Mechanism of Alkaloids and Flavonoids in Bajakah (Uncaria nervosa Elmer) as Antidiabetic Agents
Abstract:
Purpose: Diabetes mellitus is a metabolic disease characterized by hyperglycemic resulting from defects of insulin secretion, insulin action, or both. One of the alternative treatments is bajakah which has antidiabetic activity. This study aims to further discuss the potential and mechanism of alkaloids and flavonoids in bajakah as antidiabetic agents.
Method: This study used the literature review method by searching research data on database and 5 articles included for the review.
Results: Alkaloids have antidiabetic activity through inhibition of AR, PTP1B, activating AMPK, inhibiting DDP-4 and AGEs, increasing glucose absorption, regenerating pancreatic beta cells, inhibiting and inducing GLUT-4, GSK-3, SREB-1, ACC, PPAR, and glucokinase mechanisms. Meanwhile, flavonoids have activity in pancreatic beta cell degradation, increasing insulin secretion and sensitivity, glucose homeostasis, glucose absorption through GLUT-2, inhibiting phosphodiesterase, inhibiting alpha glucosidase and alpha amylase enzymes, inhibiting apoptosis of pancreatic beta cells, encouraging proliferation, and lowering blood glucose.
Limitation: The limitation in this study is that it only used the literature review method which has weaknesses in the data studied. Researcher suggests that more rigorous methods be used in further studies to explore the effectiveness of bajakah in lowering blood glucose level and the need for a toxicity test of bajakah to determine therapeutic doses and lethal doses for the treatment of diabetes mellitus.
Contribution: The findings of this study are expected to be a reference in scientific development in the diabetes mellitus treatment using herbal plants. In addition, it is expected that it can increase further knowledge about the mechanism of bajakah as antidiabetic agents.
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Adhikari, B. (2021). Roles of Alkaloids from Medicinal Plants in the Management of Diabetes Mellitus. In Journal of Chemistry (Vol. 2021). Hindawi Limited. https://doi.org/10.1155/2021/2691525
Adil, M., Khan, R. A., Kalam, A., Venkata, S. K., Kandhare, A. D., Ghosh, P., & Sharma, M. (2017). Effect of anti-diabetic drugs on bone metabolism: Evidence from preclinical and clinical studies. Pharmacological Reports, 69(6), 1328–1340. https://doi.org/10.1016/J.PHAREP.2017.05.008
Alexandra, F. D., Frethernety, A., Amiani, W., & Aprelea, R. N. (2023). Uji Aktivitas Antihiperglikemia Ekstrak Batang Bajakah Tampala (Uncaria gambir (W.Hunter) Roxb) pada Tikus Diabetes. Jurnal Kedokteran Universitas Palangka Raya, 11(1). https://doi.org/10.37304/jkupr.v11i1.8577
Al-Ishaq, R. K., Abotaleb, M., Kubatka, P., Kajo, K., & Büsselberg, D. (2019). Flavonoids and their anti-diabetic effects: Cellular mechanisms and effects to improve blood sugar levels. Biomolecules, 9(9). https://doi.org/10.3390/biom9090430
Ardalani, H., Hejazi Amiri, F., Hadipanah, A., & Kongstad, K. T. (2021). Potential antidiabetic phytochemicals in plant roots: a review of in vivo studies. In Journal of Diabetes and Metabolic Disorders (Vol. 20, Issue 2, pp. 1837–1854). Springer Science and Business Media Deutschland GmbH. https://doi.org/10.1007/s40200-021-00853-9
Azzahra, A., Farhani, N., Syahfitri, W., & Pasaribu, S. F. (2022). Potensi Kandungan Flavonoid Dalam Kayu Bajakah Sebagai Antidiabetes. Jurnal Pendidikan Tambusai, 6(2), 14345–14350.
