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Zakerian M, Roudi F, Ramezani M, Salari R, Refahi B, Ramezani M et al . Physicochemical Properties, Antioxidative and Antibacterial Activities of the Persian Medicine-Based Maolasal Honey: An Experimental Study. JNFS 2023; 8 (1) :94-101
URL: http://jnfs.ssu.ac.ir/article-1-471-en.html
Students Research Committee, Department of Persian Medicine, School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
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Physicochemical Properties, Antioxidative and Antibacterial Activities of the Persian Medicine-Based Maolasal Honey: An Experimental Study

Mohsen Zakerian; MD, PhD student *1, Fatemeh Roudi; MD, PhD 2, Mahnaz Ramezani; BSc 3, Roshanak Salari; MD, PhD 4, Behzad Refahi; BSc 3, Marjan Ramezani; BSc 5 & Seyed Ruhollah Hosseini; MD 6
1 Students Research Committee, Department of Persian Medicine, School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran; 2 Department of Nutrition, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran; 3 Research and Development Unit, Khorasan Kouhdasht Honey Cooperative, Mashhad, Iran; 4 Department of Pharmaceutical Sciences in Persian Medicine, School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran; 5 Technical Assistant, Khorasan Kouhdasht Honey Cooperative, Mashhad, Iran; 6 School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
ARTICLE INFO ABSTRACT
ORIGINAL  ARTICLE Background: Maolasal is a honey-induced product which may lead to several beneficial effects from the Persian Medicine (PM) point of view. Heating process as a major step of Maolasal preparation may decrease the honey quality and deteriorate thermal treatment indicators of honey. Methods: This study was conducted on four honey samples (from different floral sources). Maolasal preparation process was done according to one of the most important PM references “Gharabadin Kabir”. Thermal treatment indices, antibacterial and antioxidative activities of products were measured. Results: The 5-Hydroxymethylfurfural (HMF) concentrations of PM-based Maolasal samples of polyfloral, monofloral, and sugar honey were higher than 40 mg/kg; while PM-based Maolasal sample of monofloral honey had acceptable HMF concentration (38.9 mg/kg). Proline content of all samples decreased thorough Maolasal preparation and simple heating processes in all samples and these reductions were greater in monofloral honey and sugar honey Maolasal samples.  Maolasal preparation processes decreased diastase activity of all samples. Although Maolasal preparation process led to sucrose content reduction in the three Maolasal samples, sucrose content of Maolasal sample of monofloral honey was higher than its raw sample. Maolasal preparation process increased total phenolic content of all samples. Finally, Maolasal preparation process led to an increase in antibacterial and antioxidant activities of all the samples. Conclusion: Maolasal samples reduced diastasis activity and proline content and increased HMF concentration. Maolasal preparation process may lead to an increase in antibacterial and antioxidative activities of honey which may be helpful for special preventive/therapeutic medicinal objectives.
Keywords: Honey; Differential thermal analysis; Traditional medicine; Heating
Article history:
Received: 4 Sep 2021
Revised:5 Dec 2021
Accepted: 15 Jan 2022
*Corresponding author:
Zakerianmohsen@gmail.com
School of Medicine, Mashhad University of Medical Sciences, the University Campus (Paradise Daneshgah), Azadi Square, Mashhad, Iran.

Postal code: 91779-48564
Tel: +98 5138002423

Introduction
Honey is known as an important macro- and micro-nutrients source including mono-, di-, and tri-saccharides, enzymatic proteins, free amino acids (especially proline), and variable amounts of minerals such as calcium, copper, potassium, iron, manganese, phosphorus, magnesium, selenium, sodium, and zinc (Ajibola et al., 2012, Sadeghi et al., 2019, Samarghandian et al., 2017) . Although it has been used as a natural sweetener, clinicians administered the honey for different medicinal and nutritional aims since the ancient times (Ajibola et al., 2012, Samarghandian et al., 2017). As it has been reported in previous studies, a major portion of honey protein content (derived from bees, pollen, and nectar) include glucose oxidase, invertase, and amylolytic enzymes such as α-amylases (Ajibola et al., 2012, Samarghandian et al., 2017). Moreover, presence of organic acids such as gluconic acid and aspartic acid lead to acidity of honey which contribute to honey antimicrobial activity, flavor, and the stability of its matrix (Ajibola et al., 2012). Finally, flavonoids and non-flavonoids polyphenols of honey which are dependent on the floral origin of the honey are considered as a major bioactive component of different types of honey (Ajibola et al., 2012, Cianciosi et al., 2018, Mandal and Mandal, 2011).  These components make honey having beneficial health effects including antidiabetic, antimicrobial, and anti-carcinogenic effects, cardiovascular and respiratory systems protection, tissue regeneration, wound healing, and symptoms revealing of gastrointestinal disorders (Ajibola et al., 2012, Eteraf-Oskouei and Najafi, 2013, Mandal and Mandal, 2011, Sadeghi et al., 2019, Samarghandian et al., 2017).
