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Endah Wulandari
"Latar belakang: Sitoglobin (Cygb) adalah protein pengangkut O2 yang diekspresikan oleh fibroblas dan fibroblast like cells aktif. Keperluan O2 dan energi meningkat pada fibrosis akibat proliferasi fibroblas dan sintesis kolagen. Pada fibrosis terjadi hipoksia yang ditandai oleh stabilisasi hypoxia inducible factor-1α (HIF-1α), yang kemudian membentuk HIF-1 yang merupakan faktor transkripsi untuk ekspresi protein adaptasi (termasuk Cygb). Diduga Cygb berperan dalam suplai O2 pada fibrosis. Tujuan penelitian ini adalah untuk memperoleh informasi mengenai peran Cygb pada hipoksia jaringan fibrosis dengan keloid sebagai model.
Metode: Penelitian bersifat observasional deskriptif. Sampel keloid diperoleh melalui biopsi, sedangkan kontrol preputium diperoleh melalui sirkumsisi, masing-masing 10 sampel jaringan. Pengukuran ekspresi mRNA Cygb, HIF-1α, kolagen I dan III dilakukan dengan real time RT-PCR; kadar protein Cygb dan HIF-1α dengan ELISA; dan ekspresi protein Cygb, HIF-1α, FGF, kolagen I dan III di lapisan dermis dengan imunohistokimia (IHK). Pengukuran kadar MDA dan GSH (tingkat stres oksidatif) serta kadar hidroksiprolin (untuk pematangan kolagen) dengan spektrofotometri, sedangkan pengukuran kepadatan kolagen dengan pewarnaan Van Gieson. Data dianalisis secara statistik menggunakan uji-t.
Hasil: Pada keloid dibandingkan preputium, ekspresi mRNA Cygb meningkat 8,7 kali, protein Cygb meningkat bermakna (1,196 Vs 0,779 ng/mg protein dan 95% Vs 63% ; p <0,05). Ekspresi mRNA HIF-1α meningkat 5,1 kali, protein HIF-1α meningkat bermakna (0,201 Vs 0,122 ng/mg protein dan 80% Vs 38%; p <0,05). Terdapat korelasi kuat antara ekspresi protein HIF-1α dan mRNA Cygb (Pearson; R = 0,649; p <0,01). Ekspresi protein FGF keloid meningkat bermakna (78% Vs 41%; p <0,05). Demikian pula ekspresi mRNA prokolagen I dan III keloid meningkat bermakna (35 kali dan 27,1 kali), serta ekspresi protein kolagen I dan III (61% Vs 37% dan 39% Vs. 16%; p <0,05). Juga terdapat korelasi kuat antara protein HIF-1α dengan FGF, prokolagen I dan III (Pearson; R= 0,878; R=0,960; dan R=0884; p<0,01). Kadar hiroksiprolin lebih tinggi pada keloid (0,297 Vs 276 ng/mg protein; p >0,05) dan pematangan kolagen lebih tinggi bermakna (1,2 kali; p <0,05). Cygb berkorelasi kuat dengan pematangan kolagen (kadar hidroksiprolin) (Pearson; R = 0,790; p <0,001).
Kesimpulan: Cygb berperan pada hipoksia jaringan fibrosis yang ditandai dengan peningkatan ekspresinya. Peran Cygb terkait dengan ekspresi HIF-1α yang berkorelasi dengan peningkatan FGF, pro/kolagen I dan III yang merupakan faktor penting pada fibrosis. Cygb juga berperan pada pematangan kolagen.

Background: Cytoglobin (Cygb) is an O2 carrier protein expressed by fibroblasts and active fibroblast like cells. O2 and energy demand increased in fibrosis due to proliferation of fibroblasts and synthesis of collagen. In fibrosis hypoxia occurred which is characterized by stabilization of hypoxia inducible factor-1α (HIF-1α), which later forming the HIF-1, a transcription factor for the expression of adaptation protein (including Cygb). Cygb alleged role in the supply of O2 in fibrosis. The purpose of this study was to obtain information about Cygb role in fibrosis hypoxia with keloid tissue as a model.
