DOI QR코드

DOI QR Code

Randomized, Double-blind, Placebo-controlled Clinical Trial for the Evaluation of the Efficacy and Safety of Artemisia and Green Tea Extract SD1003F in Volunteers with Helicobacter pylori-associated Gastric Discomfort

인진쑥과 녹차 추출물 복합물인 SD1003F의 Helicobacter pylori 연관 기능성 위장장애 지원자에 대한 유효성 및 안전성 평가를 위한 무작위 배정, 이중 맹검, 위약대조 임상시험

  • Kwon, Sang Oh (S&D Food Research Center) ;
  • Kwak, Dong Yun (S&D Food Research Center) ;
  • Hong, Sung Pyo (Digestive Disease Center, CHA Bundang Medical Center, CHA University) ;
  • Kim, Won Hee (Digestive Disease Center, CHA Bundang Medical Center, CHA University) ;
  • Park, Jong Min (CHA Cancer Prevention Research Center) ;
  • Han, Young Min (CHA Cancer Prevention Research Center) ;
  • Kang, You (CHA Cancer Prevention Research Center) ;
  • Kang, Eun A (CHA Cancer Prevention Research Center) ;
  • Jo, Seohyun (Digestive Disease Center, CHA Bundang Medical Center, CHA University) ;
  • Hahm, Ki Baik (Digestive Disease Center, CHA Bundang Medical Center, CHA University)
  • 권상오 (S&D 기업부설연구소) ;
  • 곽동윤 (S&D 기업부설연구소) ;
  • 홍성표 (CHA 의과학대학교 분당차병원 소화기센터) ;
  • 김원희 (CHA 의과학대학교 분당차병원 소화기센터) ;
  • 박종민 (CHA Bio Complex 차 암예방 연구센터) ;
  • 한영민 (CHA Bio Complex 차 암예방 연구센터) ;
  • 강유 (CHA Bio Complex 차 암예방 연구센터) ;
  • 강은아 (CHA Bio Complex 차 암예방 연구센터) ;
  • 조서현 (CHA 의과학대학교 분당차병원 소화기센터) ;
  • 함기백 (CHA 의과학대학교 분당차병원 소화기센터)
  • Received : 2017.08.29
  • Accepted : 2017.11.09
  • Published : 2018.03.10

Abstract

Background/Aims: A previous study showed that dietary intervention with Artemisia and green tea extracts, i.e., SD1003F, relieved Helicobacter pylori-associated chronic atrophic gastritis in a mouse model. We continue the research through the current randomized double-blind clinical trial to evaluate the efficacy and safety of the intervention for H. pylori-associated gastric discomfort. Materials and Methods: Forty-nine volunteers who tested positive for H. pylori infection received either placebo or SD1003F for 10 weeks and their functional dyspepsia-related quality of life (QOL) was evaluated. H. pylori infection using a urea breath test (UBT), measurement of pepsinogen level using GastroPanel. Adverse effects with biochemical changes were also evaluated. Results: SD1003F administration significantly improved health related-QOL, including dietary intake, emotional stability, life pattern, and social factors relevant to gastric discomfort, in comparison to the control (P<0.05). The mean UBT measurement significantly decreased in the SD1003F group (P<0.05). In 2 of the 24 volunteers, SD1003F alone eradicated H. pylori infection, with significant improvements in endoscopic findings. GastroPanel analysis revealed significant improvements that reflect rejuvenation of gastric atrophy in the SD1003F group. No significant side effect was observed in any participant. Conclusions: SD1003F (Artemisia and green tea extract), is a potential phytochemical to improve H. pylori-associated gastric discomfort.

