Introduction

Cancer is a non-communicable disease that poses a global health burden. According to the World Health Organization (WHO), cancer is one of the main causes of mortality globally. According to data from the World Health Organization’s Global Burden of Cancer (GLOBOCAN), there were 20 million cancer cases and 9.7 million cancer-related deaths in 2022. Cancer deaths are expected to continue to increase to 35 million cases by 2030. After heart disease and stroke, cancer is the third most common cause of death in Indonesia. In 2022, the Global Cancer Observatory (GLOBOCAN) reported 242,988 cancer-related deaths and 408,661 new cases. The highest number of cases was breast cancer in women and lung cancer in men, with the highest number of deaths caused by breast, cervical, and lung cancer.1 Hormonal factors, genetics, oxidative stress, advanced age, and unhealthy lifestyles influence the high incidence of breast cancer.2

Breast cancer is thought to be caused by excessive exposure to endogenous estrogen during a woman’s life. Estrogen is a steroid hormone that contributes to female sexual characteristics, affects various specialized organs and tissues, and regulates cell proliferation and differentiation in both women and men. Estrogen stimulates the establishment of an extensive ductal system, the development of breast stromal tissue, and the accumulation of breast fat.3 Estrogen receptors (ER) and androgen receptors are often co-expressed in breast cancer.4,5

Research to identify potential new anticancer drug candidates is essential to address these issues. Developing drugs from natural sources is expected to offer a solution in selecting therapies for breast cancer patients with a high selectivity index. One plant with potential as an anticancer agent for breast cancer cells is Chrysanthemum morifolium. Chrysanthemum morifolium has been reported to have produced 60 isolates of flavonoid compounds, most of which are glycoside derivatives of luteolin, apigenin, acacetin, diosmetin, or eriodictyol at the C7 position. Detection of active compounds, especially with high flavonoid levels in Chrysanthemum, provides its pharmacological effects.6 Flavonoids and phenolic acids are the main components of secondary metabolites that are essential for providing therapeutic activity in Chrysanthemum species.7,8 Several leaf cultivars of Chrysanthemum morifolium contain main active compounds such as flavonoids, galuteolin, quercitrin, chlorogenic acid, and 3,5-O-caffeoylquinic acid as active ingredients with potential as anticancer agents.9

The anticancer activity of Chrysanthemum morifolium and Chrysanthemum indicum extracts has been reported in several in vitro and in vivo studies. Flavonoids such as luteolin, apigenin, and acacetin showed strong cytotoxicity, with IC50 values ranging from 1.08–25 µg/mL against breast (MCF-7), lung (A549), and liver (HepG2) cancer cells. These compounds modulate key molecular pathways, including NF-κB, PI3K/AKT/mTOR, STAT3, and MAPK/ERK1/2, leading to apoptosis through mitochondrial dysfunction, activation of caspase-3 and −9, as well as altered BAX/BCL-2 ratios.10

In the study of the metabolite profiling test on the ethyl acetate fraction of Chrysanthemum morifolium leaves using UHPLC-HRMS11 was reported that Chrysanthemum morifolium has the most dominant compounds, namely flavonoid compounds that can act as breast cancer anticancer, such as glycitein,12–16 diosmetin,17–21 kaempferol,22–28 esculetin,29–33 scopoletin,34,35 dihydroartemisinin,36–40 and chrysin.41–47

Flavonoids have significant impacts on chemotherapy and cancer prevention. Numerous genes and enzymes, including those involved in antiproliferation, cell cycle arrest, apoptosis, angiogenesis, and multidrug resistance, have been demonstrated to interact with flavonoids.48 Flavonoid compounds play a role in inhibiting cell proliferation and regulating tumor suppressor genes that play an important role in the cell cycle and p53 in cancer cells and can increase cell apoptosis in breast cancer.49 One type of phytoestrogen that functions as a selective estrogen modulator (SERM) is flavonoids. Because flavonoids require a phenolic ring to connect to estrogen receptors, these SERMs can interact with receptors to induce modest oestrogenic or antiestrogenic effects.50–52 After passing through the cell membrane, these SERMs attach to cytosolic estrogen receptors to form a complex. The estrogen response element (ERE), which is close to the gene whose transcription is being regulated, is then bound by this complex. The complex then binds to the corepressor protein NCoR, thereby suppressing transcription of genes that regulate cell proliferation.53,54

Until now, there has been no research that examines the isolation and elucidation of the structure and anticancer bioactivity test of Chrysanthemum morifolium leaves against MCF-7 cells. Therefore, this study was conducted to examine the analysis, compound isolation, cytotoxic activity, and cell mechanisms of Chrysanthemum morifolium leaf isolates in inhibiting MCF-7 cell proliferation through cell cycle modulation, apoptosis induction, and changes in ESR1 gene expression for breast cancer therapy.

The novelty of this study lies in: (1) the isolation and structural elucidation of flavonoid derivatives from Chrysanthemum morifolium leaves, (2) evaluation of their cytotoxicity and selectivity against MCF-7 and HEK-293 cells, and (3) investigation of their effects on gene ESR1 expression, apoptosis, and cell-cycle progression.

