Literature DB >> 24359711

Discovery of new angiotensin converting enzyme (ACE) inhibitors from medicinal plants to treat hypertension using an in vitro assay.

Niusha Sharifi, Effat Souri, Seyed Ali Ziai, Gholamreza Amin, Massoud Amanlou1.   

Abstract

BACKGROUND AND PURPOSE OF THE STUDY: Angiotensin converting enzyme (ACE) inhibitors plays a critical role in treating hypertension. The purpose of the present investigation was to evaluate ACE inhibition activity of 50 Iranian medicinal plants using an in vitro assay.
METHODS: The ACE activity was evaluated by determining the hydrolysis rate of substrate, hippuryl-L-histidyl-L-leucine (HHL), using reverse phase high performance liquid chromatography (RP-HPLC). Total phenolic content and antioxidant activity were determined by Folin-Ciocalteu colorimetric method and DPPH radical scavenging assay respectively.
RESULTS: Six extracts revealed > 50% ACE inhibition activity at 330 μg/ml concentration. They were Berberis integerrima Bunge. (Berberidaceae) (88.2 ± 1.7%), Crataegus microphylla C. Koch (Rosaceae) (80.9 ± 1.3%), Nymphaea alba L. (Nymphaeaceae) (66.3 ± 1.2%), Onopordon acanthium L. (Asteraceae) (80.2 ± 2.0%), Quercus infectoria G. Olivier. (Fagaceae) (93.9 ± 2.5%) and Rubus sp. (Rosaceae) (51.3 ± 1.0%). Q. infectoria possessed the highest total phenolic content with 7410 ± 101 mg gallic acid/100 g dry plant. Antioxidant activity of Q. infectoria (IC50 value 1.7 ± 0.03 μg/ml) was more than that of BHT (IC50 value of 10.3 ± 0.15 μg/ml) and Trolox (IC50 value of 3.2 ± 0.06 μg/ml) as the positive controls.
CONCLUSIONS: In this study, we introduced six medicinal plants with ACE inhibition activity. Despite the high ACE inhibition and antioxidant activity of Q. infectoria, due to its tannin content (tannins interfere in ACE activity), another plant, O. acanthium, which also had high ACE inhibition and antioxidant activity, but contained no tannin, could be utilized in further studies for isolation of active compounds.

Entities:  

Year:  2013        PMID: 24359711      PMCID: PMC3896793          DOI: 10.1186/2008-2231-21-74

Source DB:  PubMed          Journal:  Daru        ISSN: 1560-8115            Impact factor:   3.117


Introduction

In 2000, 26.4% of the world’s population suffered hypertension and it is predicted that this rate would increase by 60% in 2025 [1]. Since the proportion of hypertensive people will increase rapidly, new therapeutic approaches for management of hypertension are essential. High blood pressure is a silent killer, causing several serious diseases such as heart failure, kidney failure and stroke. There are a number of choices for the treatment of hypertension. Some treatments include diuretics, β-blockers, calcium channel blockers and angiotensin II receptor blockers, the most common of which is angiotensin converting enzyme inhibitors. Angiotensin converting enzyme, EC 3.4.15.1, is a zinc metallopeptidase that converts the angiotensin I (inactive decapeptide) to angiotensin II (a potent vasoconstrictor), and bradykinin (a hypotensive peptide) to inactive components [2]. High ACE activity leads to increased concentration of angiotensin II and hypertension. Therefore, development of agents that inhibit the conversion of angiotensin I to angiotensin II, and bradykinin to inactive components began as a therapeutic strategy to treat hypertension. ACE inhibitors such as captopril and lisinopril play key roles in treating hypertension and maintaining the electrolyte balance [3]. They are commonly used as they are safe and well tolerated with few side effects. Tannins are plant polyphenolic compounds that precipitate proteins and interfere in the functions of many macromolecules including ACE. Therefore, plants with ≥ 50% ACE inhibition activity would be further tested for the presence of tannins in order to eliminate false positives [4]. Furthermore, reactive oxygen species (ROS) play a significant role in cardiovascular diseases such as hypertension and congestive heart failure. In hypertensive patients, angiotensin II increases chronically and nicotinamide adenine dinucleotide phosphate (NADPH) oxidase is activated, which causes a rise in ROS. As a result, it is more beneficial for an antihypertensive drug to have antioxidant effect [5]. Phenolic compounds have antioxidant activity and are effective agents to prevent oxidative stress. Natural products could be important sources of ACE inhibitors such as captopril, a synthetic antihypertensive drug, which is developed by changing and optimizing the structure of the venom of the Brazilian viper. Active substances derived from medicinal plants can also be a source of new ACE inhibitors. Moreover, some plants contain a great amount of phenolic compounds, so consequently, they have antioxidant activity. In this study, some medicinal plants that are used to manage different diseases were screened to discover possible new ACE inhibition activity using an in vitro ACE inhibition assay. Among the plants tested, the most active ones were examined for total phenolic content and antioxidant activity.

