OF α -GLUCOSIDASE Malaya

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FORMULATION OF MOMORDICA CHARANTIA FRUIT AND SYZYGIUM POLYANTHUM LEAF EXTRACTS BASED ON IN VITRO ANTIOXIDANT AND INHIBITORY ACTIVITY OF α- AMYLASE AND α-GLUCOSIDASE MUHAMMAD JIHAD SANDIKAPURA FACULTY OF MEDICINE UNIVERSITY OF MALAYA KUALA LUMPUR 2018 University of Malaya

Transcript of OF α -GLUCOSIDASE Malaya

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FORMULATION OF MOMORDICA CHARANTIA FRUIT

AND SYZYGIUM POLYANTHUM LEAF EXTRACTS BASED

ON IN VITRO ANTIOXIDANT AND INHIBITORY ACTIVITY

OF α- AMYLASE AND α-GLUCOSIDASE

MUHAMMAD JIHAD SANDIKAPURA

FACULTY OF MEDICINE UNIVERSITY OF MALAYA

KUALA LUMPUR

2018

Univers

ity of

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FORMULATION OF MOMORDICA CHARANTIA FRUIT

AND SYZYGIUM POLYANTHUM LEAF EXTRACTS BASED

ON IN VITRO ANTIOXIDANT AND INHIBITORY ACTIVITY

OF α- AMYLASE AND α-GLUCOSIDASE

MUHAMMAD JIHAD SANDIKAPURA

DISSERTATION SUBMITTED IN FULFILMENT OF

THE REQUIREMENTS FOR THE DEGREE OF MASTER

OF MEDICAL SCIENCE

FACULTY OF MEDICINE

UNIVERSITY OF MALAYA

KUALA LUMPUR

2018

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UNIVERSITY MALAYA

ORIGINAL LITERARY WORK DECLARATION

Name of candidate: Muhammad Jihad Sandikapura Matrix No: MGN120049

Name of Degree: Master of Medical Science

Title of Project Paper/Research Report/Dissertation/Thesis (“this Work”):

“Formulation of Momordica charantia fruit and Syzygium Polyanthum Leaf Extracts

Based On In Vitro Antioxidant And Inhibitory Activity Of α- Amylase And α-

Glucosidase”

Field of Study: Pharmacy

I do solemnly and sincerely declare that:

(1) I am the sole author/writer of this Work;

(2) This Work is original;

(3) Any use of any work in which copyright exists was done by way of fair

dealing and for permitted purposes and any excerpt or extract from, or

reference to or reproduction of any copyright work has been disclosed

expressly and sufficiently and the title of the Work and its authorship have

been acknowledged in this Work;

(4) I do not have any actual knowledge nor do I ought reasonably to know that

the making of this work constitutes an infringement of any copyright work;

(5) I hereby assign all and every rights in the copyright to this Work to the

University of Malaya (“UM”), who henceforth shall be owner of the

copyright in this Work and that any reproduction or use in any form or by any

means whatsoever is prohibited without the written consent of UM having

been first had and obtained;

(6) I am fully aware that if in the course of making this Work I have infringed

any copyright whether intentionally or otherwise, I may be subject to legal

action or any other action as may be determined by UM.

Candidate’s Signature Date:

Subscribed and solemnly declared before,

Witness’s Signature Date:

Name:

Designation:

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ABSTRACT

Natural products are rich in flavonoids, tannins and other polyphenolics with

free radical scavenging potential. Free radicals have been claimed to play an important

role in affecting human health by causing several diseases including cancer, hypertension,

cardiovascular diseases and diabetes. The primary aim of this study is to

extract Momordica charantia fruit, Syzygium polyanthum leaf with maceration, soxhlet,

sonication and fresh juice methods, further evaluate the extracts either alone or in

combinations for antioxidant (DPPH & FRAP) and enzyme inhibitory effect on α–

amylase and α–glucosidase. Other objectives of the study include LC-MS, GC-MS

qualitative profiling of extracts and conversion of the best antioxidant and enzyme

inhibitory extracts into herbal formulation. Syzygium polyanthum demonstrated better

free radical scavenging ability than Momordica charantia. It was observed that the %

inhibition of DPPH by S. polyanthum (64.93 %) is comparable to standard quercetin

(69.21%). Interestingly the FRAP value of fresh juice of S. polyanthum (69.05 %) was

better (p > 0.05) than the quercetin (63.27 %). The fresh juice of S.

polyanthum demonstrated predominant inhibitory action against α-amylase (92.21%) and

α–glucosidase (96.06 %) than the standard acarbose (88.51 %). Among 28 different

combinations of Momordica charantia (MC) and Syzygium polyanthum (SP) extracts in

DPPH and FRAP analysis, Maceration MC-Sonication SP (65.35 %; DPPH; p < 0.05)

and Soxhlet MC-Fresh Juice SP (59.16 %; FRAP; p < 0.05) have shown significant

activities. However, 14 selective combinations were tested for enzyme inhibitory studies

and found that Soxhlet MC-Fresh Juice SP (90.86 %; α-amylase; p < 0.05) and Soxhlet

MC-Fresh Juice SP (95.52 %; α–glucosidase; p < 0.05) have excellent inhibitory activity

against α-amylase and α–glucosidase indicating their ability in controlling postprandial

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hyperglycaemia. GC-MS and LC-MS qualitative analysis identified several

polyphenolics, steroids, glycosides, fatty acids and flavonoids in extracts. A combination

extract of Soxhlet (MC)-Fresh juice (SP) was formulated as a phytomedicine. The

prepared solid herbal formulations (Tablets-550 mg) were evaluated for pharmacopeial

tests and found to have good weight variation (554.5 ± 1.45 mg), hardness (56.8 ± 4.3 N),

thickness (3.57 ± 0.17 mm), friability (0.72 < 1 %) and disintegration (< 15 min.). In

conclusion, the fresh juice of S. polyanthum has superior FRAP scavenging, α-amylase

and also α-glucosidase inhibitory activities than standards. Exogenous intake of

antioxidants in the form of herbal extracts can help the body scavenge free radicals

effectively and can control hyperglycaemia by α-amylase and α-glucosidase inhibition.

As these two plants are of dietary importance rich in antioxidants can prevent oxidative

damage and improve quality of life in diabetic patients upon inclusion in diet.

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(Formulasi Ekstrak-Ekstrak Buah Momordica Charantia Dan Daun Syzygium

Polyanthum Berdasarkan Aktiviti Antioksida Dan Perencatan α – Amilase Dan

α- Glukosidase)

ABSTRAK

Produk semula jadi kaya dengan flavonoid, tanin dan polyphenolik lain dengan

potensi pengarkaan radikal bebas. Radikal bebas telah dituntut memainkan peranan

penting dalam mempengaruhi kesihatan manusia dengan menyebabkan beberapa

penyakit termasuk kanser, hipertensi, penyakit kardiovaskular dan diabetes. Tujuan

utama kajian ini adalah untuk mengekstrak buah Momordica charantia, daun Syzygium

polyanthum dengan maceration, soxhlet, sonication dan kaedah jus segar, selanjutnya

menilai ekstrak sama ada secara bersendirian atau dalam gabungan antioksidan (DPPH

& FRAP) dan kesan penghambatan enzim pada α- amilase dan α-glucosidase. Objektif

lain kajian ini ialah penyiasatan kualitatif LC-MS, GC-MS ekstrak dan penukaran

ekstrak antioksida dan enzim yang terbaik kepada perumusan herba. Syzygium

polyanthum menunjukkan keupayaan pemotongan radikal bebas yang lebih baik

daripada Momordica charantia. Telah diperhatikan bahawa perencatan % DPPH oleh S.

polyanthum (64.93 %) adalah sebanding dengan quercetin standard (69.21 %).

Menariknya nilai FRAP jus segar S. polyanthum (69.05 %) lebih baik (p> 0.05)

daripada quercetin (63.27 %). Jus segar S. polyanthum menunjukkan tindakan

penghambatan utama terhadap α-amylase (92.21 %) dan α-glucosidase (96.06 %)

daripada acarbose standard (88.51 %). Antara 28 kombinasi yang berbeza dari ekstrak

ekstrak dalam sampel DPPH dan FRAP, Maceration MC-Sonication SP (65.35 %;

DPPH; p <0.05) dan Soxhlet MC-Fresh Juice SP (59.16 %; FRAP; p <0.05) telah

menunjukkan aktiviti penting. Walau bagaimanapun, 14 kombinasi selektif telah diuji

untuk kajian penghambatan enzim dan mendapati Soxhlet MC-Fresh Juice SP (90.86 %;

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α-amylase; p <0.05) dan Soxhlet MC-Fresh Juice SP (95.52 %; α-glucosidase; p <0.05 )

mempunyai aktiviti perencatan yang sangat baik terhadap α-amilase dan α-glucosidase

yang menunjukkan keupayaan mereka dalam mengawal hiperglikemia postprandial.

Analisis kualitatif GC-MS dan LC-MS mengenal pasti beberapa polifenolik, steroid,

glikosida, asid lemak dan flavonoid dalam ekstrak. Ekstrak gabungan Soxhlet (MC)-

Fresh juice (SP) dirumuskan sebagai phytomedicine. Formulasi herba pepejal yang

disediakan (Tablets-550 mg) telah dinilai untuk ujian farmakope dan didapati

mempunyai variasi berat yang baik (554.5 ± 1.45 mg), kekerasan (56.8 ± 4.3 N),

ketebalan (3.57 ± 0.17 mm), kebolehpercayaan (0.72 < 1%) dan perpecahan (<15 min.).

Sebagai kesimpulan, jus segar S. polyanthum mempunyai pengambilan FRAP unggul,

α-amilase dan juga aktiviti penghambatan α-glucosidase daripada piawaian.

Pengambilan antioksidan luar biasa dalam bentuk ekstrak herba dapat membantu tubuh

membuang radikal bebas secara efektif dan dapat mengendalikan hiperglikemia dengan

perencatan α-amilase dan α-glukosidase. Oleh kerana kedua-dua tumbuhan ini penting

dalam diet kaya dengan antioksidan dapat mencegah kerosakan oksidatif dan

meningkatkan kualiti hidup pesakit diabetes apabila dimasukkan ke dalam diet.

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ACKNOWLEDGEMENTS

It is a great pleasure to thank everyone who helped me towards successful

completion of this thesis. My sincere and deepest gratitude goes first and

foremost to my supervisors, Associate Professor Dr. Mohamed Ibrahim Noordin

and Dr. Shaik Nyamathulla for their untiring guidance, encouragements, intuitive

comments, stimulating discussions and patience from the beginning till the

concluding level of my research. I am sure this significant accomplishment in my

life would have not been possible without their continuous support and belief in

me.

My heartfelt gratitude also goes out to the Head of the Department of

Pharmacy, Faculty of Medicine, University of Malaya, Kuala Lumpur and The

Director of IPharm, Malaysian Institute of Pharmaceuticals and nutraceuticals,

Pulau Pinang for providing conducive academic environment, all laboratory

necessities and facilities to carry out and complete this project.

I am heartily thankful to all the academic and non-academic staff,

labmates and friends especially Yasir Osman Ali in the Department of

Pharmacy, Faculty of Medicine, University of Malaya. Special thanks to Dr.

Riyanto Teguh Widodo, Dr. Leong Kok Hoong, and Dr. Aditya Arya for their

additional guidance and advice in helping me to complete my research.

Finally, the project would not have been possible without the unfailing

support of my family members, especially my parents, Mr. Edy Supriyadi and

Mrs. Lily Yurida. I am truly indebted and thankful for their unconditional love

and confidence in me as well as their endless patience and encouragements to

help me to achieve my educational goals and career aims. I am grateful to my

wife, Tisnania Walyuni Wijiastuti, other family members Fermita Chelsyana and

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Muhammad Tesar Sandikapura and well-wishers for their words of

encouragement and support to complete my research successfully.

Thank you

Muhammad Jihad Sandikapura

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TABLE OF CONTENTS

PAGE

ABSTRACT ............................................................................................................... iii

ABSTRAK ................................................................................................................ v

ACKNOWLEDGEMENTS ...................................................................................... vii

TABLE OF CONTENTS .......................................................................................... ix

LIST OF FIGURES .................................................................................................. xiv

LIST OF TABLES .................................................................................................... xvi

LIST OF ABBREVIATIONS .................................................................................. xvii

CHAPTER 1: INTRODUCTION ............................................................................ 1

1.1 Introduction .......................................................................................................... 1

1.2 Problem statement and justification of the work................................................... 6

1.3 Aim and objectives ............................................................................................... 8

1.3.1 Aim ............................................................................................................. 8

1.3.2 Objectives ................................................................................................... 8

CHAPTER 2: LITERATURE REVIEW ................................................................ 9

2.1 Diabetes mellitus ................................................................................................... 9

2.2 Classification of diabetes mellitus ........................................................................ 10

2.3 Mechanism of action of insulin ............................................................................. 11

2.4 Current available treatments for diabetes mellitus ............................................... 13

2.5 Antidiabetic key enzyme ....................................................................................... 15

2.5.1 α-amylase .................................................................................................... 15

2.5.2 α-glucosidase .............................................................................................. 16

2.6 Free radicals and their association to diseases ...................................................... 18

2.6.1 Free radicals ................................................................................................ 18

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2.6.2 Types of free radicals .................................................................................. 19

2.6.3 Oxidatives stress and its role in diseases.................................................... 21

2.6.3.1 Oxidatives stress and diabetes mellitus .......................................... 22

2.6.4 Role of antioxidants against free radicals ................................................... 27

2.6.4.1 Natural antioxidants ........................................................................ 27

2.7 Rationale behind selection of S. polyanthum and M. charantia in the

current study .......................................................................................................... 30

2.7.1 Syzygium polyanthum .................................................................................. 31

2.7.1.1 Habit, habitat and macroscopy of S. polyanthum ........................... 31

2.7.1.2 Chemical constituents of S. polyanthum ........................................ 31

2.7.1.3 Pharmacological actions of S. polyanthum .................................... 31

2.7.1.4 Taxonomic classification of S. polyanthum .................................... 32

2.7.2 Momordica charantia ................................................................................. 33

2.7.2.1 Habit, habitat and macroscopy of M. charantia ............................. 33

2.7.2.2 Chemical constituents of M. charantia .......................................... 33

2.7.2.3 Pharmacological actions of M. charantia ...................................... 34

2.7.2.4 Taxonomic classification of M. charantia ...................................... 35

2.8 Extraction, profiling of phytoconstituents from selected plants ........................... 35

2.8.1 Maceration .................................................................................................. 38

2.8.2 Hot continous extraction (Soxhlet extraction) ............................................ 38

2.8.3 Sonication ................................................................................................... 39

2.8.4 Fresh juice ................................................................................................... 40

2.9 Gas Chromatography-Mass Spectrometry (GC-MS) ............................................ 41

2.10 Liquid Chromatography-Mass Spectroimetry (LC-MS) ..................................... 43

2.11 Herbal formulations and alternative system of medicine .................................... 45

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2.11.1 Standardization of herbal medicine........................................................... 46

2.11.2 Herbal formulations ................................................................................. 47

CHAPTER 3: MATERIAL AND METHODS ....................................................... 51

3.1 Materials ................................................................................................................ 51

3.1.1 Plant Materials ............................................................................................ 51

3.1.2 Chemicals and reagents ............................................................................... 52

3.2 Methods ................................................................................................................. 52

3.2.1 Microscopic evaluation of plant samples .................................................... 52

3.2.2 Extraction methods applied to plant powders ............................................. 53

3.2.3 GC-MS and LC-MS profiling of extracts ................................................... 55

3.2.4 Antioxidant activity and free radical scavenging activity of

the extracts ................................................................................................. 56

3.2.5 Antidiabetic enzyme inhibitory activity of the extracts .............................. 58

3.2.6 Formulation and evaluation of herbal tablet dosage forms

containing the best extracts ........................................................................ 60

3.2.6.1 Evaluation of granular flow properties ........................................... 63

3.2.6.2 Evaluation of prepared herbal tablet formulations ......................... 64

3.2.7 Statistical analysis ....................................................................................... 66

CHAPTER 4: RESULTS .......................................................................................... 68

4.1 Identification of selected plants for the study ....................................................... 68

4.1.1 Macro and microscopy of S. polyanthum leaf............................................. 68

4.1.2 Macro and microscopy of M. charantia fruit .............................................. 69

4.2 Extraction of plants materials using different extraction methods ....................... 72

4.3 GC-MS and LC-MS profiling of the M. charantia and S. polyanthum

extracts ................................................................................................................. 72

4.3.1 GC-MS data analysis .................................................................................. 73

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4.3.2 LC-MS data analysis ................................................................................... 82

4.4 Antioxidant activities of the extract ...................................................................... 88

4.4.1 DPPH radical scavenging activity (RSA) of the extracts ........................... 88

4.4.1.1 DPPH-RSA for M. charantia single extract ................................... 88

4.4.1.2 DPPH-RSA for S. polyanthum single extract ................................. 88

4.4.1.3 DPPH-RSA for M. charantia and S. polyanthum

combination extracts ...................................................................... 89

4.4.2 FRAP activity of the extracts ...................................................................... 93

4.4.2.1 FRAP of M. charantia single extract ............................................. 93

4.4.2.2 FRAP of S. polyanthum single extract ........................................... 93

4.4.2.3 FRAP of M. charantia and S. polyanthum

combination extracts ...................................................................... 94

4.5 Antidiabetic enzyme inhibitory activity of the extracts ........................................ 97

4.5.1 In vitro α-amylase inhibitory activity of the extracts .................................. 97

4.5.1.1 In vitro α-amylase inhibitory activity of M. charantia

single extracts ................................................................................. 97

4.5.1.2 In vitro α-amylase inhibitory activity of S. polyanthum

single extracts ................................................................................. 97

4.5.1.3 In vitro α-amylase inhibitory activity of M. charantia

and S. polyanthum combination extracts ........................................ 98

4.5.2 In vitro α-glucosidase inhibitory activity of the extracts ............................ 100

4.5.2.1 In vitro α-glucosidase inhibitory activity of M. charantia

single extracts ................................................................................ 100

4.5.2.2 In vitro α-glucosidase inhibitory activity of S. polyanthum

single extracts ................................................................................ 100

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4.5.2.3 In vitro α-glucosidase inhibitory activity of M. charantia

and S. polyanthum combination extracts ........................................ 100

4.6 Evaluation of herbal tablet formulation ................................................................ 103

CHAPTER 5: DISCUSSION ................................................................................... 105

5.1 Identification of selected plants for the study ...................................................... 105

5.2 Extraction of plants materials using different extraction method ......................... 107

5.3 GC-MS and LC-MS profiling of the M. charantia and

S. polyanthum extracts .......................................................................................... 108

5.4 Antioxidants activities of the extracts ................................................................... 110

5.5 Antidiabetic enzyme inhibitory activity of the extracts ........................................ 117

5.6 Evaluation of prepared herbal tablet formulations ................................................ 122

CHAPTER 6: SUMMARY AND CONCLUSION ................................................. 125

REFERENCES ......................................................................................................... 129

APPENDIX ............................................................................................................... 151

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LIST OF FIGURES

Figure 2.1: Summary of signalling pathways involved in microvascular

diabetic complications ................................................................................ 26

Figure 2.2: Syzygium polyanthum .................................................................................. 32

Figure 2.3: Momordica charantia .................................................................................. 35

Figure 2.4: Typical GC-MS instrumentation ................................................................ 43

Figure 2.5: Typical LC-MS instrumentation .................................................................. 45

Figure 3.1: Individual percentage of tablet components ................................................ 62

Figure 3.2: List of instruments and equipments used in the study ................................. 67

Figure 4.1: Macroscopy and microscopy of S. polyanthum ........................................... 71

Figure 4.2: Macroscopy and microscopy of M. charantia ............................................. 71

Figure 4.3: The percent yields of different auqeous extracts of selected

M. charantia and S. polyanthum plants ...................................................... 72

Figure 4.4: GC-MS Chromatogram showing peaks representing volatile

components detected in aqueous extracts of M. charantia ........................ 74

Figure 4.5: GC-MS Chromatogram showing peaks representing volatile

components detected in aqueous extracts of S. polyanthum ...................... 76

Figure 4.6: LC-MS profiles of different extracts of two selected plants ....................... 82

Figure 4.7: DPPH radical scavenging activity of different aqueous extracts

of M. charantia and S. polyanthum ............................................................ 92

Figure 4.8: FRAP radical scavenging activity of different aqueous extracts

of M. charantia and S. polyanthum ............................................................ 96

Figure 4.9: α-amylase inhibitory effects of different aqueous extracts

of M. charantia and S. polyanthum ........................................................... 99

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Figure 4.10: α-glucosidase inhibitory effects of different aqueous extracts

of M. charantia and S. polyanthum ........................................................ 102

Figure 4.11: Prepared herbal tablet formulations of the best extracts of

M. charantia and S. polyanthum ............................................................ 104

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LIST OF TABLES

Table 2.1: List of antidiabetic drugs for type 2 diabetes mellitus .......................... 14

Table 2.2: Types of free radical reactions of some free radicals ........................... 20

Table 2.3: List of few natural antioxidants reported for their antioxidant potential

in literature ............................................................................................ 29

Table 2.4: List of few herbal tablet formulation described in the literature .......... 50

Table 3.1: Prepared extract and their combinations tested for antioxidant and

antidiabetic assays ................................................................................ 57

Table 3.2: The components of herbal tablet dosage forms .................................... 62

Table 3.3: Relationship between angle of repose and powder flow ...................... 63

Table 3.4: Scale of flowability of granules ............................................................ 64

Table 4.1: List of volatile phytoconstituents identified in the aqueous extracts

of the leaf of S. polyanthum by GC-MS ............................................... 78

Table 4.2: List of volatile phytoconstituents identified in the aqueous extracts

of the leaf of M. charantia by GC-MS ................................................. 80

Table 4.3: List identified phytoconstituents in the fruit aqueous extracts

of M. charantia by LC-MS .................................................................. 83

Table 4.4: List identified phytoconstituents in the fruit aqueous extracts

of S. polyanthum by LC-MS ................................................................ 86

Table 4.5: Evaluation results of herbal tablet formulations ................................... 104

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LIST OF ABBREVIATIONS

WHO World Health Organization

IDF International Diabetes Federation

NADPH Nicotinamide Adenine Dinucleotide Phosphate

ROS Reactive Oxygen Species

IDDM Insulin Dependent Diabetes Mellitus

NIDDM Non-Insulin Dependent Diabetes Mellitus

T&CM Traditional and Complementary Medicine

NKEA National Key Economic Area

GC-MS Gas Chromatography Mass Spectrophotometry

LC-MS Liquid Chromatography Mass Spectrophotometry

DPPH 1,1-Diphenyl-2-picryl-hydrazyl

FRAP Ferric Reducing Antioxidant Power

cAMP cyclic Adenosine Monophosphate

AGEs Advanced Glycation End Products

DPP-4 Dipeptidylpeptidase-4

ODS Oxygen Derived Species

LDL Low Density Lipoprotein

ETC Electron Transport Chance

DAG Diacylglycerol

PKC Protein Kinase C

OP Oxidative Phosphorylation

GFAT Glutamine Fructose 6-phosphate aminotransferase

TGF Transforming Growth Factor

GLUT 4 Glucose Transporter 4

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RNS Reactive Nitrogen Species

O2 Superoxide

OH Hydroxyl

NO Nitric Oxide

ROO Peroxyl

RO Alkoxyl

O Oxygen

H2O2 Hydrogen Peroxide

O3 Ozone

HClO Hypochlorous Acid

ROOH Organic Peroxide

HCOR Adehydes

H+ Proton

MnSOD Manganese Superoxide Dismutase

GADPH Glyceraldehyde-3-Phosphate Dehydrogenase

UDP-GlcNAc Uridinediphosphate N-acetylglucosamine

VEGF Vascular Endothelial Growth Factor

ICAM-1 Intercellular Adhesion Molecule 1

VCAM-1 Vascular Cell Adhesion Molecule 1

MCP-1 Monocyte Chemoattractant Protein-1

GC Gas Chromatography

MS Mass Spectrometry

LC Liquid Chromatography

UV-Vis Ultraviolet-Visible

EI Electrospray Ionisation

APCI Atmospheric Pressure Chemical Ionisation

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MCP Multi Channel Plate

API Atmospheric Pressure Ion

MDIs Metered Dose Inhalers

DPIs Dry Powder Inhalers

V0 Initial Volume

Vf Final Volume

Fe3+-TPTZ Ferric Tripyridyltriazine

MC Momordica charantia

SP Syzygium polyanthum

MOS Mild Oxidative Stress

TOS Temperature Oxidative Stress

SOS Strong Oxidative Stress

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CHAPTER 1: INTRODUCTION

1.1 Introduction

Diabetes mellitus is a chronic metabolic disease or disorder with multiple

aetiologies, is characterized by high blood sugar levels accompanied by impaired

metabolism of carbohydrates, lipids, and proteins as a result of insufficiency of insulin

function. This disease is chronic and can include all ages, and does not distinguish

social status. In 2014, the International Diabetes Federation (IDF) estimated that 8.2 %

of adults aged 20 - 79 (387 million people) were living with diabetes; this in comparison

with 382 million people in 2013, and the number of people with the disease was

projected to rise beyond 592 million in 2035 (Da et al., 2016), and more than 60 % of

the people with diabetes live in Asia, with almost one-half in China and India

combined. In Malaysia, the reported prevalence of diabetes was 11.6 % in 2006, 15.2 %

in the 2011 national study, and 22.9 % in 2013. The age distribution of the study groups

was similar (Nanditha et al., 2016). In the elderly, the disease is usually asymptomatic

and can only be known when there is a routine inspection. Common symptoms include

thirst, polydipsia, polyphagia, weight loss, polyuria, itching, and weakness. Several

pathogenic processes are involved in the development of diabetes. These range from

autoimmune destruction of the β-cells of the pancreas with consequent insulin

deficiency to abnormalities that result in resistance to insulin action (American Diabetes

Association, 2006). Environmental factors, diet and free radicals play a major role in the

development of diabetes.

Free radicals are atoms, molecules, or ions with unpaired electrons with open

shell configuration. Free radicals may have positive, negative or zero charge. Many free

radicals are unstable and highly reactive in their present state, which can either accept

one electron or donate from other molecules. The free radicals are believed to be

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generated as by-products of metabolism, cellular respiration, synthesized by enzyme

systems (nicotinamide adenine dinucleotide phosphate (NADPH) oxidase,

myeloperoxidases), by exposure to ionizing radiation, smoking, herbicides, pesticides,

pollution and fried foods (Randhir & Sushma, 2014). The most important free radicals

in many diseased states are oxygen derived, particularly superoxide and the hydroxyl

radical (Young & Woodside, 2001). Free radicals including reactive oxygen species

(ROS) and reactive nitrogen species generated by the human body by various

endogenous systems, exposure to different physiochemical conditions, or pathological

states, and have been implicated in the pathogenesis of many diseases. Therefore, ROS

produced by vascular cells are implicated as possible underlying pathogenic

mechanisms in the progression of cardiovascular diseases including ischemic heart

disease, atherosclerosis, cardiac arrhythmia, hypertension, and cancer. These free

radicals are also involved in pancreatic damage, lead to diabetic complication,

neuropathy, nephropathy, and cardiopathy (Randhir & Sushma, 2014; Yang & Omaye,

2009). There is substantial evidence that people with diabetes tend to have increased

generation of reactive oxygen species, decreased antioxidant protection, and therefore

increased oxidative damage.

As a defence against oxidative damage, the body normally maintains a variety of

mechanisms to prevent such damage while allowing the use of oxygen for normal

functions. Such “antioxidant protection” derives from sources both inside the body

(endogenous) and outside the body (exogenous). Endogenous antioxidants include

molecules and enzymes. The activities of key antioxidant enzymes are also found to be

abnormal in people with diabetes (Young & Woodside, 2001). These enzyme activities

are seen to be lower than normal, suggesting a compromised antioxidant defence, while

other studies have shown higher activity, suggesting an increased response to oxidative

stress. Oxidative damage is greater in people with type 2 diabetes compared to those

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with type 1, especially people with type 2 diabetes and the metabolic syndrome, which

involves central obesity, hypertension (high blood pressure), and high blood fat levels

along with insulin resistance (decreased effectiveness of insulin in metabolizing blood

glucose) (Jacob, 2007).

Generally, diabetes mellitus can be handled in several ways, dietary adjustments

and regular exercise, the use of oral antidiabetic drugs such as sulfonylureas and

biguanides, as well as insulin injections. However, the drugs in the market have

considerable side effects and are expensive. Therefore, many patients of developing

countries are looking for alternative treatments, such as complementary or alternative

medicine. The use of traditional medicine is based on the knowledge gained from

inheritance. Effects of herbal medicine are influenced by the form of presentation of

herbal drugs that we consume (Kalichevsky, Knorr, & Lillford, 1995).

The quality of herbal raw materials fluctuates greatly due to geographical

location, soil environment and mode of collection, diversity in climatic conditions, their

habit and habitats. Standardization of herbal medicinal plants is therefore recommended

to overcome disparity in recent times. Authenticity of the sample can be done either by

macroscopy or microscopy or by chemical evaluation or by genotypic analysis

(Folashade, Omoregie, & Ochogu, 2012). It is estimated that the side effects associated

with herbal medicines are actually more often due to improper identification, failure in

distinguishing the beneficial herbs from their toxic counterparts (Sanders, Moran, Shi,

Paul, & Greenlee, 2016; Verma & Singh, 2008).

Syzygium polyanthum, commonly referred as Indonesian bay leaf is reported to

have antiinflammatory, antipyretic and detoxificant properties against various poisons.