In Persian Medicine (PM), as a school of complementary medicine, paying attention to nutrition and its modification has been superior to prescribing medication in disease prevention and treatment.
Maolasal is considered as a honey-induced product which has different health benefits of raw honey from the PM point of view. Therapeutic effects on respiratory diseases, decreasing risk of gastrointestinal, renal and rheumatologic disorders, as well as increasing appetite and improving gastric function are some major beneficial health benefits of Maolasal according to PM references (Aghili, 2008). On the other hand, Maolasal preparing process contains heating process which may lead to decreased enzymatic activity, increased hydroxymethylfurfural  (HMF) concentration, decreased proline content, and subsequently, reduced antioxidative and antibacterial activities and quality of honey (Karabournioti and Zervalaki, 2001, Molaveisi et al., 2019, Shapla et al., 2018, Zarei et al., 2019)
There has been no study investigating the Maolasal preparation process effects on honey thermal treatment indices, anti-oxidative and antibacterial activities.  Therefore, the present study was carried out to compare heating process-related physicochemical properties of raw, simple heated and PM-based Maolasal honey samples.
Materials and Methods
This experimental study was carried out in January 2020, Mashhad, Iran. The parameters for which the samples were tested include diastase activity, HMF content, proline level, total phenolic content (TPC), total antibacterial and antioxidative activity.
Honey samples: Four samples of honey from different regions were collected in December 2019; and stored in -20 ± 2 ºC until preparation and analysis date to prevent physicochemical changes due to the laboratory conditions. All samples were provided by Koohdasht Honey Company, Mashhad, Iran.
Maolasal preparation and simple heating processes: Preparation of samples including simple heating with water (honey/water: 2, for 90 min in 95  ºC), and Maolasal preparation (according to one of the most important PM references “Gharabadin Kabir” (Aghili, 2008, 2009)(Aghili, 2008, 2009)(Aghili, 2008, 2009), honey/water: 2, heating for 90 min in 95 ºC, excluding the covering foam and bubbles of the product) were done in one round, at the laboratory of the School of Persian and Complementary Medicine, Mashhad, Iran.
HMF concentration and diastase activity: According to the harmonized methods of the international honey commission (IHC) (Bogdanov et al., 2002), HMF concentration was assessed thorough its Ultraviolet (UV) absorbance at 284 nm using the White method (spectrophotometer, Hanon i3) and diastase activity was measured according to the Schade method (Bogdanov et al., 2002).
Proline content: Proline content was determined by spectrophotometric comparison with a standard sample of proline (following complex formation with ninhydrin) (Bogdanov et al., 2002).
Total phenolic content:  For TPC measurement, 5 ml of 10% water diluted of each sample was added to 2.5 ml of Folin-Ciocalteu 0.2 N solution. Folin-Ciocalteu reagent was used to determine the TPC of the samples. Two ml of sodium carbonate (7.5%) were added to the tubes following 5 min standing and the test tubes were agitated. The tubes were allowed to stand at room temperature for 120 min and then the absorbance of samples were measured at 760 nm (Meda et al., 2005). Gallic acid solutions with 10–1000 mg/l concentrations were used as standard for the calibration curve production.
Free radical scavenging activity: Free radical scavenging activity of honey samples was determined by the 1,1-diphenyl-2-picrylhydrazyl (DPPH) assay (with minor modification of the method described by Isla (Isla et al., 2011). By dissolving 2 mg of DPPH in 100 ml methanol, DPPH solution was prepared. Different concentrations of methanolic honey solution (20-40 mg/ml) were added to DPPH solution (0.75 ml methanolic honey solution to 1.5 ml of DPPH solution). Ascorbic acid was used as the positive control and after 15 min of incubation, the absorbance was measured at 517 nm.
Sucrose content: Determination of the apparent sucrose was done by titration method (the Fehling’s test/ Lane and Eyon modified method (Folin and Peck, 1919)  .
Antibacterial activity measurement: The antimicrobial activities of all honey samples were determined using agar well diffusion method. Phenol equivalent assays were performed using phenol (as reference in solutions of 1–10 % (w/v) in distilled water). Antimicrobial activity was evaluated by comparing the square of the mean diameter of the clear zone from E. coli ATCC 25922 in nutrient agar of the honey sample with standard curve (Allen et al., 1991, Mahmoodi-Khaledi et al., 2015).
