Hepatoprotective Effectiveness Test of Salam Leaf Extract in Anthracyclin-Induced Rats

Authors

  • Hariyento Halim Public Health Department, Faculty Of Medicine Universitas Prima Indonesia Medan, Indonesia
  • Ermi Girsang Public Health Department, Faculty Of Medicine Universitas Prima Indonesia Medan, Indonesia
  • Ali Napiah Nasution Public Health Department, Faculty Of Medicine Universitas Prima Indonesia Medan, Indonesia

DOI:

https://doi.org/10.51601/ijhp.v2i1.11

Keywords:

Hepatoprotective, SGPT, SGOT, Doxorubicin, Bay leaf ethanol extract

Abstract

Cancer is the most often diagnosed disease in the world and the top cause of death. Doxorubicin is a widely used systemic therapy, although its efficacy is limited by dose-related toxicity, including haematological suppression, organotoxicity, and hepatotoxicity. Bay leaf is a commonly utilised plant in the community for treating and preventing many diseases because it includes secondary metabolites that are antioxidants such as phenolics, alkaloids, saponins, steroids, triterpenoids, and tannins. The purpose of this work is to characterise EEDS, identify its secondary metabolite content, and test its nephroprotective effect in doxorubicin-induced rats using SGPT and SGOT levels and liver histology. This is a laboratory experimental investigation using rats and comprises of treatment groups receiving 0.5% of CMC-Na, Nature E, or EEDS at doses of 100 mg/kgBW, 300 mg/kgBW, or 500 mg/kgBW, respectively, followed by doxorubicin. The results indicated that EEDS had 21.64 % water soluble material, 1.79 % total ash, 9.98 % water, 45.38 % ethanol soluble extract, and 0.39 % acid insoluble ash. EEDS included alkaloids, flavonoids, tannins, glycosides, saponins, and steroids/triterpenoids, as determined by phytochemical screening. EEDS doses of 100 mg/kgBW, 300 mg/kgBW, and 500 mg/kgBW can significantly lower SGPT by 34%; 52,46%; 59,31% and SGOT levels by 27,05%; 43,96%; 50,07% and can improve the liver histopathology of doxorubicin-induced rats by reducing pyknotic degeneration, inflammatory cell infiltration, bleeding, steatosis and sinusoidal dilatation with an effective dose of 500 mg/kgBW with a significant difference with the doxorubicin group followed by 0.5% CMC Na. The key to bay leaf ethanol extract has hepatoprotective activity.

References

Armansyah, T.R., Sutriana, A., Aliza, D., Vanda, H.,dan Rahmi, E. (2010). Aktivitas

Hepatoprotektif Ekstrak Etanol Daun Kucing-kucingan (Acalypha indica L.) pada Tikus

Putih (Rattus novergicus) yang Diinduksi Parasetamol.Jurnal Ilmiah Ilmu-Ilmu

Peternakan. 13(6): 292 – 297.

Ashley,N.,J. Poulton. 2009. Mitochondrial DNA is a direct target of anticancer

anthracycline drugs. Biochem. Biophys. Res. Commun. 378: 450-5.

Barret, K., Brooks, H., Boitano, S., dan Barman, S. (2010). Ganong’s Review of Medical

Physiology. 23rd Edition. New York: McGraw Hill Companies, Inc. Hal. 479, 481-482.

Bray,F.,J.Ferlay.,I.Soerjomataram.,R.L.Siegel.,L.A.Torre.,A.Jemal. 2018. Global Cancer

Statistics 2018: GOBOCAN Estimates of Incidence and Mortality Worldwide for 36

Cancers in 185 Countries. CA Cancer Journal for Clinicians. 68(6): 394-424.

Carvalho,C.,R.X.Santos.,S.Cardoso.,S.Correia.,P.J.Oliveira.,M.S.Santos.,P.I.Moreira.

Doxorubicin: The Good, The Bad and The Ugly Effect. Current Medicinal

Chemistry. 2009(16): 3267-3285.

Chu, E. dan Sartorelli, A.C. (2009). Cancer Chemotherapy. Dalam buku Basic and

Clinical Pharmacology. 11th Edition. International Edition. Editor: Bertram G. Katzung,

Susan B. Masters, dan Anthony J. Trevor. Singapore: McGraw-Hill Medical. Hal. 951-

Cutts,S.,L.Swift.,A.Rephaeli.,A.Nudelman.,D.Phillips. 2005. Recent advances in

understanding and exploiting the activation of anthracyclines by formaldehyde. Curr.

Med. Chem. AntiCancer Agents. 2005(5): 431-447.

Cutts,S.,P.Parsons.,R.Sturm.,D.Phillips. 1996. Adriamycin-induced DNA adducts inhibit

the DNA interactions of transcription factors and RNA polymerase. J. Biol. Chem.

(271): 5422-5429.

Danesi,R.,S.Fogli.,A.Gennari.,P.Conte.,D.M.Tacca. 2002. Pharmacokinetic

pharmacodynamic relationships of the anthracycline anticancer drugs. Clin.

Pharmacokinet. 2002(41): 431-444.

