh	Gum	49.49 ± 0.13
49.	Dracocephalum	Lamiaceae	Moldavian Balm	Badrashbi	Twig	3.95 ± 0.01
50.	Echinophora platyloba	Apiaceae	Echinophora	Khosharize	Herb	17.48 ± 0.01
51.	Echium amoenum	Boraginaceae	Ox tongue Flower	Gol-e gâvzabân	Flower	31.66 ± 0.02
52.	Elaeagnus angustifolia	Elaeagnaceae	Oleaster	Senjed	Fruit	4.67 ± 0.14
53.	Elaeagnus angustifolia	Elaeagnaceae	Oleaster	Gol-e senjed	Flower	27.45 ± 0.01
54.	Elettaria cardamomum	Zingiberaceae	Cardamon	Hel sabz	Fruit	13.16 ± 0.04
55.	Elletaria cardamomum	Zingiberaceae	Cardamon	Hel sefid	Fruit	6.80 ± 0.07
56.	Elletaria cardamomum	Zingiberaceae	Cardamon	Hel siyah	Fruit	5.78 ± 0.071
57.	Equisetum arvense	Equisetaceae	Horse Tail	Dom-e asb	Stem	52.35 ± 0.05
58.	Eruca sativa	Brassicaceae	Rocket	Tokhm-e mandâb	Seed	13.28 ± 0.05
59.	Eucalyptus sp.	Myrtaceae	Eucalyptus	Okaliptus	Leaf	47.92 ± 0.01
60.	Euphorbia sp.	Euphorbiaceae	Euphorbia	Gav kosh	Herb	68.94 ± 0.03
61.	Ferula assa-foetida	Umbelliferae	Assa-Foetid	Anqoze	Gum	34.07 ± 0.04
62.	Helicteres isora	Malvaceae	Screw Tree Pod	Bahmanpich	Fruit	8.18 ± 0.02
63.	Heracleum persicum	Apiaceae	Cow Parsnip Friut	Golpar	Fruit	10.27 ± 0.02
64.	Hibiscus gossypifolius	Malvaceae	Rose Mallow	Chay-e Makki	Herb	96.28 ± 0.02
65.	Humulus lupulus	Cannabaceae	Hops	Râzak	Twig	54.85 ± 0.02
66.	Hypericum perforatum	Hypericaceae	St.John's Wort	Alaf-e chay	Herb	97.99 ± 0.02
67.	Juglans regia	Juglandaceae	Walnut Shell	Pust-e vasat-e gerdo	Septum	93.62 ± 0.01
68.	Juglans regia	Juglandaceae	Walnut Shell	Pust-e gerdo	Rind	1.27 ± 0.06
69.	Juniperus Sabina	Cupressaceae	Sabine	Abhal	Fruit	19.63 ± 0.01
70.	Lactuca sativa	Asteraceae	Lettuce	Tokhm-e Kâhu	Seed	2.93 ± 0.04
71.	Lawsonia inermis	Lythraceae	Henna	Hana	Leaf	54.00 ± 0.06
72.	Levisticum officinalis	Apiaceae	Lovage	Anjadân romi	Seed	10.00 ± 0.06
73.	Linum usitatissimum	Linaceae	Lineseed	Tokhm-e katan	Seed	2.71 ± 0.18
74.	Malabaila secacule	Apiaceae	Parsnip	Dogho	Root	18.18 ± 0.04
75.	Malva sylvestris	Malvaceae	Common Mallow	Gol-e panirak	Flower	14.15 ± 0.05
76.	Matricaria chamomilla	Asteraceae	Chamomile	Bâbon-e shirazi	Herb	87.21 ± 0.01
77.	Melissa officinalis	Lamiaceae	Balm	Barangbu	Herb	46.22 ± 0.05
78.	Mentha spicata	Lamiaceae	Mint	NaAna	Leaf	93.89 ± 0.01
79.	Myristica fragrans	Myristicaceae	Nutmeg	Joz-e buya	Fruit	78.19 ± 0.01