Material and methods

Chemicals

Angiotensin converting enzyme (ACE) from rabbit lung, hippuryl-L-histidyl-L-leucine (HHL), 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (HEPES) buffer, hippuric acid (HA) and captopril were purchased from Sigma-Aldrich Co. (England). HCl, KH2PO4, methanol (HPLC grade), 2,2-diphenyl-1-picrylhydrazyl (DPPH), Folin-Ciocalteu reagent, Na2CO3, gallic acid, butylated hydroxyl toluene (BHT), 6-hydroxy-2,5,7,8-tetramethylchroman-2-carboxylic acid (Trolox), FeCl3, NaCl, NaOH and dimethyl sulfoxide (DMSO) were purchased from Merck Co. (Germany). Ultrapure water was applied to prepare all of the aqueous solutions.

Apparatus

Enzymatic incubation was performed in a thermomixer eppendorf comfort (Germany). HPLC analysis was carried out by a Knauer liquid chromatograph, with an ODS Eurospher column (250 × 4.6 mm, 100–5; C18), protected by a C18 precolumn (Perfectsil Target, ODS-3 (5 μm)) and a 20 μl injection loop. A smartline Photodiode Array (PDA) detector 2850 (Knauer, Germany) was used to detect analytes, and a Chromgate software version 3.3, was used for data processing. A Cecil UV/Vis spectrophotometer (series 9000) was utilized to measure the absorbances.

Plant materials

Some of the studied plants (41 plants) were purchased from a local herbal store located in Tehran, Iran (June 2011). Rubus sp. was collected from north of Iran, Mazandaran province (June 2012), and 8 other plants were collected from Herburatum of Faculty of Pharmacy, Tehran University of Medical Sciences (June 2011). All of the mentioned plants were identified by Prof. G. Amin. Voucher specimens of the collected plants were deposited in the Herbarium of Tehran University of Medical Sciences.

Preparation of crude extracts

Dried plant materials (1 g) were extracted with 20 ml methanol:water (80:20, v/v) at room temperature for 24 h and then over 2 h in an ultrasonic bath [6]. The extracts were filtered and concentrated under reduced pressure, using a rotary evaporator at room temperature and then they were lyophilized.

ACE inhibition assay

In this study, the assay method is based on the hydrolysis of the substrate HHL by ACE, and measuring the amount of HA using RP-HPLC [6-9]. HEPES buffer solution used in this assay was prepared by dissolving 50 mM HEPES and 300 mM NaCl in 1000 ml water and adjusting the solution to pH 8.3 by 1 M NaOH solution. The substrate solution (9 mM) was prepared by dissolving HHL (19.74 mg) in 5 ml of HEPES buffer. Herbal extract (1 mg) was dissolved in 1 ml of solvent containing buffer/DMSO (90:10, v/v) to provide 330 μg/ml concentration (a comparable scale all over the world) [10]. First, ACE solution (25 μl) (80 mU/ml) was added to 25 μl of inhibitor solution (or solvent as negative control). After 3 min preincubation at 37°C, 25 μl substrate solution was added and the mixture was incubated at 37°C for 30 min with shaking at 300 rpm in an Eppendorf thermomixer. After 30 min, the reaction was stopped by addition of 50 μl of 1 M HCl and then the reaction mixture was subjected to RP-HPLC. The mobile phase was an isocratic system consisting of a mixture of 10 mM KH2PO4 (adjusted to pH 3 with H3PO4) and methanol (50:50, v/v). The flow rate was 1 ml/min and the injection volume was 20 μl. Analytes were detected by a PDA detector at the wavelength of 228 nm.

