Modulation of the SDF-1/CXCR4 Axis by Tithonia diversifolia, Moringa oleifera and Curcuma longa Extracts in Diabetic Fatty Liver

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Nabila Shafa Yumna Salsabila
Rif'atul Hawani Burhan
Muhaimin Rifa'i
Noviana Dwi Lestari
Moh Dliyauddin

Abstract

Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder often linked to non-alcoholic fatty liver disease (NAFLD). Liver inflammation in T2DM is associated with the activation of stromal cell-derived factor-1 (SDF-1) and its receptor CXCR4. This study aimed to evaluate the effect of herbal combinations of Tithonia diversifolia, Moringa oleifera, and Curcuma longa (TMC) on SDF-1 expression in a T2DM-induced fatty liver mice model and assess their potential as a CXCR4 inhibitors through in silico analysis. The in silico study involved LC-HRMS compound identification, bioactivity prediction, drug-likeness screening, molecular docking, and molecular dynamics simulations to analyze interactions with CXCR4. In the in vivo study, T2DM was induced by a high-fat diet and streptozotocin, followed by 21 days of oral TMC extract administration to evaluate its therapeutic effects. LC-HRMS analysis identified 23 bioactive compounds in TMC extracts, including curcumin, which after screening was used in molecular docking. Curcumin showed the strongest binding to CXCR4 (−6.3 kcal/mol), with residue similarity to IT1t and metformin. The stability of the CXCR4-Curcumin was rigorously confirmed by a 20 ns molecular dynamics simulation. SDF-1 expression was significantly increased in T2DM mice (38.72±6.12%) compared to normal (24.21±4.80%). The combination of TMC extracts, especially TMC3, reduced the expression to 24.59±4.68% which was close to the normal group. This decrease was attributed to the polyphenol and sesquiterpene content, which acted through anti-inflammatory pathways. These results suggest that the TMC herbal combinations have potential as an alternative phytotherapeutic agent acting to inhibit SDF-1 and CXCR4 activation in T2DM-induced fatty liver.

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How to Cite
Salsabila, N. S. Y. ., Burhan, R. H., Rifa’i, M., Lestari, N. D., & Dliyauddin, M. (2026). Modulation of the SDF-1/CXCR4 Axis by Tithonia diversifolia, Moringa oleifera and Curcuma longa Extracts in Diabetic Fatty Liver. CURRENT APPLIED SCIENCE AND TECHNOLOGY, e0268971. https://doi.org/10.55003/cast.2026.268971
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Original Research Articles

References

Ahmed, M. C., Crehuet, R., & Lindorff-Larsen, K. (2020). Computing, analyzing, and comparing the radius of gyration and hydrodynamic radius in conformational ensembles of intrinsically disordered proteins. In B. B. Kragelund & K. Skriver (Eds.). Intrinsically disordered proteins: Methods and protocols (pp. 429-445). Springer US. https://doi.org/10.1007/978-1-0716-0524-0_21

Aier, I., Varadwaj, P. K., & Raj, U. (2016). Structural insights into conformational stability of both wild-type and mutant EZH2 receptor. Scientific Reports, 6, Article 34984. https://doi.org/10.1038/srep34984

Alandijany, T. A., El-Daly, M. M., Tolah, A. M., Bajrai, L. H., Khateb, A. M., Alsaady, I. M., Altwaim, S. A., Dubey, A., Dwivedi, V. D., & Azhar, E. I. (2023). Investigating the mechanism of action of anti-dengue compounds as potential binders of Zika virus RNA-dependent RNA polymerase. Viruses, 15(7), Article 1501. https://doi.org/10.3390/v15071501

Antar, S. A., Ashour, N. A., Sharaky, M., Khattab, M., Ashour, N. A., Zaid, R. T., Roh, E. J., Elkamhawy, A., & Al-Karmalawy, A. A. (2023). Diabetes mellitus: Classification, mediators, and complications; A gate to identify potential targets for the development of new effective treatments. Biomedicine & Pharmacotherapy, 168, Article 115734. https://doi.org/10.1016/j.biopha.2023.115734

Badar, M. S., Shamsi, S., Ahmed, J., & Alam, Md. A. (2022). Molecular dynamics simulations: concept, methods, and applications. In N. Rezaei (Ed.). Transdisciplinarity (pp. 131-151). Springer International Publishing. https://doi.org/10.1007/978-3-030-94651-7_7

Bailey, C. J. (2024). Metformin: Therapeutic profile in the treatment of type 2 diabetes. Diabetes, Obesity and Metabolism, 26(S3), 3-19. https://doi.org/10.1111/dom.15663