Cahyana, Y., & Adiyanti, T. (2021). Review: Flavonoids as antidiabetic agents. Indonesian Journal of Chemistry, 21(2), 512–526. https://doi.org/10.22146/ijc.58439
David, A. V. A., Arulmoli, R., & Parasuraman, S. (2016). Overviews of biological importance of quercetin: a bioactive flavonoid. In Pharmacognosy Reviews (Vol. 10, Issue 20, pp. 84–89). Medknow Publications. https://doi.org/10.4103/0973-7847.194044
Dewi, N. L. K. A. A., Prameswari, P. N. D., Cahyaningsih, E., Megawati, F., Agustini, N. P. D., & Juliadi, D. (2022). Review?: Pemanfaatan Tanaman Sebagai Fitoterapi pada Diabetes Mellitus. Jurnal Integrasi Obat Tradisional, 2(1), 2963–2161. https://usadha.unmas.ac.id
Faoziyah, A. R., Rahmah, N. N., & Febriani, L. (2019). Pemanfaatan Tanaman Obat Sebagai Obat Tradisional sebagai Alternatif Pengobatan Herbal Pasien Hipertensi dan Diabetes Mellitus. In Jurnal Pengabdian Masyarakat Al-Irsyad: Vol. I (Issue 2).
Fisman, E. Z., & Tenenbaum, A. (2015). Antidiabetic treatment with gliptins: Focus on cardiovascular effects and outcomes. In Cardiovascular Diabetology (Vol. 14, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s12933-015-0294-0
Flores-Sanchez, I. J., & Ramos-Valdivia, A. C. (2017). A review from patents inspired by two plant genera: Uncaria and Hamelia. Phytochemistry Reviews, 16(4), 693–723. https://doi.org/10.1007/s11101-017-9498-0
Hussain, T., Tan, B., Murtaza, G., Liu, G., Rahu, N., Saleem Kalhoro, M., Hussain Kalhoro, D., Adebowale, T. O., Usman Mazhar, M., Rehman, Z. ur, Martínez, Y., Akber Khan, S., & Yin, Y. (2020). Flavonoids and type 2 diabetes: Evidence of efficacy in clinical and animal studies and delivery strategies to enhance their therapeutic efficacy. Pharmacological Research, 152. https://doi.org/10.1016/j.phrs.2020.104629
Jain, N., Mohan, S. C., & Sumathi, S. (2021). Mechanisms of Action of Flavonoids in the Management of Diabetes mellitus. Journal of Drug Delivery and Therapeutics, 11(5-S), 194–202. https://doi.org/10.22270/jddt.v11i5-s.5101
Kumar, A., Aswal, S., Semwal, R. B., Chauhan, A., Joshi, S. K., & Semwal, D. K. (2019). Role of plant-derived alkaloids against diabetes and diabetes-related complications: a mechanism-based approach. In Phytochemistry Reviews (Vol. 18, Issue 5, pp. 1277–1298). Springer. https://doi.org/10.1007/s11101-019-09648-6
Li, J., Bai, L., Li, X., He, L., Zheng, Y., Lu, H., Li, J., Zhong, L., Tong, R., Jiang, Z., & Shi, J. (2019). Antidiabetic potential of flavonoids from traditional Chinese medicine: A review. In American Journal of Chinese Medicine (Vol. 47, Issue 5, pp. 933–957). World Scientific Publishing Co. Pte Ltd. https://doi.org/10.1142/S0192415X19500496
Maulina, S., Pratiwi, D. R., & Erwin, E. (2019). Skrining fitokimia dan bioaktivitas ekstrak akar Uncaria nervosa Elmer (bajakah). Jurnal Atomik, 4(2), 100–102.
