Skip to main content
Narra J logoLink to Narra J
. 2024 Mar 13;4(1):e321. doi: 10.52225/narra.v4i1.321

Phytochemistry and antifatigue activities of Carica papaya leaf from geothermal, coastal and urban areas, Indonesia

Aditya Candra 1,2, Yudha Fahrimal 3,*, Yusni Yusni 4, Azwar Azwar 5, Tahara D Santi 6
PMCID: PMC11125400  PMID: 38798837

Abstract

Fatigue, a condition of lack of energy and motivation resulting in the feeling of extreme tiredness or exhaustion, is usually prevented and treated with ergogenic aids, such as in the form of nutritional supplements. Papaya (Carica papaya) may be a potential candidate for ergogenic aids, considering its healthy secondary metabolite properties and number of metabolite compounds that could be affected by the location where the plant growing. The aim of this study was to identify the phytochemicals of papaya leaves from three different locations: geothermal, coastal, and urban areas in Aceh province, Indonesia. Concentrations of papaya leaf with the highest number of secondary metabolite compounds were tested in rats to measure blood lactate acid concentrations after strenuous exercise. The number of chemical compounds identified from the three locations was 24 compounds; 23 compounds and 17 compounds, respectively. The highest concentration of chemical compounds that have antifatigue activity contained in all papaya leaf samples were neophytadiene, linolenic acid, gamma tocopherol, hexadecanoic acid, vitamin E, carpaine, octadecatrienoic acid, nor lean-12-ene, squalene, and phytol. Furthermore, most of the compounds’ highest concentrations were found in papaya leaves from the coastal area and, therefore, tested on the animal model. Treatment was provided in 12 male rats with different doses of papaya powder supplements for 15 days. The results showed that lactic acid levels of rats received a dose of 400 mg/kg of papaya leaf extract reduced the lactic acid concentration (p=0.014) compared with the control group. This study highlights that papaya leaves from the coastal area have the most potential activities as ergogenic herbal aid and were able to reduce lactic acid levels in rats after strenuous exercise.

Keywords: Carica papaya, phytochemistry, GC-MS, anti-inflammation, ergogenic aid

Introduction

Fatigue is simply defined as the lack of energy and motivation resulting in the feeling of extreme tiredness or exhaustion. Fatigue can be a result of the body’s response to activities carried out continuously with moderate and heavy intensity, causing the inability of muscles to contract strongly and for a long time due to reduced available energy sources in the form of muscle glycogen [1-4]. Fatigue can be overcome by utilizing ergogenic aids, which are chemical substances with certain nutrients that increase energy production and body metabolism and can accelerate the healing process from muscle injuries and infections during exercise [5,6]. Exercise programs, sports equipment, nutrition, various medications derived from chemicals or natural plant compounds, and psychology are all examples of ergogenic aids which can alter the physiological characteristics of bodily organs directly [7,8].

It has been reported that about 50% of athletes generally use supplements to increase stamina [9]. Ergogenic aids in the form of nutritional supplements can be used as an alternative to prevent muscle damage due to infection and improve exercise performance if consumed within a certain period of time that has been programmed [10]. A nutritional supplement is included as an ergogenic aid if it can produce muscular hypertrophy, inhibit inflammatory muscle breakdown, increase strength, and improve performance during physical exercise [5]. Several studies have shown that plants’ secondary and essential metabolites preserve health in many different ways, such as anti-inflammatory, antioxidant, antiallergy, antimicrobials, antivirus, antibacterial, anticancer, and others [11]. Furthermore, studies stated that the efficacy of herbal supplements varies greatly depending on the geographic location of the plant taken, the method of extraction, and the type of plant [10,11]. Carica papaya, also known as papaya, is a plant with antibacterial, antioxidant, anti-inflammatory, and anticancer properties, posing its potential as an excellent ergogenic nutraceutical [12-15]. In Asia, apart from being a garden plant, it is also used as a commercial medicinal ingredient, and all its parts can be used as herbal medicine to cure various diseases [16,17].

The aim of this study was to analyze the phytochemical compounds of C. papaya leaf and its known biological activities from three different locations (geothermal area and coastal area in Aceh-Besar district, and the urban area in Banda Aceh, Indonesia) and to determine the effect of papaya leaf extract on lactic acid concentration as one of indicator of fatigue in animal model.