80.	Myrtus communis	Myrtaceae	Myrtle	Murd	Leaf	72.99 ± 0.01
81.	Nasturdium officinalis	Brassicaceae	Watercress	Boolâgoti	Leaf	74.00 ± 0.03
82.	Nerium Oleander	Apocynaceae	Nerium	Gol-e kharzahre	Flower	84.62 ± 0.01
83.	Nicotiana Tabacum	Solanaceae	Tobacco	Tutun	Leaf	52.77 ± 0.03
84.	Nicotiana tabacum	Solanaceae	Tobacco	Tutun	Stem	75.26 ± 0.05
85.	Nymphaea alba	Nymphaeaceae	White Lotus	Gol-e nilofar	Flower	97.86 ± 0.01
86.	Ocimum basilicum	Lamiaceae	Basil	Reyhan-e banafsh	Leaf	19.61 ± 0.05
87.	Ocimum basilicum	Lamiaceae	Basil	Reyhan-e sabz	Leaf	0.41 ± 0.01
88.	Oenothera biennis	Onagraceae	Evening Star	Gol-e maghrebi	Flower	3.95 ± 0.04
89.	Olea europea	Oleaceae	Olive Leaf	Barg-e zyton	Leaf	72.30 ± 0.01
90.	Orchis latifolia	Orchidaceae	Oriental Salp	SaAlab-e panjei	Root	18.90 ± 0.02
91.	Orchis mascula	Orchidaceae	Male Orchis	SaAlab-e qolvei	Root	3.16 ± 0.04
92.	Papaver Rhoeas	Papaveraceae	Corn Poppy	Pust-e shaghayegh	Rind	27.25 ± 0.12
93.	Papaver Rhoeas	Papaveraceae	Corn Poppy	Gol-e shaghayegh	Flower	97.50 ± 0.01
94.	Papaver somniferum	Papaveraceae	Opium Poppy	Khashkhash	Seed	4.79 ± 0.03
95.	Papaver somniferum	Papaveraceae	Opium Poppy	Khashkhash	Fruit	35.95 ± 0.02
96.	Passiflora caerulea	Passifloraceae	Passion Flower	Gol-e sâAty	Flower	46.90 ± 0.008
97.	Pelargonium graveolens	Geraniaceae	Geranium	Barg-e atr	Leaf	92.19 ± 0.01
98.	Pelargonium graveolens	Geraniaceae	Rose Pelargonium	Gol-e atr	Flower	96.87 ± 0.02
99.	Pterocarpus rubra	Fabaceae	Mukwa	Sandal-e sorkh	Bark	91.75 ± 0.01
100.	Petroselinum hortense	Apiaceae	Parsley Seed	Tokhm-e jafari	Seed	50.35 ± 0.03
101.	Pistachio lentiscus	Anacardiaceae	Lentisk Pistache	Mastaki	Gum	92.37 ± 0.01
102.	Pistacia vera	Anacardiaceae	Pistachio Nut Shell	Pust-e peste	Rind	97.71 ± 0.01
103.	Plantago major	Plantaginaceae	Great Plantain	Bârhang	Seed	4.69 ± 0.11
104.	Polyporus officinalis	Fomitopsidaceae	White Agaric	Ghariqun	Fungi	19.97 ± 0.06
105.	Portulaca oleracea	Portulacaceae	Common Purslane Seed	Tokhm-e khorfe	Seed	7.19 ± 0.03
106.	Prunus persica	Rosaceae	Peach	Barge-e holo	Fruit	9.47 ± 0.11
107.	Punica granatum	Lythraceae	Pomegranate Flower	Golnar	Flower	99.90 ± 0.01
108.	Punica granatum	Lythraceae	Pomegranate	Golnar	Rind	99.90 ± 0.01
