Guava (Psidium guajava L.) Leaf Extract as Bioactive Substances for Anti-Androgen and Antioxidant Activities

Leaves of guava (Psidium guajava L.) have been used in Thai folk medicine without any supporting evidence as a traditional herbal remedy for hair loss. Androgenetic alopecia (AGA) is chronic hair loss caused by effects of androgens in those with a genetic predisposition, resulting in hair follicle miniaturization. Our objectives were to provide the mechanistic assessment of guava leaf extract on gene expressions related to the androgen pathway in well-known in vitro models, hair follicle dermal papilla cells (HFDPC), and human prostate cancer cells (DU-145), and to determine its bioactive constituents and antioxidant activities. LC-MS analysis demonstrated that the main components of the ethanolic extract of guava leaves are phenolic substances, specifically catechin, gallic acid, and quercetin, which contribute to its scavenging and metal chelating abilities. The guava leaf extract substantially downregulated SRD5A1, SRD5A2, and SRD5A3 genes in the DU-145 model, suggesting that the extract could minimize hair loss by inhibiting the synthesis of a potent androgen (dihydrotestosterone). SRD5A suppression by gallic acid and quercetin was verified. Our study reveals new perspectives on guava leaf extract’s anti-androgen properties. This extract could be developed as alternative products or therapeutic adjuvants for the treatment of AGA and other androgen-related disorders.


Introduction
Guava (Psidium guajava L.) is a well-known tropical tree grown in tropical areas that are widely cultivated for fruit [1]. This plant is used as food and traditional medicine due to its pharmacologic properties. Guava leaf possesses a high content of several bioactive compounds, especially phenolic compounds, which contribute to antioxidant and antiinflammatory activities [2]. The most potent antioxidant found in guava leaves is known as quercetin [2,3]. The primary traditional uses of guava leaves are for the treatment of gastrointestinal illnesses (diarrhea, stomach pain, gastroenteritis, indigestion, and dysentery) and dermatological problems (skin infection, skin aging, and ulcers) [4]. In Thailand, fresh guava leaves have been traditionally used for hair growth promotion. However, supporting evidence of the guava leaves' anti-hair loss properties has not been identified and investigated.
A multifactorial hair loss condition called androgenetic alopecia (AGA) is distinguished by a particular pattern of baldness. It is a universal skin condition that affects both men and women [5]. It has been revealed that the severity and prevalence of AGA are lower in the Asian populations than in the Europeans [6]. In addition, the prevalence of AGA among men is higher than in women [7]. The prevalence of AGA in Thailand was approximately 39% and increased with advancing age [8]. Hair loss in males initially develops as a bitemporal recession of the frontal hairline, followed by diffuse hair shedding over the crown. Eventually, it reveals full baldness at the crown with a narrow band of hair in a horseshoe shape on the sides and back of the scalp [9]. In addition, female hair loss involves diffuse hair thinning and reducing hair density in the central part of the scalp with a preserved frontal hairline [10].
The hair cycle is a continuous progression from anagen (growing phase) to catagen (regression phase), then to telogen (resting phase), and returning to anagen. AGA is typified by progressive follicular miniaturization and a shortened anagen phase, resulting in the conversion of terminal hairs to shorter and thinner vellus hairs [11,12]. Hair follicular miniaturization is caused by androgens in androgen-sensitive areas of the scalp [13,14]. Furthermore, it has been established that AGA-scalp skin is extremely sensitive to androgen, with androgen production and androgen receptor response significantly increasing in these areas, particularly in hair follicle dermal papilla cells (HFDPC) [6]. Enzyme 5α-reductases convert testosterone into the most potent androgen, dihydrotestosterone (DHT) [15]. Androgen receptor (AR) affinity of DHT is roughly five times higher than that of testosterone [16]. Then, AR-bound DHT promotes hair follicle regression by upregulating the molecules that inhibit hair growth, such as dikkopf-related protein 1 (DKK-1), interleukin-6 (IL-6), and transforming growth factor (TGF-β) [2,17].
There are three isotypes of the enzyme 5α-reductase: type 1, 2, and 3, which are encoded separately by SRD5A1, SRD5A2, and SRD5A3, respectively [18,19]. Different SRD5A gene expression patterns have been seen in androgen-responsive tissues such as the prostate and skin [18]. DU-145 prostate cancer cells (DU-145) express all forms of the SRD5A genes. These cells have been used as an in vitro model to examine how herbal extracts or other compounds influence the expression of the SRD5A gene in order to screen for antagonism to androgens for the prevention of hair loss. [20,21]. Likewise, HFDPC, which are specialized mesenchymal cells found at the base of hair follicles and are important in hair follicle formation and postnatal hair growth cycles, are used as an in vitro model to assess the cellular and molecular effects of hair growth-moderating substances as well as their effects on 5α-reductase activity [22].
To date, the main treatment options for AGA are synthetic medicines (topical minoxidil and oral finasteride), whereas other alternatives have not yet been approved [23]. The use of finasteride, a competitive inhibitor of 5α-reductases, is restricted in men. However, minoxidil is a common medicine for treating AGA in both genders, which acts through multiple pathways [24]. Side effects of these medications include testicular soreness, erectile dysfunction, skin sensitivity, and scalp dryness [25]. Adherence to hair loss treatments of some individuals with AGA is reduced by these constraints. Since AGA is progressive hair loss and requires long-term treatment, alternative therapies and natural herbal medicines have gained interest because of their benefits, which include a variety of hair growthpromoting actions and affordable prices [26]. The underlying mechanisms of guava leaf extract and its bioactive compounds on the androgen pathway have not been established. We hypothesized that the hair-growth promoting activity of guava leaf may involve androgen production, which is the predominant pathway in AGA pathogenesis. Therefore, the objectives of this study were to assess the effects of guava leaf extract on the expression of genes involved in the androgen pathway in two well-known in vitro models, DU-145 and HFDPC, as well as to identify the bioactive components and antioxidant properties of the extract.