Materials and Methods Materials

Chrysanthemum × morifolium (Ramat). Hemsl. Leaves were collected from a chrysanthemum plantation in the Bandungan area of Semarang, Central Java, Indonesia. The plants were identified and stored in the Biosystematics and Molecular Laboratory, Department of Biology, Faculty of Mathematics and Natural Sciences, Padjadjaran University (No.190/LBM/IT/V/2023(No.IV.K.78a)) and identified by Mr. Joko Kusmoro. The distilled organic solvents used for extraction, separation, and purification included ethanol, n-hexane, ethyl acetate, acetone, methanol, chloroform, and distilled water, while the chemicals for spectroscopic analysis were pro-analyzed (p.a.) grade. Chromatographic separation was performed on silica gel 60 (230–400 mesh) (Merck), silica gel 60 (30–70 mesh) (Merck), silica gel 60 PF254 (Merck), silica gel 60 F254 thin film plates (Merck) were used for thin‑layer chromatography (TLC) and detection was achieved by spraying with 5% H2SO4 in ethanol (v/v), followed by heating. Breast cancer cell line MCF-7 (ECACC) and normal cell line HEK-293 (ECACC), cisplatin, and Dulbecco’s Modified Eagle Medium (DMEM) growth medium. In addition to the above materials, 0.25% Trypsin-EDTA (Gibco), DMSO (Sigma), PBS (Sigma), high glucose (Sigma), fetal bovine serum (Sigma), penicillin–streptomycin (Sigma), WST-8 [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide] (Sigma), Annexin V (BioLegend), Propidium Iodine (PI) (BioLegend), Total RNA kit (Geneaid), Rever Tra-Ace (Toyobo), wash buffer, β-mercaptoethanol, DNase, water-free RNase, EGTA, β-actin primer, REα primer, and GoTaq®Green Master Mix (Promega) were also used.

Instruments

The chemical structures of isolated compounds were determined using infrared and ultraviolet (UV) spectra, which were recorded using a Perkin-Elmer Spectrum 100 FTIR spectrometer and a Perkin-Elmer Lambda 35 UV/VIS Double Beam spectrometer. Mass Spectrometry uses Waters LCT Premier XE-MS. NMR spectra were obtained using an Agilent DD2 console system spectrometer at 500 MHz for 1H and 125 MHz for 13C. Chemical shifts were measured in δ (ppm), with a δH signal of 7.26 and a δC signal of 77.16 for the reference solvents acetone and DMSO, respectively. Column chromatography (CTC) was performed using silica gel 60 (Merck, 70–230 and 230–400 mesh) and octadecylsilane (Fuji Silysia Chemical Ltd, Chromatorex® C18 DM1020 M, 100–200 mesh). Thin-layer chromatography (TLC) was performed on pre-coated silica gel 60 F254 plates (Merck) and RP-18 F254 plates (Merck). TLC spots were observed under UV light (254 and 365 nm), and heated after soaking with 10% H2SO4 in ethanol. For the cytotoxicity assay, 96-well microplates, micropipettes, microtubes, incubators, and Biochrom microplate readers were used. FACScan flow cytometer, PCR multibox (Proflex, Applied Biosystems), thermal cycler (ProFlexTM 3x32-well PCR System, Applied Biosystems.

Isolation of Components Chrysanthemum morifolium (Leaves (CML))

Chrysanthemum × morifolium (Ramat). Hemsl leaves (8.9 kg) that had been air-dried were ground up and extracted using 70% ethanol (EtOH) at room temperature (3 × 12 L each, for 24 hours). After the solvent was removed under reduced pressure, the EtOH extract (3 kg) was partitioned between n-hexane and ethyl acetate (EtOAc). The organic layer was evaporated to yield crude n-hexane (187.5 g) and EtOAc extracts (750 g), respectively. Ethyl acetate fraction (2 g) was extracted by silica gel column chromatography and eluted with a gradient of n-hexane–chloroform–ethyl acetate (3:3:4) to obtain an eluate collected in 40 vials. The composition of the column chromatography results was monitored by TLC with n-hexane:chloroform:ethyl acetate (3:3:4) mixture. Spot visualization was monitored under UV light at 254 and 365 nm, both without spraying and with spraying using 10% H2SO4 ethanol and heating, to detect the flavonoid compound group. The results of the column chromatography TLC test are shown in Figure 1. From the TLC results, the column chromatography results that had the same spot pattern were combined to obtain 3 isolates, namely isolate 1 CML (12 mg), isolate 2 CML (10 mg), and isolate 3 CML (20 mg). The purity test for the isolates was carried out by two-way TLC using mobile Phase I n-hexane:chloroform:ethyl acetate (3:3:4) and mobile Phase II n-hexane:ethyl acetate (5:5) with a pre-coated plate stationary phase and a suitable reagent spot visualizer. From the elution results, there was one spot in each mobile phase, which was used to indicate that the isolate was pure. To ensure that an isolate is truly pure (consisting of only one compound), several supporting methods are required, such as chromatography (two-dimensional/two-way TLC), HPLC, and thermal analysis with melting point determination. In this study, only two-way TLC was used to determine compound purity. Melting point determination and HPLC was not performed due to the limited number of isolates obtained.