All physicochemical tests were performed regarding the Iranian national standardization organization (INSO) 92, 6th revision, 2008 (Institute of Standards and Industrial Research of Iran, 2008). All measurements were triplicated and the mean values of all 3 times were reported as the final value. The amounts of the studied indicators were expressed as mean ± SD.
Ethical consideration: This study was approved by the Ethics Committee of Mashhad University of Medical Sciences (MUMS) with ethical code of IR.MUMS.REC.1398.185 (28/9/2019).
Results
General characteristics of 4 honey samples are shown in Table 1. According to the results, HMF concentrations of sugar, monofloral, polyfloral raw honey samples were in acceptable range (< 40 mg/kg). Heated and PM-based Maolasal samples of polyfloral, monofloral (thyme), and sugar honey had HMF concentrations higher than 40 mg/kg, while only heated and PM-based Maolasal sample of monofloral honey had acceptable HMF concentrations (38.9, and 4.4 mg/kg, respectively). The raw thyme monofloral honey sample had a HMF concentration of 57.6 mg/kg. The monofloral  raw honey sample had the lowest HMF concentration, while the maximum HMF content was recorded for heated monofloral honey sample (0.3 and 164.25 mg/kg, for monofloral raw and heated monofloral (thyme) honey samples, respectively).
As depicted in Table 2, sucrose content of heated and Maolasal samples of monofloral honey and also heated sample of the monofloral thyme honey were higher than their raw samples. However, heated and Maolasal preparation processes led to sucrose content reduction in other heated and Maolasal samples. Proline content of raw sugar honey sample was higher than other 3 raw samples (581.3 vs. 266.2, 137.4, and 262.3 mg/kg for sugar, monofloral, polyfloral, and monofloral (thyme), respectively). Proline content of all samples decreased thorough heating and Maolasal preparation processes in all samples. The reduction in proline content was greater through heating process in sugar, monofloral samples in comparison to Maolasal preparation process. However, Maolasal preparation process led to more proline reduction in polyfloral and monofloral (thyme) honey samples in comparison to simple heating process. As it is shown in Table 2, heating and Maolasal preparation processes decreased diastase activity of all samples and these reductions were greater in heating process except for monofloral (thyme) honey.
According to analysis results of the study (Table 3), antibacterial activity of heated sample of sugar honey was lower than its raw sample (1.5 vs. 2% for heated and raw samples, respectively). However, heating and Maolasal preparation processes led to an increase in antibacterial activity of all other samples and this increase was greater in Maolasal sample of monfloral thyme honey rather than its heated sample; 3.5 vs. 2.5% for Maolasal and heated monofloral thyme samples, respectively.
The results of TPC measurement showed that heating and Maolasal preparation processes increased TPC of all samples except for Monofloral honey Maolasal sample, and this increase was greater in heating process in all the samples. Furthermore, heating and Maolasal preparation processes led to an increase in antioxidant activity of all samples, while this increase was higher in heated samples of sugar and monofloral thyme honey samples compared to the Maolasal samples.
Table 1. Floral and geographical sources of the studied honey samples.
Samples Origin
Sugar honey Khorasan Razavi province, Iran
Monofloral honey (Rhamnus sp. /Nabk-Tree) Khoozestan province, Iran
Polyfloral honey Khorasan Razavi province, Iran
Monofloral honey (Thyme) Khorasan Razavi province, Iran
Table 2. Thermal treatment indicators of different honey samples.
Honey samples Sucrose
 (g/100 g)
Proline
(mg/kg)
HMF
 (mg/kg)
Diastasis activity
 (Schade units)
TPC
(mg/100 g GAE)
Sugar honey
   Raw sample 2.1 581.3 5.7 32.9 0.04
   Simple heated sample 1.6 395.1 115.8 0 0.05
   Maolasal product sample 1.5 375.8 75.9 0 0.04
Monofloral honey (Rhamnus sp.)
   Raw sample 3.2 266.2 0.3 20.0 0.08
    Simple heated sample 5.4 199.7 38.9 11.9 0.18
    Maolasal product sample 4.4 183.1 4.4 11.3 0.01
Polyfloral honey
   Raw sample 8.4 137.4 3.4 5.3 0.02
   Simple heated sample 6.5 67.0 105.4 0.8 0.07
   Maolasal product sample 5.9 106.4 64.5 0 0.06
Monofloral honey (thyme)
   Raw sample 3.3 262.3 57.6 5.5 0.03
   Simple heated sample 4.5 168.3 164.2 0 0.07
   Maolasal product sample 2.4 184.3 127.5 0.4 0.04
HMF: hydroxymethylfurfural, TPC: total phenolic content, GAE: Gallic acid equivalent.