109.	Quercus infectoria	Fagaceae	Oak Gall	Qolqaf	Gall	53.97 ± 0.02
110.	Quercus infectoria	Fagaceae	Oak Fruit Hull	Jaft	Rind	98.84 ± 0.02
111.	Rheum ribes	Polygonaceae	Rhubarb	Rivâs	Root	98.93 ± 0.01
112.	Rosa centifolia	Rosaceae	Damask Rose	Gol-e sorkh	Flower	97.51 ± 0.01
113.	Rosa foetida	Rosaceae	Rosa Lutea	Gol-e zard	Flower	89.19 ± 0.023
114.	Rosmarinus angustifolia	Lamiaceae	Pine Rosemary	Rozmary-e aklilaljabal	Leaf	22.51 ± 0.02
115.	Rubia tinctorium	Rubiaceae	Madder Root	Ronas	Root	37.31 ± 0.02
116.	Ruta graveolens	Rutaceae	Rue	Sodab	Leaf	27.91 ± 0.04
117.	Saccharum officinarum	Poaceae	Sugar Cane	Shekar-e sorkh	Mann	35.04 ± 0.06
118.	Salix aegyptiaca	Salicaceae	Aegyption Willow	Bidmeshk	Flower	17.05 ± 0.02
119.	Salix sp.	Salicaceae	Whitewillow	Pust-e bid	Bark	38.10 ± 0.01
120.	Salvia hydrangea	Lamiaceae	Mountain Sage	Gol-e arune	Flower	91.09 ± 0.01
121.	Salvia macrosiphon	Lamiaceae	Willd Sage Seeds	Thokhm-e marv	Seed	2.86 ± 0.04
122.	Sambucus ebulus	Adoxaceae	Dwarf Elder	Tarâsit	Fruit	99.70 ± 0.01
123.	Santalum album	Santalaceae	Sandalwood	Sandal-e sefid	Bark	58.69 ± 0.02
124.	Satureja hortensis	Lamiaceae	Savory Seed	Tokhm-e marze	Seed	35.77 ± 0.04
125.	Scrophularia striata	Scrophulariaceae	Striata Figwort	Mokhallace	Stem& Flower	16.47 ± 0.05
126.	Sinapis alba	Brassicaceae	White Mustard	Khardal-e sefid	Seed	39.77 ± 0.06
127.	Spinacia oleracea.	Amaranthaceae	Spinach Seed	Tokhm-e esfenaj	Seed	19.76 ± 0.04
128.	Taraxacum sp.	Asteraceae	Dandelion	Ghasedak	Flower	14.83 ± 0.01
129.	Thymus kotschyanus	Lamiaceae	Kotschyam Thyme	Avishan	Herb	17.94 ± 0.01
130.	Tilia platyphyllos	Malvaceae	Linden	Zirfun	Leaf & Flower	25.79 ± 0.01
131	Trigonella foenum-graecum	Fabaceae	Fenugreek Seed	Tokhm-e shanbalile	Seed	44.02 ± 0.02
132.	Triticum sativum	Poaceae	Wheat	Sabos-e ghandom	Husk	16.14 ± 0.04
133.	Tussilago farfara	Asteraceae	Colt′s-foot	Pakhari	Herb	69.08 ± 0.01
134.	Veratrum album	Melanthiaceae	White Hellebore	Kharbogh	Leaf	96.85 ± 0.06
135.	Verbascum georgicum	Scrophulariaceae	Mullein	Dom-e gav	Leaf	30.40 ± 0.03
336.	Verbascum sp.	Scrophulariaceae	Mullein	Marg-e mâhi	Fruit	0.82 ± 0.05
137.	Ziziphus vulgaris	Rhamnaceae	Jujube	Annâb	Fruit	26.34 ± 0.01
138.	Hydroxyurea	-------------	------------	----------	Reference compound	100 ± 0.01

