Sains Malaysiana 49(9)(2020): 2159-2168
http://dx.doi.org/10.17576/jsm-2020-4909-14
Antidiabetes
Activity of Herbal Product Containing Phyllanthus
niruri and Zingiber americans
(Aktiviti
Antidiabetes Produk Herba yang Mengandungi Phyllanthus niruri dan Zingiber
americans)
ELFAHMI1,2*,
I KETUT ADNYANA1, IKA FITRIA1 & TAUFIK TAUFIKURAHMAN3
1School
of Pharmacy, Bandung Institute of Technology, Bandung, Indonesia
2University Centre of Excellence, Nutraceutical, Bioscience and
Biotechnology Research Center, Bandung Institute of Technology, Bandung, Indonesia
3School
of Life Sciences and Technology, Bandung Institute of Technology, Bandung, Indonesia
Diserahkan: 16 Januari 2020/Diterima:
7 Mei 2020
ABSTRACT
The
diabetes mellitus is one of the chronic diseases that has high prevalence rates
in the world. It is defined as a state of hyperglycemia which usually
accompanied by increasing blood glucose level. The combination of Phyllanthus
niruri herbs and Zingiber americans rhizome has been produced as herbal
medicine for the treatment of diabetes. The efficacy of combination of these
plants is still based on empirical data. This research aimed to prove the
antidiabetes activity of herbal medicine product containing P. niruri and Z. americans in vivo. Antidiabetes activity was tested using oral glucose tolerance and alloxan
induced methods. The blood glucose levels were measured in each experiment. In
addition, the plasma triglyceride and total cholesterol levels were also
measured. The results showed that the decrease of blood glucose levels on oral
glucose tolerance method were 40.98, 44.84, and 47.02% at doses of 90, 135, and
203 mg/kg BW, respectively (p <0.05) compared to control. While the decrease
in blood glucose levels in alloxan induced method were 33.05, 38.82, and 41.79%
at dose 90, 135, and 203 mg/kg BW, respectively (p <0.05) compared to
control. The extract of dose 203 mg/kg BW appeared to be the most potent to
decrease blood glucose levels in both methods, but did not show suppression
activity of triglycerides and total cholesterol plasma. Suppression activities
of serum triglycerides and total cholesterol were shown after treatment with
the extract dose 90 and 135 mg/kg BW, which were significantly different to
control (p < 0.05). The herbal product contains flavonoid, phenol and
tannin, which total of each were 0.15, 0.16, and 1.85% w/w, respectively.
Keywords:
Diabetes; herbal medicines; jamu; Phyllanthus niruri; Zingiber
americans
ABSTRAK
Penyakit
kencing manis ialah salah satu penyakit kronik yang umum di dunia. Penyakit ini
didefinisikan sebagai keadaan hiperglikemik yang diikuti dengan tingginya kadar
gula dalam darah. Kombinasi tanaman herba Phyllanthud niruri dan Zingiber americans telah dijadikan sebagai produk ubat herba untuk
mengubati penyakit diabetes. Kesan daripada gabungan dua tanaman ini
masih berdasarkan kepada data empirik. Kajian ini dijalankan untuk membuktikan
khasiat anti-diabetes daripada salah satu produk ubatan herba yang mengandungi P.
niruri dan Z. americans secara in vivo. Kajian ke atas anti-diabetes
ini dijalankan menggunakan kaedah induksi aloksan. Kandungan gula dalam darah
untuk setiap percubaan dihitung. Selain itu, kadar trigliserids dan kolestrol
juga diukur. Hasil menunjukkan bahawa kadar gula dalam darah dapat diturunkan
dengan kaedah toleransi glukosa sebanyak 40.98, 44.84 dan 47.02% dengan dos 90,
135 dan 203 mg/kg BW (p < 0.05) berbanding kawalan. Penurunan dengan kaedah
induksi aloksan pula adalah 33.05, 38.82 dan 42.79% pada dos 90, 135 dan 203
mg/kg BW (p < 0.05) berbanding kawalan. Ekstrak yang mengandungi dos 203
mg/kg BW menunjukkan penurunan kadar gula dalam darah paling tinggi dalam
kedua-dua kaedah yang digunakan, namun tidak menunjukkan aktiviti penindasan
trigliserids dan jumlah plasma kolestrol. Aktiviti penindasan serum
trigliserids dan jumlah kolesterol dilihat selepas rawatan dengan ekstrak dos
90 dan 135 mg/kg BW, berbanding kawalan (p< 0.05). Produk herba ini
mengandungi flavonoid, fenol dan tanin dengan jumlah sebanyak 0.15, 0.16 dan
1.85% w/w.