Muhammad, I., Rahman, N., Gul-E-nayab, Nishan, U., & Shah, M. (2021). Antidiabetic activities of alkaloids isolated from medicinal plants. Brazilian Journal of Pharmaceutical Sciences, 57. https://doi.org/10.1590/s2175-97902020000419130
Mulatsari, E., Mumpuni, E., & Ramadhan, I. (2019). Skrining Virtual dan Elusidasi Moda Ikatan Senyawa dalam Bawang Putih (Allium sativum L.) sebagai Penghambat Reseptor Advanced Glycation End Products (Screening Virtual and Binding Mode Elucidation of Compounds in Garlic (Allium sativum L.) as an Inhibitor Advanced Glycation End Products Receptor ). JURNAL ILMU KEFARMASIAN INDONESIA, 17(2), 210–217. http://www.tcd.uni-
Nursyafitri, D., Ferdinan, A., Sri, F., Farmasi, R. A., & Pontianak, Y. (2021). Skrining Fitokimia dan Parameter Non Spesifik Ekstrak Etanol Akar Bajakah (Spatholobus littoralis Hassk.). Jurnal Farmasi IKIFA, 1(1).
Palermo, A., D’Onofrio, L., Eastell, R., Schwartz, A. V., Pozzilli, P., & Napoli, N. (2015). Oral anti-diabetic drugs and fracture risk, cut to the bone: safe or dangerous? A narrative review. In Osteoporosis International (Vol. 26, Issue 8, pp. 2073–2089). Springer London. https://doi.org/10.1007/s00198-015-3123-0
Panche, A. N., Diwan, A. D., & Chandra, S. R. (2016). Flavonoids: an overview. Journal of Nutritional Science, 5(c47), 1–15. https://doi.org/10.1017/jns.2016.41
Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI. (2018). Laporan Riset Kesehatan Dasar.
Qin, N., Lu, X., Liu, Y., Qiao, Y., Qu, W., Feng, F., & Sun, H. (2020). Recent research progress of Uncaria spp. based on alkaloids: phytochemistry, pharmacology and structural chemistry. European Journal of Medicinal Chemistry. https://doi.org/10.1016/j.ejmech.2020.112960
Ravipati, A. S., Reddy, N., & Koyyalamudi, S. R. (2014). Biologically active compounds from the genus Uncaria (Rubiaceae). Studies in Natural Products Chemistry, 43, 381–408. https://doi.org/10.1016/B978-0-444-63430-6.00013-8
Ridho, F. M. (2020). Kandungan Metabolit Sekunder dari Ekstrak Kayu Bajakah (Uncaria nervosa Elmer) dan Bioaktivitasnya Sebagai Antikanker [Universitas Airlangga]. http://lib.unair.ac.id
Salehi, B., Ata, A., V. Anil Kumar, N. V. A., Sharopov, F., Ramírez-Alarcón, K., Ruiz-Ortega, A., Abdulmajid Ayatollahi, S. A., Tsouh Fokou, P. V. T., Kobarfard, F., Amiruddin Zakaria, Z. A., Iriti, M., Taheri, Y., Martorell, M., Sureda, A., Setzer, W. N., Durazzo, A., Lucarini, M., Santini, A., Capasso, R., … Sharifi-Rad, J. (2019). Antidiabetic Potential of Medicinal Plants and Their Active Components. Biomolecules, 9(10), 551. https://doi.org/10.3390/biom9100551
Sari, W. P. (2022). Potensial Terapi Antikanker Melalui Senyawa Bioaktif dari Nutrasetikal. Jurnal Ilmu Medis Indonesia, 1(2), 59–70. https://doi.org/10.35912/jimi.v1i2.922
Tjokroprawiro, A., Setiawan, P. B., Effendi, C., Santoso, D., & Soegiarto, G. (2015). Buku Ajar Ilmu Penyakit Dalam (2nd ed.). Airlangga University Press.