Methods

The samples of C. papaya leaves were collected from three separate locations: the geothermal area (Ie Suum village), the coastal area (Kajhu village) in Aceh Besar District, and the urban area (Lambhuk) in Banda Aceh, Indonesia. All leaves were subjected to identification in the Biology Laboratory of the Faculty of Mathematical and Natural Sciences, Universitas Syiah Kuala, Banda Aceh, Indonesia. The processing of simplicia consisted of collecting raw materials, wet sorting, washing, counting, drying, dry sorting, milling, packaging, and storage. In this study, the samples used as samples were papaya leaves that were still green which were harvested from the 4th, 5th and 6th stalks of the shoots, had no defects and were not affected by pests.

Extraction methods

Dried simplicia of C. papaya leaves were air dried for five days, blended, and sieved to obtain the powder. Two kilograms of simplicia powder was mixed with 96% ethanol for 72 hours. The result of maceration in the form of a thick liquid extract was then concentrated using a rotary evaporator to obtain ethanol extract of C. papaya leaves.

Phytochemical screening

Phytochemical screening was conducted to determine the presence of different secondary metabolites in C. papaya leaves. Secondary metabolites from the flavonoid group were examined using the cyanidin reagent (magnesium powder and concentrated hydrochloric acid); phenolic group with the iron (III) chloride reagent; saponin group with foam and water testing; and steroid, alkaloid, and triterpenoid groups with the Lieberman Burchard reagent (anhydrous acetic acid and concentrated sulphuric acid).

Gas chromatography-mass spectrophotometry analysis

Gas chromatography-mass spectrophotometry (GC-MS) of C. papaya leaves was conducted in the Laboratory of the Special Regional Health Office of Jakarta, Indonesia, using an Intelligent Technology 7890 Gas Chromatograph (California, USA) with an automatic sampler. The electron ionization model with an energy of 70 eV, column hp ultra 2, and an initial temperature of 80°C. The carrier gas was helium. The constant flow column mode has a column flow of 1.2 mL/min and an injection volume of 5 L.

Animal model and powder supplement administration protocol

An experimental study with post-test only with control group design was conducted using male Rattus norvegicus rats aged 2–3 months weighing 120–250 grams. The rats were adapted to the environment for 1 week; provided with food and drink according to their needs. A total of 12 rats were used and divided into three groups. Group 1, a negative control group (NC), was provided feed and drink only. Group 2 (CP200) and group 3 (CP400) were supplemented with oral 200 mg/body weight and 400 mg/body weight of papaya leaf extract powder supplements, respectively, for 15 consecutive days with a frequency of once daily. On day 16, all rats were subjected to a heavy-intensity physical activity test in the form of running on an automatic treadmill at a speed of 30 m/min. The heavy intensity speed was expected for the rats to experience fatigue, which is characterized by inflammation, the release of lactic acid, and free radicals [18,19].

Examination of blood lactic acid concentration

The lactic acid concentration was examined using the Accutrend Plus system kit (Roche Diagnostics, Germany). The examination was carried out immediately after the exercise. Briefly, 0.2 ml of the orbital blood was collected using a 1 mL syringe and collected in ethylenediaminetetraacetic acid (EDTA) tubes and the lactic acid level was conducted no more than five minutes.

The statistical analysis

To determine the differences in fatigue assessment parameters for the three experimental groups, one-way ANOVA and Duncan tests were used [20]. Data analysis in this study was conducted using SPSS software version 16.0 (IBM, New York, USA). The level of significance was tested at α=0.05.

Results

Species confirmation

Identification of papaya leaves was performed in the Department of Biology, Faculty of Mathematics and Natural Sciences, Universitas Syiah Kuala, Banda Aceh, Indonesia, and confirmed that the three samples submitted were C. papaya leaves.

Phytochemical screening of papaya leaves

Phytochemical analysis of papaya leaf samples from three different locations showed different results. Papaya leaves from coastal and urban areas possessed five metabolic contents (alkaloids, steroids, saponins, flavonoids, and phenolics), while the geothermal area had only four metabolic contents (alkaloids, steroids, flavonoids, and phenolics) (Table 1).

Table 1.

