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  <front>
    <journal-meta id="journal-meta-1">
      <journal-id journal-id-type="nlm-ta">Biomedical Research and Therapy</journal-id>
      <journal-id journal-id-type="publisher-id">Biomedical Research and Therapy</journal-id>
      <journal-id journal-id-type="journal_submission_guidelines">http://www.bmrat.org/</journal-id>
      <journal-title-group>
        <journal-title>Biomedical Research and Therapy</journal-title>
      </journal-title-group>
      <issn publication-format="print"/>
    </journal-meta>
    <article-meta id="article-meta-1">
      <article-id pub-id-type="doi">10.15419/bmrat.v8i3.665</article-id>
      <title-group>
        <article-title id="at-d2ba41558c9e">
          <bold id="strong-1">Antioxidant and anti-<italic id="emphasis-1">Helicobacter pylori</italic> activities of <italic id="emphasis-2">Hericium erinaceus </italic> mycelium and culture filtrate<italic id="emphasis-3"/></bold>
        </article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author" corresp="yes">
          <contrib-id contrib-id-type="orcid">0000-0003-0500-007X</contrib-id>
          <name id="n-1e0885734f15">
            <surname>Ngan</surname>
            <given-names>Luong Thi My</given-names>
          </name>
          <email>ltmngan@hcmus.edu.vn</email>
          <xref id="x-236870fa9e86" rid="a-da3ee0c3cbfc" ref-type="aff">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <contrib-id contrib-id-type="orcid"/>
          <name id="n-db1026c79f6b">
            <surname>Vi</surname>
            <given-names>Nguyen Thien</given-names>
          </name>
          <xref id="x-7aaa0364ceb4" rid="a-da3ee0c3cbfc" ref-type="aff">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <contrib-id contrib-id-type="orcid"/>
          <name id="n-7c0684f63c53">
            <surname>Tham</surname>
            <given-names>Doan Thi Mong</given-names>
          </name>
          <xref id="x-dc25cc604372" rid="a-da3ee0c3cbfc" ref-type="aff">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <contrib-id contrib-id-type="orcid"/>
          <name id="n-1af28cecc44e">
            <surname>Loan</surname>
            <given-names>Le Thi Thanh</given-names>
          </name>
          <xref id="x-9a5acd69cb1c" rid="a-da3ee0c3cbfc" ref-type="aff">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <contrib-id contrib-id-type="orcid"/>
          <name id="n-67d698132eed">
            <surname>Ho</surname>
            <given-names>Pham Thanh</given-names>
          </name>
          <xref id="x-f2d36e0e88a5" rid="a-da3ee0c3cbfc" ref-type="aff">1</xref>
        </contrib>
        <contrib contrib-type="author" corresp="yes">
          <contrib-id contrib-id-type="orcid">0000-0001-8900-9447</contrib-id>
          <name id="n-aae6bb3de7e4">
            <surname>Hieu</surname>
            <given-names>Tran Trung</given-names>
          </name>
          <email>hieutt@hcmus.edu.vn</email>
          <xref id="x-8234ecad2db7" rid="a-da3ee0c3cbfc" ref-type="aff">1</xref>
        </contrib>
        <aff id="a-da3ee0c3cbfc">
          <institution>Faculty of Biology and Biotechnology, VNUHCM University of Science, Ho Chi Minh City, Vietnam</institution>
        </aff>
      </contrib-group>
      <volume>8</volume>
      <issue>3</issue>
      <permissions/>
      <abstract id="abstract-43eca08ae453">
        <title id="abstract-title-c2fbf7054a53">Abstract</title>
        <p id="paragraph-896d2daf3872"><bold id="s-f1f9a9c9b14c">Introduction: </bold><italic id="e-8c7a58f57809">Hericium erinaceus</italic> is known as a medicinal edible mushroom owing to its antimicrobial, antioxidant, anti-tumor and immunomodulatory effects. <italic id="e-5986713e6333">Helicobacter pylori</italic> infection is one of the major health concerns worldwide due to its high rate in global populations, frequent recurrence, and rapid emergence of drug-resistant strains. The present study aims to investigate antioxidant, anti-<italic id="e-2a7f20d09d76">H. pylori, </italic>and urease inhibitory activities of solvent fractions from <italic id="emphasis-4">H. erinaceus</italic> mycelium and culture filtrate. <bold id="strong-2">Methods:</bold> <italic id="emphasis-5">H. erinaceus </italic>mycelium was purely cultured in a liquid medium. A polysaccharide fraction was obtained from the culture filtrate by precipitation with ethanol. The mycelium and culture filtrate were extracted by liquid extraction to obtain solvent-soluble fractions. The antibacterial effects of these fractions were determined using paper disc diffusion and broth microdilution assays. Urease inhibition was determined using the salicylate-hypochlorite method. The antioxidant activity of <italic id="emphasis-6">H.</italic> <italic id="emphasis-7">erinaceus</italic> was evaluated via 2,2,1-diphenyl-1-picrylhydrazyl (DPPH) radical scavenging activity. <bold id="strong-3">Results: </bold>The ethyl-acetate (EtOAc) fractions derived from <italic id="emphasis-8">H. erinaceus </italic>culture filtrate (fEtOAc Fr.) and mycelium (mEtOAc Fr.) showed the strongest anti-<italic id="emphasis-9">H. pylori</italic> activity with MIC (MBC) of 1.25 – 1.5 (5.0 – 7.5) mg/mL and potential urease inhibitory activity with IC<sub id="subscript-1">50</sub> of 0.34 – 0.35 mg/mL. In addition, fEtOAc Fr. exhibited the greatest antioxidant activity (IC<sub id="subscript-2">50</sub>, 11.83 mg/mL), which was slightly stronger than that of mEtOAc Fr. (IC<sub id="subscript-3">50</sub>, 14.75 mg/mL). Moreover, our study also found that the water fractions from the culture filtrate (fWater Fr.) and the mycelium (mWater Fr.) displayed considerable inhibitory activities against bacterial urease (IC<sub id="subscript-4">50</sub>, 1.26 – 1.40 mg/mL), although they showed low or no anti-H. pylori and antioxidant activities. <bold id="strong-4">Conclusion: </bold>The present study revealed that the EtOAC fractions derived from the <italic id="emphasis-12">H. erinaceus</italic> mycelium and culture filtrate potentially have anti-<italic id="emphasis-13">H. pylori<italic id="emphasis-14">, </italic></italic>anti-urease and antioxidant activities. These results suggest that <italic id="emphasis-15">H. erinaceus</italic> mycelium and culture filtrate could be utilized to develop functional foods and nutraceuticals to prevent <italic id="emphasis-16">H. pylori </italic>infection. More research is needed to prove the safety of the <italic id="emphasis-17">H. erinaceus</italic> mycelium and culture filtrate fractions and their <italic id="emphasis-18">in vivo </italic>efficacy in the treatment of <italic id="emphasis-19">H. pylori</italic> infection.</p>
        <p id="p-10a7d5ba767b"/>
      </abstract>
      <kwd-group id="kwd-group-1">
        <title>Keywords</title>
        <kwd>Antibacterial activity</kwd>
        <kwd>Antioxidant</kwd>
        <kwd>Culture filtrate</kwd>
        <kwd>Helicobacter pylori</kwd>
        <kwd>Hericium erinaceus</kwd>
        <kwd>Mycelium</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec>
      <title id="t-e694d854ae58">
        <bold id="s-bda2cac700d0">Introduction</bold>
      </title>