Methods: This was an observational descriptive study. Keloid samples were obtained from biopsy, while the preputium as control were obtained from circumcision, 10 tissue samples each. Measurement of Cygb, HIF-1α, collagen I and III mRNA expression were carried out by real time RT?PCR. Cygb and HIF-1α protein level were measured by ELISA; while Cygb, HIF-1α, FGF, and collagen I and III protein expressions in the dermis layer by immunohistochemistry (IHC). Measurement of MDA and GSH levels (oxidative stress) and hydroxyprolin concentration (marker of mature collagen) by spectrophotometry, while the collagen density measurement with van Gieson staining. Data were analyzed statistically using t-test.
Results: In keloid compared preputium, Cygb mRNA expression increased 8.7 times compared to preputium, Cygb protein increased significantly (1.196 Vs 0.779 ng/mg protein and 95% Vs 63%, p <0.05). HIF-1α mRNA expression increased by 5.1 times in keloid tissue, and protein HIF-1α increased significantly (0.201 Vs 0.122 ng/mg protein and 80% Vs 38%, p <0.05). There is a strong correlation between the expression of HIF-1α protein and Cygb mRNA (Pearson; R = 0.649, p <0.01). Keloid FGF protein expression increased significantly (78% Vs 41%; p <0.05). Similarly, mRNA expression of procollagen I and III keloid increased significantly (35 times and 27.1 times), and protein expression of collagen I and III (61% Vs 37% and 39% Vs 16%, p <0.05). There is also a strong correlation between HIF-1α protein with FGF, procollagen I and III (Pearson, R = 0.878, R = 0.960; and R = 0.884, p <0.01). Hydroxyprolin concentration were higher in keloid (0.297 Vs 0.276 ng/mg protein; p >0.05) and collagen maturation was significantly higher (1.2 times, p <0.05). Cygb is correlated with maturation of collagen (hydroxyproline levels) (Pearson, R = 0.790, p <0.001).
Conclusion: Cygb play role in fibrosis hypoxia which is characterized by its increased expression. Cygb role is associated with the expression of HIF-1α which are correlated with increased FGF, pro/collagen I and III, which are important factor in fibrosis. Cygb also play a role in the maturation of collagen."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2016
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UI - Disertasi Membership  Universitas Indonesia Library
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Ninik Mudjihartini
"[ABSTRAK
Hipoksia berperan penting pada patofisiologi berbagai penyakit utama penyebab kematian seperti, penyakit jantung iskemia, strok, kanker, penyakit paru kronik, dan gagal jantung kongestif. Kedua protein golongan globin di otak, yaitu neuroglobin (Ngb) dan sitoglobin (Cygb) diduga berperan dalam suplai oksigen ke mitokondria dan melindungi jaringan otak dari kerusakan akibat hipoksia (neuroprotektan). Perubahan ekspresi protein merupakan salah satu bentuk adaptasi biokimia yang penting terhadap perubahan homeostasis. Oleh karena itu timbul pertanyaan bagaimana pola ekspresi Ngb dan Cygb serta peran neuroprotektan kedua protein tersebut di otak pada keadaan hipoksia sistemik kronik (HSK). Penelitian bertujuan manganalisis perbedaan pola ekspresi Ngb dan Cygb serta kaitannya dengan apoptosis pada HSK. Parameter yang diukur adalah Ngb, Cygb, sitokrom c, MDA, GSH dan HIF-lα. Rancangan penelitian yang digunakan adalah studi eksperimental in vivo model HSK pada tikus. Tikus sebagai hewan coba dibagi secara acak dalam 6 kelompok perlakuan, yaitu kelompok I adalah kelompok kontrol atau tanpa perlakuan hipoksia, sedangkan kelompok II, III, IV, V, dan VI mendapat perlakuan hipoksia dengan lama waktu hipoksia selama 1, 3, 5, 7, dan 14 hari. Parameter yang diperiksa meliputi ekspresi Ngb dan Cygb dengan teknik real time-RT PCR, ELISA dan imunofluoresen FITC, stres oksidatif, HIF-1α sebagai penanda hipoksia, dan sitokrom c sebagai penanda