Table 3. Antibacterial and antioxidant activities of different honey samples.
Honey samples Antibacterial activity (%) Antioxidant activity (mg/ml)
Sugar honey
Raw sample 2.0 555.5
Simple heated sample 1.5 580.5
Maolasal product sample 2.5 552.5
Monofloral honey (Rhamnus sp. /Nabk-Tree)
Raw sample 3.0 684.3
Simple heated sample 4.0 762.4
Maolasal product sample 4.0 765.9
Polyfloral honey
Raw sample 4.0 509.5
Simple heated sample 4.0 590.0
Maolasal product sample 4.0 643.5
Monofloral honey (Thyme)
Raw sample 3.0 551.7
Simple heated sample 2.5 583.7
Maolasal product sample 3.5 554.2
Discussion
To the best of the authors’ knowledge, this is the first study investigating Maolasal preparation process effects on honey thermal treatment indices. The results showed that Maolasal preparation with honey/rain water ratio of 2, excluding the covering foam and bubbles of the product, and heating for 90 min in 95 ºC led to a decrease in quality and deterioration of nutritional thermal treatment indicators, such as sucrose, proline content, HMF concentration, and diastasis activity. However, our study results showed improvement of antioxidant and antimicrobial activities of honey following Maolasal preparation process in comparison to raw honey samples.
According to the results of the present study, diastase activity decreased through simple heating and Maolasal preparation processes as heated and Maolasal samples of polyfloral, thyme monofloral, and sugar honey had diastase number (DN) values lower than 8 and did not meet Iranian honey standards (Institute of Standards and Industrial Research of Iran, 2008). Only monofloral honey heated and Maolasal samples had DN values greater than 8 Schade units (11.6 and 11.36 Schade units for heated and Maolasal samples, respectively). Given that the storage time and temperature conditions of all samples in the study were similar, this result may indicate the adverse effect of Maolasal preparation process on the quality of this honey sample. The naturally enzyme content of floral source of the honey samples should be considered in the interpretation of the results, as two monofloral (thyme) and polyfloral raw honey samples from Khorasan Razavi Province of Iran had DN values lower than 8 Schade units (Moloudian et al., 2018, Wang and Li, 2011).
Table 2 shows that despite three raw honey samples HMF contents were in acceptable range, only monofloral honey Maolasal sample had an acceptable HMF content and all of the 7 heated and Maolasal samples had HMF contents greater than 40 mg/kg. However, this parameter can be blow 80 mg/kg in tropical and blended honey (Moloudian et al., 2018, Shapla et al., 2018). According to previous studies, fresh raw honey should not contain HMF and based on the present study results, raw monofloral thyme honey sample was not qualified in this parameter. Although heating and Maolasal processes lead to HMF content increase in almost all samples (except for monofloral Rhamnus sp. honey), this increase was greater in heated samples compared to Maolasal honey samples. However, we cannot use the HMF content as the only quality assessment index for honey because it is correlated to pH, diastase activity, the floral source and blending processes, so it should be interpreted in combination with all of these characteristics of samples (Moloudian et al., 2018, Shapla et al., 2018).
Although heating and Maolasal preparing processes led to sucrose content decrease in sugar and polyfloral honey samples, the sucrose content of monofloral heated and Maolasal honey samples increased through thermal treatments. All samples of the polyfloral honey including the raw sample and simple heated Rhamnus sp. Monofloral honey sample had sucrose levels higher than the allowed maximum levels in accordance to Iran standard (> 5 g/100 g) (Institute of Standards and Industrial Research of Iran, 2008).
Proline was considered as the most important amino acid containing approximately half of the total amounts of amino acids of honey. Proline content of honeydew was reported to be higher in comparison to nectar honey (Moloudian et al., 2018). Proline content of different honey samples varies in accordance to their different floral sources (Gulfraz et al., 2010, Moloudian et al., 2018, Saxena et al., 2010). Despite the fact that proline is not considered as a common quality assessment indicator, according to the parameters of animal science research institute (ASRI) of Iran, honey samples with proline content < 183 mg/kg are considered as adulterated honey samples (Gulfraz et al., 2010, Moloudian et al., 2018, Saxena et al., 2010). According to the results of the present study, all raw samples were adulterated honey samples except for sugar honey sample. Moreover, heating and Maolasal preparation processes led to a decrease in proline content of all samples and these reductions were greater in heated samples compared to Maolasal samples with an exception for monofloral honey (Rhamnus sp.).