      <p id="p-c997b3b7121d"><italic id="e-03f17538a7e7">Hericium erinaceus</italic> (Bull.) Pers., known as lion’s mane mushroom, grows on old or dead hardwood trees in America and Asia and is widely consumed due to its nutritional qualities and health benefits. The mushroom has long been used as a folk medicine to treat various human diseases in several East Asian countries<xref id="x-08c1cf6aa6e1" rid="R104806521777086" ref-type="bibr">1</xref>. It provides numerous essential nutrients and constituents such as polysaccharides, proteins, lectins, phenols, isoindolinones, hericenones, erinacine terpenoids, and sterols, several of which possess various pharmacological properties<xref rid="R104806521777087" ref-type="bibr">2</xref>, <xref rid="R104806521777088" ref-type="bibr">3</xref>, <xref rid="R104806521777089" ref-type="bibr">4</xref>. <italic id="e-4a6d9bea2bbd">H. erinaceus</italic><italic id="e-86977ce63892"> </italic>extracts showed to be effective in stimulating the synthesis of immune system components<xref rid="R104806521777087" ref-type="bibr">2</xref>, <xref rid="R104806521777090" ref-type="bibr">5</xref>, which contribute to inhibiting tumor cell growth<xref id="x-6518ef22c1af" rid="R104806521777091" ref-type="bibr">6</xref>. The mushroom displayed clinical potential in relieving inflammatory bowel disease by regulating gut microbiota and immune system<xref id="x-e8782d0859bb" rid="R104806521777092" ref-type="bibr">7</xref>. Polysaccharide fraction derived from <italic id="e-d199dfec5ae1">H. erinaceus</italic> has also induced immunomodulating and anti-tumor effects<xref id="x-d837820893ac" rid="R104806521777091" ref-type="bibr">6</xref>, anti-gastritis activity, and significantly enhanced skin antioxidant enzymes that help retard skin aging<xref id="x-f692a1d5486a" rid="R104806521777093" ref-type="bibr">8</xref>. In addition, the fruiting body of <italic id="e-70be7857ac4f">H. erinaceus</italic> has been traditionally used to ameliorate gastrointestinal disorders and treat symptoms related to gastric ulcers<xref rid="R104806521777092" ref-type="bibr">7</xref>, <xref rid="R104806521777192" ref-type="bibr">9</xref>, <xref rid="R104806521777193" ref-type="bibr">10</xref>. <italic id="e-510055f2c6ec">H. erinaceus</italic> extracts were found to have antimicrobial activities against both Gram-positive and -negative pathogenic bacteria<xref rid="R104806521777194" ref-type="bibr">11</xref>, <xref rid="R104806521777195" ref-type="bibr">12</xref>, and both antibiotic-resistant and -susceptible <italic id="e-4bca667ca86e">Helicobacter pylori</italic><xref id="x-32f69b6aa008" rid="R104806521777198" ref-type="bibr">13</xref>, a human gastrointestinal pathogen involved in gastritis, duodenal ulcers, and gastric cancer<xref rid="R104806521777200" ref-type="bibr">14</xref>, <xref rid="R104806521777201" ref-type="bibr">15</xref>. Ethanol extracts from <italic id="e-0f5b3ddf4ff3">H. erinaceus</italic> fruiting bodies were reported to exhibit growth inhibitory effects on <italic id="e-ce037abffc1a">H. pylori</italic> by <italic id="e-a61a63fd11a0">in vitro</italic> and/or <italic id="e-86213f17e280">in vivo </italic>studies<xref rid="R104806521777192" ref-type="bibr">9</xref>, <xref rid="R104806521777193" ref-type="bibr">10</xref>, <xref rid="R104806521777198" ref-type="bibr">13</xref>. </p>
      <p id="p-0582600579a3"/>
      <p id="p-3d707d6f3e67">Besides, extracts derived from the mycelium culture of <italic id="e-39e16d763c46">H. erinaceus </italic>were reported to be active against pathogenic bacteria<xref id="x-75a835409c73" rid="R104806521777194" ref-type="bibr">11</xref>, hepatocarcinoma cells<xref id="x-19bc7457b680" rid="R104806521777205" ref-type="bibr">16</xref>, stimulate nerve growth factor synthesis<xref id="x-5c07d6aa643c" rid="R104806521777206" ref-type="bibr">17</xref>, and prevent oxidative stress in human gastric mucosa epithelium cell<xref id="x-51678267a474" rid="R104806521777208" ref-type="bibr">18</xref>. The pure culture of <italic id="e-f987a725e866">H. erinaceus </italic>mycelium has been recently being studied and developed, especially for the production of nutraceuticals and pharmaceuticals. However, there is less information focusing on the antibacterial activity of <italic id="e-c9499d85a5e6">H. erinaceus </italic>mycelium against <italic id="e-73fdc99e1b99">H. pylori</italic>. Therefore, the present study was aimed to assess the possible antioxidant effect and growth-inhibitory, bactericidal, and urease inhibitory activities of the polysaccharide and solvent fractions extracted from mycelium and culture filtrate of <italic id="e-a10d20a55286">H. erinaceus</italic> toward <italic id="e-2e2c6a57d650">H. pylori</italic>. </p>
      <p id="p-1f2c07bc848a"/>
    </sec>
    <sec>
      <title id="t-75d02078597d">
        <bold id="s-678e03eb8572">Materials — Methods</bold>
      </title>
      <sec>
        <title id="t-eb9f36aeeac2">
          <bold id="s-dfba9880afe8">Reagents</bold>
        </title>
        <p id="p-8a55e65137e2">Brucella broth (BB), brain heart infusion broth (BHIB), and bacto-agar were purchased from Becton Dickinson, Inc. (Franklin Lakes, NJ). Newborn bovine serum (NBS) was purchased from Hyclone (Longan, UT). Tryptone and yeast extract were provided by Merck (Kenilworth, NJ) and glucose was provided by HiMedia (Kennett Square, PA). Amoxicillin (≥ 98%) was provided by Santa Cruz Biotechnology Inc. (Dallas, TX). Solvents, hexane 96%, ethyl acetate (EtOAc) 99.8%, absolute ethanol (EtOH), and methanol (MeOH) 99.9% were purchased from Scharlau (Barcelona, Spain). All other chemicals and reagents used in this study were of analytical grade quality and available commercially.</p>
        <p id="p-a4fd74179c09"/>
      </sec>
      <sec>
        <title id="t-f21fd4da0a81">
          <bold id="s-18e78856623f">Broth culture of <italic id="e-f773025ae96f">H. erinaceus</italic> and solvent extraction of the mycelium and culture filtrate</bold>
        </title>
        <p id="p-afa471d65c4a"><italic id="e-72a20b47e3da">Hericium erinaceus </italic>mycelium was provided and identified by Dr. Pham Thanh Ho, Laboratory of Biotransformation, Faculty of Biology and Biotechnology, VNUHCM University of Science, Ho Chi Minh City, Vietnam. <italic id="e-076eda10365f">H. erinaceus</italic> mycelium could produce fruiting bodies in the laboratory conditions. The mycelium and fruiting bodies were cultured and stored at 4 <sup id="s-91cc9081e07a">o</sup>C.</p>
        <p id="p-914cacfba899">Four pieces of <italic id="e-6d6c1c660dba">H. erinaceus </italic>mycelium (1 cm<sup id="s-ad054f2e6b7e">2</sup>/each) from 8 day-old culture on agar medium were inoculated in 500 mL bottles containing 200 mL liquid medium with the following composition: 20% potato extract, 2% glucose, 0.2% yeast extract, and 0.2% tryptone. The broth cultures were incubated at 25 ± 2°C and shaken at 150 rpm for 7 days<xref id="x-32b0dcb925fd" rid="R104806521777194" ref-type="bibr">11</xref>. After that, the culture broths were filtered to obtain the mushroom mycelium and culture filtrate for solvent extraction, as shown in <bold id="s-d04bc5821ef2"><xref id="x-9e9ae1bf1a2d" rid="f-53635f2dde75" ref-type="fig">Figure 1</xref></bold>.</p>
        <p id="p-bb4e47ce1976"/>
        <fig id="f-53635f2dde75" orientation="portrait" fig-type="graphic" position="anchor">
          <label>Figure 1 </label>
          <caption id="c-5278de445bb8">
            <title id="t-7761796360db">
              <bold id="s-8b45976bfc57">Broth culture of <italic id="e-16ce232be743">H. erinaceus</italic> and solvent extraction of the mycelium and culture filtrate.</bold>
            </title>
          </caption>
          <graphic id="g-7e198cff942f" xlink:href="https://typeset-prod-media-server.s3.amazonaws.com/article_uploads/c274743a-396d-4fa0-95cc-2bc61b28e5f8/image/b386a730-9bb8-4c8f-bc74-993da8c8c5a6-ufig-1.jpg"/>
        </fig>
        <p id="p-88445f39c46f"/>
        <p id="p-0a323248b96e">The dry mycelium was disrupted by liquid nitrogen in 30 minutes. The mycelium was then finely grounded and extracted with 200 mL hexane for 1 day (3 times) and further extracted sequentially with 200 mL EtOAc for 1 day (3 times) and 500 mL hot water for 2 hours. The extracts were filtered, and a rotary evaporator was used to remove the solvents to obtain a hexane-soluble fraction (mHexane Fr.), EtOAc-soluble fraction (mEtOAc Fr.), and water-soluble fraction (mWater Fr.) (<bold id="s-9815f9de18d5"><xref id="x-106bb5d375d5" rid="f-53635f2dde75" ref-type="fig">Figure 1</xref></bold>).</p>
        <p id="p-fe3abb660ddc"/>
        <p id="p-faa5e50dc598">The culture filtrate was precipitated with 4 times volume of cold absolute EtOH (1 °C) overnight and then centrifuged to obtain the crude polysaccharide fraction (precipitant). The polysaccharide fraction (PS Fr.) was dissolved in sodium phosphate buffer buffer (30 mM, pH 7) to a 200 mg/mL stock concentration and stored at — 20 °C until further use. After the precipitation, the filtrate was then fractionated sequentially three times with an equal volume of hexane for 2 hours, and then three times with an equal volume of EtOAc for 2 hours using the liquid-liquid method. The solvent-soluble fractions were condensed to dryness by a rotary evaporator at 42 °C to gain the hexane fraction (fHexane Fr.), EtOAc fraction (fEtOAc Fr.), and water fraction (fWater Fr.) (<bold id="s-9257b1b67486"><xref id="x-227835b6afa6" rid="f-53635f2dde75" ref-type="fig">Figure 1</xref></bold>).</p>
        <p id="p-ac448995530c"/>
        <p id="p-f8ffef86345d"/>
      </sec>
      <sec>
