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. 2019 Apr 9;5(4):e01485. doi: 10.1016/j.heliyon.2019.e01485

Influence of extraction methods of bay leaves (Syzygium polyanthum) on antioxidant and HMG-CoA Reductase inhibitory activity

Lanny Hartanti 1,, Stefania Maureen Kasih Yonas 1, Josianne Jacqlyn Mustamu 1, Sumi Wijaya 1, Henry Kurnia Setiawan 1, Lisa Soegianto 1
PMCID: PMC6458466  PMID: 31008409

Abstract

Objective

Bay leaf, one of the plants in Indonesia that has been shown to have activities to reduce cholesterol in the blood. HMG-CoA Reductase inhibition is one of many mechanisms in lowering the level of cholesterol in the blood. Here, we reported the inhibitory activity of HMG-CoA Reductase of bay leaves ethanol extracts that we suspected to be the mechanism of action of bay leaves in reducing cholesterol in the blood. In this research we also investigated the correlation between the inhibitory activities, the total phenol content and antioxidant activities of bay leaves (Syzygium polianthum) ethanol extracts.

Methods

The inhibitory activity of HMG-CoA Reductase was determined kinetically at 340 nm using simvastatin as positive control. In vitro scavenging assays of 2,2-diphenyl-1-picrylhydrazyl (DPPH), ferric ion reducing antioxidant power (FRAP), and beta-carotene method were used to determine the antioxidant activities. The total phenolic content was determined by Folin-Ciocalteu's method.

Results

The IC50 of bay leaves ethanolic extract obtained by percolation and soxhlet extraction method towards HMG-CoA Reductase enzyme activity were 49.50 ± 0.700 μg/mL and 15.50 ± 0.707 μg/mL, respectively, while the IC50 of simvastatin was 0.00238 ± 0.00004 μg/mL. The antioxidant activity and total phenolic content of bay leaves ethanolic extract obtained by Soxhlet extraction method was higher compared to the percolation method (DPPH and beta-carotene assay results). The 3D linear analysis showed that there was a high correlation between the inhibition activities of HMG-CoA Reductase pattern of both extract types and the total phenol pattern and also the antioxidant pattern of these extracts.

Conclusion

The result showed that the bay leaves ethanolic extract have a potent activity to reduce the cholesterol serum level by inhibition of HMG-CoA Reductase activity. The activity was due to the phenolic compounds in the extracts as well as the antioxidant activity of the extracts.

Keywords: Biochemistry, Molecular biology, Natural product chemistry

1. Introduction

Cardiovascular disease contributed largely to the high mortality rate worldwide year by year. Based on the research in epidemiology, the risk factor of cardiovascular disease is a combination of two or more risk factors. The risk factors of cardiovascular disease are classified into two groups, which are the modifiable risk factors (dyslipidemia, hypertension, smoking, diabetes mellitus, stress, obesity) and the non-modifiable risk factors (heredity, age, gender). A common risk factor of cardiovascular disease is high serum cholesterol level [1, 2, 3].

Cholesterol is a lipid produced in the liver with a number of important roles, such as a membrane constituent and the parent molecule for steroid hormones [4]. Cholesterol can be synthesized by the body and also can be derived from daily food. The increase of cholesterol level in the bloodstream can cause hypercholesterolemia [1]. Hypercholesterolemia is one of the risk factors for the emergence of atherosclerosis, which is inflammatory disorders in artery walls characterized by the formation of atheroma [5]. Atherosclerosis plaque could clog the heart's blood vessel area. This blockage then leads to cardiovascular disease [6]. The increase in cholesterol level can be caused by excessive cholesterol synthesis, the excess of cholesterol absorption, and high cholesterol intake from daily food. Decreasing the cholesterol level can be done by inhibiting cholesterol synthesis through inhibiting the activity of HMG-CoA Reductase which converts Acetyl-CoA into mevalonate [1, 7]. This enzyme is a pharmacological treatment target for group of drugs called HMG-CoA Reductase inhibitor (statins) [8]. However, anti-cholesterol drugs usually are used in combination, and this may increase the chance of unexpected side effects in long-term use.

