<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2 20190208//EN" "http://jats.nlm.nih.gov/publishing/1.2/JATS-journalpublishing1.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article" dtd-version="1.2" xml:lang="en">
    <front>
        <journal-meta>
            <journal-id journal-id-type="pmc">F1000Research</journal-id>
            <journal-title-group>
                <journal-title>F1000Research</journal-title>
            </journal-title-group>
            <issn pub-type="epub">2046-1402</issn>
            <publisher>
                <publisher-name>F1000 Research Limited</publisher-name>
                <publisher-loc>London, UK</publisher-loc>
            </publisher>
        </journal-meta>
        <article-meta>
            <article-id pub-id-type="doi">10.12688/f1000research.152293.2</article-id>
            <article-categories>
                <subj-group subj-group-type="heading">
                    <subject>Research Article</subject>
                </subj-group>
                <subj-group>
                    <subject>Articles</subject>
                </subj-group>
            </article-categories>
            <title-group>
                <article-title>
                    <italic>Uncaria nervosa Elme</italic>r, a new herbal source for betulinic acid and ursolic acid: Metabolites profiling, isolation, and in vitro cytotoxicity studies against T47D breast cancer</article-title>
                <fn-group content-type="pub-status">
                    <fn>
                        <p>[version 2; peer review: 2 approved]</p>
                    </fn>
                </fn-group>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Rahmawati</surname>
                        <given-names>Noveri</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <uri content-type="orcid">https://orcid.org/0009-0000-7746-2009</uri>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Ismail</surname>
                        <given-names>Nor Hadiani</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Formal Analysis</role>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <uri content-type="orcid">https://orcid.org/0000-0002-2374-4630</uri>
                    <xref ref-type="aff" rid="a2">2</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Wahyuni</surname>
                        <given-names>Fatma Sri</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <role content-type="http://credit.niso.org/">Visualization</role>
                    <uri content-type="orcid">https://orcid.org/0000-0002-2026-4156</uri>
                    <xref ref-type="aff" rid="a3">3</xref>
                </contrib>
                <contrib contrib-type="author" corresp="yes">
                    <name>
                        <surname>Hamidi</surname>
                        <given-names>Dachriyanus</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <xref ref-type="corresp" rid="c1">a</xref>
                    <xref ref-type="aff" rid="a3">3</xref>
                </contrib>
                <aff id="a1">
                    <label>1</label>Doctoral Program, Faculty of Pharmacy, Universitas Andalas, Padang, West Sumatra, Indonesia</aff>
                <aff id="a2">
                    <label>2</label>Faculty of Applied sciences, Universiti Teknologi MARA, Shah Alam, Selangor, 68100, Malaysia</aff>
                <aff id="a3">
                    <label>3</label>Faculty of Pharmacy, Universitas Andalas, Padang, West Sumatra, 25166, Indonesia</aff>
            </contrib-group>
            <author-notes>
                <corresp id="c1">
                    <label>a</label>
                    <email xlink:href="mailto:dachriyanus@phar.unand.ac.id">dachriyanus@phar.unand.ac.id</email>
                </corresp>
                <fn fn-type="conflict">
                    <p>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>15</day>
                <month>9</month>
                <year>2025</year>
            </pub-date>
            <pub-date pub-type="collection">
                <year>2024</year>
            </pub-date>
            <volume>13</volume>
            <elocation-id>923</elocation-id>
            <history>
                <date date-type="accepted">
                    <day>3</day>
                    <month>9</month>
                    <year>2025</year>
                </date>
            </history>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2025 Rahmawati N et al.</copyright-statement>
                <copyright-year>2025</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <self-uri content-type="pdf" xlink:href="https://f1000research.com/articles/13-923/pdf"/>
            <abstract>
                <title>Abstract</title>
                <sec>
                    <title>Background</title>
                    <p>

                        <italic toggle="yes">Uncaria nervosa</italic> Elmer is an Indonesian herbal plant that is traditionally used for breast cancer. The results of phytochemical screening contained alkaloids, flavonoids, and terpenoids in the ethanol extract of this plant. Based on literature searches, reports regarding the bioactive compounds responsible for breast cancer have not been found. Further research is needed to understand the potential of 
                        <italic toggle="yes">Uncaria nervosa</italic> Elmer as a breast cancer treatment and to identify the specific compounds responsible for its effects</p>
                </sec>
                <sec>
                    <title>Methods</title>
                    <p>This study aims to determine the metabolite profiling of ethanol extract, the isolation, characterization of bioactive compounds, and their bioactivity in T47D breast cancer cells. The research began by extracting the leaves by maceration using 70% ethanol, and then solid phase extraction was carried out using the solid phase extraction (SPE) method. In this study, the sorbent used was polyamide. The extract was analyzed using a tandem analysis technique based on LCMS using the MZmine and SIRIUS platforms. Isolation was carried out using column chromatography, and preparative recycling HPLC. Bioactive compounds were characterized using UV, HPLC, NMR, and 2D NMR, as well as bioactivity tests using the MTT method.</p>
                </sec>
                <sec>
                    <title>Results</title>
                    <p>The results show that the extract contained N-[(1,3-dimethyl-2,6-dioxo-7-prop-2-ynylpurin-8-yl) amino] formamide, N-(3-phenylbutyl)hexan-2-amine, 1,1-Dichloro-1-nitrosopropane, ceratodictyol, betulinic acid, ursolic acid, 7-methyl-N-[6-[(7-methyl-6-oxooctanoyl) amino] hexyl]-6-oxononanamide, nervisterol and 3,5,10-tris (acetyloxy)-2-hydroxy-4,14,16,16-tetramethyl-8-methylidene-13-oxo-15oxatetracyclo [9.4.1.0
                        <sup>1</sup>,
                        <sup>14</sup>.0
                        <sup>4</sup>,
                        <sup>9</sup>] hexadecan-7-yl 3-phenylprop-2-enoate. The ethanol extract of 
                        <italic toggle="yes">Uncaria nervosa</italic> Elmer leaves contains nine compounds consisting of alkaloids, terpenoids, and fatty acid. The bioactive compounds that were successfully isolated were betulinic acid, and ursolic acid, with IC
                        <sub>50</sub> values of &#x02c3;100 and 14,70&#x00b1;4,50 &#x03bc;g/ml, respectively. These compounds were reported in this plant for the first time.</p>
                </sec>
                <sec>
                    <title>Conclusion</title>
                    <p>Betulinic acid, and ursolic acid have been successfully isolated from leaves 
                        <italic toggle="yes">Uncaria nervosa</italic> Elmer, and ursolic acid have moderate cytotoxic activity on T47D breast cancer cells.</p>
                </sec>
            </abstract>
            <kwd-group kwd-group-type="author">
                <kwd>Isolation; cytotoxicity; LCMS/MS; T47D; Uncaria nervosa Elmer</kwd>
                <kwd>MZMine</kwd>
                <kwd>SIRIUS</kwd>
            </kwd-group>
            <funding-group>
                <award-group id="fund-1">
                    <funding-source>The Ministry of Education, Culture, Research and Technology through DRTPM DIKTI</funding-source>
                    <award-id>Grant-in-Aid115/E5/PG.02.00.PL/2023andderivatecontractnumberbyLPPMUnandNo.51/UN16.19/PT.01.03/2023.</award-id>
                </award-group>
                <funding-statement>This work was supported by the Ministry of Education, Culture, Research and Technology through DRTPM DIKTI Grant-in-Aid 115/E5/PG.02.00.PL/2023 and derivate contract number by LPPM Unand No. 51/UN16.19/PT.01.03/2023. </funding-statement>
                <funding-statement>
                    <italic>The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</italic>
                </funding-statement>
            </funding-group>
        </article-meta>
        <notes>
            <sec sec-type="version-changes">
                <label>Revised</label>
                <title>Amendments from Version 1</title>
                <p>In revision 2, I have completed the article according to the reviewer's suggestions. I have strengthened the background by adding literature related to the traditional use of plants. In the research methods, the amount of extract used and its yield are shown in Table 1, and an explanation of NMR has also been included in the research methods. A discussion of the use of ethanol extracts and fractions has also been added. The conclusion has been revised according to the reviewer's suggestions.</p>
            </sec>
        </notes>
    </front>
    <body>
        <sec id="sec5" sec-type="intro">
            <title>Introduction</title>
            <p>Breast cancer is cancer that forms in breast cells. This disease occurs in men and women, but women are more often affected by this disease. Breast cancer usually starts in the ductal carcinoma or lobular carcinoma of the breast. This disease spreads through the lymphatic system or bloodstream. Breast cancer is the most common cancer in women throughout the world, with incidence rates varying in each country. According to the World Health Organization (WHO), there were an estimated 2.3 million new cases of breast cancer diagnosed worldwide in 2020 (
                <xref ref-type="bibr" rid="ref26">Sung et al., 2021</xref>). One of the current treatments for breast cancer is chemotherapy. These side effects will be different for each person. The type of drug, dosage, length of time using the drug and the medical history of each individual are factors that greatly influence the side effects that will occur. The cancer treatment continues to develop rapidly and drug development continues, but this disease is still an evolutionary process. Cancer cells can adapt to the treatment given. Many studies have shown that natural products can kill cancer cells and also limit their proliferation by targeting several target molecules and genes in cancer cells (
                <xref ref-type="bibr" rid="ref19">Newman and Cragg, 2020</xref>; 
                <xref ref-type="bibr" rid="ref31">Zhu et al., 2022</xref>).</p>
            <p>Plants are a source of medicinal compounds, due to their ability to synthesize bioactive compounds, especially secondary metabolites (
                <xref ref-type="bibr" rid="ref11">Joshua et al., 2020</xref>). 
