Skip to main content
Top
Published in: World Journal of Surgery 11/2010

01-11-2010

In vitro Effectiveness of Garlic (Allium sativum) Extract on Scolices of Hydatid Cyst

Authors: Mohammad Moazeni, Ali Nazer

Published in: World Journal of Surgery | Issue 11/2010

Login to get access

Abstract

Background

Surgery is still the main treatment for hydatid disease. Recurrence of the infection is one of the end points of surgery in treating the hydatid cyst which results from the dissemination of protoscolices-rich fluid. Installation of a scolicidal agent into the cyst is the most commonly employed measure to prevent recurrence. Many scolicidal agents have been used for inactivation of the cyst’s content, but most of them are not safe due to their undesired side effects. In the present study, the scolicidal effect of methanolic extract of Allium sativum is investigated.

Methods

Protoscolices were aseptically collected from sheep livers containing hydatid cysts. Two concentrations (25 and 50 mg ml−1) of garlic extract were used for 10, 20, 30, 40, 50, and 60 min. Viability of protoscolices was confirmed by 0.1% eosin staining.

Results

Allium sativum extract at the concentration of 25 mg ml−1 killed 87.9, 95.6, 96.8, 98.7, 99.6, and 100% of protoscolices following 10, 20, 30, 40, 50, and 60 min of application, respectively. Moreover, the scolicidal activity of Allium sativum extract at the concentration of 50 mg ml−1 was 100% after 10 min of application.