The leaves of the plant are fragrant due to the presence of citral, eugenol in its volatile

oil. In addition, several phenolic compounds such as tannins, flavonoids and phenolic

acids were reported. Studies on hydroalcoholic extracts of the leaf over animal models

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have indicated its antidiabetic potential. A preparation called “Jamu” is a traditional

herbal medicine that has been practised for many centuries in the Indonesian community

to maintain good health and to treat diseases and usually prepared by decoction. There

are several plants used in “Jamu” based on the required therapeutic response, the plants

that are used in Jamu for antidiabetic use are Syzygium polyanthum leaf and Momordica

charantia fruit (Elfahmi, Herman, & Oliver, 2014). M. charantia also known as bitter

gourd or bitter melon is the most frequently used plant based antidiabetic medicine. For

many indigenous people in the world, this is the only available remedy to control

diabetes mellitus. The plant is rich in several phytoconstituents like glycosides,

saponins, phenolics, fixed oils, resins and alkaloids. Among them major antidiabetic

alkaloids detected were charantins, momordicins, cucurbitacins and few glycosides such

as momordicosides, goyaglycosides. Several studies have reported antidiabetic,

anticancer, antiinflammatory, antiviral and hypocholesterolemic activities for the fruits

of the plant. Few mechanisms established so far are, stimulation of glucose uptake by

the cells, inhibition of glucose absorption, inhibition of gluconeogenetic enzymes,

protection of pancreatic β-cells and others (Kumar, Saravanan, Kumar, & Jayakumar,

2014; Pal & Shukla, 2003; Posadzki, Watson, & Ernst, 2013; Jha & Rathi, 2008). Both

M. charantia and S. polyanthum are rich in polyphenolic flavonoids, tannins and

alkaloids as mentioned in the literature, therefore dietary intake of these herbs can play

an important role in the body’s antioxidant defence which most likely mediate their

beneficial health effects by scavenging free radicals that cause oxidative stress

associated with cancer, diabetes, hypertension, cardiovascular and neurodegenerative

diseases, longevity and aging (Hui, Yixi, & Xiaoqing, 2015; Robert, 2014; Hugel,

Jackson, May, Zhang, & Xue, 2016; Erawati, 2012).

In view of the above, a study evaluating the effect of S. polyanthum leaf extract

and M. charantia fruit extract produced by different extraction methods such as

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maceration, sonication, soxhlet, fresh juice and their antioxidant and antidiabetic effects

in vitro were examined. In addition, the study focused in developing a herbal

supplement that can offer exogenous antioxidants as a nutraceutical. It is known that

choosing the right food with controlled sugar levels and the exogenous antioxidant

content becomes the perfect combination for diabetes to be in check. Since, good food is

an important part of leading a healthy lifestyle.

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1.2 Problem statement & justification of the work

Diabetes mellitus is a major healthcare issue throughout the world. Based on

WHO data, the statistics show the number of cases of diabetes will double by 2030.

When free radicals overwhelm the body’s ability to regulate them, a condition known as

oxidative stress will occur. Diabetes is one of the outcomes of oxidative stress. Some of

the obstacles in the treatment of diabetes are, limited number of drugs, side effects of

existing drugs, development of resistance, and as well as socioeconomical problems

and poor accessibility to healthcare systems and facilities.

Therefore, many people seek the alternative treatments. At present nearly 70–80

% of the world's population still dependents on traditional & complementary medicine

(T&CM), however, as recent studies have shown, in addition to many benefits there are

few risks associated with T&CM. Therefore, WHO endorsed T&CM within the health

system given their safety and efficacy is established by proper standardization. The

quality of herbal raw materials depends on place of collection of raw material, soil,

several external factors like light, temperature, rainfall and altitude.

Standardization of herbal medicinal plants is therefore recommended to

overcome disparity in their quality. The standardization of herbal drugs starts from raw

material identification, followed by evaluation of organoleptic, microscopical, chemical,

physical and pharmacological characters of the samples to get assurance of quality,

efficacy, safety and reproducibility. Hence, in the current study proper identification and

characterization of the extracts was carried out to the herbal formulations prepared.

In the global phytomedicine market, Malaysia stands in the 11th position and has

great potential to capture the T&CM market. Based on the NKEA (National Key

Economic Area) of Malaysia, agriculture and health care are sectors identified that can

boost economy. No work has been reported on M. charantia and S. polyanthum in

combination for antioxidant activity, there is also no available data of in vitro studies on

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enzymatic assays of α-amylase, α-glucosidase using combination of these two plants, M.

charantia and S. polyanthum.

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1.3 Aim & Objectives

1.3.1 Aim

To determine the best extraction method for S. polyanthum and M. charantia

and to determine the best combination of extracts that gives maximum α–amylase and

α–glucosidase inhibitory activity and antioxidant activity in vitro and preparation of

herbal formulation.

1.3.2 Objectives

a. To identify M. charantia and S. polyanthum by microscopical evaluation.

b. To determine the best extraction method that gives maximum yield and profiling

of extract by GC-MS & LC-MS.

c. To evaluate single and combined extracts for in vitro DPPH and FRAP

inhibitory activity.

d. To evaluate single and combined extracts for in vitro α–amylase and α–

glucosidase inhibitory activity.

e. To formulate and evaluate the best combination extracts of S. polyanthum and

M. charantia as a tablet dosage form.

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CHAPTER 2: LITERATURE REVIEW

Chronic disease is a disease that persists for a long period of time. Chronic

diseases generally cannot be prevented by vaccines or cured by medication, nor do they

just disappear spontaneously. Chronic diseases are long-lasting conditions that usually

can be controlled but not cured. People living with chronic illnesses often must manage

daily symptoms that affect their quality of life, and experience acute health problems

and complications that can shorten their life expectancy. Chronic diseases, such as heart

disease, stroke, cancer, chronic respiratory diseases and diabetes, are by far the leading

cause of mortality in the world, representing 60 % of all deaths (WHO, 2017). The

literature review chapter mainly consists of a detailed review on chronic disease like

diabetes mellitus, classification of diabetes, origin of free radicals, type of free radicals,

role of natural antioxidants to counter chronic diseases, and development of herbal

formulations.

2.1 Diabetes mellitus

Diabetes mellitus is a metabolic disorder characterized by the presence of

hyperglycaemia and accompanied with a range of metabolic disorders as a result of

hormonal disorders, due to defective insulin secretion, defective insulin action or both

by the pancreatic β-cells giving rise to abnormalities in the metabolism of

carbohydrates, proteins and fats. The chronic hyperglycaemia of diabetes is associated

with relatively specific long-term micro vascular complications affecting the eyes,

kidneys and nerves, as well as an increased risk for cardiovascular disease (Ronald &

Zubin, 2013). The symptoms of the disease are polydipsia, polyphagia, polyuria,

hyperglycaemia, and glycosuria to ketosis, acidosis and coma. Other symptoms that can

be felt by patient are spasms on legs, calf muscles due to lack of fluid and electrolytes.

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Diabetes mellitus is defined as a symptomatic or asymptomatic state of altered

carbohydrate metabolism characterized by two or more fasting plasma glucose levels of

126 mg/dL (7.0 mmol/L) or greater or a value of 200 mg/dL (11.1 mmol/L), or greater,

at 2 hours on an oral glucose tolerance test. Diagnosis of diabetes can also be made with

a random blood glucose value of 200 mg/dL (11.1 mmol/L) or greater (American

Diabetes Association, 2006). After meal, the blood glucose level is high so insulin is

produced by β-cells in the pancreas to normalize the glucose level. It increases plasma

membrane glucose transporter of glucose from bloodstream into the muscle, liver and

adipose tissue. In addition, it converts glucose to glycogen in the muscle and the liver

for storage of the nutrients. Finally, the level of glucose in the blood will decrease,

insulin secretion will slow down or stop, resulting in the body to come to homeostasis.

In patients with diabetes, the absence or insufficient production of insulin causes high

blood glucose levels or hyperglycaemia (Guthrie & Guthrie, 2009).

2.2 Classification of diabetes mellitus

Diabetes mellitus can be classified into three categories. Type 1 diabetes

mellitus or insulin dependent diabetes mellitus (IDDM), type 2 diabetes mellitus or non-

insulin dependent diabetes mellitus (NIDDM) and Gestational diabetes mellitus. Type 1

diabetes mellitus (IDDM) is known as juvenile-onset begins at the young ages. The

sufferer lack insulin hormone depends on insulin injections to control blood glucose.

This form includes cases due to an autoimmune process and those for which the

aetiology of β-cell destruction is unknown. Symptoms arising are ketoacidosis and can

even cause fainting. This type of diabetics does not react to drug therapy. Type 2

diabetes mellitus (NIDDM) is known as adult-onset symptoms that appear in elderly,

but it can also appear at the age of adolescence. Patients with type 2 diabetes mellitus

sometimes does not show early symptoms, characterized by frequent thirst, hunger, and

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increased water consumption, excessive urine volume and frequency. Patients with type

2 diabetes mellitus do not depend on the hormone insulin and can be treated with oral

medications. Type 2 diabetes may range from predominant insulin resistance with

relative insulin deficiency to a predominant secretory defect with insulin resistance.

People with diabetes mellitus often have altered glucose metabolism, a process with

impaired glucose uptake in which glucose cannot get into the cells and energy is only

retrieved from the metabolism of proteins and fats. Gestational diabetes mellitus refers

to glucose intolerance with onset or first recognition during pregnancy. Because high

blood sugar levels in a mother are circulated through the placenta to the baby, gestational

diabetes must be controlled to protect the baby's growth and development (Olagbuji et al.,

2015). Diabetes mellitus can occur with no symptoms in children, and teenagers. While

in older people who have symptoms of these diseases very often endup with diabetes

without being noticed by the patient if not inspected on a regular basis.

2.3 Mechanism of action of insulin

Insulin affects glucose, lipid, and protein metabolisms in all tissues. In fat cells,

insulin promotes the uptake and enhances triglyceride stores. In muscle cells, glucose

enters via the cell membrane made permeable by insulin, and is converted to glycogen

stores or used for energy. In liver cells, glucose is stored as glycogen. The intracellular

effects of hormones are accomplished by second messengers, which are activated by

receptors on cell membranes that determine whether or not the cell responds to the

hormones. Specific enzymes then allow the cell to perform its functions in response to

hormones and second messengers. The second messenger for most hormones is cyclic

adenosine monophosphate (cAMP), which is activated by the enzyme adenylcyclase in

the cell membrane. Insulin suppresses adenylcyclase and cAMP, activates other second

messengers. These messenger enzymes are activated by closure of the potassium

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channels and opening of the calcium channels so that calcium can flow into the cell and

activate formation of cAMP. One enzymatic mechanism that insulin-responsive cells

have is the phosphorylasekinase system. Insulin stimulates the cells by interaction with

a specific receptor on the cell surface, and this stimulates a series of enzymatic

phosphorylation reactions within the cell. Finally, this phosphorylase cascade activates

the PPAR-γ enzyme in the cell nucleus. This enzyme activates the gene for the

formation of the RNA, which synthesizes a protein called a glucose transporter to

facilitate the uptake of glucose by the cell. Glucose transporter proteins modify the cell

membrane to absorb the glucose into the interior of the cell for utilization. These

transporters are manufactured inside the cell and carried to the cell membrane under the

control of insulin and the subsequent enzyme reactions within the cell. Insulin also

controls the reabsorption and degradation of the transporters that are numbered to

differentiate the proteins of different cells-GLUT 4 (Glucose Transporter 4 is found

within muscle cells). A hexokinase enzyme inside the cell is also stimulated to facilitate

the glycolytic process for the metabolism of glucose to CO2, water, and energy (the

kreb’s cycle). This hexokinase enzyme is the only enzyme of the glycolytic pathway

activated by insulin. It catalyses the initial step of this process, the phosphorylation of

glucose to form glucose 6-phosphate. This catalysis is a vital step in the metabolism of

glucose for energy, and insulin deficiency will result in blockage of the entire glycolytic

pathway for energy production. The enzymatic system for lipogenesis is specific to the

fat cell, whereas the enzymatic system for conversion of glucose to energy occurs in all

cells. By a separate set of enzymes, the fat can, of course, also convert glucose to energy

for its own metabolic processes, because the conversion of glucose to fat is an energy-

requiring process. All of these specifics are probably mediated by a second messenger

through an activation of the sodium potassium pump and by the calcium flux (Guthrie

& Guthrie, 2009).

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2.4 Current available treatments for diabetes mellitus

Type 2 diabetes mellitus is a progressive and complex disorder that is difficult to

treat effectively in the long term. The majority of patients are overweight or obese at

diagnosis and will be unable to achieve or sustain near normoglycaemia without oral

and parenteral antidiabetic agents. Today’s clinicians are presented with an extensive

range of oral antidiabetic drugs for type 2 diabetes. Administration of antidiabetic drug

generally begins with monotherapy and slowly progresses into multidrug therapy if the

initial treatments were not effective. Various drugs are available which works in

different ways to control hyperglycaemic condition in diabetic patients. The main

classes are heterogeneous in their modes of action, safety profiles and tolerability. These

main classes include agents that stimulate insulin secretion, reduce hepatic glucose

production, delay digestion and absorption of intestinal carbohydrate or improve insulin

action. Currently, there are six types of commercially available oral antidiabetic drugs

for type 2 diabetes mellitus including Biguanides (e.g.Metformin), α-glucosidase

inhibitors (e.g. Acarbose), Sulfonylureas (e.g. Chlorpropamide), Calcium channel

blockers (e.g. Repaglinide), Thiazolidinediones (e.g. Rosiglitazone), and

Dipeptidylpeptidase-4 (DPP-4) inhibitors (e.g. Vildagliptin). Each type has a different

mechanism of action in controlling blood glucose level of type 2 diabetic patients and

side effects as shown in Table 2.1 (Carl, 2007; Andrew & Clifford, 2005). The drugs

offer many advantages as well as common side effects such as hypoglycaemia,

gastrointestinal problems and weight gain. Insulin is used in injectable form as a sole

therapy (particularly for type 1 diabetes mellitus patients) or in combination with other

oral drugs. Insulin therapy in a long acting form possesses a lower risk of

hypoglycaemia. However, the therapy generally does not mimic physiological functions

of insulin completely in the human body (Katzung & Trevor, 1982).

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(Source: Katzung & Trevor, 1982; Carl, 2007, www.mims.com)

Table 2.1: List of antidiabetic drugs for type 2 diabetes mellitus

Drug Class Mechanism of action Side Effects Drug Names Marketed Names

Biguanides Reduce glucose production

from the liver

Abdominal pain, nausea

and diarrhoea Metformin

Glucophage® (Merck)

Glufor®(Pyridam)

Sulfonylureas

Stimulate the beta cells of

pancreas to release more

insulin

Hypoglycaemia, weight

gain

Chlorpropamide

Glibenclamide

Gliclazide

Glipizide

Amaryl® (Aventis)

Gluconic® (Nicholas)

Diamicron MR® (Darya

Varia)

Minidiab®(Kalbe)

Thiazolidinediones Increase glucose uptake by

the skeleton muscle cells

Weight gain, swelling

(edema), increased risk of

congestive heart failure

Rosiglitazone

Pioglitazone

Avandaryl®

(GlaxoSmithKline)

Actos®(Takeda)

α-glucosidase

inhibitors

Inhibit carbohydrate

absorption by intestinal

mucosa

Abdominal pain,

diarrhoea, flatulence

Acarbose

Voglibose

Miglitol

Glucobay®(Bayer)

Calcium channel

blockers

Stimulate the beta cells of

pancreas to release more

insulin

Hypoglycaemia, weight

gain

Repaglinide

Nateglinide

Novonorm®(Dexa

Medica)

Starlix®(Novartis)

Dipeptidyl

peptidase-4 (DPP-4)

inhibitors

Inhibit DPP-4 enzyme not to

breakdown GLP-1 (increase

GLP-1 release) resulting to

increase insulin secretion and

decrease glucagon secretion

Rash (Stevens-Johnson

syndrome), acute

pancreatitis

Vildagliptin

Sitagliptin

Linagliptin

Galvus®(Novartis)

Januvia®(MSD)

Tradjenta®(Boehringer)

Insulin analogues Mimics insulin action Inconsistent absorption

Hypoglycaemia

Insulin glargine

Insulin aspart

Lantus®(Aventis)

Novomix 30®(Novo

Nordisk)

14

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2.5 Antidiabetic key enzymes

Inhibition of enzymes involved in the metabolism of carbohydrates such as α-

amylase and α-glucosidase are an important therapeutic approach for reducing

postprandial hyperglycaemia (Shobana, Sreerama, & Malleshi, 2009). In fact, several

synthetic drugs such as acarbose widely used as inhibitors of these enzymes in patients

with type 2 diabetes mellitus and obesity (Yee & Fong, 1996; Padwal & Majumdar,

2007). A largest number of medicinal plants are used in managing diabetes mellitus and

its related complications, due to their phytochemical active contents such as phenolics

and flavonoids with strong antioxidant properties. These compounds have been reported

to be effective inhibitors of α-amylase, α-glucosidase enzymes and lipase (Henda, Kais,

Khaled, Mohamed, Abdelfattah & Noureddin, 2014; Kook, 2007).

2.5.1 α-amylase

α-amylase is the enzyme secreted by salivary glands and pancreas in humans,

which can hydrolyse starch at α-1,4 glycosidic bond into oligosaccharides and maltose.

In humans the digestion of starch involves several stages. Initially, partial digestion by

the salivary amylase results in the degradation of polymeric substrates into shorter

oligomers. Later in the gut these are further hydrolyzed by pancreatic α-amylases into

maltose, maltotriose and small malto-oligosaccharides. The digestive enzyme (α-

amylase) is responsible for hydrolysing dietary starch (glucose), which breaks down

into glucose prior to absorption. Inhibition of α-amylase can lead to reduction in post

prandial hyperglycaemia in diabetic condition (Kook, 2007). α-amylase inhibitors can

be proteins and non-proteins. α-amylase inhibitors are found in plants and animal source

are mainly present in cereals such as wheat (Triticuma estivum) (Feng, Richardson,

Chen, Kramer, Morgan & Reeck, 1996; Singh & Blundel, 2001), barley (Hordeum

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vulgareum) (Weselake, Macgregor, Hill & Duckworth, 1983; Pekkarinen & Jones,

2003), sorghum (Sorghum bicolor) (Bloch & Richardson, 1991), rye (Secale cereal)

(Garcia, Sanchez, Lopez, & Salcedo, 1994; Lulek et al., 2000) and rice (Oryza sativa)

(Yamagata, Kunimatsu, Kamasaka, Kuramoto, & Iwasaki, 1998) but also in

Leguminosae such as pigeon pea (Cajanus cajan) (Giri & Kachole, 1998),

cowpea (Vigna unguiculata) (Melo, Sales, Pereira, Bloch, Franco, & Ary, 1999) and

bean (Phaseolus vulgaris) (Grossi, Mirkov, Ishimoto, Colucci, Bateman, Chrispeel,

1997; Young, Thibault, Watson, & Chrispeels, 1999; Marshal & Lauda, 1997). α-

amylase activity can be measured in vitro by hydrolysis of starch in presence of α-

amylase enzyme. This process can be quantified by its ability to reduce 3,5-

dinitrosalicylic acid to 3-amino-5-nitrosalicylic acid, which gives red-orange colour

with starch. The reduced intensity of red-orange colour indicates the enzyme induced

hydrolysis of starch into monosaccharides. If the substance or extract possesses α-

amylase inhibitory activity, the intensity of red-orange colour will be more. In other

words, the intensity of red-orange colour in test sample is directly proportional to α-

amylase inhibitory activity (Bernfeld, 1955).

2.5.2 α-glucosidase

α-glucosidase is the enzyme that hydrolyses α-1,4 glycosidic bond in

carbohydrate digestion (disaccharides such as maltose, sucrose and lactose into

monosaccharides or glucose), is often located in the brush-border surface membrane of

intestinal cells in human, catalysing the cleavage of disaccharides to form glucose (Kim,

Nam, Kurihara, Kim, 2008). The development of the α-glucosidase inhibitor acarbose

provided a new approach in the management of diabetes. By competitive and reversible

inhibition of intestinal α-glucosidases, acarbose delays carbohydrate digestion, prolongs

the overall carbohydrate digestion time, and thus reduces the rate of glucose absorption.

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After oral administration of acarbose, the postprandial rise in blood glucose is dose-

dependently decreased, and glucose-induced insulin secretion is attenuated. Because of

diminished postprandial hyperglycaemia and hyper-insulinemia by acarbose, the

triglyceride uptake into adipose tissue, hepatic lipogenesis, and triglyceride content are

reduced. Therefore, acarbose treatment not only flattens postprandial glycaemia, due to

the primary and secondary pharmacodynamic effects, but also ameliorates the metabolic

state in general. In diabetic animals, acarbose reduced urinary glucose loss, the blood

glucose area under the curve, and prevented the decrease in skeletal muscle GLUT4

glucose transporters. As a consequence of the reduced mean blood glucose area under

the curve, the formation of advanced glycation end-products (AGEs) was decreased.

The prevention of basement membrane glycation and thickening in various tissues

indicated that acarbose treatment of diabetic animals produced beneficial effects against

the development of nephropathy, neuropathy, and retinopathy. Thus, the α-glucosidase

inhibitor acarbose may have the potential to delay or possibly prevent the development

of diabetic complications (Kook, 2007). This process can be quantified under specific

conditions (pH = 6.9; T = 37 °C), α -glucosidase will catalyze the conversion of the

substrate 4-nitrophenyl-α-D-glucopyranoside to α-D-glucopyranoside and p-

nitrophenol. The yellow colour of the later product is measured by spectrophotometer

(Wehmeier & Piepersberg, 2004). Hence, natural products with acarbose like activity

can be a potential source of remedy to alleviate postprandial hyperglycaemia.

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2.6 Free radicals and their association to diseases

2.6.1 Free radicals

A free radical can be defined as any molecular species capable of independent

existence that contains an unpaired electron in an atomic orbital. The presence of

unpaired electrons in free radicals results in certain common properties. Free radicals

are weakly attracted to a magnetic field and are said to be paramagnetic. Many free

radicals are highly reactive and can either donate an electron to or extract an electron

from other molecules, therefore behaving as oxidants or reductants (Young &

Woodside, 2001). Free radicals are highly reactive species, capable in the nucleus, and

in the membranes of cells of damaging biologically relevant molecules such as DNA,

proteins, carbohydrates, and lipids. Free radicals attack important macromolecules

leading to cell damage and homeostatic disruption. Targets of free radicals include all

kinds of molecules in the body. Among them, lipids, nucleic acids, and proteins are the

major targets. Free radicals and other reactive oxygen species are derived either from

normal essential metabolic processes in the human body or from external sources such

as exposure to ultraviolet, (UV-A, UV-B, UV-C), γ-radiation, X-rays, ozone, cigarette

smoking, air pollutants, and industrial chemicals (Bagchi & Puri, 1998). Free radical

formation occurs continuously in the cells as a consequence of both enzymatic and non-

enzymatic reactions. Enzymatic reactions, which serve as source of free radicals,

include those involved in the respiratory chain, in phagocytosis, in prostaglandin

synthesis, and in the cytochrome P-450 system (Liu, Stern, Robert, Morrow, 1999).

Free radicals can also be formed in non-enzymatic reactions of oxygen with organic

compounds as well as those initiated by ionizing reactions. Some internally generated

sources of free radicals are mitochondria, xanthine oxidase, inflammation, peroxisomes,

phagocytosis, and arachidonate pathways. The oxidative damage occurs when the

critical balance between free radical generation and antioxidant defences is

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unfavourable. Oxidative stress, arising as a result of an imbalance between free radical

production and antioxidant defences, is associated with damage to a wide range of

molecular species including lipids, proteins, and nucleic acids. Short-term oxidative

stress may occur in tissues injured by trauma, infection, heat injury, hypertoxia, toxins,

and excessive exercise. These injured tissues produce increased radical generating

enzymes (e.g. xanthine oxidase, lipogenase, cyclooxygenase) activation of phagocytes,

release of free iron, copper ions, or a disruption of the electron transport chains of

oxidative phosphorylation, producing excess ROS (Lobo, Patil, Phatak, & Chandra,

2010).

2.6.2 Types of free radicals

The most important free radicals in many diseased states are oxygen derivatives,

particularly superoxide and the hydroxyl radicals (Cheesman & Slater, 1993). Free

radical formation in the body occurs by several mechanisms, involving both

endogenous and environmental factors (Young & Woodside, 2001). Oxygen-derived

prooxidants or generally known as reactive oxygen species (ROS) (other terms include

oxygen-derived species, ODS) and reactive nitrogen species (RNS) can be grouped as

radicals and non-radicals. Radicals include superoxide (O2), hydroxyl (OH), peroxyl

(ROO), alkoxyl (RO) and one form of singlet oxygen (O) and non-radicals include

hydrogen peroxide (H2O2), hypochlorous acid (HClO), organic peroxide (ROOH),

singlet oxygen and peroxynitrite (ONOOH) as shown in Table 2.2 (Kohen, Moor, &

Oron, 2003). Prooxidants such as HClO, H2O2, HCOR, ROOH and O3 are commonly

found in living system (Klaunig, Kamendulis, & Hocevar, 2010; Kohen & Nyska, 2002;

Lodovici & Bigagli, 2011; Poljsak & Fink, 2014; Rahal et al., 2014).

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Table 2.2: Types of free radical reactions of some free radicals

Free radicals Description

O2ˉ, superoxide anion

One-electron reduction state O2, formed in many autoxidation reactions and by the electron transport chain.

Rather unreactive but can release Fe2+ from iron sulphur proteins and ferritin. Undergoes dismutation to form

H2O2 spontaneously or by enzymatic catalysis and is a precursor for metal-catalyzed OH formation.

H2O2, hydrogen

peroxide

Two-electron reduction states, formed by dismutation of O2ˉ or by direct reduction of O2. Lipid soluble and thus

able to diffuse across membranes.

OH, hydroxyl radical Three-electron reduction state, formed by Fenton reaction and decomposition of peroxynitrite. Extremely

reactive, will attack across membranes.

ROOH, organic

hydroperoxide Formed by radical reactions with cellular components such as lipids and nucleobases.

RO, alkoxy and ROO,

peroxy radicals

Oxygen centered organic radicals. Lipid forms participate in lipid peroxidation reactions. Produced in the

presence of oxygen by radical addition to double bonds or hydrogen abstraction.

HOCl, hypochlorous

acid

Fomed from H2O2 by myeloperoxidase. Lipid soluble and highly reactive. Will readily oxidize protein

constituents, including thiol groups, amino groups, and methionine.

ONOOˉ, peroxynitrite

Formed in a rapid reaction between O2ˉ and NO. Lipid soluble and similar in reactivity to hypochlorous acid.

Protonation forms peroxynitrous acid, which can undergo homolytic cleavage to form hydroxyl radical and

nitrogen dioxide.

(Source: Sies, 1985; Docampo, 1995; Rice & Gopinathan, 1995)

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2.6.3 Oxidative stress and its role in diseases

Role of oxidative stress has been postulated in many conditions, including

atherosclerosis, inflammatory condition, (Rosenfeld, 1998) certain cancers (Hecht,

1999), and in the process of aging (Ashok & Ali, 1999). Oxidative stress is now thought

to make a significant contribution to all inflammatory diseases (e.g. arthritis, vasculitis,

glomerulonephritis, lupus erythematous, adult respiratory disease syndrome), ischemic

diseases (e.g. heart diseases, stroke, intestinal ischemia), hemochromatosis, acquired

immunodeficiency syndrome, emphysema, organ transplantation, gastric ulcers,

hypertension and preeclampsia, neurological disorder (e.g. alzheimer's disease,

Parkinson's disease, muscular dystrophy), alcoholism, smoking-related diseases, and

cancer as well as the side-effects of radiation and chemotherapy, have been linked to the

imbalance between ROS and the antioxidant defence system. ROS have been implicated

in the induction and complications of diabetes mellitus, age-related eye disease, and

neurodegenerative diseases. An excess of oxidative stress can lead to the oxidation of

lipids and proteins, which is associated with changes in their structure and functions

(Young & Woodside, 2001). Heart diseases continue to be the biggest killer, responsible

for about half of all the deaths. The oxidative events may affect cardiovascular diseases.

Poly unsaturated fatty acids occur as a major part of the low density lipoproteins (LDL)

in blood and oxidation of these lipid components in LDL play a vital role in

atherosclerosis (Esterbauer, Puhl, Dieber, Waeg, & Rabl, 1991). The three most

important cell types in the vessel wall are endothelial cells, smooth muscle cell and

macrophages, can release free radical, which affect lipid peroxidation. With continued

high level of oxidized lipids, blood vessel damage to the reaction process continues and

can lead to generation of foam cells and plaque, the symptoms of atherosclerosis.

Oxidized LDL is atherogenic and thought to be important in the formation of

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atherosclerosis plaques. Furthermore, oxidized LDL is cytotoxic and can directly

damage endothelial cells (Neuzil, Thomas, & Stocker, 1997).

2.6.3.1 Oxidative stress and diabetes mellitus

There is substantial evidence that people with diabetes tend to have increased

generation of reactive oxygen species, decreased antioxidant protection, and therefore

increased oxidative damage. Hyperglycaemia or a high blood glucose level has been

shown to increase reactive oxygen species and end products of oxidative damage in

isolated cell cultures, in animals with diabetes, and in humans with diabetes.

Measurement of the end products of oxidative damage to body fat, proteins, and DNA

are commonly used to assess the degree of oxidative damage to body cells and tissues.

The oxidative damage is greater in type 2 diabetic patients compared to those with type

1, especially people with type 2 diabetes and the metabolic syndrome, which involves

central obesity, hypertension (high blood pressure), and high blood fat levels along with

insulin resistance (decreased effectiveness of insulin in metabolizing blood glucose).

