•  
  •  
 

Indonesian Journal of Medical Chemistry and Bioinformatics

Abstract

Cervical cancer is the fourth highest cancer occurring and causes death in women. Therefore, adequate management is needed to prevent its development. Currently, the treatment has a variety of adverse side effects, so it needs alternative treatments that are supportive and with minimal side effects. One way is to use herbal plants, such as the Kunto Dewo (Kigelia pinnata) plant which is often used as traditional medicine. This plant has antimicrobial and cytotoxic effects on cancer cells. Knowing the phytochemical profile and in-vitro anticancer activity of the n-hexane extract of peel and flesh of Kunto Dewo (Kigelia pinnata) fruit against cervical cancer HeLa cells. The peel and flesh of Kigelia pinnata fruit are macerated in n-hexane solvent then the resulting filtrate is evaporated to become an extract. The extract is used for phytochemical profile, carry out through phytochemical screening, thin layer chromatography, calculation of total phenol, and total flavonoids. The extract was also tested for cytotoxic activity against cervical cancer HeLa cells using MTT assay. The n-hexane extract of the peel and flesh of the kigelia pinnta fruit contains triterpenoids. In TLC analysis, there were found 4 components in the n-hexane extract of Kigelia pinnata fruit peel and 8 components in the n-hexane extract of Kigelia pinnata fruit flesh. The cytotoxic activity of the n-hexane extract of the peel and flesh of Kigelia pinnata fruit is included in the moderately active category. The n-hexane extract of the peel and flesh of the kigelia pinnata fruit has potential as an anti-cervical cancer.

Bahasa Abstract

Kanker serviks merupakan kanker tertinggi keempat yang terjadi dan menyebabkan kematian pada wanita. Oleh karena itu, diperlukan pengelolaan yang memadai untuk mencegah perkembangannya. Saat ini pengobatan tersebut memiliki berbagai efek samping yang merugikan, sehingga diperlukan pengobatan alternatif yang bersifat suportif dan dengan efek samping yang minimal. Salah satu caranya adalah dengan memanfaatkan tanaman herbal, seperti tanaman Kunto Dewo (Kigelia pinnata) yang sering digunakan sebagai obat tradisional. Tanaman ini memiliki efek antimikroba dan sitotoksik pada sel kanker. Mengetahui profil fitokimia dan aktivitas antikanker in-vitro ekstrak n-heksan kulit dan daging buah Kunto Dewo (Kigelia pinnata) terhadap sel HeLa kanker serviks. Kulit dan daging buah Kigelia pinnata dimaserasi dalam pelarut n-heksan kemudian filtrat yang dihasilkan diuapkan menjadi ekstrak. Ekstrak tersebut digunakan untuk profil fitokimia, dilakukan melalui skrining fitokimia, kromatografi lapis tipis, perhitungan fenol total, dan flavonoid total. Ekstrak juga diuji aktivitas sitotoksiknya terhadap sel kanker serviks HeLa menggunakan uji MTT. Ekstrak n-heksana kulit dan daging buah kigelia pinnta mengandung triterpenoid. Pada analisis KLT ditemukan 4 komponen pada ekstrak n-heksana kulit buah Kigelia pinnata dan 8 komponen pada ekstrak n-heksana daging buah Kigelia pinnata. Aktivitas sitotoksik ekstrak n-heksan kulit dan daging buah Kigelia pinnata termasuk dalam kategori cukup aktif. Ekstrak n-heksana kulit dan daging buah kigelia pinnata berpotensi sebagai anti kanker serviks.