Conclusions

Methanolic extract of Allium sativum had a high scolicidal activity in vitro and thus might be used as a scolicidal agent in the surgical treatment of the hydatid cyst. However, further investigation on the in vivo efficacy of Allium sativum extract and its possible side effects is proposed.
Appendix
Available only for authorised users
Literature
1.
go back to reference Larrieu E, Costa MT, Cantoni G et al (2001) Ovine Echinococcus granulosus transmission dynamics in the province of Rio Negro, Argentina, 1980–1999. Vet Parasitol 98:263–272CrossRefPubMed Larrieu E, Costa MT, Cantoni G et al (2001) Ovine Echinococcus granulosus transmission dynamics in the province of Rio Negro, Argentina, 1980–1999. Vet Parasitol 98:263–272CrossRefPubMed
2.
go back to reference Lahmar S, Ben Che’hida F, Pe’tavy AF et al (2007) Ultrasonographic screening for cystic echinococcosis in sheep in Tunisia. Vet Parasitol 143:42–49CrossRefPubMed Lahmar S, Ben Che’hida F, Pe’tavy AF et al (2007) Ultrasonographic screening for cystic echinococcosis in sheep in Tunisia. Vet Parasitol 143:42–49CrossRefPubMed
3.
go back to reference Zulfikaroglu B, Ozalp N, Keskek M et al (2008) Primary echinococcal cyst of the thyroid: report of a case. Surg Today 38:833–835CrossRefPubMed Zulfikaroglu B, Ozalp N, Keskek M et al (2008) Primary echinococcal cyst of the thyroid: report of a case. Surg Today 38:833–835CrossRefPubMed
5.
go back to reference Topcu O, Aydin C, Arici S et al (2006) The effects of various scolicidal agents on the hepatopancreatic biliary system. Chir Gastroenterol 22:185–190CrossRef Topcu O, Aydin C, Arici S et al (2006) The effects of various scolicidal agents on the hepatopancreatic biliary system. Chir Gastroenterol 22:185–190CrossRef
6.
go back to reference Rajabi MA (2009) Fatal reactions and methaemoglobinaemia after silver nitrate irrigation of hydatid cyst. Surg Pract 13:2–7CrossRef Rajabi MA (2009) Fatal reactions and methaemoglobinaemia after silver nitrate irrigation of hydatid cyst. Surg Pract 13:2–7CrossRef
7.
go back to reference Topcu O, Sumer Z, Tuncer E et al (2009) Efficacy of chlorhexidine gluconate during surgery for hydatid cyst. World J Surg 33:1274–1280CrossRefPubMed Topcu O, Sumer Z, Tuncer E et al (2009) Efficacy of chlorhexidine gluconate during surgery for hydatid cyst. World J Surg 33:1274–1280CrossRefPubMed
9.
go back to reference Adas G, Arikan S, Kemik O et al (2009) Use of albendazole sulfoxide, albendazole sulfone, and combined solutions as scolicidal agents on hydatid cysts (in vitro study). World J Gastroenterol 15:112–116CrossRefPubMed Adas G, Arikan S, Kemik O et al (2009) Use of albendazole sulfoxide, albendazole sulfone, and combined solutions as scolicidal agents on hydatid cysts (in vitro study). World J Gastroenterol 15:112–116CrossRefPubMed
10.
go back to reference Eja ME, Asikong BE, Abriba C et al (2007) A comparative assessment of the antimicrobial effects of garlic (Allium sativum) and antibiotics on diarrheagenic organisms. Southeast Asian J Trop Med Public Health 38(2):343–348PubMed Eja ME, Asikong BE, Abriba C et al (2007) A comparative assessment of the antimicrobial effects of garlic (Allium sativum) and antibiotics on diarrheagenic organisms. Southeast Asian J Trop Med Public Health 38(2):343–348PubMed
11.
go back to reference Harris JC, Cottrell SL, Plummer S et al (2001) Antimicrobial properties of Allium sativum (garlic). Appl Microbiol Biotechnol 57:282–286CrossRefPubMed Harris JC, Cottrell SL, Plummer S et al (2001) Antimicrobial properties of Allium sativum (garlic). Appl Microbiol Biotechnol 57:282–286CrossRefPubMed
12.
go back to reference Milner JA (1996) Garlic: its anticarcinogenic and antitumorigenic properties. Nutr Rev 54:82–86CrossRef Milner JA (1996) Garlic: its anticarcinogenic and antitumorigenic properties. Nutr Rev 54:82–86CrossRef
13.
go back to reference Weber ND, Anderson DO, North JA et al (1992) In vitro virucidal activity of Allium sativum (garlic) extract and compounds. Planta Med 58:417–423CrossRefPubMed Weber ND, Anderson DO, North JA et al (1992) In vitro virucidal activity of Allium sativum (garlic) extract and compounds. Planta Med 58:417–423CrossRefPubMed
