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Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Dr Bhanu K Bhakhri

"The Journal of Clinical and Diagnostic Research (JCDR) has been in operation since almost a decade. It has contributed a huge number of peer reviewed articles, across a spectrum of medical disciplines, to the medical literature.
Its wide based indexing and open access publications attracts many authors as well as readers
For authors, the manuscripts can be uploaded online through an easily navigable portal, on other hand, reviewers appreciate the systematic handling of all manuscripts. The way JCDR has emerged as an effective medium for publishing wide array of observations in Indian context, I wish the editorial team success in their endeavour"



Dr Bhanu K Bhakhri
Faculty, Pediatric Medicine
Super Speciality Paediatric Hospital and Post Graduate Teaching Institute, Noida
On Sep 2018




Dr Mohan Z Mani

"Thank you very much for having published my article in record time.I would like to compliment you and your entire staff for your promptness, courtesy, and willingness to be customer friendly, which is quite unusual.I was given your reference by a colleague in pathology,and was able to directly phone your editorial office for clarifications.I would particularly like to thank the publication managers and the Assistant Editor who were following up my article. I would also like to thank you for adjusting the money I paid initially into payment for my modified article,and refunding the balance.
I wish all success to your journal and look forward to sending you any suitable similar article in future"



Dr Mohan Z Mani,
Professor & Head,
Department of Dematolgy,
Believers Church Medical College,
Thiruvalla, Kerala
On Sep 2018




Prof. Somashekhar Nimbalkar

"Over the last few years, we have published our research regularly in Journal of Clinical and Diagnostic Research. Having published in more than 20 high impact journals over the last five years including several high impact ones and reviewing articles for even more journals across my fields of interest, we value our published work in JCDR for their high standards in publishing scientific articles. The ease of submission, the rapid reviews in under a month, the high quality of their reviewers and keen attention to the final process of proofs and publication, ensure that there are no mistakes in the final article. We have been asked clarifications on several occasions and have been happy to provide them and it exemplifies the commitment to quality of the team at JCDR."



Prof. Somashekhar Nimbalkar
Head, Department of Pediatrics, Pramukhswami Medical College, Karamsad
Chairman, Research Group, Charutar Arogya Mandal, Karamsad
National Joint Coordinator - Advanced IAP NNF NRP Program
Ex-Member, Governing Body, National Neonatology Forum, New Delhi
Ex-President - National Neonatology Forum Gujarat State Chapter
Department of Pediatrics, Pramukhswami Medical College, Karamsad, Anand, Gujarat.
On Sep 2018




Dr. Kalyani R

"Journal of Clinical and Diagnostic Research is at present a well-known Indian originated scientific journal which started with a humble beginning. I have been associated with this journal since many years. I appreciate the Editor, Dr. Hemant Jain, for his constant effort in bringing up this journal to the present status right from the scratch. The journal is multidisciplinary. It encourages in publishing the scientific articles from postgraduates and also the beginners who start their career. At the same time the journal also caters for the high quality articles from specialty and super-specialty researchers. Hence it provides a platform for the scientist and researchers to publish. The other aspect of it is, the readers get the information regarding the most recent developments in science which can be used for teaching, research, treating patients and to some extent take preventive measures against certain diseases. The journal is contributing immensely to the society at national and international level."



Dr Kalyani R
Professor and Head
Department of Pathology
Sri Devaraj Urs Medical College
Sri Devaraj Urs Academy of Higher Education and Research , Kolar, Karnataka
On Sep 2018




Dr. Saumya Navit

"As a peer-reviewed journal, the Journal of Clinical and Diagnostic Research provides an opportunity to researchers, scientists and budding professionals to explore the developments in the field of medicine and dentistry and their varied specialities, thus extending our view on biological diversities of living species in relation to medicine.
‘Knowledge is treasure of a wise man.’ The free access of this journal provides an immense scope of learning for the both the old and the young in field of medicine and dentistry as well. The multidisciplinary nature of the journal makes it a better platform to absorb all that is being researched and developed. The publication process is systematic and professional. Online submission, publication and peer reviewing makes it a user-friendly journal.
As an experienced dentist and an academician, I proudly recommend this journal to the dental fraternity as a good quality open access platform for rapid communication of their cutting-edge research progress and discovery.
I wish JCDR a great success and I hope that journal will soar higher with the passing time."



Dr Saumya Navit
Professor and Head
Department of Pediatric Dentistry
Saraswati Dental College
Lucknow
On Sep 2018




Dr. Arunava Biswas

"My sincere attachment with JCDR as an author as well as reviewer is a learning experience . Their systematic approach in publication of article in various categories is really praiseworthy.
Their prompt and timely response to review's query and the manner in which they have set the reviewing process helps in extracting the best possible scientific writings for publication.
It's a honour and pride to be a part of the JCDR team. My very best wishes to JCDR and hope it will sparkle up above the sky as a high indexed journal in near future."



