Dietary factors in Helicobacter pylori infection control: A review of in vitro and in vivo data, including case-controls.

Helicobacter pylori poses a major threat to human health, primarily due to its tumorigenic potential and ability to cause tissue damage. Because of its strong association with gastric cancer and mucosa-associated lymphoid tissue lymphoma, H. pylori is classified as a class I carcinogen. Its eradicat...

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Published in:Nutrition & Health Vol. 32; no. 1; pp. 71 - 81
Main Authors: Boyanova, Liliya Yordanova, Markovska, Rumyana Donkova, Gergova, Raina Tsvetanova, Boyanova, Lyudmila
Format: review tables/charts Journal Article
Published: Sage Publications Inc. Jan2026
Online Access:View this record in EBSCOhost
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      dt: Jan2026
      vid: 32
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Dietary factors in Helicobacter pylori infection control: A review of in vitro and in vivo data, including case-controls.
      aug:
        au:
          Boyanova, Liliya Yordanova
          Markovska, Rumyana Donkova
          Gergova, Raina Tsvetanova
          Boyanova, Lyudmila
        affil: Department of Medical Microbiology, Medical University of Sofia, Sofia, Bulgaria
      sug:
        subj:
          Helicobacter Infections Drug Therapy
          Helicobacter Infections Prevention and Control
          Drug Interactions
          Helicobacter Infections Complications
          Drug Resistance, Microbial
          Cranberry Therapeutic Use
          Green Tea Therapeutic Use
          Prebiotics Therapeutic Use
          Plants, Medicinal Therapeutic Use
          Algae
          Honey Therapeutic Use
          Curcumin Therapeutic Use
          Propolis Therapeutic Use
          NF-kappa B Drug Effects
          Signal Transduction Drug Effects
          Cox-2 Inhibitors Therapeutic Use
          Broccoli Therapeutic Use
          Dietary Supplements Therapeutic Use
          Patient Safety
          Drug Efficacy
          Antiinflammatory Agents Therapeutic Use
          Antibiotics Therapeutic Use
          Ulcer Drug Therapy
          Urease Antagonists and Inhibitors
          Antineoplastic Agents Therapeutic Use
      ab: Helicobacter pylori poses a major threat to human health, primarily due to its tumorigenic potential and ability to cause tissue damage. Because of its strong association with gastric cancer and mucosa-associated lymphoid tissue lymphoma, H. pylori is classified as a class I carcinogen. Its eradication has become a challenge due to increasing antibiotic resistance rates. This implies the need to investigate nutritional factors for their anti- H. pylori effects. This study aimed to encompass data regarding anti-inflammatory, antibacterial, anti-adhesive, anti-ulcer, anti-urease and anti-cancer properties of seven non-antibiotic agents against H. pylori. We assessed articles in English using Science Direct, Scopus and Google Scholar, focusing mostly on recent publications. There are data pointing to the strong anti-adhesive action of cranberry, green tea and Arthrospira (Spirulina) spp. The anti-ulcer effect of green tea, Nigella sativa and microalgae was demonstrated in rat models. Cranberry, microalgae, honey and curcumin inhibit the urease activity of H. pylori. Propolis, green tea and curcumin interfere with the nuclear factor kappa B signalling pathway, while the last two as well as Arthrospira spp. inhibit cyclooxygenase-2. There are in vivo clinical trials indicating that cranberry, Nigella sativa, broccoli and curcumin can improve the success of eradication regimens, while honey showed a preventive effect. Additional trials are needed to determine the precise dose regimens and whether the natural or encapsulated product is more effective. Potential side effects and drug–drug interactions should be taken into account.
      pubtype: Academic Journal
      doctype:
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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