*Corresponding Author:
T. Wresdiyati
Department of Anatomy, Physiology, and Pharmacology, Faculty of Veterinary Medicine, IPB University (Bogor Agricultural University), Campus Dramaga, Bogor 16680, Indonesia
E-mail: [email protected]
Date of Received 29 October 2019
Date of Revision 09 January 2020
Date of Acceptance 27 January 2020
Indian J Pharm Sci 2020;82(2):291-299  

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Abstract

This investigation is aimed at evaluating the polyphenol profile, antioxidant, α-glucosidase and α-amylase inhibitory and the hypoglycemic activities of Acalypha hispida leaf extract in vivo. Powdered Acalypha hispida leaves were macerated with 70 and 96 % ethanol and decocted in distilled water. The filtrates were evaporated to obtain dry extracts. The extracts were found to have a polyphenol profile (ultraperformance liquid chromatography quadrupole time-of-flight) and to exhibit antioxidant activity (2,2-diphenyl-1-picrylhydrazyl) and α-glucosidase and α-amylase inhibition (spectrophotometer) in vitro and a hypoglycemic effect in vivo. This study revealed that the number of polyphenol subclasses of the 96 % ethanol extract was greater than that of the other extracts. The 70 and 96 % ethanol and aqueous extracts exhibited strong antioxidant activity (IC50<10 µg/ml). The 96 % ethanol extract showed very high inhibition of α-glucosidase and α-amylase activities. A hypoglycemic assay of the 96 % ethanol extract at 300 mg/kg dose exhibited a significant hypoglycemic activity in experimental rats. The present results suggested that the ethanol extract of Acalpha hispida leaves could be an effective hyperglycemic agent acting through inhibiting α-glucosidase and α-amylase.

Keywords

Acalypha hispida, hypoglycemia, α-glucosidase, α-amylase, polyphenol, oral glucose tolerance test, UPLC-ESI-QTOF

Diabetes mellitus (DM) is a disorder of protein, carbohydrate and fat metabolism. It is characterized  by hyperglycemia and reduced insulin secretion or insulin action[1]. Long-term hyperglycemia leads to microvascular (retinopathy, cataracts and neuropathy) and macrovascular (stroke and heart failure) complications[2,3]. In 2012, there were approximately 422 million people with diabetes worldwide. Moreover, the International Diabetes Federation (IDF) has estimated that by the year 2045, the number of people with diabetes are likely to increase up to 629 million[4]. A therapeutic approach to diabetes is to maintain blood glucose levels in the normal range within 2 h after eating, thereby preventing postprandial hyperglycemia. Postprandial hyperglycemia can be prevented by delaying digestion and absorption of dietary carbohydrates[5]. Complex carbohydrates are degraded into disaccharides and oligosaccharides by α-amylase in the small intestine. Both of these are further hydrolyzed by α-glucosidase into monosaccharides[6]. Inhibition of α-glucosidase has been proved to reduce postprandial hyperglycemia via inhibition of glucose absorption and suppression of the insulin response[7]. Management of near-normal blood glucose levels appears to prevent the progression of diabetic microvascular complications[8].

Recently, bioactive components from plants, have demonstrated potential as alternatives to α-glucosidase and α-amylase inhibitors. Acalypha hispida (A. hispida) Burm.f. (Euphorbiaceae) is an erect, flowering shrub, used as an ornamental plant in homes and gardens. The plant is also known as a chenille plant or red-hot cat’s tail and has medicinal properties. The ethanol extract of A. hispida leaves exhibited antimicrobial activity against Pseudomonas aeruginosa, Escherichia coli, Staphylococcus aureus and Salmonella typhii[9]. Siraj et al. reported that the ethanol extract of A. hispida leaves showed antiinflammatory and antioxidant activity[9,10]. A. hispida leaf extract in phenolic acid was found to be active against Rhizopus sp., Penicillium sp., Sclerotium rolfsii, Fusarium sp., and Aspergillus niger[11]. The ethanol and aqueous extracts of A. hispida leaves contain a large number of polyphenolic constituents (phenolic acids and flavonoids), including ellagic acid, gallic acid, quercetin, p-coumaric acid, and rutin[10]. Particular subclasses of polyphenols demonstrated inhibition of α-glucosidase in vitro; these include catechins, flavonoids, flavones, flavonols, isoflavones and phenolic acids. Moreover, some flavonols and phenolic acids inhibit α-amylase[12]. Polyphenols are powerful antioxidants that effectively scavenge free radicals in the body, inhibiting the development of long- term diabetes complications[13]. However, there has been no previous reports on the hypoglycemic activity of A. hispida. Therefore, this study aimed to evaluate the polyphenol profile, antioxidant activity, α-glucosidase, and α-amylase inhibition, and the hypoglycemic effect of A. hispida leaf extract in vivo.

