Volume 18 No 18 April 2002
Garlic Extract
By Shahida Nisar
Garlic might be able to ward off more than vampires. It may also fight two types of drug-resistant bacteria. The new reports, presented at the Interscience Conference on Antimicrobial Agents and Chemotherapy, suggest that garlic's active ingredient, allicin, could be useful in the battle against infection that does not respond to antibiotic drugs, a serious and growing problem.
Dr. Ronald Cutler of the University of East London, UK, reported on his research using a cream containing allicin, garlic's active compound, to fight methicillin-resistant Staphylococcus aureus (MRSA). MRSAs infect hospital patients, and are also a danger for healthcare workers and people with weakened immune systems. “About half of people carry MRSAs in their noses”, he said. A topical drug, mupirocin, was released in 1985 to help wipe out nasal MRSA carriage--which is where most infections originate--but the bug has already begun to develop resistance to it, he added.
Cutler and his colleagues developed creams that were able to carry allicin in a stable, effective form and mask its odor. They tested the creams against 30 different samples of MRSA taken from patients and grown in the laboratory. An allicin concentration of 32 parts per million (ppm) inhibited the growth of all of the bacteria samples, and all were killed by allicin at 256 ppm. A topical treatment for MRSA infection is sorely needed. Cutler said he has seen patients with extensive, weeping lesions caused by MRSA infection that don't respond to treatment and have lasted for months. According to study, there is probably little danger that bugs will develop resistance to allicin. While allicin is not effective against certain species of bacteria, bugs that are susceptible to allicin have never been seen to develop resistance to it, study shows. Clinical trials of the allicin cream for MRSA infections will start next year. Presently, a company; Nopex Ltd, is carrying out researchand developing the allicin creams.
Dr. Jaya Prakash of the National University of Health Sciences in Lombard, Illinois, reported on her research on allicin's effects on another drug-resistant bug, vancomycin-resistant enterococci (VRE). She and her colleagues conducted laboratory tests of allicin's effect on VRE samples taken from patients with the infection. “Allicin did not kill the VRE, but it did hold their growth in check”, said Jaya. This suggests that an allicin preparation could be given to patients when they enter the hospital to prevent VRE from taking hold in their digestive tracts. She explained that garlic would be especially effective against bacteria living in the colon, because up to 20% of the garlic is not absorbed in the body but excreted in the feces.
"This was a very important first-step study," Said Jaya. She noted that patients may enter the hospital with VREs in their digestive tracts, or they may contract the infection in the hospital. Once the bug takes hold, she explained, it could spread to the bladder and to catheters, resulting in a serious and very difficult-to-treat infection.
Both Jaya and Cutler noted that the garlic preparations are very safe. "There's a huge margin of safety," said Jaya. "That's why it may be the ideal candidate." The next steps in her research, Jaya said, will be to try to figure out allicin's mechanism of action against VREs and to conduct clinical trials. This study was partially funded by Phytopharmica, a company that makes garlic-containing products.
Praising Folic Acid

Could the B vitamin that helps prevent birth defects also protect against Alzheimer’s?

Should everyone be getting more Folic Acid? That’s the question on a lot of doctors’ minds the week. Though not as famous as vitamin C, folic acid plays a crucial role in the development of just about every cell in the body. A member of the B vitamin family, it’s found naturally in orange juice, beans and green vegetables. There is some evidence that folic acid may reduce the Rick of heart disease, but it is best known for its role in preventing spina bifida and other birth defects. Indeed ever since 1998, when the U.S. food and drug administration mandated that it be added to cereal products, the number of so-called neural-tube defects has dropped nearly 20% across America.
Now comes work that the vitamin may, just may, help ward off the ravages of Alzheimer’s disease. In a study of more than 1,000 older adults published in the New England Journal of Medicine, researchers at Boston University and Tufts University found that subjects who had high levels of a particulars amino acid called homocysteine in their blood were twice as likely to develop Alzheimer’s as those who didn’t the finding is important because one of the easiest ways to lower homocysteine levels is to get plenty of folic acid.
The study, although not definitive, is the strongest evidence to date that homocysteine plays a role in Alzheimer’s. Previous research had found that Alzheimer’s patients often have high levels of the amino acid in their blood though that could be because folks with Alzheimer’s often don’t eat very well.
The new study lays that explanation to rest. As part of the famous Framingham study, which has tracked the development of heart disease among residents of Framingham, Massachusetts, for more than 50 years, researchers in the 1970s started measuring the homocysteine levels of men and women who had not yet developed dementia. Those patients whose homocysteine levels measured over 14 micromoles a liter while they were still healthy were twice as likely to be diagnosed with Alzheimer’s disease later on.
That doesn’t mean that if you have high homocysteine levels, you will get Alzheimer’s or that low homocysteine levels will protect you from dementia. it’s not even certain, warns Dr. Sudha Seshadri, a neurologist at Boston University who led the study, that “lowering homocysteine levels will lower the risk of Alzheimer’s.” But the case for adding folic acid to your diet is getting better all the time.
Of course the best source of any vitamin is a healthily diet. For those of us who still don’t eat our beans and vegetables, most multivitamins contain the recommended daily folic-acid does of 400 micrograms. (Eating four slices of enriched bread gives you’re the equivalent of roughly 100 micrograms.) There is no risk of over does, although high levels of folic acid can mask the signs of pernicious anemia in people who have developed the disordered. Folic acid by itself may not keep the doctor away, but there’s no harm trying.