                <italic toggle="yes">Uncaria nervosa</italic> Elmer, commonly known as &#x201c;Akar Kaik Kaik&#x201d; is a plant species belonging to the genus 
                <italic toggle="yes">Uncaria</italic> within the family Rubiaceae. This botanical species is indigenous to Southeast Asia, particularly found in regions such as Indonesia, Malaysia, and the Philippines. 
                <italic toggle="yes">U. nervosa</italic> is renowned for its medicinal properties and has been an integral part of traditional herbal medicine practices in the region for centuries. 
                <italic toggle="yes">U. nervosa</italic> is a woody vine characterized by its distinctive climbing habit, with slender stems that can reach significant lengths as they twine around trees and other support structures in their natural habitat. The leaves are opposite, elliptical to lanceolate in shape, and possess prominent veins. The plant produces small, tubular flowers with whitish or yellowish hues, which eventually give rise to small fruits containing seeds (
                <xref ref-type="bibr" rid="ref5">Anonim, n.d.</xref>; 
                <xref ref-type="bibr" rid="ref18">Maulina et al., 2019</xref>).</p>
            <p>

                <italic toggle="yes">U. nervosa</italic> has been revered for its diverse medicinal properties and has been used by indigenous communities for various health purposes. In traditional herbal medicine, different parts of the plant, including the leaves, stems, and roots, are utilized to prepare decoctions, infusions, or poultices to address ailments such as fever, inflammation, digestive disorders, and respiratory conditions. Additionally, 
                <italic toggle="yes">U. nervosa</italic> has been valued for its purported benefits in promoting overall wellness and vitality. The pharmacological activities of 
                <italic toggle="yes">U. nervosa</italic> are attributed to its rich phytochemical composition, which includes alkaloids, flavonoids, phenolic compounds, tannins, and triterpenoids (
                <xref ref-type="bibr" rid="ref51">Ridho, 2023</xref>). Triterpenoid is a terpenoid, often having a pentacyclic or tetracyclic structure (
                <xref ref-type="bibr" rid="ref10">Hill and Connolly, 2020</xref>; 
                <xref ref-type="bibr" rid="ref13">Ling et al., 2022</xref>; 
                <xref ref-type="bibr" rid="ref20">Noushahi et al., 2022</xref>). Pentacyclic triterpenes consist of five isoprene units which are classified into lupane, oleanane, and ursane types (
                <xref ref-type="bibr" rid="ref8">El-Dawy et al., 2022</xref>; 
                <xref ref-type="bibr" rid="ref12">Kaps et al., 2021</xref>; 
                <xref ref-type="bibr" rid="ref29">Yanlin Li, Jing Wang, Linyong Li, Wenhui Song, Min Li, Xin Hua, Yu Wang, Jifeng Yuan, 2023</xref>). These compounds have a wide spectrum of pharmacological properties including, cardiovascular activities, antioxidant, antimicrobial, antiviral, antidiabetic, anti-inflammatory, anti-ulcerogenic, anti-obesity, anti-aging, analgesic, immunomodulatory, hypolipidemic, neuroprotective, hepatoprotective, and anticancer (
                <xref ref-type="bibr" rid="ref2">Adham et al., 2020</xref>; 
                <xref ref-type="bibr" rid="ref7">Chooluck et al., 2021</xref>; 
                <xref ref-type="bibr" rid="ref27">Wang et al., 2020</xref>). Research on the isolation and cytotoxic activity of 
                <italic toggle="yes">U. nervosa</italic> has not been widely explored. The cytotoxic activity of ethanol extract of 
                <italic toggle="yes">U. nervosa</italic> leaves on T47D breast cancer cells has been reported by previous researchers where the IC
                <sub>50</sub> value was obtained at 64.42 &#x03bc;g/ml (
                <xref ref-type="bibr" rid="ref50">Rahmawati et al., 2023</xref>). In this study, the metabolites profiling of ethanol extract was determined using LCMS/MS, isolation using column chromatography and preparative recycling HPLC and cytotoxic testing of T47D breast cancer cells using the MTT method.</p>
        </sec>
        <sec id="sec6" sec-type="methods">
            <title>Methods</title>
            <p>

                <italic toggle="yes">U. nervosa</italic> Elmer plant obtained from the Kampar Forest, Riau, Indonesia. The plant was identified in the ANDA Herbarium, Andalas University, Padang with voucher number NR-04. The chemicals used are ethanol (Merck 1.00983.2500), methanol (Merck 1.06007.4000), acetonitrile (Merck, 1000304000), n-hexane (Merck 1.04367.2500), ethyl acetate (Merck 1.09623.1000), butanol (Merck 1.01990.1000), DMSO, cells T47D, phosphate buffered saline (PBS) (Sigma, P5119), culture media, 20% MTT solution 3-(4,5-dimethylhiazolyl-2,5-diphenyltetrazolium bromide (Merck, M2003).</p>
            <p>The equipment used were LCMS/MS (Thermo Scientific
                <sup>TM</sup> Orbitrap Fushion
                <sup>TM</sup> mass spectrometer), recycling preparative HPLC (Japan analytical industry
                <sup>TM</sup>), column Jaigel-ODS-AP.SP-120-15 20x250 mm, liquid nitrogen tank, 96 hole microplate, hemocytometer, biosafety cabinet (Faster), micropipettes (10, 20, 200, 1000 &#x03bc;L), culture flask, 1.5 mL centrifuge tube, inverted/phase contrast microscope (Olympus), centrifugator, CO2 incubator, spectrophotometric microplate reader (Thermo), ELISA reader, Laminar Air Flow and FACS-Calibur.</p>
            <sec id="sec7">
                <title>Crude extraction and liquid-liquid fractionation</title>
                <p>

                    <italic toggle="yes">U. nervosa</italic> dry leaves (1.932 g) leaves were macerated using the 2000 ml ethanol (Merck 1.00983.2500). The ethanol extract was fractionated using a separating funnel starting with 500 ml n-hexane (Merck 1.04367.2500), 500 ml ethyl acetate (Merck 1.09623.1000), and 500 ml butanol (Merck 1.01990.1000) as solvents. The three fractions were thickened using a rotary evaporator. The ethyl acetate fraction was selected to continue the isolation process.</p>
            </sec>
            <sec id="sec8">
                <title>Metabolites profiling of ethanol extract</title>
                <p>

                    <bold>Ultra-High-Performance Liquid Chromatography (UHPLC)</bold>
                </p>
                <p>The ethanol extract (20 mg) was cleaned up using SPE-polyamide and obtained 5.7 mg (28.5% recovery). SPE is carried out by rinsing using 3 ml methanol (Merck 1.06007.4000) and a conditioning process with water which aims to eliminate interference in the sample (2:98, v/v). The sample was filtered with a 0.45 &#x03bc;m UHPLC filter, then placed in an HPLC vial. The crude was transferred to the Eppendorf tube and dissolved in 1 mL of solvent mixture (80% methanol and 20% water). The tube was sonicated and the solution was filtered (0.22 &#x03bc;m) then put into an HPLC bottle. The stationary phase used was a Luna Omega C18 column (100 x 2.1 mm, 1.6 &#x03bc;m) with a diode array detector (DAD). The sample injected was 1 &#x03bc;L, the column temperature was 30&#x00b0;C, and the system flow rate was 0.28 mL/minute. Elution was carried out using deionized water (% A) and the organic solvent, acetonitrile (Merck, 1000304000), (% B) and solvent system: 0-30 minutes (5-100% B) and 30-40 minutes (100% B) (
                    <xref ref-type="bibr" rid="ref4">Ammar et al., 2024</xref>).</p>
                <p>

                    <bold>Liquid Chromatography Mass Spectrometry (LCMS)</bold>
                </p>
                <p>LCMS analysis at a temperature of 30 &#x00b0;C. The sample (1000 ppm), was dissolved in a mixture of methanol and water, then injected 1 &#x03bc;L and the flow rate was set to 0.2 mL/min. LCMS grade water (% A) and methanol (% B) were used in the analysis, with elution systems of 0-30 minutes (10-100% B) and 30-35 minutes (100% B). The samples were filtered using positive ionization mode and analyzed using multistage mass spectrometry (MS/MS) data analysis. The ethanol extract data processing was carried out using the MZmine platform and compound identification using the Sirius platform (
                    <xref ref-type="bibr" rid="ref22">Pang et al., 2024</xref>; 
                    <xref ref-type="bibr" rid="ref30">Zheng et al., 2023</xref>).</p>
            </sec>
            <sec id="sec9">
                <title>Isolation and elucidation of bioactive compound</title>
                <p>The ethyl acetate fraction was weighed as much as 20 g, preabsorbed using silica gel and then put into a chromatography column. The fraction was eluted using a step gradient polarity system solvent, using n-hexane 250 mL (Merck 1.04367.2500), ethyl acetate 250 mL (Merck 1.09623.1000), and methanol 250 mL (Merck 1.06007.4000). There were 11 sub-fractions obtained and the one that was continued for purification was sub-fraction E (HE 5:5). Purification was carried out using recycling preparative HPLC with 1000 ml acetonitrile (Merck, 1000304000) and distilled water as eluents (98:2) (
                    <xref ref-type="bibr" rid="ref4">Ammar et al., 2024</xref>). Elucidation of the structure of the isolated compound was carried out using a mass spectrometer, 1H- and 1D and 2D-NMR. Samples for NMR (nuclear magnetic resonance) experiments were performed in DMSO solvent, analyzed using NMR Bruker 500 MHz for 1H and NMR 125 MHz for 13 C NMR.</p>
            </sec>
            <sec id="sec10">
                <title>Cytotoxic assay against T47D cells</title>
                <p>

                    <bold>Cell lines and culture condition</bold>