Bianchi, M. E., & Mezzapelle, R. (2020). The chemokine receptor CXCR4 in cell proliferation and tissue regeneration. Frontiers in Immunology, 11, Article 2109. https://doi.org/10.3389/fimmu.2020.02109

Cao, S., Liu, M., Sehrawat, T. S., & Shah, V. H. (2021). Regulation and functional roles of chemokines in liver diseases. Nature Reviews Gastroenterology and Hepatology, 18, 630-647. https://doi.org/10.1038/s41575-021-00444-2

Chen, K., Bao, Z., Tang, P., Gong, W., Yoshimura, T., & Wang, J. M. (2018). Chemokines in homeostasis and diseases. Cellular and Molecular Immunology, 15(4), 324-334. https://doi.org/10.1038/cmi.2017.134

Chen, Y.-Y., & Yeh, M. M. (2021). Non-alcoholic fatty liver disease: A review with clinical and pathological correlation. Journal of the Formosan Medical Association, 120(1, Part 1), 68-77. https://doi.org/10.1016/j.jfma.2020.07.006

Chunudom, L., Thongsom, M., Karim, N., Rahman, M. A., Rana, M. N., & Tangpong, J. (2020). Tithonia diversifolia aqueous fraction plays a protective role against alloxan-induced diabetic mice via modulating GLUT2 expression. South African Journal of Botany, 133, 118-123. https://doi.org/10.1016/j.sajb.2020.07.007

Daggupati, T., Chitrala, K. N., Pamanji, R., & Yeguvapalli, S. (2017). Molecular screening and analysis of novel therapeutic inhibitors against c-Jun N-terminal kinase. Medicinal Chemistry Research, 26(9), 2112-2118. https://doi.org/10.1007/s00044-017-1919-5

Dekkers, S., Caspar, B., Goulding, J., Kindon, N. D., Kilpatrick, L. E., Stoddart, L. A., Briddon, S. J., Kellam, B., Hill, S. J., & Stocks, M. J. (2023). Small-molecule fluorescent ligands for the CXCR4 chemokine receptor. Journal of Medicinal Chemistry, 66(7), 5208-5222. https://doi.org/10.1021/acs.jmedchem.3c00151

Filimonov, D. A., Lagunin, A. A., Gloriozova, T. A., Rudik, A. V., Druzhilovskii, D. S., Pogodin, P. V., & Poroikov, V. V. (2014). Prediction of the biological activity spectra of organic compounds using the Pass online web resource. Chemistry of Heterocyclic Compounds, 50(3), 444-457. https://doi.org/10.1007/s10593-014-1496-1

Fuloria, S., Mehta, J., Chandel, A., Sekar, M., Rani, N. N. I. M., Begum, M. Y., Subramaniyan, V., Chidambaram, K., Thangavelu, L., Nordin, R., Wu, Y. S., Sathasivam, K. V., Lum, P. T., Meenakshi, D. U., Kumarasamy, V., Azad, A. K., & Fuloria, N. K. (2022). A comprehensive review on the therapeutic potential of Curcuma longa Linn. in relation to its major active constituent curcumin. Frontiers in Pharmacology, 13, Article 820806. https://doi.org/10.3389/fphar.2022.820806

Goel, S., Singh, R., Singh, V., Singh, H., Kumari, P., Chopra, H., Sharma, R., Nepovimova, E., Valis, M., Kuca, K., & Emran, T. B. (2022). Metformin: Activation of 5′ AMP-activated protein kinase and its emerging potential beyond anti-hyperglycemic action. Frontiers in Genetics, 13, Article 820806. https://doi.org/10.3389/fgene.2022.1022739

Halder, S. K., Sultana, I., Shuvo, M. N., Shil, A., Himel, M. K., Hasan, M. A., & Shawan, M. M. A. K. (2023). In silico identification and analysis of potentially bioactive antiviral phytochemicals against SARS-CoV-2: A molecular docking and dynamics simulation approach. BioMed Research International, 2023(1), Article 5469258. https://doi.org/10.1155/2023/5469258

Hata, H., Phuoc Tran, D., Marzouk Sobeh, M., & Kitao, A. (2021). Binding free energy of protein/ligand complexes calculated using dissociation Parallel Cascade Selection Molecular Dynamics and Markov state model. Biophysics and Physicobiology, 18, 305-316. https://doi.org/10.2142/biophysico.bppb-v18.037