Phytochemical constituent of Carica papaya leaves from three different locations

Metabolite content Reagent Carica papaya
Geothermal area Coastal area Urban area
Alkaloid Mayer + + +
Wagner + + +
Dragendorff + + +
Steroid Liebermann Burchard test + + +
Terpenoid Liebermann Burchard test - - -
Saponin Shuffle - + +
Flavonoid HCl and Metal Mg + + +
Phenolic FeCl3 + + +
Tannin Gelatin+H2SO4 - - -

Gas chromatography-mass spectrophotometry analysis of papaya leaves

The GC-MS analysis showed that papaya leaf samples from coastal, geothermal, and urban areas contained 24, 23, and 17 putative compounds, respectively (Table 2). The following is an order of the highest compounds contained in all samples from three locations that had anti-inflammatory and antioxidant effects as ergogenic candidates for overcoming muscle fatigue: neophytadiene, gamma-tocopherol, hexadecanoic acid, vitamin E, octadecatrienoic acid, squalene, and phytol (Table 3).

Table 2.

Gas chromatography-mass spectrophotometry results of ethanol extract of Carica papaya leaves from different areas

C. papaya from geothermal area C. papaya from from coastal area C. papaya from L urban area
Compound RT Quality % Compound RT Quality % Compound RT Quality %
Methylsuccinic anhydride 3.856 72 2.43 Neophytadiene 27.169 94 6.17 Neophytadiene 27.155 94 9.95
Diethyl malate 10.710 91 6.44 5-Isopropyl-6-methyl-hepta-3,5-dien-2-ol 27.262 22 1.83 Neophytadiene 27.410 95 2.49
Diethyl 2,3-dihydroxysuccinate 14.833 91 34.32 Neophytadiene 27.410 99 1.88 Neophytadiene 27.596 95 3.62
Butanedioic acid, methoxy-, dimethyl ester 26.865 27 3.82 Neophytadiene 27.596 93 2.69 Hexadecanoic acid, ethyl ester 28.569 99 1.01
Neophytadiene 27.341 99 5.81 Hexadecanoic acid, ethyl ester 28.568 99 1.88 Phytol 29.403 91 2.31
Neophytadiene 27.596 44 1.32 Hexadecanoic acid 28.886 99 7.58 Ethyl (9Z,12Z,15Z)-9,12,15-Octadecadienoate 29.665 99 3.96
Neophytadiene 27.776 86 1.48 N-Hexadecanoic acid 29.210 94 1.47 Ethyl 15-Methylheptadecanoate 29.775 95 2.01
Hexadecanoic acid, ethyl ester 28.748 99 2.12 Phytol 29.417 91 2.24 2-dodecen-1-Yl (-) succinic Anhydride 30.665 90 1.18
Hexadecanoic acid 29.051 99 2.95 9,12,15- Octadecatrienoic acid, ethyl ester 29.692 99 6.03 3,1’-Dihydroxy Preussomering G 31.492 72 1.46
Ethyl 9,12,15-Octadecatrienoate 29.844 99 4.55 Linolenic acid 29.913 99 10.19 Squalene 32.954 99 11.41
Linolenic acid 30.058 98 4.04 Tridecanedial 30.499 83 1.41 Delta-tocopherol 34.112 98 2.76
Squalene 33.237 99 10.42 D-Gluconic acid,1,2;3,4;5,6-tri-o-ethaneboronate- 30.672 43 1.32 Gamma-tocopherol 35.099 97 6.09
Delta-tocopherol 34.567 95 1.07 Bicyclo (4,3,1) decan-10-one 31.271 45 2.16 Stigmastan-3,5-diene 35.560 83 1.17
Gamma-tocopherol 35.643 95 1.44 Ethyl (9Z,12Z)-9,12-octadecadienoate 32.230 93 1.77 Vitamin E 36.016 99 10.34
Vitamin E 36.657 99 5.27 Squalene 32.954 99 3.33 2,6,10,14-Hexadecatetraen-1-Ol,2,6,10,14-tetramethyl-16-(phenylthio)-,(all-E)- 38.305 90 1.11
Gamma-sitosterol 39.987 99 1.48 (+)-(P,1r,3s)-5-(4,5-) dimethoxy-2-methyl-1-naphthyl)-6,8-dimethoxy-1,2,3-trimethyl-1,2,3,4-tetrahydroisoquinoline 1(+)-O-Methylancistroline) 33.374 74 1.05 Norolean-12-Ene 39.008 95 6.90
6,6,10-Trimethyl 1-phenylthiospiro (3,6) dec-1-ene 41.125 70 4.63 Gamma-tocopherol 34.154 99 3.70 6,6,10-Trimethyl-1-phenylthiospiro (3,6) dec-1-Ene 39.911 70 6.68
Gamma-tocopherol 35.160 97 5.62 3-O-Acethyl-delta24-cycloartenol 40.601 53 4.30
Vitamin E 36.112 99 9.01 Longipinane,(E)- 40.704 50 1.97
Norolean-12-ene 39.104 93 4.84 Pyridine-3-carboxamide,oxime,N-(2-trifluoromethylphenyl)- 41.028 91 1.20
Methyl commate B 40.049 84 1.57 3-Cyclohexene-1-carboxaldehyde,4-methyl- 41.525 64 2.30
5-(5-(Hydroxymethyl)-5,8a-dimethyl-2-methylenedecahydro-1-naphthalenyl)-3-methyl-1-Penten-3-Ol 40.759 93 1.11 Carpaine 44.000 58 4.93
1-Cyclohexene-4-carboxaldehyde,1-methyl- 41.745 92 2.41 Cycloartenol 45.890 90 1.04
Carpaine 44.517 74 7.92