                </p>
                <p>T47D breast cancer cells are a collection of the Cancer Chemoprevention Research Center (CCRC) Gajah Mada University (UGM) Indonesia. T47D cancer cells were taken from the liquid nitrogen tank in a sterile manner, and then the cancer cells in a cyro tube were thawed over a wet bath at a temperature of 37&#x00b0;C for 2-3 minutes. Cancer cells were transferred into a falcon tube containing 9 mL of DMEM and centrifuged at 2000 rpm (10 minutes). The supernatant was removed by pipetting it, leaving a layer of pellets. Next, 2 mL of medium was added to the pellet layer and transferred into a flask, then incubated in a 5% CO
                    <sub>2</sub> incubator at 37&#x00b0;C for 3-4 hours. The flask was observed under an inverted microscope to see whether the cells adhered to the bottom of the flask and formed a monolayer. The growth medium was changed once every two days, and when the number of cells in the flask reached 70-85% confluent, cell sub-culture was carried out.</p>
                <p>

                    <bold>Cell seeding</bold>
                </p>
                <p>Cell of suspension (180 &#x03bc;L) was made in cell suspension medium, and put into each well except the wells in the first and last columns and the first and last row. The first and last columns, as well as the first and last rows, are blanks, which only contain 200 &#x03bc;L of medium, while the second and seventh columns are controls, which contain 200 &#x03bc;L of cell suspension. Incubate in a 5% CO
                    <sub>2</sub> incubator at 37&#x00b0;C for 24 hours.</p>
            </sec>
            <sec id="sec11">
                <title>Cytotoxicity assay</title>
                <p>Determination of cytotoxic activity was carried out on betulinic acid, ursolic acid and doxorubicin. The 96-well plate, which contains 180 &#x03bc;L of cell suspension and has been incubated for 24 hours, is removed from the incubator. The test solution (20 &#x03bc;L) for each concentration of 0.1-67 &#x03bc;g/mL was transferred into each well except the control well and blank well to obtain a test solution with a concentration of 100, 10, 1, and 0.1 &#x03bc;g/mL. The 96-well plate was again incubated for 48 hours in a 5% CO
                    <sub>2</sub> incubator at 37&#x00b0;C. After that, the medium was discarded, then 100 &#x03bc;L of PBS (Sigma, P5119) was added to each well, and the PBS was removed by pipetting. 100 &#x03bc;L of 0.5 mg/mL MTT (Merck, M2003) solution was pipetted into each well and incubated for 4 hours in a 5% CO
                    <sub>2</sub> incubator at 37&#x00b0;C. After 4 hours, a purple precipitate of formazan crystals will form. Then the cell condition is observed using an inverted microscope. The MTT reagent is discarded, so that what remains is only a purple precipitate of formazan crystals. The precipitate in each well was dissolved in 100 &#x03bc;L of DMSO, and its absorbance was measured using an ELISA reader spectrophotometer at &#x03bb; 550 nm. Based on the absorbance value between the sample and control cells, the % viability value can be determined. The data is processed using graphPad prism software to obtain the IC
                    <sub>50</sub> value. The cytotoxicity results for the chemicals strong cytotoxicity: IC
                    <sub>50</sub>&lt;4 &#x03bc;g/mL (or IC
                    <sub>50</sub>&lt;10 &#x03bc;M); moderate cytotoxicity: 4 &#x03bc;g/mL&lt; IC
                    <sub>50</sub>&lt;20 &#x03bc;g/mL (or 10 &#x03bc;M&lt; IC
                    <sub>50</sub>&lt;50 &#x03bc;M); low cytotoxicity: 20 &#x03bc;g/mL&lt; IC
                    <sub>50</sub>&lt;100 &#x03bc;g/mL (or 50 &#x03bc;M&lt; IC
                    <sub>50</sub>&lt;250 &#x03bc;M); no cytotoxicity: IC
                    <sub>50</sub>&gt;100 &#x03bc;g/mL (or IC
                    <sub>50</sub>&gt;250 &#x03bc;M) (
                    <xref ref-type="bibr" rid="ref6">Bonsou et al., 2022</xref>).</p>
            </sec>
            <sec id="sec12">
                <title>Statistical analysis</title>
                <p>Data analysis of extract metabolites profiles and structure elucidation in the form of tables, graphs and images. IC
                    <sub>50</sub> values of samples and controls were determined using statistical analysis 
                    <ext-link ext-link-type="uri" xlink:href="http://prism.exe">GraphPad Prism Software V 9.0.0</ext-link> (GraphPad Software LLC).</p>
            </sec>
        </sec>
        <sec id="sec13" sec-type="results">
            <title>Results</title>
            <sec id="sec1.7">
                <title>Crude extraction and liquid-liquid fractionation</title>
                <p>The leaves of 
                    <italic toggle="yes">Uncaria nervosa</italic> Elmer were extracted using the maceration method. A total of 1,932 g of dried leaves were soaked in 70% ethanol, producing 514 g of extract with a yield of 26.6%. Etanol extract (261.75 g) was further separated using solvents of increasing polarity, n-hexane, ethyl acetate, and butanol and resulting in fractions weighing 10.15 g, 31.34 g, and 19.21 g, respectively (
                    <xref ref-type="table" rid="T1">Table 1</xref>).</p>
                <table-wrap id="T1" orientation="portrait" position="float">
                    <label>Table 1. </label>
                    <caption>
                        <title>Yield of ethanol extract and fractions.</title>
                    </caption>
                    <table content-type="article-table" frame="hsides">
                        <thead>
                            <tr>
                                <th align="left" colspan="1" rowspan="1" valign="top">Sample</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">
Yield (%)</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Ethanol extract</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">26.60</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">n-Hexane fraction</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">3.88</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Ethyl acetate fraction</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">11.97</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Butanol fraction</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">7.34</td>
                            </tr>
                        </tbody>
                    </table>
                </table-wrap>
            </sec>
            <sec id="sec14">
                <title>Metabolites profiling of ethanol extract</title>
                <p>Determination of the metabolite profile of ethanol extract begins with the clean-up process of ethanol extract using the solid phase extraction (SPE) method. After the clean-up is complete, the extract is prepared for chromatogram determination using UHPLC. The chromatogram profile was monitored under a UV 254 lamp (
                    <xref ref-type="fig" rid="f1">
Figure 1</xref>). The extract was prepared to determine the metabolite profile using LCMS. Raw data obtained from the instrument is processed by carrying out data conversion, data processing and metabolite annotation using the Sirius platform. In the ethanol extract, it is predicted that there are 9 compounds (
                    <xref ref-type="fig" rid="f2">
Figure 2</xref>, 
                    <xref ref-type="table" rid="T2">
Table 2</xref>), contained N-[(1,3-dimethyl-2,6-dioxo-7-prop-2-ynylpurin-8-yl) amino] formamide, N-(3-phenylbutyl) hexan-2-amine, 1,1-Dichloro-1-nitrosopropane, ceratodictyol, betulinic acid, ursolic acid, 7-methyl-N-[6-[(7-methyl-6-oxooctanoyl) amino] hexyl]-6-oxononanamide, nervisterol and 3,5,10-tris (acetyloxy)-2-hydroxy-4,14,16,16-tetramethyl-8-methylidene-13-oxo-15oxatetracyclo [9.4.1.0
                    <sup>1</sup>,
                    <sup>14</sup>.0
                    <sup>4</sup>,
                    <sup>9</sup>] hexadecan-7-yl 3-phenylprop-2-enoate.</p>
                <fig fig-type="figure" id="f1" orientation="portrait" position="float">
                    <label>
Figure 1. </label>
                    <caption>
                        <title>Chromatogram of ethanol extract of 
                            <italic toggle="yes">U. nervosa</italic> leaves at UV 254 nm.</title>
                    </caption>
                    <graphic id="gr1" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/186569/2056e665-6345-4f0e-bd52-bb8d25d56bd1_figure1.gif"/>
                </fig>
                <fig fig-type="figure" id="f2" orientation="portrait" position="float">
                    <label>
Figure 2. </label>
                    <caption>
                        <title>Base peak chromatogram of ethanol extract of the leaves of 
                            <italic toggle="yes">U. nervosa.</italic>
</title>
                    </caption>
                    <graphic id="gr2" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/186569/2056e665-6345-4f0e-bd52-bb8d25d56bd1_figure2.gif"/>
                </fig>
                <table-wrap id="T2" orientation="portrait" position="float">
                    <label>
Table 2. </label>
                    <caption>
                        <title>Predicted compounds from the ethanol extract of the leaves of 
                            <italic toggle="yes">U. nervosa.</italic>
</title>
                    </caption>
                    <table content-type="article-table" frame="hsides">
                        <thead>
                            <tr>