Figure 1 Elucidation of the structure of isolates 1: (i) UV–Vis spectrum, (ii) IR spectrum, (iii) MS spectrum, (iv) 1H-NMR spectrum analysis, (v) 13C-NMR spectrum analysis.

Cytotoxicity Assay and Selectivity Index of Compounds 1, 2, and 3 Chrysanthemum morifolium Leaves (CML)

The cytotoxicity of compounds 1–3 CML was evaluated using the Water-Soluble Tetrazolium salt-8 (WST-8) technique against two human cancer cell lines, MCF-7 and HEK-293. These cells were grown at 37°C in DMEM supplemented with 10% fetal bovine serum and antibiotics (100 IU/mL penicillin, 10 µg/mL streptomycin) in 5% CO2. Following a 24-hour incubation period, both were seeded into 96-well plates at an initial density of roughly 3 × 10^4 cells cm-3. Meanwhile, the compounds were dissolved in 2% dimethyl sulfoxide (DMSO) solutions at the required concentrations of 120, 60, 30, 15, and 12.5 ppm. Cisplatin was utilized as a positive control, and the cells were subjected to the test chemicals in triplicate for 48 hours. Following a 24-hour incubation period, 10 μL of WST-8 (Sigma) Cell Viability Reagent was added, and the mixture was then incubated for an additional 1–2 hours until the colour changed. The IC50 value was ascertained by comparing the graph of the percentage of living cells with the control, which was given only phosphate-buffered saline (PBS) and DMSO, at different doses of the tested substance (ppm). The observed absorbance was analysed using a microplate reader at 570 nm.

Cell Cycle Assay

The culture medium from each sample was transferred into a 15 mL centrifuge tube. The cells were subsequently washed twice with cold PBS (1 mL each wash) and then detached using trypsin. After detachment, the cells were collected into a tube and centrifuged. The resulting pellet was washed more with cold PBS and centrifuged again. The supernatant was discarded, and the cell pellet was vortexed. The cells were then resuspended in 300 µL of PBS. Subsequently, 1.2 mL of cold absolute ethanol was added, followed by vortexing, and the samples were stored at −20 °C for at least 1 to 24 hours. After incubation, the samples were centrifuged, the ethanol was removed, and the remaining cell pellet was retained. Finally, PBS was added, and the cells were resuspended and incubated for 15 minutes. The samples were centrifuged, the supernatant was discarded, 100 µL of RNaSe A was added, suspended, and incubated at 37°C. The tubes were lined with aluminum foil, and 400 µL of PI reagent (50 µg/mL) was added and vortexed. Incubated at 2–8°C for 30 minutes. The samples were read on a flow cytometry device within 1 hour. The assay procedure was according to the Cell Cycle kit (Elabscience).

Apoptosis Assay

The cell medium from each test was collected in a 15 mL centrifuge tube, washed twice with cold PBS (1 mL volume), and then released with trypsin. The cells were collected and placed in a tube and then centrifuged. The cells were washed again with cold PBS once and centrifuged. The PBS was discarded, then the cell pellet was vortexed. 1 mL of binding buffer was added; the cells were resuspended with 500 µL of 1× binding buffer. The samples were placed in 1.5 mL tubes lined with aluminum foil. To each tube, 5 μL of Annexin V FITC Conjugate and 5 μL of propidium iodide were added, then vortexed. Next, they were incubated at room temperature for 20 minutes and protected from sunlight. Samples were measured using a flow cytometer every 1 hour. The test procedure was according to the Annexin V-FITC PI Apoptosis Kit (Elabscience).

ESR1 Gene Expression

The preparation was carried out following the working instructions of the SensiFAST™ SYBR® No-ROX Kit. ESR1 expression was examined by taking cDNA, adding up to 20 μL of PCR Master Mix (2x SensiFAST SYBR® No-ROX Mix 10 μL final concentration 1×; 10 nM forward primer 0.8 μL final concentration 400 nM; 10 nM reverse primer 0.8 μL final concentration 400 nM; template up to 8.4 μL; H2O (NFW) as needed). ESR1 and ACTB Gene Sequence Primers are shown in Table 1. The mixed samples were inserted into the real-time PCR device and operated according to the protocol. One cycle of polymerase activation was carried out for 2 minutes at 95°C. Forty cycles of amplification were performed, with each cycle consisting of 5 seconds at 95°C (denaturation), 10 seconds at the annealing temperature according to the optimization results (60°C for β-actin, END 48°C–54°C), 5–20 seconds at 72°C (extension), and a melting curve stage with automatic temperature and time. ACTB is a housekeeping gene used as an internal control to standardize the relative expression levels for all biomarkers.