apoptosis. Hasil yang diperoleh HSK meningkatkan ekspresi mRNA Ngb pada hipoksia 3, 5, dan 7 hari, namun ekspresi proteinnya menurun pada hipoksia 1, 3, 5, 7, dan 14 hari dibanding dengan kontrol. Berbeda dengan ekspresi mRNA Cygb yang menurun selama hipoksia 1, 3, 5, 7, dan 14 hari, namun protein Cygb meningkat pada hipoksia 1, 3, 5, 7, dan 14 hari dibandingkan dengan kontrol. Korelasi Ngb dengan sitokrom c lemah tidak signifikan, sedangkan Cygb sangat lemah dan tidak signifikan. HSK menginduksi ekspresi HIF-lα yang meningkat tertinggi pada hipoksia 7 hari, dan menyebabkan stres oksidatif yang ditandai dengan meningkatnya MDA pada hipoksia 1, 3 dan 5 hari, serta menurunnya GSH pada hipoksia 1, 3, dan 5 hari. Penelitian ini membuktikan bahwa terdapat perbedaan pola ekspresi Ngb dan Cygb pada HSK. Ekspresi Ngb sebagai respons adaptasi terjadi lebih awal dan lebih dipengaruhi oleh lama waktu hipoksia dibandingkan dengan ekspresi Cygb. Meskipun lemah, Ngb cenderung mempunyai peran menghambat apoptosis dibandingkan dengan protein Cygb.;

ABSTRACT
Hypoxia has an important role in the pathophysiology of high mortality diseases, such as ischemic cardiovascular disease, stroke, cancer, chronic lung disease, and congestive heart failure. The proteins belonged to globin protein group, included neuroglobin (Ngb) and cytoglobin (Cygb), have been presumed to play a role in regulating the oxygen supply into the mitochondria and protecting the brain tissues from damage due to hypoxia (neuroprotectant). An alteration in protein expression due to a homeostatic shift is an important adaptation process in biochemistry. Therefore, the expression pattern of Ngb and Cygb as well as their protein roles in brain during a chronic systemic hypoxia condition (CSH) remain unclear. This study aim to analyse the differences of the Ngb and Cygb expression patterns, and correlation of both protein to apoptosis in chronic systemic hypoxic condition. Ngb, Cygb, Cytochrome c, MDA, GSH, and HIF-1 α. were examined. An in vivo experimental model of CSH was carried out using rat. The experimental rats were randomly divided into 6 treatment groups, i.e. group I was a control group or without hypoxic condition, groups II, III, IV, V, and VI were treated by hypoxic condition for 1, 3, 5, 7, and 14 days, respectively. The Ngb and Cygb expressions were analysed using real time-RTPCR, ELISA, immunofluorescence with FITC, and the measurement of stress oxidative biomarkers, included HIF-1α as a biomarker of hypoxic condition and cytochrome c as a biomarker of apoptosis. The CSH was increased the mRNA expression of Ngb at 3, 5, and 7 days hypoxic groups, while the protein expression was decreased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The mRNA expression of Cygb was decreased at 1, 3, 5, 7, and 14 days hypoxic groups, whereas the Cygb protein expression was increased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The correlation between Ngb with cytochrome c was weakly statistically insignificant, and Cygb with cytochrome c was statistically insignificant. The CSH induced the HIFlα, which was shown by a high increase at 7 days hypoxic group, as well as stress oxidative which was represented by MDA at 1, 3, and 5 days hypoxic groups, and decreased GSH at 1, 3, and 5 days hypoxic groups. There are differences in expression pattern of Ngb and Cygb in CSH. The expression of Ngb, as an adaptive response, occurs earlier and is more influenced by the duration of hypoxic condition compared to Cygb. Although the correlation is weak, the Ngb seems more likely to inhibit apoptosis compared to Cygb protein;Hypoxia has an important role in the pathophysiology of high mortality diseases, such as ischemic cardiovascular disease, stroke, cancer, chronic lung disease, and congestive heart failure. The proteins belonged to globin protein group, included