<?xml version="1.0" encoding="utf8"?>
 <!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.0 20120330//EN" "http://jats.nlm.nih.gov/publishing/1.0/JATS-journalpublishing1.dtd"> <article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.0" xml:lang="en">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">IJN</journal-id>
      <journal-title-group>
        <journal-title>International Journal of Nutrition</journal-title>
      </journal-title-group>
      <issn pub-type="epub">2379-7835</issn>
      <publisher>
        <publisher-name>Open Access Pub</publisher-name>
        <publisher-loc>United States</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">IJN-19-2703</article-id>
      <article-id pub-id-type="doi">10.14302/issn.2379-7835.ijn-19-2703</article-id>
      <article-categories>
        <subj-group>
          <subject>research-article</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Oregano (Origanium Vulgare) Extract for Food Preservation and Improving Gastrointestinal Health </article-title>
        <alt-title alt-title-type="running-head">oregano for gastrointestinal health.</alt-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Jacob</surname>
            <given-names>P. Veenstra</given-names>
          </name>
          <xref ref-type="aff" rid="idm1842344748">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Jeremy</surname>
            <given-names>J. Johnson</given-names>
          </name>
          <xref ref-type="aff" rid="idm1842344748">1</xref>
          <xref ref-type="aff" rid="idm1842343956">*</xref>
        </contrib>
      </contrib-group>
      <aff id="idm1842344748">
        <label>1</label>
        <addr-line>University of Illinois at Chicago, College of Pharmacy, Department of Pharmacy Practice.</addr-line>
      </aff>
      <aff id="idm1842343956">
        <label>*</label>
        <addr-line>Corresponding Author</addr-line>
      </aff>
      <contrib-group>
        <contrib contrib-type="editor">
          <name>
            <surname>Yue</surname>
            <given-names>Sheng</given-names>
          </name>
          <xref ref-type="aff" rid="idm1842486724">1</xref>
        </contrib>
      </contrib-group>
      <aff id="idm1842486724">
        <label>1</label>
        <addr-line>University of Florida and University of Illinois at Chicago, United States.</addr-line>
      </aff>
      <author-notes>
        <corresp>
    
    Jeremy J. Johnson, <addr-line>University of Illinois at Chicago College of Pharmacy MC</addr-line><addr-line>886,   </addr-line><addr-line>       Department of Pharmacy Practice Room 164, Chicago Illinois, 60612</addr-line>, Tel: <phone>312-996-4368</phone>, Email: <email>jjjohn@uic.edu</email></corresp>
        <fn fn-type="conflict" id="idm1842333132">
          <p>The authors have declared that no competing interest exists. </p>
        </fn>
      </author-notes>
      <pub-date pub-type="epub" iso-8601-date="2019-04-09">
        <day>09</day>
        <month>04</month>
        <year>2019</year>
      </pub-date>
      <volume>3</volume>
      <issue>4</issue>
      <fpage>43</fpage>
      <lpage>52</lpage>
      <history>
        <date date-type="received">
          <day>07</day>
          <month>03</month>
          <year>2019</year>
        </date>
        <date date-type="accepted">
          <day>24</day>
          <month>03</month>
          <year>2019</year>
        </date>
        <date date-type="online">
          <day>09</day>
          <month>04</month>
          <year>2019</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>© </copyright-statement>
        <copyright-year>2019</copyright-year>
        <copyright-holder>Jacob P. Veenstra, et al.</copyright-holder>
        <license xlink:href="http://creativecommons.org/licenses/by/4.0/" xlink:type="simple">
          <license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p>
        </license>
      </permissions>
      <self-uri xlink:href="http://openaccesspub.org/ijn/article/1055">This article is available from http://openaccesspub.org/ijn/article/1055</self-uri>
      <abstract>