RT: retention time (minutes)

Table 3.

Major metabolite compounds of Carica papaya leaves from three locations and their known biological activities

Compound Carica papaya leaf Biological activities
Geothermal area Coastal area Urban area
RT Quality Content (%) RT Quality Content (%) RT Quality Content (%)
Neophytadiene 27.341 99 5.81 27.169 94 6.17 27.155 94 9.95 Anti-inflammatory, antibacterial, analgesic, antipyretic
27.596 44 1.32 27.410 99 1.88 27.410 95 2.49 [10,17,27]
27.776 86 1.48 27.596 93 2.69 27.596 95 3.62
Hexadecanoic acid 28.748 99 2.12 28.568 99 1.88 28.569 99 1.01 Anti-inflammatory, antioxidant, antibacterial, antifungal,
29.051 99 2.95 28.886 99 7.58 - - - pesticide, antiviral, prevention, and therapy for many diseases [4,27,28]
Phytol - - - 29.417 91 2.24 29.403 91 2.31 Anti-inflammatory, antioxidant, antimicrobial, anticancer [27,29]
9,12,15-Octadecatrienoate acid 29.844 99 4.55 29.692 99 6.03 29.665 99 3.96 Antioxidant, anti-inflammatory, anti-oxidant, anti-cancer, anti-radiation, anti-histamine [14,27,30]
- - - 32.230 93 1.77 - - -
Linolenic acid 30.054 98 4.04 29.913 99 10.19 - - - Anti-malaria [17,27,31]
Squalene 33.237 99 10.42 32.954 99 3.33 32.954 99 11.41 Antioxidant, anticancer, antimicrobial, hepatoprotective [16,23]
Gamma-tocopherol 35.643 95 1.44 34.154 99 3.70 35.099 97 6.09 Antioxidant, antimicrobial and anticancer [17,26]
- - 35.160 97 5.62 - - -
Vitamin E 36.657 99 5.27 36.112 99 9.01 36.016 99 10.34 Antioxidant [15,31]
Carpaine - - - 44.517 74 7.92 44.000 58 4.93 Reduce cardiovascular problems [27,31]

RT: retention time (minutes)

Lactic acid levels

The average lactic acid levels in the control group with the administration of papaya leaves compared to the negative control group are presented in Table 4. The mean of lactic acid from negative control, C. papaya 200 mg/kg and C. papaya 400 mg/kg group were 6.45±2.64 mmol/L, 5.23±1.61 mmol/L, and 3.75±0.58 mmol/L, respectively. The negative control group showed the highest lactic acid level as expected, while C. papaya 400 mg/kg had the lowest concentration. Statistical analysis of the concentration of lactic acid showed that there was a significant difference among groups (p<0.05) (Table 4).

Table 4.