The antioxidant protection is decreased and oxidative stress increased in some people

even before the onset of diabetes. For instance, increased levels of oxidative stress have

been found in people who have impaired glucose tolerance, or prediabetes (Jacob,

2007).

Diabetic complications can be divided into two major groups, macrovascular

(injury of the arteries) which lead to complications such as cardiovascular disease and

stroke and microvascular injury of blood capillaries which lead to complications such as

retinopathy (eye disease), nephropathy (kidney disease) and neuropathy (neural

disease). Other diabetic complications are peripheral neuropathy, amputation, dementia,

sexual dysfunction and depression (Forbes & Cooper, 2013). Oxidative stress has been

highlighted as the major contributor towards both macrovascular and microvascular

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complications of diabetes (Giacco & Brownlee, 2010; Matough, Budin, Hamid,

Alwahaibi, & Mohamed, 2012; Tiwari, Pandey, Abidi, & Rizvi, 2013). Prolonged

exposure to high glucose level in hyperglycaemic condition has been believed to induce

over production of ROS from mitochondria of cells. Influx of glucose initiates

glycolysis (oxidation of glucose), followed by downstream reactions in the Krebs cycle

and eventually the electron transport chain (ETC) to produce energy in aerobic

respiration (oxygen serves as the final electron acceptor). Proton (H+) gradient develops

between inner mitochondrial membranes and intermembrane space when electron

donors enter and cross the ETC. Heavy flux in proton gradient due to increased entry of

electron donors into ETC causes overproduction of superoxides from oxidation of

oxygen. Superoxides are degraded by manganese superoxide dismutase (MnSOD) into

H2O2 which is removed by catalase or peroxidase. However, failure in this action results

in production of more free radicals such as the highly reactive OH (Nishikawa et al.,

2000; Wallace, 1992). Generation of ROS causes oxidative damage as well as tissue

injury, particularly in microvascular complications through four major mechanisms,

namely stimulation of protein kinase C pathway, polyol pathway, hexosamine pathway

and increased formation of intracellular AGE and AGE receptor (RAGE). In

macrovascular complications, effect of hyperglycaemia is through pathway-specific

insulin resistance that causes increased fatty acid oxidation (Brownlee, 2005; Du,

Edelstein, Dimmeler, Ju, Sui, & Brownlee, 2001; Giacco & Brownlee, 2010; Singh,

Bali, Singh, & Jaggi 2014; Tarr, Kaul, Chopra, Kohner, & Cibber, 2013; Tiwari,

Pandey, Abidi, & Rizvi, 2013).

The activity of protein kinase C (PKC) isoforms is triggered by diacylglycerol

(DAG). Activation of the pathway has been reported in diabetic atherosclerosis,

cardiomyopathy, smooth muscle cells and glomerulus of diabetic rats (Ganz & Seftel,

2000; Kikkawa, Haneda, Uzu, Koya, Sugimoto, & Shigeta, 1994). PKC also mediates

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changes in blood flow, vascular permeability, release of angiogenic factors and

neovascularisation in diabetic retinopathy (Frank, 2004). On the other hand, polyol

pathway involves conversion of glucose into sorbitol (sugar alcohol or polyol) by the

aldose reductase enzyme. The enzyme is commonly found in lens, retina, glomerulus

and nerve. The conversion of glucose to sorbitol requires nicotinic acid adenine

dinucleotide phosphate (NADPH) as a cofactor. NADPH is also needed as the cofactor

for the generation of GSH, a potent scavenger of ROS. Hence, the consumption of

NADPH reduces production of GSH and enhances oxidative stress in the cells.

Increased expression of aldose reductase gene and reduced level of GSH in lens of

transgenic mice have been reported previously (Snow et al., 2015; Vikramadithyan et

al., 2005). Hexosamine pathway, increased hyperglycaemia-induced O-GlcNAcylation

activity has been observed in smooth muscle and cardiomyocyte calcium cycling, which

inhibits the influx of calcium (Akimoto, Kreppel, Hirano, & Hart, 2001; Clark et al.,

2003; Weigert, Friess, Brodbeck, Haring, & Schleicher, 2003).

AGE is a product of non-enzymatic reaction between reducing sugar (glucose or

related compounds such as methylglyoxal, glyoxal and 3-deoxyglucosone derived from

glucose or fatty acid oxidation) and macromolecules particularly proteins (candido et

al., 2003; Wautier & Schmidt, 2004). Endogenous factors such as increased oxidative

stress, insulin resistance and improper utilization of glucose and exogenous sources like

cigarette smoke, thermolyzed food and beverages accelerated formation of AGE rapidly

(Kandarakis, Piperi, Topouzis, & Papavassiliou, 2014). The compounds are commonly

found in the extracellular matrix in cells affected by high glucose (diabetes) and could

modify functions of intracellular proteins, plasma proteins and other matrix components

or receptors. High level of AGE in serum of type 2 diabetes mellitus patients has been

reported previously (Kilhovd, Berg, Birkeland, Thorsby, & Hanssen, 1999). AGE-

RAGE (AGE receptor) complex significantly induces production of ROS, NFkB (an

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inflammatory marker) and alters gene expression (Goldin, Beckman, Schmidt, &

Creager, 2006). The combination of RAGE-NFkB has shown a damaging effect in

diabetic neuropathy (Bierhaus et al., 2004). Activation of NFkB also triggers

transcription of vascular endothelial growth factor (VEGF), intercellular adhesion

molecule 1 (ICAM-1), vascular cell adhesion molecule 1 (VCAM-1), TNF-α, monocyte

chemoattractant protein-1 (MCP-1) and interleukins that lead to the development of

atherosclerosis (Goldin, Beckman, Schmidt, & Creager, 2006; Schiekofer et al., 2003).

Methylglyoxal in hyperglycaemic condition has been shown to enhance expression of

angiopoietin-2 which promotes the release of various proinflammatory markers such as

TNF-α, ICAM-1 and VCAM-1 in renal cells (Yao et al., 2007). Inhibition of RAGE

was shown to reduce progression of atherosclerosis due to reduced expression of

VCAM-1, NFkB, MCP1 and oxidative stress (Soro et al., 2008). Other theories related

to the contribution of oxidative stress towards hyperglycaemia and related

complications include auto-oxidation of glucose, which results in the formation of

radicals (Wolff, 1993), glycation of antioxidant enzyme which prevents its ability to

remove radicals (Giugliano, Ceriollo, & Paolisso, 1995) and ketosis particularly in type

1 diabetes mellitus patients that contributes towards the formation of ROS as shown in

Figure 2.1 (Jain, Kannan, & Lim, 1998).

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Hyperglycaemia : High Glucose Levels

Reactive oxygen intermediate pathway Protein Kinase C

(PKC) pathwayPolyol Pathway Hexosamine pathway Advanced glycation

endproduct pathway

Oxidative

phosporylationGlycoxidation

Reactive

oxidative stress

(ROS)

Oxidative stress

AGE

Glycolysis

Glyceraldehyde-

3-phosphate

ROS/AGE

DAG

Activation of

PKC

Sorbitol

Reactive

species

Oxidative stress

Fructose-6-

phosphate

Glucosamine-6-

phosphate

UDP-GlcNAc

TGF-β1

Proteins

AGE

(extracellular/

intracellular)

AGE/RAGE

binding

ROS

Oxidative damage, tissue injury and dysfunction

Microvascular diabetic complication : retinopathy, neuropathy, nephropathy

OP

NADPH à NADP

Redox

imbalance

Aldose

reductase

Osmotic stress

Activation of cell signaling molecules à change in genes expression and proteins function

GFAT

Nonenzymatic

glycation

Figure 2.1: Summary of signalling pathways involved in microvascular diabetic complications (Source: Sheetz & King, 2002) (DAG:

Diacylglycerol; AGE: Advanced glycation endproduct; OP: Oxidative phosphorylation; GFAT: Glutamine fructose 6-phosphate

aminotransferase; TGF: Transforming growth factor)

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2.6.4 Role of antioxidants against free radicals

An antioxidant is a molecule stable enough to donate an electron to a rampaging

free radical and neutralize it, thus reducing its capacity to damage. These antioxidants

delay or inhibit cellular damage mainly through their free radical scavenging property

(Halliwell, 1997). Antioxidants act as radical scavengers, hydrogen donors, electron

donors, peroxide decomposers, singlet oxygen quenchers, enzyme inhibitors, synergists,

and metal-chelating agents. Both enzymatic and non-enzymatic antioxidants exist in the

intracellular and extracellular environment to detoxify ROS (Young & Woodside, 2001;

Frie, Stocker, & Ames, 1988). Two principle mechanisms of action have been proposed

for antioxidants (Rice & Diplock, 1993). The first is a chain-breaking mechanism by

which the primary antioxidant donates an electron to the free radical present in the

systems. The second mechanism involves removal of ROS or reactive nitrogen species

initiators (secondary antioxidants) by quenching chain-initiating catalyst. Antioxidants

may exert their effect on biological systems by different mechanisms including electron

donation, metal ion chelation, co-antioxidants, or by gene expression regulation

(Krinsky, 1992). Research suggests that free radicals have a significant influence on

aging as well, that free radical damage can be controlled with adequate antioxidant

defence, and that optimal intake of antioxidant nutrient may contribute to enhanced

quality of life. Recent research indicates that antioxidants may even positively influence

life span (Lobo, Patil, Phatak, & Chandra, 2010).

2.6.4.1 Natural antioxidants

Natural food antioxidants are used routinely in foods and medicine especially

those containing oils and fats to protect the food against oxidation. The use of natural

antioxidants in food, cosmetic, and therapeutic industry would be promising alternative

for synthetic antioxidants in respect of low cost, highly compatible with dietary intake

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and no harmful effects inside the human body. Many antioxidant compounds, naturally

occurring in plant sources have been identified as free radical or active oxygen

scavengers (Brown & Rice, 1998). Natural antioxidants can decrease oxidative stress

induced carcinogenesis by direct scavenging of ROS and/or by inhibiting cell

proliferation secondary to the protein phosphorylation. β-carotene may be protective

against cancer through its antioxidant function, because oxidative products can cause

genetic damage. Thus, the photo protective properties of β-carotene may protect against

ultraviolet light induced carcinogenesis (Levine, Ramsey, & Daruwara, 1991). Vitamin

C may be helpful in preventing cancer. The possible mechanisms by which vitamin C

may affect carcinogenesis include antioxidant effects, blocking of formation of

nitrosanines, enhancement of the immune response, and acceleration of detoxification of

liver enzymes. Vitamin E, an important antioxidant, plays a role in immune competence

by increasing humoral antibody protection, resistance to bacterial infections, cell-

mediated immunity, the T-lymphocytes tumour necrosis factor production, inhibition of

mutagen formation, repair of membranes in DNA, and blocking micro cell line

formation. Hence vitamin E may be useful in cancer prevention and inhibit

carcinogenesis by the stimulation of the immune system. Antioxidants like β-carotene

or vitamin E also play a vital role in the prevention of various cardiovascular diseases

(Jacob, 1996; Knight, 1998). Attempts have been made to study the antioxidant

potential of a wide variety of vegetables like potato, spinach, tomatoes, and legumes

(Furuta, Nishiba, & Suda, 1997). There are several reports showing antioxidant

potential of fruits (Wang, Cao, & Prior, 1996). Strong antioxidant activities have been

found in berries, cherries, citrus, prunes, and olives. Green and black teas have been

extensively studied in the past for antioxidant properties since they contain up to 30 %

of the dry weight as phenolic compounds (Lin, Lin, Ling, Lin, & Juan, 1998). Table 2.3

shows the summary of natural antioxidants reported in the literature.

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Table 2.3: List of few natural antioxidants reported for their antioxidant potential in literature

No. Natural antioxidant Part of plant used Mechanism of its action Class of

phytoconstituents References

1 Vitamin C - Hydroxyl radical scavenging activity Vitamin Wang et al., 2016

2 Vitamin E - Hydroxyl and superoxide radical

scavenging activity Vitamin Chen et al., 2016

3 Dregea volubilis ext. Flowers Hydroxyl, superoxide and nitric oxide

radical scavenging activity Flavonoids Das et al., 2017

4 Leucaena leucochepala ext. Seeds DPPH radical scavenging activity Phenolic compounds Chowtivannakul et al., 2016

5 Schinsandra sphenanthera

ext. Fruits

Hydroxyl and superoxide radical

scavenging activity Lignan and Triterpenoids Niu et al., 2017

6 Arcangelisia flava ext. Leaves Hydroxyl and superoxide radical

scavenging activity Flavonoids Wahyudi et al., 2016

7 Swertia corymbosa ext. Aerial parts Hydroxyl, superoxide and nitric oxide

radical scavenging activity Phenolic compounds Mahendran et al., 2015

8 Acacia nilotica ext. Bark Hydrogen peroxide radical

scavenging activity Phenolic compounds Barapatre et al., 2015

9 Eugeissona insignis ext. Vegetable palm heart Peroxyl radical scavenging activity Phenolic compounds Zabidah et al., 2014

10 Vigna radiata L ext. Beans Hydroxyl radical scavenging activity Phenolic compounds Yang et al., 2013

11 Syzygium malaccense ext. Fruits and leaves Peroxyl radical scavenging activity Flavonoids Batista et al., 2017

12 Capsicum ext. Fruits DPPH radical scavenging activity Phenolic compounds Sricharoen et al., 2016

13 Lonicera japonica ext. Fresh buds and flowers Hydroxyl radical scavenging activity Phenolic compounds Kong et al., 2017

14 Brassica oleracea ext. Flowers Superoxide radical scavenging

activity Phenolic compounds Wei et al., 2010

15 Psidium Guajava ext. Fruits Peroxyl radical scavenging activity Phenolic compound Thaipong et al., 2006

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2.7 Rationale behind selection of S. polyanthum and M. charantia in the current

study

Based on Indonesian folklore data “Jamu” is traditional herbal medicine that has

been practised for many centuries in the Indonesian community to maintain good health

and to treat diseases and usually prepared by decoction. Although modern

(conventional) medicine is becoming increasingly important in Indonesia, jamu is still

very popular in rural as well as in urban areas. Based on its traditional use jamu is being

developed into a rational form of therapy, by herbal practitioners and in the form of

phytopharmaceuticals. Jamu has acquired a potential benefit, both economically and

clinically. We believe in Indonesia most research activity into natural products is

limited to the inventory of folkloric information and utilization of various plants and

trees, scientific proof for their biological activity is still challenging. M. charantia and

S. polyanthum are two popular medicinal plants used in Indonesia. The leaves of S.

polyanthum, is used as a culinary additive and also used for diabetes, diarrhoea, and

skin infections (Kusuma et al., 2011; Dalimartha, 2007; Lelono et al., 2009). In other

findings, S. polyanthum leaf extracts were proven to possess antibacterial activity

against Staphylococcus aureus (Grosvenor, Supriono, & Gray, 1995), antitumor

promoting activity (Ali, Mooi, & Yih, 2000), and antioxidant activity (Wong, Leong, &

Koh, 2006; Perumal, Mahmud, Piaru, Cai, & Ramanathan, 2012). The fruits of M.

charantia are used as an antidiabetic remedy (Elfahmi, Herman, & Oliver, 2014), M.

charantia juice prepared by crushing and straining the unripe fruit added with water is

taken once or twice a day (Bailey, Day, & Leatherdalc, 1986). Despite the extensive use

by Indonesian people, there have been only limited attempts to explore the biological

properties of these plants in relation to their medicinal uses. Therefore, evaluation of

their scientific authenticity and proof of concept was felt appropriate on the above

plants.

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2.7.1 Syzygium polyanthum

2.7.1.1 Habit, habitat and macroscopy of S. polyanthum

S. polyanthum grows wild in the forests and mountains or planted in the garden

and around the house. This tree can be found in low lands up to an altitude of 1400 m

above sea level. It is a medium-sized tree up to 30 m tall with dense crown, bole up to

60 cm in diameter; bark surface fissured and scaly, grey, leaf is opposite, simple, petiole

up to 12 mm long; blade oblong-elliptical, narrowly elliptical or lanceolate, 5-16 cm x

2.5-7 cm, with 6-11 pairs of secondary veins distinct below and a distinct intramarginal

vein, the apex is blunt and the base of the leaf stretches along length with presence of

small schizogenous oil glands. The dried brown leaves are aromatic, slightly sour and

astringent. The small flowers are in loose bunches that arise from twigs behind the leaf;

the flowers are creamy and later turn pink or red and have fragrance with the fruits

around. Fruit is a one-seeded berry, up to 12 mm in diameter, it is green and turns red to

brown when mature; the ripe fruits are sweet mixed sour as shown in Figure 2.2

(Amalina, 2014).

2.7.1.2 Chemical constituents of S. polyanthum

S. polyanthum contains glycosides, fatty acids, terpenoids, citral, eugenol,

tannins, and flavonoids (Ratna, Ferawati, Wahyu, Lucia, Iwan, & Elisabeth, 2015;

Widyawati, Nor, Mohd, & Mariam, 2015). Other major phytochemical constituents of

the essential oil from S. polyanthum leaves include cis-4-decenal, octanal, 𝛼-pinene,

farnesol, 𝛽-ocimene, and nonanal (Ismail, Mohamed, Sulaiman, & Ahmad, 2013). A

review by Kusuma et al. (2011) on phytochemical screening of the S. polyanthum

revealed triterpenoids, steroids and alkaloids.

2.7.1.3 Pharmacological actions of S. polyanthum

Saponins showed hypocholesterolemic and antidiabetic properties, while

steroids and triterpenoids displayed analgesic properties (Rupasinghe, Jackson, Poysa,

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Figure 2.2: Syzygium polyanthum

(Source: www.florafauna.web.nparks.gov.sg)

Di, Bewley, & Jenkinson, 2003; Sayyah, Hadidi, & Kamalinejad, 2004; Malairajan,

Geetha, Narasimhan, & Jessi, 2006). Previously, it has been proven that the

administration of tannin fractions for 30 days significantly reversed the increase of the

blood glucose levels of an STZ-induced hypercholesterolemia-associated diabetic rat

model (Velayutham, Sankaradoss, & Ahamed, 2012). Eugenol, a phenolic compound

abundantly found in Syzygium family, has reputed ability as a vasorelaxant compound

that causes vasodilation in vitro and reduces blood pressure and heart rate of rats in vivo

(Ismail, Mohamed, Sulaiman, & Ahmad, 2013). Furthermore, some flavonoids e.g.

quercetin, glycosides and phytols have been reported to have antihyperglycaemic

activity through various mechanisms of action, such as the inhibition of α-glucosidase,

the increase of blood insulin levels, regeneration of pancreatic β-cells, antibacterial,

antioxidant, anti-inflammatory, anti-allergic, anti-mutagenic, and vasodilatory activities

(Miller, 1996; Widyawati, Nor, Mohd, & Mariam, 2015; Sharma & Balomajumder,

2008; Singab, El, Yonekawa, Nomura, & Fukai, 2005; Tapas, Sakarkar, & Kakde,

2008; Jananie, Priya, & Vijayalakshmi, 2011)

2.7.1.4 Taxonomic classification of S. polyanthum

Based on the taxonomy of plants, S. polyanthum can be classified as follows:

Kingdom : Plantae

Sub-Kingdom : Tracheobionta

Super-Division: Spermatophyta

Division : Magnoliophyta

Sub-Division : Angiospermae

Class : Magnoliopsida

Order : Myrtales

Family : Myrtaceae

Genus : Syzygium

Species : Syzygium polyanthum Walp.

Local common names: Salam (Indonesia); Serai kayu (Malaysia); Bay leaf (England);

Dokmaeo (Thailand); San thuyen (Vietnam).

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2.7.2 Momordica charantia

2.7.2.1 Habit, habitat and macroscopy of M. charantia

M. charantia is an annual creeper plant. Leaves are simple and alternate, borne

on a long channeled petiole, down from 1.5 to 7 cm at the base of which is a simple

tendril. The leaves are palmate and deeply lobed, the general shape suborbicular, 3-12

cm wide. Lobes are deeply cut up to half the length of the limb or more. The base is

widely cordate, the apex is acute. The margin is irregularly toothed, both sides are

almost hairless with a few scattered hairs long the nerves on the lower surface. The stem

is slender, slightly pubescent, grooved and light green, it branches at the base. The

sepals are lanceolate, 4 to 6 mm long and 2 mm wide, glabrous. The petals are yellow,

obovate and smooth, 10 to 20 mm long and 715 mm wide, and two of them carry a scale

at their base. Fruit is fleshy, broadly ovoid oblong to fusiform, 4 to 20 cm long and 2.5

to 4 cm wide, dehiscent at the top by 3 valves. It is yellow orange to scarlet, it contain

many seeds. Seeds are oval-elliptic and covered by red mucilage, almost toothed at the

top, 10 to 16 mm long and 7-9 mm wide and 2-3 mm thick, as shown in Figure 2.3

(Kendrick, Xia, Mei, & Nirmal, 2004).

2.7.2.2 Chemical constituents of M. charantia

M. charantia contains biologically active chemicals that include glycosides,

saponins, alkaloids, fixed oils, triterpenes, proteins and steroids. The immature fruits are

a good source of vitamin C and also provide vitamin A, phosphorus, and iron. Several

phytochemicals such as momorcharins, momordenol, momordicilin, momordicins,

momordicinin, momordin, momordolol, charantin, charine, cryptoxanthin, cucurbitins,

cucurbitacins, cucurbitanes, cycloartenols, diosgenin, elaeostearic acids, erythrodiol,

galacturonic acids, gentisic acid, goyaglycosides, goyasaponins, multi-florenol, have

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been isolated (Husain, Tickle, & Wood, 1994; Xie, Huang, Deng, Wu, & Ji, 1998;

Yuan, He, Xiong, & Xia, 1999; Parkash, Ng, & Tso, 2002). These are reported in all

parts of the plant (Murakami, Emoto, Matsuda, & Yoshikawa, 2001). The

hypoglycaemic chemicals of M. charantia are a mixture of steroidal saponins known as

charantins, insulin-like peptides and alkaloids and these chemicals are concentrated in

fruits of M. charantia. (Grover &Yadav, 2004).

2.7.2.3 Pharmacological actions of M. charantia

M. charantia contains bitter chemicals like, charantin, vicine, glycosides and

karavilosides along with polypeptide-p, which are hypoglycaemic in action and improve

blood sugar levels by increasing glucose uptake and glycogen synthesis in the liver,

muscles and fat cells. Reports indicate that they also improve insulin release from

pancreatic beta cells, and repair or promote new growth of insulin-secreting beta cells.

P-Insulin, a polypeptide from the fruits and seeds rapidly decreased and normalized the

blood sugar level in rats (Singh, Kumar, Giri, Bhuvaneshwari, & Pandey, 2012). M.

charantia contains another bioactive compound i.e. lectin that has insulin like activity.

The insulin-like bioactivity of lectin is due to its binding on two insulin receptors. This

lectin lowers blood glucose concentrations by acting on peripheral tissues and, similar

to insulin's effects in the brain, suppressing appetite. This lectin is a major contributor to

the hypoglycaemic effect that develops after eating M. charantia. Charantin, an alcohol

soluble potent hypoglycaemic agent composed of mixed steroids is used in the

treatment of diabetes to lower the blood sugar levels (Khan & Flier, 2000; Shetty,

Kumar, Sambaiah, & Salimath, 2005; Gupta, Sharma, Gautam, & Bhadauria, 2011).

2.7.2.4 Taxonomic classification of M. charantia

Based on the taxonomy of plants, M. charantia can be classified as follows:

Kingdom : Plantae

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Figure 2.3: Momordica charantia

(Source: www.florafauna.web.nparks.gov.sg)

Sub-Kingdom : Tracheonbionta

Super-Division : Spermatophyta

Division : Magnoliophyta

Sub-Division : Angiospermae

Class : Dicotyledoneae

Order : Cucurbitales

Family : Cucurbitaceae

Genus : Momordica

Species : Momordica charantia L.

Local common names: Pare (Indonesia); Peria (Malaysia); Bitter melon (England);

Mara, Phakha (Thailand); Kho qua (Vietnam).

2.8 Extraction, profiling of phytoconstituents from selected plants

The history of the extraction of natural products dates back to Mesopotamian

and Egyptian times, where production of perfumes or pharmaceutically active oils and

waxes was a major business. In archeological excavations 250 km south of Baghdad

extraction pots from about 3500 BC were found, made from a hard, sandy material

presumably air-dried brick earth. Also, well-documented recipes to obtain creams and

perfumes, from the time of the Assyrian king Tukulti-Ninurta I, 1120 BC. The natural

feedstock was crushed in a mortar, and then leached in boiled water for one day. New

feed was then added gaining higher concentrations. After percolation, oil was added

while increasing the temperature. After cooling, the top oil extract can be removed, and

the use of demisters (sieves of clay filled with wool or hair) is also report (Levey,

1959).

Extraction (as the term is pharmaceutically used) is the separation of medicinally

active portions of plant (and animal) tissues using selective solvents through standard

procedures. Such extraction techniques separate the soluble plant metabolites and leave

behind the insoluble cellular marc. The products so obtained from plants are relatively

complex mixtures of metabolites, in liquid or semisolid state or (after removing the

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solvent) in dry powder form, and are intended for oral or external use. These include

classes of preparations known as decoctions, infusions, fluid extracts, tinctures, pilular

(semisolid) extracts or powdered extracts. Such preparations have been popularly called

galenicals, named after Galen, the second century Greek physician. The purpose of

standardized extraction procedures for crude drugs (medicinal plant parts) is to attain

the therapeutically desired portions and to eliminate unwanted material by treatment

with a selective solvent known as menstruum. The extract thus obtained, after

standardization, may be used as medicinal agent as such in the form of tinctures or fluid

extracts or further processed to be incorporated in any dosage form such as tablets and

capsules. These products contain complex mixtures of many medicinal plant

metabolites, such as alkaloids, glycosides, terpenoids, flavonoids and lignans. In order

to be used as a modern drug, an extract may be further processed through various

techniques of fractionation to isolate individual chemical entities.

The industrial processing of medicinal and aromatic plants primarily starts with

the extraction of the active components using various technologies. The general

techniques of medicinal plant extraction include maceration, infusion, percolation,

digestion, decoction, hot continuous extraction (soxhlet), aqueous-alcoholic extraction

by fermentation, counter-current extraction, microwave-assisted extraction, ultrasound

extraction (sonication), supercritical fluid extraction, and phytonic extraction (with

hydrofluorocarbon solvents). For aromatic plants, hydrodistillation techniques (water

distillation, steam distillation, water and steam distillation), hydrolytic maceration

followed by distillation, expression and enfleurage (cold fat extraction) may be

employed. Some of the latest extraction methods for aromatic plants include headspace

trapping, solid phase micro-extraction, protoplast extraction, microdistillation,

thermomicrodistillation and molecular distillation. With the increasing demand for

herbal medicinal products, nutraceuticals, and natural products for health care all over

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the world, medicinal plant extract manufacturers and essential oil producers have started

using the most appropriate extraction technologies in order to produce extracts and

essential oils of defined quality with the least variations from batch to batch. Such

approach has to be adopted by medicinal and aromatic plants-rich developing countries

in order to meet the increasing requirement of good quality extracts and essential oils

for better efficacy generation within the country, as well as for capturing this market in

developed countries. The basic parameters influencing the quality of an extract are the

plant parts used as starting material, the solvent used for extraction, the manufacturing

process (extraction technology) used with the type of equipment employed, and the

crude-drug : extract ratio. The use of appropriate extraction technology, plant material,

manufacturing equipment, extraction method and solvent and the adherence to good

manufacturing practices certainly help to produce a good quality extract. From

laboratory scale to pilot scale, all the conditions and parameters can be modelled using

process simulation for successful industrial-scale production. With the advances in

extraction technologies and better knowledge for maintaining quality parameters, it has

become absolutely necessary to disseminate such information to emerging and

developing countries with a rich medicinal and aromatic plants biodiversity for the best

industrial utilization of medicinal and aromatic plant resources (Sukhdev, Suman,

Gennaro, & Dutt, 2008).

2.8.1 Maceration

In this process, the whole or coarsely powdered crude plant is placed in a

stoppered container with the solvent and allowed to stand at room temperature for a

period of 3 days with frequent agitation until the soluble matter has dissolved. The

process is intended to soften and break the plant’s cell wall to release the soluble

phytochemicals. The mixture then is strained, the marc (the damp solid material) is

pressed, and the combined liquids are clarified by filtration or decantation after standing

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(Sukhdev, Suman, Gennaro, & Dutt, 2008). In this conventional method the choice of

solvents will determine the type of compound extracted from the samples. The strength

and limitation of this technique are that it is the easiest and simple method. However,

organic waste come into an issue as large volume of solvents is used and proper

management of the waste is needed. Alteration in temperature and choice of solvents

enhance the extraction process, reduce the volume needed for extraction and can be

introduced in the maceration technique, when such alteration is not objectionable

(Azwanida, 2015). There are so many studies in natural product using maceration as an

extraction method. Maceration extraction for pyrethrum flowers (Chrysanthemum

cinerariifolium) was done by Gallo et al. (2017), using hexane as solvent and kept in

room temperature carried out for 4 days. The result was with a high yield of extract it is

possible to obtain pyrethrin extracts for use in the production of low toxicity

insecticides (Albuquerque et al., 2017).

2.8.2 Hot continuous extraction (soxhlet extraction)

This technique uses continuous extraction by solvent of increasing polarity. The

extract is placed in thimble constructed of muslin or cellulose, through which solvent is

continuously refluxed. The soxhlet apparatus will empty its content into round bottomed

flask once the solvent reaches a certain level. As fresh solvent enters the apparatus by a

reflux condenser, extraction is very efficient and compounds are effectively drawn into

the solvent from the extract due to their low initial concentration in the solvent. The

method suffers from the same drawback as other hot extraction methods (possible

degradation in the solvent), but it is the best extraction method for the recovery of big

yields of extract. Moreover, providing biological activity is not lost on heating, the

technique can be used in drug lead discovery (Sukhdev, Suman, Gennaro, & Dutt,

2008). This method requires a smaller quantity of solvent compared to maceration.