Dr. Arunava Biswas
MD, DM (Clinical Pharmacology)
Assistant Professor
Department of Pharmacology
Calcutta National Medical College & Hospital , Kolkata




Dr. C.S. Ramesh Babu
" Journal of Clinical and Diagnostic Research (JCDR) is a multi-specialty medical and dental journal publishing high quality research articles in almost all branches of medicine. The quality of printing of figures and tables is excellent and comparable to any International journal. An added advantage is nominal publication charges and monthly issue of the journal and more chances of an article being accepted for publication. Moreover being a multi-specialty journal an article concerning a particular specialty has a wider reach of readers of other related specialties also. As an author and reviewer for several years I find this Journal most suitable and highly recommend this Journal."
Best regards,
C.S. Ramesh Babu,
Associate Professor of Anatomy,
Muzaffarnagar Medical College,
Muzaffarnagar.
On Aug 2018




Dr. Arundhathi. S
"Journal of Clinical and Diagnostic Research (JCDR) is a reputed peer reviewed journal and is constantly involved in publishing high quality research articles related to medicine. Its been a great pleasure to be associated with this esteemed journal as a reviewer and as an author for a couple of years. The editorial board consists of many dedicated and reputed experts as its members and they are doing an appreciable work in guiding budding researchers. JCDR is doing a commendable job in scientific research by promoting excellent quality research & review articles and case reports & series. The reviewers provide appropriate suggestions that improve the quality of articles. I strongly recommend my fraternity to encourage JCDR by contributing their valuable research work in this widely accepted, user friendly journal. I hope my collaboration with JCDR will continue for a long time".



Dr. Arundhathi. S
MBBS, MD (Pathology),
Sanjay Gandhi institute of trauma and orthopedics,
Bengaluru.
On Aug 2018




Dr. Mamta Gupta,
"It gives me great pleasure to be associated with JCDR, since last 2-3 years. Since then I have authored, co-authored and reviewed about 25 articles in JCDR. I thank JCDR for giving me an opportunity to improve my own skills as an author and a reviewer.
It 's a multispecialty journal, publishing high quality articles. It gives a platform to the authors to publish their research work which can be available for everyone across the globe to read. The best thing about JCDR is that the full articles of all medical specialties are available as pdf/html for reading free of cost or without institutional subscription, which is not there for other journals. For those who have problem in writing manuscript or do statistical work, JCDR comes for their rescue.
The journal has a monthly publication and the articles are published quite fast. In time compared to other journals. The on-line first publication is also a great advantage and facility to review one's own articles before going to print. The response to any query and permission if required, is quite fast; this is quite commendable. I have a very good experience about seeking quick permission for quoting a photograph (Fig.) from a JCDR article for my chapter authored in an E book. I never thought it would be so easy. No hassles.
Reviewing articles is no less a pain staking process and requires in depth perception, knowledge about the topic for review. It requires time and concentration, yet I enjoy doing it. The JCDR website especially for the reviewers is quite user friendly. My suggestions for improving the journal is, more strict review process, so that only high quality articles are published. I find a a good number of articles in Obst. Gynae, hence, a new journal for this specialty titled JCDR-OG can be started. May be a bimonthly or quarterly publication to begin with. Only selected articles should find a place in it.
An yearly reward for the best article authored can also incentivize the authors. Though the process of finding the best article will be not be very easy. I do not know how reviewing process can be improved. If an article is being reviewed by two reviewers, then opinion of one can be communicated to the other or the final opinion of the editor can be communicated to the reviewer if requested for. This will help one’s reviewing skills.
My best wishes to Dr. Hemant Jain and all the editorial staff of JCDR for their untiring efforts to bring out this journal. I strongly recommend medical fraternity to publish their valuable research work in this esteemed journal, JCDR".



Dr. Mamta Gupta
Consultant
(Ex HOD Obs &Gynae, Hindu Rao Hospital and associated NDMC Medical College, Delhi)
Aug 2018




Dr. Rajendra Kumar Ghritlaharey

"I wish to thank Dr. Hemant Jain, Editor-in-Chief Journal of Clinical and Diagnostic Research (JCDR), for asking me to write up few words.
Writing is the representation of language in a textual medium i e; into the words and sentences on paper. Quality medical manuscript writing in particular, demands not only a high-quality research, but also requires accurate and concise communication of findings and conclusions, with adherence to particular journal guidelines. In medical field whether working in teaching, private, or in corporate institution, everyone wants to excel in his / her own field and get recognised by making manuscripts publication.


