Journal
BMC COMPLEMENTARY MEDICINE AND THERAPIES
Volume 21, Issue 1, Pages -Publisher
BMC
DOI: 10.1186/s12906-021-03239-9
Keywords
Cassia spectabilis DC; Combination; Heme detoxification; Plasmodium berghei; Plasmodium falciparum
Categories
Funding
- Ministry of Research, Technology, and Higher Education of the Republic of Indonesia [Kementerian Riset, Teknologi, dan Pendidikan Tinggi Republik Indonesia, RISTEKDIKTI RI] scheme
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Extract from Cassia spectabilis DC leaf has potent antiplasmodial activity, offering potential for effective and affordable antimalarial phytomedicine.
BackgroundIn previous studies, Cassia spectabilis DC leaf has shown a good antiplasmodial activity. Therefore, this study is a follow-up study of the extract of leaf of C. spectabilis DC on its in vitro and in vivo antiplasmodial activity and mechanism as an antimalarial.MethodsThe extract was fractionated, sub-fractionated and isolated to obtain the purified compound. In vitro antiplasmodial activity test against Plasmodium falciparum to find out the active compound. In vivo test against P. berghei ANKA-infected mice was conducted to determine prophylactic activity and antiplasmodial activity either alone or in combination with artesunate. The inhibition of heme detoxification test as one of the antimalarial mechanisms was carried out using the Basilico method.ResultsThe results showed that active antimalarial compound isolated from C. spectabilis DC leaf had a structural pattern that was identical to (-)-7-hydroxycassine. Prophylactic test of 90% ethanolic extract of C. spectabilis DC leaf alone against P. berghei ANKA-infected mice obtained the highest percentage inhibition was 68.61%, while positive control (doxycycline 13mg/kg) was 73.54%. In combination with artesunate, 150mg/kg three times a day of C. spectabilis DC (D-0-D-2)+artesunate (D-2) was better than the standard combination of amodiaquine + artesunate where the inhibition percentages were 99.18 and 92.88%, respectively. The IC50 of the extract for the inhibitory activity of heme detoxification was 0.375mg/ml which was better than chloroquine diphosphate (0.682mg/ml).ConclusionC. spectabilis DC leaf possessed potent antiplasmodial activity and may offer a potential agent for effective and affordable antimalarial phytomedicine.
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