ACE inhibition measurement

ACE inhibition calculation was based on the ratio of the area under curve (AUC) of HA peak in an inhibitor sample to that of negative control sample as it is expressed by equation 1:

Gelatin salt block test (eliminating false positive results)

In order to detect tannins, extracts with ≥ 50% ACE inhibition activity were tested under gelatin salt block test. Active extracts (200 mg) were dissolved in 4 ml water (50°C) and allowed to reach room temperature. To remove non-tannin compounds, a few drops of an aqueous 10% NaCl solution was added to the extracts. After filtration, the filtrate (1 ml) was added to four test tubes. Tube 1 contained 4–5 drops of 1% gelatin solution. Tube 2 contained 4–5 drops of 1% gelatin + 10% NaCl solution. Tube 3 contained 3–4 drops of 10% ferric chloride solution, and tube 4, was a control sample containing no reagent. Tube 1 and 2 were observed for the formation of precipitate, while tube 3 was observed for color [4]. The presence of greenish-blue or greenish-black color following the addition of ferric chloride indicates the presence of condensed tannins, and bluish-black color accounts for the presence of pyrogallol type tannins (assuming that precipitation is the result of gelatin salt block test). The presence of greenish-black or bluish-black color after the addition of ferric chloride with negative gelatin salt block test indicated no tannins in that extract.

Total phenolic content (TP)

Folin-Ciocalteu colorimetric method [11] was used to determine the total phenolic content of extracts. First, Folin-Ciocalteu reagent (0.5 ml) was added to 0.5 ml of methanol extract solution (100 mg/ml). Then Na2CO3 (0.5 ml) (100 mg/ml) was added to the mixture. The absorbance was measured at 760 nm, after 60 min incubation at room temperature. Calibration curve of gallic acid in different concentrations (1, 10, 100, 500 and 1000 μg/ml) was prepared using the same method. Total phenolic content of each extract was calculated from calibration curve of gallic acid and reported as mg of gallic acid equivalent in 100 g dry of plant [12].

DPPH radical scavenging activity

The DPPH radical scavenging activity assay is a method for determining the ability of extracts to trap free radicals [13]. First, DPPH methanol solution (2.0 ml) (0.16 mM) was added to 2.0 ml of extract methanol solutions in different concentrations. Next the same sample was prepared with 2.0 ml methanol replacing extract methanol solution as control. After that the mixtures were vortexed for 1 min and left at room temperature for 30 min. Later the absorbance (Abs) were read at 517 nm. For calculating radical scavenging activity (RSA), the equation 2 was used: Radical scavenging activity of extracts was compared with those of BHT and Trolox as the positive controls.

Establishing the sensitivity of the ACE assay system

The half maximal inhibitory concentration (IC50) value of captopril was determined from concentration - response curve by nonlinear regression, using GraphPad Prism software version 5, and it was compared with the value in the literature. The IC50 value for captopril determined in this study was 25 ± 2.6 nM, which was close to the value (23 nM) in the literature [14].

Results

ACE inhibition activity

Table 1 illustrates scientific names, plant families, common names in Persian, parts used, collection sites, collection times, medicinal uses, voucher numbers and ACE inhibition activities of herbal extracts. Of a total of fifty herbal extracts, six extracts have shown inhibition activity more than 50% at 330 μg/ml concentration (Table 2). They were B. integerrima (88.2 ± 1.7%), C. microphylla (80.9 ± 1.3%), N. alba (66.3 ± 1.2%), O. acanthium (80.2 ± 2.0%), Q. infectoria (93.9 ± 2.5%) and Rubus sp. (51.3 ± 1.0%).
Table 1

Angiotensin converting enzyme (ACE) inhibition activity of the 50 studied plants*