        <title id="t-7cfb70f0f902">
          <italic id="e-b4eccb955a78">
            <bold id="s-1171d0a8dcf6">H. pylori </bold>
          </italic>
          <bold id="s-fa283a31270e">strain and culture condition</bold>
        </title>
        <p id="p-cb082ada5c85">The <italic id="e-7c7ae1642d6e">H. pylori </italic>strain (ATCC 43504) was provided by the Oxford University Clinical Research Unit in Vietnam (OUCRU-VN) and identified by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI<italic id="e-a5d48bd57ac1">-<italic id="e-792fbf16dcd2">TOF MS)</italic></italic>. The bacterial strain was stored in BHIB medium supplemented with 25% glycerol and placed in a nitrogen liquid container until use. </p>
        <p id="p-ad99ba745fb7">The <italic id="e-f7196b275432">H. pylori </italic>strain was cultured on Brucella agar supplemented with 10% newborn bovine serum, and then incubated at 37°C in 3 days under microaerophilic condition created by a 2.5 L Oxoid anaerojar and Oxoid Campygen sachet (Thermo Fisher Scientific, Waltham, MA, USA). The bacterial suspensions used for bioassay were suspended in Brucella broth supplemented with 5% NBS using a 72-h subculture of <italic id="e-269d20cecc58">H. pylori </italic>on Brucella agar. Bacterial density was determined using McFarland turbidity standards.</p>
        <p id="p-000a1645ed4e"/>
      </sec>
      <sec>
        <title id="t-d212be1e0280">
          <bold id="s-477faa7c8d1a">Antibacterial assay </bold>
        </title>
        <sec>
          <title id="t-20d04622013c">
            <bold id="s-8b77838c7fb7">Paper disc diffusion</bold>
            <bold id="s-283acd6cbf21"> assay</bold>
          </title>
          <p id="p-a755c55da431">The antibacterial activity of the fractions extracted from the <italic id="e-b827388d6fe9">H. erinaceus </italic>mycelium and culture filtrate was evaluated using paper-disc diffusion method, as previously described<xref id="x-33e615110af4" rid="R104806521777209" ref-type="bibr">19</xref>. In brief, 100 µL of <italic id="e-d2fcf9c57bcd">H. pylori</italic> suspensions (10<sup id="s-ed730c59b932">8</sup> CFU/mL) were evenly spread on Brucella agar medium in petri plates (Ø 90 mm, SPL Life Sciences, Korea). Sterile paper discs (1 mm thickness, 6 mm diameter) from Whatman/ GE Healthcare (UK) impregnated with 20 µL of respective test material (500 µg/µL) in DMSO were placed on the plate surface. DMSO (20 µL/disc) and amoxicillin (10 µg/disc) were similarly prepared and used as negative and positive controls, respectively. The test and control plates were incubated at 37 °C under the microaerophilic condition for 3 days. After incubation, the inhibition zone was measured. The assay was performed in duplicate three times. The inhibitory responses were classified as follows: very strong response with inhibition zone diameter <italic id="e-9c71102eb6f1">&gt; </italic>28 mm, strong response with inhibition zone diameter of &gt; 17 – 28 mm, moderate response with inhibition zone diameter of &gt; 13 – 17 mm, weak response with inhibition zone diameter of 8 – 13 mm, and little or no response with inhibition zone diameter <italic id="e-62284e17d5b3">&lt; </italic>8 mm.</p>
          <p id="p-74058a44b89c"/>
        </sec>
        <sec>
          <title id="t-ada3f8ff1955">
            <bold id="s-e5f33f4726eb">MIC and MBC assay</bold>
          </title>
          <p id="p-b9d92b92b88d">The minimal inhibitory concentration (MICs) and minimal bactericidal concentration (MBCs) of the fractions extracted from <italic id="e-04f70e7e337a">H. erinaceus </italic>mycelium and culture filtrate towards <italic id="e-599a17f8cd19">H. pylori</italic> were evaluated using broth microdilution method, as reported previously<xref id="x-f9e85c0dac0f" rid="R104806521777209" ref-type="bibr">19</xref>. Briefly, the fractions in DMSO (10 µL each) at various final concentrations (0 – 10 mg/mL) were added to each well of sterile 96-well plates, which contained 40 µL of Brucella broth medium supplemented with 5% NBS. Subsequently, 50 µL bacterial suspension (5.10<sup id="s-48dc131f6b01">6</sup> CFU/mL) from cultures on Brucella agar was seeded into each well. DMSO and amoxicillin served respectively as negative and positive controls and were similarly prepared. The plates were incubated at 37°C in a gas jar under microaerophilic conditions and shaken at 50 rpm for 48 hours. MIC values were determined as the lowest concentrations that showed bacterial growth inhibition using resazurin as an indicator. MBC values of the test fractions were performed following the MIC assays in 24-well plates with Brucella agar medium as previously described<xref id="x-b259d2fe60a3" rid="R104806521777210" ref-type="bibr">20</xref>. MIC and MBC values of each test sample were results from at least three independent experiments performed in triplicate (n ≥ 9).</p>
          <p id="p-1681690de6dc"/>
          <p id="p-9332c286b27f"/>
        </sec>
      </sec>
      <sec>
        <title id="t-4dce16a15e1c">
          <bold id="s-3f5b94888098">Preparation of <italic id="e-9340bf36aa41">H. pylori</italic> urease and <italic id="e-950d2300a4ff">in vitro </italic>inhibition of urease activity </bold>
        </title>
        <p id="p-d31f30c9a701"><italic id="e-98311f960c5a">H. pylori</italic> urease crude extract was prepared as reported previously<xref id="x-09490231ac3f" rid="R104806521777211" ref-type="bibr">21</xref> with slight modification. Briefly, an amount of 500 mg of <italic id="e-25810e56d1a3">H. pylori </italic>cell mass from 72-h cultures on NBS-supplemented Brucella agar was spread as thinly as possible on the wall of a polypropylene tube and stored in a nitrogen liquid container for 15 minutes. The cell mass was then thawed at room temperature and added with 5 mL of 20 mM sodium phosphate buffer (pH 7.3) containing EDTA (1 mM). Finally, the mixture was centrifuged at 12,000×g, 4°C for 30 minutes, and the supernatant was filtered using a 0.22 µm Millex GV Millipore filter. The protein content was determined using Bradford protein assay. Bovine serum albumin (BSA) was used as a protein standard.</p>
        <p id="p-836ac6ace571"/>
        <p id="p-a3b71afc54fd"><italic id="e-de7353688af4">H. pylori</italic> urease inhibitory activity of the fractions extracted from<italic id="e-4b29c0371e39"> H. erinaceus </italic>mycelium and culture filtrate was assayed in 96-well plates using the salicylate-hypochlorite method with minor modification<xref id="x-71e9f032e283" rid="R104806521777212" ref-type="bibr">22</xref>. In brief, 50 µL of 0.25 µg <italic id="e-4e3b08e57beb">H. pylori </italic> urease crude preparation (0.04 urease units) in EDTA-sodium phosphate buffer (pH 7.3) was added to each well containing 50 µL of the test fraction at various concentrations. The plates were preincubated at 37°C and shaken at 50 rpm for 90 minutes. An amount of 50 µL of 5 mM urea in phosphate buffer saline (PBS) was added into each well. After 30 minutes of incubation, a stop solution consisting of 35 µL of solution A (146% Na salicylate + 0.1% sodium nitroprusside) and 65 µL of solution B (1.78% NaOH + 11.57% Na citrate + 0.54% active NaOCl) were supplemented in sequence to each well. The plates were incubated for 30 minutes at 37°C for color development. The ammonia production released from the hydrolysis of urea by urease activity was quantified by measuring absorbance on the microplate reader at 625 nm using ammonium chloride as a standard. Thiourea as a standard reference was similarly prepared. Inhibition rate (I%) was calculated by the following formula: I (%) = [1 — (OD<sub id="s-720b65fd9df6">625</sub> test sample — OD<sub id="s-1f8aa1fba105">625</sub> corresponding background)/(OD<sub id="s-5bdbb6162f4d">625 </sub>control — OD<sub id="s-772fa2373fa5">625</sub> blank)] × 100. Urease inhibition activity of the fractions was displayed as 50% inhibitory concentration (IC<sub id="subscript-5">50</sub>), which was defined as the concentration of the fractions required to decrease urease activity to 50% of the control value. The assay was performed in duplicate three times.</p>
        <p id="p-8ecf9298e59e"/>
      </sec>
      <sec>
        <title id="t-1e8246bbfa96">
          <bold id="s-640f750afec1">DPPH free radical scavenging assay</bold>
        </title>