Effect of Mean of lactic acid after exercise

Group Number of animals Lactic acid (mmol/L) p-value
Mean±SD
Negative control 4 6.45±2.64 b <0.05
Carica papaya 200 mg/kg 4 5.22±1.61 ab
Carica papaya 400 mg/kg 4 3.75±0.58 a

Discussion

All phytochemical compounds found in the papaya leaf are known for their wide biological and pharmacological properties such as pesticide, anti-inflammatory, antioxidant, antibacterial, antifungal, antiviral, and preventive medicines [21-24]. Phytochemical compounds produced by a plant are influenced by external factors such as temperature, humidity, light, pH, altitude, and nutrients contained in the soil [25]. A study proved that pH and soil minerals are different from place to place and found that coastal areas have the most alkaline pH and the highest essential soil mineral concentration compared to pH and soil minerals of geothermal and urban areas [26]. In addition, this study also found that the chemical compounds of C. papaya that grew in the coastal area had the highest number of secondary metabolites compared to the other locations.

Alkaloids are known for their role in preventing the production of cytotoxic, analgesic, antispasmodic, antibacterial, immunosuppressive T lymphocytes and lower macrophage populations. Flavonoids have properties of anti-inflammatory, antioxidant, antibacterial, analgesic, antiviral, immunostimulant, and antifungal. Flavonoids suppress the release of lysozyme and arachidonic acid, interfering with the phospholipase A2, lipoxygenase, and cyclooxygenase processes by raising interleukin-2 (IL-2) and lymphocyte proliferation, which causes the cluster of differentiation 4 (CD4) cells to activate type 1 T helper (Th1) cells and alter specific macrophage activating factor (SMAF). Natural steroids in plants are expected to provide anti-inflammatory effects, and muscle and bone hypertrophy compared to synthetic and anabolic steroids [12].

One of the advantages of the GC-MS method is that it can analyze bioactive compounds in papaya leaves. This method can identify, separate, and determine various kinds of chemical compound structures and their concentration in plants [12]. The method has the advantage of measuring retention time (RT) and peak areas which are parameters for confirming the presence of various chemical compounds, over the phytochemical screening that can only qualitatively assess the content possessed [32].

C. papaya is one of the most popular plants in the world of medicine [16,33]. This plant is known to treat several diseases, such as dyspepsia, skin disorders, diarrhea, influenza, cervical cancer, prostate cancer, breast cancer, and can even be used as a contraceptive for men [17,34]. Papaya leaves are believed to have many elements of bioactive compounds, including methanol extract of papaya leaves containing alkaloids, flavonoids, and n-hexane extract containing steroid compounds that act as anti-inflammatories. Flavonoids in inflammation play a role in inhibiting cyclooxygenase (COX), lipoxygenase, prostaglandins, and thromboxane. The anti-inflammatory properties of C. papaya bioactive compounds play an important role in inhibiting fatigue because muscle damage triggered by activity, excessive exercise, and glycogen deficit will cause muscle damage, which is characterized by inflammation [12,35].

Various studies showed that C. papaya contains compounds that act as anti-inflammatories and antioxidants such as neophytadiene, vitamin E, 9,12,15 octadecatrienoic acid, squalene, and phytol [14-17,29]. A study was conducted to test neophytadiene compounds anti-inflammatory effect in lipopolysaccharide(LPS)-induced inflammation rats both in vitro and in vivo conditions and showed that neophytadiene (12.25, 50 mg/kg) administered for seven days prior to induced inflammation significantly inhibited the production of nitric oxide (NO) and the inflammatory cytokines, tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6), and interleukin-10 (IL-10) [36].

9,12,15-octadecatrienoic acid is grouped into fatty acids and esters which are useful as the main energy provider during cell growth and this compound plays a role in anti-melanogenic, antioxidant, anti-fungal and anti-inflammatory activities [37,38]. Squalene is a compound found in papaya and moringa leaves which functions as an antioxidant [23,39]. Vitamin E is known to have antioxidant effects so that it can protect muscle tissue from various damages caused by ROS and increase glucose absorption as an energy source from carbohydrate metabolism, optimize pancreatic function with effective insulin work, and the adipogenesis process [40,41]. Phytol is grouped under terpenes and terpenoids and is known as phytol (acyclic monounsaturated alcohol), which plays an important role in various biological properties as anti-inflammatory, anticancer, antioxidant, diuretic, anti-allergic, immunostimulant, anti-trypanosomal, antimicrobial activity as well as cholesterol-lowering effects. Phytol acts as an anti-inflammatory that inhibits hyperalgesia, reduces myeloperoxidase (MPO), releases pro-inflammatory cytokines, reduces the production of IL-6, COX-2, significantly downregulates p38MAPK expression, and increases NFκB activity [21,42].