Authors are the souls of any journal, and deserve much respect. To publish a journal manuscripts are needed from authors. Authors have a great responsibility for producing facts of their work in terms of number and results truthfully and an individual honesty is expected from authors in this regards. Both ways its true "No authors-No manuscripts-No journals" and "No journals–No manuscripts–No authors". Reviewing a manuscript is also a very responsible and important task of any peer-reviewed journal and to be taken seriously. It needs knowledge on the subject, sincerity, honesty and determination. Although the process of reviewing a manuscript is a time consuming task butit is expected to give one's best remarks within the time frame of the journal.
Salient features of the JCDR: It is a biomedical, multidisciplinary (including all medical and dental specialities), e-journal, with wide scope and extensive author support. At the same time, a free text of manuscript is available in HTML and PDF format. There is fast growing authorship and readership with JCDR as this can be judged by the number of articles published in it i e; in Feb 2007 of its first issue, it contained 5 articles only, and now in its recent volume published in April 2011, it contained 67 manuscripts. This e-journal is fulfilling the commitments and objectives sincerely, (as stated by Editor-in-chief in his preface to first edition) i e; to encourage physicians through the internet, especially from the developing countries who witness a spectrum of disease and acquire a wealth of knowledge to publish their experiences to benefit the medical community in patients care. I also feel that many of us have work of substance, newer ideas, adequate clinical materials but poor in medical writing and hesitation to submit the work and need help. JCDR provides authors help in this regards.
Timely publication of journal: Publication of manuscripts and bringing out the issue in time is one of the positive aspects of JCDR and is possible with strong support team in terms of peer reviewers, proof reading, language check, computer operators, etc. This is one of the great reasons for authors to submit their work with JCDR. Another best part of JCDR is "Online first Publications" facilities available for the authors. This facility not only provides the prompt publications of the manuscripts but at the same time also early availability of the manuscripts for the readers.
Indexation and online availability: Indexation transforms the journal in some sense from its local ownership to the worldwide professional community and to the public.JCDR is indexed with Embase & EMbiology, Google Scholar, Index Copernicus, Chemical Abstracts Service, Journal seek Database, Indian Science Abstracts, to name few of them. Manuscriptspublished in JCDR are available on major search engines ie; google, yahoo, msn.
In the era of fast growing newer technologies, and in computer and internet friendly environment the manuscripts preparation, submission, review, revision, etc and all can be done and checked with a click from all corer of the world, at any time. Of course there is always a scope for improvement in every field and none is perfect. To progress, one needs to identify the areas of one's weakness and to strengthen them.
It is well said that "happy beginning is half done" and it fits perfectly with JCDR. It has grown considerably and I feel it has already grown up from its infancy to adolescence, achieving the status of standard online e-journal form Indian continent since its inception in Feb 2007. This had been made possible due to the efforts and the hard work put in it. The way the JCDR is improving with every new volume, with good quality original manuscripts, makes it a quality journal for readers. I must thank and congratulate Dr Hemant Jain, Editor-in-Chief JCDR and his team for their sincere efforts, dedication, and determination for making JCDR a fast growing journal.
Every one of us: authors, reviewers, editors, and publisher are responsible for enhancing the stature of the journal. I wish for a great success for JCDR."



Thanking you
With sincere regards
Dr. Rajendra Kumar Ghritlaharey, M.S., M. Ch., FAIS
Associate Professor,
Department of Paediatric Surgery, Gandhi Medical College & Associated
Kamla Nehru & Hamidia Hospitals Bhopal, Madhya Pradesh 462 001 (India)
E-mail: drrajendrak1@rediffmail.com
On May 11,2011




Dr. Shankar P.R.

"On looking back through my Gmail archives after being requested by the journal to write a short editorial about my experiences of publishing with the Journal of Clinical and Diagnostic Research (JCDR), I came across an e-mail from Dr. Hemant Jain, Editor, in March 2007, which introduced the new electronic journal. The main features of the journal which were outlined in the e-mail were extensive author support, cash rewards, the peer review process, and other salient features of the journal.
Over a span of over four years, we (I and my colleagues) have published around 25 articles in the journal. In this editorial, I plan to briefly discuss my experiences of publishing with JCDR and the strengths of the journal and to finally address the areas for improvement.
My experiences of publishing with JCDR: Overall, my experiences of publishing withJCDR have been positive. The best point about the journal is that it responds to queries from the author. This may seem to be simple and not too much to ask for, but unfortunately, many journals in the subcontinent and from many developing countries do not respond or they respond with a long delay to the queries from the authors 1. The reasons could be many, including lack of optimal secretarial and other support. Another problem with many journals is the slowness of the review process. Editorial processing and peer review can take anywhere between a year to two years with some journals. Also, some journals do not keep the contributors informed about the progress of the review process. Due to the long review process, the articles can lose their relevance and topicality. A major benefit with JCDR is the timeliness and promptness of its response. In Dr Jain's e-mail which was sent to me in 2007, before the introduction of the Pre-publishing system, he had stated that he had received my submission and that he would get back to me within seven days and he did!
Most of the manuscripts are published within 3 to 4 months of their submission if they are found to be suitable after the review process. JCDR is published bimonthly and the accepted articles were usually published in the next issue. Recently, due to the increased volume of the submissions, the review process has become slower and it ?? Section can take from 4 to 6 months for the articles to be reviewed. The journal has an extensive author support system and it has recently introduced a paid expedited review process. The journal also mentions the average time for processing the manuscript under different submission systems - regular submission and expedited review.
Strengths of the journal: The journal has an online first facility in which the accepted manuscripts may be published on the website before being included in a regular issue of the journal. This cuts down the time between their acceptance and the publication. The journal is indexed in many databases, though not in PubMed. The editorial board should now take steps to index the journal in PubMed. The journal has a system of notifying readers through e-mail when a new issue is released. Also, the articles are available in both the HTML and the PDF formats. I especially like the new and colorful page format of the journal. Also, the access statistics of the articles are available. The prepublication and the manuscript tracking system are also helpful for the authors.
Areas for improvement: In certain cases, I felt that the peer review process of the manuscripts was not up to international standards and that it should be strengthened. Also, the number of manuscripts in an issue is high and it may be difficult for readers to go through all of them. The journal can consider tightening of the peer review process and increasing the quality standards for the acceptance of the manuscripts. I faced occasional problems with the online manuscript submission (Pre-publishing) system, which have to be addressed.
Overall, the publishing process with JCDR has been smooth, quick and relatively hassle free and I can recommend other authors to consider the journal as an outlet for their work."



