Abstract
Introduction: Benign Prostatic Hyperplasia (BPH) is a benign tumor in males, which is histopathologically known with an increase of epithelial cells and prostatic stroma. Androgens, estrogens, stroma-epithelial interactions, growth factors, and chronic inflammation play a key role in the occurrence of BPH. Chronic inflammation in BPH is characterized by excessive expression of COX-2, which will trigger the expression of Bcl-2 anti-apoptotic protein. Dayak onion (Eleutherine Americana Merr) is a typical Kalimantan plant that is known as the treatment for prostate disease. This plant contains flavonoids which can inhibit the COX-2 enzyme thus causing a reduction in the production of prostaglandin E2.
Methods: This research was experimental research computationally and in vitro laboratory experimental research to determine COX-2 inhibitory activity by ethanol extracts of Dayak onion.
Results and Discussion: In in silico flavonoid, it was strongly related to COX-2 receptor on the active side of TYR371. Thus, it had the potential to inhibit COX-2. COX-2 inhibitor would cause BCL-2 to be inactive so that apoptosis occurr in BPH. In the in vitro research using human whole blood assay, the Dayak Onion bulb ethanol extract had IC50 COX-2 of 40.57 ng/ml and IC50 COX-1 of 364.89 ng/ml. Therefore, the ratio of IC50 COX-2 to IC50 COX-1 was 0.11.
Conclusion: Ethanol extract of Dayak onion bulb has an inhibitory activity against COX-2. Thus, it has a potential of being an innovation for BPH treatment. Patient Summary: A healthy male, age 25-35 years old (history taking, physical and laboratory examination), and not using NSAIDs for the past 2 weeks.
Keywords: Benign prostatic hyperplasia, COX-2 inhibitor, dayak onion bulb, eleutherine americana merr, ethanol extract, Kalimantan plant.
Graphical Abstract
[http://dx.doi.org/10.1016/B978-1-4160-6911-9.00091-8]
[http://dx.doi.org/10.1016/j.eururo.2006.12.011] [PMID: 17182170]
[http://dx.doi.org/10.1016/j.eururo.2007.06.038] [PMID: 17618043]
[http://dx.doi.org/10.1016/j.ucl.2007.09.012]
[http://dx.doi.org/10.1016/j.eururo.2011.03.055] [PMID: 21497433]
[http://dx.doi.org/10.1016/S0090-4295(00)00674-9] [PMID: 11018637]
[http://dx.doi.org/10.1677/JOE-06-0181] [PMID: 17911400]
[http://dx.doi.org/10.1074/jbc.M413056200] [PMID: 15899904]
[http://dx.doi.org/10.4111/kju.2011.52.4.253] [PMID: 21556211]
[http://dx.doi.org/10.1016/j.proche.2014.12.032]
[http://dx.doi.org/10.1254/jphs.CRJ04003X] [PMID: 15539763]
[PMID: 19499576]
[http://dx.doi.org/10.1021/ci049885e] [PMID: 15667141]
[http://dx.doi.org/10.7326/0003-4819-132-2-200001180-00008] [PMID: 10644275]
[PMID: 7996488]
[http://dx.doi.org/10.1046/j.0306-5251.2001.01533.x] [PMID: 11874389]
[http://dx.doi.org/10.1093/rheumatology/38.8.779] [PMID: 10501435]
[http://dx.doi.org/10.20473/jvhs.V2.I2.2018.51-55]