Bay leaves (Syzygium polyanthum) is one of the plants that can be used to decrease the cholesterol level [9]. Bay leaves contain secondary metabolites, such as saponin, terpenoid, flavonoid, polyphenol, alkaloid, and essential oil. Some previous in vivo studies showed that the extract of bay leaves could lower cholesterol levels in the animal blood [10, 11]. It is believed that flavonoid (phenolic compound) as one of the chemical content of the bay leaves plays a role in the decrease of cholesterol levels in the blood. In addition, the research conducted by Lee et al. [12] proved that flavonoids can lower cholesterol levels by inhibiting the action of HMG-CoA Reductase. Several experiment showed that flavonoids and phenolic acids, which are classes of polyphenolic compounds have antioxidant properties, including induction of anti-inflammatory actions, inhibition of oxidative enzymes, and scavenging of free radicals [13].

Based on the researches that have been done to the animals treated with bay leaves, further research about the potency of bay leaves as the anti-hypercholesterolemia in vitro is needed with the enzymatic measurement. The extract of bay leaves used was obtained by Soxhlet extraction and percolation method. The measurement of antioxidant activities in each extract was also done to seek the correlation of antioxidant activities and HMG-CoA Reductase inhibition activities. This research covers the taxonomy of Biochemistry and Molecular Biology.

2. Materials and methods

2.1. Equipment and materials

The equipment used during the study were analytical scales (Sartorius, Germany); oven (Binder); infrared moisture balance (Kett, China); 5 μL capillary tubes; microtubes (Mini spin, USA); vortex; micropipettes; blue tips; white tips; membrane filters; glasswares; chamber; soxhlet; water bath; spectrophotometer (Multiscan Go, Thermo Scientific, USA); cuvettes (Bio-Rads Lab, 2000 Alfred Nobel Drive Hercules, Catalog number 9109250).

Dried bay leaves (Syzygium polyanthum) obtained from PT. HRL International Indonesia, Pasuruan, East Java, the enzyme used was the HMG-CoA Reductase Assay Kit (Catalog number CS 1090, Sigma, Germany), 96% ethanol, phytochemical screening reagents, water for injection, sodium hydrogen phosphate (NaH2PO4) (Merck, Indonesia), sodium dihydrogen phosphate (Na2HPO4) (Merck, Indonesia), simvastatin tablet, antioxidant assay reagents.

2.2. Preparation of extract

Standardization was done to the dried bay leaves prior to the extraction. The extraction was done with percolation and Soxhlet extraction method using ethanol 96% as the solvent. The mass of the dried bay leaves used for percolation method was 1 kg in total 3.6 liter of solvent, while the mass used for Soxhlet extraction was 0.5 kg in total 3.03 liter of solvent divided in several steps, which was 20 gram of dried bay leaves in 120 ml solvent for each process. The rendemen of extract obtained from percolation method was 25.05%, while from soxhlet extraction method was 23.62%.

The extract was then evaporated on a water bath then was stored in a sterile bottle. The dried extract was further standardized to determine the organoleptic characteristics, total ash content, water content, and the solubility in ethanol to ensure the quality. Phytochemical screening was also done to the dried extract prior to antioxidant and enzymatic assay.

2.3. HMG-CoA Reductase activity assay

366 μl 1x assay buffer was mixed with 24 μl HMG-CoA substrate, 8 μl NADPH, and 2 μl enzyme. The mixture was then measured at 37 °C with a spectrophotometer UV (Multiscan Go, Thermo Scientific, USA) at 340 nm wavelength and the absorbance was read every 15 seconds for 5 minutes [14].

125 mg of bay leaves ethanol extract was dissolved in 25 ml of sterile water to make the standard solution 5000 ppm. The solution was further made into different concentration: 0 ppm, 10 ppm, 25 ppm, 50 ppm, 150 ppm, 300 ppm, 600 ppm, and 1200 ppm. The solution was centrifuged and filtered using a 0.45 μm filter membrane to remove the residual sediment from the extract. 364 μl 1x assay buffer was mixed with 24 μl HMG-CoA substrate, 8 μl NADPH, 2 μl extract from each concentration and 2 μl enzyme. The mixture was then measured at 37 °C with a spectrophotometer UV (Multiscan Go, Thermo Scientific, USA) at 340 nm wavelength and the absorbance was read every 15 seconds for 5 minutes.

Standard solution of simvastatin was taken 2 μl from each concentration 0 ppm, 0.0010 ppm, 0.0014 ppm, 0.0018 ppm, 0.0022 and 0.0026 ppm. Each 2 μl solution was mixed with 364 μl 1x assay buffer, 24 μl HMG-CoA substrate, 8 μl NADPH and 2 μl enzyme. The mixture was then measured at 37 °C with a spectrophotometer UV (Multiscan Go, Thermo Scientific, USA) at 340 nm wavelength and the absorbance was read every 15 seconds for 5 minutes.