Hirano, Y., Okimoto, N., Fujita, S., & Taiji, M. (2021). Molecular dynamics study of conformational changes of tankyrase 2 binding subsites upon ligand binding. ACS Omega, 6(27), 17609-17620. https://doi.org/10.1021/acsomega.1c02159

Karin, N. (2010). The multiple faces of CXCL12 (SDF-1α) in the regulation of immunity during health and disease. Journal of Leukocyte Biology, 88(3), 463-473. https://doi.org/10.1189/jlb.0909602

Kim, D., Kim, J., Yoon, J. H., Ghim, J., Yea, K., Song, P., Park, S., Lee, A., Hong, C.-P., Jang, M. S., Kwon, Y., Park, S., Jang, M. H., Berggren, P.-O., Suh, P.-G., & Ryu, S. H. (2014). CXCL12 secreted from adipose tissue recruits macrophages and induces insulin resistance in mice. Diabetologia, 57(7), 1456-1465. https://doi.org/10.1007/s00125-014-3237-5

Kurita, K., Ishikawa, K., Takeda, K., Fujimoto, M., Ono, H., Kumagai, J., Inoue, H., Yokoh, H., & Yokote, K. (2019). CXCL12-CXCR4 pathway activates brown adipocytes and induces insulin resistance in CXCR4-deficient mice under high-fat diet. Scientific Reports, 9(1), Article 6165. https://doi.org/10.1038/s41598-019-42127-8

Lee, K., Jang, J., Seo, S., Lim, J., & Kim, W. Y. (2022). Drug-likeness scoring based on unsupervised learning. Chemical Science, 13(2), 554-565. https://doi.org/10.1039/D1SC05248A

Li, B., Wang, Z., Liu, Z., Tao, Y., Sha, C., He, M., & Li, X. (2024). DrugMetric: Quantitative drug-likeness scoring based on chemical space distance. Briefings in Bioinformatics, 25(4), Article bbae321. https://doi.org/10.1093/bib/bbae321

Liepelt, A., & Tacke, F. (2016). Stromal cell-derived factor-1 (SDF-1) as a target in liver diseases. American Journal of Physiology-Gastrointestinal and Liver Physiology, 311(2), G203-G209. https://doi.org/10.1152/ajpgi.00193.2016

Liu, W., Hua, L., Zhu, S., Xu, F., Wang, X., Lu, C., Su, J., & Qi, F. (2022). Association of serum stromal cell-derived factor 1 levels with EZSCAN score and its derived indicators in patients with type 2 diabetes. Endocrine Connections, 11(4), Article e210629. https://doi.org/10.1530/EC-21-0629

Liu, Y., Hao, L., Wang, L., Lu, M., Yin, C., & Xiao, Y. (2024a). Serum stromal cell-derived factor-1 concentrations are increased and associated with nonalcoholic fatty liver disease in children with obesity. BMC Endocrine Disorders, 24(1), Article 67. https://doi.org/10.1186/s12902-024-01597-2

Liu, Y.-Z., Chen, Y.-N., & Sun, Q. (2024b). The dependence of hydrophobic interactions on the shape of solute surface. Molecules, 29(11), Article 2601. https://doi.org/10.3390/molecules29112601

Pang, J., Gao, S., Sun, Z., & Yang, G. (2021). Discovery of small molecule PLpro inhibitor against COVID-19 using structure-based virtual screening, molecular dynamics simulation, and molecular mechanics/generalized born surface area (MM/GBSA) calculation. Structural Chemistry, 32(2), 879-886. https://doi.org/10.1007/s11224-020-01665-y

Pareek, A., Pant, M., Gupta, M. M., Kashania, P., Ratan, Y., Jain, V., Pareek, A., & Chuturgoon, A. A. (2023). Moringa oleifera: An updated comprehensive review of its pharmacological activities, ethnomedicinal, phytopharmaceutical formulation, clinical, phytochemical, and toxicological aspects. International Journal of Molecular Sciences, 24(3), Article 2098. https://doi.org/10.3390/ijms24032098

Pathania, S., & Singh, P. K. (2021). Analyzing FDA-approved drugs for compliance of pharmacokinetic principles: Should there be a critical screening parameter in drug designing protocols? Expert Opinion on Drug Metabolism & Toxicology, 17(4), 351-354. https://doi.org/10.1080/17425255.2021.1865309

Pinyopornpanish, K., Leerapun, A., Pinyopornpanish, K., & Chattipakorn, N. (2021). Effects of metformin on hepatic steatosis in adults with nonalcoholic fatty liver disease and diabetes: insights from the cellular to patient levels. Gut and Liver, 15(6), 827-840. https://doi.org/10.5009/gnl20367