Scientific name and plant familyCommon name in PersianPart usedCollection siteMedicinal useVoucher NoInhibition%
Abrus precatorius L. (Leguminosae)
Cheshm- e Khorus
Seed
LHSa
Tonic, astringent
PMP - 725b
-13.1
Alcea sp. (Malvaceae)
Khatmi
Flower
LHS
Diuretic, demulcent, disinfectant
PMP - 503
-27.3
Allium cepa L. (Alliaceae)
Tokhm- e pyaz
Seed
LHS
Anti-typhoid fever
PMP - 726
21.2
Amaranthus lividus L. (Amaranthaceae)
Tokhm- e tajkhorus
Seed
LHS
Treatment of anemia
PMP - 723
-13.9
Amomum subulatum Roxb. (Zingiberaceae)
Hel- e bad
Fruit
LHS
Stomach tonic, carminative
PMP - 634
-11.6
Arnebia euchroma (Royle) I. M. Johnst. (Boraginaceae)
Havachobe
Root
LHS
Disinfectant
PMP - 211
-8.1
Artemisia sp. (Asteraceae)
Afsantin
Herb
Ha
Stomach tonic, increasing the appetite
83004
-8.5
Berberis integerrima Bunge. (Berberidaceae)
Zereshk- e abi
Fruit
LHS
Tonic, laxative, refrigerant, antiseptic
PMP - 619
88.2 ± 1.7c
Biebersteinia sp. (Geraniaceae)
Chelledaghi
Root
LHS
Anti-rheumatic
PMP - 215
22.7
Cerasus avium (L.) Moench (Rosaceae)
Dom- e gilas
Tail
LHS
Cardiac tonic, diuretic
PMP - 309
28.4
Chelidonium majus L. (Papaveraceae)
Mamiran
Root
LHS
Anti-diarrhea, anti-liver disease
PMP - 314
0.0
Cichorium intybus L. (Compositae)
Kasni
Root
LHS
Diuretic, analgesic, anti-fever
PMP - 213
13.2
Colchicum sp. (Colchicaceae)
Suranjan
Rhizome
LHS
Anti-pain in gout
PMP - 214
19.6
Commiphora sp. (Burseraceae)
Moql
Resin
LHS
Anti-rheumatic
PMP - 812
20.8
Cordia myxa L. (Boraginaceae)
Sepestan
Fruit
LHS
Mucilage, anti-chest complaints
PMP - 730
-15.9
Crataegus microphylla C. Koch (Rosaceae)
Sorkhevalik
Leaf
LHS
Cardiac tonic, diuretic, hypotensive
PMP - 306
80.9 ± 1.3
Cucurbita pepo L. (Cucurbitaceae)
Tokhm- e kadu
Seed
LHS
Anti-fever, anti-gastrointestinal parasites
PMP - 729
-31.5
Cynodon dactylon (L.) Pers. (Gramineae)
Margh
Rhizome
LHS
Diuretic
PMP - 312
9.6
Datura stramonium L. (Solanaceae)
Tature
Leaf
LHS
Anti-asthma
PMP - 728
22.3
Dorema ammoniacum Don. (Umbelliferae)
Vasha
Resin
LHS
Anti-gastrointestinal parasites
PMP - 815
14.2
Echinacea purpurea (L.) Moench (Asteraceae)
Sarkhargol
Aerial part
H
Anti-inflammatory, immune-stimulant
84159
-50.4
Echinops sp. (Compositae)
Shekartighal
Resin
LHS
Demulcent, anti-cough, anti-fever
PMP - 817
2.1
Elettaria cardamomum (L.) Maton (Zingiberaceae)
Hel- e sabz
Fruit
LHS
Spice, stomach tonic, carminative
PMP - 630
-25.7
Entada rheedii Spreng. (Leguminosae)
Qorc- e kamar
Seed
LHS
Ointment for backache
PMP - 724
17.3
Eugenia caryophyllata Thunb. (Myrtaceae)
Mikhak
Flower
LHS
Anti-dental pain, disinfectant
PMP - 504
-34.4
Ferula asssa-foetida L. (Umbelliferae)
Anqoze
Resin
LHS
Anti-gastrointestinal parasites
PMP - 816
-40.3
Ferula gumosa Boiss . (Umbelliferae)
Barije
Resin
LHS
Stomach tonic
PMP - 814
-36.7
Foeniculum vulgare Mill. (Umbelliferae)
Razyane
Seed
LHS
Tonic, diuretic, carminative
PMP - 632
-9.2
Heracleum persicum Desf. (Umbelliferae)
Golpar
Fruit
LHS
Spice, disinfectant, carminative
PMP - 631
4.7
Iris sp. (Iridaceae)
Rishe- e irisa
Root
LHS
Diuretic, cathartic
PMP - 212
0.0
Lepidium sativum L. (Cruciferae)
Tokhm- e shahi
Seed
LHS
Tonic
PMP - 722
-2.2
Malva sylvestris L. (Malvaceae)
Panirak
Flower
H
Mucilage, anti-cough
84450
21.7
Matricaria inodora L. (Asteraceae)
Babuneh
Flower
H
Carminative, febrifuge
83452
-7.5
Nymphaea alba L. (Nymphaeaceae)
Gol- e nilufar
Flower
LHS
Diuretic, sedative
PMP - 501
66.3 ± 1.2
Onopordon acanthium L. (Asteraceae)
Khajebashi
Seed
LHS
Hypotensive, diuretic, cardiac tonic
PMP - 714
80.2 ± 2.0
Passiflora caerulea L. (Passifloraceae)
Gol- e saati
Flower
H
Spinal depressant, respiratory stimulant
84568
-33.2
Plantago ovata Phil. (Plantaginaceae)
Esfarze
Seed
LHS
Laxative, anti-hemorrhoids
PMP - 731
-24.2
Quercus infectoria G.Olivier. (Fagaceae)
Jaft
Bark
LHS
Anti-diarrhea, astringent, antibacterial
PMP - 621
93.9 ± 2.5
Rosmarinus officinalis L. (Lamiaceae)
Rosaemary
Leaf
H
Spice, herb, carminative, GI irritant
83636
0.0
Rubus sp. (Rosaceae)
Tameshk
Leaf
Na
Hypotensive, anti-diarrhea
PMP - 404
51.3 ± 1.0
Salvia macrosiphon Boiss. (Labiatae)
Tokhm- e marv
Seed
LHS
Demulcent, anti-cough
PMP - 721
-11.7
Saponaria officinalis L. (Caryophyllaceae)
Gol- e sabooni
Flower
H
Expectorant, laxative
84680
-33.6
Satureja hortensis L. (Labiatae)
Tokhm- e marze
Seed
LHS
Anti-muscle pain, anti-rheumatic
PMP - 732
34.4
Tanacetum Balsamita L. (Compositae)
Shahesparam
Leaf
LHS
Stomach tonic, anti-nausea
PMP - 405
-15.2
Terminalia chebula Retz. (Combretaceae)
Halil- e zard
Fruit
LHS
Stomach tonic, anti-diarrhea
PMP - 633
17.9
Terminalia chebula Retz. (Combretaceae)
Halil- e siah
Fruit
LHS
Cathartic
PMP - 629
15.2
Teucrium polium L. (Labiatae)
Maryam nokhodi
Aerial part
LHS
Cold treatment, anti-fever
PMP - 313
2.1
Vitex agnus-castus L. (Verbenaceae)
Panj anghosht
Flower
H
Anti-androgen, carminative
84802
31.4
Zataria multiflora Boiss. (Labiatae)
Avishan- e shirazi
Leaf
LHS
Cold treatment, carminative
PMP - 310
24.8
Zea mays L. (Gramineae)Kakol- e zhorratHerbLHSDiuretic, urethra antisepticPMP - 311-35.7