                                <th align="left" colspan="1" rowspan="1" valign="top">Peak</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">RT (min)</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Compound identification</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Molecular formula</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Precursor ion (m/z)</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">
MS/MS fragmentation</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Group</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">
Sirius similarity (%)</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">1</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">1.09</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">N-[(1,3-dimethyl-2,6-dioxo-7-prop-2-ynylpurin-8-yl) amino] formamide</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">C
                                    <sub>11</sub>H
                                    <sub>12</sub>N
                                    <sub>6</sub>O
                                    <sub>3</sub>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">277.10</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">139.01, 121.05</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Alkaloid</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">61</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">2</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">1.76</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">N-(3-phenylbutyl) hexan-2-amine</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">C
                                    <sub>16</sub>H
                                    <sub>27</sub>N</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">234.22</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">205.18, 204.17, 190.15, 177.15, 163.13, 176.14, 162.12, 149.11, 148.11</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Alkaloid</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">99</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">3</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">2.09</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">1,1-Dichloro-1-nitrosopropane</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">C
                                    <sub>3</sub>H
                                    <sub>5</sub>Cl
                                    <sub>2</sub>NO</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">141.98</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">113.96, 100.95, 97.96</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Fatty acid</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">99</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">4</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">7.85</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Ceratodictyol</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">C
                                    <sub>19</sub>H
                                    <sub>38</sub>O
                                    <sub>4</sub>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">331,28</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">257.24, 239.23, 221.22</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Fatty acid</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">100</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">5</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">9.00</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Betulinic acid</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">C
                                    <sub>30</sub>H
                                    <sub>48</sub>O
                                    <sub>3</sub>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">455.33</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">453.77, 353.67, 99.46</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Triterpenoid</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">70</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">6</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">9.57</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Ursolic acid</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">C
                                    <sub>30</sub>H
                                    <sub>48</sub>O
                                    <sub>3</sub>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">455.65</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">450.54, 407.67, 345.45, 316.83, 187.46</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Triterpenoid</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">100</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">7</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">9.86</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">7-methyl-N-[6-[(7-methyl-6-oxooctanoyl) amino] hexyl]-6-oxononanamide</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">C
                                    <sub>25</sub>H
                                    <sub>46</sub>N
                                    <sub>2</sub>O
                                    <sub>4</sub>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">439.35</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">394.35, 270.22, 269.22, 244.21, 242.19, 243.20, 241.19</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Diterpenoid</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">100</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">8</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">10.66</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Nervisterol</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">C
                                    <sub>30</sub>H
                                    <sub>48</sub>O</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">425.37</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">407.36, 131.08, 95.08</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Triterpenoid</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">100</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">9</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">11.38</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">3,5,10-tris (acetyloxy)-2-hydroxy-4,14,16,16-tetramethyl-8-methylidene-13-oxo-15oxatetracyclo[9.4.1.0
                                    <sup>1</sup>,
                                    <sup>14</sup>.0
                                    <sup>4</sup>,
                                    <sup>9</sup>]hexadecan-7-yl 3-phenylprop-2-enoate</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">C
                                    <sub>30</sub>H
                                    <sub>48</sub>O
                                    <sub>12</sub>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">639.28</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">621.27, 595.28, 579.26</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Triterpenoid</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">59</td>
                            </tr>
                        </tbody>
                    </table>
                </table-wrap>
            </sec>
            <sec id="sec15">
                <title>Isolation and structural elucidation of the isolated compounds</title>
                <p>The ethanol extract of 
                    <italic toggle="yes">U. nervosa</italic> Elmer was separated using a fractionation method using n-hexane, ethyl acetate, and butanol as solvents. The isolation process was carried out on the ethyl acetate fraction using column chromatography. The column chromatography results obtained 11 subfractions, and based on monitoring the stain pattern using thin layer chromatography, the isolation was directed to subfraction E. The HPLC chromatogram of subfraction E can be seen in 
                    <xref ref-type="fig" rid="f3">
Figure 3</xref>.</p>
                <fig fig-type="figure" id="f3" orientation="portrait" position="float">
                    <label>
Figure 3. </label>
                    <caption>
                        <title>HPLC profile of 
                            <italic toggle="yes">U. nervosa</italic> Elmer subfraction E.</title>
                    </caption>
                    <graphic id="gr3" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/186569/2056e665-6345-4f0e-bd52-bb8d25d56bd1_figure3.gif"/>
                </fig>
                <p>The isolation process for subfraction E was continued using a recycling preparative HPLC instrument, where the subfraction was dissolved in methanol and water using a C-18 column. The results of preparative HPLC recycling obtained six pure compounds (
                    <xref ref-type="fig" rid="f4">
Figure 4</xref>), and those that were elucidated were UnE-3 and UnE-4. Compounds Un-E-3 and UnE-4 were monitored by 1H and 13 C NMR, 1D NMR, and 2D NMR (
                    <xref ref-type="fig" rid="f5">
Figures 5</xref>, 
                    <xref ref-type="fig" rid="f6">6</xref>, 
                    <xref ref-type="fig" rid="f7">7</xref>, 
                    <xref ref-type="fig" rid="f8">8</xref>). The compounds that have been isolated are betulinic acid (UnE-3) and ursolic acid (UnE-4), with chemical structures as shown in 
                    <xref ref-type="fig" rid="f9">
Figure 9</xref>.</p>
                <fig fig-type="figure" id="f4" orientation="portrait" position="float">
                    <label>
Figure 4. </label>
                    <caption>
                        <title>Six pure compounds from subfraction E.</title>
                    </caption>
                    <graphic id="gr4" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/186569/2056e665-6345-4f0e-bd52-bb8d25d56bd1_figure4.gif"/>