Pinzi, L., & Rastelli, G. (2019). Molecular docking: Shifting paradigms in drug discovery. International Journal of Molecular Sciences, 20(18), Article 4331. https://doi.org/10.3390/ijms20184331

Rehman, K., & Akash, M. S. H. (2016). Mechanisms of inflammatory responses and development of insulin resistance: How are they interlinked? Journal of Biomedical Science, 23(1), Article 87. https://doi.org/10.1186/s12929-016-0303-y

Rudik, A. V., Dmitriev, A. V., Lagunin, A. A., Filimonov, D. A., & Poroikov, V. V. (2019). PASS-based prediction of metabolites detection in biological systems. SAR and QSAR in Environmental Research, 30(10), 751-758. https://doi.org/10.1080/1062936X.2019.1665099

Rudrapal, M., Khairnar, S. J., Khan, J., Dukhyil, A. B., Ansari, M. A., Alomary, M. N., Alshabrmi, F. M., Palai, S., Deb, P. K., & Devi, R. (2022). Dietary polyphenols and their role in oxidative stress-induced human diseases: Insights into protective effects, antioxidant potentials and mechanism(s) of action. Frontiers in Pharmacology, 13, Article 806470. https://doi.org/10.3389/fphar.2022.806470

Sa’adah, N. A. M., Ardiansyah, E., Fadlilah, D. N., Izati, R., Al-Faizah, B. N., Kavitarna, S. A., Atho’illah, M. F., Arifah, S. N., Jatmiko, Y. D., Tsuboi, H., & Rifa’i, M. (2025). Green tea yogurt supplemented with L. paracasei E1 microcapsules increases erythrocyte counts and B cell development in high-fat fructose diet mice. Molecular and Cellular Biomedical Sciences, 9(1), 58-68. https://doi.org/10.21705/mcbs.v9i1.573

Safavi, F., Escandón-Rivera, S. M., Andrade-Cetto, A., & Rosas-Ramírez, D. (2025). Phytochemical composition and acute hypoglycemic effect of Jefea lantanifolia (S. Schauer) Strother in rats. Plants, 14(19), Article 3054. https://doi.org/10.3390/plants14193054

Salazar-Gómez, A., Ontiveros-Rodríguez, J. C., Pablo-Pérez, S. S., Vargas-Díaz, M. E., & Garduño-Siciliano, L. (2020). The potential role of sesquiterpene lactones isolated from medicinal plants in the treatment of the metabolic syndrome – A review. South African Journal of Botany, 135, 240-251. https://doi.org/10.1016/j.sajb.2020.08.020

Salsabila, N. S. Y., Burhan, R. H., Dliyauddin, M., Lestari, N. D., Munawarti, A., Djati, M. S., & Muhaimin, R. (2025). Herbal combination of Tithonia diversifolia, Moringa oleifera, and Curcuma longa as antidiabetic agent against iNOS and COX-2 proteins: An in silico study. Tropical Journal of Natural Product Research, 9(3), 950-959. https://doi.org/10.26538/tjnpr/v9i3.9

Shurrab, N. T., & Arafa, E.-S. A. (2020). Metformin: A review of its therapeutic efficacy and adverse effects. Obesity Medicine, 17, Article 100186. https://doi.org/10.1016/j.obmed.2020.100186

Smaldone, G., Di Matteo, F., Castelluccio, R., Napolitano, V., Miranda, M. R., Manfra, M., Campiglia, P., & Vestuto, V. (2025). Targeting the CXCR4/CXCL12 axis in cancer therapy: Analysis of recent advances in the development of potential anticancer agents. Molecules, 30(6), Article 1380. https://doi.org/10.3390/molecules30061380

Sun, S., Liu, Z., Lin, M., Gao, N., & Wang, X. (2024). Polyphenols in health and food processing: Antibacterial, anti-inflammatory, and antioxidant insights. Frontiers in Nutrition, 11, Article 1456730. https://doi.org/10.3389/fnut.2024.1456730

Tallei, T. E., Kapantow, N. H., Niode, N. J., Hessel, S. S., Savitri, M., Fatimawali, F., Kang, S., Park, M. N., Raihan, M., Hardiyanti, W., Nainu, F., & Kim, B. (2025). Integrative in silico and in vivo Drosophila model studies reveal the anti-inflammatory, antioxidant, and anticancer properties of red radish microgreen extract. Scientific Reports, 15(1), Article 18533. https://doi.org/10.1038/s41598-025-02999-5