Kata
kunci: Jamu; kencing
manis; Phyllanthus niruri; ubat herba; Zingiber americans
RUJUKAN
Al-Amin, Z.M., Martha, T. & Al-Qattan, K.K. 2006.
Anti-diabetic and hypolipidemic properties of ginger (Zingiber officinale) in streptozotocin-induced diabetic rats. Brazilian Journal of Nutrition 96(4):
660-666.
Al Zarzour, R.H., Alshawsh, M.A., Asif, M., Al-Mansoub, M.A.,
Mohamed, Z., Ahmad, M., Majid, A.M.S.A., Asmawi, M.Z., Kaur, G., Al-dualimi,
D.W. & Yam, M.F. 2018. Adipocytokine regulation and antiangiogenic activity
underlie the molecular mechanisms of therapeutic effects of Phyllanthus niruri against non-alcoholic
fatty liver disease. Nutrients 10(8):
1057.
Al Zarzour, R.H., Ahmad, M., Asmawi, M.Z., Kaur, G., Saeed,
M.A.A., Al-Mansoub, M.A., Saghir, S.A.M., Usman, N.S., Al-Dulaimi, D.W. &
Yam, N.F. 2017. Phyllanthus niruri standardized extract alleviates the progression of
non-alcoholic fatty liver disease and decreases atherosclerotic risk in Sprague-Dawley rats. Nutrients 9(7): 766.
American Society of Health-System Pharmacists (AHFS). 2008. AHFS
Drug Information. The American Society of Health-System
Pharmacists Inc., Bethesda 3181-3185: 3234-3239.
Bavarva, J.H. & Narasimhacharya, A.V.R.L. 2007. Comparative antidiabes,
hypolipidemic, and antioxidant properties of Phyllanthus niruri in normal and diabetic rats. Pharmaceutical Biology 45(7): 569-574.
Calixto, J.B., Adair, R.S.S. & Valdir, C.F. 1998. A review of
the plants of the genus Phyllanthus: Their chemistry, pharmacology, and therapeutic potential. Medicinal Research & Review 8(4):
225-258.
Chang, C., Yang, M. & Wen, H. 2002. Estimation of total
flavonoid content in propolis by two complementary colorimetric methods. Journal of Food Drug Analysis 10(3): 178-182.
Elfahmi, Woerdenbag, H.J. & Kayser, O. 2014. Jamu: Indonesian
traditional herbal medicine towards rational phytopharmacological use. Journal of Herbal Medicines 4(2): 51-73.
Fajardo, R.J., Karim, L., Calley, V.I. & Bouxsein, M.L. 2014. A review of rodent
models of type 2 diabetic skeletal fragility. Journal of Bone Mineral Research 29(5): 1025-1040.
Fakurazi, S., Hairuszah, I., Lip, J.M. & Shanti, G. 2008. The
effect of pretreatment of zerumbone on fatty liver following ethanol induced
hepatotoxicity. Journal of Biological
Science 8(8): 1348-1351.
Giribabu, N., Rao, P.V., Kumar, K.P., Muniandy, S., Rekha, S.S.
& Salleh, N. 2014. Aqueous extract of Phyllanthus
niruri leaves displays in vitro antioxidant activity and prevents
the elevation of oxidative stress in the kidney of streptozotocin-induced
diabetic male rats. Evidence-Based
Complementary and Alternative Medicine 2014: 834815.
Indonesian Ministry of Health (IMH). 2008. Indonesian Herbal
Pharmacopoea. First edition.