The results of the present study revealed that Maolasal preparation and simple heating lead to increased antioxidant activity of honey samples compared to similar raw samples. However, polyphenol profile of heated samples was higher than Maolasal samples. As the floral origin of honey can affect the polyphenol profile of the samples, the heated monofloral honey (Rhamnus sp.) sample had the highest polyphenol profile among all processed samples (Gulfraz et al., 2010, Meda et al., 2005, Moloudian et al., 2018, Ramzi et al., 2015, Saxena et al., 2010). Furthermore, Maolasal preparation process lead to increase in antibacterial activity of all honey samples.
There are different objectives for honey consumption including honey intake for nutritional aims as well as administration of the honey for different medicinal objectives (Kaveh et al., 2015, Nikzadeh Kigal et al., 2020). According to PM, the honey product recommendation should be performed in accordance to the different nutritional/medicinal objectives. For example, raw honey is recommended for vascular disorders, metabolic diseases, nephrolithiasis, and cholelithiasis, while Maolasal product should be administered for gastrointestinal reflux disease, steatohepatitis, and respiratory system disorders (Aghili, 2008, Bogdanov et al., 2002)(Aghili, 2008, Bogdanov et al., 2002)(Aghili, 2008, Bogdanov et al., 2002)(Aghili, 2008, Bogdanov et al., 2002)(Aghili, 2008, Bogdanov et al., 2002). Therefore, greater antioxidant and antimicrobial activity of Maolasal may be more important in comparison to nutritional effects of honey including sucrose and proline content in such diseases in PM school.
There are several different recipes for Maolasal preparation process according to PM references. There are different honey/water ratios as well as different types of recommended water, including distilled water, or ordinary drinking water. Moreover, different references suggested different goal volumes as reaching to 1/2-1/3 of the raw water + honey volume. Finally, there are different methods of heating including heating on the fire or being under natural sunlight to reach to the target volume in PM (Aghili, 2008, Bogdanov et al., 2002, Isra'ili, 1992, Kaveh et al., 2015).
Deterioration of thermal treatment indicators may be due to the heating process which was performed thorough Maolasal preparation process as well as inappropriate provided raw honey samples. On the other hand, not selecting an appropriate recipe for Maolasal preparation process may be another reason for such results.
This experimental study was carried out on four honey samples and only thermal treatment indices were evaluated following simple heating and Maolasal preparing processes and this was a major limitation of the study. Investigation of all physicochemical characteristics of several honey samples from different regions following different Maolasal preparation processes may help have better judgment on the best Maolasal formulation and determination of exact indications of
Maolasal administration for different medicinal (preventive/therapeutic) objectives. The authors did not have several samples to do statically analysis and compare the significance of the differences.
Therefore, further studies are required to find whether there is any safe, high quality Maolasal product to have different health beneficial effects. Moreover, clinical trials especially randomized clinical trials are needed to investigate the possible effects of Maolasal on organ functions and disease prevention and treatment in comparison to raw honey.

Conclusion
Maolasal preparation process may lead to increased HMF concentration and reduced proline content and diastasis activity. Therefore, Maolasal preparing process may lead to thermal treatment indicators deterioration in honey samples. On the other hand, Maolasal samples had higher antibacterial activity in comparison to raw honey samples. Additionally, all heated and Maolasal honey samples except for sugar honey Maolasal sample had higher antioxidant activity in comparison to their raw samples. The aforementioned parameters may be helpful for special preventive/therapeutic objectives. Further experimental and clinical trials are necessary to investigate the best Maolasal formulation and exact indications for prescribing the Maolasal product.
Conflict of interests
 The authors report that there is no conflict of interest.
Funding
This research was financially supported by Mashhad University of Medical Sciences (MUMS), and Khorasan Kouhdasht Honey Company.
Acknowledgement
The team would like to acknowledge and express thanks for the kind support of Students Research Committee of Mashhad University of Medical Sciences, Khorasan Kouhdasht Honey Company, and Deputy of Research of Mashhad University of Medical Sciences, Mashhad, Iran.
Authors’ contributions
Zakerian M, Roudi F, Salari R, and Hosseini SR designed the study. Refahi B, Zakerian M, and Hosseini SR were involved in the sample preparation. Ramezani M and Ramezani M were involved in the laboratory analysis of the samples. Zakerian M, Roudi F, and Salari R prepared the manuscript. Salari R and Hosseini SR supervised the research project. All the authors read and approved the manuscript.
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Type of article: orginal article | Subject: public specific
Received: 2021/09/4 | Published: 2023/02/21 | ePublished: 2023/02/21

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