        <p id="p-bbf21d417a29">The antioxidant activities of the fractions extracted from <italic id="e-493599445e21">H. erinaceus </italic>mycelium and culture filtrate were evaluated via 2,2,1-diphenyl-1-picrylhydrazyl (DPPH) free radical scavenging activity with slight modification<xref id="x-4e27dd510fa4" rid="R104806521777194" ref-type="bibr">11</xref>. The experiment was performed in 96-well plates. The fraction solutions in MeOH at various concentrations from 0 – 50 mg/mL were placed in the wells, and 150 µL of 380 µM DPPH in MeOH was then added to each well. Blank and background wells, which contained MeOH and the fractions, respectively, without DPPH, were also prepared. The plates were placed in the dark and incubated at 37°C with rotation at 75 rpm for 30 minutes. Subsequently, the absorbance measurements were determined at 515 nm on a Microlisa Plus microplate reader (Micro Lab Instruments, India). Acid ascorbic (0 – 0.5 mg/mL) served as a positive control and was similarity prepared. The percent radical scavenging activity was calculated as follows: percent scavenging effect (%) = [1 — (OD<sub id="s-9bb54512de1d">treatment </sub>— OD<sub id="s-9b134800dcff">background</sub>)/(OD<sub id="s-e423c95e75cd">control</sub> — OD<sub id="s-a169b2a39100">blank</sub>)] × 100, where OD<sub id="s-368ba31bde16">control</sub>, OD<sub id="subscript-6">blank</sub>, OD<sub id="subscript-7">treatment,</sub> and OD<sub id="subscript-8">background</sub> are absorbance values of the controls, blanks, fraction treatments, and background wells, respectively.</p>
        <p id="p-ca40cccc6503"/>
      </sec>
      <sec>
        <title id="t-02643566190c">
          <bold id="s-70205d399294">Data analysis</bold>
        </title>
        <p id="p-d91dc668a311">All bioassays were repeated three to five times in triplicate. The inhibition zones of the test fractions were presented in mean values (± SD). DPPH IC<sub id="s-f45d65e00cc2">50 </sub>and urease IC<sub id="s-87bde182b511">50 </sub>(half maximal inhibitory concentration) values were calculated using GraphPad Prism 5 software program (GraphPad Software, Inc., La Jolla, CA, USA). The IC<sub id="s-1b4699117e10">50</sub> values of the treatments would be declared significantly different if their 95% confidence intervals did not overlap.</p>
        <p id="p-9323c17f98a0"/>
      </sec>
    </sec>
    <sec>
      <title id="t-bb65eb32945b">
        <bold id="s-8d867bcf5ce1">Results</bold>
      </title>
      <sec>
        <title id="t-3dcc369950ea">
          <bold id="s-948dd00fd7db">Solvent extraction of the mycelium and culture filtrate of <italic id="e-9f3eabd86000">H. erinaceus</italic></bold>
        </title>
        <p id="p-222552429bcf">After 7 days of incubations, the culture broths of <italic id="e-f04a78df4791">H. erinaceus </italic> were filtered to obtain 57.7 g dry weight of the mycelium and 24 L of its culture filtrate. Solvent-soluble fractions obtained from the dry mycelium and culture filtrate are presented in <bold id="s-e886d8b44139"><xref id="x-c1b08057ff93" rid="f-53635f2dde75" ref-type="fig">Figure 1</xref></bold>. </p>
        <p id="p-a81729afed14">From the dry mycelium (57.7 g), the three fractions of mHexane Fr., mEtOAc Fr. and mWater Fr. were obtained, and weighed as 0.162, 0.091 and 0.509 g, respectively (<bold id="s-258b41421be9"><xref id="x-c26a8b869b5f" rid="f-53635f2dde75" ref-type="fig">Figure 1</xref></bold>).</p>
        <p id="p-520aec116e0f">From 24 L of the culture filtrate, the four fractions of PS Fr. (26.4 g), fHexane Fr.(0.12 g), fEtOAc Fr. (11.04 g) and fWater Fr. (72.48 g) were obtained (<bold id="s-be6bd7a7458d"><xref id="x-4eb3278b6be6" rid="f-53635f2dde75" ref-type="fig">Figure 1</xref></bold>). The yields of the Hexane and EtOAc fractions were lower than those of the PS and Water fractions. This implied that there were very few non-polar components in the mycelium and culture filtrate.</p>
        <p id="p-995846ed87da"/>
      </sec>
      <sec>
        <title id="t-7acc93a09261">
          <bold id="s-098d206c88c0">Antibacterial assays </bold>
        </title>
        <p id="p-22ced4efb851"/>
        <table-wrap id="tw-7cc0d0f74b53" orientation="portrait">
          <label>Table 1</label>
          <caption id="c-d0f6cb5251e6">
            <title id="t-86cbb019eb4c">
              <bold id="s-ef09c846b8c0">Antibacterial activities of <italic id="e-81cf73c8e8f6">H. erinaceus</italic> mycelium and culture  filtrate fractions against <italic id="e-f33908d2d2a3">H. pylori</italic> ATCC 43504</bold>
            </title>
          </caption>
          <table id="table-1" rules="rows">
            <colgroup>
              <col width="22.89"/>
              <col width="27.11"/>
              <col width="25"/>
              <col width="25"/>
            </colgroup>
            <tbody id="table-section-1">
              <tr id="table-row-1">
                <td id="table-cell-1" align="left">
                  <p>
                    <bold>
                      <p id="p-d2252ef1db2c">Test material</p>
                      <p id="p-23cbe5332634">(10 mg/disc)</p>
                    </bold>
                  </p>
                </td>
                <td id="table-cell-2" align="center">
                  <p>
                    <bold>
                      <p id="p-4aeb20684298">Inhibition zone* </p>
                      <p id="p-04892b8c2de1">(mm)</p>
                    </bold>
                  </p>
                </td>
                <td id="table-cell-3" align="center">
                  <p>
                    <bold>
                      <p id="p-c06a50cd5a2a">MIC </p>
                      <p id="p-a6b36905a1fe">(mg/mL)</p>
                    </bold>
                  </p>
                </td>
                <td id="table-cell-4" align="center">
                  <p>
                    <bold>
                      <p id="p-2e08fbea8a74">MBC </p>
                      <p id="p-a058f93948d4">(mg/mL)</p>
                    </bold>
                  </p>
                </td>
              </tr>
              <tr id="table-row-2">
                <td id="table-cell-5" align="left">
                  <p id="p-e1f33433d8ee">fEtOAc Fr. </p>
                </td>
                <td id="table-cell-6" align="center">
                  <p id="p-ab2fb32c1621">18.8 ± 0.75 <sup id="s-047af66c98b4">b</sup></p>
                </td>
                <td id="table-cell-7" align="center">
                  <p id="p-97cfcd505650">1.25</p>
                </td>
                <td id="table-cell-8" align="center">
                  <p id="p-a9aa4ae1253a">5</p>
                </td>
              </tr>
              <tr id="table-row-3">
                <td id="table-cell-9" align="left">
                  <p id="paragraph-13">mEtOAc Fr. </p>
                </td>
                <td id="table-cell-10" align="center">
                  <p id="p-97fe793ce7e9">17.7 ± 1.03 <sup id="s-c7a1fd163769">b</sup></p>
                </td>
                <td id="table-cell-11" align="center">
                  <p id="p-5261e02918d7">1.5</p>
                </td>
                <td id="table-cell-12" align="center">
                  <p id="p-a68f16322a6e">7.5</p>
                </td>
              </tr>
              <tr id="table-row-4">
                <td id="table-cell-13" align="left">
                  <p id="paragraph-17">mHexane Fr. </p>
                </td>
                <td id="table-cell-14" align="center">
                  <p id="p-df8ea84635e1">12.3 ± 0.82 <sup id="s-70a54286e52d">c</sup></p>
                </td>
                <td id="table-cell-15" align="center">
                  <p id="paragraph-19">7.5</p>
                </td>
                <td id="table-cell-16" align="center">
                  <p id="p-e827b0c12512">10</p>
                </td>
              </tr>
              <tr id="table-row-5">
                <td id="table-cell-17" align="left">
                  <p id="p-3e69235a9a31">PS Fr.</p>
                </td>
                <td id="table-cell-18" align="center">
                  <p id="p-18434a86296f">9.3 ± 0.52 <sup id="s-c65f80068ce6">d</sup></p>
                </td>
                <td id="table-cell-19" align="center">
                  <p id="p-0f2179d43c04">7.5</p>
                </td>
                <td id="table-cell-20" align="center">
                  <p id="p-01962e8a7afa">&gt; 10</p>
                </td>
              </tr>