Materials and Methods

The A. hispida plants were cultivated in the Tropical Biopharmaca Research Center (TropBRC), IPB University and identified by the Indonesian Institute  of Sciences (LIPI). The plants were harvested in the rainy season, January 2018. The materials and reagents used included D(+)-Saccharose (Scharlau Chemie, Spain), 1,1-diphenyl-2-picrylhydrazyl (DPPH; Sigma- Aldrich, US), α-glucosidase from Saccharomyces cerevisiae (Sigma-Aldrich, US), α-amylase enzyme from Aspergillus oryzae (Sigma-Aldrich, US), Accu-Check strips, and glucometer (Roche, Germany).

Preparation and extraction:

A. hispida leaves were dried in the oven for 3 d at 50°. After drying, the leaves were powdered by grinding and sieved with a size 60 mesh. Extraction was done with distilled water and ethanol (70 and 96 %). Powdered leaves were added to distilled water at a ratio of 1:10 and heated on a hotplate for 30 min at 85-90° with stirring (decoction). Powdered leaves were macerated in 70 or 96 % ethanol at a ratio of 1:10. Maceration was carried out for 72 h and the filtrates were stirred every 12 h. All three extracts were filtered through a flannel cloth to separate the large particles, and then these were filtered through filter paper to separate fine suspended particles. The filtrates were evaporated to obtain the dry extract.

Phytochemical and polyphenol profile:

Phytochemicals such as alkaloids, flavonoids, saponins, tannins, quinones, and steroids/triterpenoids in the three extracts were analyzed using the Harborne method[14]. The Subclasses of polyphenols such as flavonoids and phenolic acids, were identified using the Najafian and Babji method, with modification and optimization[15,16]. The extracts were separated using an Acquity UPLC® HSS C18 column (1.8 μm, 21×100 mm, Waters, US) with a mass detector G2Q/TOF micro mass spectrometer (Waters, USA) and electrospray ionization (ESI) sources at 50°. The samples (5 μl) were injected and ran for 23 min with a flow rate of 0.2 ml/min. The mobile phase consisted of solution A (water+5 mM ammonium formic) and solution B (acetonitril+0.05% formic acid). The analysis was carried out with a full scan in the mass range of 50-1200 m/z. Ionization was carried out in the positive electrospray (ESI) mode. The mass spectrometers operated under the following optimized conditions, 4 volt collision energy, 25-50 volts colt ramp, 100° temperature source, 350° desolvation temperature and desolvation gas flow of 793 l/h. The data obtained from the UPLC-ESI-QTOF was processed into the Mass-Lynx V.4.1 application. Fragmentary spectra of interest detected were matched with a reference spectra database (MassBank https://massbank.eu/MassBank/; Human Metabolism Database http://www.hmdb.ca/)[17].

