ICOPMAP SPECIAL EDITION Anthocyanins: Potent natural warriors in the battle against diabetes

Authors

  • Dicky Ardin Gurusinga Faculty of Military Pharmacy, The Republic of Indonesia Defence University, Bogor, Indonesia
  • Muhamad Azhar Faculty of Military Pharmacy, The Republic of Indonesia Defence University, Bogor, Indonesia
  • Tesia Aisyah Rahmania Faculty of Military Pharmacy, The Republic of Indonesia Defence University, Bogor, Indonesia

DOI:

https://doi.org/10.46542/pe.2025.252.2731

Keywords:

Anthocyanin, Diabetes mellitus, Flavonoid, Insulin, In-vivo

Abstract

Background: Over half of the world’s population suffers from diabetes mellitus (DM), which affects insulin function. In 2021, Indonesia had 19.5 million DM patients, ranking fifth globally. There are two types: type 1 (DMT1) and type 2 (DMT2). Anthocyanins, flavonoid metabolites responsible for purple, blue, and red colours, are found in various Indonesian fruits, flowers, and plants, offering a natural source of these compounds.

Objective: This review is to determine the potential of anthocyanins in treating DMT2 and identify plants rich in anthocyanins.

Method: This study was conducted through an in-depth literature review of sources from PubMed, Google Scholar, the Ministry of Health, the International Diabetes Federation (IDF), and the World Health Organisation (WHO), focusing on anthocyanins and diabetes. The use of natural ingredients represents a promising therapeutic option for treating DMT2.

Results: In-vivo research shows that anthocyanins in dark-coloured fruits and vegetables can increase insulin sensitivity, regulate carbohydrate metabolism, and reduce oxidative stress. Anthocyanins from extracts of Rosella flowers, red spinach, and purple sweet potatoes can reduce blood glucose levels and improve the function of pancreatic beta cells, making them a promising additional therapeutic alternative. While the findings are promising, further research is essential to fully understand the mechanisms and effectiveness of anthocyanins in diabetes therapy.

References

Anjani, E. P., Zakiah Oktarlina, R., & Morfi, C. W. (2018). The substances anthocyanins in purple sweet potato against diabetes mellitus. Majority, 7(2), 257‒262. https://scispace.com/pdf/zat-antosianin-pada-ubi-jalar-ungu-terhadap-diabetes-melitus-54klhv7p83.pdf

Asriyanti, V., Pandu, Bangsawan, I., Didiek, & Hadi, P. (2014). Hypoglycaemic effect test of sweet potato (Ipomoea batatas) leaves ethanol extract against blood glucose level of Alloxan-induced white male wistar rat (Rattus norvegicus). Jurnal Mahasiswa PSPD FK Universitas Tanjungpura, 1(1). https://jurnal.untan.ac.id/index.php/jfk/article/view/8033

Citra, A., Nilasari, A., Wibowo Rini, B., & Listyawati, S. (2024). Effects of red spinach extract mira variety on fasting blood glucose and malondialdehyde of DMT2 model rats. Jurnal Media Penelitian dan Pengembangan Kesehatan, 34(2), 311‒323. https://jurnal.polkesban.ac.id/index.php/jmp2k/article/download/2003/1110/11279

Dianasari, D., & Fajrin, A. (2015). Antidiabetic activity test of flower petals roselle (Hibiscus sabdariffa L.) water extract in rats with alloxan induction method. Jurnal Farmasi Sains dan Terapan, 2(1), 54‒58.

Direktorat Bina Farmasi Komunitas dan Klinik. (2005). Pharmaceutical care for diabetes mellitus. Direktorat Jenderal Bina Kefarmasian dan Alat Kesehatan Departemen Kesehatan RI. https://www.pustaka.akfarimambonjol.ac.id/index.php?p=fstream-pdf&fid=39&bid=404

Galicia-Garcia, U., Benito-Vicente, A., Jebari, S., Larrea-Sebal, A., Siddiqi, H., Uribe, K. B., Ostolaza, H., & Martín, C. (2020). Pathophysiology of type 2 diabetes mellitus. In International Journal of Molecular Sciences, 21(17), 1–34. https://doi.org/10.3390/ijms21176275

Gupta, A., Sharma, M., & Sharma, J. (2015). A role of insulin in different types of diabetes. International Journal of Current Microbiology and Applied Science, 4(1), 58–77. https://www.ijcmas.com/vol-4-1/Anuradha%20Gupta,%20et%20al.pdf

Jayaprakasam, B., Vareed, S. K., Olson, L. K., & Nair, M. G. (2005). Insulin secretion by bioactive anthocyanins and anthocyanidins present in fruits. Journal of Agricultural and Food Chemistry, 53(1), 28‒31. https://doi.org/10.1021/jf049018