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However, the soxhlet extraction comes with disadvantage such as exposure to

hazardous and flammable liquid organic solvents, with potential toxic emissions during

extraction. Solvents used in the extraction system need to be of high-purity that might

add to cost (Azwanida, 2015). The ideal sample for soxhlet extraction is also limited to

a dry and finely divided solid and many factors such as temperature, solvent-sample

ratio and agitation speed need to be considered for this method. Soxhlet extraction of

sweet passion fruit (Passiflora alata Curtis) extraction yield was 28.33 % using n-

hexane as solvent because the heating during the soxhlet extraction could be contributed

to the partial degradation of some of these compounds compared with the sonication

extraction (Pereitra, Fabiane, Eriel, Agnes, & Marcos, 2017).

2.8.3 Sonication

The procedure involves the use of ultrasound with frequencies ranging from 20

kHz to 2000 kHz; the mechanical effect of acoustic cavitation from the ultrasound

increases the surface contact between solvents and samples and permeability of cell

walls. Physical and chemical properties of the materials subjected to ultrasound are

altered and disrupt the plant cell wall; facilitating release of compounds and enhancing

mass transport of the solvents into the plant cells (Azwanida, 2015). The benefits of

sonication extraction are mainly due to reduction in extraction time and solvent

consumption and the procedure is simple and relatively low cost technology that can be

used in both small and larger scale of phytochemical extraction. However, the use of

ultrasound energy more than 20 kHz may have an effect on the active phytochemicals

through the formation of free radicals and consequently undesirable changes in the drug

molecules and large-scale application is limited due to the higher costs (Sukhdev,

Suman, Gennaro, & Dutt, 2008). An investigation by Safdar et al. (2016) was carried

out to extract polyphenols from the peel of kinnow (Citrus reticulate Linn.) by

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sonication extraction techniques. The highest extraction yield was obtained through the

solvent ethanol at 80 % concentration level. Sonication was a more efficient technique

and yielded comparatively higher polyphenol contents extract using sonication

extraction.

2.8.4 Fresh juice

In the current study, the fresh fruits were cut open to remove the seeds and fresh

leaves chopped into small pieces and then homogenised with water in a commercial

blender. The fresh juice was then centrifuged and the supernatant was lyophilized. The

benefits of fresh juice extraction are mainly reduction in extraction time and solvent

consumption and the procedure is simple and relatively low cost technology using the

household mixer (Kumar, Balaji, Um, & Sehgal, 2009). A study by Torti et al. (1995)

on Acomastylis rossi and Ouratea lucens, fresh juices were extracted by using the

homogenizer for 60 seconds at maximum speed, it proved to be both efficient and

consistent in extracting phenolics from tender, as well as tough, leaves. That adoption of

the fresh juice extraction will increase phenolic yield and efficiency. The fresh juice has

its efficacy in breaking down cell walls. The joint action of the partial vacuum created

by the homogenizer and the tearing by the saw tooth generator serve to break the cell

wall of plant.

2.9 Gas chromatography - Mass spectrometry (GC-MS)

Gas chromatography (GC), is a type of chromatography in which the mobile

phase is a carrier gas, usually an inert gas such as helium or an un-reactive gas such as

nitrogen, and the stationary phase is a microscopic layer of liquid or polymer on an inert

solid support, inside glass or metal tubing, called a column. The capillary column

contains a stationary phase; a fine solid support coated with a non-volatile liquid.

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The solid can itself be the stationary phase. The sample is swept through the column by

a stream of helium gas. Components in a sample are separated from each other because

some take longer to pass through the column than others. Mass spectrometry (MS),

the detector for the GC is the mass spectrometer. As the sample exits the end of the GC

column it is fragmented by ionization and the fragments are sorted by mass to form a

fragmentation pattern. Like the retention time (RT), the fragmentation pattern for a

given component of sample is unique and therefore is an identifying characteristic of

that component. It is so specific that it is often referred to as the molecular fingerprint.

Gas chromatography mass spectrometry (GC-MS) is an analytical method that

combines the features of gas-liquid chromatography and mass spectrometry to identify

different substances within a test sample. GC can separate volatile and semi-volatile

compounds with great resolution, but it cannot identify them. MS can provide detailed

structural information on most compounds such that they can be exactly identified, but

it cannot readily separate them. GC-MS is a combination of two different analytical

techniques, gas chromatography (GC) and mass spectrometry (MS), is used to analyse

complex organic and biochemical mixtures. Spectra of compounds are collected as they

exit a chromatographic column by the mass spectrometer, which identifies and

quantifies the chemicals according to their mass to-charge ratio (m/z). These spectra can

then be stored on the computer and analysed. Carrier gas is fed from the cylinders

through the regulators and tubing to the instrument. It is usual to purify the gases to

ensure high gas purity and gas supply pressure. The sample is volatilized and the

resulting gas entrained into the carrier stream entering the GC column. Capillary GC

columns are usually several meters long (10-120 m is typical) with an internal diameter

of 0.10-0.50 mm, whilst packed GC columns tend to be 1-5 meters in length with either

2 or 4 mm internal diameter. Gas chromatography have ovens that are temperature

programmable, the temperature of the gas chromatographic ovens typically range from

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5 to 400 oC but can go as low as -25 oC with cryogenic cooling. There are several very

popular types of mass analyser associated with routine GC-MS analysis and all differ in

the fundamental way in which they separate species on a mass-to-charge basis. Mass

analysers require high levels of vacuum in order to operate in a predictable and efficient

way. The ion beam that emerges from the mass analyser, have to be detected and

transformed into a usable signal. The detector is an important element of the mass

spectrometer that generates a signal from incident ions by either generating secondary

electrons, which are further amplified, or by inducing a current (generated by moving

charges) as shown in Figure 2.4 (Hussain & Maqbool, 2014). Earlier report by Singh,

Kumar, Giri, Bhuvaneshwari, & Pandi, (2012), the volatile components of the fruits of

vegetable M. charantia were analysed using Varian 450GC, 240MS (VF-5 MS

column). The results of the GC-MS analysis identified the various compounds present

in the methanolic extract of this plant fruit showed the presence of important bioactive

compounds especially, gentisic acid which has antioxidant activity.

Figure 2.4: Typical GC-MS instrumentation (Source: www.chromacademy.com)

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2.10 Liquid chromatography - Mass spectrometry (LC-MS)

Liquid chromatography is a fundamental separation technique in the life

sciences and related fields of chemistry. Unlike gas chromatography, which is

unsuitable for non-volatile and thermally fragile molecules, liquid chromatography can

safely separate a very wide range of organic compounds, from small-molecule drug

metabolites to peptides and proteins. Traditional detectors for liquid chromatography

include refractive index, electrochemical, fluorescence, and ultraviolet-visible (UV-Vis)

detectors. Some of these generate two dimensional data; that is, data representing signal

strength as a function of time. Others, including fluorescence and diode array UV-Vis

detectors, generate three-dimensional data. Three-dimensional data include not only

signal strength but spectral data for each point in time. Mass spectrometers also generate

three-dimensional data. In addition to signal strength, they generate mass spectral data

that can provide valuable information about the molecular weight, structure, identity,

quantity, and purity of a sample. Mass spectral data add specificity that increases

confidence in the results of both qualitative and quantitative analyses. LC-MS is a

technique, which combines the separating power of high performance liquid

chromatography (HPLC), with the detection power of mass spectrometry. Mass

spectrometry is a wide ranging analytical technique, which involves the production and

subsequent separation and identification of charged species. Mass spectrometer involves

the separation of charged species which are produced by a variety of ionisation methods

in LC-MS. These include electrospray ionisation (EI) and atmospheric pressure

chemical ionisation (APCI) in all cases the charged species are produced as gas phase

ions under atmospheric pressure conditions. In addition to the analyser, the mass

spectrometer also includes an atmospheric ionisation chamber, a vacuum system and

detector. Ion source: the HPLC eluent is sprayed into the atmospheric pressure region;

skimmer cone: A cone with a sampling orifice of reduced the gas load entering the

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vacuum system of the mass analyser device; quadrupole: device that uses electric fields

in order to separate ion according to their mass to charge ratio (m/z) as they pass along

the central axis of four parallel equidistant rods; collision cell: ion emerging from the

first mass analyser are accelerated using a potential difference and collide with neutral

gas molecules such as H2, N2 or Ar, causing analyte fragmentation; detector: once

produced and separated, the ions need to be detected and transformed into a usable

signal. Electron multiplier, dynode, photodiode, and multi-channel plate (MCP) ion

detection system are widely employed in most modern mass spectrometer system;

vacuum system: mass analysers require high level of vacuum in order to operate in a

predictable and efficient way. The vacuum system of most modern LC-MS systems

consist of two or more differentially pumped vacuum chambers, separated by baffles or

orifice plates of varying design depending upon the instrument manufacture.

There are several discrete stages in LC-MS analysis, typically these include:

separation of the sample components using an HPLC column where the analytes are

differentially partitioned between the mobile phase (eluent) and the stationary phase

(coated onto a support material and packed into the column). The mechanism of

retention and separation will depend on the mode of chromatography but may include

hydrophobic interaction, ion exchange, ion-pair, surface localisation, etc. The separated

sample species are then sprayed into an atmospheric pressure ion source (API) where

they are converted to ions in the gas phase and the majority of the eluent is pumped to

waste. Most popular analyser includes quadrupole, time of flight, ion trap and magnetic

sector. The mass analyser may be used to isolate ions of specific mass to charge ratio to

scan over all ion m/z values present. All mass analysis and detection is carried out

under high vacuum established using a combination of foreline (roughing) and

turbomoleculer pumps as shown in Figure 2.5 (Niessen & Tinke, 1995; Hoffmann,

Charatte, & Stroobant, 1996; Catalin, Charatte, Roland, & William, 2004).

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Figure 2.5: Typical LC-MS instrumentation (Source: www.chromacademy.com)

2.11 Herbal formulations and alternative systems of medicine

Herbs and products containing herb(s) have been in trade and commerce and are

currently used for a variety of purposes. The WHO defined herb as fresh or dried,

fragmented or powdered plant material, which can be used in crude state or further

processed and formulated to final herbal product. Treatment of herbs by squeezing,

steaming, roasting, decocting or infusing in water, extracting with alcohol, or

sweetening and baking with honey can create “herbal products” such as juices, tinctures,

decoctions, infusions, gums, fixed oils, essential oils, and resins. These may be used

medicinally or as the starting material for additional processing and as food ingredients.

Depending on the sophistication of the herbal preparation, these products may be

subjected to any number of physical, chemical, or biological processes, including

pulverization, extraction, distillation, expression, fractionation, purification,

concentration, or fermentation. Formulation of the final product may require mixing one

or more plant preparations with minerals or animal products and constituents isolated

from herbal materials or synthetic compounds. These phytomedicine formulations may

also be referred to as drugs or botanicals, or when taken orally to provide health

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benefits, they may be called dietary supplements or even food ingredients in some

cases. Herbal medicines are plant derived materials and preparations with therapeutic or

other human health benefits, which contain either raw or processed ingredients from one

or more plants, inorganic materials or animal origin (WHO, 1996)

2.11.1 Standardization of herbal medicine

In many developing countries, a large proportion of the population relies on

traditional practitioners and their armamentarium of medicinal plants in order to meet

health care needs. Although modern medicine may exists side-by-side with such

traditional practices, herbal medicines have often maintained their popularity for

historical and cultural reasons. Such products have become more widely available

commercially, especially in developed countries. In this modern setting, ingredients are

sometimes marketed for uses that were never contemplated in the traditional healing

systems from which they emerged. An example is the use of ephedra (= Ma huang) for

weight loss or athletic performance enhancement (Shaw, 1998). While in some

countries, herbal medicines are subjected to rigorous manufacturing standards, this is

not so everywhere. Herbal products are sold as ‘phytomedicines’, they are subject to the

same criteria for efficacy, safety and quality as are other drug products (Carmona &

Pereira, 2013). Based on the WHO Traditional Medicine Strategy 2014-2023 the

strategy has two key goals: to support Member States in harnessing the potential

contribution of traditional and complementary medicine (T&CM) to health, wellness

and people centred health care and to promote the safe and effective use of T&CM

through the regulation of products, practices and practitioners. These goals will be

reached by implementing three strategic objectives: building the knowledge base and

formulating national policies; strengthening safety, quality and effectiveness through

regulation; and promoting universal health coverage (WHO, 2014). Standardization of

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herbal formulations is essential in order to assess the quality of drugs, based on the

concentration of their active principles, physical, chemical and phytochemical

standardization. The quality assessment of herbal formulations is of paramount

importance in order to justify their acceptability in modern system of medicine. One of

the major problems faced by the herbal industry is the unavailability of rigid quality

control profiles for herbal materials and their formulations (Sahoo, Padmavati, &

Satyahari, 2010).

2.11.2 Herbal formulations

Dosage form is a drug delivery system designed to deliver the active ingredient

to the body and, upon administration should deliver the drug at a rate and amount that

assures the desired pharmacological effect. Such dosage forms are manufactured under

current good manufacturing procedures (cGMP), using equipment and packaging to

ensure product stability. The dosage form must produce the same therapeutic response

each time it is administered. To maintain this reproducibility between and within

batches, manufacturing procedures are validated under a specific quality assurance

program. Non-parenteral dosage forms can be categorized based on the route of

administration or physical form. Based on physical form they can be classified as solids,

liquids (homogenous and heterogeneous systems), semisolids, and aerosols. Dosage

forms can also be categorized based on the route of administration. Solid dosage forms

include different types of compressed tablets, granules, troches, lozenges, coated dosage

forms, and hard and soft gelatin capsules. Liquid dosage forms include solutions,

suspensions, emulsions, and buccal and sublingual sprays. Topical dosage forms are

applied to the skin and include ointments, pastes, creams, lotions, liniments, and

transdermal patches. Some dosage forms are formulated for application to body cavities,

viz. rectal and urethral suppositories and vaginal pessaries. Inhalation aerosols, using

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metered dose inhalers (MDIs), dry powder inhalers (DPIs) and nebulizers, are used to

deliver drugs to the respiratory tract. Nasal route uses solution and suspension dosage

forms. Occular route is used to administer solutions and suspensions to the eye for local

and systemic effects (Swarbrick, 2007). Formulation studies involve developing a

preparation of the drug which is both stable and acceptable to the patient. For orally

administered drugs, this usually involves incorporating the drug into a tablet or a

capsule. It is important to make the distinction that a tablet contains a variety of other

potentially inert substances apart from the drug itself, and studies have to be carried out

to ensure that the encapsulated drug is compatible with these other substances in a way

that does not cause harm, whether direct or indirect. Preformulation involves the

characterization of a drug's physical, chemical, and mechanical properties in order to

choose what other ingredients (excipients) should be used in the preparation.

Formulation studies then consider such factors as particle size, polymorphism, pH, and

solubility, as all of these can influence bioavailability and hence the activity of a drug.

The drug must be combined with inactive ingredients by a method which ensures that

the quantity of drug present is consistent in each dosage unit e.g. each tablet. The

dosage should have a uniform appearance, with an acceptable taste, tablet hardness, or

capsule disintegration (USP 34, 2009; BP, 2013). Many drugs commonly used today are

of herbal origin. A study of herbal formulation of tuberous roots of Ipomoea digitata as

a potent antidiabetic drug was developed and investigated for its pharmacognostical

studies, in vitro evaluation of the tablets and finally its pharmacological evaluation for

the antidiabetic activity (Margret & Jayakar, 2010). A detailed list of formulations

developed and reported in literature was shown in the Table 2.4.

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Table 2.4: List of few herbal tablet formulations described in the literature

Plants Phytoconstituents Activity References

Azadirachta indica, Camellia sinensis and

Asparagus racemosus Catechin, terpenoids, tannins Antidiabetic Mishra et al., 2014

Gymnema sylvestre Gymnemic acids Antidiabetic Devi & Nimisha, 2015

Tinospora cordifolia, Gymnema sylvestre,

Pterocarpus marsupium and Acacia arabica

Gymnemic acids, tannins,

flavonids, epicathechin Antidiabetic Suman et al., 2015

Harpagophytum procumbent Iridoid glycoside harpagoside Rheumatic pain Chrubasic et al., 2000

Soybean Isoflavones Osteoporosis and cardiovascular

diseases Oliveira et al., 2013

Echinacea purpurea and Echinacea

angustifolia Alkylamides

Treatment of colds and minor

infections Matthias et al., 2007

Schisandra sphenanthera

Schisantherin A, schisandrin A,

schisandrin B, schisandrin C,

schisandrol A and schisandrol B

Hepatitis, inflammation and

cancer Jin et al., 2015

Hedera helix Saponin Respiratory disorders Stauss et al., 2011

Peumus boldus Cathecin Antioxidant Palma et al., 2002

Crocus sativus Safranal and Picrocrocin

Memory impairment,

antidepressant, anticonvulsant and

antitumor effect

Modaghegh et al ., 2008

Syzygium cumini Polyphenol Antidiabetic Peixoto & Freitas, 2013

Begonia laciniata, Cusuta epithymum and

Dendrobium ovatum

Phenolic compounds, alkaloids,

flavonoids Hepatoprotective Seru et al., 2013

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CHAPTER 3: MATERIAL AND METHODS

The research methodology includes the determination of the standardization of

plant materials by macroscopic and microscopic evaluation. Firstly, extraction methods

were used like maceration, fresh juice, soxhlet and sonication. Secondly, examination

and profiling of extracts by using GC-MS and LC-MS was carried out. In vitro

antioxidant tests for DPPH, FRAP and antidiabetic enzyme inhibitory activity for α-

amylase and α-glucosidase were carried out. Finally, herbal tablet formulation was

formulated using best extract by conventional granulation and compression. This

section represents the detailed methodology used in the study.

3.1 Materials

3.1.1 Plant materials

Leaves of S. polyanthum were collected from Equine Park, Seri Kembangan,

Selangor, Malaysia in the month of June, 2014. Whereas, the fruits of M. charantia

were purchased from the traditional market (pasar rakyat gelugor taman tun sardon) in

Pulau Pinang, Malaysia in the same month and year. Both the plants were authenticated

by a taxonomist, Dr. Sugumaran Manickam at Rimba Ilmu facility available within

University Malaya campus, Kuala Lumpur, Malaysia. A herbarium specimen was

deposited and voucher specimens of the samples S. polyanthum (KLU 49084) and M.

charantia (KLU 49083) were kept in the Rimba Ilmu. Plant materials were washed

separately with fresh water to remove dirt, processed to exclude inner pulp and seeds of

M. charantia fruit and were dried in oven for 2 days at temperature 50 °C. The dried

materials were grinded into powder by commercial blender (National, Malaysia) and the

powders were stored in airtight polyethylene plastic containers at room temperature (25

°C) for future use.

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3.1.2 Chemicals and reagents

Phloroglucinol, glycerol, were purchased from Merck (Germany), HPLC grade

methanol, 1,1-diphenyl-2-picryl-hydrazyl, quercetin, 2,4,6-tripyridyl-s-triazine, FeCl3,

FeSO4, glacial acetic acid, sodium acetate trihydrate, potato starch, sodium chloride,

monobasic sodium phosphate, 3,5-dinitrosalicylic acid, potassium tartrate tetrahydrate,

sodium hydroxide, sodium carbonate, 4-nitrophenyl-β-D-glucopyranoside, α-amylase

enzyme and α-glucosidase enzyme, were procured from Sigma-Aldrich (St Louis,

USA), monobasic potassium phosphate and acarbose 95 % were obtained from Acros

Organic (USA). Sodium starch glycolate, PEG 4000, HPMC (E15LV), lactose,

magnesium stearate, talc, microcrystalline cellulose, were purchased from R&M

Chemicals (UK). All other chemicals and reagents were of analytical quality grade and

were used as received.

3.2 Methods

3.2.1 Microscopic evaluation of plant samples

Freshly collected leaves of S. polyanthum were evaluated for their length and

width. A transverse section of the lamina and midrib region of fresh leaf was taken to

evaluate microscopic characters of the leaf for microscopical identification. Similarly

freshly collected fruits of M. charantia were evaluated for its length and width, a thin

section of the rind of the fruit of M. charantia was taken to evaluate microscopic

characters of the fruit for further evaluation of its identity. A thin section was taken by

placing a piece of leaf midrib of S. polyanthum and a piece of rind of M. charantia in

potato pith to ensure manual sectioning. The section was immediately treated with

phloroglucinol and concentrated HCl for identification of lignified tissues and for tissue

differentiation. Glycerol was added as mounting solution, and as humectant to prevent

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tissue dehydration before placing a coverslip for microscopical examination. In the

same manner finely powdered leaf powder, fruit rind powder were treated chemically

and both powders, transverse sections were observed under light microscope at a

magnification of 4x, 10x and 40x using Olympus CH30 (Olympus, Japan), photographs

were taken using a digital camera and Scanning Electron Microscope (SEM, Quanta

FEG 450, USA).

3.2.2 Extraction methods applied to plant powders

a. Extraction by maceration

The maceration method was adopted from Montanez et al. (2014). Briefly, 250 g

of dried coarse fruit powder of M. charantia and dried fine leaf powder of S.

polyanthum was mixed with 5000 mL and 1500 mL of water respectively, both powders

were agitated using mechanical stirrer (1500 rpm) for 30 minutes to ensure uniform

powder and solvent mix. The difference in the volumes is primarily due to the

difference in their absorption capacities to water. The beaker was covered with

aluminium foil and was kept for 3 days under refrigeration at 5-8 oC. The macerated

mixtures were filtered through a muslin cloth and subsequently filtered by vacuum

filtration method. The final filtrates were freeze dried using Labconco freezone freeze

dryer, USA.

b. Fresh juice extraction

The modified method of Kumar et al. (2009) was followed in the current study.

About 1 kg of fresh M. charantia fruit devoid of pulp, seeds and fresh S. polyanthum

leaves were cut into small pieces with the help of kitchen knife. The chopped pieces

were homogenized in a commercial blender (National, Malaysia) such that water to M.

charantia (1:2) and water to S. polyanthum (1:4) ratios were maintained. The

homogenized mixtures were then stirred at 1500 rpm for 15 min. The fresh juice was

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filtered through a muslin cloth and subsequently filtered by vacuum filtration method.

The final filtrates were freeze dried using Labconco freezone freeze dryer, USA.

c. Extraction by sonication

The modified method of Montanez et al. (2014) was followed for extraction by

sonication. About 250 g dried coarse fruit powder of M. charantia and dried fine

powder of S. polyanthum leaf were mixed with 5000 mL and 1500 mL of water

respectively, both powders were stirred at 1500 rpm for 15 min. A bath sonicator

(Fisher scientific FB15057, USA) was used for sonication of the sample for 30 minutes

at a constant frequency of 37 kHz at a temperature of 30 oC. The sonicated mixtures

were filtered through a muslin cloth and subsequently filtered by vacuum filtration

method. The final filtrates were freeze dried using Labconco freezone freeze dryer,

USA.

d. Soxhlet extraction

The method of Montanez et al. (2014) was adopted to extract plant materials by

soxhlet. The dried coarse fruit powder of M. charantia and dried fine leaf powder of S.

polyanthum weighing 250 g was placed in a “thimble” made of muslin placed in the

chamber of the soxhlet apparatus. About 5000 mL of water was used as a solvent in a 5

L round bottomed flask to its maximum capacity with temperature 100oC. The

condensed vapours of solvent drip into the thimble containing the sample and ensure hot

percolation of solvent to produce an efficient extraction. This process was carried out

until the residue completely exhausted. The soxhlet extracts of both powders were

filtered through a muslin cloth and subsequently filtered by vacuum filtration method.

The final filtrates were freeze dried using Labconco freezone freeze dryer, USA.

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3.2.3 GC-MS and LC-MS profiling of extracts

a. GC-MS profiling

The GC-MS profiling was carried out as per the modified method described by

Udayaprakash et al. (2015). Shimadzu GC-MS QP2010 PLUS Japan, 30 m x 0.25 mm x

0.25 μm of capillary column (Agilent J&W GC columns, USA) was used for the

analysis. Injection temperature was maintained at 250 °C, helium flow rate was 0.85

mL/min and ion source temperature of 230 °C. Injection was performed in the splitless

mode and the volume was 2 μL of sample (1 mg/10 mL in methanol, HPLC grade

Merck, Germany). The instrument was set to an initial temperature of 70 oC and later

programmed to an increase of 10 oC/min to 300 oC. The mass spectra (MS) of

compounds in samples were obtained by electron ionization (EI) and the detector

operated in scan mode from 50 – 1000 m/z. The start time of MS was 4 minutes; end

time was 71 minutes. Identifications were made based on mass spectral matching with

standard compounds in NIST08 library. The relative amounts of individual components

were expressed as percent peak areas relative to the total peak area.

b. LC-MS profiling

LC-MS profiling was carried out as per the modified method described by

Terpinc et al. (2016). An Agilent 6550 iFunnel Q-TOF LC-MS instrument was used.

The sample was analysed upon injecting 10 µL sample (1 mg/10 mL in methanol,

HPLC grade Merck, Germany). The profile of the sample was acquired using a C-18

column at a flow rate of 0.200 mL/min. The solvent gradient for HPLC, phase A

consisted of 0.1 % formic acid in water, phase B consisted of 0.1 % formic acid in

methanol: 19 % A, 81 % B from 0 to 10 min, 21 % A, 79 % B from 10 to 15 min, 28 %

A, 72 % B from 15 to 35 min. Positive ion electrospray ionization (ESI) was used for

the detection of the eluents without solvent splitting.

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3.2.4 Antioxidant activity and free radical scavenging activity of the extracts

a. DPPH assay

Antioxidant activity test using DPPH or 1,1-Diphenyl-2-picryl-hydrazyl (Sigma,

Germany) was carried out as per the modified method described by Brand et al. (1995).

The test was performed for individual extracts and combination extracts as shown in the

Table 3.1. The reaction mixture was prepared in a 96-well microplate (solid clear F-

bottom, Greiner Bio One, Austria) adding 20 µL of sample (1 mg/mL extract) and 120

µL of 100 µM DPPH in methanol, and incubated in dark at 25 °C for 20 min. The

absorbance of the solutions was measured using UV-Visible spectrophotometry (infinite

M 200 Tecan, Switzerland) at 517 nm. Free radical scavenging activity of the samples

was estimated by the colour change from deep purple to yellow and decrease in the

absorbance value in comparison to the blank as an indication of antioxidant activity.

The free radical scavenging activity percentage (RSA %) of the samples were evaluated

with Eq. 1. The mixture of methanol (20 µL) and DPPH (120 µL) served as blank,

quercetin (Sigma-aldrich, USA) mixture of DMSO (20 µL) and DPPH radical solution

(120 µL) served as control. Where, A0 is the blank and as is sample absorbances.

RSA % =𝐴𝑜−𝐴𝑠

𝐴𝑜 x 100 (Eq. 1)

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Table 3.1: Prepared extracts and their combinations tested for antioxidant and

antidiabetic assays

No Sample No Sample

1 Extract M. charantia Maceration §Ψ 19 Combination extract 2 and extract 6 §

2 Extract M. charantia Fresh Juice §Ψ 20 Combination extract 2 and extract 7 §Ψ

3 Extract M. charantia Sonication §Ψ 21 Combination extract 2 and extract 8 §Ψ

4 Extract M. charantia Soxhlet §Ψ 22 Combination extract 3 and extract 4 §

5 Extract S. polyanthum Maceration §Ψ 23 Combination extract 3 and extract 5 §Ψ

6 Extract S. polyanthum Fresh Juice §Ψ 24 Combination extract 3 and extract 6 §Ψ

7 Extract S. polyanthum Sonication §Ψ 25 Combination extract 3 and extract 7 §Ψ

8 Extract S. polyanthum Soxhlet §Ψ 26 Combination extract 3 and extract 8 §Ψ

9 Combination extract 1 and extract 2§ 27 Combination extract 4 and extract 5 §Ψ

10 Combination extract 1 and extract 3 § 28 Combination extract 4 and extract 6 §Ψ

11 Combination extract 1 and extract 4 § 29 Combination extract 4 and extract 7 §Ψ

12 Combination extract 1 and extract 5 § 30 Combination extract 4 and extract 8 §Ψ

13 Combination extract 1 and extract 6 §Ψ 31 Combination extract 5 and extract 6 §

14 Combination extract 1 and extract 7 §Ψ 32 Combination extract 5 and extract 7 §

15 Combination extract 1 and extract 8 §Ψ 33 Combination extract 5 and extract 8 §

16 Combination extract 2 and extract 3 § 34 Combination extract 6 and extract 7 §

17 Combination extract 2 and extract 4 § 35 Combination extract 6 and extract 8 §

18 Combination extract 2 and extract 5 §Ψ 36 Combination extract 7 and extract 8 §

Notes: (§) = Samples for DPPH and FRAP assays

(Ψ) = Samples for α-amylase and α-glucosidase

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b. FRAP assay

The FRAP assay or ferric reducing antioxidant power was performed as per the

previous method described by Udayaprakash et al. (2015). The test was performed for

individual extracts and combination extracts as shown in the Table 3.1. A fresh working

solution was prepared by mixing 25 mL acetate buffer 300 mM, pH 3.6, 2.5 mL TPTZ

10 mM (2,4,6-tripyridyl-s-triazine) in 40 mM HCl, and 2.5 mL FeCl3.6H2O 20 mM.