        <p>The Mediterranean diet has long been known to provide a variety of health benefits including cardiovascular protection, cancer prevention, and lowering gastrointestinal inflammation. Oregano (<italic>Origanium</italic><italic> vulgare</italic>) is an herb prominent in the Mediterranean diet, and has been shown to possess several bioactive properties including anti-oxidant, anti-microbial, anti-inflammatory, and analgesic properties. The anti-oxidant and anti-microbial properties of oregano also make it a strong candidate as a natural food preservative. Because of the recent public concern with synthetic food preservatives, natural alternatives are increasingly being evaluated for effective food preservation. Oregano extract (OE) and essential oil (OEO) are two such agents that have shown promise as natural food preservatives. Additionally, oregano is being evaluated for its positive effect on gastrointestinal health, suggesting an additional benefit of food preservation with oregano. This review will describe in vitro studies related to the anti-microbial and anti-oxidant properties of oregano along with food preservation studies with oregano in various model food matrices. The major phytochemical content reported for OE and OEO will also be outlined to highlight the importance of characterizing the extract that is used, since the extraction process can have a significant effect on the phytochemicals therein. Finally, <italic>in vivo </italic>studies that investigate the gastrointestinal health benefits of oregano, specifically against inflammation, will be addressed to describe the role of oregano on gastrointestinal health.</p>
      </abstract>
      <kwd-group>
        <kwd>carvacrol</kwd>
        <kwd>phytochemical</kwd>
        <kwd>anti-microbial</kwd>
        <kwd>anti-oxidant</kwd>
        <kwd>food preservative</kwd>
        <kwd>Origanum vulgare</kwd>
        <kwd>oregano</kwd>
        <kwd>thymol.</kwd>
      </kwd-group>
      <counts>
        <fig-count count="1"/>
        <table-count count="2"/>
        <page-count count="10"/>
      </counts>
    </article-meta>
  </front>
  <body>
    <sec id="idm1842214108" sec-type="intro">
      <title>Introduction</title>
      <p>Approximately 60 plant species and 17 genera share a similar flavor and color often being labelled as “oregano”<xref ref-type="bibr" rid="ridm1841069740">1</xref>. In traditional medicine, oregano has been used for respiratory conditions (i.e. asthma, bronchitis, cough), gastrointestinal (i.e. diarrhea, indigestions, stomachache), anti-bacterial, anti-inflammatory, menstrual disorders, and diabetes<xref ref-type="bibr" rid="ridm1841063476">2</xref>,<xref ref-type="bibr" rid="ridm1841077996">3</xref>,<xref ref-type="bibr" rid="ridm1840934380">4</xref>. Greek oregano (<italic>Origanum vulgare)</italic> throughout the world is the most recognized herb as being authentic or original “oregano”<xref ref-type="bibr" rid="ridm1840930996">5</xref>. This variety is often reported to be elevated in rosmarinic acid, a phytochemical first isolated from rosemary (<italic>Rosmarinus officinalis</italic>) in 1958 by the Italian Chemists Scarpati and Oreinte<xref ref-type="bibr" rid="ridm1840929268">6</xref>. The benefits of oregano on human health have been associated and attributed to the phytochemicals found therein. Phytochemicals isolated from oregano represent a heterogeneous class of compounds generated during secondary metabolism with most not appearing to participate in essential metabolic functions<xref ref-type="bibr" rid="ridm1840919612">7</xref>.</p>
      <p>The Mediterranean diet has been recognized for its health-promoting benefits related to cardiovascular disease, stroke reduction, and cancer reduction<xref ref-type="bibr" rid="ridm1840925012">8</xref>,<xref ref-type="bibr" rid="ridm1840920764">9</xref>,<xref ref-type="bibr" rid="ridm1840908452">10</xref>,<xref ref-type="bibr" rid="ridm1840913060">11</xref>. In the Mediterranean region the diet can vary, however, it typically consists of fruits, vegetables, nuts, legumes, moderate fish and poultry consumption, high polyunsaturated fats, and low consumption of red meat<xref ref-type="bibr" rid="ridm1840899460">12</xref>,<xref ref-type="bibr" rid="ridm1840894636">13</xref>. Another