International Diabetes Federation. 2019. IDF Diabetes Atlas. 9th edition, International Diabetes Federation.
Jantan, I., Haque, M.A., Ilangkovan, M. & Arshad, L. 2019. An
insight into the modulatory effects and mechanisms of action of Phyllanthus species and their bioactive
metabolites on the immune system. Frontiers
in Pharmacology 10: 878.
Júnior, R.F.A., Soares, L.A.L., Porto, C.R.C., De Aquino, R.G.F.,
Guedes, H.G., Petrovick, P.R., De Souza, T.P., De Araújo, A.A. & Guerra,
G.C.B. 2012. Growth inhibitory effects of Phyllanthus
niruri extracts in combination with cisplatin on cancer cell lines. World Journal of Gastroenterology 18(31): 4162-4168.
Mostofa, R., Ahmed, S., Begum, M.M., Rahman, M.S., Begum, T.,
Ahmed, S.U., Tuhin, R.H., Das, M., Hossain, A., Sharma, M. & Begum, R.
2017. Evaluation of anti-inflammatory and gastric anti-ulcer activity of Phyllanthus
niruri L. (Euphorbiaceae) leaves in experimental rats. BMC Complementary and Alternative Medicine 17(1): 267.
Nisar, M.F., He, J., Ahmed, A., Yang, Y., Li, M. & Wan, C.
2018. Chemical components and biological activities of the genus Phyllanthus: A review of the recent literature. Molecules 23(10): 2567.
Nwanjo, H.U., Oze, G. & Okafor, M.C. 2007. Protective role of Phyllanthus niruri extract on serum
lipid profiles and oxidative stress in hepatocytes of diabetic rats. African Journal of Biotechnology 6(15):
1744-1749.
Sarin, B., Verma, N., Martín, J.P. & Mohanty, A. 2014. An
overview of important ethnomedicinal herbs of Phyllanthus species: Present status and future prospects. The Scientific World Journal 2014: Article ID. 839172.
Setter, S.M. & Campbell, R.K. 2000. Diabetes, in Textbook
of Therapeutic Drug
and Disease Management, 7th ed., edited
by Herfindl, E.T. & Gourley, D.R. Lippincot Williams &
Wilkins, Philadelphia. pp. 377-405.
Shan, J.J., Min, Y. & Jin-Wei, R. 2006. Anti-diabetic and
hypolipidemic effects of aqueous extract from the flower Inula japonica in alloxan-induced mice. Biological & Pharmaceutical Bulletin 29(3): 455-459.
Sukari, M.A., Sharif, N.W.M. & Yapi, A.L.C. 2008. Chemical constituents variations of essential oils from rhizomes of
four Zingiberaceae species. The
Malaysian Journal of Analytical Sciences 12(3): 638-644.
Szkudelski, T. 2000. The mechanism of alloxan and streptozotocin
action in B Cells of the rat pancreas. Physiology
Research 50(6): 537-546.
Tang, Y.Q., Jaganath, I., Manikam, R. & Sekaran, S.D. 2013. Phyllanthus suppresses prostate cancer
cell, PC-3, proliferation and induces apoptosis through multiple signalling
pathways (MAPKs, PI3K/Akt, NF𝜅B, and Hypoxia). Evidence-Based Complementary and Alternative
Medicine 2013: Article ID. 60958.
World
Health Organization (WHO). 2019. Classification of Diabetes Mellitus 2019.
World Health Organization.
Wild, S., Roglic, G. & Green, A. 2004. Global prevalence of
diabetes: Estimates for the year
2000 and projections for 2030. Diabetes
Care 27(5): 1047-1051.
Zheng, Z.Z., Chen, L.H., Liu, S.S., Deng, Y., Zheng, G.H., Gu, Y.
& Ming, Y.L. 2016. Bioguided fraction and isolation of the antitumor
components, from Phyllanthus niruri L. BioMed. Research International 2016: Article ID. 9729275.
*Pengarang
untuk surat-menyurat; email: elfahmi@fa.itb.ac.id
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