Extraction Yield and Bioactive Compound Estimation
The extraction yield of guava leaf extract was 19.89 ± 0.20%. The physical appearance of the ethanolic extract after concentration was a viscous semisolid texture with a dark green color. The total phenolic and flavonoid contents of the extract were 117.21 ± 2.05 mg GAE/g and 128.10 ± 1.39 mg EGCGE/g, respectively. In the extract, minor amounts of polysaccharide and protein were detected at roughly 0.29 ± 0.10 mg D-glucose/g and 1.33 ± 0.05 mg BSAE/g.

Characterization of the Phytochemical Profile by Liquid Chromatography-Mass Spectrometry (LC-MS) Analysis
In Table 1, the amounts of various phenolic compounds found in guava leaf extract are shown, which were detected by LC-MS. Catechin was the most abundant bioactive component (2.215 ± 0.031 mg/g extract), followed by gallic acid (0.751 ± 0.008 mg/g extract), and quercetin (0.520 ± 0.022 mg/g extract). The stereoisomers of catechin, (+)-catechin (2R,3S) and (−)-catechin (2S,3R), were jointly interpreted in this study. Figure 1 illustrates the chemical structures of phenolic compounds in the guava leaf extract.

Antioxidant Activities of Guava Leaf Extract
The scavenging capacities of the extract were estimated by DPPH and ABTS radical scavenging analyses, whereas the metal chelation was evaluated by the ferrous ion chelating assay. The DPPH test demonstrated a similar result (DPPH 444.05 ± 1.01 mg TE/g extract) to that obtained using the ABTS assay (424.80 ± 31.05 mg TE/g extract). Additionally, the guava leaf extract's capacity to chelate transition metal irons was equivalent to 13.59 ± 0.01 mg of EDTA (the common chelator) per gram of extract.