14.
go back to reference Meng Y, Lu D, Guo N et al (1993) Anti-HCMV effect of garlic components. Virol Sin 8:147–150 Meng Y, Lu D, Guo N et al (1993) Anti-HCMV effect of garlic components. Virol Sin 8:147–150
15.
go back to reference Waldman RH (1993) Demonstration of antiviral activity of garlic extract against human cytomegalovirus in vitro. Chin Med J 106:93–96PubMed Waldman RH (1993) Demonstration of antiviral activity of garlic extract against human cytomegalovirus in vitro. Chin Med J 106:93–96PubMed
16.
go back to reference Ghannoum MA (1990) Inhibition of Candida adhesion to buccal epithelial cells by an aqueous extract of Allium sativum (garlic). J Appl Bacteriol 68:163–169PubMed Ghannoum MA (1990) Inhibition of Candida adhesion to buccal epithelial cells by an aqueous extract of Allium sativum (garlic). J Appl Bacteriol 68:163–169PubMed
17.
go back to reference Cai Y (1991) Anticryptococcal and antiviral properties of garlic. Cardiol Pract 9:11 Cai Y (1991) Anticryptococcal and antiviral properties of garlic. Cardiol Pract 9:11
18.
go back to reference Ross ZM, Ogara EA, Hill DJ et al (2001) Antimicrobial properties of garlic oil against human enteric bacteria: evaluation of methodologies and comparisons with garlic oil sulfides and garlic powder. Appl Environ Microbiol 67(1):475–480CrossRefPubMed Ross ZM, Ogara EA, Hill DJ et al (2001) Antimicrobial properties of garlic oil against human enteric bacteria: evaluation of methodologies and comparisons with garlic oil sulfides and garlic powder. Appl Environ Microbiol 67(1):475–480CrossRefPubMed
19.
go back to reference Martin KW, Ernst E (2003) Herbal medicines for treatment of bacterial infections: a review of controlled clinical trials. J Antimicrob Chemother 51:241–246CrossRefPubMed Martin KW, Ernst E (2003) Herbal medicines for treatment of bacterial infections: a review of controlled clinical trials. J Antimicrob Chemother 51:241–246CrossRefPubMed
20.
go back to reference Soffar SA, Mokhtar GM (1991) Evaluation of the antiparasitic effect of aqueous garlic (Allium sativum) extract in hymenolepiasis nana and giardiasis. J Egypt Soc Parasitol 21:497–502PubMed Soffar SA, Mokhtar GM (1991) Evaluation of the antiparasitic effect of aqueous garlic (Allium sativum) extract in hymenolepiasis nana and giardiasis. J Egypt Soc Parasitol 21:497–502PubMed
21.
go back to reference Harris JC, Plummer S, Turner MP et al (2000) The microaerophilic flagellate Giardia intestinalis: Allium sativum (garlic) is an effective antigiardial. Microbiology 146:3119–3127PubMed Harris JC, Plummer S, Turner MP et al (2000) The microaerophilic flagellate Giardia intestinalis: Allium sativum (garlic) is an effective antigiardial. Microbiology 146:3119–3127PubMed
22.
go back to reference Behnia M, Haghighi A, Komeilizadeh H et al (2008) In vitro antiamoebic activity of Iranian Allium sativum in comparison with metronidazole against Entamoeba histolytica. Iranian J Parasitol 3(4):32–38 Behnia M, Haghighi A, Komeilizadeh H et al (2008) In vitro antiamoebic activity of Iranian Allium sativum in comparison with metronidazole against Entamoeba histolytica. Iranian J Parasitol 3(4):32–38
23.
go back to reference Abdel-Salam AM, Ammar N, Abdel-Hamid AZ (2008) Effectiveness of probiotic Labneh supplemented with garlic or onion oil against Schistosoma mansoni in infected mice. Int J Dairy Sci 3(2):97–104CrossRef Abdel-Salam AM, Ammar N, Abdel-Hamid AZ (2008) Effectiveness of probiotic Labneh supplemented with garlic or onion oil against Schistosoma mansoni in infected mice. Int J Dairy Sci 3(2):97–104CrossRef
24.
go back to reference Albi A, Baudin F, Matmar M et al (2002) Severe hypernatremia after hypertonic saline irrigation of hydatid cysts. Anesth Analg 95:1806–1808CrossRefPubMed Albi A, Baudin F, Matmar M et al (2002) Severe hypernatremia after hypertonic saline irrigation of hydatid cysts. Anesth Analg 95:1806–1808CrossRefPubMed
25.
go back to reference Caglar R, Yuzbasioglu MF, Bulbuloglu E et al (2008) In vitro effectiveness of different chemical agents on scolices of hydatid cyst. J Invest Surg 21:71–75CrossRefPubMed Caglar R, Yuzbasioglu MF, Bulbuloglu E et al (2008) In vitro effectiveness of different chemical agents on scolices of hydatid cyst. J Invest Surg 21:71–75CrossRefPubMed