The occurrence of muscle fatigue caused by a buildup of lactic acid has long been suspected. The opinion that the accumulation of lactic acid accompanies the fatigue process is further strengthened by the fact that there are two physiological mechanisms by which lactic acid inhibits muscle function. Both mechanisms depend on the effect of lactic acid on intracellular pH or hydrogen ion (H) concentration. As lactic acid increases, the H concentration increases, and the pH decreases. On the other hand, increasing the concentration of H ions hinders the process of the excitation circuit, by decreasing the amount of Ca released from the sarcoplasmic reticulum and disrupting the binding capacity of troponin. Increasing the concentration of H ions also inhibits the activity of phosphofructokinase, a key enzyme involved in anaerobic glycolysis. Thus slowing down glycolysis, reduces the supply of ATP for energy [43]. C. papaya leaves are believed to contain many bioactive compounds, namely the methanol extract of papaya leaves contains alkaloids, flavonoids, and n-hexane extract contains steroid compounds which act as anti-inflammatory. Flavonoids in inflammation play a role in inhibiting COX, lipoxygenase, prostaglandins and thromboxane. The ability of bioactive compounds from C. papaya as anti-inflammatory plays an important role in preventing fatigue, because muscle damage triggered by activity, excessive exercise, and glycogen deficit will cause muscle damage characterized by inflammation [12].

Conclusion

Higher concentrations of alkaloids, steroids, saponins, flavonoids, and phenolics were found in the coastal and urban areas. The GC-MS analysis on papaya leaf samples revealed that papaya leaf extract from coastal areas contained the highest number of secondary metabolites that have potential antifatigue activities. Administration of papaya leaf extract at a concentration of 400 mg/kg of body weight in rats was able to maintain lactic acid concentration at normal levels after strenuous exercise.

Acknowledgments

The authors acknowledge and thank their respective universities of affiliation.

Ethics approval

The study was approved by the Ethical Committee of Faculty of Veterinary, Universitas Syiah Kuala, Banda Aceh, Indonesia (no 166/KEPH/IX/2022).

Competing interests

All authors declare that there are no conflicts of interest.

Funding

There is no external funding received.

Underlying data

The underlying data can be requested to corresponding author.

How to cite

Candra A, Fahrimal Y, Yusni Y, et al. Phytochemistry of Carica papaya leaf from geothermal, coastal, and urban areas in Aceh Besar district and Banda Aceh city, Indonesia: In search of antifatigue drugs. Narra J 2024; 4 (1): e321 - http://doi.org/10.52225/narra.v4i1.321.