*All medicinal plants were collected in June 2011 except Rubus sp. which is collected in June 2012.

aLHS, Local Herbal Store; H, Herburatum of Tehran University of Medical Sciences (http://pharmacy.tums.ac.ir); N, North of Iran (Mazandaran province).

bPMP, Popular Medicinal Plant.

cValues are means ± SD of three measurements for 6 active plants.

Table 2

The active medicinal plants with more than 50% ACE inhibition activity at 330 μg/ml concentration

Scientific namePercent of inhibition a
B. integerrima
88.2 ± 1.7
C. microphylla
80.9 ± 1.3
N. alba
66.3 ± 1.2
O. acanthium
80.2 ± 2.0
Q. infectoria
93.9 ± 2.5
Rubus sp.51.3 ± 1.0

aValues are means ± SD of three measurements.

Angiotensin converting enzyme (ACE) inhibition activity of the 50 studied plants* *All medicinal plants were collected in June 2011 except Rubus sp. which is collected in June 2012. aLHS, Local Herbal Store; H, Herburatum of Tehran University of Medical Sciences (http://pharmacy.tums.ac.ir); N, North of Iran (Mazandaran province). bPMP, Popular Medicinal Plant. cValues are means ± SD of three measurements for 6 active plants. The active medicinal plants with more than 50% ACE inhibition activity at 330 μg/ml concentration aValues are means ± SD of three measurements.

Tannin test

Out of six active extracts investigated in this study, only the extract of Q. infectoria produced a positive gelatin salt block test (Table 3). The presence of greenish-black or bluish-black color after the addition of ferric chloride with negative gelatin salt block test indicated no tannins in other extracts.
Table 3

Results of gelatin salt block test in order to detect tannin in extracts

Scientific name1% Gelatin1% gelatin + 10% NaClFerric chloride
B. integerrima
NPa
NP
Green/black
C. microphylla
NP
NP
Green/black
N. alba
NP
NP
Blue/black
O. acanthium
NP
NP
Green/black
Q. infectoria
Pb
P
Green/black
Rubus sp.NPNPBlue/black

aNP, no precipitate; bP, precipitate.