Keywords

References

  1. Marshall DG, Dundon WG, Beesley SM, Smyth CJ. Helicobacter pylori--a conundrum of genetic diversity. Microbiology 1998;144:2925-2939. https://doi.org/10.1099/00221287-144-11-2925
  2. Pincock S. Nobel prize winners Robin Warren and Barry Marshall. Lancet 2005;366:1429. https://doi.org/10.1016/S0140-6736(05)67587-3
  3. Kim JH, Kim HY, Kim NY, et al. Seroepidemiological study of Helicobacter pylori infection in asymptomatic people in South Korea. J Gastroenterol Hepatol 2001;16:969-975. https://doi.org/10.1046/j.1440-1746.2001.02568.x
  4. Park SH, Kangwan N, Park JM, Kim EH, Hahm KB. Non-microbial approach for Helicobacter pylori as faster track to prevent gastric cancer than simple eradication. World J Gastroenterol 2013;19:8986-8995. https://doi.org/10.3748/wjg.v19.i47.8986
  5. Lee SY, Shin YW, Hahm KB. Phytoceuticals: mighty but ignored weapons against Helicobacter pylori infection. J Dig Dis 2008;9:129-139. https://doi.org/10.1111/j.1751-2980.2008.00334.x
  6. Asaka M. A new approach for elimination of gastric cancer deaths in Japan. Int J Cancer 2013;132:1272-1276. https://doi.org/10.1002/ijc.27965
  7. Lee S, Park JM, Park SH, Kim EH, Hahm KB. The Korean perspective of Helicobacter pylori infection: lessons from Japan policy to prevent gastric cancer. J Cancer Prev 2013;18:107-112. https://doi.org/10.15430/JCP.2013.18.2.107
  8. Puram S, Suh HC, Kim SU, et al. Effect of gutgard in the management of Helicobacter pylori: a randomized double blind placebo controlled study. Evid Based Complement Alternat Med 2013;2013:263805.
  9. Kim MN, Kim N, Lee SH, et al. The effects of probiotics on PPI-triple therapy for Helicobacter pylori eradication. Helicobacter 2008;13:261-268. https://doi.org/10.1111/j.1523-5378.2008.00601.x
  10. Lee JH, Park EK, Uhm CS, Chung MS, Kim KH. Inhibition of Helicobacter pylori adhesion to human gastric adenocarcinoma epithelial cells by acidic polysaccharides from Artemisia capillaris and Panax ginseng. Planta Med 2004;70:615-619. https://doi.org/10.1055/s-2004-827183
  11. Park JM, Hahm KB, Kwon SO, Kim EH. The anti-inflammatory effects of acidic polysaccharide from artemisia capillaris on Helicobacter pylori infection. J Cancer Prev 2013;18:161-168. https://doi.org/10.15430/JCP.2013.18.2.161
  12. Jeong M, Park JM, Han YM, et al. Dietary intervention of artemisia and green tea extracts to rejuvenate Helicobacter pylori-associated chronic atrophic gastritis and to prevent tumorigenesis. Helicobacter 2016;21:40-59. https://doi.org/10.1111/hel.12229
  13. Syrjanen K. A panel of serum biomarkers ($GastroPanel^{(R)}$) in non-invasive diagnosis of atrophic gastritis. Systematic review and meta-analysis. Anticancer Res 2016;36:5133-5144. https://doi.org/10.21873/anticanres.11083
  14. Lee EH, Hahm KB, Lee JH, et al. Development and validation of a functional dyspepsia-related quality of life (FD-QOL) scale in South Korea. J Gastroenterol Hepatol 2006;21:268-274. https://doi.org/10.1111/j.1440-1746.2006.04196.x
  15. Syrjanen KJ, Sipponen P, Harkonen M, Peetsalu A, Korpela S. Accuracy of the GastroPanel test in the detection of atrophic gastritis. Eur J Gastroenterol Hepatol 2015;27:102-104.
  16. Pathak CM, Bhasin DK, Khanduja KL. Urea breath test for Helicobacter pylori detection: present status. Trop Gastroenterol 2004;25:156-161.
  17. Oh TY, Ahn GJ, Choi SM, Ahn BO, Kim WB. Increased susceptibility of ethanol-treated gastric mucosa to naproxen and its inhibition by DA-9601, an Artemisia asiatica extract. World J Gastroenterol 2005;11:7450-7456. https://doi.org/10.3748/wjg.v11.i47.7450
  18. Kim JS, Cha KH, Kang SY, et al. In vivo gastric residence and gastroprotective effect of floating gastroretentive tablet of DA-9601, an extract of Artemisia asiatica, in beagle dogs. Drug Des Devel Ther 2016;10:1917-1925.
  19. Lin HH, Chen JH, Huang CC, Wang CJ. Apoptotic effect of 3,4-dihydroxybenzoic acid on human gastric carcinoma cells involving JNK/p38 MAPK signaling activation. Int J Cancer 2007;120:2306-2316. https://doi.org/10.1002/ijc.22571
  20. Fujiki H. Green tea: health benefits as cancer preventive for humans. Chem Rec 2005;5:119-132. https://doi.org/10.1002/tcr.20039
  21. Cabrera C, Artacho R, Gimenez R. Beneficial effects of green tea--a review. J Am Coll Nutr 2006;25:79-99. https://doi.org/10.1080/07315724.2006.10719518
  22. Bhat R, Adam AT, Lee JJ, et al. Structure-activity studies of (-)-epigallocatechin gallate derivatives as HCV entry inhibitors. Bioorg Med Chem Lett 2014;24:4162-4165. https://doi.org/10.1016/j.bmcl.2014.07.051
  23. Zhang HS, Wu TC, Sang WW, Ruan Z. EGCG inhibits Tat-induced LTR transactivation: role of Nrf2, AKT, AMPK signaling pathway. Life Sci 2012;90:747-754. https://doi.org/10.1016/j.lfs.2012.03.013
  24. Li S, Hattori T, Kodama EN. Epigallocatechin gallate inhibits the HIV reverse transcription step. Antivir Chem Chemother 2011;21:239-243. https://doi.org/10.3851/IMP1774
  25. Yang XH, Pan Y, Zhan XL, Zhang BL, Guo LL, Jin HM. Epigallocatechin-3-gallate attenuates renal damage by suppressing oxidative stress in diabetic db/db mice. Oxid Med Cell Longev 2016;2016:2968462.