26.
go back to reference Besim H, Karayalçin K, Hamamci O et al (1998) Scolicidal agents in hydatid cyst surgery. HPB Surg 10:347–351CrossRefPubMed Besim H, Karayalçin K, Hamamci O et al (1998) Scolicidal agents in hydatid cyst surgery. HPB Surg 10:347–351CrossRefPubMed
27.
go back to reference Erzurumlu K, Hokelek M, Baris S et al (998) Effect of albendazole sulfoxide solution on the scolices and the hepatobiliary system. Eur Surg Res 30:433–438 Erzurumlu K, Hokelek M, Baris S et al (998) Effect of albendazole sulfoxide solution on the scolices and the hepatobiliary system. Eur Surg Res 30:433–438
28.
go back to reference Landa García JI, Alonso E, Gonzalez-Uriarte J et al (1997) Evaluation of scolicidal agents in an experimental hydatid disease model. Eur Surg Res 29:202–208CrossRefPubMed Landa García JI, Alonso E, Gonzalez-Uriarte J et al (1997) Evaluation of scolicidal agents in an experimental hydatid disease model. Eur Surg Res 29:202–208CrossRefPubMed
29.
go back to reference Paksoy Y, Odev K, Sahin M et al (2005) Percutaneous treatment of hydatid cysts: comparison of direct injection of albendazole and hypertonic saline solution. AJR Am J Roentgenol 185(3):727–734PubMed Paksoy Y, Odev K, Sahin M et al (2005) Percutaneous treatment of hydatid cysts: comparison of direct injection of albendazole and hypertonic saline solution. AJR Am J Roentgenol 185(3):727–734PubMed
30.
go back to reference Puryan K, Karadayi K, Topcu O (2005) Chlorhexidine gluconate: an ideal scolicidal agent in the treatment of intraperitoneal hydatidosis. World J Surg 29:227–230CrossRefPubMed Puryan K, Karadayi K, Topcu O (2005) Chlorhexidine gluconate: an ideal scolicidal agent in the treatment of intraperitoneal hydatidosis. World J Surg 29:227–230CrossRefPubMed
31.
go back to reference Kilicoglu B, Kismet K, Koru O et al (2006) The scolicidal effects of honey. Adv Ther 23:1077–1083CrossRefPubMed Kilicoglu B, Kismet K, Koru O et al (2006) The scolicidal effects of honey. Adv Ther 23:1077–1083CrossRefPubMed
32.
go back to reference Kayaalp C, Balkan M, Aydin C et al (2001) Hypertonic saline in hydatid disease. World J Surg 25:975–979CrossRefPubMed Kayaalp C, Balkan M, Aydin C et al (2001) Hypertonic saline in hydatid disease. World J Surg 25:975–979CrossRefPubMed
33.
go back to reference Dalimi A, Ghasemikhah R, Hashemi Malayeri B (2005) Echinococcus granulosus: lethal effect of low voltage direct electric current on hydatid cyst protoscolices. Exp Parasitol 109(4):237–240CrossRefPubMed Dalimi A, Ghasemikhah R, Hashemi Malayeri B (2005) Echinococcus granulosus: lethal effect of low voltage direct electric current on hydatid cyst protoscolices. Exp Parasitol 109(4):237–240CrossRefPubMed
34.
go back to reference Moazeni M, Larki S (2010) In vitro effectiveness of acidic and alkaline solutions on scolices of hydatid cyst. Parasitol Res 106:853–856CrossRefPubMed Moazeni M, Larki S (2010) In vitro effectiveness of acidic and alkaline solutions on scolices of hydatid cyst. Parasitol Res 106:853–856CrossRefPubMed
35.
go back to reference WHO (1996) WHO informal working group on echinococcosis. Bull WHO 74:231–242 WHO (1996) WHO informal working group on echinococcosis. Bull WHO 74:231–242
36.
go back to reference Sadjjadi SM, Zoharizadeh MR, Panjeshahin MR (2008) In vitro screening of different Allium sativum extracts on hydatid cysts protoscoleces. J Invest Surg 21(6):318–322CrossRefPubMed Sadjjadi SM, Zoharizadeh MR, Panjeshahin MR (2008) In vitro screening of different Allium sativum extracts on hydatid cysts protoscoleces. J Invest Surg 21(6):318–322CrossRefPubMed
Metadata
Title
In vitro Effectiveness of Garlic (Allium sativum) Extract on Scolices of Hydatid Cyst
Authors
Mohammad Moazeni
Ali Nazer
Publication date
01-11-2010
Publisher
Springer-Verlag
Published in
World Journal of Surgery / Issue 11/2010
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-010-0718-7

Other articles of this Issue 11/2010

World Journal of Surgery 11/2010 Go to the issue