Dr. P. Ravi Shankar
KIST Medical College, P.O. Box 14142, Kathmandu, Nepal.
E-mail: ravi.dr.shankar@gmail.com
On April 2011

Important Notice

Original article / research
Year : 2024 | Month : June | Volume : 18 | Issue : 6 | Page : ZC01 - ZC08 Full Version

Evaluation of Anti-inflammatory, Antioxidant and Antimicrobial Activity of Pomegranate Peel Extract: An In-vitro Study

Published: June 1, 2024 | DOI: https://doi.org/10.7860/JCDR/2024/69878.19463

Pradeep C Dathan, Deepak Nallaswamy, Shanmugam Rajeshkumar, Suja Joseph, Shahin Ismail, Nazia Rashid

1. Research Scholar, Department of Prosthodontics, Saveetha Dental College, Chennai, Tamil Nadu, India. 2. Professor, Department of Prosthodontics, Saveetha Dental College, Chennai, Tamil Nadu, India. 3. Professor, Department of Pharmacology, Saveetha Dental College, Chennai, Tamil Nadu, India. 4. Research Scholar, Department of Prosthodontics, Saveetha Dental College, Chennai, Tamil Nadu, India. 5. Research Scholar, Department of Prosthodontics, Saveetha Dental College, Chennai, Tamil Nadu, India. 6. Research Scholar, Department of Prosthodontics, Saveetha Dental College, Chennai, Tamil Nadu, India.

Correspondence Address :
Dr. Pradeep C Dathan,
Research Scholar, Department of Prosthodontics, Saveetha Dental College, Chennai-600077, Tamil Nadu, India.
E-mail: pdathan70@gmail.com

Abstract

Introduction: Pomegranate fruit contains biologically active compounds that provide anti-inflammatory properties. Byproducts of pomegranate and punicalagins inhibit the growth of pathogens while enhancing the growth of beneficial bacteria. The beneficial effects of phenolic compounds are exhibited in scavenging free radicals.

Aim: To evaluate the anti-inflammatory, antioxidant, and antimicrobial activity of Pomegranate Peel Extract (PPE).

Materials and Methods: The present in-vitro study was designed and carried out at the Nanobiomedicine Laboratort, Department of Pharmacology, Saveetha Dental College and Hospitals, Chennai, Tamil Nadu, India, from June 2021 to August 2021. The anti-inflammatory activity was evaluated using the Egg Albumin Denaturation assay (EA) and Bovine Serum Albumin Denaturation assay (BSA). The measurement of antioxidant activity was conducted using the 2,2-Diphenyl-1-Picrylhydrazyl (DPPH) assay, Hydrogen peroxide radical scavenging (H2O2) assay, and Ferric Reducing Antioxidant Power (FRAP) assay. Antimicrobial activity was evaluated using the agar well diffusion method. The microorganisms used to evaluate the antimicrobial effect of PPE were S. mutans, S.aureus, E.faecalis, and C.albicans. Results were analysed using independent t-tests, Analysis of Variance (ANOVA) and Tukey’s Honestly Significant Difference (HSD).

Results: Anti-inflammatory activity was observed with high concentrations of 40 and 50 μL in EA (70.06%±0.15, 78.08%±0.21) and BSA (75.50%±3.90, 80.82%±3.38) assays. Pronounced antioxidant activity of PPE was seen with higher concentrations of 40 and 50 μL in DPPH (88.17%±0.69, 92.50%±1.23), H2O2 (78.22%±0.94, 88.99%±1.03), and FRAP (78.43%±1.25, 88.49%±0.67) assays. The antimicrobial activity was highest at 100 μL for S.mutans (38±2.62 mm), S.aureus (36±3.16 mm), E.faecalis (21±1.48 mm), and C.albicans (23±2.36 mm).

