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Nutrition & Food Science
Vol. 37 No. 3, 2007
pp. 178-183
#Emerald Group Publishing Limited
0034-6659
DOI 10.1108/00346650710749071
Antioxidant, anti-inflammatory,
and antimicrobial properties of
garlic and onions
Emily A. Wilson and Barbara Demmig-Adams
Department of Ecology and Evolutionary Biology, University of Colorado,
Boulder, Colorado, USA
Abstract
Purpose – The purpose of this paper is to provide a comprehensive overview of multiple functions
and their underlying mechanisms for two common spices, garlic and onion, containing organosulphur
compounds.
Design/methodology/approach – Literature review of chemistry, physiology, molecular biology,
clinical studies.
Findings – Both garlic and onions exert their effects on human health via multiple different
functions, including antioxidant, anti-inflammatory, and antibacterial properties. The organosulphur
compounds in these spices scavenge oxidizing agents, inhibit the oxidation of fatty acids, thereby
preventing the formation of pro-inflammatory messengers, and inhibit bacterial growth, via
interaction with sulphur-containing enzymes.
Research limitations/implications – Currently available information on the optimal amount for
consumption for each spice is insufficient.
Originality/value – This review is unique in its comprehensive nature, considering multiple
different effects of the spices examined as well as multiple studies from molecular to clinical
approaches.
Keywords Food products, Health foods, Diet
Paper type Literature review
Introduction
The effects of spices and their possible health benefits have been studied for centuries.
Spices are used for medicinal purposes as well as for added flavor and aroma in many
food dishes worldwide. Spices are therefore of considerable economic importance and
account for some 2 billion dollars (and nearly 500,000 tons) annually of United States’
imports alone (Srinivasan, 2005a). The potential medical benefits of spices include
possible roles in lowering the risk for atherosclerosis, cardiovascular disease, cancer,
and diabetes (Ali et al., 2000; Griffiths et al., 2002; Banerjee et al., 2003; Lai and Roy,
2004; Khanum et al., 2004; Ashraf et al., 2005; Srinivasan, 2005b; Rahman and Lowe,
2006). While spices have been used for their presumed health benefits for thousands of
years (that also include purported roles in preventing earaches, hair loss, and treating
warts; Griffiths et al., 2002), new medical research is now uncovering the underlying
physiological and molecular mechanisms of their action as well as providing some
scientific evidence of their effectiveness. While spices have specific beneficial effects,
e.g. in aiding digestion by increasing the production of saliva and gastric juices
(Srinivasan, 2005b), this paper will focus on more general and fundamental features,
i.e. the antioxidant, anti-inflammatory, and antimicrobial properties of spices.
There is promising evidence for antioxidant, anti-inflammatory, and antibacterial
properties of garlic and onion, however, a caveat at this time is that the doses used in
many in vitro studies exceed those typically consumed by humans on a daily basis
The current issue and full text archive of this journal is available at
www.emeraldinsight.com/0034-6659.htm
The authors thank Gayla Buitron for helpful editorial suggestions.
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179
(Ali et al., 2000). On the other hand, epidemiological studies show an inverse correlation
between garlic consumption and the risk for cardiovascular disease (reviewed in
Rahman and Lowe, 2006). Optimal doses for maximal benefit to human health, while
avoiding toxic effects such as anemia, remain to be defined (Banerjee et al., 2003) and
controlled human trials are needed to address this issue.
Two key spices with organosulphur compounds: garlic and onion
Garlic and onion are both found in the Allium family and contain organosulphur
compounds with antioxidant, anti-inflammatory, and antimicrobial properties. Garlic,
Allium sativum, is a widely studied spice with many purported benefits and a long
medicinal history dating back to Aristotle, Hippocrates, and Aristophane (Ali et al.,
2000). Garlic typically contains three times greater levels of organosulphur compounds
than onion (Benkeblia, 2004). After chopping or crushing, the enzyme allinase converts
alliin (a cysteine-sulphoxide) in garlic to allicin (a thiosulphate) (Benkeblia, 2004;
Banerjee et al., 2003). The latter compound is thought to confer many of garlic’s
medicinal effects, but garlic has also been shown to be metabolized to a number of
additional organosulphur compounds (Khanum et al., 2004).
The effect of cooking on garlic is controversial at this time. Shobana and Naidu
(2000) found that boiling at 100 C for 30 min increased garlic’s overall antioxidant
activity, and Benkeblia (2004) reported increased beneficial effects of garlic after
heating. On the other hand, Lai and Roy (2004) concluded that some garlic antioxidants
are thermally unstable and Banerjee and coworkers (2004) reported that allinase is
inactivated by heat, thus preventing allicin formation.