important component of the Mediterranean diet includes the herb oregano (<italic>Origanium</italic><italic> vulgare</italic>). This perennial herb has been suggested to have a variety of health promoting properties ranging from anti-oxidant, anti-inflammatory, analgesic, and             anti-microbial<xref ref-type="bibr" rid="ridm1840892476">14</xref>,<xref ref-type="bibr" rid="ridm1840905076">15</xref>,<xref ref-type="bibr" rid="ridm1840902772">16</xref>. Interestingly, two attributes that have received significant attention include the antioxidant activity and anti-microbial activity of oregano with regard to enhancing food stability<xref ref-type="bibr" rid="ridm1840858676">17</xref><sup>, </sup><xref ref-type="bibr" rid="ridm1840855220">18</xref>.</p>
      <p>There is growing public concern among consumers regarding the addition of chemical additives to foods<xref ref-type="bibr" rid="ridm1840866740">19</xref>. Specific examples include the use of synthetic antioxidants that have been routinely used to enhance shelf life of various foods. In the USA, the meat and poultry industry has relied heavily on synthetic antioxidants including butylated hydroxyanisole, butylated hydroxytoluene, tert-butylhydroquinone, and propyl gallate, as well as tocopherols to prevent lipid and protein oxidation<xref ref-type="bibr" rid="ridm1840864364">20</xref>,<xref ref-type="bibr" rid="ridm1840861772">21</xref>,<xref ref-type="bibr" rid="ridm1840846820">22</xref>. Consequently, researchers and food manufacturers are starting to shift from synthetic antioxidants to natural antioxidants. Oregano is one such herb that has been approved in the United States as a spice and natural flavor that can reduce oxidation. A recent study reported that oregano extract can maintain the physicochemical, sensory acceptance, reduce lipid and protein oxidation of lamb meat after frozen storage after 120 days<xref ref-type="bibr" rid="ridm1840840340">23</xref>. In addition to maintaining the physical and chemical properties of the meat there was also good sensory acceptance by consumers. These results suggest that that oregano prepared using a variety of extraction methods may be a promising alternative to the synthetic food preservatives.</p>
      <p>In addition to the food preservation properties of oregano, there is compelling evidence that these phytochemicals display health promoting properties related to the gastrointestinal tract<xref ref-type="bibr" rid="ridm1841069740">1</xref>. Different extraction methods and solvents for each plant are detailed and the most abundant phytochemicals from each extract are outlined in this report. The anti-oxidant and                  anti-microbial properties of each herb are described along with specific food preservation studies. Finally, <italic>in vivo</italic> studies that show the impact of herb extracts on gastrointestinal health are outlined with significant findings. The goal of this review is to highlight oregano as a natural food preservative and to describe the potential benefits related to gastrointestinal health. </p>
      <sec id="idm1842188420">
        <title>Oregano (Origanium Vulgare)</title>
        <sec id="idm1842189572">
          <title>Phytochemicals</title>
          <p>Oregano extract (OE) and oregano essential oil (OEO) have been studied for their bioactive properties, and an important step to understanding their mechanisms of action is identification of major components (<xref ref-type="table" rid="idm1850561540">Table 1</xref>). The volatile aroma compounds in oregano OEO has been well characterized, with the majority of published articles on oregano focusing on the essential oil. The most abundant compounds present in OEO include the diterpenes carvacrol and thymol, which have been extensively studied for their anti-bacterial and anti-oxidant properties. Studies have identified these compounds as comprising up to 92% of the total essential oil content<xref ref-type="bibr" rid="ridm1840839692">24</xref>,<xref ref-type="bibr" rid="ridm1840835660">25</xref>,<xref ref-type="bibr" rid="ridm1840850708">26</xref>.  