Results of gelatin salt block test in order to detect tannin in extracts aNP, no precipitate; bP, precipitate.

Total phenolic content and radical scavenging activity

Oxidative stress plays a critical role in cardiovascular disease [15]. Phenolic compounds are responsible for antioxidant activity due to their ability for scavenging free radicals. Therefore, total phenolic content and radical scavenging activities of these six medicinal plants were determined (Table 4). Most of these six extracts had a large phenolic content. In DPPH radical scavenging assay, IC50 values of six plant extracts were determined and compared with those of BHT and Trolox as the positive controls (Table 4). Q. infectoria possessed more antioxidant activity (IC50 value of 1.7 ± 0.03 μg/ml), compared to that of BHT (IC50 value of 10.3 ± 0.15 μg/ml) and Trolox (IC50 value of 3.2 ± 0.06 μg/ml).
Table 4

Total phenolic content and antioxidant activity of active extracts

Scientific nameTp a (mg gallic acid/100 g dry plant)IC 50 b (μg/ml)
B. integerrima
2250 ± 37
15.3 ± 0.20
C. microphylla
2000 ± 29
13.1 ± 0.20
N. alba
3860 ± 36
10.2 ± 0.15
O. acanthium
2740 ± 26
7.0 ± 0.09
Q. infectoria
7410 ± 101
1.7 ± 0.03
Rubus sp.
3870 ± 26
11.3 ± 0.22
BHT
_
10.3 ± 0.15
Trolox_3.2 ± 0.06

aTp, Total phenolic content.

bIC50, radical scavenging activity in DPPH assay.

Values are means ± SD of three independent measurements.

Total phenolic content and antioxidant activity of active extracts aTp, Total phenolic content. bIC50, radical scavenging activity in DPPH assay. Values are means ± SD of three independent measurements.

Discussion

Hypertension, a worldwide illness, is a major factor in cardiovascular diseases that affects a large population of adults. One of the most effective medications for the treatment of hypertension is angiotensin converting enzyme inhibitors. Meanwhile, medicinal plants have been used for treating illnesses. Therefore, they can be important resources to develop new drug candidates [16]. As illustrated in Table 1 six extracts showed inhibition activity more than 50%, nineteen extracts showed inhibition activity less than 50% and 25 of them showed no inhibition activity at 330 μg/ml concentration. Among these active medicinal plants, three ones (C. microphylla, O. acanthium and Rubus sp.) are utilized for the treatment of hypertension in traditional medicine and this research revealed that the mechanism of action of the three mentioned plants in treatment of hypertension could be done through ACE inhibition. In addition, Antihypertensive activity is reported in traditional medicine for similar species of the above mentioned plants including Crataegus oxyacantha[17], Onopordon leptolepis and Onopordon carmanicum[18]. Flavonoids [19], flavanols [20], flavonols [21], anthocyanins [22], isoflavones [23], flavones [24] and other phenolic compounds have proved to be effective in decreasing the ACE activity. Therefore, the above mentioned secondary metabolites could be responsible for ACE inhibition activity in these 6 active extracts. On the other hand, such ACE inhibitors with antioxidant activity might be useful to treat other diseases which are caused as a result of a rise in ROS production [25]. The highest ACE inhibition activity (93.9 ± 2.5%) was observed at 330 μg/ml concentration in Q. infectoria. It is clear that tannins are phenolic natural products that interfere in enzymatic activity. Consequently, we checked for its presence in our active extracts (extracts with ≥ 50% ACE inhibition activity). Unfortunately, greenish-black color after the addition of ferric chloride with positive gelatin salt block test indicated the presence of condensed tannins in Q. infectoria extract. Therefore, in spite of high ACE inhibition and antioxidant activity, it is not the plant of choice for further studies to isolate the active compounds. Among other active medicinal plants, three ones including B. integerrima, C. microphylla and O. acanthium possessed > 80% ACE inhibition activity. Out of the three mentioned plants, O. acanthium possessed more antioxidant activity (IC50 value of 7 ± 0.09 μg/ml), compared to that of B. integerrima (IC50 value of 15.3 ± 0.2 μg/ml) and C. microphylla (IC50 value of 13.1 ± 0.2 μg/ml). Therefore, because of high ACE inhibition and antioxidant activity, O. acanthium is a valuable medicinal plant for isolation of active compounds. Furthermore, N. alba and Rubus sp. are moderate ACE inhibitors and after the above three mentioned plants, are valuable plants for isolation of active compounds in further studies.