The reagent was warmed at 37 °C before use, the assay was carried out in a 96-well

microplate (solid clear F-bottom, Greiner Bio One, Austria) with 10 µL (1 mg/mL) of

individual extract solution with 300 μL of FRAP solution incubated for 30 min in dark.

Absorbance of each well was measured at 593 nm using UV-Visible spectrophotometry

(Infinite M 200 Tecan, Switzerland). The experiment for all the extracts was repeated in

triplicate. The percentage ferric (Fe3+) reduction to ferrous (Fe2+) was calculated by

FeSO4 standard curve (R2 = 0.9959) between 200 to 1000 µM using the equation below

Eq. 2.

FRAP value = Absorbance (sample +FRAP reagent) - Absorbance (FRAP reagent)

% FRAP = FRAP Value of Sample

FRAP Value of 𝐹𝑒𝑆𝑂4.7H2O x 100 (Eq.2)

3.2.5 Antidiabetic enzyme inhibitory activity of the extracts

a. Inhibitory activity of extracts against α-amylase

The α-amylase assay was evaluated using the method of Loizzo et al. (2007)

with few modifications. The test was performed for individual extracts and combination

extracts as shown in the Table 3.1. Briefly, 20 µL of aqueous sample solution (1 mg/mL

extract) or standard acarbose 95 % (acros organic, USA) was mixed with 50 µL of

phosphate buffer solution of α-amylase enzyme (porcine pancreas Amylase; 5 mg/10

mL; 10 Unit/mg; Sigma-aldrich, St Louis, USA) and was incubated at 37 °C for 10 min.

To this mixture 100 µL of starch solution (1 % w/v of potato starch {Sigma-aldrich, St

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Louis, USA} in pH 6.9 phosphate buffer prepared by mixing 20 mM monobasic sodium

phosphate and 6.7 mM of sodium chloride in 50 mL, heated at 65 °C for 15 min), was

added with an incubation of 10 minutes at 37 °C. The reaction was terminated by

adding 100 µL of 3,5-dinitrosalicylic acid 96 mM (prepared by mixing 15 g of sodium

potassium tartrate tetrahydrate in 10 ml of 2 M NaOH and 0.5 mg 3,5-dinitrosalicylic

acid solution) and was further incubated in water bath for 10 min. The colorimetric

reagent was prepared mixing a sodium potassium tartrate solution and 0.5 mg 3,5-

dinitrosalicylic acid solution. Control and sample extracts were added to starch solution

and left to react with α-amylase solution under an alkaline condition at 25 °C. The

reaction was measured over 3 min. The generation of maltose was quantified by the

reduction of 3,5-dinitrosalicylic acid to 3-amino-5-nitrosalicylic acid. The absorbance of

the reaction was detected at 540 nm by using UV-Visible spectrophotometry (infinite M

200 Tecan, Switzerland) the assay was carried out in 96-well microplates (solid clear F-

bottom, Greiner Bio One, Austria). The percentage of inhibition was calculated using

the equation below Eq. 3.

% Inhibition =𝐴 𝑏𝑙𝑎𝑛𝑘−𝐴 𝑠𝑎𝑚𝑝𝑙𝑒

𝐴 𝑏𝑙𝑎𝑛𝑘 x 100 (Eq. 3)

b. Inhibitory activity of extracts against α-glucosidase

The α-glucosidase assay was evaluated using the method of Ting et al. (2007)

with few modifications. The test was performed for individual extracts and combination

extracts as shown in the Table 3.1. The assay was determined in 96-well microplates

(Solid clear F-bottom, Greiner Bio One, Austria). Briefly, 40 µL of aqueous sample

solution (1 mg/mL extract) or standard acarbose 95 % (acros organic, USA) was mixed

with 100 µL of phosphate buffer solution of α-glucosidase enzyme (Saccharomyces

cerevisiae; 2.2 mg/10 mL; 10 Unit/mg; Sigma-aldrich, St Louis, USA) and was

incubated at 37 °C for 10 min. To the assay mixture 50 µL of 4-Nitrophenyl β-D-

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glucopyranoside (PNPG) substrate solution (5 mM of PNPG {Sigma-aldrich, St Louis,

USA} in pH 6.9 phosphate buffer prepared by mixing 67 mM monobasic potassium

phosphate), was added with an incubation of 10 min. at 37 °C. The reaction was stopped

by adding 80 µL of 100mM Na2CO3. The absorbance of the reaction was measured on

UV-Visible spectrophotometry (infinite M 200 Tecan, Switzerland) at 405 nm. The

percentage of inhibition was calculated using the equation below Eq. 4.

% Inhibition =𝐴 𝑏𝑙𝑎𝑛𝑘−𝐴 𝑠𝑎𝑚𝑝𝑙𝑒

𝐴 𝑏𝑙𝑎𝑛𝑘 x 100 (Eq. 4)

3.2.6 Formulation and evaluation of herbal tablet dosage forms containing the best

extracts

The tablet formulations were made with weights of 550 mg per tablet, with a wet

granulation method was use this method is the most commonly chosen method

considering its normal use and its application. Tablet dosage was determined based on

the in vitro antidiabetic activity of best combination extracts of M. charantia soxhlet

and S. polyanthum fresh juice. About 300 mg of extract of both plants were incorperated

into each tablet based on required concentration of extract in gastrointestinal

environment and also as per the quatity of extract composition in single diet.

All the ingredients listed in Figure 3.1 and Table 3.2 were sieved using sieve

no.100 (# 0.149 mm). The required quantities of the best extracts and other ingredients

for 100 tablets were weighed on a digital balance (Mettler Toledo, Switzerland). Then,

ingredients as per the formula given in Table 3.2 were mixed using a mortar and pestle

by geometrical dilution method. A wet mass was produced using 1% w/v HPMC as

granulating solution, the granules were prepared by passing the wet mass of the blend

through sieve no.10 (# 2 mm) The wet granules were dried in a hot air oven at 45 °C

until constant weight of the granules was achieved. These granules were resized using

sieve no.18 (# 1 mm), granules were analysed for flow properties. Just before

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compression, talc, PEG 4000 and magnesium stearates were added as glidant and

lubricants. Finally, the tablets were compressed by using single punch manual tablet

compression machine equipped with flat-faced round punches of size 12 mm (Allen,

Popovich,Ansel,2011).

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Figure 3.1: Individual percentage of tablet components

Table 3.2: The components of herbal tablet dosage forms

Ingredients

Quantity per tablet

(mg)

M. charantia extract

(Soxhlet) 150

S. polyanthum extract

(Fresh Juice) 150

HPMC (1%) 0.33

Lactose 153.42

Mg Stearate 2.75

Talc 27.5

Sodium starch glycolate 22

PEG 4000 16.5

Microcrystalline cellulose 27.5

Total weight of the tablet 550

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3.2.6.1 Evaluation of granular flow properties

a. Determination of angle of repose (θ) of granules

As much as 25 g of granular powder was incorporated into funnel flow tester.

Funnel cover is opened so that the granules flow out and fit on top of the flat areas on

the millimetre graph paper. Flow time is recorded with the stopwatch and the angle of

repose (θ) was calculated using the formula:

Angle of repose (Ɵ) = tan -1 ( h

r ) (Eq. 5)

Where, θ is the angle of tilt of the cone; h is the height of a cone; and r is the radius of

the base of the cone. The relationship between the angle of repose and the flow

properties was given in the Table 3.3. Wherein, the angle of repose between 20-40o and

the flow time of more than 10 g per second exhibit good flow properties (USP 34,

2009).

Table 3.3: Relationship between angle of repose and powder flow

Angle of repose (Ɵ) Powder flow

25-30 Excellent

31-35 Good

36-40 Fair

41-45 Passable

46-55 Poor

56-65 Very poor

> 66 Very very poor

b. Determination of Carr index and Hausner ratio of granules

As much as 100 g granulate was weighed, transferred into a measuring cylinder

of a tap density tester (Dr.Schleuniger, Switzerland) to record its initial volume (Vo).

The apparatus was switched on to ensure 500 taps then the final volume (Vf) was noted

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at the end of the tapping (USP 34, 2009). Flow properties of granulate can be known

indirectly by using the percentage of the compressibility as shown in the Table 3.4 with

the formula given below Eq. 6 and Eq.7.

Carr Index (%) = 𝑉0−𝑉f

𝑉0 x 100 (Eq. 6)

Hausner Ratio = 𝑉0

𝑉f (Eq. 7)

Table 3.4: Scale of flowability of granules

Compressibility index (%) Flow character Hausner ratio

≤10 Excellent 1.00-1.11

11-15 Good 1.12-1.18

16-20 Fair 1.19-1.25

21-25 Passable 1.26-1.34

26-31 Poor 1.35-1.45

32-37 Very poor 1.46-1.59

>38 Very very poor > 1.60

3.2.6.2 Evaluation of prepared herbal tablet formulations

a. The uniformity of size and shape (n=10)

Ten tablets were randomly selected, the thickness and diameter of each tablet

was measured using a digital venier calliper. Unless otherwise stated, the diameter of

the tablet should not be more than 3 times the thickness of tablets and should not be less

than 1 1/3 of tablet thickness (Indonesian Pharmacopoeia, 1995).

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b. The uniformity of weight among the herbal tablet formulations (n=20)

Twenty tablets were selected randomly and the average weight was calculated.

Then individual tablets were weighed to check for weight variation from the average

weight calculated. According to USP 34, the deviation of individual masses from the

average mass should not exceed more than 5 % for a tablet more than 324 mg weight.

Not more than 2 tablet weights should deviate from the allowable weight (USP 34,

2009).

c. The hardness test (n=10)

Hardness or crushing strength of tablets was estimated by using Dr.Schleuniger

hardness tester to evaluate the ability of tablets to withstand mechanical shock and

strength. Ten tablets were randomly selected and were placed into the jaws of hardness

tester. The tablets were crushed by the two jaws of the tester to evaluate the hardness.

Hardness of 50 to 150 N was considered to be ideal as per Binega et al. (2013).

d.The friability test (n=20)

The crispness of tablets was tested to know the ability of tablets prepared to

withstand various mechanical shocks during the manufacturing, transportation process,

packaging, packing and delivery to the consumer. The crispness of tablets includes

abrasion and friability parameters.

Friability examination was carried out using USP 34 method, by weighing the

initial weight of as many as 20 tablets (W1), later they were placed in a friabilator

chamber, and the friability chamber was rotated for 100 revolutions with a speed of 25

rpm for 4 minutes. After the test the tablets were dedusted with a camel brush to remove

any superficial adherents, final weight was measured (W2). The weight loss among the

tablets was estimated using the formula given below:

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The friability of the tablets (F) was expressed by the formula:

F =𝑊1−𝑊2

𝑊1𝑥 100 (Eq. 8)

Where, F was the friability/crispness of tablet; W1 was the initial weight of 20

tablets and W2 was the final weight of the tablets after testing. The friability of

pharmaceutically acceptable tablets should exhibit a value of 0.5-1 % (USP 34, 2009;

Sarfaraz & Niazi, 2009).

e. The disintegration test (n=6)

USP method was employed in this study, six tablets were placed into the glass

tubes of basket rack assembly of the disintegration tester, The basket rack was lowered

into a simulated gastric medium of 1 L maintained at 37 ± 2 °C in an one litre beaker for

29-32 times per minute. The tablets were declared disintegrated completely if no parts

are left over on gauze. As per USP 34, the uncoated tablets should be disintegrated

within 15 minutes. If one or two tablets fail to disintegrate within 15 minutes then the

test should be repeated on another 12 tablets. The test is considered as pass if 16 out of

18 tablets able to disintegrate by disappearing from the glass tubes during the test (USP

34, 2009; Sarfaraz & Niazi, 2009).

3.2.7 Statistical analysis

Statistical analysis was performed using SPSS 22 statistical package (IBM

Software, USA). The data were analysed by one way analysis of variance (ANOVA)

followed by least square design (LSD) multiple comparisons. All the results were

expressed as mean ± SD for triplicate determinations.

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A B C

D E F

G H I

Figure 3.2: List of instruments and equipments used in the study. A. Bath Sonicator, B.

Soxhlet apparatus, C. GC-MS, D. LC-MS, E. Single punch manual compression

machine, F. Digital calliper, G. Dr. Schleuniger hardness tester, H. Erweka TAR 10

friability tester, I. Electrolab ED-2 SAPO disintegration tester.

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CHAPTER 4: RESULTS

The results of this study are presented in this chapter. M. charantia and S.

polyanthum plant materials were observed for macroscopy and microscopy. Later they

were extracted by various extraction methods, yields of the extracts were recorded and

the profiling of the extracts was also carried out by using the GC-MS and LC-MS.

Extract samples were tested for antioxidant and antidiabetic activity in both single and

combination format to determine existence of synergism between the extracts of two

plants. The best combination that produced good result was formulated as a herbal

formulation and it was evaluated for pharmacopoeial standards.

4.1 Identification of selected plants for the study

4.1.1 Macro and microscopy of S. polyanthum leaf

S. polyanthum grows wild in the forests and mountains or in the garden and in

waste lands. This tree can be found in lowlands up to an altitude of 1400 m above sea

level. Tree reaches 25 m height, with slippery surface, overgrown and single rooted.

Leaves are simple oval-shaped with elliptical tapered tip, base, tapered edge flat, fin

shaped, upper surface is dark green, light green coloured lower surface, 5-15 cm long,

3-8 cm wide, fragrant. Flowers at the ends of the twigs, are white, smells fragrant

(Amalina, 2014). Microscopy of leaves of S. polyanthum shows the presence of cuticle

on the outside of bifacial leaf, upper epidermis is corrugated and thin-walled, palisade

layer contains 1-2 layers of columnar shaped cells, 8-16 layered loose spongy

parenchyma of mesophyll (Soh & Parnell, 2011) and have spherical lysigenous oil cells,

the midrib shows the lignified bicollateral closed vascular bundles with xylem at the

centre and phloem on either sides, vascular bundles are completely encircled with

sclerenchymatous pericyclic tissue. Above the lower epidermis in the midrib region

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collenchyma can be seen which has a thick walled and tightly arranged cells. In addition

the epidermis of the leaf shows a unique paracytic type of stomata, each stomata is

surrounded by two subsidiary cells which are parallel to the longitudinal axis of the pore

and guard cells as observed under scanning electron microscopy (Figure 4.1). The

powder characteristics of S. polyanthum showed abundant lignified reticulate xylem

vessels, pericyclic sclerenchymatous tissues with thick secondary walls having strong

lignification, mesophyll region was observed as fragmented tissues scattered in the

powder and pieces of epidermis showing paracytic stomata were also observed.

4.1.2 Macro and microscopy of M. charantia fruit

The fruit was elongated, ribbed, 8-30 cm long, bitter taste. Ripe fruit usually

burst with 3 valves and expose red pulp embedded with seeds. Hard seeds with size 8-

13 mm, elongated flat shaped with irregular grooves and golden brown colour (Gupta,

Sharma, Gautam, & Bhaduria, 2011). Microscopy of fresh M. charantia fruit showed

epidermis with thick epicarp covered with a thick striated cuticle and has prominent

irregular large ridges and tapering outgrowths which are extensions of the pericarp.

Epidermis consists of relatively small rectangular parenchymal layer of cells rich in

chlorophyll. The epidermis occasionally showed modified unisireate multicellular

glandular trichomes, with multicellular head and multicellular stalk. Sub-epidermal

tissue composed of several layers of round to oval cells enclosing chloroplasts. Aqueous

mucilaginous mesocarp parenchyma consists of large oval cells almost without

chlorophyll occasionally with strongly lignified groups of sclereids as discontinuous

bands. Inner mesocarp mostly constituted by several layers of almost colourless

isodiametric parenchyma cells followed by several layers of collenchyma traversed by

lignified vascular branching strands some of which form a ring structure. The endocarp

is represented by several layers of abundant continuous lignified irregular

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parenchymatous cells. Microscopy of M. charantia fruit powder showed fragments of

sclerieds in groups, lignified annular xylem and sclerenchyma (Figure 4.2) (Aswar &

Kuchekar, 2012).

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Figure 4.1: Macroscopy and microscopy of S. polyanthum : A. S. polyanthum fresh leaf; B. Transverse section of leaf

at 4x magnification; C. Cuticle (CU), Upper epidermis (UE), Palisade (PL), Lysigenous oil cells (LY), Parenchyma

(PR), Xylem (XL), Phloem (PH), Collenchyma (CL); D. Xylem and Phloem at 40x magnification; E & F. Paracytic

stomata observed under Scanning Electron Microscope at 1500x and 12000x magnification; G. S. polyanthum

powder; H. Paracytic type of stomata; I. Mesophyll fragment; J. Reticulate xylem vessels; K. Pericylic

sclerenchymatous tissue.

Figure 4.2: Macroscopy and microscopy of M. charantia : A. M. charantia fresh fruit; B. Transverse section of fruit;

C. Longitudinal section of fruit coat; Cuticle (CU), Outer mesocarp (OM), Middle mesocarp (MM), Vascular bundle

(VB), Inner mesocarp (IM); Endocarp (ED) D. Epidermis showing glandular trichome (TR). E. M. charantia powder;

F. Group of sclereids; G. Lignified parenchymatous tissue; H. Lignified xylem with annular thickenings.

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4.2 Extraction of plant materials using different extraction methods

The order of yield value obtained from various aqueous extracts of M.

charantia were sonication > soxhlet > maceration > fresh juice. The best method with

maximum percentage yield was observed in the sonication with 26.37 % (65.93 g).

Temperature influenced extraction method such as soxhlet extraction also significantly

showed higher yield of 24.25 % (60.63 g) next to sonication. The yields of maceration

and fresh juices were 12.98 % (32.44 g) and 3.06 % (30.63 g) respectively. On the

contrary the order of yield value obtained from various extracts of S. polyanthum were

fresh juice > soxhlet > sonication > maceration. The best method for S. polyanthum with

maximum percentage yield was fresh juice having yield value of 10.07 % (100.73 g).

The yields of maceration, sonication and soxhlet were 7.44 % (18.6 g), 8.22 % (20.54 g)

and 8.7 % (21.75 g) respectively. The yield values of S. polyanthum and M. charantia

obtained by different extraction methods are shown in Figure 4.3.

Figure 4.3: The percent yields of different aqueous extracts of selected M. charantia

and S. polyanthum plants

4.3 GC-MS and LC-MS profiling of the M. charantia and S. polyanthum extracts

The extracts were subjected for chemical profiling using GC-MS and LC-MS as

described in section 3.2.3.

0%

5%

10%

15%

20%

25%

30%

Sonication Maceration Soxhlet Fresh Juice

26.37%

12.98%

24.25%

3.06%

8.22% 7.44%8.70%

10.07%

% Y

ield

val

ue

Momordica charantia Syzygium polyanthum

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4.3.1 GC-MS data analysis

GC-MS profiling of the extracts was carried out to detect volatile

phytoconstituents in aqueous leaf extracts of S. polyanthum and fruit extracts of M.

charantia. Since each plant material was extracted by four different extraction

procedures eight GC-MS chromatograms were obtained corresponding to each

individual extract. A total of 8, 10, 10 and 11 peaks were observed in GC-MS

chromatograms of S. polyanthum soxhlet, sonication, fresh juice and maceration

extracts respectively. Similarly a total of 9, 10, 12 and 15 peaks were observed in GC-

MS chromatograms of M. charantia sonication, soxhlet, fresh juice and maceration

extracts respectively. The details of the compounds detected in various extraction

methods were shown in Table 4.1, Table 4.2. and Figure 4.4, Figure 4.5.

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Figure 4.4 (a): GC-MS Chromatograms showing peaks representing volatile components detected in aqueous extracts of M. charantia A. Fresh Juice,

B. Maceration

B

A

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Figure 4.4 (b): GC-MS Chromatograms showing peaks representing volatile components detected in aqueous extracts of M. charantia C. Sonication,

D. Soxhlet

C

D

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Figure 4.5 (a): GC-MS Chromatograms showing peaks representing volatile components in aqueous extracts of S. polyanthum A. Fresh Juice, B.

Maceration

A

B

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Figure 4.5 (b): GC-MS Chromatograms showing peaks representing volatile components in aqueous extracts of S. polyanthum C. Sonication, D.

Soxhlet

C

D

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Table 4.1: List of volatile phytoconstituents identified in the aqueous extracts of the leaf of S. polyanthum by GC-MS

No Compound name Elemental

composition

Molecular

weight RT(min.) Area (%) CAS

1 2,2-diethoxy- ethanol/ Glycolaldehyde, diethyl acetal / 2-Hydroxyacetaldehyde

diethylacetal / 2,2-Diethoxyethanol C6H14O3 134 6.958 (Maceration) 1.54 (Maceration) 621-63-6

2 N-Methoxy-N-methylacetamide / N-Methyl-N-methoxyacetamide C4H9NO2 103 10.233 (Maceration)

10.175 (Soxhlet)

23.49(Maceration)

11.27(Soxhlet) 78191-00-1

3 Benzoic acid / Benzenecarboxylic acid / Benzeneformic acid /

Benzenemethanoic acid / Benzoesaeure GK / Benzoesaeure GV C7H6O2 122

12.792 (Maceration)

12.850 (Sonication)

3.35 (Maceration)

6.37(Sonication) 65-85-0

4 Cyclopentane, 1,1,3-trimethyl- / 1,1,3-Trimethylcyclopentane C8H16 112 14.192 (Maceration)

14.158 (Fresh juice)

1.31 (Maceration)

1.63 (Fresh Juice) 4516-69-2

5 3,3-Dimethylhexane C8H18 114 17.642 (Maceration)

17.617 (Fresh juice)

1.23 (Maceration)

1.04 (Fresh Juice) 563-16-6

6 Isooctanol / Isooctyl alcohol / 6-Methyl-1-heptanol C8H18O 130

22.617 (Maceration)

22.600 (Fresh juice)

22.633 (Sonication)

22.642 (Soxhlet)

1.01 (Maceration)

1.34 (Fresh Juice)

1.87 (Sonication)

2.03 (Soxhlet)

26952-21-6

7 1,4-Benzenedicarboxylic acid, dimethyl ester / Terephthalic acid, dimethyl ester

/ Dimethyl p-phthalate / Dimethyl terephthalate C10H10O4 194 26.783 (Maceration) 3.21 (Maceration) 120-61-6

8 Phenol, 3,5-bis(1,1-dimethylethyl)- / Phenol, 3,5-di-tert-butyl- / 3,5-Di-tert-

butylphenol / Phenol, 3,5-bis(t-butyl) / 3,5-Di-t-butylphenol/ C14H22O 206

27.158 (Maceration)

27.142 (Fresh juice)

27.183 (Sonication)

12.35(Maceration)

11.29 (Fresh Juice)

27.50 (Sonication)

1138-52-9

9

Hexadecanoic acid, methyl ester / Palmitic acid, methyl ester / n-Hexadecanoic

acid methyl ester / Metholene 2216 / Methyl hexadecanoate / Methyl n-

hexadecanoate / Methyl palmitate

C17H34O2 270

42.450 (Maceration)

42.442 (Fresh juice)

42.475 (Sonication)

5.88 (Maceration)

7.16 (Fresh Juice)

6.60 (Sonication)

112-39-0

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No Compound name Elemental

composition

Molecular

weight RT(min.) Area (%) CAS

10 Octadecanoic acid, methyl ester / Stearic acid, methyl ester / n-Octadecanoic

acid, methyl ester / Kemester 9718 / Methyl n-octadecanoat C19H38O2 298

48.775 (Maceration)

48.775 (Fresh juice)

48.808 (Sonication)

48.825 (Soxhlet)

46.21(Maceration)

61.55 (Fresh Juice)

52.32 (Sonication)

38.89 (Soxhlet)

112-61-8

11 2-fluoro-2-methyl-Propane / tert-Butyl Fluoride / 2-Fluoro-2-methylpropane C4H9F 76 6.425 (Fresh Juice) 3.05 (Fresh Juice)

353-61-7

12 1,2,3-Propanetriol, monoacetate / Acetin, mono- / Acetin / Acetoglyceride /

Acetyl monoglyceride / Glycerinmonoacetate / Glycerol C5H10O4 134 10.200 (Fresh Juice)

9.06 (Fresh Juice)

26446-35-5

13 Benzene-1,4-dicarboxylic acid, monohydrazide, methyl ester / Methyl 4-

(hydrazinocarbonyl)benzoate / C9H10N2O3 194

26.758 (Fresh juice)

26.800 (Sonication)

2.63 (Fresh Juice)

2.02 (Sonication) 13188-55-1

14 Methane, nitro- / Nitromethane / Nitrocarbol / CH3NO2 / Nitrometan / UN

1261 / Nitrofuel / Nitroparaffin / NM / NM-55 CH3NO2 61 10.083 (Sonication) 0.17 (Sonication) 75-52-5

15 2,4,5-Trihydroxypyrimidine / Isobarbituric acid / 2,4,5(3H)-Pyrimidinetrione,

dihydro- / Dihydro-2,4,5(3H)-pyrimidinetrione C4H4N2O3 128 13.925 (Sonication) 0.64 (Sonication) 496-76-4

16 2-Dodecene, (Z)- / (2Z)-2-Dodecene C12H24 168 14.183 (Sonication) 1.91 (Sonication) 7206-26-0

17 Butane, 2,2-dimethyl- / Neohexane / 2,2-Dimethylbutane / (CH3)3CCH2CH3 /

UN 1208 / C6H14 86 26.525 (Sonication) 0.61 (Sonication) 75-83-2

18 N-Nitrosodimethylamine / Methanamine, N-methyl-N-nitroso- /

Dimethylamine, N-nitroso- / Dimethylnitrosamine / DMN / DMNA C2H6N2O 74 7.333 (Soxhlet) 11.99 (Soxhlet) 62-75-9

19 1,2,3-Trimethyldiaziridine C4H10N2 86 17.650 (Soxhlet) 0.83 (Soxhlet) 113604-56-1

20 2,4-bis(1,1-dimethylethyl)-Phenol / 2,4-di-tert-butyl-Phenol / 2,4-Di-tert-butyl

phenol / 2,4-di-t-Butyl phenol C14H22O 206 27.192 (Soxhlet) 29.62 (Soxhlet) 96-76-4

21 Tridecanoic acid, methyl ester / Methyl tridecanoate / n-Tridecanoic acid methyl

ester / Methyl ester of tridecanoic acid / C14H28O2 228 42.492 (Soxhlet) 4.76 (Soxhlet) 1731-88-0

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Table 4.2: List of volatile phytoconstituents identified in the aqueous extracts of the fruit of M. charantia by GC-MS

No Compound name Elemental

composition

Molecular

weight RT(min.) Area (%) CAS

1 2-fluoro-2-methyl- Propane/ tert-Butyl Fluoride / 2-Fluoro-2-

methylpropane C4H9F 76 6.458 (Maceration) 1.51 (Maceration) 353-61-7

2 1,2,3-Propanetriol, monoacetate / Acetin, mono- / Acetin / Acetoglyceride /

Acetyl monoglyceride / Glycerinmonoacetate / Glycerol C5H10O4 134

10.250 (Maceration);

10.225 (Fresh Juice);

10.200 (Sonication);

10.217 (Soxhlet)

8.17 (Maceration);

5.68 (Fresh Juice);

2.37 (Sonication);

4.22 (Soxhlet)

26446-35-5

3 2,4,5-Trihydroxypyrimidine / Isobarbituric acid / 2,4,5(3H)-

Pyrimidinetrione, dihydro- / Dihydro-2,4,5(3H)-pyrimidinetrione C4H4N2O3 128 13.950 (Maceration) 0.15 (Maceration) 496-76-4

4 Cyclopropane, nonyl- / Nonylcyclopropane C12H24 168 14.208 (Maceration) 14.208 (Maceration) 74663-85-7

5 6-methyl 1-Heptanol / 6-Methyl-1-heptanol C8H18O 130 22.658 (Maceration);

22.633 (Fresh juice)

0.99 (Maceration)

1.03 (Fresh Juice) 1653-40-3

6 1,2,3-Trimethyldiaziridine C4H10N2 86 26.550 (Maceration) 0.28 (Maceration) 113604-56-1

7 Benzene-1,4-dicarboxylic acid, monohydrazide, methyl ester / Methyl 4-

(hydrazinocarbonyl)benzoate C9H10N2O3 194 26.825 (Maceration) 2.12 (Maceration) 13188-55-1

8 Phenol, 2,4-bis(1,1-dimethylethyl)- / Phenol, 2,4-di-tert-butyl- / 2,4-Di-tert-

butylphenol / 2,4-di-t-Butylphenol C14H22O 206

27.200 (Maceration);

27.175 (Fresh juice);

27.158 (Sonication)

8.10 (Maceration);

9.47 (Fresh Juice);

7.65 (Sonication)

96-76-4

9 1,1,3-trimethyl Cyclopentane / 1,1,3-Trimethylcyclopentane C8H16 112

30.717 (Maceration);

14.167 (Sonication);

22.642 (Soxhlet)

0.30 (Maceration);

0.56 (Sonication);

0.70 (Soxhlet)

4516-69-2

10 Hexadecanoic acid, methyl ester / Palmitic acid, methyl ester / n-

Hexadecanoic acid methyl ester / Metholene 2216 / Methyl hexadecanoate C17H34O2 270

39.117 (Maceration);

42.458 (Fresh juice);

42.458 (Sonication);

42.483 (Soxhlet)

3.20 (Maceration);

6.76 (Fresh Juice);

7.65 (Sonication);

6.23 (Soxhlet)

112-39-0

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No Compound name Elemental

composition

Molecular

weight RT(min.) Area (%) CAS

11 Hexadecanoic acid, methyl ester / Palmitic acid, methyl ester / n-

Hexadecanoic acid methyl ester / Metholene 2216 / Methyl hexadecanoate C17H34O2 270 42.500 (Maceration) 4.70 (Maceration) 112-39-0

12 Octadecanoic acid, methyl ester / Stearic acid, methyl ester / n-

Octadecanoic acid, methyl ester / Kemester 9718 / Methyl n-octadecanoate C19H38O2 298

47.633 (Maceration);

48.792 (Fresh juice);

48.800 (Sonication);

48.825 (Soxhlet)

27.52 (Maceration);

55.62 (Fresh Juice);

66.81(Sonication)

54.39 (Soxhlet)

112-61-8

13 Octadecanoic acid, methyl ester / Stearic acid, methyl ester / n-

Octadecanoic acid, methyl ester / Kemester 9718 / Methyl n-octadecanoate C19H38O2 298 48.833 (Maceration) 39.87 (Maceration) 112-61-8

14 Glycerin / 1,2,3-Propanetriol / Glycerol / Glycerine / Glyceritol / Glycyl

alcohol / Glyrol / Glysanin / Osmoglyn / Propanetriol C3H8O3 92

9.658 (Fresh juice);

9.650 (Soxhlet)

4.73 (Fresh Juice);

20.83 (Soxhlet) 56-81-5

15 Glycerin / 1,2,3-Propanetriol / Glycerol / Glycerine / Glyceritol / Glycyl

alcohol / Glyrol / Glysanin / Osmoglyn / Propanetriol C3H8O3 92 9.742 (Fresh juice) 9.47 (Fresh Juice) 56-81-5

16 2-Dodecene, (Z)- / (2Z)-2-Dodecene C12H24 168 14.192 (Fresh juice) 1.18 (Fresh Juice) 7206-26-0

17 Hexane, 3,3-dimethyl- / 3,3-Dimethylhexane C8H18 114 17.650 (Fresh juice) 0.59 (Fresh Juice) 563-16-6

18 Phenol, 3,5-bis(1,1-dimethylethyl)- / Phenol, 3,5-di-tert-butyl- / 3,5-Di-tert-

butylphenol / Phenol, 3,5-bis(t-butyl) / 3,5-Di-t-butylphenol C14H22O 206

27.175 (Fresh juice);

27.192 (Soxhlet)

9.47 (Fresh Juice);

7.24 (Soxhlet)

1138-52-9

19 Nonane, 1-iodo- / n-Nonyl iodide / Nonyl iodide / 1-n-Nonyl iodide / 1-

Iodononane C9H19I 254

17.633 (Sonication)

1.09 (Sonication) 4282-42-2

20 Isooctanol / Isooctyl alcohol / Exxal 8 / 6-Methyl-1-heptanol C8H18O 130 22.608 (Sonication)

3.51 (Sonication) 26952-21-6

21 Ethoxyacetaldehydediethylacetal / 1,1,2-Triethoxyethane / Ethane, 1,1,2-

triethoxy- / Ethoxyacetaldehyde diethyl acetal C8H18O3 162

6.958 (Soxhlet)

0.71 (Soxhlet) 4819-77-6

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4.3.2 LC-MS data analysis

The constituents identified for both plants were summarized in Table 4.3 and

Table 4.4. Figure 4.6 shows the LC-MS chromatograms of aqueous extracts of S.

polyanthum and M. charantia. Results revealed that as many as 53 phytoconstituents

were detected in M. charantia extracts. In comparison to M. charantia, the S.

polyanthum extracts had lesser, 39 phytoconstituents. Some of the constituents are

specific to the method applied during the extraction.