Oregano has been extracted various methods creating a variety of extracts that can vary in phytochemical composition (<xref ref-type="fig" rid="idm1850505516">Figure 1</xref>). In a hydroalcoholic (80:20 methanol:water) extract, Martins et al. reported the major components to be                 luteolin 7-<italic>O</italic>-glucoside (20.88%), rosmarinic acid                     (14.62%), luteolin <italic>O</italic>-glucuronide (12.48%), and                             apigenin-7-<italic>O</italic>-glucuronide (5.78%)<xref ref-type="bibr" rid="ridm1840832708">27</xref>. In sub- and supercritical CO<sub>2</sub> extraction, the major phytochemicals identified include carvacrol, linalyl acetate, thymol, and cis-sabinene hydrate<xref ref-type="bibr" rid="ridm1840830260">28</xref>. Other compounds identified in an ethanolic extract of oregano are 4-hydroxy-4-methyl-2-pentanone, rosmarinic acid, thymol, luteolin                               7-<italic>O</italic>-glucoside, and caffeic acid<xref ref-type="bibr" rid="ridm1840824644">29</xref>. </p>
          <table-wrap id="idm1850561540">
            <label>Table 1.</label>
            <caption>
              <title> Most abundant phytochemicals characterized in oregano extract prepared by different extraction methods</title>
            </caption>
            <table rules="all" frame="box">
              <tbody>
                <tr>
                  <td>Extraction method or essential oil</td>
                  <td>Major phytochemicals</td>
                  <td>Citation</td>
                </tr>
                <tr>
                  <td>Essential oil</td>
                  <td>Carvacrol (14.5% total oil composition)β-fenchyl alcohol (12.8%)Thymol (12.6%)γ-terpinene (11.6%)δ-terpineol (7.5%)</td>
                  <td>
                    <xref ref-type="bibr" rid="ridm1840892476">14</xref>
                  </td>
                </tr>
                <tr>
                  <td>Essential oil</td>
                  <td>Carvacrol (61.3% total oil composition)Thymol (13.9%)γ-terpinene (3.1%)1,8-cineole (1.6%)Borneol (1.3%)</td>
                  <td>
                    <xref ref-type="bibr" rid="ridm1840835660">25</xref>
                  </td>
                </tr>
                <tr>
                  <td>Essential oil</td>
                  <td>Carvacrol (not quantified)γ-terpineneCamphene1-octen-3-olβ-caryophyllene</td>
                  <td>
                    <xref ref-type="bibr" rid="ridm1840830260">28</xref>
                  </td>
                </tr>
                <tr>
                  <td>Supercritical CO<sub>2</sub></td>
                  <td>Carvacrol (not quantified)<italic>Cis</italic>-sabinene hydrateLinalyl acetate<italic>Trans</italic>-sabinene hydrateThymol</td>
                  <td>
                    <xref ref-type="bibr" rid="ridm1840830260">28</xref>
                  </td>
                </tr>
                <tr>
                  <td>Hydroalcoholic(methanol:water 80:20)</td>
                  <td>Luteolin 7-<italic>O</italic>-glucoside (20.88 mg/g extract)Rosmarinic acid (14.62 mg/g)Luteolin <italic>O</italic>-glucuronide (12.48 mg/g)Apigenin 7-<italic>O</italic>-glucuronide (5.78 mg/g)Quercetin 3-<italic>O</italic>-rutinoside (3.71 mg/g)</td>
                  <td>
                    <xref ref-type="bibr" rid="ridm1840832708">27</xref>
                  </td>
                </tr>
                <tr>
                  <td>Infusion (aqueous)</td>
                  <td>Luteolin <italic>O</italic>-glucuronide (26.50 mg/g extract)Luteolin 7-<italic>O</italic>-glucoside (22.93 mg/g)Rosmarinic acid (15.91 mg/g)Apigenin 7-<italic>O</italic>-glucuronide (8.24 mg/g)Kaempferide <italic>O</italic>-glucuronide (3.99 mg/g)</td>
                  <td>
                    <xref ref-type="bibr" rid="ridm1840832708">27</xref>
                  </td>
                </tr>
                <tr>
                  <td>Decoction (aqueous)</td>
                  <td>Luteolin <italic>O</italic>-glucuronide (28.27 mg/g extract)Luteolin 7-<italic>O</italic>-glucoside (25.26 mg/g)Rosmarinic acid (15.42 mg/g)Apigenin 7-<italic>O</italic>-glucuronide (8.63 mg/g)Kaempferide <italic>O</italic>-glucuronide (3.97 mg/g)</td>