Veeramuthu, D., Raja, W. R. T., Al-Dhabi, N. A., & Savarimuthu, I. (2017). Flavonoids: Anticancer Properties. In Flavonoids - From Biosynthesis to Human Health (pp. 287–303). InTech. https://doi.org/10.5772/68095
Wang, T., Li, Q., & Bi, K. (2018). Bioactive flavonoids in medicinal plants: Structure, activity and biological fate. Asian Journal of Pharmaceutical Sciences, 13(1), 12–23. https://doi.org/10.1016/j.ajps.2017.08.004
World Health Organization. (2023). Diabetes. https://www.who.int/health-topics/diabetes#tab=tab_1
Yang, H., & Yang, L. (2016). Targeting cAMP/PKA pathway for glycemic control and type 2 diabetes therapy. In Journal of Molecular Endocrinology (Vol. 57, Issue 2, pp. R93–R108). BioScientifica Ltd. https://doi.org/10.1530/JME-15-0316
Zhang, Q., Zhao, J. J., Xu, J., Feng, F., & Qu, W. (2015). Medicinal uses, phytochemistry and pharmacology of the genus Uncaria. Journal of Ethnopharmacology, 173, 48–80. https://doi.org/10.1016/j.jep.2015.06.011
- Adhikari, B. (2021). Roles of Alkaloids from Medicinal Plants in the Management of Diabetes Mellitus. In Journal of Chemistry (Vol. 2021). Hindawi Limited. https://doi.org/10.1155/2021/2691525
- Adil, M., Khan, R. A., Kalam, A., Venkata, S. K., Kandhare, A. D., Ghosh, P., & Sharma, M. (2017). Effect of anti-diabetic drugs on bone metabolism: Evidence from preclinical and clinical studies. Pharmacological Reports, 69(6), 1328–1340. https://doi.org/10.1016/J.PHAREP.2017.05.008
- Alexandra, F. D., Frethernety, A., Amiani, W., & Aprelea, R. N. (2023). Uji Aktivitas Antihiperglikemia Ekstrak Batang Bajakah Tampala (Uncaria gambir (W.Hunter) Roxb) pada Tikus Diabetes. Jurnal Kedokteran Universitas Palangka Raya, 11(1). https://doi.org/10.37304/jkupr.v11i1.8577
- Al-Ishaq, R. K., Abotaleb, M., Kubatka, P., Kajo, K., & Büsselberg, D. (2019). Flavonoids and their anti-diabetic effects: Cellular mechanisms and effects to improve blood sugar levels. Biomolecules, 9(9). https://doi.org/10.3390/biom9090430
- Ardalani, H., Hejazi Amiri, F., Hadipanah, A., & Kongstad, K. T. (2021). Potential antidiabetic phytochemicals in plant roots: a review of in vivo studies. In Journal of Diabetes and Metabolic Disorders (Vol. 20, Issue 2, pp. 1837–1854). Springer Science and Business Media Deutschland GmbH. https://doi.org/10.1007/s40200-021-00853-9
- Azzahra, A., Farhani, N., Syahfitri, W., & Pasaribu, S. F. (2022). Potensi Kandungan Flavonoid Dalam Kayu Bajakah Sebagai Antidiabetes. Jurnal Pendidikan Tambusai, 6(2), 14345–14350.
- Cahyana, Y., & Adiyanti, T. (2021). Review: Flavonoids as antidiabetic agents. Indonesian Journal of Chemistry, 21(2), 512–526. https://doi.org/10.22146/ijc.58439
- David, A. V. A., Arulmoli, R., & Parasuraman, S. (2016). Overviews of biological importance of quercetin: a bioactive flavonoid. In Pharmacognosy Reviews (Vol. 10, Issue 20, pp. 84–89). Medknow Publications. https://doi.org/10.4103/0973-7847.194044
- Dewi, N. L. K. A. A., Prameswari, P. N. D., Cahyaningsih, E., Megawati, F., Agustini, N. P. D., & Juliadi, D. (2022). Review?: Pemanfaatan Tanaman Sebagai Fitoterapi pada Diabetes Mellitus. Jurnal Integrasi Obat Tradisional, 2(1), 2963–2161. https://usadha.unmas.ac.id
- Faoziyah, A. R., Rahmah, N. N., & Febriani, L. (2019). Pemanfaatan Tanaman Obat Sebagai Obat Tradisional sebagai Alternatif Pengobatan Herbal Pasien Hipertensi dan Diabetes Mellitus. In Jurnal Pengabdian Masyarakat Al-Irsyad: Vol. I (Issue 2).