Antioxidant Activities of Guava Leaf Extract
The scavenging capacities of the extract were estimated by DPPH and ABTS radical scavenging analyses, whereas the metal chelation was evaluated by the ferrous ion chelating assay. The DPPH test demonstrated a similar result (DPPH 444.05 ± 1.01 mg TE/g extract) to that obtained using the ABTS assay (424.80 ± 31.05 mg TE/g extract). Additionally, the guava leaf extract's capacity to chelate transition metal irons was equivalent to 13.59 ± 0.01 mg of EDTA (the common chelator) per gram of extract.

Effect of Guava Leaf Extract on the Expression of Gene Asscociated with Androgen-Dependent Pathway
According to the cell viability assay, the highest concentration that provided cell viability above 80% in both HFDPC and DU-145 was 62.50 μg/mL (Supplementary Material Figure S1). The following concentrations at 31.25, 15.63, and 7.81 μg/mL were selected to investigate the dose-dependent effects of the guava leaf extract.
We assessed the regulatory impact of guava leaf extract and three main phenolic compounds (quercetin, gallic acid, and catechin) at various concentrations (62.50, 31.25, 15.63, and 7.81 μg/mL) on the mRNA expressions of genes encoding 5α-reductases, including SRD5A1, SRD5A2, and SRD5A3. Since the most common catechin isomer in plants is (+)-catechin [28], this stereoisomer was chosen for the experiment. Dutasteride, finasteride, and minoxidil were utilized as reference standard substances at the same concentration throughout all experiments. Results from in vitro models of the HFDPC and DU-145 were compared.
The effect of guava leaf extract on SRD5A gene expression in HFDPC is depicted in   (g) rosmarinic acid; (h) rutin. All chemical structures were acquired from PubChem database [27] and visualized by ChemDraw (version 22, PerkinElmer Informatics).

Effect of Guava Leaf Extract on the Expression of Gene Asscociated with Androgen-Dependent Pathway
According to the cell viability assay, the highest concentration that provided cell viability above 80% in both HFDPC and DU-145 was 62.50 µg/mL (Supplementary Material Figure S1). The following concentrations at 31.25, 15.63, and 7.81 µg/mL were selected to investigate the dose-dependent effects of the guava leaf extract.
We assessed the regulatory impact of guava leaf extract and three main phenolic compounds (quercetin, gallic acid, and catechin) at various concentrations (62.50, 31.25, 15.63, and 7.81 µg/mL) on the mRNA expressions of genes encoding 5α-reductases, including SRD5A1, SRD5A2, and SRD5A3. Since the most common catechin isomer in plants is (+)-catechin [28], this stereoisomer was chosen for the experiment. Dutasteride, finasteride, and minoxidil were utilized as reference standard substances at the same concentration throughout all experiments. Results from in vitro models of the HFDPC and DU-145 were compared.
The effect of guava leaf extract on SRD5A gene expression in HFDPC is depicted in  however, marginally reduced the expression of all SRD5A genes in these cells. Unexpectedly, minoxidil decreased the expression of SRD5A genes in DU-145 but not in HFDPC. According to the bioactive compounds, SRD5A2 and SRD5A3 expression were modestly attenuated by gallic acid and quercetin. Gallic acid substantially decreased SRD5A1 expression, whereas the effect of all concentrations was not significantly different. (+)-Catechin had no impact on the expression levels of any SRD5A genes in DU-145, which was consistent with the findings of the study using HFDPC.