Figure 4.6: LC-MS profiles of different extracts of two selected plants A.

S. polyanthum extracts; B. M. charantia extracts.

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Table 4.3: List of identified phytoconstituents in the fruit aqueous extracts of M. charantia by LC-MS

No Compound name Elemental

composition

Mass

(g/mol)

m/z RT(min.) Maceration

Fresh

Juice Sonication Soxhlet

1 5S-HETE di-endoperoxide C20H34O8 402.2251 441.1884 1.198 (Maceration) √ X X X

2 Tyr ArgSer C18H28N6O6 402.2251 425.2155 1.202 (Maceration) √ X X X

3 11-amino-undecanoic acid C11H23NO2 201.1731 202.1805 4.162 (Maceration) √ X X X

4 Nonactin C40H64O12 736.4367 605.3661 4.263 (Maceration) √ X X X

5 2-Amino-3-methyl-1-butanol C5H13NO 103.0999 104.1072

4.266 (Maceration); 4.233 (Fresh juice);

4.185 (Sonication)

√ √ √ X

6 Adenine C5H5N5 135.0502 136.0614 4.598 (Maceration);

4.706 (Soxhlet) √ X X √

7 Anthraquinone C14H8O2 208.053 209.0603 4.693 (Maceration);

5.11 (Fresh juice) √ √ X X

8 Cis-1,2-Dihydroxy-1,2-

dihydrodibenzothiophene C12H10O2S 218.0404 219.0473

4.704 (Maceration);

4.748 (Fresh juice);

4.824 (Sonication)

√ √ √ X

9 Allo-inositol C6H12O6 180.064 203.0533

4.82 (Maceration);

4.826 (Fresh juice);

4.798 (Sonication)

√ √ √ X

10 1,3,7-Trimethyluric acid C8H10N4O3 210.075 233.0642 4.838 (Maceration) √ X X X

11 Sphinganine C16H35NO2 273.2669 274.2742

4.861 (Maceration);

4.881 (Fresh juice);

4.932 (Soxhlet)

√ √ X √

12 Phytosphingosine C18H39NO3 317.2925 318.2998

4.876 Maceration);

4.854 (Fresh juice);

4.893 (Sonication);

4.934 (Soxhlet)

√ √ √ √

13 y-Glu-Cys C8H14N2O5S 250.0637 251.0708 5.074 (Maceration) √ X X X

14 3-propylmalic acid C7H12O5 176.0687 199.0579 5.141 (Maceration);

5.127(Fresh juice) √ √ X X

15 δ-Valerolactam C5H9NO 99.0685 100.0757

5.244 (Maceration);

5.235 (Fresh juice);

5.254 (Soxhlet)

√ √ X √

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No Compound name Elemental

composition

Mass

(g/mol)

m/z RT(min.) Maceration

Fresh

Juice Sonication Soxhlet

16 a-Methyl-3,4-dihydroxyphenylpropionic

C10H12O4 196.0739 219.0631 5.361 (Maceration);

5.319(Sonication) √ X √ X

17 DiallylTrisulfide C6H10S3 177.9941 179.0013 5.777 (Maceration) √ X X X

18 Burseran C22H26O6 386.1736 409.163

6.339 (Maceration);

6.335 (Fresh juice);

6.282 (Sonication)

√ √ √ X

19 Apiole C12H14O4 222.0897 245.079

6.492 (Maceration);

6.491 (Fresh juice);

6.54 (Soxhlet)

√ √ X √

20 Estra-1,3,5(10)-triene-

3,6alpha,17beta-triol triacetate C24H30O6 414.2045 437.1938

7.283 (Maceration);

7.273 (Fresh juice);

7.373 (Soxhlet)

√ √ X √

21 Catechin 3-O-(1-hydroxy-6-oxo-2-

cyclohexene-1-carboxylate) C22H20O9 428.1099 451.101

7.449 (Maceration);

7.415 (Fresh juice);

7.325 (Sonication)

√ √ √ X

22 Apigenin 7-(3”-acetyl-6”-E-p-

coumaroylglucoside) C32H28O13 620.153 643.1424 11.009 (Maceration) √ X X X

23 Proanthocyanidin A2 C30H24O12 576.1272 599.1172

12.924 (Maceration);

13.006 (Fresh juice);

12.515 (Sonication);

13.779 (Soxhlet)

√ √ √ √

24 Elaidamide C18H35NO 281.272 304.2614

9.202 (Fresh juice);

9.198 (Sonication);

8.027 (Soxhlet)

X √ √ √

25 p-Aminobenzoic acid C7H7NO2 137.0479 138.0547 4.564 (Fresh juice);

4.779 (Soxhlet) X √ X √

26 Alpha-D-Mannoheptulopyranose C7H14O7 210.0748 233.0641

4.841 (Fresh juice);

4.842 (Sonication);

4.896 (Soxhlet)

X √ √ √

27 1-Deoxy-D-xylulose C5H10O4 134.0583 157.0475 5.031 (Fresh juice) X √ X X

28 Tert-Butylbicyclophosphorothionat C8H15O3PS 222.0475 219.033 5.773 (Fresh juice) X √ X X

29 Soyasaponin III C42H68O14 796.4597 819.4493 5.81 (Fresh juice) X √ X X

30 9S-hydroxy-12R,13S-epoxy-

10E,15Z-octadecadienoic acid C18H30O4 310.2142 333.2034 7.066 (Fresh juice) X √ X X

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No Compound name Elemental

composition

Mass

(g/mol)

m/z RT(min.) Maceration

Fresh

Juice Sonication Soxhlet

31 Eplerenone C24H30O6 414.2044 437.1937 7.273 (Fresh juice);

7.377 (Soxhlet) X √ X √

32 Linoleamide C18H33NO 279.257

302.2463 0.599 (Sonication) X X √ X

33 24-Nor-5β-cholane-3α,12α,22,23-tetrol

C23H40O4 380.2912 381.2985 3.24 (Sonication) X X √ X

34 Palmitic amide C16H33NO 255.2566 278.2459 4.565 (Sonication);

3.368 (Soxhlet) X X √ √

36 Exserohilone C20H22N2O6S2 450.094 451.1012 7.326 (Sonication);

7.534 (Soxhlet) X X √ √

37 14,14,14-Trifluoro-11Z-tetradecenyl acetate

C16H27F3O2 308.1968 309.2042 0.3 (Soxhlet) X X X √

38 gamma-Pentachlorocyclohexene C6H5Cl5 251.8844 274.8734 4.406 (Soxhlet) X X X √

39 Cycloleucine C6H11NO2 129.0794 130.0867 4.527 (Soxhlet) X X X √

40 5-Aminopentanoic acid C5H11NO2 117.079 118.0863 4.761 (Soxhlet) X X X √

41 Derrone C20H16O5 336.1009 337.1081 4.792 (Soxhlet) X X X √

42 Sophoracoumestan A C20H14O5 334.0856 335.0923 4.798 (Soxhlet) X X X √

43 Erythrinin A C20H16O4 320.106 321.1132 4.831 (Soxhlet) X X X √

44 Neuraminic acid C9H17NO8 267.0953 268.1025 4.833 (Soxhlet) X X X √

45 L-Galactose C6H12O6 180.0636 203.0529 4.887 (Soxhlet) X X X √

46 Benserazide C10H15N3O5 257.1016 258.1087 4.892 (Soxhlet) X X X √

47 Corynebactin C39H42N6O18 882.2566 905.246 4.919 (Soxhlet) X X X √

48 Quebrachitol C7H14O6 194.0793 217.0685 4.95 (Soxhlet) X X X √

49 Xestoaminol C C14H31NO 229.2408 230.2481 4.954 (Soxhlet) X X X √

50 Linamarin C10H17NO6 247.1063 270.0955 4.958 (Soxhlet) X X X √

51 (2S,3S)-2,3-Dihydro-2,3-dihydroxybenzoate

C7H8O4 156.0418 157.0491 5.052 (Soxhlet) X X X √

52 p-Acetaminobenzoic acid C9H9NO3 179.0594 180.0661 5.078 (Soxhlet) X X X √

53 (+)-Eudesmin C22H26O6 386.1734 409.1627 6.398 (Soxhlet) X X X √

Note: x = Not detected, √ = Detected

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Table 4.4: List of identified phytoconstituents in the leaf aqueous extracts of S. polyanthum by LC-MS

No Compound name Elemental

composition

Mass

(g/mol) m/z RT(min.) Maceration

Fresh

Juice Sonication Soxhlet

1 Stearamide C18H37NO 283.2875 306.2768 3.387 (Maceration) √ X X X

2 Palmitic amide C16H33NO 255.256 278.2452 3.675 (Maceration);

3.597 (Fresh Juice) √ √ X X

3 2-Amino-3-methyl-1-butanol C5H13NO 103.0996 104.1069

4.183 (Maceration);

4.411 (Sonication);

4.188 (Soxhlet)

√ X √ √

4 5-Aminopentanoic acid C5H11NO2 117.0788 140.068 4.626 (Maceration);

4.732 (Sonication) √ X √ X

5 Theobromine C7H8N4O2 180.0643 203.0535

4.8 (Maceration);

4.837 (Sonication);

4.807 (Soxhlet)

√ X √ √

6 Sphinganine C16H35NO2 273.2667 274.274

4.842 (Maceration);

4.828 (Fresh Juice);

4.864 (Sonication);

4.834 (Soxhlet)

√ √ √ X

7 1-Deoxy-D-xylulose C5H10O4 134.058 157.0473

5.001 (Maceration);

5.003 (Fresh Juice);

5.087 (Sonication)

√ √ √ X

8 Karanjin C18H12O4 292.0736 293.0809 5.002 (Maceration);

5.008 (Fresh Juice) √ √ X X

9 3-propylmalic acid C7H12O5 176.0687 199.058 5.107 (Maceration);

5.108 (Fresh Juice) √ √ X X

10 a-Methyl-3,4-

dihydroxyphenylpropionic acid C10H12O4 196.0738 219.063

5.312 (Maceration);

5.321 (Fresh Juice);

5.408 (Sonication)

√ √ √ X

11 (+)-Eudesmin C22H26O6 386.1734 409.1628 6.257 (Maceration);

6.269 (Soxhlet) √ X X √

12 Adifoline C22H20N2O7 424.1284 425.1362 6.257 (Maceration);

6.272 (Fresh Juice) √ √ X X

13 Apiole C12H14O4 222.0896 245.0789

6.43 (Maceration);

6.442 (Fresh Juice);

6.52 (Sonication);

6.445 (Soxhlet)

√ √ √ √

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No Compound name Elemental

composition

Mass

(g/mol) m/z RT(min.) Maceration

Fresh

Juice Sonication Soxhlet

Exserohilone C20H22N2O6S2 450.094 451.1011

7.29 (Maceration);

7.299 (Fresh Juice);

7.305 (Soxhlet)

√ √ X √

15 Elaidamide C18H35NO 281.2719 304.2619 7.751 (Maceration) √ X X X

16 Proanthocyanidin A2 C30H24O12 576.1282 599.1174

12.343 (Maceration);

12.372 (Fresh Juice);

13.603 (Sonication)

√ √ √ X

17 Allo-Inositol C6H12O6 180.0641 203.0534 4.807 (Fresh Juice) X √ X X

18 Tiaprofenic acid C14H12O3S 260.0514 261.0586 4.89 (Fresh Juice) X √ X X

19 Anthraquinone C14H8O2 208.0526 209.0607 5.075 (Fresh Juice) X √ X X

20 Burseran C22H26O6 386.1722 425.1362 6.272 (Maceration)

6.368 (Sonication) X √ √ X

21 2,8-Dihydroxyadenine C5H5N5O2 167.043 168.0509 3.993 (Sonication) X X √ X

22 Linamarin C10H17NO6 247.1048 248.1122 4.202 (Sonication) X X √ X

23 Perindoprilat C17H28N2O5 340.2008 341.2086 4.324(Sonication) X X √ X

24 D-Glucoheptose C7H14O7 210.0739 329.3161 4.843 (Sonication) X X √ X

25 Phytosphingosine C18H39NO3 317.2927 318.3001 4.862 (Sonication) X X √ X

26 Phenazine-1,6-dicarboxylic acid C14H8N2O4 268.0482 269.0556 5.119 (Sonication) X X √ X

28 δ-Valerolactam C5H9NO 99.0685 100.0758 5.275 (Sonication) X X √ X

30 DiallylTrisulfide C6H10S3 177.9946 219.0332 5.813 (Sonication) X X √ X

31

Catechin 3-O-(1-hydroxy-6-

oxo-2-cyclohexene-1-

carboxylate)

C22H20O9 428.1112 451.1006 7.506 (Sonication) X X √ X

32 Apigenin 7-(3''acetyl-6''-E-p-

coumaroylglucoside) C32H28O13 620.1517 643.1419 11.373 (Sonication) X X √ X

33 3,4-Dihydroxybenxylamine C7H9NO2 139.0637 140.071 4.643 (Soxhlet) X X X √

34 GlnCys Asp C12H20N4O7S 364.1061 365.1134 4.689 (Soxhlet) X X X √

36 Disialyllactose C34H56N2O27 924.3043 947.2937 5.025 (Soxhlet) X X X √

37 Aminofurantoin C8H8N4O3 208.0587 109.066 5.08 (Soxhlet) X X X √

38 Syringic acid C9H10O5 198.0532 199.0602 5.115 (Soxhlet) X X X √

39 Salvianolic acid C26H22O10 494.1188 495.1263 7.102 (Soxhlet) X X X √

Note: x = Not detected, √ = Detected

87

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4.4 Antioxidant activities of the extracts

4.4.1 DPPH radical scavenging activity (RSA) of the extracts

4.4.1.1 DPPH-RSA for M. charantia single extracts

The DPPH-RSA test was performed for the M. charantia extracts as shown in

Table 3.1, and as per the procedure described in section 3.2.4. The decrease in

absorbance of DPPH solution at 517 nm implies the reduction of DPPH to yellow

coloured DPPH which is initiated by antioxidants. Quercetin was used as a standard for

this assay as it has highest DPPH scavenging potential among flavonoids in view of its

phenolic structure. The DPPH scavenging potential for the extracts of M. charantia,

differed based on the method used for extraction and the % inhibition of DPPH free

radical by each extract ranged between 8.53 to 19.76 %. The order of activity of the

extracts was soxhlet (19.76 %) > fresh juice (14.19 %) > maceration (9.16 %) >

sonication (8.53 %). The positive control (quercetin) had 69.21 % DPPH radical

inhibition. The data was analysed by one way ANOVA test followed by LSD Test for

multiple comparisons. The results suggest a significant difference (p < 0.001) in the

DPPH radical scavenging activity of the four extracts indicating the influence of

extraction method on the inhibition. It is evident that extract obtained by soxhlet method

had highest DPPH radical scavenging potential than its counterparts. Thus, soxhlet

extract was significantly different from fresh juice (p < 0.01), maceration (p < 0.001)

and sonication (p < 0.001) Therefore, sonication method was ineffective in extracting

hydrophilic antioxidants from the plant material when compared to the other extraction

methods tested as far as M. charantia is concerned.

4.4.1.2 DPPH-RSA for S. polyanthum single extracts

All the extracts of S. polyanthum exhibited remarkable DPPH radical scavenging

activity and superior antioxidant power than M. charantia. The DPPH free radical

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scavenging, inhibitory activities of M. charantia extracts were relatively less when

compared to S. polyanthum extracts. The DPPH assay conducted on S. polyanthum

extracts. The antioxidant inhibitory activities of the extracts were between 58.03 to

64.93 %. Current study supported that S. polyanthum leaves have abundant hydrophilic

antioxidant molecules which were extracted successfully that might have reacted

intensively with that of DPPH radicals to scavenge them in a significant manner. The

order of activity of the extracts was sonication (64.93 %) > maceration (64.18 %) >

soxhlet (63.15 %) > fresh juice (58.03 %). Among the four extracts tested maceration,

soxhlet and sonication were statistically similar and the difference between them was

insignificant (p > 0.05). However, fresh juice extract was significantly different from

the other three extracts (p < 0.05). This has suggested that irrespective of method of

extraction applied to S. polyanthum the extracts possessed similar concentrations of

hydrophilic antioxidants except fresh juice, that might have shown scavenging potential

against DPPH free radicals. However, the scavenging efficiency was not comparable to

that of standard quercetin as the difference was significant (p < 0.01).

4.4.1.3 DPPH-RSA for M. charantia and S. polyanthum combination extracts

As many as 28 combinations of 8 extracts (Four from M. charantia and 4 from

S. polyanthum) as shown in Table no. 3.1 were tested for DPPH free radical scavenging

activity to estimate the synergistic effects of the extracts. Initially combination within

the plant extracts was carried out and later between the two different plant extracts was

performed.

Six within combinations of M. charantia extracts were used and the overall

DPPH radical inhibitory ability of them was ranged between 5.49 to 18.37 %. The order

of activity of the extracts was Fresh Juice MC-Soxhlet MC (18.37 %) > Sonication MC-

Soxhlet MC (14.17 %) > Fresh Juice MC-Sonication MC (11.3 %) > Maceration MC-

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Fresh juice MC (11.16 %) > Maceration MC-Soxhlet MC (10.88 %) > Maceration MC-

Sonication MC (5.49 %). Despite the combination of extracts there was no significant

increase in the DPPH scavenging activities rather decreased in comparison to single

extracts tested. This suggests that hydrophilic antioxidants were reduced to a greater

extent upon pooling the extracts. Like M. charantia six within combinations of S.

polyanthum were also tested and as expected the results were similar to the individual

extracts tested with an inhibition ranging from 61.7 to 64.67 %. The order of activity of

the extracts was Sonication SP-Soxhlet SP (64.67 %) > Fresh Juice SP-Sonication SP

(64.57 %) > Fresh Juice SP-Soxhlet SP (64.35 %) > Maceration SP-Soxhlet SP (63.79

%) > Maceration SP-Fresh juice SP (62.25 %) > Maceration SP-Sonication SP (61.7

%). This difference between highest and lowest is marginal, nevertheless these

combinations of S. polyanthum were far superior to M. charantia in their DPPH radical

scavenging efficiency. However, “Maceration SP-Sonication SP” and “Maceration SP-

Fresh juice SP” scavenging were statistically dissimilar (p < 0.05) with the rest of the

combinations.

Sixteen between combinations of M. charantia and S. polyanthum were tested to

evaluate the presence and absence of synergism in their DPPH radical scavenging

effects. In this combination study 10 µg/mL of S. polyanthum and 10 µg/mL of M.

charantia extracts were combined to match with individual extract concentration of 20

µg/mL, to evaluate a meaningful comparison during the analysis of the results. The

values ranged from 58.4 to 65.35 %, the highest being 65.35 % demonstrated by

“Maceration MC-Sonication SP” and the lowest expressed by “Maceration MC-

Maceration SP”. Interestingly, despite only half the concentration (10 µg/mL) of S.

polyanthum in the tested samples the scavenging potential was not varied much but had

negligible differences to that of single extracts tested which actually had double the

concentration (20 µg/mL). This brings us to the conclusion that presence of half the

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concentration (10 µg/mL) of M. charantia in combinations has potentiated the effect of

S. polyanthum extracts despite lower in concentration. Hence, it can be assumed that

different plant extract combinations exhibit synergistic DPPH radical scavenging

power. As shown in Figure 4.7 the 65.35 % inhibition of “Maceration MC-Sonication

SP” was statistically different from that of standard quercetin (69.21 %) and other

combinations (p < 0.05). The combinations exhibiting similar activity were depicted

with similar alphabetical letter, the values ranged between 5.49 to 65.35 %. The results

are presented in Figure 4.7.

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Figure 4.7: DPPH radical scavenging activity of different aqueous extracts of M.

charantia and S. polyanthum, A. Single extracts; B. Combination extracts, data was

presented as percent DPPH inhibition, mean ± SD (n=3) data was analysed according to

one way ANOVA and LSD multiple comparison test, same alphabetical letters denote

non-significant difference at p < 0.05.

b9.16

c14.19 b

8.53

d19.76

f64.18 e

58.03

f64.93

f63.15

g69.21

0

10

20

30

40

50

60

70

80

Maceration Fresh Juice Sonication Soxhlet Quercetin

% In

hib

itio

n

Treatments of extraction (20 µg/mL)

Momordica charantia

Syzygium polyanthum

Quercetin

011.16 c

5.49 b10.88 c

11.3 c18.37 d

14.17 c62.25 e

61.7 e63.79 f

64.57 f64.35 f

64.67 f58.4 e

61.49 e65.35 g

63.84 f61.72 e

61.07 e63.69 f

61.74 e63.67 f

62.88 f65.13 f

63.26 f62.13 e61.81 e

64.12 f62.3 e

69.21 h

-10 0 10 20 30 40 50 60 70 80

Blank

Maceration MC – Fresh Juice MC

Maceration MC - Sonication MC

Maceration MC - Soxhlet MC

Fresh Juice MC - Sonication MC

Fresh Juice MC – Soxhlet MC

Sonication MC - Soxhlet MC

Maceration SP - Fresh Juice SP

Maceration SP - Sonication SP

Maceration SP - Soxhlet SP

Fresh Juice SP - Sonication SP

Fresh Juice SP - Soxhlet SP

Sonication SP - Soxhlet SP

Maceration MC-Maceration SP

Maceration MC-Fresh Juice SP

Maceration MC-Sonication SP

Maceration MC-Soxhlet SP

Fresh Juice MC-Maceration SP

Fresh Juice MC-Fresh Juice SP

Fresh Juice MC-Sonication SP

Fresh Juice MC-Soxhlet SP

Sonication MC-Maceration SP

Sonication MC-Fresh Juice SP

Sonication MC-Sonication SP

Sonication MC-Soxhlet SP

Soxhlet MC-Maceration SP

Soxhlet MC-Fresh Juice SP

Soxhlet MC-Sonication SP

Soxhlet MC-Soxhlet SP

Quercetin

% Inhibition

Bet

wee

n C

om

bin

ati

on

MC

-SP

A

Wit

hin

Co

mb

ina

tio

n S

P

(

20

µg

/mL

)

Wit

hin

Co

mb

ina

tio

n M

C

B

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4.4.2 FRAP activity of the extracts

4.4.2.1 FRAP activity of M. charantia single extracts

The FRAP test was performed in a microplate for the test samples given in

Table 3.1 and as per the procedure described in section 3.2.4. Quercetin was used as a

positive standard for this assay. The FRAP activity for single extracts, The FRAP

inhibitory values of M. charantia were in between 3.12 to 4.19 %. The order of activity

of the extracts was soxhlet (4.19 %) > maceration (3.40 %) > sonication (3.30 %) >

fresh juice (3.12 %). ANOVA test between all extracts were significantly lower (p <

0.05). The statistical analysis of the data revealed that the difference in activities of

extracts obtained from different methods was insignificant (p > 0.05). This suggests that

M. charantia extracts, irrespective of the method of extraction were identical in showing

FRAP activity and was negligible as it was significantly similar to blank tested.

4.4.2.2 FRAP activity of S. polyanthum single extracts

The ferric reducing antioxidant power (FRAP) for extracts of S. polyanthum

were in the order of fresh juice (69.05 %) > sonication (29.24 %) > soxhlet (28.21 %) >

maceration (17.56 %). Interestingly the % inhibition of fresh juice of S. polyanthum was

better than the positive control, quercetin (63.27 %) and it was statistically significant (p

< 0.05). The method of extraction had significant difference (p < 0.001) in extracting

the electron donating phytoconstituents that are capable of eliciting FRAP activity. In

contrary to the fresh juice (69.05 %) maceration method of extraction had significantly

less (p < 0.001) ferric reducing antioxidant power and it was the least among the

extracts tested. However, extracts obtained by sonication and soxhlet were statistically

similar (p > 0.05). Our study has supported the antioxidant potential of S. polyanthum

extracts over M. charantia extracts. But, contrary to the DPPH activity results, FRAP

activity results of S. polyanthum had influence of extraction method. Similar results

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were also noticed with M. charantia extracts in DPPH assay though not as intense as S.

polyanthum samples. This can be ascribed to the method chosen for extraction that

might have influenced the concentrations of proton donating and electron donating

antioxidant compounds extracted differently in aqueous plant extracts. Hence, fresh

juice of S. polyanthum demonstrated highest FRAP activity, in contrary to the highest

DPPH scavenging activity by sonication extract. Therefore, determine of the best

extraction method is prerequisite before herbal formulations to reduce the disparity in

the therapeutic efficacy.

4.4.2.3 FRAP activity for M. charantia and S. polyanthum combination extracts

Similar 28 combinations of 8 extracts (4 from M. charantia and 4 from S.

polyanthum) as shown in Table 3.1 were tested for FRAP antioxidant activity to

estimate the synergistic effects of the extracts like in DPPH assay. To understand the

pattern of combination effect on FRAP, first within the plants extracts were tested and

later tests were carried out between the two different plant extract combinations.

Six within combinations of M. charantia extracts showed insignificant FRAP

activities ranged between 2.97 to 5.36 %. The order of activity of the extracts was Fresh

Juice MC-Soxhlet MC (5.36 %) > Sonication MC-Soxhlet MC (4.95 %) > Maceration

MC-Soxhlet MC (4.44 %) > Maceration MC-Fresh juice MC (4.15 %) > Maceration

MC-Sonication MC (3.55 %) > Fresh juice MC-Sonication MC (2.97 %). It was

observed that FRAP activity of combined M. charantia extracts were akin to individual

extracts and the FRAP values were not worth considering. The FRAP values of S.

polyanthum within combinations were as presented in Figure 4.8. The extracts of S.

polyanthum exhibited the highest FRAP values and interestingly fresh juice containing

combination extracts were superior in their activity. The order of activity of the extracts

was Fresh Juice SP-Sonication SP (68.12 %) > Maceration SP-Fresh Juice SP (66.6 %)

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> Fresh Juice SP-Soxhlet SP (63.69 %) > Sonication SP-Soxhlet SP (36.07 %) >

Maceration SP-Soxhlet SP (27.56%) > Maceration SP-Sonication SP (23.81 %). Upon

analysing the data by LSD multiple comparison test, it was found that fresh juice

containing juices among the above combinations were statistically similar (p > 0.05)

and they were with statistically higher (p < 0.05) ferric reducing power than positive

control, quercetin (63.27 %).