- Fisman, E. Z., & Tenenbaum, A. (2015). Antidiabetic treatment with gliptins: Focus on cardiovascular effects and outcomes. In Cardiovascular Diabetology (Vol. 14, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s12933-015-0294-0
- Flores-Sanchez, I. J., & Ramos-Valdivia, A. C. (2017). A review from patents inspired by two plant genera: Uncaria and Hamelia. Phytochemistry Reviews, 16(4), 693–723. https://doi.org/10.1007/s11101-017-9498-0
- Hussain, T., Tan, B., Murtaza, G., Liu, G., Rahu, N., Saleem Kalhoro, M., Hussain Kalhoro, D., Adebowale, T. O., Usman Mazhar, M., Rehman, Z. ur, Martínez, Y., Akber Khan, S., & Yin, Y. (2020). Flavonoids and type 2 diabetes: Evidence of efficacy in clinical and animal studies and delivery strategies to enhance their therapeutic efficacy. Pharmacological Research, 152. https://doi.org/10.1016/j.phrs.2020.104629
- Jain, N., Mohan, S. C., & Sumathi, S. (2021). Mechanisms of Action of Flavonoids in the Management of Diabetes mellitus. Journal of Drug Delivery and Therapeutics, 11(5-S), 194–202. https://doi.org/10.22270/jddt.v11i5-s.5101
- Kumar, A., Aswal, S., Semwal, R. B., Chauhan, A., Joshi, S. K., & Semwal, D. K. (2019). Role of plant-derived alkaloids against diabetes and diabetes-related complications: a mechanism-based approach. In Phytochemistry Reviews (Vol. 18, Issue 5, pp. 1277–1298). Springer. https://doi.org/10.1007/s11101-019-09648-6
- Li, J., Bai, L., Li, X., He, L., Zheng, Y., Lu, H., Li, J., Zhong, L., Tong, R., Jiang, Z., & Shi, J. (2019). Antidiabetic potential of flavonoids from traditional Chinese medicine: A review. In American Journal of Chinese Medicine (Vol. 47, Issue 5, pp. 933–957). World Scientific Publishing Co. Pte Ltd. https://doi.org/10.1142/S0192415X19500496
- Maulina, S., Pratiwi, D. R., & Erwin, E. (2019). Skrining fitokimia dan bioaktivitas ekstrak akar Uncaria nervosa Elmer (bajakah). Jurnal Atomik, 4(2), 100–102.
- Muhammad, I., Rahman, N., Gul-E-nayab, Nishan, U., & Shah, M. (2021). Antidiabetic activities of alkaloids isolated from medicinal plants. Brazilian Journal of Pharmaceutical Sciences, 57. https://doi.org/10.1590/s2175-97902020000419130
- Mulatsari, E., Mumpuni, E., & Ramadhan, I. (2019). Skrining Virtual dan Elusidasi Moda Ikatan Senyawa dalam Bawang Putih (Allium sativum L.) sebagai Penghambat Reseptor Advanced Glycation End Products (Screening Virtual and Binding Mode Elucidation of Compounds in Garlic (Allium sativum L.) as an Inhibitor Advanced Glycation End Products Receptor ). JURNAL ILMU KEFARMASIAN INDONESIA, 17(2), 210–217. http://www.tcd.uni-
- Nursyafitri, D., Ferdinan, A., Sri, F., Farmasi, R. A., & Pontianak, Y. (2021). Skrining Fitokimia dan Parameter Non Spesifik Ekstrak Etanol Akar Bajakah (Spatholobus littoralis Hassk.). Jurnal Farmasi IKIFA, 1(1).