Departemen Kesehatan RI. Dirjen POM. (1995). Materia Medika, Indonesia. Jilid VI.

Jakarta : Departemen Kesehatan RI. Halaman 300.

Departemen Kesehatan Republik Indonesia, Direktorat Pengawasan Obat Tradisional.

(2000). Parameter Standar Umum Ekstrak Tumbuhan Obat. Jakarta: Departemen

Kesehatan RI. Hal 1, 10-11

Depkes RI. 2008. Farmakope Herbal Indonesia. Edisi I. Jakarta. Departemen Kesehatan

Indonesia RI. Hal 122.

Gruber,B.,E.Anuszewska.,W.Priebe. 2004. The effect of new anthracycline derivatives

on the induction of apoptotic processes in human neoplastic cells. Folia Histochem.

Cytobiol. 2004, (42): 127-130.

Hadi,E.H.,R.Vettor.,M.Rossato. 2018. Vitamin E as a Treatment for Nonalcoholic Fatty

Liver Disease: Reality of Myth ?. Antioxidants. 7(1): 1-12.

Hasan,R.,N.Islam.,R.Islam. 2016. Phytochemistry, Pharmacological activities and

Traditional Uses of Emblica officinalis: A Review. International Current

Pharmaceutical Journal. 5(2): 14-21.

Ismail,A.,W.A.N.W.Ahamad. 2019. Syzygium polyanthum (Wight)Walp: A Potential

Phytomedicine. Pharmacogn Journal. 11(2): 429-438.

International Journal of Health and Pharmaceutical

https://ijhp.net

Istiqomah, 2013. Perbandingan Metode Ekstraksi Maserasi dan Sokletasi terhadap

kadar Piperin Buah Cabe Jawa (Piperis retrofracti fructus). Jakarta. Fakultas

Kedokteran dan Ilmu Kesehatan Universitas Islam Negeri Syarif Hidayatullah. Skripsi.

Jack, 2012, Syntetis Of Antidiabetic Flavonoids and Their Derivative. Medical Research

Page 180

Kartikasari, D., Nurkhasanah, Suwijiyo, P. 2014. Karakterisasi Simplisia Dan Ekstrak

Etanol Daun Bertoni (Stevia rebaudiana) Dari Tiga Tempat Tumbuh. Proceeding

Seminar Nasional Perkembangan Terbaru Pemanfaatan Herbal Sebagian Agen Preventif

Pada Terapi Kanker.. Halaman:149- 150.

Kementerian kesehatan RI. 2019. Hari Kanker Sedunia 2019. Biro Komunikasi dan

Pelayanan Masyarakat.

King,P.D.,M.C.Perry. 2001. Hepatotoxicity of Chemotherapy. The Oncologist. 6(2):

- 176.

Kuzu, M., Yildirim, S., Kandemir, F.M., Kűçűkler, S., Çağlayan, C., Tűrk, E.,

Dőrtbudak, M.B. 2019. Protective Effect of Morin on Doxorubicin-Induced Hepatorenal

Toxicity in Rats. Chemico-Biological Interactions. 308 (2019). pp 89-100.

Lamas,D.J.M.,M.B.Nicoud.,H.A.Sterle.,E.Carabajal.,F.Tesan.,J.C.Perazzo.,G.A.Cremas

chi.,E.S.Rivera.,V.A.Medina. 2015. Selective Cytoprotective Effect of Histamine on

Doxorubicin-Induced Hepatic and Cardiac Toxicity in Animal Models. Cell Death

Discovery. 1: 15059.

Lelono RA, Tachibana S, Itoh K. In vitro antioxidative activities and polyphenol content

of Eugenia polyantha wight grown in Indonesia. Pak J Biol Sci 2009;12:1564-70.

Lelono RA. Extracts as inhibitors of key enzymes for type 2 diabetes. J Med Sci

;13:103-10.

Lewis, P. N. (2008). Drugs and The Liver. London: Pharmaceutical Press. Hal.59-60.

Lewis, A.D.; Lau, D.H.; Duran, G.E.; Wolf, C.R.; Sikic, B.I. Role of cytochrome P-450

from the human CYP3A gene family in the potentiation of morpholino doxorubicin by

human liver microsomes. Cancer Res., 1992, 52, 4379-4384.

Liu, L.,T.Rowe.,L.Yang.,K.Tewey.,G.Chen. 1983. Cleavage of DNA by mammalian

DNA topoisomerase II. J. Biol. Chem. 258: 15365-15370.

Marpaung, M.P., Ahwizar, A., dan Wulandari, W. 2017. Karakterisasi dan Skrining

Fitokimia Ekstrak Kering Akar Kuning (Fibraurea chloroleuca Miers). Prosiding

Seminar Nasional Kimia UNY. Halaman 145-154.

Minotti, G.; Menna, P.; Salvatorelli, E.; Cairo, G.; Gianni, L. Anthracyclines: molecular

advances and pharmacologic developments in antitumor activity and cardiotoxicity.

Pharmac. Rev., 2004, 56, 185-229.

Nirmala, M., Girija, K., Lakshman, K., dan Divya, T. (2012). Hepatoprotective Activity

of Musa Paradisiaca on Experimental Animal Models. Asian Pasific Journal of

Tropical Biomedicine; 2(1): 11.