References

  1. Cervical cancer [internet]. Geneva: WHO; 2020 [cited 14 Sept 2020]. Available from: https://www.who.int/health-topics/cervical-cancer#tab=tab_1
  2. GLOBOCAN 2018. Indonesia fact sheet [internet]. France: IARC;2018 [cited 14 Sept 2020]. Available from: https://gco.iarc.fr/today/data/factsheets/populations/360-indonesia-fact-sheets.pdf
  3. Andrijono, Purwoto G, Sekarutami SM, Handjari DR, Primaria dewi, et al. Panduan penatalaksanaan kanker serviks. Jakarta: Kementrian Kesehatan Republik Indonesia.
  4. How do i manage the side effects of cervical cancer treatment? [Internet]. Tampa: MOFFIT Cancer Center; [cited 14 Sept 2020].Available from: https://moffitt.org/cancers/cervical-cancer/faqs/how-do-i-manage-the-side-effects-of-cervical-cancer-treatment/
  5. Buckner CA, Lafrenie RM, Dénommée JA, Caswell JM, Want DA. Complementary and alternative medicine use in patients before and after a cancer diagnosis. Current Oncology. 2018 Aug;25(4):e275.
  6. Momekova D, Momekov G, Pencheva I, Konstantinov S. Antineoplastic activity of methanolic extract from Kigelia pinnata dc stem bark. Journal of cancer therapeutics and research. 2012;1(17):1-7
  7. Dillon A, Sciscione A. Cervical cancer. In: Ferri F. Ferri’s clinical advisor 2021. Philadelphia: Elsevier; 2021. p. 331-4
  8. Murillo R, Herrero R, Sierra MS, Forman D. Etiology of cervical cancer (C53) in Central and South America. In: Cancer in Central and South America. Lyon: International Agency for Research on Cancer; 2016. Available from: http://www-dep.iarc.fr/CSU_resources.htm
  9. Ellenson LH, Pirog EC. The female genital tract. In. Kumar V, Abbas AK, Aster JC. Robbins and cotran pathologic basis of disease. 9th edition. Philadelphia: Elsevier; 2015. p. 1002-5
  10. Keputusan menteri kesehatan republik indonesia nomor HK 01.07/MENKES/349/2018 tentang pedoman nasional pelayanan kedokteran tata laksana kanker serviks [Internet]. Jakarta: Kementerian Kesehatan Republik Indonesia; 2018 [cited 16 Sept 2020]. Available from: http://kanker.kemkes.go.id/guidelines/PNPKServiks.pdf
  11. Arriba LN, Rose PG. Cancer of the uterine cervix. In: Rakel, Kellerman. Conn’s current therapy 2020. Philadelphia: Elsevier; 2020. p. 1149-53
  12. DeVita VT, Rosenberg SA, Lawrence TS. DeVita, Hellman, and Rosenberg's cancer. Lippincott Williams & Wilkins; 2018 Nov 16. p. 2083-2090
  13. Dhungana BR, Jyothi Y, Das K. Kigelia pinnata: Exploration of Potential Medicinal Usage in Human Ailments. J Pharm Res. 2016 Dec 1;15(4):138
  14. Arhkhipov A, Sirdaarta J, Rayan P, McDonnell PA, Cook IE. An examination of antibacterial, anti fungal, anti-giardial and anti cancer properties of kigelia Africana fruits extracts. Pharmacoqnosy Communication. 2014 July;4(3):62-76
  15. Sugita P, Anggraini D, Syahbirin G, Rahayu DUC, Ilmiawati A. Secondary metabolites from Indonesian Kigelia africana (Bignoniaceae). J Indones Chem Soc. 2019 Dec 30;2(2):114.
  16. Fitri Yani D, Sugita P, Syahbirin G. Phytochemicals and cytotoxicity of sausage fruit (Kigelia africana) extract against breast cancer cells MCF-7 in vitro. JPR. 2018;12(3).
  17. Figueiredo AC, Barroso JG, Pedro LG, Scheffer JJC. Factors affecting secondary metabolite production in plants: volatile components and essential oils. Flavour Fragr J. 2008 Jul;23(4):213–26.
  18. Xiao CY, Fu BB, Li ZY, Mushtaq G, Kamal MA, Li JH, Tang GC, Xiao SS. Observations on the expression of human papillomavirus major capsid protein in HeLa cells. Cancer Cell International. 2015 Dec 1;15(1):53.
  19. Ghante MH, Jamkhande PG. Role of pentacyclic triterpenoids in chemoprevention and anticancer treatment: an overview on targets and underling mechanisms. Journal of Pharmacopuncture 2019;22(2):055-067.
  20. Sawai S, Saito K. Triterpenoid biosynthesis and engineering in plants. Frontiers in Plant Science. 2011;2:25.
  21. Patlolla J, Rao C. Triterpenoids for cancer prevention and treatment: current status and future prospects. Current Pharmaceutical Biotechnology. 2012;13(1):147-55.
  22. Parmar SK, Sharma TP, Airao VB, Bhatt R, Aghara R, Chavda S, et al. Neuropharmacological effects of triterpenoids. Phytopharmacology. 2013;4(2):354-72.

Srisawat T, Chumkaew P, Heed-chim W, Sukpondma Y, Kanokwiroon K. Phytochemical screening and cytotoxicity of Crude extracts of vatica diospyroides symington type LS. Trop J Pharm Res, February 2013;12 (1):71-6

Share

COinS