References

  • 1.Lee JY, Kim EH, Yoon JH, et al. Traditional herbal medicine, Sipjeondaebo-Tang, for cancer-related fatigue: A randomized, placebo-controlled, preliminary study. Integr Cancer Ther 2021;20:15347354211040830. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 2.Phillips RO. A review of definitions of fatigue - and a step towards a whole definition. Transp Res Part F Traffic Psychol Behav 2015;29:48–56. [Google Scholar]
  • 3.Candra A, Rusip G, Machrina Y.. Effect of light and moderate intensity aerobic exercise on muscle fatigue in Aceh football athletes. Jurnal Kedokteran dan Kesehatan 2016;3(1):333–339. [Google Scholar]
  • 4.Ng JY, Zhang CJ, Ahmed S.. Dietary and herbal supplements for fatigue: A quality assessment of online consumer health information. Integr Med Res 2021;10(4):100749. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 5.Kerksick CM, Wilborn CD, Roberts MD, et al. ISSN exercise & sports nutrition review update: Research & recommendations. J Int Soc Sports Nutr 2018;15(1):1–57. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 6.Andersen LK, Aadahl M VJ. Fatigue, physical activity and associated factors in 779 patients with myasthenia gravis. Neuromuscul Disord 2021;31:716–725. [DOI] [PubMed] [Google Scholar]
  • 7.Porrini M, Del Bo C.. Ergogenic aids and supplements. Front Horm Res 2016;47:128–152. [DOI] [PubMed] [Google Scholar]
  • 8.Li H LH. The influence of Chinese herbal medicines on cancer-related pressure ulcer wound, fatigue, constipation, and anorexia: A meta-analysis. Int Wound J 2022;20:1–10. [DOI] [PMC free article] [PubMed] [Google Scholar] [Retracted]
  • 9.Schnyder S, Handschin C.. Skeletal muscle as an endocrine organ: PGC-1α, myokines and exercise. Bone 2015;80:115–125. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 10.Sellami M, Slimeni O, Pokrywka A, et al. Herbal medicine for sports: A review. J Int Soc Sports Nutr 2018;15(1):1–14. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 11.Hoffman NJ, Parker BL, Chaudhuri R, et al. Global phosphoproteomic analysis of human skeletal muscle reveals a network of exercise-regulated kinases and AMPK substrates. Cell Metab 2015:22(5):922–935. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 12.Candra A, Santi TD. Efektivitas ekstrak daun pepaya (Carica Papaya L) sebagai antiinflamasi. J Aceh Med 2017;1(2):63–66. [Google Scholar]
  • 13.Bin Azad S, Ansari P, Azam S, et al. Anti-hyperglycaemic activity of Moringa oleifera is partly mediated by carbohydrase inhibition and glucose-fibre binding. Biosci Rep 2017;37(3):1–11. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 14.Nwidu L, Elmorsy E, Aprioku J, et al. In vitro anti-cholinesterase and antioxidant activity of extracts of Moringa oleifera plants from rivers state, Niger Delta, Nigeria. Medicines 2018;5(3):71. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 15.Paikra BK, Dhongade HKJ, Gidwani B.. Phytochemistry and pharmacology of Moringa oleifera Lam. J Pharmacopuncture 2017;20(3):194–200. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 16.Nugroho A, Heryani H, Choi JS, et al. Identification and quantification of flavonoid in Carica papaya leaf and peroxynitrite scavenging activity. Asian Pac J Trop Biomed 2016;7:208–213. [Google Scholar]
  • 17.Wadekar AB, Nimbalwar MG, Panchale WA, et al. Morphology, phytochemistry and pharmacological aspects of Carica papaya, an riview. 2021:234–248.
  • 18.Huang AM, Jen CJ, Chen HF, et al. Compulsive exercise acutely upregulates rat hippocampal brain-derived neurotrophic factor. J Neural Transm 2006;113(7):803–811. [DOI] [PubMed] [Google Scholar]
  • 19.Machrina Y, Damanik H, Purba A, Lindarto D.. Effect various type of exercise to Insr gene expression, skeletal muscle insulin receptor and insulin resistance on diabetes mellitus type-2 model Rats. Int J Health Sci 2018;6(4):50–56. [Google Scholar]
  • 20.Sastroasmoro S, Sofyan I.. Dasar-dasar metodologi penelitian klinis. Jakarta: Sagong Seto; 2010. [Google Scholar]
  • 21.de Alencar MVOB, Islam MT, de Lima RMT, et al. Phytol as an anticarcinogenic and antitumoral agent: An in vivo study in swiss mice with DMBA-Induced breast cancer. IUBMB Life 2019;71(2):200–212. [DOI] [PubMed] [Google Scholar]
  • 22.Joy UN, Raymond AA, Tochi Joy A.. Nutrient composition of Carica Papaya leaves extracts. J Food Sci Nutr Res 2019;02(03):274–282. [Google Scholar]
  • 23.Abdel-Halim SA, Ibrahim MT, Mohsen MMA, et al. Phytochemical and biological investigation of Carica papaya Linn. Leaves cultivated in Egypt (Family Caricaceae). J Pharmacogn Phytochem 2020;9(5):47–54. [Google Scholar]