Table 1 ESR1 and ACTB Gene Sequence Primers

Gene Expression Analysis and Data Processing

All CT data were analyzed to determine target gene expression using the Livak method (delta-delta CT) after normalization using a housekeeping gene (beta-actin). Several controls were included in this assay, including a negative reverse transcription, no reverse transcription, and a no-template control. These controls were used to detect the presence of gDNA and possible reagent contamination. The ΔΔCT method was used to normalize particular gene expression in relation to an endogenous control. This process involves comparing the quantification cycle (ΔCT) values of the target gene with those of an endogenous control, a reference gene that exhibits stable expression levels. Beta-actin gene expression served as the selected endogenous control. The ΔΔCT method provides a precise method for quantifying and assessing changes in gene expression levels under different experimental conditions.

The normalized ΔCT values of the treated samples were compared with those of the omitted reference control (ΔCT (ref)) to obtain ΔΔCT values, which were then used to calculate the relative fold change compared to the control. Quantification of estrogen receptor alpha (ERα) by RT-qPCR in MCF-7 cells treated for 24 hours with or without 2 µM E2. Data presented are the mean ± standard deviation (SEM) obtained from a minimum of three different experiments, with each experiment involving three replicates.

Results Structural Characterization of Compounds 1, 2, and 3 from Chrysanthemum morifolium Leaves (CML)

Based on the interpretation of spectroscopic data, including UV–Vis, IR, MS, 1H-NMR, 13C-NMR, HMBC, and HSQC, as shown in Figure 1 for the structural characterization of compound 1, Figure 2 for the structural characterization of compound 2, and Figure 3 for the structural characterization of compound 3. According to High Resolution Electrospray Ionization Mass Spectrometry (HR-ESI-MS) data of m/z [M+H]+ 285.0566 (calculated for 284.07), Compound 1 CML was isolated as an amorphous powder with the chemical formula C16H12O5, which represents 10 double bond equivalents (DBE). Spectral data of compound 1 CML are as follows: IR: 3398.365 cm−1 contained OH functional groups, 1646.707 cm−1, and 1421.166 cm−1 indicated the presence of C=O (carbonyl) and C=C Sp2 aromatic functional groups, respectively. 1H-NMR: The chemical shift of isolated compound 1 δH 12.9937 ppm indicates the presence of typical chelate protons, and δH 3.9149 ppm indicates the presence of methoxy protons. Typical aromatic Sp2 protons are found in the chemical shift region δH 6.2603 ppm and δH 6.2643 ppm (H-6 and H-8) with a bond constant value of j = 1.60, where H-6 and H-8 indicate meta positions, each in a splitting doublet pattern (d) which shows the characteristics of ring A in the flavonoid framework. Chemical shift area δH 7.1202 ppm and 7.1381 ppm (H-3’ and H-5’) with a bond constant value j=7.14, where H-3’ and H-5’ indicate the ortho position; δH 8.0194 ppm and 8.0372 ppm (H-2’ and H-6’) with a bond constant value j=7.14, where H-3’ and H-5’ indicate the ortho position. Each in a doublet splitting pattern (d), which shows the characteristics of ring B in the flavonoid framework. Then the chemical shift δH 6.6791 ppm (H-3) in ring C of the flavonoid framework. 13C-NMR: Based on the spectrum, it shows a chemical shift for the carbon atoms that comprise the flavonol compound framework, which has 16 carbons. In the chemical shift areas, respectively δC 164.65 ppm (C-2); δC 104.57 ppm (C-3); δC 182.96 ppm (C-4); δC 163.04 ppm (C-5); δC 165.16 ppm (C-7); δC 104.57 ppm (C-10); δC 124.31 ppm (C-1’); δC 158.82 ppm (C-4’) there are two methine carbons (CH) in a singlet (s) splitting pattern. In the chemical shift areas, δC 99.70 ppm (C-6); δC 94.83 ppm (C-8); δC 129.05 ppm (C-2’); δC 115.36 ppm (C-3’); δC 115.36 ppm (C-5’), and δC 129.05 ppm (C-6’) each have two methine carbons (CH) in a doublet splitting pattern (d). Quaternary carbon appears in the chemical shift region of δC 55.96 ppm (C-4’ OCH3). Based on the description above, it can be assumed that the structural framework of the compound obtained is a flavonol compound.

Figure 2 Elucidation of the structure of isolates 2: (i) UV–Vis spectrum, (ii) IR spectrum, (iii) MS spectrum, (iv) 1H-NMR spectrum analysis, (v) 13C-NMR spectrum analysis.

Figure 3 Elucidation of the structure of isolates 3: (i) UV–Vis spectrum, (ii) IR spectrum, (iii) MS spectrum, (iv) 1H-NMR spectrum analysis, (v) 13C-NMR spectrum analysis.

The chemical formula of Compound 2 CML, which was produced as an amorphous powder, was determined to be C16H12O6 with 12 degrees of DBEs based on the molecular ion peak at m/z [M+H2] 301.0459 (calculated for 300.07). The following are compound 2 CML’s spectral data: IR: has the aromatic functional groups C=O (carbonyl) and C=C Sp2 at wave numbers 1636.869 cm-1 and 2126.776 cm-1, respectively, and the OH functional group at wave number 3320.191 cm-1.