The data from spectrophotometric was analyzed to determine the enzyme activity (Sigma-Aldrich, 2013), using this equation:

Specificactivity=(ΔA(sample/min)×TV)12.44×Venzyme×0.6×LP

where ΔA: Change of absorbance, TV: Total volume of the reaction in ml, 12.44: coefficient of NADPH, V enzyme: volume of enzyme used in the assay, 0.6: Enzyme concentration in mg-protein, LP: Lightpath in cm.

2.4. Statistical analysis

All test scores were presented as mean values of inhibition ±standard deviation from two replications. The percent of inhibition was obtained from the activity without inhibitor minus activity with inhibitor divided by activity without inhibitor. For statistical data analysis, each group was compared using independent sample T-test with 95% level of confidence.

2.5. Antioxidant assays

Antioxidant activities of the extracts were assayed by three different methods, which were the DPPH method, the FRAP method, and beta-carotene method. The DPPH method states the antioxidant activity as the oxidation inhibition by referring to Chandra and Dave [15] and Shafazila et al. [16]. The antioxidant potency was measured using % Scavenging effect. The antioxidant assay using FRAP reagent refers to Benzie and Strain [17] where the antioxidant capacity stated as μmoles Trolox/g dry powder. The beta-carotene assay was done according to Utami et al. [18]. The antioxidant potency of the sample was expressed as the concentration with exhibit 50% of the antioxidant activity (EC50).

2.6. Total phenolic content

Extract solution of bay leaves was prepared in different concentration: 0 ppm, 10 ppm, 25 ppm, 50 ppm, 150 ppm, 300 ppm, 600 ppm, and 1200 ppm. Each solution of bay leaves extract was pipetted 100 μl and was mixed with 300 μl of 2% sodium carbonate, 1.58 ml of deionized water, and 100 μl of 10% Folin-Ciocalteu reagent. The absorbance of the reaction mixture was observed at 750 nm (Multiscan Go, Thermo Scientific, USA) after 30 min incubation at room temperature. Gallic acid was used as a standard [19]. The data were expressed as ppm gallic acid equivalents.

3. Results & discussion

Choosing the right extraction method is one of the supporting factors in the success of a therapy, including lowering cholesterol level in the blood. This can be caused by the solubility of secondary metabolites in plants depending on the type of solvent and temperature used during extraction. From the phytochemical screening results, both bay leaves ethanol extract (percolation method and soxhletation method) contain alkaloid, flavonoid, saponin, tannin, steroid.

The results of inhibition potency and IC50 of bay leaves ethanolic extract obtained by percolation and soxhlet extraction method towards HMG-CoA Reductase enzyme activity can be seen in Tables 1 and 2. Simvastatin, the first generation of statins, was used as a reference compound in this research. The inhibition potency of simvastatin toward HMG-CoA Reductase enzyme is shown in Fig. 1. The IC50 value of simvastatin measured in this study was 0.00238 ± 0.00004 μg/mL, which is smaller than the values found in the former researches which were about 0.00376–0.00778 μg/mL [7, 20, 21]. These values (49.50 ± 0.700 μg/mL for extract obtained by percolation, and 15.50 ± 0.707 μg/mL for extract obtained by Soxhlet extraction) were significantly different (p > 0.05) if compared to the IC50 of simvastatin. The potency of ethanolic extract of bay leaves in inhibiting HMG-CoA Reductase is smaller when compared with simvastatin, where the ability of simvastatin in inhibiting HMG-CoA Reductase about six thousand to twenty thousand times greater than the ethanolic extract of bay leaves.

Table 1.

The inhibition of HMG-CoA Reductase of ethanol extract of bay leaves obtained by percolation method.

Concentration (μg/ml) % of Inhibition
Mean SD IC50 (μg/ml)
n1 n2
0 0 0 0 0 n1 = 50.00
10 28.49 21.03 24.760 5.275 n2 = 49.00
25 47.10 42.59 44.845 3.189
50 57.10 57.03 57.065 0.049
150 64.40 67.02 65.710 1.853
300 66.24 74.66 70.450 5.954
600 82.24 83.28 82.760 0.735
Mean ± SD = 49.50 ± 0.700

Table 2.

The inhibition of HMG-CoA Reductase of ethanol extract of bay leaves obtained by Soxhlet method.

