1. Introduction
Diabetes mellitus (DM) is a common metabolic endocrine disorder diagnosed by hyperglycemia. This disorder is associated with many complications which may lead to morbidity and death of a patient [
1]. The burden of diabetes mellitus (DM) has increased globally, particularly in low-income and middle-income countries, including Nepal (8.5%, 2020) [
2]. The main clinical treatment strategy for DM is to control the blood glucose level using therapeutic agents (drugs). The most prevalence reason for increase in blood glucose level is due to the catalytic hydrolysis of carbohydrates by an enzyme such as alpha-glucosidase and alpha-amylase [
3,
4]. α-amylase (hydrolase) is prominent enzyme secreted by pancreas & salivary gland responsible for catalytic hydrolysis of starch to maltose & glucose by cleaving α-1,4-glucosidic bonds. The inhibition of activity of α-amylase delays the hydrolysis of polysaccharides, results reduction of the postprandial blood glucose level which is believed as an effective approach for the treatment of DM [
5,
6]. The clinically approved inhibitor, i.e., Acarbose, Voglibose, and Miglitol has several side effects associated with gastrointestinal problems such as flatulence and diarrhea. Moreover, most of the approved antidiabetic drugs are expensive and have undesirable pathological effects like weight gain, diabetic ketoacidosis, fluid retention, and hypoglycemia [
7].
Various traditional medicines and phytochemicals having α-amylase inhibitory activity are well known for their role in the prevention and treatment of diabetes till date. Some plant-derived constituents with antidiabetic properties have been isolated and shown to have high potential and lower side effects than clinically approved synthetic drugs [
8]– [
10]. Therefore, it is still worth further investigation for the development of more effective inhibitors towards alpha-amylase.
Adhatoda vasica is one of the traditionally used medicinal plant. Furthermore, various literatures explained the anti-ulcer, antidiabetic, antioxidant, muscle relaxant, anti-allergic, hepatoprotective, and cardioprotective activity of different parts of
Adhatoda vasica [
11]. Although the in-vivo anti-diabetic activity of
Adhatoda vasica leaves, roots had been thoroughly investigated but the in-vitro and in-silico investigation is not studied yet as per our knowledge. The present study was designed to perform the phytochemical screening, and investigation of in-vitro, in-silico alpha-amylase inhibitory effect of
Adhatoda vasica leaves.
4. Discussion
The present study was carried out to investigate the potential alpha amylase inhibitory activity of ethanolic extract of
Adhatoda vasica leaves from in-vitro and in-silico experimental process. We also performed the phytochemical screening of
Adhatoda vasica leaves. In diabetes, the critical mechanism involves the impairment of glucose regulation and metabolism. The excessive glucose release contributes to elevate the blood glucose levels, and observed characteristic hyperglycemia. Understanding the regulation and inhibition of α-amylase activity is important for developing strategies to control postprandial glucose levels and manage diabetes effectively. The amylase inhibitors are considered as starch blockers as they prevent the body from absorbing dietary starch and slow down the digestion. This decreases blood glucose level has positive effects on insulin resistance and glycemic index control in diabetes [
30,
31].
We conducted an investigation where we measured the percentage inhibition of alpha-amylase activity using different concentrations (0.1-1 mg/ml) of ethanolic leaves extract of
Adhatoda vasica. The inhibiting activity of ethanolic extract at a concentration of 1 mg/ml was found to be 56.76%. It is worth to mention that the phytochemical screening of the ethanolic extract of
Adhatoda vasica leaves showed the presence of alkaloids, glycosides, phenol, flavonoids, saponnin, tannin, steroids, and terpenoids. Extract did not contain the reducing sugar. The present study showed that the % inhibition less than 50% at a dose of 0.8mg/ml. A similar study was conducted by Khadayat K. et al. and evaluated the % inhibition of alpha-amylase activity of Nepalese medicinal plants used in the treatment of diabetes mellitus [
32]. The findings of their studies (IC50 value 413.5μg/ml) are in align with the results of our study.