Tran, N., Pham, B., & Le, L. (2020). Bioactive compounds in anti-diabetic plants: From herbal medicine to modern drug discovery. Biology, 9(9), Article 252. https://doi.org/10.3390/biology9090252

Tripathi, D. K., & Poluri, K. M. (2020). Molecular insights into kinase mediated signaling pathways of chemokines and their cognate G protein coupled receptors. Frontiers in Bioscience-Landmark, 25(7), 1361-1385. https://doi.org/10.2741/4860

Vaidyanathan, R., Murugan Sreedevi, S., Ravichandran, K., Vinod, S. M., Hari Krishnan, Y., Babu, L. K., Parthiban, P. S., Basker, L., Perumal, T., Rajaraman, V., Arumugam, G., Rajendran, K., & Mahalingam, V. (2023). Molecular docking approach on the binding stability of derivatives of phenolic acids (DPAs) with human serum albumin (HSA): Hydrogen-bonding versus hydrophobic interactions or combined influences? JCIS Open, 12, Article 100096. https://doi.org/10.1016/j.jciso.2023.100096

Vidakovic, M., Grdovic, N., Dinic, S., Mihailovic, M., Uskokovic, A., & Arambasic Jovanovic, J. (2015). The importance of the CXCL12/CXCR4 axis in therapeutic approaches to diabetes mellitus attenuation. Frontiers in Immunology, 6, Article 403. https://doi.org/10.3389/fimmu.2015.00403

Wahono, C. S., Syaban, M. F. R., Pratama, M. Z., Rahman, P. A., & Erwan, N. E. (2024). Exploring the potential of phytoconstituents from Phaseolus vulgaris L against C-X-C motif chemokine receptor 4 (CXCR4): A bioinformatic and molecular dynamic simulations approach. Egyptian Journal of Medical Human Genetics, 25(1), Article 52. https://doi.org/10.1186/s43042-024-00510-9

Windarsih, A., Suratno, Warmiko, H. D., Indrianingsih, A. W., Rohman, A., & Ulumuddin, Y. I. (2022). Untargeted metabolomics and proteomics approach using liquid chromatography-Orbitrap high resolution mass spectrometry to detect pork adulteration in Pangasius hypopthalmus meat. Food Chemistry, 386, Article 132856. https://doi.org/10.1016/j.foodchem.2022.132856

Xu, L., Kitade, H., Ni, Y., & Ota, T. (2015). Roles of chemokines and chemokine receptors in obesity-associated insulin resistance and nonalcoholic fatty liver disease. Biomolecules, 5(3), 1563-1579. https://doi.org/10.3390/biom5031563

Yahfoufi, N., Alsadi, N., Jambi, M., & Matar, C. (2018). The immunomodulatory and anti-inflammatory role of polyphenols. Nutrients, 10(11), Article 1618. https://doi.org/10.3390/nu10111618

Yang, L., Shi, F., Cao, F., Wang, L., She, J., He, B., Xu, X., Kong, L., & Cai, B. (2025). Neutrophils in tissue injury and repair: Molecular mechanisms and therapeutic targets. MedComm, 6(5), Article e70184. https://doi.org/10.1002/mco2.70184

Yang, N. J., & Hinner, M. J. (2015). Getting across the cell membrane: An overview for small molecules, peptides, and proteins. In A. Gautier & M. J. Hinner (Eds.). Site-specific protein labeling: Methods and protocols (pp. 29-53). Springer. https://doi.org/10.1007/978-1-4939-2272-7_3

Yu, T., Sudhakar, N., & Okafor, C. D. (2024). Illuminating ligand-induced dynamics in nuclear receptors through MD simulations. Biochimica et Biophysica Acta (BBA) - Gene Regulatory Mechanisms, 1867(2), Article 195025. https://doi.org/10.1016/j.bbagrm.2024.195025

Yuan, H., Xie, Q., Liang, L., Luo, J., Jiang, S., Peng, C., & Wang, W. (2024). An efficient workflow for quality control marker screening and metabolite discovery in dietary herbs by LC-Orbitrap-MS/MS and chemometric methods: A case study of Chrysanthemum flowers. Foods, 13(7), Article 1008. https://doi.org/10.3390/foods13071008

Zang, W., Sharma, R., Li, M. W.-H., & Fan, X. (2023). Retention time trajectory matching forpeak identification in chromatographic analysis. Sensors, 23(13), Article 6029. https://doi.org/10.3390/s23136029