Concentration (μg/ml) % of Inhibition
Mean SD IC50 (μg/ml)
n1 n2
0 0 0 0 0.000 n1 = 15.00
10 47.17 48.55 47.860 0.976 n2 = 16.00
25 54.72 56.16 55.440 1.018
50 69.81 66.67 68.240 2.220
150 79.25 76.09 77.670 2.234
300 88.68 84.42 86.550 3.012
600 101.9 97.10 99.500 3.394
Mean ± SD = 15.50 ± 0.707

Fig. 1.

Fig. 1

Graphic of HMG-CoA Reductase inhibition by simvastatin.

Several other reports have also reported the potency of plant extracts in HMG-CoA Reductase inhibition. Opuntia ficus-indica (L) Miller extract was reported by Ressaissi et al. [22] to have IC50 20.3 μg/ml and said as to have moderate potency. Ademosun et al. [23] reported that grapefruit peels had an IC50 on HMG-CoA Reductase activity 0.11 μg/ml. Vernonia condensata extract showed the IC50 value of 271.7 μg/ml [24] and Gnetum gnemon extract had an IC50 value on HMG-CoA Reductase of 400 μg/ml [25]. There are also studies that have assayed the potency of several isolated chemical contents of the plants in HMG-CoA Reductase inhibition, and it was reported that the compounds inhibit the enzyme activity with the IC50 value 8.34–149.6 μg/ml [22, 26]. Based on these several studies it can be stated that certain plant extract is said to have HMG-CoA Reductase inhibition potency in the range value of IC50 between 0.1 to 400 μg/ml [22, 23, 25, 27]. Thus, the ethanol extracts of bay leaves are also a potent HMG-CoA Reductase inhibitor.

The potency of ethanol extract of bay leaves obtained by Soxhlet extraction is three times higher than the potency of ethanol extract of bay leaves obtained by percolation. This showed that the Soxhlet process was able to extract more active constituent that responsible for the inhibition of HMG-CoA Reductase and that the active constituents are stable under heating. It is suspected that these active constituents are polyphenolic compounds such as gallic acid, eugenol, kaempferol and quercetin [28]. Some studies have shown that polyphenolic compounds (luteolin, quercetin, and isorhamnetin) contained in many plant extracts play a role in inhibiting HMG-CoA Reductase activity [22, 27]. The phenolic compound of grapefruit peels (genistein and daidzein) showed inhibition of HMG-CoA Reductase activity competitively against HMG-CoA as substrate [23]. Flavonoids, in specific, are stated by Lee et al. [12] to have the ability to inhibit the activity of the HMG-CoA Reductase. The research conducted by Anggraeni [29] which states that at the same concentration (10 μg/ml) quercetin and rutin are able to inhibit the activity of HMG-CoA Reductase respectively 41.10% and 60.17 % also support this hypothesis. However, other studies have not mentioned the inhibition kinetics of other flavonoid groups.

The hypothesis that the inhibition of HMG-CoA Reductase in ethanol extract of bay leaves was due to the polyphenolic content was proved by searching the correlation between the inhibition activity and the total phenolic content in the extract. Besides that, we also measured the antioxidant activity of each extract to study the correlation of it to inhibition activity and types of extract. The total phenolic content and antioxidant activity of each concentration involved in the measurement of HMG-CoA Reductase inhibition activity were reported in Tables 3 and 4. The total phenol in the soxhlet extract is greater than the total phenol in the percolation extract, which in accordance with the inhibition of HMG-CoA Reductase activity pattern. The antioxidant activity of each extract, measured by DPPH, FRAP and beta-carotene method, was compared to gallic acid and quercetin (Table 5). The DPPH and beta-carotene method gave the same pattern results, which showed that the antioxidant activity of Soxhlet extract was higher when compared to the percolation extract. These results also in line with the inhibition of HMG-CoA Reductase activity pattern. The FRAP method in the other way gave a different result, which showed that the antioxidant activity of the percolation method is higher than that of the Soxhlet method. This could be caused by the difference in the mechanism of the assay. FRAP method assay was based on the reduction of ferric ion to ferrous ion. Not all of the Fe3+ reductants are antioxidant, and some antioxidants are not able to reduce Fe3+ [30].

Table 3.

Total phenolic content and antioxidant activity of ethanol extract of bay leaves obtained by percolation method.

