Investigation of Angiotensin-Converting Enzyme Inhibitory Effects of Indonesian Traditional Medicine (Jamu)

doi.org/10.26538/tjnpr/v5i4.17

Authors

  • Aprilita Rina Yanti Eff Department of Pharmacy Faculty of Health Sciences, Esa Unggul University, Jakarta, Indonesia
  • Hermanus Ehe Hurit Department of Pharmacy Faculty of Health Sciences, Esa Unggul University, Jakarta, Indonesia
  • Sri Teguh Rahayu Department of Pharmacy Faculty of Health Sciences, Esa Unggul University, Jakarta, Indonesia
  • Ayu Puspita Lena Department of Pharmacy Faculty of Health Sciences, Esa Unggul University, Jakarta, Indonesia

Keywords:

Antihypertensive, Blood pressure, ACE inhibitor, Jamu

Abstract

The renin-angiotensin-aldosterone system (RAAS) is a significant factor in maintaining blood pressure. Several Indonesian plants in herbal medicine (jamu) have been proven in vitro to be ACE inhibitors. This study assessed the angiotensin-converting enzyme inhibitory effects of antihypertensive jamu in Wistar rats. Thirty rats were divided into six groups. Group I represented the standard controls (SC), which was administered standard diet, and aqua dest drinks. Groups II to VI were made hypertensive by administering 0% fructose drink for ten weeks. Group II was the negative control (NC), and was administered standard diet and 10% fructose solution. Captopril (0.5 mg/kg BW) was administered to group III, while  groups IV – VI were administered jamu at doses of 120 mg/kg BW (D1), 240 mg/kg BW (D2), and 360 mg/kg BW (D3), respectively from day 57 to 71. Blood pressure was measured every week before giving fructose until the last day of treatment. On day 72, rats were sacrificed, and plasma was taken to measure angiotensin-converting enzyme activity using an ELISA reader. The blood pressure rise started at week 3 of fructose administration. In the groups:  aptopril, D1, D2, and D3, there was a significant decrease in systolic and diastolic blood pressure compared to the negative control (p < 0.05). Plasma angiotensin-converting enzyme levels was significantly different between the negative control and the normal control, D1, D2, D3, and the captopril groups (p < 0.05). There was no significant difference between D3 compared to the standard controls (p > 0.05). Antihypertensive jamu has angiotensin-converting enzyme inhibitory activity in-vivo.

References

Drozdz D and Kawecka-Jaszcz K. Cardiovascular changes during chronic hypertensive states. Pediatr Nephrol. 2014; 29(9):1507-1516.

Tirtasari S and Kodim N. Prevalensi dan Karakteristik Hipertensi Pada Usia Dewasa Muda di Indonesia. Tarumanagara Med J. 2019; 1(2):395-402.

Ministry of Health of the Republic of Indonesia at: https: // www. Ministry of Health. go. id / article / view / 19093000001 / heart disease-causes-death-most-k.-2-inIndonesia. html. accessed on February 1, 2021.

Messerli FH, Bangalore S, Bavishi C, Rimoldi SF. Angiotensin-Converting Enzyme Inhibitors in Hypertension: To Use or Not to Use? J Am Coll Cardiol.

; 71(13):1474-1482.

Indonesia Ministry of Health. Basic Health Research 2013. Heal Res Dev Agency, Indones Minist Heal. 2013; 72-77 p.

Dewi TF. Analysis of antihypertensive herbs at the Tawangmangu Hortus Medicus Research House for the Period of January-June 2017. J Jamu Indones. 2020; 4(2):42-47.

Herman L, Padala S, Bashir K. Angiotensin Converting Enzyme Inhibitors (ACEI) – StatPearls - NCBI Bookshelf [Internet]. 2020. Available from: https://www.ncbi.nlm.nih.gov/books/NBK431051/

Rinayanti A, Radji M, Mun’im A, Suyatna FD. Screening Angiotensin Converting Enzyme ( ACE ) Inhibitor Activity of Antihypertensive Medicinal Plants from Indonesia. Int J Pharm Teach Pract. 2013; 4(1):527-532.

Lettre DP, Kumar R, Kumar A, Sharma R, Baruwa A. Pharmacological review on Natural ACE inhibitors. Der Pharm Lett. 2010; 2(2):273-293.