Conclusion: The study concluded that PPE has anti-inflammatory, antioxidant and antimicrobial properties and these properties are concentration-dependent.

Keywords

Assays, Flavonoids, Polyphenols, Punica granatum L, Punicalgin

Introduction
There is an increase in demand for phytopharmaceutical products or active molecules contained in Ayurvedic medicines not only in India but also in the Western world. Natural products are considered as an alternate source for new active molecules. The healing power of plants has been used in traditional and Indian systems of medicine for quite a long time (1). In Ayurvedic medicines, extracts of various parts of herbs, namely the bark, roots, leaves, tender stems, fruits, and flowers, were used to cure various chronic ailments. Pomegranate (Punica granatum L) is one such fruit that possesses significant medicinal properties. Many components of the fruit have proven to have effects such as antioxidant, anti-inflammatory, anticarcinogenic, antiatherosclerotic, hypolipidemic, antidiabetic, antiviral, antibacterial, and antifungal activities, and they are attributed to the biological compounds (active molecules) present in the different parts of the fruit (2).

Pomegranate peel contains polyphenols (3),(4),(5) like punicalagin, which is a rich source of antioxidants. Other polyphenols include anthocyanins (delphinidin, cyanidin, and pelargonidin 3-glucosides and 3,5-glucosides) (6),(7),(8), as well as flavonols (9),(10). Lee CJ et al., have reported the anti-inflammatory properties of compounds present in pomegranate fruit. In-vitro studies have reported the anti-inflammatory properties of compounds present in pomegranate. These compounds showed a dose-dependent inhibition on nitric oxide production (11). Fabio M et al., reported that PPE was associated with the highest suppression of proinflammatory cytokine expression in the ex-vivo model (12). It has been reported that pomegranate by-products and punicalagins can inhibit the growth of pathogenic organisms while increasing the growth of beneficial bacteria (13). Phenolic compounds exhibit their beneficial effects through the scavenging action of free radicals. In the recent past, there has been a renewed interest in determining the relevant dietary sources of antioxidant phenolics (14). PPE has received much attention in the field of food preservation. PPE gains relevance in the health sector because of its potential in bone regeneration (15). The anti-inflammatory, antioxidant, and antimicrobial properties of PPE have not been evaluated in a singular research study. In this context, it was decided to prepare PPE and analyse its anti-inflammatory, antioxidant, and antimicrobial activity. The hypothesis is that PPE has significant anti-inflammatory, antioxidant, and antimicrobial activity. The objectives of the present study were to prepare PPE and to evaluate its anti-inflammatory, antioxidant, and antimicrobial activity.
Material and Methods
The present in-vitro study was designed and carried out at the Nanobiomedicine Laboratory, Department of Pharmacology, Saveetha Dental College and Hospitals, Chennai from June 2021 to August 2021. The Ethical Committee of the Institution approved the project (BRULAC/SDCH/SIMATS/IAEC/05-2022/125). The study evaluated the anti-inflammatory, antioxidant, and antimicrobial activity of the freshly prepared PPE.

Study Procedure

Fresh pomegranate fruits of Ganesh variety were soaked in diluted Koparo Clean vegetable and fruit wash (10 mL in 1 litre of water) for 15 minutes, then washed in running water. The pericarp was then separated and air-dried. The dried peel was coarsely powdered using a Multi-mill machine (SS 304). A 2 gm of peel powder was mixed with 100 mL of distilled water using a magnetic stirrer (Remi 5 MLH). The mixture was heated for 15-20 minutes using a heating mantle at 60-80 degrees Celsius. The boiled mixture was filtered using Whatman No. 1 filter paper. Then, the filtered extract was further condensed to 5 mL (Table/Fig 1) (16).

Anti-inflammatory Activity

Egg Albumin denaturation assay (EA): The EA was done as follows (17). A 5 mL solution was prepared using 2.8 mL of freshly manufactured pH-6.3 phosphate-buffered saline and 0.2 mL of chicken EA extract. The PPE of different concentrations, namely 10 μL, 20 μL, 30 μL, 40 μL, 50 μL (n=10), were prepared. Diclofenac sodium was used as the positive control. The mixes were then heated in a water bath for 15 minutes at 37°C. The samples were allowed to cool to ambient temperature, and the absorbance at 660 nm was measured.

Bovine Serum Albumin denaturation assay (BSA): The anti-inflammatory activity of PPE was tested using the convention proposed by Mizushima and Kabayashi with modifications (Pratik D et al., 2019) (18). A 0.05 mL of PPE of various concentrations (10 μL, 20 μL, 30 μL, 40 μL, 50 μL) was added to 0.45 mL of BSA (1% aqueous solution), and the pH of the mixture was adjusted to 6.3 using 1N hydrochloric acid. These samples were incubated at room temperature for 20 minutes and then heated at 55°C for 30 minutes in a water bath. The temperature of the samples was then reduced, and the absorbance was measured by spectrophotometry at 660 nm. Diclofenac Sodium was used as the standard, and Dimethyl Sulphoxide was utilised as a control.