                </fig>
                <fig fig-type="figure" id="f5" orientation="portrait" position="float">
                    <label>
Figure 5. </label>
                    <caption>
                        <title>1H NMR compound UnE-3.</title>
                    </caption>
                    <graphic id="gr5" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/186569/2056e665-6345-4f0e-bd52-bb8d25d56bd1_figure5.gif"/>
                </fig>
                <fig fig-type="figure" id="f6" orientation="portrait" position="float">
                    <label>
Figure 6. </label>
                    <caption>
                        <title>1H NMR compound UnE-4.</title>
                    </caption>
                    <graphic id="gr6" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/186569/2056e665-6345-4f0e-bd52-bb8d25d56bd1_figure6.gif"/>
                </fig>
                <fig fig-type="figure" id="f7" orientation="portrait" position="float">
                    <label>
Figure 7. </label>
                    <caption>
                        <title>13 C NMR compound UnE-3.</title>
                    </caption>
                    <graphic id="gr7" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/186569/2056e665-6345-4f0e-bd52-bb8d25d56bd1_figure7.gif"/>
                </fig>
                <fig fig-type="figure" id="f8" orientation="portrait" position="float">
                    <label>
Figure 8. </label>
                    <caption>
                        <title>13 C NMR compound UnE-4.</title>
                    </caption>
                    <graphic id="gr8" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/186569/2056e665-6345-4f0e-bd52-bb8d25d56bd1_figure8.gif"/>
                </fig>
                <fig fig-type="figure" id="f9" orientation="portrait" position="float">
                    <label>
Figure 9. </label>
                    <caption>
                        <title>The structure of betulinic acid (A) and ursolic acid (B).</title>
                    </caption>
                    <graphic id="gr9" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/186569/2056e665-6345-4f0e-bd52-bb8d25d56bd1_figure9.gif"/>
                </fig>
            </sec>
            <sec id="sec16">
                <title>Cytotoxic activity betulinic acid and ursolic acid against T47D cells</title>
                <p>The cytotoxic activity of betulinic acid (BA) and ursolic acid (UA) on human breast cancer cells (T47D) was determined using the MTT method. As a positive control, the reference standard doxorubicin was used (
                    <xref ref-type="bibr" rid="ref42">Numonov et al., 2020</xref>). Doxorubicin is one of the most widely used chemotherapy agents in the treatment of breast cancer. The results of the cytotoxic test showed that the IC
                    <sub>50</sub> values for UA and doxorubicin were 14.70 &#x00b1; 4.50 &#x03bc;g/ml and 0.15 &#x00b1; 0.02, respectively. The IC
                    <sub>50</sub> value for BA was not determined because the % viability at the highest concentration tested (53 &#x03bc;g/ml) was greater than 50%. The % viability values of UA and doxorubicin can be seen in 
                    <xref ref-type="fig" rid="f10">
Figures 10</xref> and 
                    <xref ref-type="fig" rid="f11">11</xref>.</p>
                <fig fig-type="figure" id="f10" orientation="portrait" position="float">
                    <label>
Figure 10. </label>
                    <caption>
                        <title>Graph of ursolic acid concentration (&#x03bc;g/ml) and % viability of T47D cells.</title>
                    </caption>
                    <graphic id="gr10" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/186569/2056e665-6345-4f0e-bd52-bb8d25d56bd1_figure10.gif"/>
                </fig>
                <fig fig-type="figure" id="f11" orientation="portrait" position="float">
                    <label>
Figure 11. </label>
                    <caption>
                        <title>Graph of doxorubicin concentration (&#x03bc;g/ml) and % viability of T47D cells.</title>
                    </caption>
                    <graphic id="gr11" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/186569/2056e665-6345-4f0e-bd52-bb8d25d56bd1_figure11.gif"/>
                </fig>
            </sec>
        </sec>
        <sec id="sec17" sec-type="discussion">
            <title>Discussion</title>
            <p>This research began with the preparation of ethanol extract from 
                <italic toggle="yes">U. nervosa</italic> Elmer leaves. Ethanol was chosen as a solvent because ethanol is a polar solvent (lower polarity than water) so that it can attract bioactive compounds found in 
                <italic toggle="yes">U. nervosa</italic> Elmer leaves such as alkaloids, flavonoids, and phenolics which can be extracted more optimally with ethanol (
                <xref ref-type="bibr" rid="ref52">Lin et al., 2020</xref>). Determining the metabolite profile of the extract begins with clean-up of the ethanol extract using the Solid Phase Extraction method (SPE). The extraction method that can be used for the analysis, separation, and purification of samples in the industrial, pharmaceutical, and toxicological fields. In this research, a cartridge containing a polyamide stationary phase was used. The stages carried out are conditioning, equilibration, sample loading, elution, evaporation of solvent, and yield recovery (
                <xref ref-type="bibr" rid="ref1">Abd Karim et al., 2022</xref>; 
                <xref ref-type="bibr" rid="ref9">Farr&#x00e9;-Segura et al., 2022</xref>). Samples that have been cleaned up are prepared to determine the UHPLC profile and observed at 254 nm. In the chromatogram, it can be seen that in the ethanol extract, there are polar compounds with higher peaks than semi-polar and non-polar compounds. The metabolite profile of the ethanol extract was determined using LCMS/MS.</p>
            <p>The ethanol extract data processing was carried out using the MZmine platform and compound identification using the Sirius platform (
                <xref ref-type="bibr" rid="ref22">Pang et al., 2024</xref>; 
                <xref ref-type="bibr" rid="ref30">Zheng et al., 2023</xref>). The ethanol extract is predicted to contain 9 compounds consisting of alkaloids, terpenoids, and fatty acids among them N-[(1,3-dimethyl-2,6-dioxo-7-prop-2-ynylpurin-8-yl) amino] 
formamide, N-(3-phenylbutyl) hexan-2-amine, 1,1-dichloro-1-nitrosopropane, ceratodictyol, betulinic acid, ursolic acid, 7-methyl-N-[6-[(7-methyl-6-oxooctanoyl) amino] hexyl]-6-oxononanamide, nervisterol, and 3,5,10-tris (acetyloxy)-2-hydroxy-4,14,16,16-tetramethyl-8-methylidene-13-oxo-15oxatetracyclo [9.4.1.0
                <sup>1</sup>,
                <sup>14</sup>.0
                <sup>4</sup>,
                <sup>9</sup>] hexadecan-7-yl 3-phenylprop-2-enoate. Based on the compounds predicted in the ethanol extract, there are 2 compounds that have been found in other species but have only just been discovered in this species, namely BA and UA. These two compounds are reported to have cytotoxic activity on several cancer cell (
                <xref ref-type="bibr" rid="ref3">Alam et al., 2021</xref>; 
                <xref ref-type="bibr" rid="ref14">Lou et al., 2021</xref>).</p>
            <p>Ethanol extract was fractionated using n-hexane, ethyl acetate and butanol solvents. Furthermore, the isolation process was carried out on the ethyl acetate fraction. The ethyl acetate fraction was chosen because it contains semi-polar compounds, such as flavonoids, phenolics, alkaloids, certain terpenoids, and glycosides. Many bioactive compounds from plants that have the potential to be anticancer are in this polarity range, so they are more widely distributed in the ethyl acetate fraction (
                <xref ref-type="bibr" rid="ref55">Zhang et al., 2021</xref>). The separation of ethyl acetate fractions was carried out using column chromatography, a separation technique based on adsorption events. This method allows for the separation of a sample in the form of a mixture weighing several grams (
                <xref ref-type="bibr" rid="ref53">Koseki et al., 2025</xref>).</p>
            <p>Ethyl acetate fraction, preadsorbed using silica gel. The elution system used is an elution system with graded polarity. The eluent comparison starts from non-polar solvents (n-hexane), semi-polar (ethyl acetate) to polar solvents (methanol). The eluent will be increased in polarity if the band that descends with the previous eluent has all been eluted and collected in a vial. The results of column chromatography are collected in a vial and allowed to evaporate. Vials with the same TLC stain pattern are combined and 11 subfractions are obtained which are labeled SF A, SF B, SF C, SF D, SF E, SF F, SF G, SF H, SF I, SF J and SF K. Based on the separation pattern and the number of subfractions available, subfraction E is selected to proceed to the isolation stage. Purification of subfraction E was carried out using a recycling preparative HPLC instrument. The results of the purification of subfraction E, obtained 6 isolates and were labeled UnE-1, UnE-2, UnE-3, UnE-4, UnE-5 and UnE-6 (
                <xref ref-type="bibr" rid="ref54">Pereda &amp; G&#x00f3;mez, 2024</xref>). UnE-1, UnE-2, UnE-5 and UnE-6 were obtained in small amounts so that structure elucidation was not carried out.</p>
            <p>The UnE-3 compound that has been isolated is a white powder. The molecular formula (C
                <sub>30</sub>H
                <sub>48</sub>O