Kemenkes. (2024, January 10). Time to organize the sweet. https://sehatnegeriku.kemkes.go.id/baca/blog/20240110/5344736/saatnya-mengatur-si-manis/

Liu, Y., Wang, Q., Wu, K., Sun, Z., Tang, Z., Li, X., & Zhang, B. (2023). Anthocyanins’ effects on diabetes mellitus and islet transplantation. Critical Reviews in Food Science and Nutrition, 63(33), 12102–12125. https://doi.org/10.1080/10408398.2022.2098464

Marín-Peñalver, J. J., Martín-Timón, I., Sevillano-Collantes, C., & Cañizo-Gómez, F. J. del. (2016). Update on the treatment of type 2 diabetes mellitus. World Journal of Diabetes, 7(17), 354. https://doi.org/10.4239/wjd.v7.i17.354

Martín, J., Navas, M. J., Jiménez-Moreno, A. M., & Asuero, A. G. (2017). Anthocyanin Pigments: Importance, Sample Preparation and Extraction. In Phenolic compounds - Natural sources, importance and applications. InTech. https://doi.org/10.5772/66892

Meidikayanti, W., & Wahyuni, C. U. (2017). Relationship between family support and quality of life in Type II diabetes mellitus at Pademawu community Health centre. Jurnal Berkala Epidemiologi, 5(2), 240–252 https://doi.org/10.20473/jbe.V5I22017.253-264

Mukhtar, Y., Galalain, A., & Yunusa, U. (2020). A modern overview on diabetes mellitus: A chronic endocrine disorder. European Journal of Biology, 5(2), 1–14. https://doi.org/10.47672/ejb.409

Qin, Y., Xia, M., Ma, J., Hao, Y. T., Liu, J., Mou, H. Y., Cao, L., & Ling, W. H. (2009). Anthocyanin supplementation improves serum LDL- and HDL-cholesterol concentrations associated with the inhibition of cholesteryl ester transfer protein in dyslipidemic subjects. American Journal of Clinical Nutrition, 90(3), 485–492. https://doi.org/10.3945/ajcn.2009.27814

Różańska, D., & Regulska-Ilow, B. (2018). The significance of anthocyanins in the prevention and treatment of type 2 diabetes. Advances in Clinical and Experimental Medicine, 27(1), 135–142. https://doi.org/10.17219/acem/64983

Scazzocchio, B., Varì, R., Filesi, C., D’Archivio, M., Santangelo, C., Giovannini, C., Iacovelli, A., Silecchia, G., Volti, G. L., Galvano, F., & Masella, R. (2011). Cyanidin-3-O-β-glucoside and protocatechuic acid exert insulin-like effects by upregulating PPARγ activity in human omental adipocytes. Diabetes, 60(9), 2234–2244. https://doi.org/10.2337/db10-1461

Solverson, P. (2020). Anthocyanin bioactivity in obesity and diabetes: The essential role of glucose transporters in the gut and periphery. Cells, 9(11),2515. https://doi.org/10.3390/cells9112515

Sun, H., Saeedi, P., Karuranga, S., Pinkepank, M., Ogurtsova, K., Duncan, B. B., Stein, C., Basit, A., Chan, J. C. N., Mbanya, J. C., Pavkov, M. E., Ramachandaran, A., Wild, S. H., James, S., Herman, W. H., Zhang, P., Bommer, C., Kuo, S., Boyko, E. J., & Magliano, D. J. (2022). IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes Research and Clinical Practice, 183, 109119. https://doi.org/10.1016/j.diabres.2021.109119

Tsuda, T., Ueno, Y., Yoshikawa, T., Kojo, H., & Osawa, T. (2006). Microarray profiling of gene expression in human adipocytes in response to anthocyanins. Biochemical Pharmacology, 8, 1184–1197. https://doi.org/10.1016/j.bcp.2005.12.042

Wallace, T. C., & Giusti, M. M. (2015). Anthocyanins. Advances in nutrition (Bethesda, Md.), 6(5), 620–622. https://doi.org/10.3945/an.115.009233

WHO. (2024, November 14). Diabetes. World Health Organisation. https://www.who.int/news-room/fact-sheets/detail/diabetes

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Published

01-09-2025

How to Cite

Gurusinga, D. A., Azhar, M., & Rahmania, T. A. (2025). ICOPMAP SPECIAL EDITION Anthocyanins: Potent natural warriors in the battle against diabetes. Pharmacy Education, 25(2), p. 27–31. https://doi.org/10.46542/pe.2025.252.2731