Antioxidant activity assay:

The antioxidant activity of the 3 extracts was assessed using the 1,1-diphenyl-2-picrylhydrazyl (DPPH)  assay described by Salazar-Aranda et al.[18]. Different concentrations of 100 µl extracts (10-1000 µg/ml) in ethanol or vitamin C were dissolved in a 100 ml DPPH solution and incubated for 30 min at 37° under dark. Absorbance was assessed using a microplate reader   at 517 nm. Percent inhibition of free radicals was calculated with the formula, (B−S)/B)× 100%, where S is the absorbance of the sample and B is the absorbance of  the  blank  solution  (without  samples).  The   half- maximal inhibitory concentration (IC50) was taken as the ability of the extract to scavenge 50 % DPPH free radicals. The correlation between every concentration and percent inhibition was made to a regression curve. IC50 values were calculated by interpolation.

a-glucosidase inhibition assay:

α-glucosidase inhibition was measured by the Sancheti and Seo method[19]. All samples were evaluated in various concentrations of 50-10,000 µg/ml. Sample dilution (10 µl), 50 µl phosphate buffer 0.1 M (pH 7.0), 25   µl   p-nitrophenyl-α-D-glucopyranoside   (PNP-G) 0.5 mM, and 25 µl enzyme solution (0.04 mg/ml) were incubated at 37° for 30 min. Acarbose was used as a positive control. The reaction was stopped by adding 1 ml of 0.2 M Na2CO3. The amount of p-nitrophenol produced was measured at 410 nm using a microplate reader. The percent inhibition and the IC50  value were calculated.

α-amylase inhibition assay:

The α-amylase inhibition was evaluated using the Obuh et al. method[20]. All extracts were evaluated at 2000 μg/ml. The extract dilution (200 μl) and 500 μl sodium phosphate buffer 20 mM (pH 6.9 with 6 mM NaCl) containing α-amylase enzyme (0.5 mg/ml) were incubated for 10 min at 25°. The 1% starch solution (500 μl) in 20 mM sodium phosphate buffer was added into the mixture. The mixture was  incubated for 10 min at 25°. The reaction was stopped by adding 1 ml dinitrosalicylic acid (DNS) and then incubated in boiling water for 5 min. The absorbance was measured at 540 nm using a spectrophotometer[21]. The percent inhibition was calculated.

Hypoglycemic effect test in vivo:

All animal procedures were approved by the Animal Ethics Committee, Faculty of Veterinary Medicine, IPB University (approval number: 143/KEH/SKE/ VI/2019). A total of 28 male Sprague-Dawley (SD) rats (200-250 g; 8-12 d) were used in this study. Acclimatization was carried out for 7 d. Rat cages were housed at 22-25°, humidity 55-63%, and 12 h bright light and 12 h darkness. The experimental animals were given standard protein feed and water ad libitum.

The oral glucose  tolerance  test  (OGTT)  used  was  as described by Wresdiyati et al.[22]. The extract that exhibited the highest inhibition of α-glucosidase was used for the OGTT. Rats were divided into groups (n=4), negative control (NC), positive control (PC), and five groups of various extracts at doses 100 (D1), 200 (D2), 300 (D3) and 400 mg/kg (D4), and acarbose (AR) 4.5 mg/kg for comparison. All rats were fasted for 10 h and blood glucose levels were measured at 0 min as a baseline. The PC and NC groups were given water. The extracts and AR groups were orally administered according to the dosage. After 10 min, each group was administered 1 m of 90 % sucrose orally, except for the NC group that was given water as a placebo. Blood sugar levels were measured at 30, 60, 90, and 120 min using the Accu-Chek strip (Roche, Germany).

Statistical analysis

The phytochemicals and polyphenol profiles were qualitatively described. The antioxidant activity, inhibition of α-glucosidase, and blood glucose levels were analyzed using one-way ANOVA. If the treatment had an effect, it was followed by Duncan’s Multiple Range Test (DMRT). The analysis used the statistical application of SPSS 22.00.