Sixteen between combinations of M. charantia and S. polyanthum were tested to

know the synergism in FRAP activity. The values ranged from 14.54 to 59.16 %, the

highest was 59.16 % expressed by “Soxhlet MC-Fresh Juice SP” and the lowest was

observed in “Maceration MC-Maceration SP”. In between combination results

“Maceration MC-Maceration SP” was found to be least antioxidant in both DPPH and

FRAP assays indicating its poor radical scavenging and ferric reducing effects. Out of

sixteen combinations only four combinations were closely comparable to positive

control, statistically all the four were similar and significantly lower than standard (p <

0.05), only fresh juice of S. polyanthum containing extracts were consistently produced

superior activities, in contrary fresh juice extracts of M. charantia were ineffective in

showing reducing capacity. The top four extracts among the tested combinations were

Soxhlet MC-Fresh juice SP (59.16 %) > Fresh juice MC-Fresh juice SP (57.96 %) >

Sonication MC-Fresh juice SP (54.45 %) > Maceration MC-Fresh juice SP (53.71 %).

The results were presented in Figure 4.8. Univers

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Figure 4.8: FRAP radical scavenging activity of different aqueous extracts of M.

charantia and S. polyanthum, A. Single extracts; B. Combination extracts, data was

presented as percent FRAP inhibition, mean ± SD (n=3) data was analysed according to

one way ANOVA and LSD multiple comparison test, same alphabetical letters denote

non-significant difference at p < 0.05.

a3.40

a3.12 3.30

a4.19

b17.56

e69.05

c29.24

c28.21

d63.27

0

10

20

30

40

50

60

70

80

90

Maceration Fresh Juice Sonication Soxhlet Quercetin

% In

hib

itio

n

Treatments of extraction ( 10 µg/mL)

Momordica charantia

Syzygium polyanthum

Quercetin

04.15 a3.55 a4.44 a

2.97 a5.36 a

4.95 a

66.6 j23.81 d

27.56 f

68.12 k63.69 i

36.07 g

14.54 b53.71 h

22.4 b23.16 c

14.93 b57.96 h

15.77 b25.93 e

15.92 b54.45 h

24.15 e

25.57 e19.09 b

59.16 h22.77 b

15.49 b63.27 i

-10 0 10 20 30 40 50 60 70 80

BlankMaceration MC – Fresh Juice MCMaceration MC - Sonication MC

Maceration MC - Soxhlet MCFresh Juice MC - Sonication MC

Fresh Juice MC – Soxhlet MCSonication MC - Soxhlet MC

Maceration SP - Fresh Juice SPMaceration SP - Sonication SP

Maceration SP - Soxhlet SPFresh Juice SP - Sonication SP

Fresh Juice SP - Soxhlet SPSonication SP - Soxhlet SP

Maceration MC-Maceration SPMaceration MC-Fresh Juice SPMaceration MC-Sonication SP

Maceration MC-Soxhlet SP Fresh Juice MC-Maceration SP Fresh Juice MC-Fresh Juice SPFresh Juice MC-Sonication SP

Fresh Juice MC-Soxhlet SPSonication MC-Maceration SPSonication MC-Fresh Juice SPSonication MC-Sonication SP

Sonication MC-Soxhlet SPSoxhlet MC-Maceration SPSoxhlet MC-Fresh Juice SPSoxhlet MC-Sonication SP

Soxhlet MC-Soxhlet SPQuercetin

% Inhibition

Wit

hin

Co

mb

inati

on

MC

Wit

hin

Com

bin

ati

on

SP

( 10 µ

g/m

L)

Bet

wee

n C

om

bin

ati

on

MC

-SP

A

B

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4.5 Antidiabetic enzyme inhibitory activity of the extracts

4.5.1 In vitro α-amylase inhibitory activity of the extracts

4.5.1.1 In vitro α-amylase inhibitory activity of M. charantia single extracts

First and foremost, four individual extracts of M. charantia were obtained by

different extraction methods were tested for α-amylase inhibitory activity. The data was

analysed by one way ANOVA, a significant difference (p < 0.05) was observed in α-

amylase inhibitions between the four different extracts. Thus, the method of extraction

applied had significant impact in extracting constituents responsible for enzyme

inhibitory activity. The fresh juice of M. charantia exhibited highest α-amylase

inhibition of 61.24 % followed by sonication (57.06 %), maceration (51.27 %) and

soxhlet (43.2 %) compared with the standard, acarbose (88.51 %). Unlike DPPH, FRAP

results of M. charantia, significant α-amylase enzyme inhibitory activity was noticed

though not to the level of standard, acarbose.

4.5.1.2 In vitro α-amylase inhibitory activity of S. polyanthum single extracts

S. polyanthum individual extracts obtained by maceration, sonication, soxhlet

and fresh juice were investigated for α-amylase inhibitory activity. The order of their

activities were fresh juice (92.21 %) > sonication (80.49 %) > soxhlet (48.46 %) >

maceration (34.49 %). A remarkable difference was noticed between the extracts, and

corresponding α-amylase inhibitory activities, they were significantly different (p <

0.001). Surprisingly, once again fresh juice of S. polyanthum showed an activity

superior (92.21 %) to the standard, acarbose (88.51 %) and the next best was the extract

derived from sonication (80.49 %). Soxhlet and maceration extracts were significantly

(p < 0.05) lower in demonstrating α-amylase inhibitory activity than others (Figure 4.9).

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4.5.1.3 In vitro α-amylase inhibitory activity of M. charantia and S. polyanthum

combination extracts

A combination of 14 extracts of M. charantia and S. polyanthum were tested to

know the synergism. Unlike antioxidant assays, in antidiabetic assays within the plant

extract combinations were not considered as they were inferior and hence not tested.

The α-amylase inhibitory values of the combined extracts ranged from 15.18 to 90.86

%, the highest was expressed by “Soxhlet MC-Fresh Juice SP” and the lowest was

observed in “Sonication MC-Sonication SP”. Out of the fourteen combinations only

three combinations were closely comparable to positive control (88.51 %), statistically

they were similar to standard (p > 0.05), Soxhlet MC-Fresh Juice SP (90.86 %),

Sonication MC-Fresh juice SP (90.3 %) and Maceration MC-Fresh juice SP (87.64 %).

Fresh juice of S. polyanthum consistently produced superior activities yet again this

time on α-amylase. The data suggests that there is an existence of synergism among

these three combinations this is because, despite the half the concentrations of S.

polyanthum in combinations the inhibitory values were improved significantly. The rest

of the combinations were ineffective and no synergism was observed and the activities

were nearly half to the inhibition of standard, acarbose. The results were presented in

Figure 4.9.

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Figure 4.9: α-amylase inhibitory effects of different aqueous extracts of M. charantia

and S. polyanthum, A. Single extracts; B. Combination extracts, data was presented as

percent α-amylase inhibition, mean ± SD (n=3) data was analysed according to one way

ANOVA and LSD multiple comparison test, same alphabetical letters denote non-

significant difference at p < 0.05.

b51.27

c61.24

c57.06

b43.2

b34.49

e92.21

d80.49

b48.46

e88.51

0

10

20

30

40

50

60

70

80

90

100

Maceration Fresh Juice Sonication Soxhlet Acarbose

% In

hib

itio

n

Treatments of extraction (20 µg/mL)

Momordica charantia

Syzygium polyanthum

Acarbose

0

87.64 h

28.28 c

26.53 b

15.18 b

47.15 f

33.41 c

41.46 e

24.59 b

59.92 g

90.3 h

23.21 b

90.86 h

35.5 c

36.95 d

88.51 h

-20 0 20 40 60 80 100 120

Blank

Maceration MC-Fresh Juice SP

Soxhlet MC-Maceration SP

Sonication MC-Maceration SP

Sonication MC-Sonication SP

Fresh Juice MC-Maceration SP

Soxhlet MC-Soxhlet SP

Fresh Juice MC-Sonication SP

Maceration MC-Sonication SP

Fresh Juice MC-Soxhlet SP

Sonication MC-Fresh Juice SP

Maceration MC-Soxhlet SP

Soxhlet MC-Fresh Juice SP

Sonication MC-Soxhlet SP

Soxhlet MC-Sonication SP

Acarbose

% Inhibition

Tre

atm

en

ts o

f e

xtra

ct c

om

bin

atio

n (

20

µg/mL)

A

B

A

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4.5.2 In vitro α-glucosidase inhibitory activity of extracts

4.5.2.1 In vitro α-glucosidase inhibitory activity of M. charantia single extracts

The α-glucosidase inhibitory values of the extracts ranged between 16.47 to

21.77 % and the standard, acarbose had 32.22 %. All four different extracts of M.

charantia possessed statistically similar α–glucosidase inhibitory activity (p > 0.05).

The extract produced by maceration showed highest 21.77 % inhibition in comparison

to the sonication extract that had the least 16.47 %. Therefore, maceration extract has

the highest α-glucosidase enzyme inhibitory activity among the extracts. However, all

four of them were significantly lower in showing the inhibition in comparison to

standard, acarbose (p < 0.05).

4.5.2.2 In vitro α-glucosidase inhibitory activity of S. polyanthum single extracts

In contrary to M. charantia, the results of α-glucosidase inhibitory effects of S.

polyanthum were highly significant (p < 0.001). A threefold higher activity was

observed with fresh juice (96.06 %) than acarbose (32.22 %), the fresh juice of S.

polyanthum exhibited excellent α-glucosidase inhibitory activity. Extract obtained from

sonication also had two fold α-glucosidase inhibitory activity than acarbose. The %

inhibitory activities were in between 16.57 to 96.06 % and the decreasing order of their

activities were, fresh juice (96.06 %) > sonication (64.74 %) > soxhlet (18.16 %) >

maceration (16.57 %). The fresh juice of S. polyanthum was more effective than others,

activities of the extracts found to be significantly different from one another (p < 0.001),

hence it is established that method of extraction has significant impact on antidiabetic

activities.

4.5.2.3 In vitro α-glucosidase inhibitory activity of M. charantia and S. polyanthum

combination extracts

Like in α-amylase inhibitory study a combination of 14 extracts of M. charantia

and S. polyanthum were tested to know the synergism against α-glucosidase. The α-

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glucosidase inhibitory values of the combined extracts ranged from 11.49 to 95.52 %,

the highest was expressed by “soxhlet MC-fresh juice SP” and the lowest was observed

in “sonication MC-soxhlet SP”. Out of the fourteen combinations remarkably five

combinations were significantly (p < 0.05) higher than positive control (32.22 %), three

among them exhibited nearly threefold higher activity than acarbose, soxhlet MC-fresh

juice SP (p < 0.001; 95.52 %), sonication MC-fresh juice SP (p < 0.001; 93.99 %) and

maceration MC-fresh juice SP (p < 0.001; 87.29 %). The data suggests that there is an

existence of synergism among these three combinations. The same above three

combinations also possessed strong α-amylase inhibitory effects, all had one thing

common in them that is having 50 % of extract derived from fresh juice. Fresh juice of

S. polyanthum consistently produced superior enzyme inhibitory antidiabetic activities

both individually and in combination. However, sonication extract of S. polyanthum in

combinations had reduced inhibitory values and this reduction is in the following order,

soxhlet MC-sonication SP (51.46 %) > sonication MC-sonication SP (45.23 %) >

maceration MC-sonication SP (18.03 %) > fresh juice MC-sonication SP (16.11 %).

The rest of the combinations were ineffective and no synergism was observed and the

activities were marginal. The results were presented in Figure 4.10.

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Figure 4.10: α-glucosidase inhibitory effects of different aqueous extracts of M.

charantia and S. polyanthum, A. Single extracts; B. Combination extracts, data was

presented as percent α-glucosidase inhibition, mean ± SD (n=3) data was analysed

according to one way ANOVA and LSD multiple comparison test, same alphabetical

letters denote non-significant difference at p < 0.05.

b21.77

b18.63

b16.47

b19.78

b16.57

e96.06

d64.74

b18.16

c32.22

0

20

40

60

80

100

120

Maceration Fresh Juice Sonication Soxhlet Acarbose

% In

hib

itio

n

Teatments of extraction (40 µg/mL)

Momordica charantia

Syzygium polyanthum

Acarbose

0

87.29 f

29.64 d

14.28 b

45.23 e

16.19 b

31.36 d

16.11 b

18.03 b

14.87 b

93.99 f

25.04 c

95.52 f

11.49 b

51.46 e

32.22 d

-20 0 20 40 60 80 100 120

Blank

Maceration MC-Fresh Juice SP

Soxhlet MC-Maceration SP

Sonication MC-Maceration SP

Sonication MC-Sonication SP

Fresh Juice MC-Maceration SP

Soxhlet MC-Soxhlet SP

Fresh Juice MC-Sonication SP

Maceration MC-Sonication SP

Fresh Juice MC-Soxhlet SP

Sonication MC-Fresh Juice SP

Maceration MC-Soxhlet SP

Soxhlet MC-Fresh Juice SP

Sonication MC-Soxhlet SP

Soxhlet MC-Sonication SP

Acarbose

% Inhibition

Tre

atm

en

ts o

f e

xtra

ct c

om

bin

atio

n (

40

µg/mL)

A

B

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4.6 Evaluation of herbal tablet formulation

In the current study the best extracts of the two selected plants were formulated

as solid herbal formulations as described in section 3.2.6 and as per the formula given in

Table 3.2 and Figure 3.1.

The quality control tests for granules such as angle of repose, Carr’s index and

Hausner’s ratio were carried out as per the procedures described in section 3.2.6.1 and

the results were presented in Table 4.6 and Figure 4.11. The results have indicated that

the prepared granules had angle of repose (29.89), Carr’s index (10) and Hausner’s ratio

(1.11) which are considered as ‘Excellent’ according to USP-34 (2009). The prepared

herbal tablet formulations were also evaluated for compendial and non-compendial

quality tests, such as weight variation, friability, disintegration, hardness, thickness and

diameter. The weight variation was within the USP limits as none of the tablet deviated

from the acceptable range (± 5 % allowance for > 324 mg tablets). The hardness of the

tablets was within the range of 51-62 N and it was acceptable. For the above batch of

herbal tablets the disintegration time was within the range of 10.19 to 13.15 min. and all

the six tablets tested in disintegration apparatus (Electrolab ED-2 SAPO) disintegrated

from the basket rack assembly within 15 min. Therefore, the disintegration test for the

prepared formulations was considered passed. The herbal formulations prepared were

tested for friability test (Erweka TAR 10 friabilator) to assess their ability to withstand

shock during transportation and packaging and it was 0.72 %, the acceptable range as

per USP-34 is 0.5-1 %, therefore the test was passed. Prepared batch of herbal tablet

formulations were consistent in thickness and diameter as observed by low SD values.

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Table 4.5: Evaluation results of herbal tablet formulations

Parameters Observed value

(Mean ± SD)

Angle of repose (Ɵ) 29.89 ± 0.16

Carr’s Index (%) 10 ± 0.57

Hausner’s ratio 1.11 ± 0.005

Weight variation (mg) 554.5 ± 1.45

Thickness (mm) 3.57 ± 0.17

Diameter (mm) 13.8 ± 0.04

Hardness (N) 56.8 ± 4.3

Friability (%) 0.72 ± 0.05

Disintegration time

(minutes)

10.19 to 13.15

(Range for six tablets)

Figure 4.11: Prepared herbal tablet formulations of the

best extracts of M. charantia and S. polyanthum.

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CHAPTER 5: DISCUSSION

There is a rapid growth in the number of cases of type 2 diabetes globally over

the last few decades. Multiple factors such as obesity, sedentary life style, genetic

factors and dietary habits are a few among known that are responsible for its rise.

Hyperglycaemia, a symptom of diabetes, or a high blood glucose level, has been shown

to increase reactive oxygen species and end products of oxidative damage in humans.

Most studies show that oxidative damage is increased in people with diabetes.

Endogenous antioxidants are capable of preventing oxidative damage and associated

health complications, like inflammation, cardiac diseases, diabetes and cancer. Natural

products in recent times were extensively studied as antioxidants, most of the natural

antioxidants come from spices and herbs and are known to contain many

phytoconstituents that can scavenge free radicals generated during the metabolism.

These include vitamin C, vitamin E, carotenoids such as β-carotene and lycopene, and

other phytonutrients, or substances found in fruits, vegetables such as bay leaf (S.

polyanthum) having phytoconstituent eugenol (Ismail, Mohamed, Sulaiman, & Ahmad,

2013), bitter gourd (M. charantia) having phytoconstituents charantin, momordicosides

and flavonoids. Hence, a detailed investigation on M. charantia and S. polyanthum was

explored in this study, because in addition to ready availability, efficacy, they believed

to have milder side effects than synthetic drugs (Richard & Matthew, 2009).

5.1 Identification of selected plants for the study

The term herbal medicine is quite frequent in usage and it refers to herbs, herbal

materials, herbal preparations and finished herbal products, which contain active plant

parts, either as powders or as extracts, or as their combination (WHO, 2014). One of the

common problems associated with natural derived products is inconsistency and

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heterogeneity in the quality. Therefore, standardization of medicinal plants and herbal

products is of paramount importance. The quality of herbal raw materials fluctuates

greatly due to geographical location, soil environment and mode of collection, in

addition the influence of diverse climatic conditions, their habit and habitats can alter

the quality. Standardization of herbal products has been strongly recommended to

overcome disparity among them in recent times. Important attributes of standardization

procedure include proper authenticity and purity of the samples selected for the herbal

products. It is often observed that improper identification will lead to several

complications associated with them. Authenticity of the sample can be done either by

macroscopy or microscopy or by chemical evaluation or by genotypic analysis.

Macroscopy can be applied to distinguish the desired herb from its common adulterant

by observing the herbaceous, woody or succulent nature of the plant. While the leaf

(shape, size, margin etc.), flower (simple or compound, inflorescence, arrangement of

carpels and stamens, sex of the flowers etc.) and fruit (type, dehiscence or indehiscence

etc.) morphologies will be utilised to discriminate from adulterants. On the contrary

microscopy is helpful to analyse the microscopical characters employing microscopes to

visualize type of trichomes, epidermis, oil glands, vascular tissues, cells and cell

inclusions. Therefore, detailed morphological and microscopical characters of the two

selected plant species were carried out to confirm the authenticity and identity

(Lachumy & Sasidharan, 2012). The macro and microscopical characters of the two

selected species were in correlation to the existing available reference and the identity

of the plants was established by their microscopical characters shown in Figure 4.1 and

Figure 4.2.

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5.2 Extraction of plant materials using different extraction methods

Extraction of plant materials is critical in isolation and purification of

phytoconstituents. There are several extraction techniques, solvents and duration of

extractions available in the literature with diverse yields. In the current study water was

selected as a solvent of choice primarily due its association to life and dependence of

humans in daily routine. Four different extraction methods were selected, maceration,

soxhlet extraction, sonication and fresh juice, and plant materials were extracted as

described in section 3.2.2. Among the M. charantia extracts sonication extraction

produced more yield (65.93 g; 26.37 % w/w) probably by a mechanism described

earlier by Chemat et al. (2017), according to this study cavitation phenomena creates

surface disruption during sonication that can result in surface peeling, erosion and

particle breakdown offering increased yield. The effect of sonication on the media and

effects of micro mixing, macro-turbulence due to cavitation bubbles created during the

process could be the key factors for the higher yield. Similar mechanisms might have

played in the extraction of M. charantia and the temperature during sonication was less

than 30 oC and based on the above observations this temperature is ideal for extraction

of M. charantia. Soxhlet extraction also exhibited good yield (60.63 g; 24.25 % w/w)

probably by enhanced diffusiveness of the solvent into the material due to decreased

viscosity and solubility induced desorption of the compounds to contribute to the effect

(Chemat et al., 2017). Low maceration and fresh juice yields also might have followed

the similar mechanisms though to lesser extent.

In contrary to the M. charantia extraction S. polyanthum showed varied yields

ranging from 7.44 % (18.6 g) to 10.07 % (100.73 g), fresh juice being the highest

(100.73 g; 10.07 % w/w). Large 1 kg fresh sample of S. polyanthum selected for fresh

juice could have been contributed greatly to its high yield. The main reason for selection

of higher plant material for fresh juice was based on the assumption that 1 kg of fresh

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sample is equivalent to dry 250 g of plant material that was used in other extraction

methods. Since fresh samples were subjected to shear forces in a blender that might

have enhanced solvent penetration and extraction. Among the S. polyanthum extracts

maceration produced least (18.6 g; 7.44 %) in comparison to heat treated soxhlet (21.79

g) and ultrasound treated sonication (20.54 g). In maceration the material was soaked in

solvent for 3 days without agitation or turbulence at 5-8 °C, due to poor solvent

penetration and lack of mixing in the extraction procedure the yield obtained was very

low. Though fresh juice gave higher yield during extraction interestingly the yield

values of S. polyanthum and M. charantia fresh juices were significantly different (p <

0.05). It could be due to relative differences in the hardness, porosity of the plant

materials during blending, particle size and also might be due to differences in surface

fatty substances, polar soluble components. Therefore, it is revealed that method of

extraction had an effect on the yield and subsequently different pharmacological

activities. The yield values of S. polyanthum and M. charantia obtained by different

extraction methods are shown in Figure 4.3.

5.3 GC-MS and LC-MS profiling of the M. charantia and S. polyanthum extracts

In GC-MS it was noticed that heat inducing extraction methods such as soxhlet

and sonication have shown less peaks indicating either destruction or evaporation of

volatile components. Comparison of the mass spectra of individual components with

NIST08 library data identified about 21 phytocostituents in both M. charantia and S.

polyanthum (Table 4.2 & Table 4.3). Though individual extract had less number of

peaks each plant possessed more than 21 compounds from four different extractions.

This suggests that individual extracts may have different volatile constituents

corresponding to the extraction procedure adopted. Nevertheless, two volatile chemical

compounds, phenol, 2, 4-bis (1, 1-dimethyl) and octadecanoic acid, methyl ester among

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them were with the highest peak area percentage in both the plants suggesting their high

concentrations. Content of these compounds in various extraction methods were shown

in Figure 4.4 & Figure 4.5. Among them the former is reported in the literature for

antifungal (Rangel, Castro, & Garcia, 2014) and the later for its antioxidant and

antihyperglycaemic activity (Rahman, Ahmad, Mohamed, & Rahman, 2014).

In LC-MS several phytoconstituents were identified by their mass fragmentation

patterns in comparison to the standard literature data. The identified compounds were

classified as phenolic compounds (catechin 3-O-(1-hydroxy-6-oxo-2-cyclohexene-1-

carboxylate, apigenin 7-(3”-acetyl-6”-E-p-coumaroylglucoside, proanthocyanidin A2,

apiole), lignans (burseran), isoflavones (derrone, sophoracoumestan A), sphingolipids

(spinganine, phytosphingosine), saponins (soyasaponin), steroids (eplerenone),

glycosides (linamarin), quinones (anthraquinone), aminoacids (arginine, tyrosine,

cysteine), fatty acids and phenolic acids (11-amino-undecanoic acid, 9S-hydroxy-

12R,13S-epoxy-10E,15Z-octadecadienoic acid, p-aminobenzoic acid), sugars (allo-

inositol) and hormones ((+)-eudesmin). In comparison to M. charantia, the S.

polyanthum extracts had lesser, 39 phytoconstituents than its counterpart which showed

53. Though many of the identified compounds are similar to M. charantia extract,

Phenolic compounds (catechin 3-O-(1-hydroxy-6-oxo-2-cyclohexene-1-carboxylate,

apigenin 7-(3”-acetyl-6”-E-p-coumaroylglucoside, proanthocyanidin A2, apiole),

lignans (burseran), sphingolipids (spinganine, phytosphingosine), glycosides

(linamarin), quinones (anthraquinone) and hormones ((+)-eudesmin) were common in

both plants. However, few characteristic phytoconstituents were noticed in S.

polyanthum, an alkaloid (adifoline), a flavonol (karanjin), a lactam (valerolactam), a

phytotoxin (exserohilone), polyhydroxy sugars (1-deoxy-d-xylulose, d-glucoheptose,

disialyllactose), abundant fatty acid derivatives (theobromine, stearamide, palmitic

amide, salvianolic acid) and phenolic acids (5-aminopentanoic acid, 3-propylmalic acid,

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a-methyl-3,4-dihydroxyphenylpropionic acid, tiaprofenic acid, phenazine-1,6-

dicarboxylic acid, syringic acid). There was a significant difference in the peak area of

the detected constituents, varied with the method of extraction in both the plant species

as shown in Table 4.3 and Table 4.4 corresponding to the applied method of extraction.

5.4 Antioxidant activities of the extracts

Free radicals including ROS and reactive nitrogen species are generated in our

body by various endogenous systems, exposure to different physiochemical conditions,

or pathological states, and have been implicated in the pathogenesis of many diseases

(Cheng, Lin, Yu, Yang, & Lin, 2003; Slater, 1984). ROS such as, superoxide anion,

hydroxyl radical, hydrogen peroxide, singlet oxygen can cause DNA damage (Halliwell

& Gutteridge, 1981), protein damage (Bartold, Wiebkin, & Thonard, 1984), cellular

damage by oxidation of polyunsaturated fatty acids of cell membranes (Halliwell, 1977;

Comporti, 1985; Wu & Ng, 2008), classification of oxidative damage can be done as

mild oxidative stress (MOS), temperate oxidative stress (TOS), and severe strong

oxidative stress (SOS) based on its severity (Lushchak, 2014). As a defence against

oxidative damage, the body normally maintains a variety of mechanisms to prevent such

damage while allowing the use of oxygen for normal functions. Such “antioxidant

protection” derives from sources both inside the body (endogenous) and outside the

body (exogenous). Endogenous antioxidants include molecules and enzymes.

Exogenous antioxidants are derived usually from food, food derived antioxidants and

phytoconstituents of plants. The 1, 1-diphenyl-2-picrylhydrazine (DPPH) free radical

scavenging assay is one of the most preferred antioxidant assays. The method is based

on the principle of decolourization of DPPH solution by the sample and intensity of

measurement of the absorbance at 517 nm. DPPH free radical reacts with compounds

capable of donating hydrogen and a significant reduction in the absorbance of reaction

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mixture is considered as significant free radical (DPPH) scavenging effect of the sample

(Krishnaiah, Sarbatly, & Nithyanandam, 2011). Earlier reports on fruit constituents of

M. charantia and M. cochinchinensis have identified flavonoids, coumarins,

anthraquinones, anthocyanins and phenolic acids responsible for the antioxidant activity

(Daniel, Supe, & Roymon, 2014; Nagarani, Abirami, & Siddhuraju, 2014). Wide

varieties of phenolic acids were reported in the fruits of both species, such as gallic acid,

protocatechuic acid, vanillic acid, chlorogenic acid, tannic acid, caffeic acid, p-coumaric

acid, p-hydroxybenzoic acid, gentisic acid, syringic acid and ferulic acids. The report

further detected higher proportion of gallic acid in ripe fruits than in unripe fruits and

other parts of the plant (Nagarani, Abirami, & Siddhuraju, 2014). It has been

determined that antioxidant activity of M. charantia fruits is due to polyphenolic

contents. The plants cultivated at different climatic conditions, soil, agricultural

methods, time of harvest, post harvesting condition, storage conditions, processing

parameters during extraction and type of cultivated sub-species often show differences

in contents of phytoconstituents (Nagarani, Abirami, & Siddhuraju, 2014; Horax,

Hettiarachchy, & Chen, 2010). Probably due to the above reasons not all the

constituents reported in the literature were identified in the LC-MS chromatograms of

the current study. Phytoconstituents such as flavonoids, anthocyanins, anthaquinones

were also identified in the current study which were reported earlier. However,

flavonoids such as epicatechin, quercetin, myricetin, luteolin and kaempferol were not

identified from the list of documented flavonoids of M. charantia. Only catechin,

apigenin, proanthocyanidin and few isoflavones were detected in the current samples.

Thermal treatment was found to have important effect on M. charantia fruits, their

phenolic contents and antioxidant activity of heat treated extracts than their untreated

ones (Nagarani, Abirami, & Siddhuraju, 2014). DPPH scavenging ability was very low

for M. charantia individual extracts it was ranged between 8.53-19.76 % (Figure 4.7).

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DPPH reacts with hydrogen radical or an electron to become stable molecule (El-Maati,

Mahgoub, Labib, Al, & Ramadan, 2016). The results of S. polyanthum extracts

indicated that they had high ability to donate these hydrogen radicals and electrons to

DPPH. The entire individual extracts of S. polyanthum showed consistent DPPH

scavenging effect with inhibition ranging from 58.03-64.93 % (Figure 4.7). As far as

combination of extracts is concerned the results were interesting to note in both within

plant and between plants extracts. M. charantia and S. polyanthum within combinations

had no significant differences from their individual extracts, they retained DPPH

scavenging values, except “maceration MC-sonication MC” with a significant reduction

to 5.49 % than their individual values (Figure 4.7). Despite half the concentration of

extract (10 µg/mL) in combinations than individual extracts (20 µg/mL) the results of

between combinations retained DPPH radical scavenging values with maximum

observed in “maceration MC-sonication SP”, 65.35 %. According to Kiokias et al.