1H-NMR: The chemical shift of isolated compound 2 CML δH 13.0036 ppm indicates the presence of typical chelate protons, and δH 3.9496 ppm indicates the presence of methoxy protons. Typical aromatic protons Sp2 are found in the chemical shift region δH 6.6520 (H-6) with a bond constant value of j = 1.19, chemical shift δH 6.6484 (H-7) with a bond constant value of j = 1.19 and chemical shift δH 6.5642 (H-8) with a bond constant value of j = 1.19 where H-6 and H-8 indicate meta positions, each in a splitting doublet pattern (d) which shows the characteristics of ring A in the flavonoid framework. The chemical shift area δH 7.5835–7.5618 (H-2’) with the bond constant value j1=8.5 and j2=2.3; and the chemical shift δH 7.1438–7.1267 (H-6’) with the bond constant value j=2.3. The bond constant value j=8.5, where H-2’ and H-3’ indicate the ortho position; with the bond constant value j=2.3, where H-2’ and H-6’ indicate the meta position. Each in the doublet splitting pattern (d) shows the characteristics of the B ring in the flavonoid skeleton. 13C-NMR: Based on the spectrum, it shows a chemical shift for the carbon atoms that make up the flavonol compound framework, which selects a total number of carbons. In the chemical shift areas of δC 116.8 ppm (C-2); δC 163.0 ppm (C-3); δC 182.9 ppm (C-4); δC 163.4 ppm (C-5); δC 158.7 ppm (C-9); δC 164.8 ppm (C-10); δC 123.9 ppm (C-1’); δC 151.7 ppm (C-4’); δC 147.9 ppm (C-5’) there are two methine carbons (CH) in a splitting singlet (s) pattern, respectively. In the chemical shift areas of δC 99.70 ppm (C-6); δC 94.83 ppm (C-8); δC 129.05 ppm (C-2’); δC 115.36 ppm (C-3’); δC 115.36 ppm (C-5’) and δC 129.05 ppm (C-6’), each contains two methine carbons (CH) in a doublet splitting pattern (d). Quaternary carbon appears in the chemical shift region of δC 55.96 ppm (C-4’ OCH3). Based on the description above, it can be assumed that the structural framework of the compound obtained is a flavonol compound, as shown in Table 2. The results of ultraviolet spectrophotometric analysis of isolate 2 CML showed maximum absorption in band II with a λmax wavelength of 201 nm and band I at a λmax wavelength of 300–400 nm.

Table 2 IC50 Value and Selectivity Index of Isolates 1, 2, 3 CML

Compound 3 CML is a yellow amorphous powder having the formula C22H22O10 with 16 degrees DBEs, as determined by the molecular ion peak at m/z [M+Na] 469.1128 (calculated for 469.1111). Spectral data of compound 3 are as follows: IR: contains an OH functional group at wave number 3394.682 cm-1, C=O (carbonyl) and aromatic C=C Sp2 functional groups at wave numbers 1652.097 cm-1 and 2253.104 cm-1, respectively. The presence of OH, C=O (carbonyl); and aromatic C=C Sp2 functional groups is a characteristic of flavonoid compounds. 1H-NMR: The chemical shift of the isolated compound 2 CML δH 12.9243 ppm indicates the presence of typical chelate protons, δH 3–4 ppm indicates the presence of methoxy protons, and δH 3–5 ppm indicates typical sugar protons. The typical aromatic Sp2 protons are found in the chemical shift region δH 6.8 (H-6) and chemical shift δH 6.4 (H-8) with a bond constant value of j=2.2 where H-6 and H-8 indicate the meta position, each in a splitting doublet pattern (d) which shows the characteristics of ring A and chemical shift δH 8.05 (H-6) with a bond constant value of j=8.98 and chemical shift δH 7.1 (H-8) with a bond constant value of j=9.05 where H-6 and H-8 indicate the ortho position, each in a splitting doublet pattern (d) which shows the characteristics of ring B in the flavonoid framework. The chemical shift region δH 6.9738 (H-3) shows the characteristics of ring C in the flavonoid framework. 13C-NMR: Based on the spectrum, it shows a chemical shift for the carbon atoms that make up the flavonol compound framework, which indicates the presence of these carbons. In the chemical shift regions of δC 164.3 ppm (C-2); δC 104.3 ppm (C-3); δC 182.9 ppm (C-4); δC 161.5 ppm (C-5); δC 163.4 ppm (C-7); δC 157.4 ppm (C-9); δC 105.8 ppm (C-10); δC 123.4 ppm (C-1’); δC 162.9 ppm (C-4’) there are two methine carbons (CH) in a splitting singlet (s) pattern, respectively. In the chemical shift regions of δC 99.9 ppm (C-6); δC 95.3 ppm (C-8), δC 128.9 ppm (C-2’), δC 115.1 ppm (C-3’), δC 115.1 ppm (C-5’), and δC 126.9 ppm (C-6’), each have two methine carbons (CH) in a doublet splitting pattern (d). Quaternary carbon appears in the chemical shift region of δC 56.1 ppm (C-4’ OCH3). In the chemical shift region of δC 100.3 ppm, there are two methine carbons (CH) in a doublet splitting pattern (d). In the chemical shift regions of δC 77.6 ppm; δC 60.9 ppm; δC 69.9 ppm; δC 73.5 ppm; δC 76.8 ppm; δC 77.6 ppm, each contains two methine carbons (CH) in a singlet (s) splitting pattern. Based on the description above, it can be assumed that the structural framework of the compound obtained is a flavonol glycoside compound.