              <tr id="table-row-6">
                <td id="table-cell-21" align="left">
                  <p id="p-32b3245f8d81">fHexane Fr. </p>
                </td>
                <td id="table-cell-22" align="center">
                  <p id="p-0ec07f122148">–</p>
                </td>
                <td id="table-cell-23" align="center">
                  <p id="p-1b5ab3ceda91">10</p>
                </td>
                <td id="table-cell-24" align="center">
                  <p id="p-10762c12debc">&gt; 10</p>
                </td>
              </tr>
              <tr id="table-row-7">
                <td id="table-cell-25" align="left">
                  <p id="p-1a19dcfb4c8a">mWater Fr. </p>
                </td>
                <td id="table-cell-26" align="center">
                  <p id="p-bb49c0188243">–</p>
                </td>
                <td id="table-cell-27" align="center">
                  <p id="paragraph-31">&gt; 10</p>
                </td>
                <td id="table-cell-28" align="center">
                  <p id="paragraph-185558a03de0"/>
                </td>
              </tr>
              <tr id="table-row-8">
                <td id="table-cell-29" align="left">
                  <p id="p-8d0da3225466">fWater Fr. </p>
                </td>
                <td id="table-cell-30" align="center">
                  <p id="paragraph-33">–</p>
                </td>
                <td id="table-cell-31" align="center">
                  <p id="p-d1509d32250e">&gt; 10</p>
                </td>
                <td id="table-cell-32" align="center">
                  <p id="paragraph-4b79451335e2"/>
                </td>
              </tr>
              <tr id="table-row-9">
                <td id="table-cell-33" align="left">
                  <p id="paragraph-35">Amoxicillin** </p>
                </td>
                <td id="table-cell-34" align="center">
                  <p id="p-cf64e1380073">37. 5 ± 2.51<sup id="s-ea1acc81117d">a</sup></p>
                </td>
                <td id="table-cell-35" align="center">
                  <p id="paragraph-37">0.032</p>
                </td>
                <td id="table-cell-36" align="center">
                  <p id="p-7e30f884335f">0.063</p>
                </td>
              </tr>
            </tbody>
          </table>
          <table-wrap-foot/>
        </table-wrap>
        <p id="p-bd586926ddef">The results from the paper disc diffusion method are summarized in <bold id="s-ad4a42e78a75"><xref id="x-fbde42a07899" rid="tw-7cc0d0f74b53" ref-type="table">Table 1</xref></bold> and <bold id="s-9eb4d8b835a5"><xref id="x-b74ecbb29fb7" rid="f-f32cf150b603" ref-type="fig">Figure 2</xref></bold>. The results revealed that the EtOAc fractions from both the mycelium (mEtOAc Fr.) and filtrate (fEtOAc Fr.) had strong anti-<italic id="e-1ba43b9aa891">H. pylori </italic>activity with inhibition zones of 18 – 19 mm, while mHexane Fr. and PS Fr. showed weak activity with 12 and 9 mm inhibition zones, respectively. However, mWater Fr., fHexane Fr. and fWater Fr. showed no inhibitory activity (<bold id="s-c5a74a37741e"><xref id="x-c553f3da7351" rid="tw-7cc0d0f74b53" ref-type="table">Table 1</xref></bold>). All fractions displayed weaker inhibitory activity than the positive control amoxicillin (inhibition zone of 37.5 mm).</p>
        <p id="p-c18b5222169f"/>
        <fig id="f-f32cf150b603" orientation="portrait" fig-type="graphic" position="anchor">
          <label>Figure 2 </label>
          <caption id="c-380eb75d7748">
            <title id="t-fa41def63b73"><bold id="s-df35e903d55e">Antibacterial of <italic id="e-b2baf8272170">H. erinaceus </italic>mycelium and<italic id="e-9f1cf6958b13"> </italic>culture filtrate fractions toward <italic id="e-136614a0143c">H. pylori</italic> ATCC 43504 using paper disc diffusion assay. </bold>Inhibition zones of mHexane Fr. (A), mEtOAc Fr. (B), mWater Fr. (C), fHexane Fr. (D), fEtOAc Fr (E), fWater Fr. (F), PS Fr. (G), negative control DMSO (H), and positive control amoxicillin (I). </title>
          </caption>
          <graphic id="g-ec0390359411" xlink:href="https://typeset-prod-media-server.s3.amazonaws.com/article_uploads/c274743a-396d-4fa0-95cc-2bc61b28e5f8/image/2559ebec-a2d1-4ec4-8b3e-745e7363832c-ufig-2.jpg"/>
        </fig>
        <p id="p-c97ca1092d3b">The MIC and MBC results also yielded similar results (<bold id="s-7e1581adbd2c"><xref id="x-11dfbd2b958f" rid="tw-7cc0d0f74b53" ref-type="table">Table 1</xref></bold>). The fractions mEtOAC Fr. and fEtOAC Fr. showed strong anti-<italic id="e-0053f57cc5ad">H. pylori</italic> activity with MIC (MBC) values of 1.5 (7.5) and 1.25 (5.0) mg/mL, respectively. However, mHexane Fr. and PS Fr. displayed weak anti-<italic id="e-d6c2f28b087c">H. pylori</italic> activity with MIC (MBC) values of 7.5(≥ 10) mg/mL, while fHexane Fr., mWater Fr. and fWater Fr. showed no inhibitory activity (MIC ≥ 10 mg/mL). The <italic id="e-1c6d99858200">H. pylori </italic>ATCC 43504 strain was susceptible to the positive control amoxicillin with MIC (MBC) values of 0.032 (0.063) µg/mL.<bold id="strong-11"/></p>
        <p id="p-42ed57d32d2d"/>
      </sec>
      <sec>
        <title id="t-0306a6bad4ac">
          <bold id="strong-12">Urease inhibition</bold>
        </title>
        <table-wrap id="tw-1b483ce1cb8c" orientation="portrait">
          <label>Table 2</label>
          <caption id="c-6f7a9ae02b07">
            <title id="t-f38aeba4aecf">
              <italic id="e-9ab728c5e52f">
                <bold id="s-d589b16118da">H. pylori</bold>
              </italic>
              <bold id="s-d589b16118da-17fd391f-9c67-4491-bd1c-58791436c514"> urease inhibitory activity of <italic id="e-0f7c4fe5fa6c">H. erinaceus</italic> mycelium and culture filtrate fractions </bold>
            </title>
          </caption>
          <table id="t-bc602dd48391" rules="rows">
            <colgroup>
              <col width="38.36"/>
              <col width="27.64"/>
              <col width="34"/>
            </colgroup>
            <tbody id="ts-6f4d93ca78c1">
              <tr id="tr-56861225ba6c">
                <td id="tc-cd0a16854554" align="left">
                  <p>
                    <bold>
                      <p id="p-abf824a154ca">Test material</p>
                    </bold>
                  </p>
                </td>
                <td id="tc-a53d6fcec182" align="center">
                  <p>
                    <bold>
                      <p id="p-29f020b84c8a"> Slope ± SE</p>
                    </bold>
                  </p>
                </td>
                <td id="tc-9d7f5b430d43" align="center">
                  <p>
                    <bold>
                      <p id="p-abb0983cb2b2">Urease IC<sub id="s-be7cc4027f1e">50</sub>, mg/mL (95% CL)</p>
                    </bold>
                  </p>
                </td>
              </tr>
              <tr id="tr-6419b370801e">
                <td id="tc-894fd21da7f5" align="left">
                  <p id="p-891bf1b9f176">mEtOAc Fr. </p>
                </td>
                <td id="tc-9c9f19885c7b" align="center">
                  <p id="p-670a191c7e80">0.81 ± 0.056</p>
                </td>
                <td id="tc-9753151c715e" align="center">
                  <p id="p-b7c9f9fbe819">0.34 (0.30 – 0.39)</p>
                </td>
              </tr>
              <tr id="tr-c041a65db5a0">
                <td id="tc-d3e09217d040" align="left">
                  <p id="p-3829d0dcb70f">fEtOAc Fr. </p>
                </td>
                <td id="tc-d715c52e4efd" align="center">
                  <p id="p-ca8dd2ae8077">1.25 ± 0.118</p>
                </td>
                <td id="tc-8a3819ef4f66" align="center">
                  <p id="p-189cb3a5e6f5">0.35 (0.31 – 0.40)</p>
                </td>
              </tr>
              <tr id="tr-518215b9b33e">
                <td id="tc-2f18842ac4af" align="left">
                  <p id="p-136fb1e6136a">mWater Fr. </p>
                </td>
                <td id="tc-2a10cc4b7c43" align="center">
                  <p id="p-48253a2c0995">1.56 ± 0.269</p>
                </td>
                <td id="tc-342fda72746a" align="center">
                  <p id="p-ad2898454024">1.26 (1.02 – 1.55)</p>
                </td>
              </tr>
              <tr id="tr-5ada99d5adbb">