neuroglobin (Ngb) and cytoglobin (Cygb), have been presumed to play a role in regulating the oxygen supply into the mitochondria and protecting the brain tissues from damage due to hypoxia (neuroprotectant). An alteration in protein expression due to a homeostatic shift is an important adaptation process in biochemistry. Therefore, the expression pattern of Ngb and Cygb as well as their protein roles in brain during a chronic systemic hypoxia condition (CSH) remain unclear. This study aim to analyse the differences of the Ngb and Cygb expression patterns, and correlation of both protein to apoptosis in chronic systemic hypoxic condition. Ngb, Cygb, Cytochrome c, MDA, GSH, and HIF-1 α. were examined. An in vivo experimental model of CSH was carried out using rat. The experimental rats were randomly divided into 6 treatment groups, i.e. group I was a control group or without hypoxic condition, groups II, III, IV, V, and VI were treated by hypoxic condition for 1, 3, 5, 7, and 14 days, respectively. The Ngb and Cygb expressions were analysed using real time-RTPCR, ELISA, immunofluorescence with FITC, and the measurement of stress oxidative biomarkers, included HIF-1α as a biomarker of hypoxic condition and cytochrome c as a biomarker of apoptosis. The CSH was increased the mRNA expression of Ngb at 3, 5, and 7 days hypoxic groups, while the protein expression was decreased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The mRNA expression of Cygb was decreased at 1, 3, 5, 7, and 14 days hypoxic groups, whereas the Cygb protein expression was increased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The correlation between Ngb with cytochrome c was weakly statistically insignificant, and Cygb with cytochrome c was statistically insignificant. The CSH induced the HIFlα, which was shown by a high increase at 7 days hypoxic group, as well as stress oxidative which was represented by MDA at 1, 3, and 5 days hypoxic groups, and decreased GSH at 1, 3, and 5 days hypoxic groups. There are differences in expression pattern of Ngb and Cygb in CSH. The expression of Ngb, as an adaptive response, occurs earlier and is more influenced by the duration of hypoxic condition compared to Cygb. Although the correlation is weak, the Ngb seems more likely to inhibit apoptosis compared to Cygb protein;Hypoxia has an important role in the pathophysiology of high mortality diseases, such as ischemic cardiovascular disease, stroke, cancer, chronic lung disease, and congestive heart failure. The proteins belonged to globin protein group, included neuroglobin (Ngb) and cytoglobin (Cygb), have been presumed to play a role in regulating the oxygen supply into the mitochondria and protecting the brain tissues from damage due to hypoxia (neuroprotectant). An alteration in protein expression due to a homeostatic shift is an important adaptation process in biochemistry. Therefore, the expression pattern of Ngb and Cygb as well as their protein roles in brain during a chronic systemic hypoxia condition (CSH) remain unclear. This study aim to analyse the differences of the Ngb and Cygb expression patterns, and correlation of both protein to apoptosis in chronic systemic hypoxic condition. Ngb, Cygb, Cytochrome c, MDA, GSH, and HIF-1 α. were examined. An in vivo experimental model of CSH was carried out using rat. The experimental rats were randomly divided into 6 treatment groups, i.e. group I was a control group or without hypoxic condition, groups II, III, IV, V, and VI were treated by hypoxic condition for 1, 3, 5, 7, and 14 days, respectively. The Ngb and Cygb expressions were analysed using real time-RTPCR, ELISA, immunofluorescence with FITC, and the measurement of stress oxidative biomarkers, included HIF-1α as a biomarker of hypoxic condition and cytochrome c as a biomarker of apoptosis. The CSH was increased the