Concentration (μg/ml) Total phenol content (ppm) Antioxidant activity
DPPH methoda FRAP methodb Beta-Carotene methodc
0 0.0A 1.9960A 0A 0.0000A
10 53.6B 3.5532B 0A 10.2513B
25 56.0B 3.8627B 0A 8.0186C
50 61.4C 5.1647C 0.9625A 13.1217D
150 99.0D 8.5790D 8.3633B 7.9707E
300 150.4E 24.9729E 21.3933C 12.5075F
600 193.7F 43.3887F 22.2472C 21.2928G

Data were obtained from three independent experiments, each performed in triplicates (n = 9) and represented as mean ± SD.

Values with the same letter are not significantly different (P < 0.05).

a

IC50 was the concentration of substance that provides 50% inhibition.

b

FRAP value was calculated as Ferrous Equivalents, the concentration of trolox/quercetin or extracts which produced an absorbance value equal to that of 1 mM Fe2SO4.

c

EC50 represents the effective concentration at 50% of total antioxidant activity.

Table 4.

Total phenolic content and antioxidant activity of ethanol extract of bay leaves obtained by Soxhlet method.

Concentration (μg/ml) Total phenol content (ppm) Antioxidant activity
DPPH methoda FRAP methodb Beta-Carotene methodc
0 0.0A 2.2224A 0A 0A
10 35.4B 4.1808B 0A 14.9736B
25 90.8C 5.1574C 0A 15.2237C
50 92.4C 10.0685D 0A 18.4625D
150 139.0D 20.1246E 0A 20.6429E
300 187.9E 46.5714F 4.2877B 27.6990F
600 201.8F 66.9863G 19.1348C 29.0379G

Data were obtained from three independent experiments, each performed in triplicates (n = 9) and represented as mean ± SD.

Values with the same letter are not significantly different (P < 0.05).

a

IC50 was the concentration of substance that provides 50% inhibition.

b

FRAP value was calculated as Ferrous Equivalents, the concentration of trolox/quercetin or extracts which produced an absorbance value equal to that of 1 mM Fe2SO4.

c

EC50 represents the effective concentration at 50% of total antioxidant activity.

Table 5.

Antioxidant activity value of ethanol extract of bay leaves obtained by Soxhlet Method.

Samples Antioxidant activity
DPPH method (IC50 – ppm)a FRAP method (FRAP value – ppm)b Beta-Carotene method (EC50 – ppm)c
Gallic Acid 23.87 ± 0.00A 10.60 ± 0.01A 24.87 ± 0.24A
Quercetin 48.87 ± 0.00B 21.94 ± 0.00B 98.44 ± 0.39B
Bay leaves ethanolic extract - percolation 888.08 ± 0.05C 295.00 ± 0.02C 2965.62 ± 0.65C
Bay leaves ethanolic extract - soxhlet 437.89 ± 0.03D 684.00 ± 0.03D 2230.35 ± 1.20D

Data were obtained from three independent experiments, each performed in triplicates (n = 9) and represented as mean ± SD.

Values with the same letter are not significantly different (P < 0.05).

a

IC50 was the concentration of substance that provides 50% inhibition.

b

FRAP value was calculated as Ferrous Equivalents, the concentration of trolox/quercetin or extracts which produced an absorbance value equal to that of 1 mM Fe2SO4.

c

EC50 represents the effective concentration at 50% of total antioxidant activity.

The correlation analysis between each factor in this research was done by 3D linear analysis using SigmaPlot 12.5. The results of the analysis were shown in Tables 6, 7, and 8. Table 6 showed the correlation between extraction method (expressed in concentration, x-axis) and total phenolic content (y-axis) towards antioxidant activity. The level of correlation was shown by the R2 value. The results showed that there is a high correlation between the extraction method and total phenolic content towards antioxidant activity. The higher to total phenolic content in both extracts will cause the increase in the antioxidant activity.

Table 6.

Correlation between extraction method and total phenolic content towards antioxidant activity.

Extraction method Antioxidant method Function R2
Percolation DPPH f = 0.8310 + 0.445x + 0.0742y 0.9890
FRAP f = 0.7649 + 0.0419x+0.0196y 0.9663
Beta – Carotene Bleaching f = 3.7012 + 0.0068x + 0.0652y 0.8511
Soxhlet DPPH f = 5.2176 + 0.0288x + 0.20083y 0.9137
FRAP f = 1.2690 + 0.0465x−0.0501y 0.9949
Beta – Carotene Bleaching f = 5.1409 + 0.0032x + 0.1196y 0.9156

Table 7.