Our study revealed the presence of alkaloids in the ethanolic extract of
Adhatoda vasica leaves showed the anti-diabetic activity. A previous study conducted by Gao H et al. explained that alkaloids like Vasicine, Vasicinol, and Vasicinone are responsible for anti-diabetic activity by inhibiting α-amylase enzyme more than 50% (the IC50 values were 125μM to 250μM) [
33]. This comparison highlights the consistency and agreement between our findings and the previous study regarding the presence and potential therapeutic effects of alkaloids in the plant extract. Graphical calculation revealed the IC50 value of ethanolic extract of
Adhatoda vasica was 847.96μg/ml, which indicate inhibitory effect against alpha-amylase. However, an earlier study conducted by Rudrapal M et al. [
34] reported a significantly lower IC50 value of 47.6μg/ml for the
Adhatoda vasica leaves extract. Their study involved the purification and isolation of specific constituents, particularly vasicine, using chromatographic techniques. These contrasting results suggest that the reported antidiabetic effect of
Adhatoda vasica may not solely rely on the presence of alkaloids in general but rather on the specific constituents present, such as vasicine. The lower IC50 value observed in the study could indicate that vasicine, among other constituents plays a significant role in the anti-diabetic properties of
Adhatoda vasica. Therefore, the effectiveness of the plant extract in managing diabetes may be attributed to a combination of alkaloids and specific constituents, emphasizing the importance of studying and isolating individual compounds for a comprehensive understanding of their therapeutic potential.
The results demonstrated a dose-dependent relationship, as higher concentrations of the extract led to greater percentage inhibition. At the highest concentration tested (1 mg/ml), the extract showed a significant percentage inhibition of 56.763%. Interestingly, our findings align with a previous in vivo study that explored the anti-diabetic activity of the ethanolic extract of leaves and roots of
Justicia adhatoda. This study examined the extract's effect on blood glucose levels in alloxan-induced diabetic rats. The results indicated that the ethanolic extract of
Justicia adhatoda also demonstrated a dose-dependent reduction in blood glucose levels, meaning higher doses led to greater reductions in glucose levels [
35]. The parallel dose-dependent patterns observed in both studies suggest a potential correlation between the inhibitory effect on alpha amylase activity and the ability to lower blood glucose levels. These findings support the notion that the ethanolic extracts of
Adhatoda vasica and
Justicia adhatoda hold promise for their anti-diabetic properties. Alkaloids may bind to the competitive or non-competitive sites of digestive enzymes, preventing the formation of an enzyme substrate complex and ultimately reducing the activity of the enzymes.
To investigate the binding mode and binding energy of the new compounds and to elucidate the ligand–protein interactions underlying the observed α-amylase selectivity, molecular docking studies have been performed [
36]. Molecular docking method is virtual screen technique which help to eliminate the unsuits ligand from the library. The docking result was validated by calculating RMSD value superimposed with co-crystal native ligand [
37,
38].
At locations close to co-crystallized ligand (Acarbose), which is made up of the amino acids Trp59, Lys200, Asp356, His101, Ala169, His305, and Tyr159, it was discovered that all of the phytoconstituents (C1-C12) fit neatly into the active region of the enzyme. AutoDock Vina 1.2.0, molecular docking software, was used to simulate the binding modes of alpha amylase with the topmost active compounds, C1 to C12 to further understand the molecular inhibition mechanism. Docking interaction revealed Vasicoline (C5,
Figure 8) and Quercetin (C9,
Figure 8) were well nested into the active site of α-amylase and presented similar coordination with the active site of enzyme. The interactions mode obtained by molecular docking for Vasicoline, Quercetin, and the standard drug sitagliptin (ΔG = 8.5 kcal/mol) were illustrated in
Figure 8. Quercetin (ΔG = −8.0 kcal/mol) showed two hydrogen bonds with the amino acids Glu233 with bond distances of 2.51 and 2.42 Å. Additionally, Quercetin has shorted bond length specially for hydrogen bond which justifies better stability. It is worth to mention that Kaempferol (C8), Apigenin (C10), and Vitexin (C12) were among the top-scored compounds with α-amylase (
Table 3).
