Piper crocatum, known as red betel, is a potential medicinal plant that grows in the tropics as an anti-cancer. Several previous studies of red betel showed the ability to inhibit various types of cancer cells. The research aims to analyze the bioactive compounds in red betel leaf extract origins from Indonesia on ethanol by GC-MS method, identify toxicity with MTT assay. Further, the morphology of MCF-7 breast cancer cells was determined to lead the ethanol extract of P. crocatum. The bioactive compounds of P. crocatum leaves have a function in cytotoxicity to cancer cells, such as phenol (1.36%), phytol (5.72%), and vitamin E (1.76%). Red betel leaves extract against MCF-7 cells has an IC50 = 6.68 μg mL-1 . The results showed that morphological changes occurred in MCF-7 breast cancer cells. Cell morphological changes were indicated by loss of contact with surrounding cells and decreased the number of cells after 24 h exposed to ethanol extract of P. crocatum. The ethanol extract of P. crocatum can inhibit MCF-7 breast cancer cells' growth and potential as an anti-cancer agent. However, further research is needed to confirm the mechanism of inhibition and expression of apoptotic genes.
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