                <sub>3</sub>) has an M/Z of 456,684 MS (-mode) along with its 1H NMR and 13C NMR spectral data. The compound has a UV spectrum that only has one peak at a maximum absorption of 195.18 nm. This indicates that this compound does not have a conjugated chromophore. To support the UV data, 1D NMR analysis (1H, 13C, and APT NMR in DMSO as well as 2D (HSQC and HMBC) solvent) was carried out. 13C NMR, 125 MHz analysis was carried out to see the total number of carbons. 30 signals were seen, which were divided into 4 types. chemical shift, namely 1 signal at &#x03b4;C 177.72 ppm carbonyl area, 2 signals at &#x03b4;C 150.79 and 110.10 ppm sp2 area, 1 signal at &#x03b4;C 77.26 ppm, and the remaining 26 signals in sp3 area. From the results of the analysis of all spectroscopic data and comparison with the literature, it can be concluded that this compound is classified as a pentacyclic triterpenoid, which has the name betulinic acid (
                <xref ref-type="bibr" rid="ref23">Rahmawati et al., 2024a</xref>).</p>
            <p>BA is a pentacyclic triterpenoid compound and in 
                <italic toggle="yes">U. nervosa</italic> leaves, it is the first to be reported. BA is a naturally occurring compound found primarily in the bark of certain trees, particularly in the white birch tree (
                <italic toggle="yes">Betula alba</italic>). However, it&#x2019;s not present in high concentrations in most plants. Apart from white birch, BA has also been found in other plants such as white or silver birch (
                <italic toggle="yes">Betula pendula</italic>), sweet birch (
                <italic toggle="yes">Betula lenta</italic>), yellow birch (
                <italic toggle="yes">Betula alleghaniensis</italic>), white lupin (
                <italic toggle="yes">Lupinus albus</italic>), 
                <italic toggle="yes">Syzygium</italic> species (
                <xref ref-type="bibr" rid="ref21">Pai and Joshi, 2014</xref>), 
                <italic toggle="yes">Paronema canescens</italic> (
                <xref ref-type="bibr" rid="ref40">Muharni et al., 2021</xref>), 
                <italic toggle="yes">Feretia canthioides</italic> (
                <xref ref-type="bibr" rid="ref33">Egbubine et al., 2020</xref>), and 
                <italic toggle="yes">Tetracarpidium conophorum</italic> (
                <xref ref-type="bibr" rid="ref36">Kelly et al., 2021</xref>).</p>
            <p>The second compound that has been isolated is UnE-4, which is a white powder and has the molecular formula (C
                <sub>30</sub>H
                <sub>48</sub>O
                <sub>3</sub>) with m/z 456.66. This compound has a UV spectrum that only has one peak at a maximum absorption of 195.18 nm. This indicates that this compound does not have a conjugated chromophore. Furthermore, to support the UV data, 1D (1H and 13C NMR in DMSO solvent) and 2D (HMBC) NMR analysis was carried out. 13C NMR analysis, 125 MHz was carried out to see the total number of carbons which showed 30 signals which were divided into 4 types of chemical shifts, namely 1 signal at &#x03b4;C 178.75 ppm carbonyl area, 2 signals at &#x03b4;C 138.66 and 125.04 ppm sp2 area, 1 signal at &#x03b4;C 77.29 ppm and the remaining 26 signals in the sp3 area.</p>
            <p>The 1H-NMR spectrum, 500 MHz there are several specific signals such as two hydroxy protons whose chemical environments are very different, namely at &#x03b4;H 11.93 (s, 1H) which usually bonds directly with the carbon sp2 carbonyl at C-28 while &#x03b4;H 4.29 (d, 1H) possibly binding to the sp3 carbon of methine at C-3. One sp2 area proton signals at &#x03b4;H 5.13 (t, J = 3.25 Hz, 1H) and the rest are aliphatic protons. HMBC data shows a long between H-24 and C-3 which confirms the position of the hydroxy methine which is in ring A. Furthermore, a long between H-27 and C-13 which turns off its position splits rings C and D. Based on Index calculations of Hydrogen Deficiency (IHD) obtained a value of 7 which is in good agreement with NMR data where 5 IHD comes from rings and 2 IHD from double bonds. From the results of the analysis of all spectroscopic data and comparison with the literature, it can be concluded that this compound is classified as a pentacyclic triterpenoid which has the name ursolic acid. UA has reportedly been isolated from several plants including 
                <italic toggle="yes">Salvia officinalis</italic> (
                <xref ref-type="bibr" rid="ref35">Jedin&#x00e1;k et al., 2006</xref>), 
                <italic toggle="yes">Apples</italic> peels (
                <xref ref-type="bibr" rid="ref48">Yamaguchi et al., 2008</xref>), 
                <italic toggle="yes">Arbutus pavarii</italic> (
                <xref ref-type="bibr" rid="ref34">Groshi et al., 2022</xref>), and 
                <italic toggle="yes">Uncaria macrophylla</italic> (
                <xref ref-type="bibr" rid="ref47">Sun et al., 2012</xref>).</p>
            <p>Compounds that have been isolated from the ethanol extract of 
                <italic toggle="yes">U. nervosa</italic> Elmer leaves are BA and UA. These two compounds were subjected to a cytotoxic test on T47D breast cancer cells using the MTT method and doxorubicin was used as a positive control. The test results show that ursolic acid has strong activity when compared with betulinic acid. The IC
                <sub>50</sub> values for ursolic acid and doxorubicin were 14.70 &#x00b1; 4.50 &#x03bc;g/ml and 0.15 &#x00b1; 0.02, respectively (
                <xref ref-type="bibr" rid="ref24">Rahmawati et al., 2024b</xref>). BA and UA are the active compounds of pentacyclic triterpenoids which is a triterpene acid that is found in various fruits, vegetables and medicinal plants (
                <xref ref-type="bibr" rid="ref49">Zafar et al., 2022</xref>; 
                <xref ref-type="bibr" rid="ref39">Maniyamma et al., 2022</xref>) and has been reported to have antidiabetic, anti-inflammatory, immunomodulatory, and anticancer activities (
                <xref ref-type="bibr" rid="ref3">Alam et al., 2021</xref>; 
                <xref ref-type="bibr" rid="ref42">Numonov et al., 2020</xref>; 
                <xref ref-type="bibr" rid="ref45">Sianipar, 2021</xref>; 
                <xref ref-type="bibr" rid="ref27">Wang et al., 2020</xref>). BA and UA are from natural products against metastasis and was also investigated in studies conducted in the last decade (
                <xref ref-type="bibr" rid="ref37">Khwaza et al., 2020</xref>; 
                <xref ref-type="bibr" rid="ref41">Naeem et al., 2022</xref>; 
                <xref ref-type="bibr" rid="ref49">Zafar et al., 2022</xref>).</p>
            <p>Research related to the cytotoxic activity of BA includes the effects of skin carcinogenesis, where it was reported that BA can inhibit 70% of tumor development (
                <xref ref-type="bibr" rid="ref32">Agame-Lagunes et al., 2021</xref>). Research on MDA-MB-231 breast cancer cells gave an IC
                <sub>50</sub> value of 38.81 &#x00b1; 4.9 mg/mL (
                <xref ref-type="bibr" rid="ref44">Qi et al., 2021</xref>). BA was also reported to inhibit the viability of HuCCA and BHK-21 cells and induce neoplastic cell apoptosis (
                <xref ref-type="bibr" rid="ref43">Phonarknguen et al., 2022</xref>). Research related to the cytotoxic activity of UA has also been widely reported. UA is active in T47D breast cancer cells with an IC
                <sub>50</sub> value of 1.63 &#x00b1; 0.62 &#x03bc;M (
                <xref ref-type="bibr" rid="ref42">Numonov et al., 2020</xref>). UA increases cell sensitivity Triple-negative breast cancer (TNBC) to doxorubicin via signaling inactivation ZEB1-AS1/miR-186-5p/ABCC1 (
                <xref ref-type="bibr" rid="ref15">Lu et al., 2022</xref>). UA formulated into nanoparticles provides an IC
                <sub>50</sub> value below 30 &#x03bc;M against pancreatic cancer cells AsPC-1 dan BxPC-3 (
                <xref ref-type="bibr" rid="ref17">Markowski et al., 2021</xref>) and UA can significantly increase the drug sensitivity of human breast cancer cells MCF-7/MDA-MB-231 against Epirubicin (
                <xref ref-type="bibr" rid="ref28">Wang et al., 2022</xref>).</p>
        </sec>
        <sec id="sec21" sec-type="conclusion">
            <title>Conclusion</title>
            <p>BA and UA were successfully isolated and identified for the first time from the leaves of 
                <italic toggle="yes">U. nervosa</italic> Elmer, an indigenous Indonesian medicinal plant. Metabolite profiling using LC-MS/MS confirmed the presence of nine secondary metabolites, including triterpenoids, alkaloids, and fatty acids. The isolated compound UA demonstrated strong cytotoxic activity against T47D breast cancer cells, with an IC
                <sub>50</sub> value of 14.70 &#x00b1; 4.50 &#x03bc;g/mL, while BA showed moderate activity. These findings suggest that 
                <italic toggle="yes">U. nervosa</italic> Elmer holds significant potential as a novel natural source of pentacyclic triterpenoids with anticancer properties and may contribute to the development of plant-based chemotherapeutic agents.</p>
        </sec>
        <sec id="sec22">
            <title>Ethical considerations</title>
            <p>No animals were harmed in this research.</p>
        </sec>
    </body>
    <back>
        <sec id="sec25" sec-type="data-availability">
            <title>Data availability</title>
            <p>Zenodo: (Data set) Isolation of Pentacyclic Triterpenoids from The Leaves of 
                <italic toggle="yes">Uncaria nervosa</italic> Elmer. 