1H-13C-HSQC: The relationship between carbon and protons in isolates 2 and 3 CML indicates a relationship between the signals of the carbon nucleus and protons, as shown in Figure 4. The same spot in the spectrum indicates that both are directly connected by a bond. Two C-H bonds in Ring A are formed from chemical shifts of δH 6.56 ppm (H-8), which correlate with δC 94.7 ppm (C-8); δH 6.25 ppm (H-6), which correlates with δC 94.7 ppm (C-6); δH 6.65 ppm (H-7), which correlates with δC 104.7 ppm (C-7). Four C-H bonds in Ring B are formed from chemical shifts of δH 3.94 ppm (H-4’) which correlate with δC 56.4 ppm (4’-OCH3); δH 7.13 ppm (H-6’) which correlates with δC 112.4 ppm (C-6’); δH 7.49 ppm (H-3’) which correlates with δC 113.6 ppm (C-3’) and δH 7.57 ppm (H-2’) which correlates with δC 119.7 ppm (C-2’). The correlation of carbon with proton 1H-13C-HSQC for isolate 3 can be seen. Two C-H bonds in Ring A are formed from chemical shifts of δH 6.86 ppm (H-8), which correlates with δC 95.3 ppm (C-8) and δH 6.45 ppm (H-6), which correlates with δC 99.9 ppm (C-6). Four C-H bonds in Ring B are formed from chemical shifts of δH 7.13 ppm (H-3’ and H-5’), which correlate with δC 115.1 ppm (C-3’ and C-5’) forming two C-H bonds (overlapping) and δH 8.07 ppm (H-2’ and H-6’) which correlate with δC 128.9 ppm (C-3’ and C-5’) forming two C-H bonds (overlapping).

Figure 4 2D HSQC NMR spectrum of isolate 2: (i) 2D HSQC NMR spectrum of isolate 3 (ii).

HMBC: The results of the HMBC spectrum analysis show a relationship between protons and carbons that are more than one bond apart, as shown in Figure 5. The ordinate axis in the HMBC spectrum is plotted with the 1H chemical shift of the proton nucleus. The HMBC spectrum of isolate compound 2 CML gives a proton signal at δH 6.25 ppm (H-6) when a vertical line is drawn from the signal, 4 bonds will be obtained, which are the result of long-distance relationships with carbon. Each of these spots belongs to carbon from the position of C-8 (δC 94.7); C-7 (δC 104.7); C-5 (δC 163.4); and C-7 (δC 104.7). If drawn from δH 6.56 ppm (H-8), four spots will be obtained at C-6 (δC 99.6); C-7 (δC 104.7); C-9 (δC 158.7); C-7 (δC 104.7); C-10 (δC 164.8) and C-4 (δC 182.9). If drawn from δH 7.57 ppm (H-2’), then three spots will be obtained at C-1’ at C-1’ (δC 123.9 ppm); C-3’ (δC 113.6 ppm); C-4’ (151.7 ppm); C-2 (116.8 ppm). Then for δH 7.13 ppm (H-6’), two spots will be obtained at C-5’ (δC 147.9 ppm); C-4’ (δC 151.7 ppm); C2 (δC 116.8 ppm), and C-3 (δC 163.0 ppm). Isolate compound 3 gives a proton signal at δH 6.45 ppm (H-6) when a vertical line is drawn from the signal, 4 bonds will be obtained, which are the result of long-distance relationships with carbon. Each of these spots belongs to carbon from the C-8 position (δC 95.3), C-9 (δC 157.4), C-5 (δC 161.5), and C-7 (δC 163.4). If drawn from δH 6.86 ppm (H-8), four spots will be obtained at C-6 (δC 99.9), C-9 (δC 157.4), and C-7 (δC 163.4). If drawn from δH 7.13 ppm (H-3’ and H-5’), then three spots will be obtained at C-2’ or C-6’, giving the same signal at δC 126.9 ppm; C-3’ (δC 115.1) and C-1’ (δC 123.4). Then for δH 7.13 ppm (H-3’ and H-5’), four spots will be obtained at C-1’ (δC 123.4); at C-3’ or C-5’ giving the same signal at δC 115.1 ppm; C-4’ (δC 162.9) and C-1’ (δC 123.4).

Figure 5 2D HMBC NMR spectrum of isolate 2 (i), HMBC isolate 2 correlation diagram (ii), 2D HMBC NMR spectrum of isolate 3 (iii), HMBC isolate 3 correlation diagram (iv).