                  <td>
                    <xref ref-type="bibr" rid="ridm1840832708">27</xref>
                  </td>
                </tr>
                <tr>
                  <td>Ethanol (70%)</td>
                  <td>Diacetone alcohol (32.18 mg/g dry weight)Rosmarinic acid (25.02 mg/g)Thymol (24.36 mg/g)n-heptanoic acid (17.06 mg/g)Luteolin 7-<italic>O</italic>-glucoside (10.08 mg/g)</td>
                  <td>
                    <xref ref-type="bibr" rid="ridm1840824644">29</xref>
                  </td>
                </tr>
                <tr>
                  <td>Methanol (70%)</td>
                  <td>Diacetone alcohol (28.87 mg/g dry weight)Rosmarinic acid (28.42 mg/g)Thymol (16.29 mg/g)Nitro-L-argnine (15.93 mg/g)Luteolin 7-<italic>O</italic>-glucoside (13.53 mg/g)</td>
                  <td>
                    <xref ref-type="bibr" rid="ridm1840824644">29</xref>
                  </td>
                </tr>
              </tbody>
            </table>
          </table-wrap>
          <fig id="idm1850505516">
            <label>Figure 1.</label>
            <caption>
              <title> Several compounds found in OE or OEO that have been reported in the literature</title>
            </caption>
            <graphic xlink:href="images/image1.jpg" mime-subtype="jpg"/>
          </fig>
        </sec>
      </sec>
      <sec id="idm1842131116">
        <title>Applications of Oregano as a Food Preservative</title>
        <p>Anti-oxidant activity: Teixeira et al. compared the anti-oxidant activities of OEO and three types of OE (i.e. hot water, cold water, and ethanolic) using three different assays – ferric reducing anti-oxidant power (FRAP), reducing power of Fe<sup>3+</sup> to Fe<sup>2+</sup>, and DPPH assay<xref ref-type="bibr" rid="ridm1840892476">14</xref>. The chemical constituents of the OEO were characterized by GC-MS and reported the most abundant compounds being carvacrol (14.5%),                       β-fenchyl alcohol (12.8%), and thymol (12.6%). However, the chemical compositions of the extracts were not reported. FRAP analysis showed OEO (38.5 µmol Fe<sup>2+</sup>/g) and cold water OE (37.7 µmol Fe<sup>2+</sup>/g) having the highest anti-oxidant power, followed by hot water (27.9 µmol Fe<sup>2+</sup>/g) and ethanolic (12.6 µmol Fe<sup>2+</sup>/g). In terms of reducing power, hot water OE (621.7 µmol ascorbic acid/g) was the highest, followed by ethanolic (232.7 µmol ascorbic acid/g), cold water (203.3 µmol ascorbic acid/g), and OEO (74.5 µmol ascorbic acid/g). DPPH assay followed the same trend as the reducing power analysis with EC<sub>50</sub> being 25.1 µg/mL for hot water, 64.1 µg/mL for ethanolic, 144.3 µg/mL for cold water, and 1509.1 µg/mL for OEO. The researchers concluded that hot water OE had the highest anti-oxidant activity, followed by ethanolic, cold water, and OEO, respectively. Interestingly, the results of this study did not correlate total phenolic content with anti-oxidant activity, suggesting that other phytochemicals were contributing to the anti-oxidant activity of oregano. </p>
        <p>Anti-microbial activity: In the same study, Teixeira et al. also tested the anti-bacterial activity of hot water, cold water, and ethanolic OE and OEO against <italic>Brochothrix</italic><italic>thermosphacta</italic><italic>, Escherichia </italic><italic>coli, L. </italic><italic>innocua</italic><italic>, Listeria monocytogenes, Pseudomonas putida, Salmonella typhimurium, </italic>and <italic>Shewanella</italic><italic>putrefaciens</italic><xref ref-type="bibr" rid="ridm1840892476">14</xref><italic>.</italic> Anti-bacterial activity was tested by paper disc diffusion test and growth in liquid medium. Neither the hot or cold water extracts had any significant inhibitory properties against the growth of any bacteria. Ethanolic OE demonstrated moderate activity against <italic>S. typhimurium, E. coli, L. </italic><italic>innocua</italic><italic>, </italic>and <italic>L. monocytogenes,</italic> resulting in MICs of 13.9 mg/mL, 6.9 mg/mL, 13.9 mg/mL, and 6.9 mg/mL, respectively<italic>.