                <td id="tc-a3cfc4fa203f" align="left">
                  <p id="p-a3af9f512eaf">fWater Fr. </p>
                </td>
                <td id="tc-ff2a7b3aa767" align="center">
                  <p id="p-568a0554de2e">0.47 ± 0.077</p>
                </td>
                <td id="tc-5ee385c5999e" align="center">
                  <p id="p-700cc087f5e7">1.40 (1.12 – 1.74)</p>
                </td>
              </tr>
              <tr id="tr-695b2350b14c">
                <td id="tc-dbb3e3074efa" align="left">
                  <p id="p-e26ef694c0b3">PS Fr.</p>
                </td>
                <td id="tc-ecd5327a7a88" align="center">
                  <p id="p-4529a33601eb">1.59 ± 0.265</p>
                </td>
                <td id="tc-4faf039369f7" align="center">
                  <p id="p-cfa4ac6739c2">29.67 (26.12 – 33.70)</p>
                </td>
              </tr>
              <tr id="tr-77c6017cbe57">
                <td id="tc-3b12bc250b05" align="left">
                  <p id="p-7ae6b36dcb5b">mHexane Fr. </p>
                </td>
                <td id="tc-ade805ddd1fb" align="center">
                  <p id="p-e34c5d2732f9">2.13 ± 0.173</p>
                </td>
                <td id="tc-15064544d37b" align="center">
                  <p id="p-9399741b10a9">30.26 (28.53 – 32.10)</p>
                </td>
              </tr>
              <tr id="tr-1c401caa8a24">
                <td id="tc-ecffc655b302" align="left">
                  <p id="p-8e9b8b1d59ba">fHexane Fr.</p>
                </td>
                <td id="tc-edab23603d37" align="center">
                  <p id="paragraph-39766a6a56f8"/>
                </td>
                <td id="tc-b4641536471c" align="center">
                  <p id="p-6f2ea20e2e92">ND</p>
                </td>
              </tr>
              <tr id="table-row-10">
                <td id="tc-0760af75a182" align="left">
                  <p id="p-4a8aea1b1c71">Thiourea</p>
                </td>
                <td id="tc-2b8d53958837" align="center">
                  <p id="p-de7e296ef802">1.65 ± 0.215</p>
                </td>
                <td id="tc-e5eb51b9905e" align="center">
                  <p id="p-723d0c495701">0.055 (0.049 – 0.062)</p>
                </td>
              </tr>
            </tbody>
          </table>
          <table-wrap-foot/>
        </table-wrap>
        <p id="p-06bea702b047">Based on urease IC<sub id="s-99c7c9226394">50</sub> data presented in <bold id="s-887d234a5266"><xref id="x-490ed762fceb" rid="tw-1b483ce1cb8c" ref-type="table">Table 2</xref></bold>, mEtOAc Fr. and fEtOAc Fr.<italic id="e-394f0214497c"> </italic> displayed strong urease inhibitory activity with IC<sub id="s-be0cfd522be6">50</sub> values of 0.34 and 0.35 mg/mL, respectively, with a non-significant difference (p &gt; 0.05). This was followed by the inhibitory activity of mWater Fr. and fWater Fr. (IC<sub id="s-eed379849f7a">50</sub> values of 1.26 and 1.40 mg/mL, respectively). Besides, both mEtOAc Fr. and fEtOAc Fr.<italic id="e-db3e2947b5a7"> </italic> caused a steep dose-response curve of the percentage of urease inhibitory activity and produced a complete inhibition against the urease at 2.5 mg/mL, whereas mWater Fr. and fWater Fr. showed a complete inhibition against the urease at 3 and &gt;5 mg/mL, respectively (<bold id="s-2353d35f8ea7"><xref id="x-1e5f985166e5" rid="f-3426ea9cf22b" ref-type="fig">Figure 3</xref></bold>). Moreover, PS Fr., mHexane Fr. and fHexane Fr. gave very weak or no inhibitory activity towards the enzyme. All the fractions exhibited lower urease inhibitory activity than the positive control thiourea (IC<sub id="s-29a56576635c">50</sub>, 0.055 mg/mL) (<bold id="s-a2bfdd7aa22f"><xref id="x-6af04ea48891" rid="tw-1b483ce1cb8c" ref-type="table">Table 2</xref></bold>).</p>
        <p id="p-f25724164c2c"/>
        <fig id="f-3426ea9cf22b" orientation="portrait" fig-type="graphic" position="anchor">
          <label>Figure 3 </label>
          <caption id="c-2c238a73b34d">
            <title id="t-a592ffbc0f6e"><italic id="e-10321150f428"><bold id="s-7a5fa4d8d6ff">H. pylori </bold></italic><bold id="s-132b84b8bf79">urease inhibitory activity </bold><bold id="s-4f032b4ff9bd">of <italic id="e-a2ba82f59ced">H. erinaceus </italic>mycelium and culture<italic id="e-eecd43dfc73c"> </italic> filtrate fractions.</bold> </title>
          </caption>
          <graphic id="g-507e03c9bf65" xlink:href="https://typeset-prod-media-server.s3.amazonaws.com/article_uploads/c274743a-396d-4fa0-95cc-2bc61b28e5f8/image/f5372b76-e3b0-48c7-b903-4501b3a0cc4f-ufig-3.jpg"/>
        </fig>
      </sec>
      <sec>
        <title id="t-4d1c8262d8f4">
          <bold id="strong-16">DPPH free radical scavenging</bold>
        </title>
        <table-wrap id="tw-c3cddbe8287b" orientation="portrait">
          <label>Table 3</label>
          <caption id="c-c83243be4c8c">
            <title id="t-d677517292b4">
              <bold id="s-acd416a2c1d9">DPPH free radical scavenging activity of <italic id="e-cffcf56d17a3">H. erinaceus</italic> mycelium and culture filtrate fractions </bold>
            </title>
          </caption>
          <table id="t-2e893e9a4bfc" rules="rows">
            <colgroup>
              <col width="33.19"/>
              <col width="32.81"/>
              <col width="34"/>
            </colgroup>
            <tbody id="ts-98613e6d471f">
              <tr id="tr-5a1cf1d38827">
                <td id="tc-0b528e24e3fc" align="left">
                  <p>
                    <bold>
                      <p id="p-5586c3c2382c">Test material </p>
                    </bold>
                  </p>
                </td>
                <td id="tc-38da4c6c57f9" align="center">
                  <p>
                    <bold>
                      <p id="p-90089c8db6f5"> Slope ± SE</p>
                    </bold>
                  </p>
                </td>
                <td id="tc-9f9c8080e27f" align="center">
                  <p>
                    <bold>
                      <p id="p-51bb77c5aebb">DPPH IC<sub id="s-fcb32faa05fd">50</sub>, mg/mL (95% CL)</p>
                    </bold>
                  </p>
                </td>
              </tr>
              <tr id="tr-c2944459a989">
                <td id="tc-807dd9a2885b" align="left">
                  <p id="p-b1f469ba06b0">fEtOAc Fr. </p>
                </td>
                <td id="tc-8110b45358c5" align="center">
                  <p id="p-48b0da6be7f9">2.322 ± 0.339</p>
                </td>
                <td id="tc-a4be22c04de0" align="center">
                  <p id="p-f8f361c86b8b">11.83 (10.48 – 13.36)</p>
                </td>
              </tr>
              <tr id="tr-bfe28465fc17">
                <td id="tc-f84aa22f03dc" align="left">
                  <p id="p-696772ab6f63">mEtOAc Fr. </p>
                </td>
                <td id="tc-edc516886f44" align="center">
                  <p id="p-e161addd777b">2.972 ± 0.421</p>
                </td>
                <td id="tc-72ad0f9f3748" align="center">
                  <p id="p-8704ebf89434">14.75 (13.52 – 16.09)</p>
                </td>
              </tr>
              <tr id="tr-f27b93c86fc3">
                <td id="tc-c2d71f678d0a" align="left">
                  <p id="p-503509df97f7">PS Fr.</p>
                </td>
                <td id="tc-df8715dc2960" align="center">
                  <p id="p-a6e3aaa4ac20">3.217 ± 0.256</p>
                </td>
                <td id="tc-2dda73e7363a" align="center">
                  <p id="p-c631343cd07a">26.04 (24.77 – 27.38)</p>
                </td>
              </tr>
              <tr id="tr-41ebf3e09f43">
                <td id="tc-db421113ad67" align="left">
                  <p id="p-cd0c8a76634c">mWater Fr. </p>
                </td>
                <td id="tc-d4ebf984dda8" align="center">
                  <p id="p-e041993fdba0">3.03 ± 0.365</p>
                </td>
                <td id="tc-27697d2716bc" align="center">
                  <p id="p-f7e090f68c2a">28.66 (26.6 – 30.87)</p>
                </td>
              </tr>
              <tr id="tr-f68b0defb7d5">
                <td id="tc-6e2430322600" align="left">
                  <p id="p-c07f47ba957e">fWater Fr. </p>
                </td>
                <td id="tc-790e563f1668" align="center">
                  <p id="p-85c3df7cd486">1.879 ± 0.211</p>