                <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.5281/zenodo.11544271">

                    <sans-serif>https://doi.org/10.5281/zenodo.11544271</sans-serif>
</ext-link>
            </p>
            <p>This project contains the following underlying data:
                <list list-type="bullet">
                    <list-item>
                        <label>&#x2022;</label>
                        <p>Dataset of this research</p>
                    </list-item>
                </list>
            </p>
            <p>Data are available under the terms of the 
                <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution 4.0 International license</ext-link> (CC4).</p>
            <p>Zenodo: (Data set) Cytotoxic activity of betulinic acid and ursolic acid againts T47D breast cancer cells. 
                <ext-link ext-link-type="uri" xlink:href="https://zenodo.org/doi/10.5281/zenodo.11545104">https://zenodo.org/doi/10.5281/zenodo.11545104</ext-link>
            </p>
            <p>This project contains the following underlying data:
                <list list-type="bullet">
                    <list-item>
                        <label>&#x2022;</label>
                        <p>Dataset of this research</p>
                    </list-item>
                </list>
            </p>
            <p>Data are available under the terms of the 
                <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution 4.0 International license</ext-link> (CCO).</p>
        </sec>
        <ack>
            <title>Acknowledgements</title>
            <p>The authors thank to the Director of Aurins UITM Selangor Malaysia and the Indonesian Ministry of Education.</p>
        </ack>
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    <sub-article article-type="reviewer-report" id="report414395">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.186569.r414395</article-id>
            <title-group>
                <article-title>Reviewer response for version 2</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Mei</surname>
                        <given-names>Suhuan</given-names>
                    </name>
                    <xref ref-type="aff" rid="r414395a1">1</xref>
                    <role>Referee</role>
                    <uri content-type="orcid">https://orcid.org/0000-0003-4425-7003</uri>
                </contrib>
                <aff id="r414395a1">
                    <label>1</label>Bioscience and Engineering, Jiangxi Agricultural University, Nanchang, Jiangxi, China</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>The reviewer declares no&#x00a0;competing interest.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>23</day>
                <month>10</month>
                <year>2025</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2025 Mei S</copyright-statement>
                <copyright-year>2025</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport414395" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.152293.2"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>approve</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>The authors have thoroughly addressed the reviewers' comments and made improvements in the revised manuscript. I recommend acceptance.</p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>Yes</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>Yes</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>Yes</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>Yes</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>Yes</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>Yes</p>
            <p>Reviewer Expertise:</p>
            <p>1. Separation, characterization, and evaluation of bioactive components from foods or plants. 2. The impact of natural products on gut health. 3. Safety evaluation of natural products. 4. Chemical and functional changes of foods during processing</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard.</p>
        </body>
    </sub-article>
    <sub-article article-type="reviewer-report" id="report414394">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.186569.r414394</article-id>
            <title-group>
                <article-title>Reviewer response for version 2</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Showkat</surname>
                        <given-names>Subiya</given-names>
                    </name>
                    <xref ref-type="aff" rid="r414394a1">1</xref>
                    <role>Referee</role>
                </contrib>
                <aff id="r414394a1">
                    <label>1</label>Bharathidasan University, Tiruchirappalli, Tamil Nadu, India</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>16</day>
                <month>10</month>
                <year>2025</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2025 Showkat S</copyright-statement>
                <copyright-year>2025</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport414394" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.152293.2"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>approve</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>The authors have revised the manuscript as per my previous comments. I have no further suggestions, and the manuscript may be considered for indexing.</p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>Partly</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>Yes</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>Yes</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>Yes</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>No</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>No</p>
            <p>Reviewer Expertise:</p>
            <p>Phytochemistry, pharmacology, Microbiology and computational studies.</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard.</p>
        </body>
    </sub-article>
    <sub-article article-type="reviewer-report" id="report320017">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.167034.r320017</article-id>
            <title-group>
                <article-title>Reviewer response for version 1</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Mei</surname>
                        <given-names>Suhuan</given-names>
                    </name>
                    <xref ref-type="aff" rid="r320017a1">1</xref>
                    <role>Referee</role>
                    <uri content-type="orcid">https://orcid.org/0000-0003-4425-7003</uri>
                </contrib>
                <aff id="r320017a1">
                    <label>1</label>Bioscience and Engineering, Jiangxi Agricultural University, Nanchang, Jiangxi, China</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>7</day>
                <month>3</month>
                <year>2025</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2025 Mei S</copyright-statement>
                <copyright-year>2025</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport320017" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.152293.1"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>approve-with-reservations</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>This paper illustrates the cytotoxicity against T47D breast cancer of betulinic acid and ursolic acid from 
                <italic>Uncaria nervosa Elmer</italic>. The authors have performed LC-MS, UV, HPLC, NMR, and 2D NMR to isolate and characterize bioactive compounds as well as the MTT method to evaluate the cell viability. The rationale of the proposal is logical and the manuscript is written well but the manuscript should be revised considering the following points which should be incorporated for its improvement.</p>
            <p> </p>
            <p> 1. In the title, 'Elmer' does not need italics.</p>
            <p> </p>
            <p> 2. The weight of 1.932 g leaves is dry weight or wet weight should be described in the section of methods. Please address the manuscript thoroughly.</p>
            <p> </p>
            <p> 3. Details of the NMR should be described in the method section.</p>
            <p> </p>
            <p> 4. Is there any data about the yield of the different fractions and pure compounds?</p>
            <p> </p>
            <p> 5. Results and discussion have many similar descriptions, for example,</p>
            <p> &#x201c;Results</p>
            <p> Metabolites profiling of ethanol extract</p>
            <p> Determination of the metabolite profile of ethanol extract begins with the clean-up process of ethanol extract using the solid phase extraction (SPE) method.&#x201d;</p>
            <p> &#x201c;Discussion</p>
            <p> Metabolites profiling of ethanol extract</p>
            <p> Determining the metabolite profile of the extract begins with clean-up of the ethanol extract using the Solid Phase Extraction method (SPE).&#x201d;</p>
            <p> </p>
            <p> 6. An acronym of the full name is necessary when they appear first.</p>
            <p> </p>
            <p> 7. Please don't use the same subheading in the result and discussion.</p>
            <p> </p>
            <p> 8. The sentence 'The ethanol extract data processing was carried out using the MZmine platform and compound identification using the Sirius platform (Pang et al., 2024; Zheng et al., 2023)' in the discussion seems more appropriate when it appears in the method.&#x00a0;</p>
            <p> </p>
            <p> 9. As mentioned above, please check the manuscript carefully, don&#x2019;t repeat the result, and add more in-depth discussions.</p>
            <p> </p>
            <p> 10. Is the ability of betulinic acid and ursolic acid from Uncaria nervosa Elmer any different compared with other herbal plants?</p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>Yes</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>Yes</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>Yes</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>Yes</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>Yes</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>Yes</p>
            <p>Reviewer Expertise:</p>
            <p>1. Separation, characterization, and evaluation of bioactive components from foods or plants. 2. The impact of natural products on gut health. 3. Safety evaluation of natural products. 4. Chemical and functional changes of foods during processing</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above.</p>
        </body>
        <sub-article article-type="response" id="comment13571-320017">
            <front-stub>
                <contrib-group>
                    <contrib contrib-type="author">
                        <name>
                            <surname>Rahmawati</surname>
                            <given-names>Noveri</given-names>
                        </name>
                        <aff>Pharmacy, Universitas Andalas, Padang, West Sumatra, Indonesia</aff>
                    </contrib>
                </contrib-group>
                <author-notes>