The onion, Allium cepa, is another food/spice with medicinal properties as well as
uses for flavor and aroma. A major active ingredient of onion is S-propenylcysteine
sulphoxide (Ali et al., 2000). Onion furthermore contains cepaenes that are best known
for their inhibition of pro-inflammatory messengers (Ali et al., 2000). Onions possess
antioxidant and antibacterial properties, but their antioxidant activity is less than that
of garlic (Shobana and Naidu, 2000). The antioxidant activity of onion is reduced after
cooking, and onion is thus most effective in its raw form (Ali et al., 2000). Interestingly,
different types of onions were found to vary in their properties, with highest total
antioxidant activities as well as greatest in vitro tumor cell inhibition seen in shallots
and the onion variety Western Yellow (Yang et al., 2004).
Regulation of metabolism by oxidation/antioxidation and the role of
garlic and onion
Spices contain the classic antioxidant vitamins ascorbic acid (vitamin C) and
tocopherols (vitamin E group) but also other, very potent antioxidants, such as
phenols, thiols (as sulphur compounds), and carotenoids (Sharma, 2005; Yang et al.,
2004). As antioxidants, all of these are compounds able to slow down, stop, or reverse
oxidation processes by scavenging oxidizing agents, such as reactive oxygen species
(ROS), and recycling oxidized lipids, proteins, and nucleic acids. When present in
excess amounts, ROS increase the risk of atherosclerosis and chronic diseases (Sharma
et al., 2005). Oxidation of lipids can cause specific, direct effects, such as destabilization
of (lipid) membranes resulting, e.g. in decreased survival of red blood cells (Yang et al.,
2004; Kempaiah and Srinivasan, 2004). Allicin has been shown to act as an
antioxidant by scavenging ROS and preventing lipid oxidation and production of pro-
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inflammatory messengers (Banerjee et al., 2003), and similar results were obtained for
garlic and onion extracts (Shobana and Naidu, 2000).
A key mechanism for the multiple effects of ROS is the activation of redox-regulated
gene regulatory proteins (Lavrovsky et al., 2000) that turn on genes for pro-
inflammatory enzymes such as cyclooxygenase (COX) and lipoxygenase (LOX). Redox-
regulated genes are controlled by reduction (via antioxidants) and oxidation (via ROS)
of components of the signal transduction pathways that control their expression.
Expression of COX is upregulated by a surplus of ROS and downregulated by
antioxidants (such as those present in garlic and onion).
How much of these pro-inflammatory enzymes (COX and LOX) is synthesized is
regulated by gene regulatory factors (transcription factors). One of these is nuclear
factor kappa B or NFkB, a master control gene of the immune/inflammatory
response (Janssen-Heininger et al., 2000). Under normal conditions, NFkB remains
inactivated by another factor, its inhibitor IkB. When NFkB is stimulated, more COX/
LOX is synthesized and inflammation is triggered. This transcription factor is, in
turn, strongly regulated by dietary factors; it is activated under insufficient
levels of antioxidants, particularly sulphur-containing ones (Janssen-Heininger et al.,
2000).
In a study by Kempaiah and Srinivasan (2004), rats were given a high-fat diet with
or without garlic, and blood levels of triglycerides (lipids with three fatty acids known
to increase atherosclerosis risk) and thiols such as glutathione (amino acids or peptides
with sulphur groups that recycle, or re-reduce, oxidized proteins, scavenge ROS, and
have a potent effect on redox-regulated signaling pathways, such as that involving
NFkB) were assessed. Food intake per se was not affected by garlic in this study. The
high-fat diet increased the levels of blood triglycerides, decreased the levels of thiols
such as glutathione, and increased lipid oxidation. Kempaiah and Srinivasan (2004)
found that all of these adverse effects of the high-fat diet were effectively reduced by
regular addition of garlic to the diet, thus presumably reducing the risk of
atherosclerosis. When garlic was added to the high-fat diet, total endogenous thiols
increased by 16 per cent, glutathione increased by 28 per cent, and the level of an
endogenous antioxidant enzyme, catalase, which is depleted under oxidative stress,
also increased (Kempaiah and Srinivasan, 2004). The sulphur compounds in garlic are
thus able to protect the endogenous thiol pool (by re-reducing thiols that become
oxidized). Other studies (Ali et al., 2000; Ashraf et al., 2005; Srinivasan, 2005b; Rahman
and Lowe, 2006) support the effect of garlic in improving cardiovascular health, e.g. via
decreases in platelet aggregation, a lowering blood pressure and cholesterol levels, and
inhibition of several steps in the inflammation process as described in the present
review.
Further anti-inflammatory effects of garlic and onion
Chronic over-production of either COX or LOX (and also NFkB itself) causes excess
inflammation and contributes to chronic pro-inflammatory diseases such as
cardiovascular disease, diabetes, and others (Goodsell, 2005). The messengers
produced by LOX can also either stimulate or prevent programmed cell death.
Excessive cell death is involved in e.g. neurodegenerative disease, while insufficient cell
death can lead to cancer (Hannun, 1997; Tatton and Olanow, 1999).
In addition to limiting how much of these inflammatory enzymes is manufactured
(see above), spices can also dampen the actual activity of existing the pool of
inflammatory enzymes such as COX and LOX. Both COX and LOX convert oxidized
Properties of
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181
lipids, such as arachidonic acid (AA), to pro-inflammatory, hormone-like messengers.