</italic> OEO displayed strong activity against all bacterial strains, with the strongest against <italic>P. putida </italic>at 0.4 mg/mL and the weakest against <italic>S. </italic><italic>putrefaciens</italic><italic>.</italic> Ethanolic OE and OEO at the calculated MICs reduced bacterial growth in liquid broth dilution of the species susceptible to treatment in the disc diffusion experiment. Coccimiglio et al. tested the anti-bacterial activity of an ethanolic OE against a panel of various gram-negative and gram-positive bacteria using the agar dilution method<xref ref-type="bibr" rid="ridm1840823420">30</xref>. The researchers calculated MICs for OE against all strains of bacteria, and the study noted that OE had the strongest effect against non-mucoid isolates of <italic>Pseudomonas aeruginosa</italic> (MIC = 6.3 µg/mL), that are more susceptible to immune responses and drug treatment than mucoid isolates.                               Hernández-Hernández et al. tested the anti-bacterial activity of both free and microencapsulated OEO by disc diffusion method<xref ref-type="bibr" rid="ridm1840819028">31</xref>. Microencapsulation was performed by adding OEO to a modified starch dispersion and homogenizing by ultra-centrifugation. The oils were tested against <italic>Bronchothrix</italic><italic>thermosphacta</italic><italic>, Lactobacillus plantarum, Pseudomonas </italic><italic>fragi</italic><italic>, Salmonella</italic> sp., and <italic>Micrococcus luteus</italic>. The study showed that free OEO at 25% w/v possessed activity against all species except for <italic>L. plantarum</italic>, while microencapsulated OEO showed no activity against <italic>L. plantarum </italic>and <italic>Salmonella</italic> sp. and was less effective than free OEO against all other species.</p>
      </sec>
      <sec id="idm1842097668">
        <title>Food Preservation</title>
        <p>Oregano has been evaluated for its anti-oxidant and anti-microbial properties with special application to food preservation. One application of oregano in food preservation is Cypriot pastrami, a type of sun-dried meat product, also known as samarella<xref ref-type="bibr" rid="ridm1840807780">32</xref>. The more modern way of making samarella is to take the meat of a goat or sheep and dry the meat using the sun. Once dry, the meat is washed and sprinkled with oregano. A second application of OEO as a food preservative includes that use of additive-free meats that have been dried and cured. This approach has been recognized in the European Union where essential oils are considered safe food additives at concentrations &lt;2 mg/kg body weight/day<xref ref-type="bibr" rid="ridm1840805476">33</xref>.</p>
        <p>Several studies evaluated the effectiveness of food preservation using OE and OEO. Aqueous OE was shown to significantly reduce microbial growth and TBARS values in raw beef samples over a 15 day period compared to controls, although the strongest effect was observed in both experiments when combined with cinnamon and clove extracts<xref ref-type="bibr" rid="ridm1840801732">34</xref>. In a study of anti-oxidant herbs added to animal fat, methanolic OE was determined to have anti-oxidant capacity of 13.59 ± 0.87 nmol equivalent of Vitamin E per gram of fat at a concentration of 5 µg extract per g fat, which was more than double the control group<xref ref-type="bibr" rid="ridm1840800004">35</xref>. The major phytochemicals detected in this study were rosmarinic acid (30.03 mg/g) and carvacrol (16.29 mg/g). OEO prepared by an oil-in-water nanoemulsion inhibited growth of <italic>L. monocytogenes, S. Typhimurium</italic>, and <italic>E. coli</italic> on commercial iceberg and romaine lettuce leaves at concentrations of 0.05% and 0.1%, with the latter being the most effective<xref ref-type="bibr" rid="ridm1840795396">36</xref>. </p>