Results and Discussion

The characteristics of A. hispida leaf extract are displayed in Table 1. The yields of the extracts in aqueous, 70, and 96 % ethanol were 26.35, 17.24 and 17.43 %, respectively. The extracts were obtained as dry extracts with specific odors. Each extract exhibited a different taste and color. In the present study, the phytochemical assay of ethanol and aqueous A. hispida leaf extracts showed the presence of flavonoids, tannins, saponins and steroids. All of these metabolites were detected in the 70 and 96 % ethanol extracts and saponin was absent in the aqueous extract. Previous studies reported the presence of glycosides, flavonoids, steroids, phlobatin, saponin and hyroxylanetquinone from methanol and aqueous extracts of A. hispida leaves from  Nigeria and Bangladesh[23,24]. The  phytochemical  screening  of the hexane extract of A. hispida leaves revealed alkaloids, flavonoids and  phenolic  compounds[25]. The different bioactive compounds of A. hispida are probably due to the different geographical origin of the plants[22]. Polyphenol profiles were further identified based on ion mass using the UPLC-ESI-QTOF. The results of the analysis are shown in chromatograms    at low energy (4 volts, fig. 1). Polyphenols have two general classes, flavonoids and phenolic acids[26]. Both of these are shown in Table 2. The polyphenol contents of the 96 % ethanol extract were chalcones (phloretin, phloridzin), flavonols ((+)-epicatechin, kaempferol, myricetin, quercetin, rutin), flavanones (naringin, naringenin, eriodictyol), flavones (apigenin, tangeretin, rhoifolin) and isoflavonoids (daidzein, daidzin, genistin, biochanin A). The polyphenol contents  of the 70 % ethanol extract were chalcones (phloridzin), flavonols ((−)-epicatechin, kaempferol, myricetin, quercetin, rutin), flavanones (naringin, naringenin, eriodictyol), and isoflavonoids (daidzin, dan biochanin A). In addition, the polyphenol contents of the aqueous extract were flavonols (kaempferol, quercetin, rutin),flavanones (naringin) and isoflavonoids (daidzein, daidzin, dan biochanin A).

IJPS-Chromatograms

Fig. 1: Chromatograms of A. hispida leaf extracts
Chromatograms in base peak intensity (BPI) mode of A. hispida leaf extract at low energy (4 volt) with positive electrospray ionization, A. 96 % ethanol extract, B. 70 % ethanol extract, and C. aqueous extract

Parameter 96 % ethanol extract 70 % ethanol extract Aqueous extract
Yield (%) 17.43 17.24 26.35
Organoleptic:      
  Form Powder Powder Powder
  Odor Specific Specific Specific
  Taste Bitter Bitter acidity Saltiness acidity
  Color Dark green Brown Dark brown
Phytochemicals:      
  Alkaloids: Wagner
    Mayer
    Dragendorf
  Flavonoids + + +
  Tanins + + +
  Saponins + +
  Quionones
  Steroids + + +
  Triterpenoids

Table 1: Characteristics of A. Hispida Leaf Extract

Compound identification Formula m/z calculated Retention time
(min)
Aqueous extract 70 % ethanol extract 96 % ethanol extract
Chalcones          
Phloretin C15H14O5 275.0919 - - 8.36
Phloridzin C21H24O10 437.1448 - 6.34 5.73
 Flavonols          
(+)-Epicatechin C15H14O6 291.0869 - - 6.61
(−)-Epicatechin C15H14O6 291.0869 - 1.33 -
Kaempferol C15H10O6 287.0556 8.45 5.51 5.53
Myricetin C15H10O8 319.0454 - 6.21 6.27
Quercetin C15H10O7 303.0505 7.52 5.29 5.07
Rutin C27H30O16 611.1612 5.05 5.02 5.02
Flavanones          
Naringin C27H32O14 581.187 5.66 5.91 9.83
Naringenin C15H12O5 273.0763 - 6.17 7.94
Eriodictyol C15H12O6 289.0712 - 4.30 4.37
Flavones          
Apigenin C15H10O5 271.0606 - - 8.34
Tangeretin C20H20O7 373.1287 - - 7.34
Rhoifolin C27H30O14 579.1714 - - 5.15
 Isoflavonoid          
Daidzein C15H10O4 255.0657 8.38 - 1.36
Daidzin C21H20O9 417.1186 6.21 3.72 2.65
Genistin C21H20O10 433.1135 - - 10.35
Biochanin A C16H12O5 285.0763 10.19 5.58 10.24