Cytotoxic Bioassay and Selectivity Index of Compounds 1, 2, and 3 CML

The cytotoxic activities of compounds 1 and 2 CML were evaluated against the MCF-7 breast cancer cell line according to a previously published method.11 The results of the cytotoxic test of the test solution on MCF-7 and HEK-293 cells obtained the % survival rate values shown in Figure 6, and the IC50 values and selectivity index presented in Table 2. The IC50 value (ppm) indicates the concentration of a compound that inhibits cell viability by 50%. The lower the value, the stronger the cytotoxicity. The Selectivity Index is calculated by comparing the IC50 value of HEK-293 with the IC50 value of MCF-7. A Selectivity Index value > 2 indicates good selectivity against cancer cells, an IS value ≈ of 1 is categorized as non-selective, and an IS value < 1 is categorized as more toxic to normal cells.

Figure 6 % Survival rate of isolates 1 (i), isolate 2 (ii), isolate 3 (iii), and cisplatin (iv).

Cell Cycle Assay

From the results of the cell cycle inhibition test using propidium iodide reagent with a flow cytometer, the percentage of inhibition in each phase was obtained, namely the percentage of accumulation in each phase in the cell cycle, as shown in Table 3 and Figure 7.

Table 3 Percentage of Accumulation of Isolate 2 CML and Cisplatin Against MCF Cell Lines at Each Phase of the Cell Cycle

Figure 7 Flow cytometer image results MCF-7 cell cycle: (i) Cisplatin 1/2 × IC50, (ii) cisplatin 1 × IC50, (iii) isolate 2 CML 1/2 × IC50, (iv) isolate 2 CML 1 × IC50, (v) Cell control.

The results of the cell cycle distribution analysis showed that treatment with cisplatin and isolate 2 CML resulted in significant changes in the distribution of cell cycle phases compared to the control. In control cells, the cell cycle distribution was relatively normal with a predominance in the G1 phase (49.96 ± 0.93%), followed by the S phase (22.61 ±.4.27%) and G2/M phase (25.81 ± 4.09%), indicating stable cell proliferation activity.

Cisplatin treatment at a concentration of 1× IC50 increased the proportion of cells in the G1 phase to 55.55 ± 2.52% and decreased the S phase to 19.22 ± 2.56%. At a concentration of ½ × IC50, the increase in the G1 phase was higher, namely 71.32 ± 0.52%. In contrast, isolate 2 DKP at a concentration of 1 × IC50 showed a significant increase in the G2/M phase to 50.73 ± 4.13%, while at a concentration of ½ × IC50, there was an increase in the G1 phase by 63.78 ± 5.66%.

The results of the statistical test analysis of the cell cycle distribution showed that treatment using cisplatin and isolate 2 CML in the G0, G1, S, and G2/M cycles resulted in significant changes to the distribution of the cell cycle phases compared to the control, as seen in Figure 8.

Figure 8 Comparison of cell cycle phases G0 (i), G1 (ii), S (iii), and G2/M (iv) in control, cisplatin (1 × IC50), cisplatin (1/2 × IC50), isolate 2 (1 × IC50), isolate 2 (1/2 × IC50). *(p < 0.05) significant. ** (p < 0.01) highly significant. *** (p < 0.001) very highly significant. **** (p < 0.0001) extremely significant.

The results of this study indicate that cisplatin and isolate 2 CML treatments can inhibit cell proliferation through different cell cycle inhibition mechanisms. Cell cycle distribution is an important indicator in determining the point of action of an anticancer agent in inhibiting cancer cell growth.55

Apoptosis Assay

The flow cytometry data, presented as the percentage of live MCF-7 cells, those undergoing apoptosis, and those undergoing necrosis, are shown in Table 4 and Figure 9. In cell cycle analysis, isolate 2 CML at the 1 × IC50 concentration caused a significant increase in the G2/M phase (50.73 ± 4.13%), indicating G2/M arrest. Meanwhile, in the apoptosis assay, the same treatment increased early apoptosis of up to 38.87±11.43%. This relationship suggests that cell cycle arrest at the G2/M phase contributes directly to the induction of apoptosis.

Table 4 Apoptosis Test Results of Isolate 2 CML and Cisplatin Against MCF Cell Lines

Figure 9 Apoptosis analysis by flow cytometry method of MCF-7 cells. The gated cell population (P1): (i) Unstained control, (ii) PI-stained control, (iii) Annexin V-stained control, (iv) Annexin V/PI dual-stained control, (v) Isolate 2 (1 × IC50)-treated MCF-7 cells, (vi) Isolate 2 (1/2 × IC50)-treated MCF-7 cells, (vii) Cisplatin (1 × IC50)-treated MCF-7 cells, (viii) Cisplatin (1/2 × IC50)-treated MCF-7 cells, (ix) Viable cells distribution unstained control, (x) PI-positive cell distribution, (xi) Annexin V-positive cell distribution, (xii) Annexin V/PI cell distribution. Apoptosis distribution: (xiii) Isolate 2 (1 × IC50) treated MCF-7 cells, (xiv) Isolate 2 (1/2 × IC50)-treated MCF-7 cells, (xv) Cisplatin (1 × IC50)-treated MCF-7 cells, (xvi) Cisplatin (1/2 × IC50)-treated MCF-7 cells.