- Palermo, A., D’Onofrio, L., Eastell, R., Schwartz, A. V., Pozzilli, P., & Napoli, N. (2015). Oral anti-diabetic drugs and fracture risk, cut to the bone: safe or dangerous? A narrative review. In Osteoporosis International (Vol. 26, Issue 8, pp. 2073–2089). Springer London. https://doi.org/10.1007/s00198-015-3123-0
- Panche, A. N., Diwan, A. D., & Chandra, S. R. (2016). Flavonoids: an overview. Journal of Nutritional Science, 5(c47), 1–15. https://doi.org/10.1017/jns.2016.41
- Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI. (2018). Laporan Riset Kesehatan Dasar.
- Qin, N., Lu, X., Liu, Y., Qiao, Y., Qu, W., Feng, F., & Sun, H. (2020). Recent research progress of Uncaria spp. based on alkaloids: phytochemistry, pharmacology and structural chemistry. European Journal of Medicinal Chemistry. https://doi.org/10.1016/j.ejmech.2020.112960
- Ravipati, A. S., Reddy, N., & Koyyalamudi, S. R. (2014). Biologically active compounds from the genus Uncaria (Rubiaceae). Studies in Natural Products Chemistry, 43, 381–408. https://doi.org/10.1016/B978-0-444-63430-6.00013-8
- Ridho, F. M. (2020). Kandungan Metabolit Sekunder dari Ekstrak Kayu Bajakah (Uncaria nervosa Elmer) dan Bioaktivitasnya Sebagai Antikanker [Universitas Airlangga]. http://lib.unair.ac.id
- Salehi, B., Ata, A., V. Anil Kumar, N. V. A., Sharopov, F., Ramírez-Alarcón, K., Ruiz-Ortega, A., Abdulmajid Ayatollahi, S. A., Tsouh Fokou, P. V. T., Kobarfard, F., Amiruddin Zakaria, Z. A., Iriti, M., Taheri, Y., Martorell, M., Sureda, A., Setzer, W. N., Durazzo, A., Lucarini, M., Santini, A., Capasso, R., … Sharifi-Rad, J. (2019). Antidiabetic Potential of Medicinal Plants and Their Active Components. Biomolecules, 9(10), 551. https://doi.org/10.3390/biom9100551
- Sari, W. P. (2022). Potensial Terapi Antikanker Melalui Senyawa Bioaktif dari Nutrasetikal. Jurnal Ilmu Medis Indonesia, 1(2), 59–70. https://doi.org/10.35912/jimi.v1i2.922
- Tjokroprawiro, A., Setiawan, P. B., Effendi, C., Santoso, D., & Soegiarto, G. (2015). Buku Ajar Ilmu Penyakit Dalam (2nd ed.). Airlangga University Press.
- Veeramuthu, D., Raja, W. R. T., Al-Dhabi, N. A., & Savarimuthu, I. (2017). Flavonoids: Anticancer Properties. In Flavonoids - From Biosynthesis to Human Health (pp. 287–303). InTech. https://doi.org/10.5772/68095
- Wang, T., Li, Q., & Bi, K. (2018). Bioactive flavonoids in medicinal plants: Structure, activity and biological fate. Asian Journal of Pharmaceutical Sciences, 13(1), 12–23. https://doi.org/10.1016/j.ajps.2017.08.004
- World Health Organization. (2023). Diabetes. https://www.who.int/health-topics/diabetes#tab=tab_1
- Yang, H., & Yang, L. (2016). Targeting cAMP/PKA pathway for glycemic control and type 2 diabetes therapy. In Journal of Molecular Endocrinology (Vol. 57, Issue 2, pp. R93–R108). BioScientifica Ltd. https://doi.org/10.1530/JME-15-0316
- Zhang, Q., Zhao, J. J., Xu, J., Feng, F., & Qu, W. (2015). Medicinal uses, phytochemistry and pharmacology of the genus Uncaria. Journal of Ethnopharmacology, 173, 48–80. https://doi.org/10.1016/j.jep.2015.06.011
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