Table 2: The Flavonoid Content of A. Hispida Leaf Extract

All the A. hispida leaf extracts were found to contain phenolic acids belonging to the hydroxybenzoic acid and hydroxycinnamic acid groups (Table 3). The polyphenol content of the 70 and 96 % ethanol extracts were hydroxybenzoic acids (ellagic acid, gallic acid, syringic acid) and hydroxycinnamic acids (rosmarinic acid, sinapic acid, chicoric acid). The aqueous extract showed the presence of hydroxybenzoic acids (ellagic acid, gallic acid, galloyl glucose) and hydroxycinnamic acids (rosmarinic acid, sinapic acid, chicoric acid). The present results revealed that the number of polyphenols in the 96 % ethanol extract of A. hispida leaves was greater than that of the other extracts. It has been reported by Siraj et al. that some of the polyphenols in the ethanol and aqueous A. hispida leaf extracts were ellagic acid, gallic acid, quercetin, p-coumaric acid and rutin[10].

Compound identification Formula m/z calculated Retention time
(min)
Aqueous extract 70 % ethanol extract 96 % ethanol extract
Hydroxybenzoic acids          
Ellagic acid C14H6O8 303.0141 4.57 5.29 4.57
Gallic acid C7H6O5 171.0293 1.93 4.60 1.93
Galloyl glucose C13H16O10 333.0822 1.29 - -
Syringic acid C9H10O5 199.0606 - 5.45 3.74
Hydroxycinnamic acids          
Rosmarinic acid C18H16O8 361.0923 5.07 4.28 8.47
Sinapic acid C11H12O5 225.0763 5.73 7.01 6.99
Chicoric acid C22H18O12 475.0877 6.05 4.77 1.67

Table 3: The Phenolic Acid Content of A. Hispida Leaf Extract

The results of the DPPH antioxidant assay are shown in Table 4. The IC50 values of  the  ethanol  (70  and  96 %) and aqueous extracts of A. hispida leaves were <10 μg/ml, while the IC50  value of the vitamin C was 4.33 μg/ml. Based on a previous study, the antioxidant IC50  value of <10 µg/ml could be regarded as highly active[27]. The strong antioxidant activity of the extract may be correlated with the presence of the flavonoid compounds, such as kaempferol, quercetin, and rutin[28]; it may also be attributed to the presence of gallic acid and rosmarinic acid in the extracts[29,30]. The IC value (<10 µg/ml) of the ethanol and aqueous extracts in the present study was lower than that of the IC50 value of the ethanol (14 µg/ml) and aqueous (17 µg/ml) extracts reported in a previous study[31]. These results indicated that ethanol and aqueous extracts of A. hispida leaves from Indonesia exhibited stronger antioxidant activity compared to that of the extracts of A. hispida leaves from Bangladesh. Carbohydrate-hydrolyzing enzyme activity was evaluated via α-glucosidase and α-amylase inhibition. The levels of inhibition of the A. hispida leaf extracts on α-glucosidase are shown in Table 5. The IC50 value of the 96 % ethanol extract (785±21 μg/ml) was lower than that of the 70 % ethanol extract (3244± 22 μg/ml). The IC50 value of the aqueous extract was not reported probably that the aqueous extract might have had no inhibitory effect on α-glucosidase. However, the IC50 value of acarbose was lower than that of the 96 % ethanol extract.

Sample IC50 value
(μg/ml)
96 % ethanol extract <10
70 % ethanol extract <10
Aqueous extract <10
Vitamin C 4.33