Percentage of protein denaturation was determined by the following equation (18):

Inhibition=(Absorbance of control - Absorbance of sample/Absorbance of control)×100

Antioxidant Activity

Antioxidant activity of PPE was tested using three methods, of which two- DPPH and H2O2- were based on the free-radical scavenging capacity of PPE. The third one, FRAP was based on measuring the iron-reducing capacity.

DPPH assay: The assay utilised a commercially available free radical DPPH, which is soluble in methanol (Brand-Williams W et al., 1995) (19), and the antioxidant activity was measured by the decrease in absorbance at 515 nm. PPE of various concentrations (10 μL, 20 μL, 30 μL, 40 μL, 50 μL) was prepared and mixed with 1 mL of 0.1 mM DPPH in methanol and 450 μL of 50 mM Tris HCl buffer (pH 7.4) and incubated for 30 minutes. Later, the reduction in the quantity of DPPH free radicals was assessed based on the absorbance at 515 nm. Butylated hydroxytoluene was employed as a control. The percentage of inhibition was determined by the above mentioned equation.

H2O2 Assay

This was performed as described by Halliwell B with minor modifications (20). All the solutions were prepared freshly. A 1.0 mL of the reaction mixture contained the following: 100 μL of 28 mM of 2-deoxy-2-ribose (dissolved in phosphate buffer 7.4), 500 μL solution of various concentrations of PPE (10 μL, 20 μL, 30 μL, 40 μL, 50 μL), 200 μL of 200 μM FeCl3 and 1.04 mM Ethylenediamine Tetraacetic Acid (EDTA) (1:1 v/v), 100 μL H2O2 (1.0 mM) and 100 μL ascorbic acid (1.0 mM). After incubating the reactant mixture for a period of one hour at 37°C, the extent of deoxyribose degradation was measured by the Thiobarbituric Acid reaction. The absorbance was measured at around 532 nm against the blank solution. Vitamin E was used as the positive control.

FRAP assay: All the reagents were procured from Merck (Germany) company (21). A 3.6 mL of FRAP solution was added to 0.4 mL of distilled water and incubated at 37°C for five minutes. This solution was then mixed with various concentrations of PPE (10 μL, 20 μL, 30 μL, 40 μL, 50 μL) and incubated at 37°C for 10 minutes. The absorbance of the reaction mixture was measured at 593 nm. A calibration curve was constructed based on five concentrations of FeSO4·7H2O (0.1, 0.4, 0.8, 1, 1.12, 1.5 mM) and the absorbance values were measured for sample solutions.

Antibacterial Activity

The antibacterial activity of PPE was assessed using the agar well diffusion method against pathogenic bacteria, including Streptococcus mutans, Staphylococcus aureus, Enterococcus faecalis, and Candida albicans. Mueller Hinton agar was prepared and sterilised for 45 minutes under 120 lbs pressure. The medium was poured into sterilised plates and allowed to solidify. Wells were cut using a well cutter, and the test organisms were swabbed onto the plates. PPE with different concentrations of 25 μL, 50 μL, and 100 μL were loaded into the wells, and the plates were incubated for 24 hours at 37°C. After the incubation period, the zone of inhibition was measured and compared with the standard antibiotic Amoxicillin 100 mg/mL (Table/Fig 2).

Antifungal Activity

The antifungal activity of PPE was evaluated using the agar well diffusion method against C.albicans. Sabouraud’s dextrose agar was used to prepare the medium, which was sterilised for 45 minutes under 120 lbs of pressure. Wells were cut using a well cutter and then inoculated with the test organism C.albicans. PPE was added in different concentrations of 25 μL, 50 μL, and 100 μL. The plates were incubated for 48-72 hours at a temperature of 28°C. The zone of inhibition was measured and compared with the standard antifungal agent Fluconazole (Table/Fig 2).

Statistical Analysis

The results were tabulated and subjected to statistical analysis using Statistical Package for Social Sciences (SPSS) version 23.0 The independent t-test, ANOVA, and Tukey’s HSD were used for statistical analysis. A p-value less than 0.05 were considered significant.
Results
Anti-inflammatory Activity

In EA, the inhibition caused by PPE with a 10 μL concentration was (51.04%±0.145), and for the standard, it was 55.08%±0.252 (10 μ μL). The difference was statistically significant (p<0.001) (Table/Fig 3),(Table/Fig 4). For BSA, the percentage of inhibition was significantly lower for PPE when compared to the standard at 10 μL, 20 μL, and 30 μL (p<0.001) (Table/Fig 3),(Table/Fig 4).