                    <fn fn-type="conflict">
                        <p>
                            <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                    </fn>
                </author-notes>
                <pub-date pub-type="epub">
                    <day>17</day>
                    <month>3</month>
                    <year>2025</year>
                </pub-date>
            </front-stub>
            <body>
                <p>Thank you very much for all the comments from the reviewers. We will thoroughly revise this article and send it back to the editor.&#x00a0;This is a response to the reviewer's comments.</p>
                <p> </p>
                <p> 
                    <bold>1</bold>.&#x00a0;Thank you. We will revise it.</p>
                <p> 
                    <bold>2</bold>.&#x00a0;The weight of 1.932 g leaves is dry weight.&#x00a0;We will revise it. Thank you.</p>
                <p> 
                    <bold>3</bold>.&#x00a0;We will include the NMR in the method. Thank you.</p>
                <p> 
                    <bold>4</bold>.&#x00a0;We have data on the results of different fractions and pure compounds. We will include them in the article.</p>
                <p> 
                    <bold>5</bold>.&#x00a0;Thank you. We will revise it.</p>
                <p> 
                    <bold>6</bold>.&#x00a0;Thank you. We will revise it.</p>
                <p> 
                    <bold>7</bold>.&#x00a0;Thank you. We will revise it.</p>
                <p> 
                    <bold>8</bold>.&#x00a0;Thank you. We will revise it.</p>
                <p> 
                    <bold>9</bold>.&#x00a0;Thank you. We will revise it.</p>
                <p> 
                    <bold>10</bold>.The ability of betulinic acid and ursolic acid from Uncaria nervosa Elmer on cancer cells is no different when compared to other herbal plants. Betulinic acid and ursolic acid have been reported to have potent bioactivity on several T47D breast cancer cells.</p>
            </body>
        </sub-article>
    </sub-article>
    <sub-article article-type="reviewer-report" id="report364783">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.167034.r364783</article-id>
            <title-group>
                <article-title>Reviewer response for version 1</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Showkat</surname>
                        <given-names>Subiya</given-names>
                    </name>
                    <xref ref-type="aff" rid="r364783a1">1</xref>
                    <role>Referee</role>
                </contrib>
                <aff id="r364783a1">
                    <label>1</label>Bharathidasan University, Tiruchirappalli, Tamil Nadu, India</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>18</day>
                <month>2</month>
                <year>2025</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2025 Showkat S</copyright-statement>
                <copyright-year>2025</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport364783" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.152293.1"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>approve-with-reservations</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>After carefully reviewing the manuscript and providing my comments, I believe that the manuscript has potential but requires substantial revisions. I recommend that the authors address the issues raised before the manuscript can be reconsidered for indexing.</p>
            <p> </p>
            <p> 
                <bold>Comments for authors:</bold> 
                <list list-type="order">
                    <list-item>
                        <p>In the introduction, several statements are made about the medicinal properties of 
                            <italic>U.</italic> 
                            <italic>nervosa</italic>, such as its wide range of health benefits and its traditional use by indigenous communities
                            <italic>. U. nervosa</italic> has been revered for its diverse medicinal properties and has been used by indigenous communities for various health purposes. In traditional herbal medicine, different parts of the plant, including the leaves, stems, and roots, are utilized to prepare decoctions, infusions, or poultices to address ailments such as fever, inflammation, digestive disorders, and respiratory conditions. Additionally, 
                            <italic>U.</italic> 
                            <italic>nervosa</italic> has been valued for its purported benefits in promoting overall wellness and vitality. However, there is no reference provided to support these claims. It would be helpful to include appropriate citations to validate the medicinal properties attributed to the plant.</p>
                    </list-item>
                    <list-item>
                        <p>In the methods section, the ethyl acetate fraction is mentioned as being weighed and then subjected to chromatography. However, in the results, it mentions that the ethanol extract was fractionated and then the ethyl acetate fraction was used for isolation. This creates some confusion. Could you clarify whether the isolation was performed on the ethanol extract or the ethyl acetate fraction? Additionally, 20 g of the ethyl acetate fraction was obtained, which seems questionable, as 20 g appears too large. Was this fraction liquid? If so, was it dried before weighing?</p>
                    </list-item>
                    <list-item>
                        <p>There are many places in the manuscript where the grammar should be checked. Additionally, there are several sentences that are not well connected.</p>
                    </list-item>
                    <list-item>
                        <p>What was the rationale for choosing ethanol extract of 
                            <italic>U. nervosa</italic> for analysis in this study, and how does it compare to other possible extraction methods or solvents in terms of efficiency and bioactivity?"</p>
                    </list-item>
                    <list-item>
                        <p>The methodology for NMR studies is missing.</p>
                    </list-item>
                    <list-item>
                        <p>The conclusion is very short and not satisfactory.</p>
                    </list-item>
                    <list-item>
                        <p>The results and discussion section seems very weak and lacking in depth.</p>
                    </list-item>
                    <list-item>
                        <p>Have the authors used a standard for the HPLC analysis? If so, it should be properly labeled in the figure.</p>
                    </list-item>
                    <list-item>
                        <p>Ensure all scientific names are italicized throughout the manuscript.</p>
                    </list-item>
                </list>
            </p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>Partly</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>Yes</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>Yes</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>Yes</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>No</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>No</p>
            <p>Reviewer Expertise:</p>
            <p>Phytochemistry and pharmacology.</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above.</p>
        </body>
        <sub-article article-type="response" id="comment13570-364783">
            <front-stub>
                <contrib-group>
                    <contrib contrib-type="author">
                        <name>
                            <surname>Rahmawati</surname>
                            <given-names>Noveri</given-names>
                        </name>
                        <aff>Pharmacy, Universitas Andalas, Padang, West Sumatra, Indonesia</aff>
                    </contrib>
                </contrib-group>
                <author-notes>
                    <fn fn-type="conflict">
                        <p>
                            <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                    </fn>
                </author-notes>
                <pub-date pub-type="epub">
                    <day>17</day>
                    <month>3</month>
                    <year>2025</year>
                </pub-date>
            </front-stub>
            <body>
                <p>Thank you for all the suggestions for our article. We will revise the article thoroughly and send it back to the editor. Herewith we convey some responses to the reviewer's comments.</p>
                <p> </p>
                <p> 
                    <bold>1</bold>.&#x00a0;Thank you. We will provide references related to the benefits of plants.</p>
                <p> 
                    <bold>2</bold>. Isolation was carried out on the ethyl acetate fraction.&#x00a0;Ethanol extract 70% (514 g) was fractionated in stages using n-hexane, ethyl acetate and butanol solvents. The dry ethyl acetate fraction obtained was 20 g.</p>
                <p> 
                    <bold>3</bold>.&#x00a0;Thank you. We will revise it.</p>
                <p> 
                    <bold>4</bold>.&#x00a0;
                    <bold>The basis for selecting ethanol:</bold> ethanol is a polar solvent (lower polarity than water) so it can attract bioactive compounds found in 
                    <italic>U. nervosa</italic> elmer leaves such as alkaloids, flavonoids, and phenolics.</p>
                <p> &#x00a0;
                    <bold>Comparison with other extraction methods or solvents in terms of efficiency and bioactivity:</bold>
                </p>
                <p> Extraction using the maceration method is a simple extraction without heating so it is more efficient and allows the bioactive compounds contained in plants to remain stable.</p>
                <p> The use of other solvents such as water will only be able to attract polar compounds and is less effective for lipophilic compounds.</p>
                <p> Methanol solvents can extract phenolic compounds more strongly, but are more toxic than ethanol so they are less suitable for biomedical applications.</p>
                <p> n-hexane and dichloromethane solvents will be effective in attracting non-polar compounds such as essential oils.</p>
                <p> 
                    <bold>5</bold>.&#x00a0;Thank you. We will revise it.</p>
                <p> 
                    <bold>6</bold>.&#x00a0;Thank you. We will revise it.</p>
                <p> 
                    <bold>7</bold>.&#x00a0;Thank you. We will revise it.</p>
                <p> 
                    <bold>8</bold>.&#x00a0;Yes, we use standards in HPLC analysis and we will label them correctly in the images. Thank you.</p>
                <p> 
                    <bold>9</bold>.&#x00a0;Thank you. We will revise it.</p>
            </body>
        </sub-article>
    </sub-article>
</article>