Correlation between extraction method and total phenolic content towards percent of HMG-CoA Reductase inhibition.

Extraction method Function R2
Percolation f = 3.9241−0.0955x + 0.6945y 0.8688
Soxhlet f = 15.4733−0.0299x + 0.4829y 0.8871

Table 8.

Correlation between extraction method and antioxidant activity towards percent of HMG-CoA Reductase inhibition.

Extraction method Antioxidant method Function R2
Percolation DPPH f = 38.8052−0.3180x−3.1319y 0.6154
FRAP f = 32.6035 + 0.0486x + 1.1740y 0.6006
Beta – Carotene Bleaching f = 15.5054 + 0.0362x + 2.6778y 0.7075
Soxhlet DPPH f = 43.3496 + 0.2689x−2.2742y 0.5670
FRAP f = 43.5523 + 0.0533x + 1.3197y 0.5750
Beta – Carotene Bleaching f = 1.4981−0.0057x + 3.4218y 0.9759

Table 7 showed the correlation between extraction method (concentration, x-axis) and total phenolic content (y-axis) towards percent of HMG-CoA Reductase inhibition. There was also a strong correlation between each factor towards the inhibition of HMG-CoA Reductase activity, but the concentration of extract gave a different effect against the inhibition of HMG-CoA Reductase activity when compared to the total phenolic content. It can be explained that the increase of the concentration of extract will cause the increase also in the total phenolic content, but not all of the phenolic compounds in the extract act as an inhibitor of HMG-CoA Reductase. Thus, some of the phenolic compounds in the extract may act as an activator of the HMG-CoA Reductase.

Correlation between extraction method (concentration, x-axis) and antioxidant activity (y-axis) towards percent of HMG-CoA Reductase inhibition was shown in Table 8. The results of the 3D linear analysis showed a poor correlation between the concentration of extract and antioxidant activity towards the inhibition of HMG-CoA Reductase activity. Thus, though the HMG-CoA Reductase catalyze the reduction-oxidation activity, its inhibition mechanism was not related to the antioxidant mechanism. We conclude that antioxidant compounds might be contributes to inhibit HMG-CoA Reductase but does not go through in the reduction-oxidation mechanisms.

Based on these results, it can be concluded that the inhibition of HMG-CoA Reductase activity by the percolation and soxhlet extracts are caused by the phenolic compounds in the extracts, and it was suspected due to the flavonoids compounds. Further research needs to be done to confirm this report. The relationship between the flavonoid structure (Fig. 2B) with its activity as an enzyme inhibitor of HMG-CoA Reductase is due to the presence of -OH groups in C3 ′, C4′, and C5. It is also caused by the C=O group at C4. These groups play a role in forming hydrogen bonds with amino acids from HMG-CoA Reductase through hydrophobic interaction [26]. It is suspected that these groups play a role in their activity inhibiting the HMG-CoA Reductase enzyme because they have similarities in the pharmacophores group of the simvastatin. In the simvastatin structure (Fig. 2A) there is an -OH group and a C=O group (a pharmacophore group) that will form a bond with the enzyme, so that the enzyme work becomes inhibited. The C=O group in lactone ring of simvastatin will be hydrolyzed to become an active form (acid). The hydrolyzed simvastatin will then bind to the HMG-CoA Reductase by hydrogen bonding with the amino acids located on the active site of the enzyme. The structure of the hydrolyzed simvastatin in the lactone ring corresponds to the structure of the HMG-CoA substrate (Fig. 2C) so that the enzyme is able to bind with simvastatin and form the complex of enzymes.

Fig. 2.

Fig. 2

Structure of simvastatin (A), flavonoid (B), and HMG-CoA (C) [31, 32, 33].

Declarations

Author contribution statement

Lanny Hartanti, Sumi Wijaya: Conceived and designed the experiments; Analyzed and interpreted the data; Contributed reagents, materials, analysis tools or data; Wrote the paper.

Stefania Maureen Kasih Yonas, Josianne Jacqlyn Mustamu: Performed the experiments; Wrote the paper.

Henry Kurnia Setiawan: Conceived and designed the experiments; Analyzed and interpreted the data; Contributed reagents, materials, analysis tools or data.

Lisa Soegianto: Contributed reagents, materials, analysis tools or data.

Funding statement

This work was supported by the Ministry of Research, Technology and Higher Education of the Republic of Indonesia.

Competing interest statement

The authors declare no conflict of interest.

Additional information

No additional information is available for this paper.

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