Table 2

ICand medicinal uses of most active plants

	Scientific name	Effects & medicinal uses	IC50 (μg/ml)	Std. Error log IC50
1.	A. catechu	Anthelmintic, gastric tonic	216	0.01
2.	C. cristata	Styptic, depurative, sedative, constipating, antibacterial, febrifuge,	6175	0.68
3.	C. annuum	Anti flatulence, gout, gastric tonic, paralysis	751	0.14
4.	C. aurantifolia	Appetitive, anti-flatulence, analgesic	432	0.06
5.	C. cassia	Gastric tonic, anti-spasmodic, anti-flatulence	867	0.05
6.	C. microphylla	Anti-flatulence, gastric tonic	665	0.14
7.	C. sinensis	Anti-bacterial, anti diarrhea, diuretic, astringent, reduce cholesterol	579	0.04
8.	C. zeylanicum	Gastric tonic, anti-flatulence, ‘anti-spasmodic	361	0.02
9.	C. sinensis	Anti-diarrhea, diuretic, astringent, anti-bacterial, reduce cholesterol	1314	0.04
10.	Cetaurea sp.	Anti-inflammatory, astringent, emmenagogue, sedative	5152	0.05
11.	H. gossypifolius	Analgesic, anti-tussive, demulcent, diuretic, febrifuge, highly emollient, slightly laxative and odontalgic, anti-inflammations and laryngitis,	819	0.01
12.	H. perforatum	Astringent, analgesic, anti-inflammator, anti-anxiety aphrodisiac	3509	0.10
13.	J. regia	Anti-inflammatory, astringent, anti-spasmodic	1271	0.08
14.	M. chamomilla	Anti-inflammation, appetitive, and aids digestion and sleep, acts as a diuretic and nerve tonic.	3188	0.02
15.	M. fragrans	Anti-flatulence appetitive ‘anti-spasmodic’ antiseptic, analgesic, anti-inflammatory	215	0.15
16.	M. spicata	Analgesic, Anti-spasmodic, anti-flatulence	7822	0.17
17.	M. communis	Antiseptic, disinfectant, expectorant, deodorizer	170	0.04
18.	N. officinale	Diuretic, expectorant, purgative, hypoglycemic, odontalgic, stimulant, tonic and stomachic	2055	0.19
19.	N. alba	Astringent, antiseptic, anesthetic, aphrodisiac, sedative, used for gastrointestinal disorders and jaundice	820	0.19
20.	N. Oleander	Dermatitis, abscesses, eczema, psoriasis, sores, warts, corns, ringworm, scabies, herpes, skin cancer, asthma, dysmenorrheal, epilepsy, malaria,	9877	0.26
21.	N. tabacum	Anti-spasmodic, diuretic, sedative, sialagogue	473	0.15
22.	O. europea	Hypotensive, diuretic, hypoglycemic	2857	0.06
23.	P. granatum(Rind)	Hypoglycemic, anti-cancer, anthelmintic	1484	0.10
24.	P. granatum (Flower)	Hypoglycemic, anti-cancer, anthelmintic	1331	0.11
25.	P. graveolens	Anti-inflammatory, antiseptic, aromatherapy, astringent, anti- cancer, sedative	976	0.03
26.	P. graveolens	Analgesic, anti-Bacterial, anti-Depressant, anti-inflammatory, antiseptic, astringent, diuretic, insect repellent, refreshing, relaxing, sedative, styptic, tonic	1242	0.14
27.	P. lentiscus	Antibacterial	121	0.03
28.	P. Rhoeas	Anodyne, emmenagogue, emollient, expectorant, hypnotic, sedative, tonic	5636	0.04
29.	P. rubra	Astringent, tonic	930	0.06
30.	P. vera	Aphrodisiac, anti-anxiety	4687	0.12
31.	Q. infectoria	Gingivitis, infectoria, anti-diabetic, anti-tremorine, local anesthetic, antiviral, antibacterial, antifungal.	1214	0.12
32.	R. centifolia	Anti-inflammatory, antispasmodic, aphrodisiac, astringent, depurative, laxative, analgesic, appetitive	544	0.07
33.	R. foetida	Heart diseases, digestive, skin diseases, muscular pains, anti-parasite	2441	0.19
34.	R. ribes	Appetitive, astringent, anti bacteria, anti depressive and used to treat diabetes, hemorrhoids, ulcer, diarrhea	92	0.06
35.	S. hydrangea	anti-flatulence, astringent, anti-spasmodic	2960	0.11
36.	S. ebulus	Anti-inflammatory, antinociceptive, anti-cancer, anti-angiogenic, anti-oxidative	57	0.05
37.	V. album	Analgesic, anthelmintic, cathartic, emetic, expectorant, hypnotic	1037	0.07
38.	hydroxyurea		37	0.02

S. ebulus (Figure 1) is a native perennial herb of the Adoxaceae family [19]. It has been prescribed in traditional medicines for the treatment of inflammatory reactions, such as hemorrhoid, bites and sore-throat. In addition, S. ebulus has been shown to have anti-inflammatory, antinociceptive, anti-cancer, anti-angiogenic and anti-oxidative activities. Ebulitin, ebulin 1, flavonoid, anthocyanin and other components have been isolated from S. ebulus and identified as active ingredients of biological and pharmacological activities [20]. The anti-H. pylori effect of the S. ebulus extract was observed by using the agar dilution method [13].

Figure 1

in flowering stage [19].

R. ribes (Figure 2) is a hardy perennial, cultivated in some temperate countries for its edible red leaf stalks [21]. It is used to treat diabetes, hemorrhoids, ulcer, diarrhea, and expectorant activity reported. The efficacy and safety of a hydroalcohlic extract of R. ribes in treatment of mild to moderate major depression disorder has been investigated and the observations show some anti depressive effects. The methanolic extract of R. ribes have demonstrated anti-ulcer activity comparable with standard drugs cimetidine [22].

Figure 2

leaf [21].

According to strong inhibitory activity of the herbs presented in Table 2, simultaneous application of theses herbs and the medicines prescribed in gastrointestinal disease therapies would fasten the treatment. Additionally, isolation of active compounds and further investigation of each isolated compound against urease activity would lead to new chemical structures which may have the potency to inhibit urease activity.

Competing interests

There are no other conflicts of interest related to this publication.

Authors’ contributions

All authors contributed to the concept and design, making and analysis of data, drafting, revising and final approval. MA and BY are responsible for the study registration. FM is responsible for plants identification and collection. FN and KB carried out plant extraction and enzymatic tests and drafted manuscript. MHR, FN, MA and BY participated in collection and/or assembly of data, data analysis, interpretation and manuscript writing. All authors read and approved the final manuscript.