Eff ARY, Rahayu ST, Mahayasih PG, Januarko MU. Standardization of Indonesian traditional antihypertensive medicines (JAMU) through the ACE inhibitor mechanism. Pharmacogn J. 2020; 12(3):422-429.

Yanti AR, Radji M, Mun’im A, Suyatna FD. Effects of the Methanol extracts Phaleria macrocarpa (Scheff Boerl fruits on Angiotensin Converting Enzyme ( ACE ) activity. Int J Adv Pharm Biol Chem. 2014; 3(4):912-918.

Jalal DI, Smits G, Johnson RJ, Chonchol M. Increased Fructose Associates with Elevated Blood Pressure. J Am Soc Nephrol. 2010; 21:1-7.

Jadhav GB and Upasani CD. Antihypertensive Effect of Silymarin on Fructose Induced Hypertensive Rats. Blood. 2012; 46(1):101-106.

Dornas CW and Silva EM. Review Animal models for the study of arterial hypertension. Biosci. 2011; 36(4):731-737.

Isbagio WD. Euthanasia pada hewan percobaan. Media Litbangkes. 992; 11(01):18-24.

Nurfadila SA, Saputri SC, Harahap Y. Effects of Hibiscus sabdariffa callices aqueous extract on the hypertensive potensy of Captopril in the two-kidney- one clip rat hypertensive model. Evid-Based Compl Altern Med. 2019; 2019:1-7.

Senador D, Shewale S, Irigoyen MC, Elased KM, Morris M. Effects of restricted fructose access on body weight and blood pressure circadian hythms. Exp Diabet Res. 2012; 2012:1-7.

Sandeva RV, Mihaylova SM, Sandeva GN, Trifonova KY, Popova-Katsarova RD. Effect Of High-Fructose Solution On Body Weight, Body Fat, Blood Glucose And Triglyceride Levels In Rats. J Biomed Clin Res. 2015; 8(1):5-8.

Hwang IS, Ho H, Hoffman BB, Reaven GM. Fructoseinduced insulin resistance and hypertension in rats. Hypertension. 1987; 10(5):512-516.

Dupas J, Feray A, Goanvec C, Guernec A, Samson N, Bougaran P, Guerrero F, Mansourrati J. Metabolic Syndrome and Hypertension Resulting from Fructose Enriched Diet in Wistar Rats. Biomed Res Int. 2017; 2017:1-10.

Glushakova O, Kosugi T, Roncal C, Mu W, Heinig M, Cirillo P, Sanchez-Lozada GL, Johnson JR, and Nakagawa T. Fructose induces the inflammatory molecule ICAM-1 in endothelial cells. J Am Soc Nephrol. 2008; 19(9):1712-1720.

Vasdef S, Ford CA, Longerich L, Gadag V, Wadhawan S. Role of aldehydes in fructose induced hypertension. Mol Cell Biochem. 1998; 181:1-9.

Tran LT, Macleod KH, McNeill JH. Endothelin-1 modulates angiotensin II in the development of hypertension in fructose-fed rats. Mol Cell Biochem. 2009; 325:89-97.

Kurtz TW and Pravenec M. Antidiabetic mechanisms of angiotensin-converting enzyme inhibitors and angiotensin II receptor antagonists: beyond the renin – angiotensin system.J Hypertens. 2004; 22(12):2253-2261.

Atlas SA. The renin-angiotensin aldosterone system: pathophysiological role and pharmacologic inhibition. J Manag Care Pharm. 2007; 13(8 Suppl B):9-20.

Kang DG, Moon MK, Sohn EJ, Lee DH, Lee HS. Effects of morin on blood pressure and metabolic changes in fructoseinduced hypertensive rats. Biol Pharm Bull. 2004; 27(11):1779-1783.

Tran LT, MacLeod KM, McNeill JH. Endothelin-1 modulates angiotensin II in the development of hypertension in fructose-fed rats. Mol Cell Biochem. 2009; 325(1-2):89-97.

Yao J, Gong X, Shi X, Fan S, Chen J, Chen Q. The efficacy of angiotensin converting enzyme inhibitors versus angiotensin II receptor blockers on insulin resistance in hypertensive patients: A protocol for a systematic review and meta-analysis. Med (Baltimore). 2020; 99(24):e20674.