Table 4: The Antioxidant Activity (IC50 values) of A. Hispida Leaf Extract

All A. hispida leaf extracts inhibited α-amylase activity at 2000 μg/ml (Table 6). The highest inhibitory effect was shown by the 96 % ethanol extract (44.15 %), followed by the 70 % ethanol extract (37.70 %) at 2000 μg/ml. The aqueous extract showed low inhibitory effect (35.08 %) at 2000 μg/ml. The best α-glucosidase and α-amylase inhibitory activity was demonstrated by the 96 % ethanol extract of A. hispida leaves; this could be owing to the fact that greater number of polyphenol constituents were present in this extract with strong antioxidant   activity.   Therefore,   the   96   % ethanol A. hispida leaf extract was used to study the hypoglycemic effect in vivo. The 96  %  ethanol extract exhibited greater inhibition of α-glucosidase and α-amylase activity than other extracts (Tables 3 and 4). This α-glucosidase and α-amylase inhibitory effect could be related to the presence of higher flavonoid contents in the extract (Table 2). The absence of flavones (apigenin, tangeretin, rhoifolin) and chalcones (phloretin) did not significantly affect antioxidant activity (Table 4), but significantly reduced the inhibitory activity of the extract on α-glucosidase and α-amylase enzymes (Tables 5 and 6). Apigenin and phloretin were reported to reversibly inhibit α-glucosidase activity[31,32]. Tangeretin and rhoifolin were found to inhibit α-glucosidase and α-amylase activity[33]. The OGTT test was conducted to evaluate the hypoglycemic potential of these extracts. The blood glucose profile after an oral glucose challenge  to all groups of rats is shown in fig. 2. At 0 min, the blood glucose levels of all groups were in the normal range (80-110 mg/dl). The NC group showed constant blood glucose at 0, 30, 60 and 120 min. The PC group, which was given 90 % sucrose without any treatment, exhibited a rapid increase in  blood  glucose  level  (132 mg/dl) after 30 min following sucrose treatment. Subsequently, blood glucose levels of the PC group decreased at 120 min reaching the normal range. The administration of A. hispida leaf extract at doses of 100 and 200 mg/kg did not significantly decrease blood glucose levels at 30 and 60 min. The extract at a dose of 300 mg/kg and 4.5 mg/kg acarbose significantly reduced blood glucose levels at 30 and 60 min, while the extract at 400 mg/kg significantly decreased blood glucose levels only at 30 min but not at  60  min. At  90 min, blood glucose levels of all the treatment groups (except the negative controls) were not significantly different. Finally, all groups returned to normal blood glucose levels at 120 min. The area under the curve  (AUC) during the OGTT was calculated to determine the total hypoglycemic response after administration of A. hispida leaf extract followed by sucrose (fig. 3). All A. hispida leaf extract treated groups at doses of 100, 200, 300 and 400 mg/kg, exhibited similar AUC as that of the acarbose group. The group that received extract at a dose of 300 mg/kg and the acarbose-treated group showed significantly lower AUC (p<0.05) than that of the PC group. The groups that received extract at a dose of 300 mg/kg demonstrated significant hypoglycemic activity compared to the groups treated with other doses of the extract. The hypoglycemic effect was shown after the administration of an extract followed by sucrose. Both the groups given 300 mg/kg of extract and the group given 4.5 mg/kg acarbose exhibited significantly reduced postprandial blood glucose levels compared to those of PC group. These reduced postprandial blood glucose levels reflected in a lower AUC (fig. 3). Since the IC50  value of α-glucosidase inhibitory activity of the acarbose group (0.27±0.01 µg/m) was lower than that of the 96 % ethanol extract of A. hispida leaf group (785±210 μg/ml), the 96  %  ethanolic extract of A. hispida leaf could have a different mechanism   of reducing postprandial blood glucose levels. An additional mechanism is the binding to the active site of glucose transporter-2 (GLUT2) and sodium-dependent glucose transporter-1 (SGLT1)[6,34]. GLUT2 and SGLT1 mediate glucose intake into the small intestine[35]. SGLT1 plays an essential role in glucose absorption, especially before meals[6]. After eating, carbohydrates are hydrolyzed by α-glucosidase and α-amylase to create conditions of high luminal glucose concentration (50-500 mM). This condition stimulates GLUT2 translocation from intracellular vesicles to the apical membrane. GLUT2 then becomes the main pathway for glucose absorption[36,37]. Phloridzin is known as a specific inhibitor of SGLT1, and phloretin is known as a  specific GLUT2  inhibitor[37].  Binding  of  the active site of SGLT1 and GLUT2 can inhibit glucose intake in the small intestine. Long-term hyperglycemia during diabetes induces a high risk of microvascular and macrovascular complications[3]. Hyperglycemia stimulates development and progression of diabetes through specific inhibition of different mechanisms such as, increased polyol pathway flux, increased advanced glycation end-product formation, activation of protein kinase C (PKC), increased hexosamine pathway flux and a decrease in antioxidant defenses[38,39]. All these mechanisms cause accumulation of reactive oxygen species (ROS)[39]. The imbalance of radical-generating ROS and radical-scavenging systems leads to oxidative stress, which might trigger the pathogenesis of diabetes, such as oxygen free radical scavenging, glucose auto- oxidation, nonenzymatic protein glycosylation, lipid peroxide formation and alteration in the antioxidant systems[40]. ROS in diabetes might also react with lipids, generating lipid abnormalities, such as elevated low-density lipoprotein (LDL) and cholesterol. These abnormalities might be worsened with the formation of oxysterols (formed from the oxidation of cholesterol), glycated LDL, and oxidized LDLs[41].