Conclusions

Medicinal plants presented in Table 2 are potential sources for developing new ACE inhibitors (Figure 1) [26-31]. There was a linear relationship between total phenolic content and radical scavenging activity with equation formula, y = 83.53 × - 823.4; R2 = 0.714 (Figure 2). As shown in Tables 2, 3 and 4, in spite of possessing the highest ACE inhibition and antioxidant activity, Q. infectoria had tannin content. On the other hand, O. acanthium, which also had high ACE inhibition and antioxidant activity containing no tannin, and could be used in further studies for isolation of active compounds.
Figure 1

The picture of active medicinal plants with more than 50% angiotensin converting enzyme inhibitory activity. A)B. integerrimaB)C. microphyllaC)N. albaD)O. acanthiumE)Q. infectoriaF)Rubus sp [26-31].

Figure 2

The correlation between total phenolic content and DPPH radical scavenging activity for six plant extracts.

The picture of active medicinal plants with more than 50% angiotensin converting enzyme inhibitory activity. A)B. integerrimaB)C. microphyllaC)N. albaD)O. acanthiumE)Q. infectoriaF)Rubus sp [26-31]. The correlation between total phenolic content and DPPH radical scavenging activity for six plant extracts.

Competing interests

The authors have no conflict of interests to declare.

Authors’ contributions

NS: Performed the experimental work including plant extraction, biological tests, data interpretation, and manuscript preparation. ES: Was responsible for HPLC analysis. SAZ: Was involved in designing the experiments. GHA: Identified all plants. MA: Was responsible for the study registration, financial and administrative support, and also gave final approval of the version to be published. All authors read and approved the final manuscript.
  19 in total

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3.  Screening of Zulu medicinal plants for angiotensin converting enzyme (ACE) inhibitors.

Authors:  A C Duncan; A K Jäger; J van Staden
Journal:  J Ethnopharmacol       Date:  1999-12-15       Impact factor: 4.360

4.  Global burden of hypertension: analysis of worldwide data.

Authors:  Patricia M Kearney; Megan Whelton; Kristi Reynolds; Paul Muntner; Paul K Whelton; Jiang He
Journal:  Lancet       Date:  2005 Jan 15-21       Impact factor: 79.321

5.  Procyanidin structure defines the extent and specificity of angiotensin I converting enzyme inhibition.

Authors:  Javier I Ottaviani; Lucas Actis-Goretta; Juan J Villordo; Cesar G Fraga
Journal:  Biochimie       Date:  2005-10-26       Impact factor: 4.079

6.  Isoflavone genistein inhibits the angiotensin-converting enzyme and alters the vascular responses to angiotensin I and bradykinin.

Authors:  Marcelo F Montenegro; Lisandra R Pessa; Jose E Tanus-Santos
Journal:  Eur J Pharmacol       Date:  2009-02-20       Impact factor: 4.432

7.  Inhibition of angiotensin converting enzyme (ACE) by flavonoids isolated from Ailanthus excelsa (Roxb) (Simaroubaceae).

Authors:  Monica Rosa Loizzo; Ataa Said; Rosa Tundis; Khaled Rashed; Giancarlo Antonio Statti; Antje Hufner; Francesco Menichini
Journal:  Phytother Res       Date:  2007-01       Impact factor: 5.878

Review 8.  A systematic review of the potential herbal sources of future drugs effective in oxidant-related diseases.

Authors:  Shirin Hasani-Ranjbar; Bagher Larijani; Mohammad Abdollahi
Journal:  Inflamm Allergy Drug Targets       Date:  2009-03

9.  Inhibition of angiotensin convertin enzyme (ACE) activity by the anthocyanins delphinidin- and cyanidin-3-O-sambubiosides from Hibiscus sabdariffa.

Authors:  Deyanira Ojeda; Enrique Jiménez-Ferrer; Alejandro Zamilpa; Armando Herrera-Arellano; Jaime Tortoriello; Laura Alvarez
Journal:  J Ethnopharmacol       Date:  2009-10-04       Impact factor: 4.360

10.  Flavonoids from the buds of Rosa damascena inhibit the activity of 3-hydroxy-3-methylglutaryl-coenzyme a reductase and angiotensin I-converting enzyme.