Discussion
In Thai folk medicine, P. guajava is a significant medicinal plant for hair loss treatment and prevention. Fresh guava leaves are crushed in a mortar, and the resulting paste is then directly applied to the bald spot. Alternatively, fresh leaves are boiled and then the solution is utilized. We conducted this study in order to investigate the guava leaf extract's beneficial effects on hair loss prevention and to validate its historical use. The finding demonstrated that the guava leaf extract predominantly comprises phenolic components, namely catechin, gallic acid, and quercetin. The scavenging and chelating abilities of the extract were detected. Additionally, the anti-androgenic activity of the guava leaf extract was detected in both the HFDPC and DU-145 models.
Guava leaves are renowned for being an excellent source of phytochemical constituents and present higher amounts of phenolic compounds compared to other vegetable species [29,30]. Likewise, the bioactive estimation in our study verified that the major contents of guava leaf extract were phenolics and flavonoids, with minor presences of polysaccharides and proteins. A previous study reported that the primary phytochemicals of guava leaves are rutin, naringenin, gallic acid, catechins, epicatechins, kaempferol, quercetin, and guaijaverin, which are widely known for their antibacterial, antioxidant, and anti-inflammatory properties [31]. Those compounds were also detected in the extract in this study. Furthermore, the solvent extraction with 50-80% of ethanol has been reported to be an optimum condition for extracting the phenolic compounds in guava leaves [30]. In our study, 70% ethanol was used, from which both the polar and less polar components were co-extracted. Previous study was reported that this condition gave relatively higher antioxidant capacities of guava leaf extract than other extracting conditions [26].
Premature senescence of HFDPC is caused by excessive reactive oxygen species (ROS) accumulation in cells beyond its antioxidative capabilities [32]. Furthermore, metallic impurities, including copper and ferrous sulfate, could be found in hair care products as ingredients or contamination from the manufacturing process [33,34]. The accumulation of these metals in hair follicles accelerates the production of ROS [35]. The radical scavenging and metal chelating abilities of extracts were therefore assessed. A previous study reported that phenolic compounds showed a strong positive relationship with the scavenging activities of the guava leaf extract [36]. Quercetin, rutin, narigin, catechins, caffeic acid, gallic acid, and chlorogenic acid are crucial antioxidative substances in the guava leaves [37,38]. Interestingly, quercetin is recognized as the most powerful and active antioxidant in guava leaves [2]. However, quercetin has a lesser affinity for binding iron than catechin [39]. Our study suggests that the antioxidant properties of the guava extract are synergistically enhanced by the presence of phenolic components, particularly catechin, gallic acid, and quercetin.
In AGA, the shrinkage of hair follicles is mediated by androgens. Balding HFDPC expressed higher levels and activities of AR, 5α-reductases, and DHT than those of nonbalding HFDPC [40,41]. Cytoplasmic 5α-reductase enzymes convert testosterone to the potent DHT, which is more potent and has higher affinity towards AR than testosterone [7,42]. The androgen/AR complex binds the androgen response element and recruits transcriptional co-regulators of the target genes [43]. Subsequently, the deregulation of HFDPCsecreted factors, including TGF-β, insulin-like growth factor 1 (IGF-1), WNT family member, and (DKK-1), results in the attenuating proliferation and differentiation of hair follicle stem cells (HFSC) [7].
The protein and mRNA expression patterns of the three isoforms of 5α-reductases differ between species and organs, especially androgen-target organs [19,44]. Remarkably, those enzymes are expressed in both human hair follicles and prostate tissues, which can perform the same reaction to reduce ∆ 4 -ene of steroid C-19 and C-21 into a 5α-stereoisomer, producing DHT [19]. The expression of 5α-reductases has been reported to upregulate in AGA scalp [7,45]. Apart from AGA, 5α-reductases play vital roles in the pathogenesis of benign prostate hyperplasia, prostate cancer, and androgen-enhanced skin disorders, including acne vulgaris and hirsutism [46]. Both benign prostatic hyperplasia and AGA can be treated with 5α-reductase inhibitors, such as finasteride and dutasteride [19]. The adverse side effects of 5α-reductase inhibitors have prompted a demand for additional potential inhibitors, particularly those derived from natural sources [26].
Our results show that guava leaf extract and its bioactive components influence SRD5A expression in HFDPC and DU-145, especially the latter. Furthermore, the concentration-dependent manner in which the extract suppressed SRD5A genes was observed in DU-145 cell lines. Indeed, several studies demonstrated that dutasteride and finasteride diminished the mRNA levels of SRD5A genes [47][48][49]. In this study, minoxidil, a potassium channel opener, significantly suppressed the SRD5A expression in DU-145, which was consistent with the previous study [50]. In addition, minoxidil was found to be a weak 5α-reductase inhibitor [51]. Gallic acid and quercetin diminished SRD5A expression in both HFDPC and DU-145. Our findings were consistent with a prior study that discovered gallic acid decreased the expression of 5α-reductase type 1 and 2 [52]. The ability of quercetin to treat androgen disorders is well known [53]. It possesses antiandrogenic activity by diminishing AR expression and its activity [54].
Natural phenolic compounds, including EGCG, catechin, and epicatechin, were found to inhibit 5α-reductase type 1 and 2 isozymes. A catechol group in their structure contributes to the inhibition of 5α-reductase type 1 [55]. However, our result indicated that (+)-catechin did not have a significant impact on the SRD5A expression in either HFDPC or DU-145. The (−) form of catechin, however, was not investigated in this study. Additional research is required to determine the proportion of (+) and (−)-catechin in the guava extract and compare the effects of these two stereoisomers on SRD5A expression. This study suggests that guava leaf extract might ameliorate androgen-mediated disorders by the effect of bioactive constituents, in particular gallic acid and quercetin, through their anti-androgenic and antioxidant activities.
The differential effects of the extract on decreased SRD5A expression in each type of cell may be attributed to the varied amounts of expression of isoforms in HFDPC and DU-145 [18,19]. In addition, it has been discovered that both testosterone and DHT modulate the transcriptional level of SRD5A genes in a cell type-specific manner [56,57]. Despite the fact that all SRD5A genes have androgen responsive elements in their promoters, androgens control each isoform differently in each tissue [19]. Tissue-specific transcriptional consequences of SRD5A genes are most likely influenced by AR co-regulators and transcription factors [19,58]. Additional research is required to determine the effects of chemical substances or the bioactive components in the guava leaf extract on the co-regulators and transcription factors in different tissues.