Figure 9 continued.

In contrast, cisplatin showed a dominant effect on the G1 phase with an increase of up to 71.32 ± 0.52% at a concentration of ½ the IC50. However, the effect on apoptosis was relatively low, with initial apoptosis only around 6.63 ± 1.77% at the 1× IC50. This suggests that cisplatin in this condition acts more as a cytostatic agent that inhibits cell proliferation through G1 arrest, without directly inducing significant apoptosis. The results of the statistical test on the apoptosis test results are shown in Figure 10.

Figure 10 Comparison of the percentage of live cells (i), early apoptosis (ii), late apoptosis (iii), and necrosis (iv) in isolate 2 (1 × IC50), isolate 2 (1/2 × IC50), cisplatin (1 × IC50), and cisplatin (1/2 × IC50). * (p < 0.05) significant.

The results of this study indicate that cisplatin and isolate 2 CML treatments can inhibit cell proliferation through different cell cycle inhibition mechanisms. Cell cycle distribution is an important indicator in determining the point of action of an anticancer agent in inhibiting cancer cell growth.55

ESR1 Gene Expression

Reverse transcriptase-PCR (RT-PCR) is a method for synthesizing single-stranded DNA from mRNA. The basic principle of RT-PCR is to convert mRNA strands into DNA using the reverse transcriptase enzyme and oligonucleotide primers. The primers used in the PCR process are forward and reverse. The resulting double-stranded DNA is then amplified using standard PCR techniques.56 In this test, MCF-7 cells were treated with isolate 2 test compound and cisplatin with concentrations of 1 × IC50 and 1/2 × IC50 in each MCF-7 cell. Measurement of ESR1 and ACTB expression was carried out using RT-qPCR to produce an amplification curve in the form of a melting curve, then the data were analyzed using the ∆∆Ct or 2-∆∆Ct method to calculate the ratio of expression changes (fold change) between the control and treatment groups. The results of the gene expression test are shown in Table 5.

Table 5 Results ESR1 Gene Expression Analysis Test of Isolate 2 CML with Cisplatin

The results showed that ESR1 gene expression experienced different changes in each treatment. The control group had a relative expression value of 0.83 ± 1.17. The Isolate 2 CML treatment group at a dose of 1 × IC50 showed an increase in expression to 1.34 ± 0.13, while at a dose of 1/2 × IC50 showed a value close to normal, namely 1.01 ± 0.14. In the cisplatin treatment group at a dose of 1 × IC50, there was a very high increase in expression, namely 4.58 ± 1.87, while at a dose of 1/2 × IC50, there was a significant decrease in expression to 0.19 ± 0.04. These results indicate that the treatment provides a modulatory effect on ESR1 gene expression that is dose-dependent.

Statistical analysis of the t-test comparing the expression of the ESR1 gene of isolate 2 CML and Cisplatin against the control is presented in Figure 11. The results showed that treatment with isolate 2 CML and cisplatin resulted in differences in gene expression levels as indicated by the normalized expression ratio value. ESR1 gene expression analysis showed that treatment of isolate 2 CML at concentrations of 1 × IC50 and ½ × IC50 did not provide a significant difference compared to the control group (p > 0.05). Isolate 2 DKP 1 × IC50 increased ESR1 expression compared to the control, but the very large variation in the control caused the difference to be insignificant. Isolate 2 DKP ½ × IC50 showed ESR1 expression that was almost the same as the control. Cisplatin treatment 1 × IC50 resulted in the highest increase in ESR1 gene expression, but this increase was also not statistically significant (p > 0.05). Cisplatin ½ × IC50 showed a tendency to decrease ESR1 expression compared to the control.

Figure 11 Comparison of ESR1 gene expression of isolate 2 CML and cisplatin against control. ns (p > 0.05) non-significant. * (p < 0.05) significant. ** (p < 0.01) highly significant.

Disscusion

Based on the UV, IR, 1-dimensional NMR (proton and carbon) spectrum data, mass spectrum, and by comparing the chemical shift data (proton and carbon) with the acacetin compound, the chemical structure of isolate compound 1 can be determined as acacetin compound. Based on the UV, IR, 1-dimensional NMR (proton and carbon), 2-dimensional NMR (HSQC and HMBC), and mass spectrum data on isolate 2, it is predicted to be a 3,5,5’-Trihydroxy-4’-methoxy flavone compound. Meanwhile, isolate 3 is predicted to be a kaempferide-7-O-glycoside compound. The chemical structure of isolate compounds 1, 2, and 3 is shown in Figure 12.

Figure 12 Structure of Isolate 1 (acacetin) (i), isolate 2 (3,5,5‑Trihydroksi‑4’