  • 24.Al-Seadi HL, Sabti MZ, Taain DA. GC-MS analysis of papaya leaf extract (Carica Papaya L.). IOP Conf Ser Earth Environ Sci 2021;910(1). [Google Scholar]
  • 25.Katuuk RH, Wanget SA, Tumewu P.. The effect of differences in site height on the content of secondary metabolites of babadotan weeds (Ageratum conyzoides L.). Biogenesis 2019;1(4). [Google Scholar]
  • 26.Candra A, Fahrimal Y, Yuni Y, Azwar A ST. Soil chemistry, phytochemistry, and Gc-Ms profiles of Moringa Leaves (moringa oleifera) as an antifatigue candidate from geothermal, coastal, and urban areas in Aceh Besar district and Banda Aceh municipality, Indonesia. Rasayan J Chem 2023;16(3):1333–1341. [Google Scholar]
  • 27.Santi TD, Siregar TN, Sutriana A, Andini R CA. Phytochemical test and optimization of transdermal patches of Carica papaya extract: Formulation design of candidate drug for wound healing. Biodiversitas 2022;23:2904–2913. [Google Scholar]
  • 28.Taiwo OB, Olajide OA, Soyannwo OO, et al. Anti-inflammatory, antipyretic and antispasmodic: Properties of Chromolaena odorata. Pharm Biol 2000;38(5):367–370. [Google Scholar]
  • 29.Pejin B, Savic A, Sokovic M, et al. Further in vitro evaluation of antiradical and antimicrobial activities of phytol. Nat Prod Res 2014;28(6):372–376. [DOI] [PubMed] [Google Scholar]
  • 30.Sharma A, Bachheti A, Sharma P, et al. Phytochemistry, pharmacological activities, nanoparticle fabrication, commercial products and waste utilization of Carica papaya L. A comprehensive review 2020:145–160.
  • 31.Sankarganesh P. Phytomedicinal chemistry and pharmacognostic value of Carica papaya L., Leaf. J Pure Appl Microbiol 2018;12(2):751–756. [Google Scholar]
  • 32.Doughari JH, Obi C, Onyema OM. Phytochemicals: Extraction methods, basic structures and mode of action as potential chemotherapeutic agents. Afr J Biotechnol 2011;10(66):15020–15024. [Google Scholar]
  • 33.Enenya IG, Agbonghae OW, Nwokoro SO, Onyeaka H AI. Some phytochemical and functional properties of pawpaw (Carica papaya L.) leaf protein concentrates obtained from three locations in Benin City, Edo State, Nigeria. Vegetos 2022;35:1063–1068. [Google Scholar]
  • 34.Hossain MA, Hitam S, Ahmed SHI. Pharmacological and toxicological activities of the extracts of papaya leaves used traditionally for the treadment of diarrhea. J King Saud Univ 2020;32(1):962–969. [Google Scholar]
  • 35.Santi. Effect of moderate physical activity to muscle fatigue on untrained people. IOP Conf Ser Mater Sci Eng 2019;506(1). [Google Scholar]
  • 36.Bhardwaj M, Sali VK, Mani S, et al. Neophytadiene from Turbinaria ornata suppresses LPS-induced inflammatory response in RAW 264.7 Macrophages and Sprague Dawley Rats. Inflammation 2020;43(3):937–950. [DOI] [PubMed] [Google Scholar]
  • 37.Ringbom T, Huss U, Stenholm Å, et al. COX-2 inhibitory effects of naturally occurring and modified fatty acids. J Nat Prod 2021;64(6):745–749. [DOI] [PubMed] [Google Scholar]
  • 38.Sermakkani M, Thangapandian V.. GC-MS analysis of Cassia italica leaf methanol extract. Asian J Pharm Clin Res 2012;5(2):90–94. [Google Scholar]
  • 39.Sogandi S, Rabima R.. Identifikasi senyawa aktif ekstrak buah mengkudu (Morinda citrifolia L.) dan potensinya sebagai antioksidan. J Kim Sains Apl 2019;22(5):206–212. [Google Scholar]
  • 40.Gupta R, Mathur M, Bajaj VK, et al. Evaluation of antidiabetic and antioxidant activity of Moringa oleifera in experimental diabetes. J Diabetes 2012;4(2):164–171. [DOI] [PubMed] [Google Scholar]
  • 41.Sosa-Gutiérrez JA, Valdéz-Solana MA, Forbes-Hernández TY, et al. Effects of Moringa oleifera Leaves extract on high glucose-induced metabolic changes in HepG2 cells. Biology 2018:7(3):37. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 42.Waterman C, Rojas-Silva P, Tumer TB, et al. Isothiocyanate-rich Moringa oleifera extract reduces weight gain, insulin resistance, and hepatic gluconeogenesis in mice. Mol Nutr Food Res 2015;59(6):1013–1024 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 43.Westerblad H, Allen DG, Lännergren J, et al. Muscle fatigue: Lactic acid or inorganic phosphate the major cause? Am Physiol Soc 2002;17:17–21. [DOI] [PubMed] [Google Scholar]

Associated Data

This section collects any data citations, data availability statements, or supplementary materials included in this article.

Data Availability Statement

The underlying data can be requested to corresponding author.


Articles from Narra J are provided here courtesy of Narra Sains Indonesia

RESOURCES