Padmasari, P.D., Astuti, K.W dan Warditiani, N.K. 2013. Skrining Fitokimia Ekstrak

Etanol 70% Rimpang Bangle (Zingiber purpureum Roxb.). Jurnal Farmasi Udayana.

Halaman 1-7.

Puspitasari, L., Swastini, D.A dan Arisanti, C.I.A. 2013. Skrining Fitokimia Ekstrak

Etanol 95% Kulit Buah Manggis (Garcinia mangostana L.). Jurnal Farmasi Udayana.

Halaman 1-5.

International Journal of Health and Pharmaceutical

https://ijhp.net

Rizki,M.I.,E.M.Hariandja. 2015. Review: Aktivitas Farmakologis, Senyawa Aktif, dan

Mekanisme Kerja Daun Salam (Syzygium polyanthum). Prosiding Seminar Nasional

dan Workshop “Perkembangan Terkini Sains Farmasi dan Klinik 5”. Padang, 6-7

November 2015

Saad, S.Y., Najjar, T.A., and Al-Rikabi, A.C. 2001. The preventive role of deferoxamine

against acute doxorubicin-induced cardiac, renal and hepatic toxicity in rats. Pharmacol

Res. (2001);43. pp 211-218.

Saifudin, A., Rahayu., Teruna. 2011. Standarisasi Bahan Obat Alam. Yogyakarta. Graha

Ilmu.

Sangi, M.S., Momuat, L.I., dan Kumaunang, M. 2013. Uji Toksisitas dan Skrining

Fitokimia Tepung Gabah Pelepah Aren (Arange pinnata). Manado: Universitas Sam

Ratulangi.

Sani, R.N., Fithri C.N., Ria D.A., dan Jaya M.M. 2014. Analisis Rendemen dan Skrining

Fitokimia Ekstrak Etanol Mikroalga Laut Tetraselmis chuii. Jurnal Pangan dan

Agroindustri. 2(2):121-126.

Saragih, R. 2014. Uji kesukaan panelis pada teh daun torbangun (Coleus ambonicus).

EJournal WIDYA Kesehatan dan Lingkungan, 1(1): 52.

Simaremare, E.S. 2014. Skrining Fitokimia Ekstrak Etanol Daun Gatal (Laportea

decumana (Roxb.) Wedd). Pharmacy. 11(1). Halaman 100.

Silalahi,M. 2017. Syzygium polyanthum (Wight)Walp. (Botani, Metabolit sekunder dan

Pemanfaatan). Jurnal Dinamika Pendidikan. 10(1): 1-16.

Simaremare, E.S. 2014. Skrining fitokimia ekstrak etanol daun gatal (laporte decumana

(Roxb.)Wedd). Pharmacy. 11(1): 98-107.

Swift,L.,A.Rephaeli.,A.Nudelman.,D.Phillips.,S.Cutts. 2006. Doxorubicin-DNA adducts

induce a non-topoisomerase IImediated form of cell death. Cancer Res. 66: 4863-4871.

Verawati.,D.Nofiandi.,Petmawati. 2017. Pengaruh Metode Ekstraksi Terhadap Kadar

Fenolat Total Dan Aktivitas Antioksidan Daun Salam. Jurnal Katalisator. 2(2): 53-60.

WHO. (2000). General Guidelines for Methodologies on Research and Evaluation of

Traditional Medicine. Geneva: World Health Organization.

Wilapangga, A., dan Sari, L.P., 2018. Analisis Fitokima dan Antioksidan Metode DPPH

Ekstrak Metanol Daun Salam (Eugenia polyantha). IJOBB. 2(1). Hal 21.

Winer, E.; Morrow, M.; Osborne, C. (ed.). Malignant tumors of the breast. Cancer

Princ. Pract. Oncol., 2001, 1651-1717.

Yulianti, D., Susilo, B dan Yulianingsih, R .2014. Influence Of Extraction Time And

Ethanol Solvent Concentration To Physical-Chemical Properties Stevia Leaf Extract

(Stevia Rebaudiana Bertoni M.) Using Microwave Assisted Extraction Methods. Jurnal

Bioproses Komoditas Tropis. 2(1). pp:25-31.

Zainab, Sulistyani, N., dan Anisaningrum. 2016. Penetapan Parameter Standarisasi Non

Spesifik dan Spesifik Ekstrak Daun Pacar Kuku (Lawsonia inermis L.). Media Farmasi;

Halaman 212-26.

Zhao, X., Zhang, J., Tong, N., Chen, Y., Luo, Y. 2012. Protective effects of berberine on

doxorubicin-induced hepatotoxicity in mice. Biol Pharm Bull. 35(5): 796–800.

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Published

2022-02-06

How to Cite

Hariyento Halim, Ermi Girsang, & Ali Napiah Nasution. (2022). Hepatoprotective Effectiveness Test of Salam Leaf Extract in Anthracyclin-Induced Rats. International Journal of Health and Pharmaceutical (IJHP), 2(1), 36–52. https://doi.org/10.51601/ijhp.v2i1.11

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