COX produces prostaglandins that signal pain and trigger inflammation and LOX
produces a related group of messengers, leukotrienes (Goodsell, 2005). Spices inhibit
the activity of both COX and LOX (Goodsell, 2005).
Onion, apparently via its thiosulphinate and cepaene content, inhibits the
production of AA as well as its conversion to pro-inflammatory prostaglandins and
leukotrienes (Ali et al., 2000). More specifically, onion cepaenes were shown to inhibit
COX and LOX activity as well as blood platelet aggregation (Ali et al., 2000). The same
study also showed that onion extract can decrease the onset and development of
tumors as well as have antiasthmatic effects (the latter again via COX inhibition).
Allicin inhibited the production of pro-inflammatory cytokine messengers in a
study of inflammatory bowel disease, apparently by inactivating the pro-inflammatory
factor NFkB via its IkB inhibitor (Lang et al., 2004). By virtue of sulphur-based
antioxidants found in garlic, NFkB was maintained in its inactive state, thus
preventing synthesis of excess COX/LOX.
Antimicrobial agents and specific affects of garlic and onion
In addition to being antioxidants and anti-inflammatory agents, spices also have
antibacterial/antimicrobial properties (Lai and Roy, 2004). The antibacterial properties
of garlic can be eliminated by inhibition of the allinase enzyme and prevention of allicin
formation (Jonkers et al., 1999). The antibacterial effect garlic apparently results from
interaction of sulphur compounds, like allicin, with sulphur (thiol) groups of microbial
enzymes (such as trypsin and other proteases), leading to an inhibition of microbial
growth (Jonkers et al., 1999; Bakri and Douglas, 2005). Many bacterial strains, both
gram-positive and gram-negative, can be inhibited with garlic, and some strains were
inhibited much more strongly by allicin or garlic extract compared to antibiotics (Bakri
and Douglas, 2005; Lai and Roy, 2004). The bacterial strain Staphylococcus aureus
causes pus-producing infections, such as boils, as well as pneumonia and urinary tract
infections (Todar, 2005). Cultures of this strain (as well as Salmonella enteritidis, the
bacterium responsible for salmonella food poisoning, and several fungi) are effectively
inhibited by garlic and onion oil or extracts (Benkeblia, 2004). Other microbes inhibited
by garlic include Bacillus subtilis, a gram-positive bacterium found in soil, Escherichia
coli, a common toxin-producing, food-borne bacterium, and Saccharomyces cerevisiae,a
yeast species (Lai and Roy, 2004). Remarkably, mouthwash containing garlic
significantly reduced total salivary bacteria, including Porphyromonas gingivalis, the
bacterium causing gingivitis (Bakri and Douglas, 2005).
Onions possess antibacterial properties as well. Although less research is available
on the antibacterial activity of onion, it is suggested that S-propenylcysteine
sulphoxide is the compound that inhibits antibacterial metabolism by the same
mechanism as garlic (Kyung and Lee, 2001). Onion extract, the activity of which
remained stable for 48 h, inhibited Streptococcus mutans, a bacterium that causes strep
throat, tonsillitis, bacterial pneumonia, as well as other diseases (Ali et al., 2000).
Adverse effects of excessive doses of garlic and onion
Excessive consumption of concentrated formulations of garlic can lead to adverse
effects on health, such as anemia, weight loss, and toxicity to the heart, liver, and
kidney as well as breaks in chromosomes (Banerjee et al., 2003). Doses of 4 ml/kg, for
raw garlic juice, or of 100 mg/kg, for garlic oil, were lethal to rats (Banerjee et al., 2003).
Problems can arise from high doses of onion as well. One study showed that high doses
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(500 mg/kg) given orally caused lung and tissue damage in rats (Ali et al., 2000).
Another issue, as with garlic, are dermatological problems. Contact dermatitis,
irritation of the skin due to allergens, could by induced with garlic (Sahu, 2002). The
specific allergens have not been identified, but both Allium spices can cause burns after
external application (Ali et al., 2000).
Conclusions
Garlic and onion each possess antioxidant, anti-inflammatory, and antibacterial
properties. The effectiveness of these spices in decreasing pro-inflammatory diseases is
rooted in their nature as modulators of metabolism, for example as COX and LOX
inhibitors. While the available evidence is encouraging, controlled human trails are
needed to establish the effectiveness of these spices in disease prevention. Many of the
available studies utilized relatively high doses of the effective compounds in garlic and
onion, and it remains to be seen whether a moderate level of consumption, that avoids
the toxic effects of excessive doses, is effective. Until such trials are available, it seems
safe to conclude that garlic and onion should be included in the human diet as whole
foods and spices, while high-dose extracts should be used with caution.
Spices have been used for thousands of years and will likely continue to be used for
their aroma, flavor, and medicinal purposes. The research summarized here supports
the ancient wisdom of Aristotle and Hippocrates who recommended garlic for
medicinal purposes and generally promoted the use of food as medicine.
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Corresponding author
Emily A. Wilson can be contacted at: Emilyannwilson@gmail.com
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