        <p>Another strategy of food preservation is to incorporate a combination of extracts to enhance preservation capabilities. Oregano tested in combination with other natural extracts has been reported to enhance its preservative qualities. Chitosan (1%) was found to be effective with OEO (2-4%) in pork meat at inhibiting bacterial growth, protecting from lipid oxidation, and extending shelf-life with minimal effect on sensory qualities<xref ref-type="bibr" rid="ridm1840791724">37</xref>. OEO was tested with caprylic acid at 0.2% and 0.5%, respectively, and found to have a greater anti-microbial effect than either compound alone in minced beef<xref ref-type="bibr" rid="ridm1840790788">38</xref>. A combination of OEO and REO inhibited growth of naturally occurring fungi in table grapes and preserved the sensory and physical (appearance, firmness) qualities during storage<xref ref-type="bibr" rid="ridm1840785316">39</xref>. In a study using cooked chicken, OEO in combination with sage essential oil and honey reduced the amount of lipid oxidation after 48 and 96h as measured by TBARS<xref ref-type="bibr" rid="ridm1840784164">40</xref>. These studies suggest that oregano can be used alone, however, some evidence suggests a combination of other herbs may enhanced food preservation properties. </p>
      </sec>
      <sec id="idm1842093780">
        <title>In vivo GI Health Benefits</title>
        <p>Another benefit of phytochemicals in food preservation is that they may also improve gastrointestinal health (<xref ref-type="table" rid="idm1850448284">Table 2</xref>). Both OE and OEO have been shown to exhibit anti-inflammatory effects <italic>in vivo</italic> by suppression of TNF-α expression<xref ref-type="bibr" rid="ridm1840905076">15</xref><sup>, </sup><xref ref-type="bibr" rid="ridm1840778836">41</xref>. In mice with streptozotocin-induced diabetes, an ethyl acetate OE compared to control mice. This study found that OE reduced the number of TH1 and TH17 cells and activity measured by expression of the cytokines IFN-γ and                  IL-17, and both of these results reached statistical significance (P &lt; 0.05)<xref ref-type="bibr" rid="ridm1840934380">4</xref>. Treated mice also had a lower population of pro-inflammatory macrophage F4/80<sup>+</sup> cells in the peritoneum while also decreasing the expression of IL-6 and IL-1β (P &lt; 0.05), further suggesting that the ethyl acetate OE has anti-inflammatory properties <italic>in vivo</italic>. </p>
        <table-wrap id="idm1850448284">
          <label>Table 2.</label>
          <caption>
            <title> In vivo models evaluating oregano extracts and essential oil.</title>
          </caption>
          <table rules="all" frame="box">
            <tbody>
              <tr>
                <td>Model</td>
                <td>Experimental conditions</td>
                <td>Significant findings</td>
                <td>Citation</td>
              </tr>
              <tr>
                <td><italic>P. acnes</italic>-induced mouse ear              edema</td>
                <td>8-week old ICR miceGroups (5 mice each):Ethanolic OE (2 mg/10 μL) in 5% DMSOVehicle control (5% DMSO)<italic>Propionibacterium acnes</italic> (6 x 10<sup>7</sup> CFU/10 μL PBS) was inoculated in right ear by intradermal injection and PBS (10 μL) was injected in right earEthanolic OE or vehicle (5% DMSO) was injected in both ears directly after <italic>P. acnes</italic>24 hours after <italic>P. acnes</italic> injection, mouse ear swelling was measured and mice were euthanized</td>
                <td><italic>P. acnes</italic> injection increased ear thickness by 2.5-fold and ear weight by 2.3-foldOEO reduced <italic>P. acnes</italic>-induced ear                thickness by 32% and ear weight by 37% </td>
                <td>
                  <xref ref-type="bibr" rid="ridm1840778836">41</xref>
                </td>
              </tr>
              <tr>
                <td>Streptozotocin-induced type 1 diabetes mice</td>
                <td>8-12 week old C57BL/6 miceGroups (≥7 mice each):Streptozotocin (40 mg/kg/day) + OE (2 mg/day)Streptozotocin onlyStreptozotocin (40 mg/kg/d) was                     administered through intraperitoneal (IP) injection at multiple low doses (MLDS) for 5 consecutive daysEthyl acetate OE administered by IP at 2 mg doses for 10 consecutive days, starting on same day as Streptozotocin dosing</td>