There were significant differences between the groups of different concentrations of PPE in both EA and BSA (p<0.05) (Table/Fig 5). On pair-wise comparison, a significant difference was found between 10 μL and 40 μL (p=0.002) and 10 μL and 50 μL (p=0.001) in EA (Table/Fig 6). Similarly, in BSA, a significant difference was found between 10 μL and 50 μL (p=0.028) (Table/Fig 7).

Antioxidant Activity

The antioxidant activity observed for DPPH ranged between 65.44% to 92.50% in the experimental group and 66.25% to 93.18% with the standard. For H2O2, the values ranged from 51.94% to 88.99% for the experimental group and 51.06% to 89.65% for the standard. In the case of FRAP, the values ranged from 53.09% to 88.49% and 51.10% to 88.81%, respectively. (Table/Fig 8) Significant differences were found between PPE concentrations of 10 μL, 20 μL, and 30 μL with the standard for all three assays (p<0.05) (Table/Fig 9).

There were significant differences between the groups of different concentrations of PPE in both DPPH, H2O2, and FRAP (p<0.05) (Table/Fig 10). On pair-wise comparison, significant differences were found between 10 μL and 50 μL (p=0.01) and 20 μL and 50 μL (p=0.028) in DPPH (Table/Fig 11). However, in H2O2 and FRAP, significant differences were found between 10 μL and 50 μL (p<0.05) (Table/Fig 12),(Table/Fig 13).

Antibacterial Activity

The antibacterial activity was assessed against S.mutans, S.aureus, and E.faecalis using three different concentrations of PPE. The zone of inhibition was measured, and the highest value was observed for Streptococcus mutans (38±2.62 mm) at a concentration of 100 μL. Similarly, Staphylococcus aureus exhibited a zone of inhibition of 36±3.16 mm at a concentration of 100 μL. When assessing the antifungal activity against C. albicans, a zone of inhibition of 23±2.36 mm was observed at a concentration of 100 μL (Table/Fig 14).

Upon comparison of the antibacterial and antifungal activity of different concentrations of PPE with the standard used, a statistically significant difference was found at all concentrations against S. mutans, S.aureus, E.faecalis, and C.albicans (p<0.01), except for PPE at 100 μL for S.mutans (p=0.995) (Table/Fig 15). There were significant differences between the groups of different concentrations of PPE (p<0.05) (Table/Fig 16). On pair-wise comparison, significant differences were found between all three concentrations used for S.mutans and E.faecalis (p<0.01). However, for S.aureus, the difference between only 25 μL and 100 μL was statistically significant (p=0.003) (Table/Fig 17).
Discussion
A number of biologically active compounds present in pomegranate provide anti-inflammatory, antioxidant, and antibacterial properties (14). Parts of the fruit, especially the peel, are abundant in biologically active compounds; therefore, peel extract was selected for this study. The study has proven that PPE has definite anti-inflammatory, antioxidant, and antibacterial activity.

Anti-inflammatory Activity

Inflammation is caused by the denaturation of proteins, and PPE can inhibit that process, thereby reducing inflammation. The anti-inflammatory property was measured by EA and BSA using different concentrations of PPE. At higher concentrations of PPE, the anti-inflammatory activity was similar to that of the standard, with no statistically significant difference (p>0.05). The results indicate that both the experimental and standard groups have similar anti-inflammatory potential. At lower concentrations, the anti-inflammatory potential was slightly inferior. It can be stated that with the increase in concentration, the anti-inflammatory property also enhances. Based on the present observations, PPE can be considered a successful substitute for popularly used anti-inflammatory drugs.

The polyphenols contained in PPE are converted to urolithins in the gut by the activity of microbiota. Urolithins have shown significant anti-inflammatory activity (22). The individually fractionated biomolecules of pomegranate influence the expression of inflammatory cell signalling protein in cancer cells (23). Pomegranate juice, tannins, and punicalagin reduce the expression of Cyclooxygenase-2 (COX-2), responsible for the production of prostanoids that induce inflammation (24). Ellagic acid found in PPE can control intestinal inflammation by downregulating inflammation-mediating compounds and blocking cell signalling pathways (25). The polyphenol-rich pomegranate fruit extract or compounds derived from it can be used for the treatment of inflammatory diseases, possibly by suppressing basophils and mast cell activation (26).

Inflammation caused by free radicals can be eliminated by PPE. Due to the antimicrobial properties imparted by the phytochemicals of pomegranate, inflammation caused by microbes can also be eliminated. The phytochemicals present in pomegranate have multiple activities and can affect more than one inflammatory factor, resulting in enhanced healing (27),(28),(29),(30),(31). The outcomes of various researchers, as referenced earlier, align with the findings of the present study. The concentration of active components within PPE plays a crucial role in augmenting its anti-inflammatory properties.