Total Phenolic Content (TPC) Assay
The total phenolic content (TPC) was measured by a modified version of a Folin-Ciocalteu colorimetric method [59]. The standard curve was plotted between the measured absorbance and concentration of standard gallic acid. The TPC was calculated using the standard curve equation of gallic acid (y = 13.463x + 0.0406, R 2 = 0.9991). Results were expressed as milligrams of gallic acid equivalents per gram of extract (mg GAE/g extract).

Total Flavonoid Content (TFC) Assay
The total flavonoid content (TFC) was estimated by an aluminum chloride colorimetric assay with a slight modification to a previous method [60]. The results were represented as milligrams of EGCG equivalents per gram of extract (mg EGCGE/g extract) through the calibration curve of EGCG (y = 0.3587x + 0.0041, R 2 = 0.9993).

Total Polysaccharide Content
The sulphuric anthrone was used to quantify the content of carbohydrates in P. guajava leaf extract [61]. The content of polysaccharides was calculated based on the established linear curve of D-glucose (y = 43.552x + 0.0765, R 2 = 0.9996), and represented as milligrams of D-glucose equivalents per gram of extract (mg D-glucose/g extract).

Total Protein Content
Total protein content was determined by the Lowry method [62], adapted to a 96-well plate. Different concentrations of bovine serum albumin solutions were used as a positive control and plotted against its absorbance to create the standard curve (y = 0.0001x + 0.0257, R 2 = 0.9976). The amount of protein was expressed as milligrams of bovine serum albumin equivalents per gram of extract (mg BSAE/g extract).