IJPS-Blood-glucose

Fig. 2: Blood glucose profile of A. hispida leaf ethanol extract-treated rats subjected to OGTT
( ) Negative control, positive control, A hispida leaf ethanol extract 100 mg/kg, 200 mg/kg, 300 mg/kg, 400 mg/kg and acarbose 4.5 mg/kg

IJPS-postprandial-blood

Fig. 3: Area under the curve of postprandial blood glucose levels of rats treated with 96 % ethanol extract of A. hispida leaves
Rats were treated with 100, 200, 300 and 400 mg/kg of 96 % ethanol extract of A. hispida leaf and acarbose had decreased AUC, but only the 300 mg/kg dose and acarbose groups showed significant reduction in AUC. Values are mean±standard deviation (n=4). The different superscript (a–c) represents significantly different p<0.05 by DMRT

Sample IC50 value
(μg/ml)
96% ethanolic extract 785 ± 210b
70% ethanolic extract 3244 ± 220c
Aqueous extract n.d
Acarbose 0.27 ± 0.01a

Table 5: IC50 Value of A. Hispida Leaf Extract for a-Glucosidase

Sample Inhibition
(%)
96 % ethanol extract 44.15
70 % ethanol extract 37.70
Aqueous extract 35.08

Table 6: Inhibition of A. Hispida Leaf Extract for a-Amylase at 2000 µg/ml

Most reactive ROS,  which  plays  an  essential  role  in diabetes complications, is superoxide (O -)[41]. Superoxide is converted by superoxide dismutase (SOD) to hydrogen peroxide (H O )[42]. H O is catalyzed to oxygen (O ) and water (H O) by glutathione peroxidases (GPX) and catalase (Cat)[43]. The limitation of endogenous SOD in the cells to scavenge superoxide causes conditions of oxidative  stress.  Oxidative  stress is likely to contribute to the major mechanism failure of insulin secretion and insulin  action[44,45].  The administration of natural products, like Swietenia mahagoni seed, with strong antioxidant activity, was proved to maintain the antioxidant content of Cu, Zn- SOD and to stimulate insulin secretion in the pancreas of diabetic rat models[46]. The 96  %  ethanol  extract of A. hispida, which demonstrated strong antioxidant activity, might have great potential as a superoxide scavenger to prevent oxidative stress conditions and to inhibit diabetic complications.

In summary, the 96 % ethanol extract of A. hispida leaves showed the highest number of polyphenol subclasses and strong antioxidant activity. This  extract also exhibited the highest inhibitory activity   to α-glucosidase and α-amylase; it also demonstrated hypoglycemic activity in rats. Therefore, the 96 % ethanol extract of A. hispida leaves has great potential as a hypoglycemic agent through inhibition of α-glucosidase and α-amylase activity.

Acknowledgments

The authors thank the Directorate of Research and Community Service, General Directorate of Strength- ening for Research and Development, Ministry of Research, Technology, and Higher Education of the Republic of Indonesia in fundng research through PMDSU research grant scheme year 2019 (Number: 261/SP2H/LT/DRPM/2019).

References