Rudrapal M et al. [
34] conducted a molecular docking for vasicine with α-amylase enzyme and reported binding energy was -6.7 Kcal/mol. But we observed slightly higher binding energy for Vasicine (C1) with α-amylase enzyme (
Figure 8, ΔG = -5.9 kcal/mol). Additionally, Vasicine showed higher binding energy than the co-crystal ligand Acarbose (ΔG -8.6 kcal/mol). Intriguingly, Vasicine (
Figure 8) has lost its hydrophobic interaction with Trp59, Lys200, Asp356, His101, and His305. In contrary, these amino acids were found to interact with native co-crystal (Acarbose). The absence of these amino acids interacting with Vasicine could be the reason for its weak binding affinity with alpha-amylase enzyme. The findings of the docking study revealed that the binding energies of Vasicoline and Quercetin were comparable to those of the reference drug (
Table 3). Jhong C et al. [
39] reported the in-silico inhibitory activity of Quercetin. They also suggested the comparable binding energy of Quercetin (Docking score = -135.75) with commercial α-amylase inhibitor Acarbose (Docking score = -166.28). The presence of five hydroxy group (-OH) with Quercetin could be the reason for relatable binding energy, because they formed hydrophobic interaction with active site amino acid which could contributed in binding energy. A similar result was concluded by Nabil A et al. [
40] and they explained Quercetin as best α-amylase inhibitor with minimum binding energy of -8.8 kcal/mol. They also revealed that the hydroxy group contributed to form conventional hydrogen interaction. Interestingly, hydroxyl group acted hydrogen donor as similar to our findings. In
Figure 8, Trp59 formed a carbon hydrogen bond with the hydroxyl group of Quercetin at a bond distance of 3.02Å. Meanwhile, in the interaction of Acarbose, a similar amino acid was seen, but the bond distance of the pi-donor hydrogen bond was 4Å. The better stability of contact was explained by quercetin's shorter binding distance. Since the Acarbose and Quercetin interact with the same amino acid, it can be said that Quercetin inhibits α-amylase by competitive inhibition [
41].
Acute toxicity is the term used to describe the negative consequences that accompany the administration of a single dose of a chemical or numerous doses within a 24 hours period, or a 4-hour inhalation exposure [
42]. Immediately Inhaled When a group of 10 or more laboratory white rats inhales a substance or mixture of substances continuously for eight hours, it results in 50% of the group dying within 14 days, and this is referred to as toxicity [
43]. Most of the active constitute of the plant extract showed the non-toxic characteristic when taken orally. For Vasicoline, the 3-nitrogen atom and the rigid benzene ring contribute to increase the toxicity. The presence of hydroxy, carbonyl, and oxy group with saturated structure of the compound (C9,
Figure 10) increases the non-toxic characteristic. This indicates the safety profile of the extract. It can be taken orally for the treatment of DM when the allopathic medication is not effective or unavailable [
44].
Author Contributions
Conceptualization, Chandrajeet Kumar Yadav, Sandhya KC, Shankar Thapa.; methodology, Chandrajeet Kumar Yadav, Sandhya KC, and Shankar Thapa.; software, Shankar Thapa and Sandhya KC.; validation, Chandrajeet Kumar Yadav, Laxmi Shrestha, and Anjan Palikhey.; formal analysis, Chandrajeet Kumar Yadav and Kamal Kandel.; investigation, Ashish Lamsal.; data curation, Chandrajeet Kumar Yadav and Sandhya KC.; writing—original draft preparation, Sandhya KC and Shankar Thapa.; writing—review and editing, Chandrajeet Kumar Yadav, Laxmi Shrestha, Anjan Palikhey, Kamal Kandel, and Ashish Lamsal.; visualization, Shankar Thapa.; supervision, Chandrajeet Kumar Yadav and Shankar Thapa. All authors have read and agreed to the published version of the manuscript.