Ministry of Health the Republic of Indonesia. Hipertensi Penyakit Paling Banyak Diidap Masyarakat - Direktorat P2PTM [Internet]. Kemenkes RI. 2019. Available from: https://www.kemkes.go.id/article/view/19051700002/hipertensi-penyakit-paling-banyak - diidap-masyarakat.html

Laristra T and Farida Y. Herbal Medicine Use of Hypertension Patient in Sibela Primary Care Surakarta. Pros APC Annu Pharm Conf. 2019; 79-91p.

Eff ARY, Hurit HE, Rahayu ST, Januarko MU, Maya WMPG. Antihypertensive, Antidiabetic, Antioxidant and Cytotoxic Activities of Indonesian Traditional Medicine. Pharmacogn J. 2020; 12(6):1623-1629.

Rinayanti A, Radji M, Mun A, Suyatna FD. Screening Angiotensin Converting Enzyme (ACE) Inhibitor activity of antihypertensive medicinal plants from Indonesia. Int J Pharm Teach Pract. 2013; 4(1):527-532.

Ali RB, Atangwho IJ, Kaur N, Abraika OS. BioassayGuided Antidiabetic Study of Phaleria macrocarpa Fruit Extract. Molecules. 2012; 17:4986-5002.

Kamran A. an Updated Phytochemical and Pharmacological Review on Gynura procumbens. Asian J Pharm Clin Res. 2019; 12(4):9-14.

Hoe SZ, Lee CN, Mok SL, Kamaruddin MY, Lam SK. Gynura procumbens Merr. decreases blood pressure in rats by vasodilatation via inhibition of calcium channels. Clin. 2011; 66(1):143-150.

Hui-Wen Lee. Antidiabetic effect of Gynura procumbens leaves extracts involve modulation of hepatic carbohydrate metabolism in streptozotocin-induced diabetic rats. J Med Plants Res. 2012; 6(5):796-812.

Liu R, Chen S, Ren G, Shao F, Huang H. Phenolic Compounds from roots of Imperata cylindrica var. major. Chinese Herb Med. 2013; 5(3):240-243.

Ruslin, Asmawi MZ, Rianse U, Sahidin I, Dhianawaty D, Soemardji AA, Amalia L. Antihypertensive activity of Alang-alang (Imperata cylindrica (L.) Beauv. root methanolic extract on male Wistar rat. Int J Res Pharm Sci.

; 4(4):537-542.

Maneesai P, Bunbupha S, Kukongviriyapan U, Senggunprai L, Kukongviriyapan V, Prachaney P, Pakdeechote P. Effect of asiatic acid on the Ang II-AT1R-NADPH oxidase-NF-κB. Naunyn-Schmiedeberg’s Arch Pharmacol. 2017;390(10):1073-1083.

Maneesai P, Bunbupha S, Kukongviriyapan U, Prachaney P, Tangsucharit P. Asiatic acid attenuates renin-angiotensin system activation and improves vascular function in highcarbohydrate , high-fat diet fed rats. BMC Compl Altern Med. 2016; 2016:1-11.

Ismail A and Wan Ahmad WAN. Syzygium polyanthum(Wight) Walp: A potential phytomedicine. Pharmacogn J. 2019; 11(2):429-438.

Ismail A, Mohamed M, Sulaiman SA, Wan Ahmad WAN. Autonomic nervous system mediates the hypotensive effects of aqueous and residual methanolic extracts of Syzygium polyanthum (Wight) Walp. var. polyanthum leaves in anaesthetized rats. Evid-Based Compl Altern Med.

; 2013:1-16.

Ismail A, Ramli NS, Mohamed M, Wan Ahmad WAN. Acute and sub-acute antihypertensive effects of Syzygium polyanthum leaf extracts with determination of gallic acid using HPLC analysis. Pharmacogn J. 2018; 10(4):663-671.

Muthia R, Suganda AG, Sukandar EY. Angiotensin-I Converting Enzyme ( ACE ) Inhibitory Activity Of Several Indonesian Medicinal Plants. Res J Pharm Biol Chem Sci. 2017; 8(1):192-199.

Downloads

Published

2021-03-01

How to Cite

Yanti Eff, A. R., Hurit, H. E., Rahayu, S. T., & Lena, A. P. (2021). Investigation of Angiotensin-Converting Enzyme Inhibitory Effects of Indonesian Traditional Medicine (Jamu): doi.org/10.26538/tjnpr/v5i4.17. Tropical Journal of Natural Product Research (TJNPR), 5(4), 692–697. Retrieved from https://tjnpr.org/index.php/home/article/view/689