Antioxidant Activity

The antioxidant property of all concentrations of PPE and the standard was similar across the three assays. When comparing the concentrations of 40 μL and 50 μL, there was no significant difference between the test material and the standard. This establishes the fact that at higher concentrations, the antioxidant activity of PPE was similar to that of the standard, indicating that the antioxidant activity is dose-dependent. The presence of punicalagin and hydrolysable tannins in pomegranate extract provides very high antioxidant activity compared to the antioxidant properties of green tea and red wine, with the potency of PPE being three times higher than the others (32). Pomegranate peel is a reservoir of biologically active compounds that provide excellent antioxidant properties (33). The presence of phenolic compounds is influenced by the extraction methods and cultivar, and the activity increased with the concentration of PPE (34).

Lamiae Benchagra compared PPE and extracts of arils and reported a higher concentration of phenolic compounds in peels than in arils. DPPH, FRAP, and H2O2 assays revealed that the antioxidant activity was dose-dependent, with higher concentrations giving higher antioxidant activity (35). Shalini M et al., made extracts of the Ganesh variety of pomegranate peel in water, methanol, and ethanol, as well as combinations with water. The antioxidant activity and total phenolic content were evaluated. The 70% ethanol: 30% water and 100% aqueous extract had higher phenolic content and showed higher antioxidant activity (36). Singh RP et al., prepared methanol, ethyl acetate, and water extracts of pomegranate seeds and peels. The methanol extract of pomegranate peel showed the highest antioxidant activity among all the extracts (37). The dried methanolic extract of pomegranate peel protected hepatic cells from the toxic effects of Carbon Tetrachloride, mainly due to the antioxidant function of the biologically active compounds found in the peel (38).

The findings of the large number of research workers mentioned above and the results obtained from the present study are comparable. PPE contains effective antioxidant elements which have established therapeutic potential. The concentration of the active components contained in PPE plays a significant role in enhancing the antioxidant property.

Antimicrobial Effect

When the antimicrobial efficacy was assessed, the maximum antibacterial effect of PPE was against staphylococcus aureus, followed by streptococcus mutans, and E.Faecalis. For all the organisms tested, the zone of inhibition increased with the increase in concentration of PPE. The methanolic extract of pomegranate showed an antibacterial effect. The antibacterial activity was attributed to the phenolic structure contained in the extract, specifically Gallic acid and other phenolics [39,40]. Ether, chloroform, methanol, and water extracts of Punica granatum had an antibacterial effect, with the methanolic extract being the most effective (41). Cruz-Valenzuela MR et al., reported that the peel extract showed antimicrobial activity against bacterial and fungal cultures, specifically against Staphylococcus and Aspergillus (42). The mechanism behind the antimicrobial activity has been reported by various investigators. The phytoneutrients are toxic to the bacterial cell wall and form complexes with enzyme cofactors and sulfhydryl groups of proteins. This alters the cell membrane permeability and disturbs the respiratory chain (43).

Antifungal Activity

The PPE showed definite antifungal activity, which is due to the presence of polyphenols. These polyphenols cause precipitation of cell membrane proteins, resulting in cell leakage. This cell leakage leads to alterations in the composition of cytoplasm and cell membrane, inhibiting fungal growth (44).

Both the crude extract and the isolated punicalagin compound from pomegranate demonstrated a significant inhibitory effect against both Trichophyton and Microsporum genera. The isolated punicalagin compound exhibited a similar minimum inhibitory concentration value as the crude extract (45). PPE, rich in gallic acid, strongly inhibited the growth of fungus and reduced its drug resistance. This extract is a promising natural antifungal agent for clinical use (46). The PPE exhibits high concentrations of polyphenols, specifically punicalagin and ellagic acid, attributing to its antifungal properties. The peel demonstrates effectiveness against a wide range of fungi, encompassing both pathogenic and opportunistic pathogens (47). The antimicrobial activity observed in the current study closely resembles that reported in previous research.

Limitation(s)

The specific biologically active component responsible for the anti-inflammatory, antioxidant, and antibacterial activity was not ascertained.
Conclusion
The PPE has a definite anti-inflammatory, antioxidant, and antibacterial effect and which depends on the concentration of the active ingredients contained in the PPE. PPE can be used as a therapeutic agent where an anti-inflammatory, antioxidant, and antibacterial effect is required. In the Indian context, natural products like pomegranate can be considered preferentially to improve affordability and accessibility among economically weaker sections of society without sacrificing therapeutic quality.
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DOI and Others
DOI: 10.7860/JCDR/2024/69878.19463

Date of Submission: Feb 03, 2024
Date of Peer Review: Feb 20, 2024
Date of Acceptance: Apr 16, 2024
Date of Publishing: Jun 01, 2024

AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was Ethics Committee Approval obtained for this study? Yes
• Was informed consent obtained from the subjects involved in the study? NA
• For any images presented appropriate consent has been obtained from the subjects. NA

PLAGIARISM CHECKING METHODS:
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EMENDATIONS: 9
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