Characterization of Psidium guajava Leaf Extract by Liquid Chromatography-Mass Spectrometry (LC-MS)
The extract of P. guajava leaves was analyzed using an LC-MS following a method of Arjin et al. [63]. The sample was prepared in 0.01% formic acid and ethanol (1:1, v/v) to obtain the final concentration (1 mg/mL), cleaned up in the QuEChERS dispersive SPE kit (Agilent Technology, Santa Clara, CA, USA) to remove fats and pigments, and then filtered through a 0.22 µm pore size membrane filter. Chromatographic analysis was done using an Agilent 1290 Infinity II series (Agilent Tech., Santa Clara, CA, USA), connected with an electrospray ion quadrupole mass spectrometer 6130 (Agilent Tech., Santa Clara, CA, USA). A Restek Ultra C18 reversed-phase column (250 × 4.6 mm, 5 µm, Restek Corporation, Bellefonte, PA, USA) was used to separate the compounds. The injection volume was 5 µL. The gradient elution was scheduled at the following intervals: 80% A at 0-8 min, 80% to 25% A at 8-24 min, 25% A at 24-28 min, 25% to 70% A at 28-34 min, 70% to 80% A at 34-36 min, and 80% A at 36-45 min. The flow rate and column temperature were set at 0.5 mL/min and 30 • C. Mass spectrometry was operated in an electrospray ionization (ESI) probe in negative mode. The nebulization gas was set at 60 psi with nitrogen gas at a flow of 12 L/min. The dry heater temperature was maintained at 350 • C. The capillary voltage was set at -3 kV. A mass scan ranging from 100 to 1200 m/z was carried out with an acquisition rate of 250 ms/spectrum. The limit of detection (LOD) and limit of quantification (LOQ) of each standard compound were estimated (Supplementary Material Table S1).

DPPH Radical Scavenging Assay
The radical scavenging activity of P. guajava leaf extract was assessed by DPPH assay with a slight modification to previous methodology [64]. In brief, 50 µL of P. guajava leaf extract, standard trolox (0.02-0.4 mg/mL), or blank (distilled water) was added to the corresponding well in a 96-well microplate, followed by the addition of 150 µL of 0.1 mM ethanolic DPPH solution. The mixtures were mixed and left in the dark for 30 min at 25 • C. Then the absorbance of each mixture was measured at 515 nm by a microplate reader (EZ Read 400, Biochrom, Cambridge, UK). The results were expressed as milligrams of trolox equivalents per gram of extract (mg TE/g extract).

ABTS •+ Radical Scavenging Assay
The ABTS •+ radical scavenging activity of P. guajava leaf extract was achieved using the method described by Sridhar et al. [65] with a minor modification. Aqueous ABTS (7mM) was reacted with 2.45 mM aqueous potassium persulphate (1:1, v/v), and the mixture was left in the dark for 16 h at 25 • C. Then, the ABTS •+ solution was diluted with absolute ethanol to obtain a working solution with the absorbance at 730 nm of 0.70 ± 0.20. A total of 40 µL of sample and 160 µL of ABTS •+ working solution were added to 96-well plate, then incubated in the dark for 10 min at room temperature. Standard trolox (0.02-0.4 mg/mL) and distilled water were used as a positive control and blank, respectively. Then the absorbance of the mixture was read at 730 nm by a microplate reader (EZ Read 400, Biochrom, Cambridge, UK). The results were expressed as milligrams of trolox equivalents per gram of extract (mg TE/g extract).

Metal Chelating Assay
Metal chelating activity on ferrous ions was measured as described previously [66,67]. Briefly, 50 µL of 2 mM ferric chloride was added to 100 µL of sample and then mixed with 50 µL of 5 mM ferrozine. Standard EDTA (0.02-0.4 mg/mL) and distilled water were used as a positive control and blank, respectively. After 10 min of incubation, all the absorbances were detected at 515 nm by a microplate reader (EZ Read 400, Biochrom, Cambridge, UK). Milligrams of EDTA equivalents per gram of extract (mg EDTAE/g extract) were the measurement unit.