                </td>
                <td id="tc-c0aa5e97b92e" align="center">
                  <p id="p-32dd89a879fd">34.51 (31.90 – 37.34)</p>
                </td>
              </tr>
              <tr id="tr-92d3a8b14967">
                <td id="tc-1438b39e7eab" align="left">
                  <p id="p-9e0014db70f3">mHexane Fr. </p>
                </td>
                <td id="tc-1c67213d6fe0" align="center">
                  <p id="paragraph-ba907557d449"/>
                </td>
                <td id="tc-a2ed595e6767" align="center">
                  <p id="p-e14a1cf0853f">ND</p>
                </td>
              </tr>
              <tr id="tr-ef684e19f85b">
                <td id="tc-55562143aaf7" align="left">
                  <p id="p-50aa5fe7dc3e">fHexane Fr.</p>
                </td>
                <td id="tc-6f08acba4ccf" align="center">
                  <p id="paragraph-53dfe378b57c"/>
                </td>
                <td id="tc-da12e35fe547" align="center">
                  <p id="p-697ee813c629">ND </p>
                </td>
              </tr>
              <tr id="tr-236129cea9f6">
                <td id="tc-70b277505663" align="left">
                  <p id="p-042d2181168f">Acid ascorbic</p>
                </td>
                <td id="tc-99df93f52c0c" align="center">
                  <p id="p-c689cf14f932">2.712 ± 0.567</p>
                </td>
                <td id="tc-717242f0c99e" align="center">
                  <p id="p-17a21d548932">0.057 (0.048 – 0.065)</p>
                </td>
              </tr>
            </tbody>
          </table>
          <table-wrap-foot/>
        </table-wrap>
        <p id="paragraph-12">Based on DPPH IC<sub id="s-72046277e682">50</sub> values presented in <bold id="s-ce77138fec27"><xref id="x-bda77e4ecf11" rid="tw-c3cddbe8287b" ref-type="table">Table 3</xref></bold>, fEtOAc Fr. displayed the greatest antioxidant activity in the DPPH assay (IC<sub id="s-60ed3ecb0f90">50</sub> of 11.83 mg/mL), followed by mEtOAc Fr. (IC<sub id="s-4cb65e5eb7a6">50</sub> of 14.75 mg/mL), with a significant difference (p &lt; 0.01). Moreover, PS Fr., mWater Fr. and fWater Fr. showed weak or very weak antioxidant activity (IC<sub id="s-b9c8e279a8e1">50</sub>, 28.66 – 34.51 mg/mL). In addition, fEtOAc Fr. caused a steep dose-response curve of percentage of DPPH radical scavenging activity and complete inhibition at 40 mg/mL (<bold id="s-3455509af080"><xref id="x-acac03ed35f8" rid="f-fbf4f3a8eed6" ref-type="fig">Figure 4</xref></bold>). Fractions mHexane Fr. and fHexane Fr. had no radical scavenging activity. Overall, all of these fractions showed significantly weaker DPPH radical scavenging activity than the positive control acid ascorbic (IC<sub id="subscript-9">50</sub> of 0.057 mg/mL) (<bold id="s-028aa00377f0"><xref id="x-3a071da1a09e" rid="tw-c3cddbe8287b" ref-type="table">Table 3</xref></bold>).</p>
        <p id="p-d9d8e2e2f57c"/>
        <fig id="f-fbf4f3a8eed6" orientation="portrait" fig-type="graphic" position="anchor">
          <label>Figure 4 </label>
          <caption id="c-bb6922582aad">
            <title id="t-8813e4e9f007">
              <bold id="s-9cbc1e6042be">DPPH free radical scavenging activity</bold>
              <bold id="s-0262706c5c0c"> of <italic id="e-2e80284172a7">H. erinaceus </italic>mycelium and culture filtrate fractions toward <italic id="e-e5a3bf855962">H. pylori</italic> ATCC 43504.</bold>
            </title>
          </caption>
          <graphic id="g-2963136ffbf1" xlink:href="https://typeset-prod-media-server.s3.amazonaws.com/article_uploads/c274743a-396d-4fa0-95cc-2bc61b28e5f8/image/54394cda-b7af-46da-a03f-442086f6b632-ufig-4.jpg"/>
        </fig>
      </sec>
    </sec>
    <sec>
      <title id="t-74f249e4b165">
        <bold id="strong-20">Discussion<sub id="subscript-10"/></bold>
      </title>
      <p id="paragraph-14">Oxidative stress and chronic inflammation have been known to play critical roles in the pathogenesis of gastritis and gastric ulcers caused by various stimuli, including <italic id="e-9eec8b9aff1d">H. pylori</italic><xref id="x-643693bb8b9f" rid="R104806521777213" ref-type="bibr">23</xref>. Various physiological effects of <italic id="e-7640ccec4ece">H. erinaceus</italic> (lion's mane mushroom) have been presented, including anti-aging, anti-cancer, anti-gastritis, and anti-metabolic disease properties<xref rid="R104806521777086" ref-type="bibr">1</xref>, <xref rid="R104806521777091" ref-type="bibr">6</xref>, <xref rid="R104806521777092" ref-type="bibr">7</xref>, <xref rid="R104806521777093" ref-type="bibr">8</xref>, <xref rid="R104806521777214" ref-type="bibr">24</xref>. The mushroom's bioactive components, such as erinacines and hericenones, were extracted or concentrated as nutraceuticals because they have been revealed to act as the active principles for nerve growth factor synthesis and in neuroprotective function<xref rid="R104806521777215" ref-type="bibr">25</xref>, <xref rid="R104806521777216" ref-type="bibr">26</xref>, <xref rid="R104806521777217" ref-type="bibr">27</xref>. <italic id="e-e49679f0067c">H. erinaceus</italic> is quite rare in the wild. However, by artificial cultivation techniques, its fruiting body and mycelium are nowadays being produced as raw materials for culinary and medicinal use. <italic id="e-d6503ea6fb34">H. erinaceus</italic> has become attractive as a disease-preventing functional food and as a source of medicines. <italic id="e-220e0e9846e1">H. erinaceus </italic>aqueous and 50% EtOH extracts were demonstrated to possess immune-stimulatory activity to protect infected mice against <italic id="e-8a280484fd30">Salmonella </italic> Typhimurium<xref id="x-1d71a6f174a1" rid="R104806521777195" ref-type="bibr">12</xref>. Methanolic extract from a pure culture of <italic id="e-bda1eba677e8">H. erinaceus</italic> mycelium was reported to produce weak inhibitory activity against <italic id="e-9befaac621aa">Bacillus cereus, B. subtilis, Enterococcus faecalis</italic>, <italic id="e-2561868e8e8e">Salmonella </italic> sp., <italic id="e-5beb7033b6da">Shigella </italic> sp. and <italic id="e-02bcc669d58e">Plesiomonas shigelloides</italic><xref id="x-ee53964fcb19" rid="R104806521777194" ref-type="bibr">11</xref>. However, EtOH extract from fruiting body of <italic id="emphasis-20">H. erinaceus</italic> has been shown to exhibit similar growth inhibitory effects on several strains of <italic id="emphasis-21">H. pylori</italic><xref rid="R104806521777192" ref-type="bibr">9</xref>, <xref rid="R104806521777193" ref-type="bibr">10</xref>, <xref rid="R104806521777198" ref-type="bibr">13</xref>. Petroleum ether, chloroform, and EtOAc fractions from the fruiting body extract were reported to exhibit a stronger growth inhibitory activity than the crude extract against <italic id="e-a342df3d768d">H. pylori</italic><xref rid="R104806521777192" ref-type="bibr">9</xref>, <xref rid="R104806521777198" ref-type="bibr">13</xref>. In our present study, mEtOAc Fr. and fEtOAc Fr. from mycelium and culture filtrate of <italic id="emphasis-23">H. erinaceus</italic> displayed stronger anti-<italic id="emphasis-24">H. pylori</italic> activity than the polysaccharide, hexane and water fractions. </p>