Authors:  Eun-Kyung Kwon; Dae-Young Lee; Hyungjae Lee; Dae-Ok Kim; Nam-In Baek; Young-Eon Kim; Hae-Yeong Kim
Journal:  J Agric Food Chem       Date:  2010-01-27       Impact factor: 5.279

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  14 in total

1.  Blood pressure lowering effect of Ficus deltoidea var kunstleri in spontaneously hypertensive rats: possible involvement of renin-angiotensin-aldosterone system, endothelial function and anti-oxidant system.

Authors:  Norasikin Ab Azis; Renu Agarwal; Nafeeza Mohd Ismail; Nor Hadiani Ismail; Mohd Saleh Ahmad Kamal; Zurain Radjeni; Harbindar Jeet Singh
Journal:  Mol Biol Rep       Date:  2019-04-12       Impact factor: 2.316

Review 2.  Role of natural products towards the SARS-CoV-2: A critical review.

Authors:  Kannan Raman; Kalirajan Rajagopal; Fahadul Islam; Manish Dhawan; Saikat Mitra; Baliwada Aparna; Potlapati Varakumar; Gowramma Byran; Om Prakash Choudhary; Talha Bin Emran
Journal:  Ann Med Surg (Lond)       Date:  2022-07-02

Review 3.  The Impact of COVID-19 Pandemic on Seafood Safety and Human Health.

Authors:  Nikheel Bhojraj Rathod; Nariman Elabed; Fatih Özogul; Joe M Regenstein; Charis M Galanakis; Sulaiman Omar Aljaloud; Salam A Ibrahim
Journal:  Front Microbiol       Date:  2022-06-22       Impact factor: 6.064

4.  In Vitro Protection by Crataegus microphylla Extracts Against Oxidative Damage and Enzyme Inhibition Effects.

Authors:  Gülin Renda; Arzu Özel; Burak Barut; Büşra Korkmaz; Nurettin Yayli
Journal:  Turk J Pharm Sci       Date:  2018-04-02

Review 5.  Bioactive Carbohydrates and Peptides in Foods: An Overview of Sources, Downstream Processing Steps and Associated Bioactivities.

Authors:  Maria Hayes; Brijesh K Tiwari
Journal:  Int J Mol Sci       Date:  2015-09-17       Impact factor: 5.923

6.  Traditional knowledge on herbal drinks among indigenous communities in Azad Jammu and Kashmir, Pakistan.

Authors:  Neelam Rashid; Rodrigue Castro Gbedomon; Mushtaq Ahmad; Valère Kolawolé Salako; Muhammad Zafar; Khafsa Malik
Journal:  J Ethnobiol Ethnomed       Date:  2018-02-21       Impact factor: 2.733

7.  Gallic acid attenuates calcium calmodulin-dependent kinase II-induced apoptosis in spontaneously hypertensive rats.

Authors:  Li Jin; Zhe Hao Piao; Chun Ping Liu; Simei Sun; Bin Liu; Gwi Ran Kim; Sin Young Choi; Yuhee Ryu; Hae Jin Kee; Myung Ho Jeong
Journal:  J Cell Mol Med       Date:  2017-12-20       Impact factor: 5.310

Review 8.  An Overview on Indications and Chemical Composition of Aromatic Waters (Hydrosols) as Functional Beverages in Persian Nutrition Culture and Folk Medicine for Hyperlipidemia and Cardiovascular Conditions.

Authors:  Azadeh Hamedi; Seyed Mahmoud Moheimani; Amirhossein Sakhteman; Hamed Etemadfard; Mahmoodreza Moein
Journal:  J Evid Based Complementary Altern Med       Date:  2017-02-09

9.  Antihypertensive Indigenous Lebanese Plants: Ethnopharmacology and a Clinical Trial.

Authors:  Ali A Samaha; Mirna Fawaz; Ali Salami; Safaa Baydoun; Ali H Eid
Journal:  Biomolecules       Date:  2019-07-20

10.  Preparation, characterization and therapeutic properties of gum arabic-stabilized gallic acid nanoparticles.

Authors:  Abdelkader Hassani; Mohammad Mahdi Sabaghpour Azarian; Wisam Nabeel Ibrahim; Siti Aslina Hussain
Journal:  Sci Rep       Date:  2020-10-20       Impact factor: 4.379

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