Cell Lines and Culture
Primary human follicle dermal papilla cells (Promo Cell GmbH, Heidelberg, Germany) were grown in the Growth Medium Kit supplemented with 10% FBS and 1% antibioticantimycotic 100X solution. DU-145 human prostate cancer cells (American Type Culture Collection, Rockville, MD, USA) were cultured in RPMI-1640 containing 10% FBS and 1% antibiotic-antimycotic 100X solution. Cells were maintained at 37 • C with 5% CO 2 in a humidified atmosphere.

Cell Viability Assay
The cytotoxic potential of the P. guajava leaf extract was determined by the sulforhodamine B (SRB) assay [68]. Cells were grown in 96-well plates (10 4 cells/well) for 24 h. The monolayer cells were treated with the extract (0-1000 µg/mL) and standard references (finasteride, dutasteride, minoxidil, (+)-catechin, gallic acid, and quercetin). After 24 h, cultured cells were fixed on plates, washed and dried, and stained with sulforhodamine B solution. Tris-EDTA buffer was used to solubilize the dye extracted from stained cells. The intensity was measured by a microplate reader (EZ Read 400, Biochrom, Cambridge, UK) at 515 nm. The highest concentration providing the percentages of cell viability above 80% was considered as non-cytotoxicity and was selected for further experiments. The percentage of cell viability was calculated by Equation (1), where OD denotes optical density: Cell viability (%) = OD sample − OD blank OD control − OD blank × 100 (1)

RT-PCR Analysis
Total RNA was extracted from cells using the E.Z.N.A. ® Total RNA Kit I (Omega Bio-Tek, Georgia, USA). Qubit™ RNA HS Assay Kit and Qubit™ 4 fluorometer (Invitrogen, Carlsbad, USA) were utilized to quantify RNA concentration of samples. Gene expression levels were carried out by the semi-quantitative RT-PCR [69]. Complementary DNA was synthesized using MyTaq™ One-Step RT-PCR Kit (Bioline, Memphis, TN, USA). The following primer sequences were used. SRD5A1: AGCCATTGTGCAGTGTATGC and AGCCTCCCCTTGGTATTTTG; SRD5A2: TGAATACCCTGATGGGTGG and CAAGCCAC-CTTGTGGAATC; SRD5A3: TCCTTCTTTGCCCAAACATC and TCCTTCTTTGCCCAAA-CATC; GAPDH: GGAAGGTGAAGGTCGGAGTC and CTCAGCCTTGACGGTGCCATG. The RT-PCR products were detected using agarose gel electrophoresis [69]. Gel Doc™ EZ System (Version 3.0; Bio-Rad) and Image Lab™ software (Bio-Rad) were used to estimate band intensity. The relative expression value for the target genes was calculated by normalizing the GAPDH expression value. Three duplicates of each sample were examined.

Statistical Analysis
Data were expressed as the mean ± SD of three experiments. Comparisons among groups were analyzed using one-way ANOVA followed by Tukey's test served in GraphPad Prism version 9.4.0 for MacOS (GraphPad Software, San Diego, CA, USA). Statistical significance was defined as a p-value less than 0.05.

Conclusions
This investigation showed that the guava leaf extract was primarily composed of phenolic compounds, notably catechin, gallic acid, and quercetin, which support its free radical scavenging, chelating, and anti-androgenic properties. Intriguingly, the extract and its bioactive compounds, particularly gallic acid and quercetin, downregulated SRD5A genes in both the HFDPC and DU-145 models. Due to the bioactive components in the guava extract acting in a cell type-specific manner, their anti-androgenic activity in DU-145 was more evident than in HFDPC. The results suggest that the guava leaf extract may promote hair growth by reducing free radicals and attenuating the expression of 5α-reductases. This extract may be further developed into alternative products or therapeutic adjuvants for treating AGA as well as other androgen-related disorders.