                <td>Streptozotocin administration alone                   resulted in 80% development of                       hyperglycemia in mice, and ethyl acetate OE administration reduced hyperglycemic development to 15% of miceEthyl acetate OE reduced the number of F4/80* macrophages and concentrations of IL-1β and IL-6, while also increasing             concentrations of TNF and IL-10Th1 and Th17 cell counts decreased with ethyl acetate administration, along with concentrations of associated cytokines              IFN-γ and IL-17</td>
                <td>
                  <xref ref-type="bibr" rid="ridm1840934380">4</xref>
                </td>
              </tr>
              <tr>
                <td>TNBS-induced colitis mice</td>
                <td>7-week old Balb/c miceGroups (16 mice each):Group A: TNBS + 0.4% thyme oil + 0.2% oregano oilGroup B: TNBS + 0.2% thyme oil + 0.1% oregano oilGroup C: TNBS + 0.1% thyme oil + 0.05% oregano oilGroup D: TNBS onlyGroup E: ShamColitis induced by intrarectal administration of 120 mg/kg TNBS in 50% ethanolThyme and oregano oil combinations were administered for 7 consecutive days</td>
                <td>Mice in Group B recovered body weight significantly compared to TNBS-only miceMice in Group B had a significantly lower colonic damage score compared to               TNBS-only miceThe mRNA and protein levels of IL-1β and IL-6 cytokines was significantly reduced in Group B mice</td>
                <td>
                  <xref ref-type="bibr" rid="ridm1840769372">42</xref>
                </td>
              </tr>
            </tbody>
          </table>
        </table-wrap>
        <p>A study by Bukovská et al. investigated the effects combined oregano and thyme essential oils in a colitis mouse model induced by trinitrobenzene sulphonic acid (TNBS) (120 mg/kg in 50% ethanol)<xref ref-type="bibr" rid="ridm1840769372">42</xref>. The oregano and thyme oils were combined at different concentrations and given in the feed for 6 days prior to TNBS administration. The 0.1% oregano and 0.2% thyme combination treatment also had the highest prevention of macroscopic colonic damage (P &lt; 0.05) and also the most recovery in body weight (not statistically significant). This dose also decreased both the mRNA and protein the expression of                             pro-inflammatory cytokines IL-6 and IL-1β (P &lt; 0.01). The investigators found that oregano and thyme at 0.1% and 0.2%, respectively, had the highest decrease of mortality rate at 33.3% compared to 53.3% in the TNBS-only group, although this result was not statistically significant. These studies suggest that oregano may decrease inflammatory markers <italic>in vivo </italic>while improving gastrointestinal health. </p>
      </sec>
    </sec>
    <sec id="idm1842066764" sec-type="conclusions">
      <title>Conclusion</title>
      <p>This review summarizes the biological activities of different oregano extracts related to their natural food preservation properties and health promoting properties related to gastrointestinal health. The public interest for clean-labeling of food products and alternatives to synthetic food preservatives provide the demand natural alternatives. Oregano extract and essential oil present promising methods of natural food preservation due to their bioactivities that prevent many types of food spoilage and microbial growth. Defining the phytochemical content is essential in understanding the advantages of different forms tested for anti-oxidant and anti-microbial properties.  In addition to using a single herb such as oregano, a combination of multiple extracts or essential oils may produce an even greater effect on food preservation. Beyond food preservation, however, these herbs have also been shown to promote GI health. Studies performed in mice have shown positive effects of lowering GI inflammation and lessening the symptoms of TNBS exposure.  Future studies will be needed to determine the full potential and health benefits of oregano extract as an alternative to synthetic food preservatives.</p>
    </sec>
  </body>
  <back>
    <ack>
      <p>Johnson JJ is supported by the National Institutes of Health (R37 CA227101) and USDA National Institute of Food and Agriculture (67017-26364)</p>
    </ack>
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