      <p id="paragraph-15">Findings on the mechanism of <italic id="emphasis-25">H. erinaceus</italic> action against <italic id="emphasis-26">H. pylori</italic> have indicated that the mushroom extracts helped prevent oxidative stress in human gastric mucosa epithelium cell<italic id="e-ab5c81c9465c"/><xref id="x-6a91450e0bb4" rid="R104806521777208" ref-type="bibr">18</xref> and inhibit the adhesion ability of <italic id="emphasis-27">H. pylori</italic> to the host cell, thereby contributing to reduction of the bacterial infection in the stomach of test mice<italic id="e-fce87399e0f9"/><xref id="x-b18f998e7b87" rid="R104806521777193" ref-type="bibr">10</xref>. The urease-producing ability of <italic id="emphasis-28">H. pylori</italic> has been known to play a crucial role in infection and survival of the pathogen in the stomach. Therefore, inhibition of the urease activity has also been considered as an alternative strategy for the treatment of the <italic id="emphasis-29">H. pylori</italic> infection. Hot water extracts, ether and EtOAc fractions of some mushrooms, such as <italic id="emphasis-30">Ganoderma lucidum, Coriolus versicolor</italic>, <italic id="emphasis-31">A</italic><italic id="emphasis-32">garicus bisporus</italic> and <italic id="emphasis-33">Gyrophora esculenta</italic>, were reported to possess growth inhibitory activity against <italic id="emphasis-34">H. pylori</italic>, but these extracts and fractions showed no inhibitory effect on <italic id="emphasis-35">H. pylori </italic>urease activity<italic id="e-c4a652469396"/><xref id="x-84252efe2642" rid="R104806521777218" ref-type="bibr">28</xref>. Several studies have reported on the inhibitory effect of plant preparations and phytochemicals on <italic id="emphasis-36">H. pylori </italic>urease<italic id="e-3a15c0d79c4c"/><xref rid="R104806521777209" ref-type="bibr">19</xref>, <xref rid="R104806521777212" ref-type="bibr">22</xref>, <xref rid="R104806521777219" ref-type="bibr">29</xref>. However, no information was reported on the inhibitory activity of <italic id="emphasis-37">H. erinaceus</italic> preparations or its constituents against urease activity of <italic id="emphasis-38">H. pylori</italic>. In our present study, the EtOAc fractions from both mycelium and culture filtrate of <italic id="emphasis-39">H. erinaceus </italic> exhibited growth inhibitory activity against <italic id="emphasis-40">H. pylori</italic>. They had a stronger inhibitory urease than the water fractions, while the polysaccharide and hexane fractions showed no effect. </p>
      <p id="paragraph-16">MeOH extracts from fresh fruiting body and mycelium of <italic id="emphasis-41">H. erinaceus</italic> were found to have antioxidant activity in DPPH free radical scavenging, and the activity was not due to phenolic compounds in <italic id="emphasis-42">H. erinaceus </italic>extracts<italic id="e-c843a8d212a2"/><xref id="x-3978783a0e61" rid="R104806521777194" ref-type="bibr">11</xref>. It was reported that polysaccharides purified from liquid culture of <italic id="emphasis-43">H. erinaceus</italic> mycelium enhanced the growth of rat adrenal nerve cells and improved the extension of neurites of PC12 cells<italic id="e-b9b317d5d899"/><xref id="x-9583765eaa84" rid="R104806521777220" ref-type="bibr">30</xref>. The polysaccharide fraction from <italic id="emphasis-44">H. erinaceus</italic> mycelium was found to possess anti-ulcer and anti-gastritis activities<italic id="e-31e829ba6020"/><xref rid="R104806521777221" ref-type="bibr">31</xref>, <xref rid="R104806521777222" ref-type="bibr">32</xref>. Moreover, the antioxidant capacity of the polysaccharide fraction from <italic id="emphasis-45">H. erinaceus</italic> mycelium was higher than that of hot water extract from <italic id="emphasis-46">H. erinaceus</italic> fruiting body<italic id="e-22a42b854ee1"/><xref id="x-8289a821e490" rid="R104806521777208" ref-type="bibr">18</xref>. In our present study, the polysaccharide fraction from the culture filtrate of <italic id="emphasis-47">H. erinaceus</italic> showed a lower antioxidant effect than the EtOAc fractions from both the mycelium and culture filtrate. These results indicate that the EtOAC fractions from the mycelium and culture filtrate of <italic id="emphasis-48">H. erinaceus</italic> could exert growth-inhibiting and urease inhibitory effects on <italic id="emphasis-49">H. pylori</italic> to enhance antioxidant defense and protect the human stomach from <italic id="emphasis-50">H. pylori </italic>infection. More research is needed to prove the safety of the <italic id="emphasis-51">H. erinaceus</italic> mycelium and culture filtrate fractions and their <italic id="emphasis-52">in vivo </italic>efficacies in the treatment of <italic id="emphasis-53">H. pylori</italic> infection.<bold id="strong-23"> </bold></p>
      <p id="p-5f98494fcb00"/>
    </sec>
    <sec>
      <title id="t-69e1cc861175">
        <bold id="strong-24">Conclusion </bold>
      </title>
      <p id="paragraph-18">The present study revealed that the EtOAC fractions derived from the mycelium and culture filtrate of <italic id="emphasis-54">H. erinaceus</italic> exhibited pronounced antioxidant and inhibitory effects against <italic id="emphasis-55">H. pylori</italic>. The results suggest that the <italic id="emphasis-56">in vitro</italic> culture of mycelium and culture filtrate of <italic id="emphasis-57">H. erinaceus</italic> could be further studied to develop potent antibacterial products for the treatment of <italic id="emphasis-58">H. pylori </italic>infection.</p>
      <p id="p-5468f414af18"/>
    </sec>
    <sec>
      <title id="t-dbe122bdcc1e">
        <bold id="strong-25">Abbreviations</bold>
      </title>
      <p id="paragraph-20"><bold id="s-6e5673897fcf">ATCC</bold>: American Type Culture Collection</p>
      <p id="paragraph-21"><bold id="s-79f7eab03a4c">CFU</bold>: Colony forming units</p>
      <p id="paragraph-22"><bold id="s-925aece9b74a">MIC</bold>: Minimal inhibitory concentration </p>
      <p id="paragraph-23"><bold id="s-3aa65626b674">MBC</bold>: Minimal bactericidal concentration </p>
      <p id="paragraph-24"><bold id="s-1a803fb03fce">mHexane Fr.</bold>: Hexane fraction derived from mycelium</p>
      <p id="paragraph-25"><bold id="s-4b00e309ec19">mEtOAc Fr.</bold>: Ethyl acetate fraction derived from mycelium</p>
      <p id="paragraph-26"><bold id="s-f02e042c20db">mWater Fr.</bold>: Water fraction derived from mycelium</p>
      <p id="p-1f990c663148"><bold id="s-59963848f65c">NBS</bold>: newborn bovine serum</p>
      <p id="paragraph-27"><bold id="s-e751baf76d8b">PS Fr.</bold>: Polysachaccride fraction derived from culture filtrate</p>
      <p id="paragraph-28"><bold id="s-3f443081b6e5">fHexane Fr.</bold>: Hexane fraction derived from culture filtrate </p>
      <p id="paragraph-29"><bold id="s-fdf44c33e890">fEtOAc Fr.</bold>: Ethyl acetate fraction derived from culture filtrate</p>
      <p id="paragraph-30"><bold id="s-587194496bc9">fEtOAc Fr.</bold>: Water fraction derived from culture filtrate </p>
      <p id="p-b4558ba949e3"/>
      <p id="p-180f4fb91d20"/>
    </sec>
    <sec>
      <title id="t-afbe6423008e"><bold id="strong-26">Acknowledgments</bold> </title>
      <p id="paragraph-32">All authors gratefully acknowledge the financial support from Vietnam National Foundation for Science and Technology Development (<italic id="emphasis-59">NAFOSTED</italic>) under grant number <italic id="emphasis-60">106-YS.06-2015.17</italic>.<bold id="strong-27"> </bold></p>
      <p id="p-3687998a5162"/>
    </sec>
    <sec>
      <title id="t-db4609924293">
        <bold id="strong-28">Authors' Contributions </bold>
      </title>
      <p id="paragraph-34">LTM Ngan, TT Hieu and PT Ho conceived and designed the experiments. LTM Ngan, TT Hieu, NT Vi, DTM Tham and LTT Loan performed the experiments. LTM Ngan, TT Hieu and NT Vi analyzed and interpreted the data. LTM Ngan and TT Hieu participated in drafting and writing the article. All authors read and approved the manuscript.</p>
      <p id="p-99dec2e398c5"/>
    </sec>
    <sec>
      <title id="t-f4d4f78d496c">
        <bold id="strong-29">Funding</bold>
      </title>
      <p id="paragraph-36">Vietnam National Foundation for Science and Technology Development (<italic id="emphasis-61">NAFOSTED</italic>) under grant number <italic id="emphasis-62">106-YS.06-2015.17</italic>.</p>
      <p id="p-da5793ce75bd"/>
    </sec>
    <sec>
      <title id="t-99b128576d18">
        <bold id="strong-30">Availability of data and materials</bold>
      </title>
      <p id="paragraph-38">Data and materials used and/or analysed during the current study are available from the corresponding author on reasonable request.</p>
      <p id="p-bcfcd87ec132"/>
    </sec>
    <sec>
      <title id="t-d0fa43db0061">
        <bold id="strong-31">Ethics approval and consent to participate</bold>
      </title>
      <p id="paragraph-40">Not applicable.</p>
      <p id="p-25e2d7e8ec48"/>
    </sec>
    <sec>
      <title id="t-9bc01e212169">
        <bold id="strong-32">Consent for publication</bold>
      </title>
      <p id="paragraph-42">Not applicable.</p>
      <p id="p-916f4dcbd205"/>
    </sec>
    <sec>
      <title id="t-23cb4bd340ff">
        <bold id="strong-33">Competing interests</bold>
      </title>
      <p id="paragraph-44">The authors declare that they have no competing interests.</p>
      <p id="p-fa77460e2cef"/>
    </sec>
  </body>
  <back>
    <ref-list>
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