(2008) phenolic compounds have the ability to donate hydrogen radicals to DPPH and

thereby scavenge these radicals. Similarly the number of hydroxyl groups of phenolic

compounds will decide the antioxidant potential of the test sample (Cao, Sofic, & Prior,

1996; Sang, Laplsey, Jeong, Lachance, Ho, & Rosen, 2002). In order to donate its

hydrogen atom by a phenolic compound its reduction potential should be lower than the

reduction potential of the free radical (Shahidi & Ambigaipalan, 2015). Though, many

of the identified phytoconstituents were similar in M. charantia and in S. polyanthum

extracts there were considerable differences in DPPH scavenging. Both had phenolic

compounds (catechin 3-O-(1-hydroxy-6-oxo-2-cyclohexene-1-carboxylate, apigenin 7-

(3”-acetyl-6”-E-p-coumaroylglucoside, proanthocyanidin A2, apiole), lignans

(burseran), sphingolipids (spinganine, phytosphingosine), glycoside (linamarin),

quinone (anthraquinone) and hormone ((+)-eudesmin). With the above findings, we

assume that the phenolic compounds of S. polyanthum had higher reduction potential to

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donate hydrogen than M. charantia. In addition, S. polyanthum has specific phenolic

acids like 5-aminopentanoic acid, 3-propylmalic acid, a-Methyl-3, 4-

dihydroxyphenylpropionic acid, tiaprofenic acid, phenazine-1,6-dicarboxylic acid and

syringic acid which were not identified in M. charantia. Earlier researchers like

Kshirsagar & Upadhyay. (2009), reported potent DPPH free radical scavenging effects

for S. cumini methanolic leaf extracts of the same genus, Syzygium support the current

results.

There is no single standardized method to determine the antioxidant properties

of food products and beverages, therefore it is always recommended to use more than

one antioxidant method to evaluate antioxidant capacity of the samples. Antioxidant

methods can be classified on account of their mechanism. DPPH and ferric reducing

antioxidant power (FRAP) antioxidant assays are two frequently used methods. FRAP

assay gives the reducing power of the sample by transferring an electron to the targeted

molecule, in contrary DPPH measures the free radical scavenging ability of the samples

to transfer hydrogen atom. Though, some researchers consider that DPPH has both the

capacities (Foti, Daquino, & Geraci, 2004; Prior, Wu, & Schaich, 2005). FRAP is the

ability of a sample to donate electrons. The phytoconstituents with high level of electron

donating potential usually exhibit high FRAP activity. The principle of FRAP assay is

by reaction of antioxidant sample with ferric (Fe3+) tripyridyltriazine complex and

subsequent colour change from green to blue due to formation of ferrous (Fe2+)

tripyridyltriazine (Kubola & Siriamornpun, 2008; Benzie & Strain, 1996). It has been

noticed that FRAP activity of plant extracts was due to their phenolic content (El-Maati,

Mahgoub, Labib, Al, & Ramadan, 2016). Common phenolic compounds in M.

charantia are catechin, gallic acid, gentisic acid, chlorogenic acid and epicatechin

(Horax, Hettiarachchy, & Chen, 2010; Prior, Wu, & Schaich, 2005). M. charantia

extracts showed negligible FRAP activity with 3.12 - 4.19 % inhibition (Figure 4.8).

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Earlier studies in literature about the effect of boiling, microwaving and pressure

cooking on phenolic contents and antioxidant activities revealed that boiling improves

antioxidant activity of vegetables. The study was carried out on four vegetables, Vigna

unguiculata, Momordica charantia, Ipomoea aquatica and Brassica olearancea. Upon

subjecting for boiling, microwaving and pressure cooking there was significant

variations in the antioxidant activities among the vegetables. The ferric reducing

antioxidant power of boiled vegetables has shown significant increase in antioxidant

activity ascribing to increased phenolic contents. Pressure cooking and microwaving did

not had significant decline (Ng, Chua, & Kuppusamy, 2014). In contrary in the current

study, the selected solvent and extraction methods affected phenolic content in M.

charantia that resulted in its insignificant effect. However, significant differences

between the DPPH and FRAP activities of M. charantia were noticed.

The fresh juice of S. polyanthum was considered very significant in showing

FRAP activity among the four individual extracts with 69.05 % inhibition (Figure 4.8).

While in combined extracts (Figure 4.8), within combinations of S. polyanthum extracts,

surprisingly “fresh juice SP-sonication SP)” combination had significant (p < 0.05)

FRAP value (68.12 %) than standard quercetin (63.27 %) due to synergism. Between

combination extracts of the two plants has marginally reduced the FRAP values unlike

within combination with maximum inhibition of 59.16 % by “soxhlet MC-fresh juice

SP” (Figure 4.8) (Yong, Zaiqi, Shuping, Xiaoli, Xuegang, & Kai, 2014). The LC-MS

profiling of the S. polyanthum extract has identified electron rich amides, theobromine,

stearamide, palmitic amide and antioxidant phenolic acids (5-aminopentanoic acid, 3-

propylmalic acid, a-methyl-3,4-dihydroxyphenylpropionic acid, tiaprofenic acid,

phenazine-1,6-dicarboxylic acid, syringic acid). S. polyanthum commonly referred as

Indonesian bay-leaf has long history of usage in traditional jamu preparations of locals

to control diabetes (Elfahmi, Herman, & Oliver, 2014). Other species of the genus

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Syzygium, Syzygium aromaticum (Clove) (El-Maati, Mahgoub, Labib, Al, & Ramadan,

2016), Syzygium cumini (Syn: Eugenia jambolana Lam. or Syzygium jambolana Dc or

Eugenia cuminii Druce.) (Prince, Kamalakkannan, & Menon, 2004; Prince,

Kamalakkannan, & Menon, 2003), Syzygium guineense, (Nguyen, Rusten, Bugge,

Malterud, Diallo, & Paulsen, 2016) Syzygium paniculatum (Vuong, Hirun, & Chuen,

2014) and several others of the family Myrtaceae have been reported for rich

polyphenolic contents. The above characteristics support the antioxidant potential of S.

polyanthum, its taxonomical association with phenolic constituent rich genus further

strengthens our view (Arumugam, Manaharan, Heng, Kuppusamy, & Palanisamy, 2014;

Khrishnasamy & Muthusamy, 2015; Chandran, Primelazhgan, Shanmugam, &

Thankarajan, 2016). These phytoconstituents might have contributed to a great extent

for the FRAP activity of fresh juice. The macerated extract of S. polyanthum had the

least FRAP activity with 17.56 % inhibition. This can be attributed to prolonged

duration of extraction (3 days) that might have caused the hydrolysis of

phytoconstituents in the solvent reducing its antioxidant power. In addition to the

presence of polyphenolics in the extracts, presence of water soluble theobromine, a

methylxanthine alkaloid, a compound rich in Theobroma cacao beans might have

influenced the FRAP activity of S. polyanthum. Reports suggest that the theobromine

content in the beans reduces upon storage due to fermentation (Benzie & Strain, 1996;

Niemanak, Rohsius, Elwers, Ndoumou, & Lieberei, 2006; Maleyki & Ismail, 2010).

Chocolates, especially dark chocolates are documented to be rich in this theobromine

along with caffeine, influence the cognitive performance, changes in mood and

behaviour (Smit, Gaffan, & Rogers, 2004).

Free radicals are generated either due to metabolism within the biological

systems or externally acquired from environment, severely affect human health leading

to several diseases, such as aging, cardiovascular, neurogenerative diseases, diabetes

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and cancer. In recent times there are an increased number of cases of diabetes and

cancer worldwide (Dasgupta & De, 2007). Free radicals and oxidative damage was

identified as one of the major causes of diabetes (Yokozawa, Kim, Kim, Okubo, Chu, &

Juneja, 2007). Nutraceuticals, vitamins, vegetables, fruits and beverages can avoid or

limit oxidative damage (Wu & Ng, 2008). Polyphenols are rich in food and green

vegetables, hence can protect oxidative damage by scavenging free radicals.

Tocopherols, vitamin C are natural antioxidants in plants capable of scavenging lipid

peroxyl radicals and quenching of oxygen free radicals (Munne &Alegre, 2002). M.

charantia has been well advocated for its antidiabetic effects for various reasons; some

researchers found that its fresh fruit juice can restore key antioxidant enzymes,

superoxide dismutase, xanthin oxidase and catalase, in diabetic patients (Tayyab & Lal,

2013; Lin, Liua, Yang, & Fu, 2012). Apart from that several mechanisms were

proposed to explain the antidiabetic qualities of M. charantia extracts, having insulin-

like peptide mimicking its action (Khanna, Jain, Panagariya, & Dixit, 1981; Baldwa,

Bhandari, Pangaria, & Goyal, 1977; Ng, Wong, Li, & Yeung, 1986), increased glucose

uptake and glycogen synthesis (Shibib, Khan, & Rahman, 1993; Sarkar, Pranava, &

Marita, 1996; Welihinda & Karunanayake, 1986; Miura, Itoh, Iwamoto, Kato, Kawai,

& Park, 2001; Rathi, Grover, Vats, 2002; Ahmed, Adeghate, Cummings, Sharma, &

Singh, 2004; Cummings, Hundal, Wackerhage, Hope, Belle, & Adeghate, 2004;

Yibchok, Adisakwattana, Yao, Sangvanich, Roengsumran, & Hsu, 2006), compounds

that enhance the insulin secretion (Ahmed, Adeghate, Sharma, Pallot, & Singh, 1998;

Kameswararao, Kesavulu, & Apparao, 2003; Fernandes, Lagishetty, Panda, & Naik,

2007) and inhibition of intestinal glucose absorption (Meir & Yaniv, 1985;

Mahomoodally, Fakim, & Subratty, 2004; Mahomoodally, Fakim, & Subratty, 2007).

Similarly, as mentioned earlier S. polyanthum leaf extracts have been traditionally used

by local folk for diabetes in the name of “Jamu” preparation. Therefore, current study

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was carried out to evaluate α-amylase and α-glucosidase inhibitory and subsequent

glucose absorption inhibition by M. charantia fruit and S. polyanthum leaf extracts.

5.5 Antidiabetic enzyme inhibitory activity of the extracts

Diabetes mellitus is a chronic disease associated with high blood glucose levels

also known as hyperglycaemia, it is prevalent throughout the world and especially in

developing countries. Annually the number of diabetic cases is growing substantially

and it will be among the leading causes of mortality and morbidity in the decades to

come. Tissue damage in diabetes is the major cause of concern leading to retinopathy,

nephropathy, inflammation, cancer, and high risk of cardiovascular diseases. The tissue

damage is mediated by free radicals generated as a result of diabetes leading to lipid

peroxidation of unsaturated fatty acids associated with cell membranes. Herbs, herbal

medicine received lot of attention in the treatment of diabetes mellitus over the years.

The herbal medicine are serving as a safer alternative treatment approaches in the

management of hyperglycaemia associated with diabetes. Herbs and herbal derived

products are capable of decreasing the high blood glucose levels by interfering with the

carbohydrate metabolism and glucose absorption in the intestine. α-amylase is one of

the key hydrolysing enzymes in the mucosal lining gastrointestinal tract involved with

carbohydrate digestion and assimilation, down regulation of this enzyme can interfere

with conversion of complex carbohydrates to simple monosaccharides like glucose, thus

leading to reduced glucose absorption. Multicomponent plant extracts act as inhibitors

of α-amylase, thereby block the release of glucose from dietary carbohydrates and lead

to reduced glucose levels in plasma, decreased postprandial hyperglycaemia (Sailaja &

Khrisna, 2016).

Several plant derived products have shown significant results in preclinical

studies against α-amylase and α-glucosidase enzymes to prove antidiabetic status. M.

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charantia and S. polyanthum were two such plants extensively reported in literature for

antioxidant and antidiabetic properties. M. charantia commonly named as bitter melon

is amongst the widely explored plant and widely advocated plant for its antidiabetic and

hypoglycaemic effects, especially in indigenous population in Asia, Africa and South

America. Several preclinical studies on animal models have suggested its effect on

controlling diabetes, improved protection from insulin resistance and obesity.

Nevertheless, active principles responsible neither isolated nor their mechanisms were

properly established (Andreas, Christine, Hans, Caludia, Staab, & Edmund, 2012). S.

polyanthum commonly referred as Indonesian bay leaf, is considered to have anti-

inflammatory, antipyretic, antioxidant, antihyperglycaemic and detoxificant properties

by indigenous populations of Asia. The plant is rich in terpenes like citral and eugenol,

polyphenolics like tannins and flavonoids, believed to be responsible for most of its

activities. Previous investigations of antidiabetic effect of the plant have attributed to its

polyphenolic components. However, precise mechanism of the effect were unknown

and therefore, in the current research an in-depth study was conducted on both the

aqueous extracts of the plants to further investigate their individual effects and their

synergistic combined effects (Ratna, Ferawati, Wahyu, Lucia, Iwan, & Elisabeth, 2015).

As presented in Figure 4.9, fresh juice of M. charantia showed significant α-

amylase inhibitory activity with 61.24 % inhibition. Constituents of M. charantia such

as flavonoids, charantin, glycosides and steroids have been reported for the

hypoglycaemic activity (Kumar, Balaji, Um, & Sehgal, 2009). However, some of these

compounds like charantin were not identified in the LC-MS analysis. Charantin is

insoluble either in highly polar solvent (water) or highly non-polar solvent (benzene)

instead has high solubility in chloroform and dichloromethane. These solvents possess

asymmetric molecular arrangement of chlorine, hydrogen atom surrounding carbon

atom, such arrangement provides enhanced solubility for compounds like charantin.

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Another probable reason may be due to low temperature of extraction, literature has

suggested 120-150 °C is favourable for charantin extraction. None of the current

extraction methods exceeded 100 °C. For the above reasons charantin might have not

extracted in the current study. Nevertheless, the hypoglycaemic effects of the extracts

may not be ruled out as there are multiple mechanisms for M. charantia extracts to elicit

such action by multiple constituents (Pitipanapong, Chitprasert, Goto, Jiratchariyakul,

Sasaki, & Shotipruk, 2007). The next best extraction to show α-amylase inhibitory

activity was sonication (57.06 %) which had statistically similar activity like fresh juice

(p > 0.05). Soxhlet had least 43.2 % inhibition indicating that heating causes loss of α-

amylase inhibitory constituents in M. charantia. Maceration with its 51.27 % inhibition

was statistically similar to soxhlet (p > 0.05). The results reiterated the α-amylase

inhibitory effect of M. charantia.

Fresh juice of S. polyanthum showed highly significant (p < 0.001) α-amylase

inhibitory activity with 92.21 % inhibition. Fresh juice, of S. polyanthum consistently

showed better results in DPPH, FRAP, and also in α-amylase inhibitory studies.

Phytochemical investigation by Widyawati et al. (2015) on the S. polyanthum has

flavonoids, glycosides, alkaloids and tannins from the leaves that might have showed

the effect. Few earlier studies have demonstrated the hypoglycaemic activity of S.

polyanthum, in vitro antidiabetic actions were investigated on methanolic extracts, an in

vivo study on isolated abdominal muscle study of rats revealed glucose inhibitory

actions by leaf methanolic extract, effect similar to acarbose (Gray & Flatt, 1998).

Similar antidiabetic results were reported upon administration of alcoholic extracts in

alloxan induced mice for 7 days (Ratna et al., 2015). The order of α-amylase inhibition

between the extracts was fresh juice (92.21 %) > sonication (80.49 %) > soxhlet (48.46

%) > maceration (34.49 %). The least effect in soxhlet and maceration indicates

hydrolysis of the responsible constituents upon storage as in case of maceration. When

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the combination of two aqueous extracts of the plants are tested as given in Figure 4.9,

remarkable activity was noticed with fresh juice of S. polyanthum containing samples,

all three fresh juice combinations of S. polyanthum were comparable to standard,

acarbose. They showed 90.86 %, 90.03 % and 87.64 % despite half the concentration

than their individual extracts demonstrating synergism.

The α-glucosidase inhibitory effect of M. charantia was poor for all the extracts

with values ranging from 16.47 to 21.77 % as shown in Figure 4.10. Despite poor α-

glucosidase inhibitory effect of M. charantia its antidiabetic effects were well

demonstrated in literature, the activity was ascribed most of the time to the constituents

such as charantin, glycosides, steroids, cucurbitanes, vicine, peptides and alkaloids

(Chuang, Hsu, Chao, Wein, Kuo, & Huang, 2006; Kumar, Balaji, Um, & Sehgal, 2009).

M. charantia is one of the most widely studied plants for antidiabetic effects. Some of

the earlier studies have discovered the mechanisms of its actions, few of them were, by

enhancing the glucose uptake by liver, reduced gluconeogenesis by a process of

inhibiting essential enzymes of gluconeogenesis (glucose-6-phosphatase and fructose-

1,6-biphosphatase), increased glucose oxidation, enhanced glucose uptake by cells,

promoting the number of insulin producing β-cells and potentiating insulin release

(Alternative medicine review, 2007). A polypeptide from the M. charantia fruits has

demonstrated insulin like effect when administered subcutaneously. In recent times

several such peptides have been isolated involved in insulin signalling pathway. Oral

administration of its aqueous extracts at a dose of 400 mg/day for 15 days in rats fed on

fructose rich diet demonstrated significant (p < 0.001) reduction in hyperglycaemia

(Grover & Yadav, 2004). Even though the α-glucosidase inhibitory effects of M.

charantia were not reproduced as documented in the literature its antidiabetic effect

cannot be ruled out as it is believed to act by multiple mechanisms. Therefore, few

researchers have considered M. charantia as herbal remedy for type 2 diabetes;

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evidence has shown glucose tolerance and suppression of postprandial glucose in rats

by M. charantia (Nagarani, Abirami, & Siddhuraju, 2014). The α-glucosidase inhibitory

effects of S. polyanthum were 16.57 to 96.06 % as given in Figure 4.10. The fresh juice

of S. polyanthum exhibited excellent 96.06 % α-glucosidase inhibition than acarbose

standard (32.22 %). S. polyanthum and its phylogenetically close family members were

found to have abundant phytoconstituents with pharmacological significance (Elfahmi,

Herman, & Oliver, 2014; Prince, Kamalakkannan, & Menon, 2004; Prince,

Kamalakkannan, & Menon, 2003; Nguyen, Rusten, Bugge, Malterud, Diallo, &

Paulsen, 2016; Vuong, Hirun, & Chuen, 2014; Arumugam, Manaharan, Heng,

Kuppusamy, & Palanisamy, 2014; Krishnasamy & Muthusamy, 2015; Chandran,

Primelazhgan, Shanmugam, & Thankarajan, 2016). S. cumini has shown moderate

hypoglycaemic effect upon administration of 12 g of seed powder in three divided doses

for three months, the effect was similar to chlorpropamide (Kohli & Singh, 1993).

When combination of S. polyanthum and M. charantia aqueous extracts were tested like

in α-amylase inhibitory study only fresh juice S. polyanthum containing samples had

superior activity and it was 3 fold higher (p < 0.001) than the standard, acarbose. This

suggests that fresh juice of S. polyanthum due to its ability to inhibit α-amylase and α-

glucosidase can significantly lower post-prandial hyperglycaemia. LC-MS analysis have

presented a list of phenolic compounds in S. polyanthum, including few flavonoids,

studies has shown the inhibitory effect of flavonoids on α-glucosidase leading to

antidiabetic effect (Widyawati, Nor, Mohd, & Mariam, 2015). Therefore, current study

has given full insight into the antioxidant and antidiabetic activities of M. charantia and

S. polyanthum. The above findings justify the folklore use of these herbs for diabetes.

Many natural product discoveries were retrieved from the folklore evidences. For

instance, Crataegus is a spiny shrub, native to Europe and North America whose leaves,

flowers and berries were used for congestive heart failure by the local folk. It contains

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flavonoids and oligomeric procyanthins, responsible for the activity. It was reported to

have antioxidant, inotropic, vasodilator and anti-hyperlipidaemic actions, as well as

decreased capillary permeability (Valli & Giardina, 2002). In Japan and China a green

tea (Camellia sinensis) is popular as folklore medicine, the chemo preventive effects of

green tea are probably attributed in particular to the catechin polyphenolic components.

Green tea is normally consumed as a brewed tea, though most chemo preventive

applications have used a concentrated extract. Green tea catechins may act on multiple

pathways to prevent cancer, including oxidative stress, elimination of carcinogens, and

inhibition of enzymes (Shahidi & Ambigaipalan, 2015).

5.6 Evaluation of prepared herbal tablet formulations

Herbs were proven to be beneficial in controlling hyperglycaemia and can

effectively contain diabetic complications upon long-term use. Due to increasing use of

herbal medicine their standardization has been emphasised on several platforms.

Currently, identifying the marker compounds in an herbal products and its quantitative

measurement is employed to ascertain its quality and efficacy. However in recent times

this approach of identifying one or two marker compounds has raised serious doubts as

they proved ineffective in estimating the therapeutic activities. As it is evident herbal

preparations contain multiple components that can target multiple targets leading a

unique pharmacological response which is not comparable to one or two constituents in

it. Hence, detection of effective compound combinations has been recommended to

assess the quality of herbal products (Long et al., 2016). The main objective of the

study was to initially extract the two plant materials using different extraction

techniques and check whether method of extraction can exhibit significant differences

in antioxidant and antidiabetic effects on the aqueous extracts, finally to prepare a

herbal tablet dosage form employing the best extracts. Several polyherbal formulations

were prepared and evaluated for antidiabetic management and for other alternative

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treatments. The purpose of developing herbal formulations of the above extracts is to

provide significantly efficacious, safe and economical treatment alternatives to the

diabetic patients (Margret & Jayakar, 2010). In this study we combined the two best

plant extracts in equal proportions (300 mg/ tablet) equivalent to one or two serving of

these vegetables in our daily food intake. The details of the excipients used in the

formulation were as given in Table 3.1. Finely powdered ingredients were manually

mixed using geometrical dilution technique to ensure homogeneity of the mix as

described in section 3.2.6. Conventional granulation technique using HPMC (1 %) as

granulating agent was employed and the resulting granules were evaluated for flow

properties. The prepared granules had excellent angle of repose, Carr’s index and

Hausner’s Ratios as shown in Table 4.6. The prepared herbal tablets were evaluated for

tabletting characters to estimate their quality parameters. The evaluation results of

prepared herbal formulations were presented in Table 4.6.

The uniformity of weight, diameter and thickness of the herbal formulations

were given in Table 4.6. The general requirement of USP for mass uniformity is that no

more than two tablets should deviate from the average weight by more than ± 5 %. The

deviation in weight of the tablets manufactured from formula was within these limits of

the Pharmacopoeia. The average weight of the 20 tablets was 554.5 ± 1.4 mg and none

of the tablet deviated from the limit. The average diameter and thickness of the tablets

were 13.8 ± 0.04 and 3.57 ± 0.17 mm respectively, and the variation diameter and in

thickness were within the 5 % deviation limit. To evaluate the hardness of the prepared

formulations 10 tablets were randomly selected and hardness was found to be 56.8 ± 4.3

N, which may be considered to be ideal (Binega, Dawit, & Bayew, 2013). Low standard

deviation values of above tablet evaluation parameter have suggested that the prepared

tablets were uniform and acceptable pharmacopoeial standards of USP.

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Friability test was conducted to ascertain the ability of the tablets to withstand

transportation, handling and packing stress without chipping, cracking and breaking.

The general specification is that loss in weight of less than 1 % is required to pass the

friability test. The formulations exhibited a loss of 0.72 % after the test is completed on

20 randomly selected tablets. The results indicated the disintegration of the tablets as

shown in Table 4.6. The tablets disintegrated within 10.19 to 13.15 min. All the six

tablets disappeared from the basket rack assembly of the instruments within 15 min. as

required by Pharmacopoeia for an uncoated tablet. The herbal tablets thus showed

acceptable disintegration characteristics. The tablets appeared to disintegrate by

dissolving in the medium, rather than through a process of breaking up and releasing the

particles of the tablets into the disintegration medium.

The current study has extracted two selected plant materials by four different

extraction methods, the extracts were subjected for chemical profiling and were

evaluated successfully for antioxidant and antidiabetic activities, an herbal tablet

formulation was developed from the best extracts.

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CHAPTER 6: SUMMARY AND CONCLUSION

Diabetes mellitus, a chronic metabolic disorder characterised by

hyperglycaemia, can lead to macro and micro vascular complications which eventually

can damage vital organs such as eyes, kidneys, heart and brain. Despite advancements

in the medical field it is still a major cause of morbidity and mortality in the world.

Changing life style and food habits were found to aggravate the diabetic complications.

According to world health organisation (WHO) reports 70-80 % of the world population

rely on traditional systems of medicine and natural derived products for their ailments.

Fruits and vegetables in diet have proved to be beneficial in reversing the incidence of

diabetic complications. There is substantial evidence to support their role in preventing

negative health outcomes related to cardiac diseases, diabetes, aging and cancer.

Increased consumption of recommended levels of fruits and vegetables can minimize

overall healthcare spending and can achieve socio-economical goals. Since natural

products are very good source of antioxidants invariably due to rich polyphenolics,

terpenoids and vitamins the current study was aimed at selecting two food grade plants

and evaluating their antioxidant, enzyme inhibitory potential upon exposing them to

different procedures of extraction. The rationale behind selecting M. charantia and S.

polyanthum was because both have well documented evidences to support their

antioxidant and antidiabetic activities. In addition, ample folklore data is available on

these two plants and therefore public acceptance, awareness on them as a food

supplement would be high.

The two selected plants, M. charantia and S. polyanthum were successfully

extracted by four different extraction methods. Our study revealed that, method of

extraction has a significant effect on extractive values and on the number of constituents

in an extract, significant differences in antioxidant and antidiabetic enzyme inhibitory

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activities were also observed depending on the method employed for extraction. The

extractive values in M. charantia were in the order of sonication (26.37 %) > soxhlet

(24.25 %) > maceration (12.98 %) > fresh Juice (3.06 % w/w). The extractive values in

S. polyanthum were fresh juice (10.07 %) > soxhlet (8.70 %) > sonication (8.22 %) >

maceration (7.44 % w/w). GC-MS and LC-MS profiling of the extracts was carried out

to correlate their activities to that of marker compounds detected in them. Each plant

material was extracted by four different extraction procedures, a total of 8, 10, 10 and

11 peaks were observed in GC-MS chromatograms of S. polyanthum soxhlet,

sonication, fresh juice and maceration extracts respectively. Similarly, a total of 9, 10,

12 and 15 peaks were observed in GC-MS chromatograms of M. charantia sonication,

soxhlet, fresh juice and maceration extracts respectively. The two volatile chemical

compounds, phenol, 2, 4-bis (1, 1-dimethyl) and octadecanoic acid, methyl ester

amongst them which are in highest proportion in both the plants, their presence matched

to earlier literature. LC-MS profiling has revealed the presence of polypenolics such as

apigenin, catechin, proanthocyaninin, lignans and also steroids, quinones, sphingolypids

in both the plant extracts. Despite similar constituents detected in LC-MS

chromatograms of both plants their activities differed to a great extent this can be

attributed to some phytoconstituents, karanjin, adifoline, phenol acids, theobromine,

stearamide, palmitic amide, and others in the extracts. Nevertheless, further studies are

needed to label them as “effective compounds combination” to consider as multiple

markers responsible for activities. The study has reiterated the necessity for

standardization of herbal products and traditional medicine. DPPH scavenging ability

was very low for M. charantia individual extracts it was ranged between 8.53-19.76 %.

S. polyanthum showed consistent DPPH scavenging effect ranging from 58.03-64.93 %.

M. charantia extracts showed negligible FRAP activity with 3.12-4.19 % inhibition,

whereas S. polyanthum had 17.56-69.05 % and it was significantly higher than standard,

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quercetin, α-amylase and α-glucosidase inhibitory activities of S. polyanthum extracts

were remarkable especially by fresh juice. Though moderate α-amylase inhibition was

noticed by M. charantia extracts their α-glucosidase results were poor. Combined

extracts of the two plants exhibited mixed results and only few combinations, those with

fresh juice of S. polyanthum consistently produced better antioxidant and antidiabetic

outcomes.

Fresh juices of both plants had shown remarkable antioxidant and antidiabetic

effects especially fresh juice of S. polyanthum. The fresh juices of M. charantia and S.

polyanthum due to their rich antioxidant and antidiabetic enzyme inhibitory characters

are suitable for inclusion as a health supplement. In conclusion the study favours natural

dietary supplements rich in antioxidants, in amounts sufficient to prevent complications

of oxidative stress and act as health promoters. Choosing the right food with controlled

sugar levels and the antioxidant content becomes the perfect combination for diabetes to

be in check. Thus, choice of diet and dietary products is critical in human health; foods

and vegetables rich in antioxidant phytoconstituents such as polyphenolic flavonoids,

phenolic acids, tannins and vitamins are beneficial and reduce the risk associated with

oxidative stress and degenerative diseases. Both plants are considered to have rich

nutritional values with lot of polyphenols, vitamins, antioxidants and minerals.

Therefore, M. charantia and S. polyanthum could be an effective, readily available,

inexpensive, acceptable and renewable plant based health promoting entities available

as food supplements, can reduce postprandial glucose levels by interfering with

carbohydrate metabolism and by reducing oxidative stress. The study has successfully

developed herbal formulations of the above plants with concentrations of the best plant

extracts equivalent to one or two servings of the fruit and leaves that possesses free

radical scavenging and antidiabetic profiles. However, the formulations were neither

tested for in vitro drug release nor for in vivo performance. Hence, further studies on

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these formulations should be needed to correlate the activities to that of marker

compounds, formulation factors responsible for the activity.

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APPENDIX

LIST OF PUBLICATIONS AND CONFERENCE PRESENTATIONS

Publication

1. Muhammad Jihad Sandikapura, Shaik Nyamathulla & Ibrahim Mohamed

Noordin. (2018). Comparative antioxidant and antidiabetic effects of Syzygium

polyanthum leaf and Momordica charantia fruit extracts. Pakistan Journal of

Pharmaceutical Sciences. 31(2) (Suppl), 623-625.

Conference presentation

1. Muhammad Jihad Sandikapura, Shaik Nyamathulla & Ibrahim Mohamed

Noordin. (2016). In vitro antidiabetic activities of Momordica charantia fruit

and Syzygium polyanthum leaf extracts obtained from different extraction

methods. Multidisciplinary International Conference Resilience and Empowered

Communities for Sustainable Development. Jakarta, Indonesia: November 16,

2016. (Poster Presentation)

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ity of

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