mRNA expression of Ngb at 3, 5, and 7 days hypoxic groups, while the protein expression was decreased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The mRNA expression of Cygb was decreased at 1, 3, 5, 7, and 14 days hypoxic groups, whereas the Cygb protein expression was increased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The correlation between Ngb with cytochrome c was weakly statistically insignificant, and Cygb with cytochrome c was statistically insignificant. The CSH induced the HIFlα, which was shown by a high increase at 7 days hypoxic group, as well as stress oxidative which was represented by MDA at 1, 3, and 5 days hypoxic groups, and decreased GSH at 1, 3, and 5 days hypoxic groups. There are differences in expression pattern of Ngb and Cygb in CSH. The expression of Ngb, as an adaptive response, occurs earlier and is more influenced by the duration of hypoxic condition compared to Cygb. Although the correlation is weak, the Ngb seems more likely to inhibit apoptosis compared to Cygb protein;Hypoxia has an important role in the pathophysiology of high mortality diseases, such as ischemic cardiovascular disease, stroke, cancer, chronic lung disease, and congestive heart failure. The proteins belonged to globin protein group, included neuroglobin (Ngb) and cytoglobin (Cygb), have been presumed to play a role in regulating the oxygen supply into the mitochondria and protecting the brain tissues from damage due to hypoxia (neuroprotectant). An alteration in protein expression due to a homeostatic shift is an important adaptation process in biochemistry. Therefore, the expression pattern of Ngb and Cygb as well as their protein roles in brain during a chronic systemic hypoxia condition (CSH) remain unclear. This study aim to analyse the differences of the Ngb and Cygb expression patterns, and correlation of both protein to apoptosis in chronic systemic hypoxic condition. Ngb, Cygb, Cytochrome c, MDA, GSH, and HIF-1 α. were examined. An in vivo experimental model of CSH was carried out using rat. The experimental rats were randomly divided into 6 treatment groups, i.e. group I was a control group or without hypoxic condition, groups II, III, IV, V, and VI were treated by hypoxic condition for 1, 3, 5, 7, and 14 days, respectively. The Ngb and Cygb expressions were analysed using real time-RTPCR, ELISA, immunofluorescence with FITC, and the measurement of stress oxidative biomarkers, included HIF-1α as a biomarker of hypoxic condition and cytochrome c as a biomarker of apoptosis. The CSH was increased the mRNA expression of Ngb at 3, 5, and 7 days hypoxic groups, while the protein expression was decreased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The mRNA expression of Cygb was decreased at 1, 3, 5, 7, and 14 days hypoxic groups, whereas the Cygb protein expression was increased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The correlation between Ngb with cytochrome c was weakly statistically insignificant, and Cygb with cytochrome c was statistically insignificant. The CSH induced the HIFlα, which was shown by a high increase at 7 days hypoxic group, as well as stress oxidative which was represented by MDA at 1, 3, and 5 days hypoxic groups, and decreased GSH at 1, 3, and 5 days hypoxic groups. There are differences in expression pattern of Ngb and Cygb in CSH. The expression of Ngb, as an adaptive response, occurs earlier and is more influenced by the duration of hypoxic condition compared to Cygb. Although the correlation is weak, the Ngb seems more likely to inhibit apoptosis compared to Cygb protein, Hypoxia has an important role in the pathophysiology of high mortality diseases, such as ischemic cardiovascular disease, stroke, cancer, chronic lung disease, and congestive heart failure. The proteins belonged to globin protein group, included neuroglobin (Ngb) and cytoglobin (Cygb), have been presumed to play a role in regulating the oxygen supply into the mitochondria and protecting the brain tissues from damage due to hypoxia (neuroprotectant). An alteration in protein expression due to a homeostatic shift is an important adaptation process in biochemistry. Therefore, the expression pattern of Ngb and Cygb as well as their protein roles in brain during a chronic systemic hypoxia condition (CSH) remain unclear. This study aim to analyse the differences of the Ngb and Cygb expression patterns, and correlation of both protein to apoptosis in chronic systemic hypoxic condition. Ngb, Cygb, Cytochrome c, MDA, GSH, and HIF-1 α. were examined. An in vivo experimental model of CSH was carried out using rat. The experimental rats were randomly divided into 6 treatment groups, i.e. group I was a control group or without hypoxic condition, groups II, III, IV, V, and VI were treated by hypoxic condition for 1, 3, 5, 7, and 14 days, respectively. The Ngb and Cygb expressions were analysed using real time-RTPCR, ELISA, immunofluorescence with FITC, and the measurement of stress oxidative biomarkers, included HIF-1α as a biomarker of hypoxic condition and cytochrome c as a biomarker of apoptosis. The CSH was increased the mRNA expression of Ngb at 3, 5, and 7 days hypoxic groups, while the protein expression was decreased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The mRNA expression of Cygb was decreased at 1, 3, 5, 7, and 14 days hypoxic groups, whereas the Cygb protein expression was increased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The correlation between Ngb with cytochrome c was weakly statistically insignificant, and Cygb with cytochrome c was statistically insignificant. The CSH induced the HIFlα, which was shown by a high increase at 7 days hypoxic group, as well as stress oxidative which was represented by MDA at 1, 3, and 5 days hypoxic groups, and decreased GSH at 1, 3, and 5 days hypoxic groups. There are differences in expression pattern of Ngb and Cygb in CSH. The expression of Ngb, as an adaptive response, occurs earlier and is more influenced by the duration of hypoxic condition compared to Cygb. Although the correlation is weak, the Ngb seems more likely to inhibit apoptosis compared to Cygb protein]"
2015
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UI - Disertasi Membership  Universitas Indonesia Library
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Himmi Marsiati
"Pendahuluan: Penelitian dilakukan untuk mengetahui peran senyawa flavonoid mangiferin dalam meningkatkan ekspresi mRNA HIF-1α dan sebagai pencekal besi dalam menstabilkan HIF-1α pada lini sel HepG2 dan menganalisis interaksi mangiferin dengan prolil hidroksilase (PHD2) secara simulasi docking.
Metode: Sel HepG2 dikultur hingga >80% konfluen dan selanjutnya diberikan mangiferin konsentrasi 25-200μM. Kuersetin digunakan sebagai pembanding flavonoid mangiferin yang bekerja di dalam inti sel, sedangkan DFO dan CuCl2 digunakan sebagai pembanding daya ikat terhadap besi. Ekspresi mRNA HIF-1α ditentukan dengan real time RT- PCR/q-PCR, dan stabilisasi protein HIF-1α ditentukan mengunakan teknik ELISA. Simulasi docking dilakukan terhadap protein PHD2 dengan mangiferin, CuCl2, deferoksamin (DFO), dan campuran mangiferin+ kuersetin.
Hasil: Uji viabilitas sel menggunakan metode MTS dengan pemberian mangiferin, kuersetin, campuran mangiferin-kuersetin, DFO dan CuCl2 (25-200μM) memperlihatkan hasil diatas 85%. Ekspresi mRNA HIF-1α dengan mangiferin, kuersetin, mangiferin+kuersetin, dan DFO menunjukkan hasil sedikit lebih tinggi dibanding kontrol. Konsentrasi protein HIF-1α pada pemberian mangiferin, kuersetin, mangiferin-kuersetin, DFO dan CuCl2 lebih tinggi dibanding kontrol. Simulasi docking mangiferin terhadap PHD2 memperlihatkan ΔG= -16,22, dan DFO menunjukkan ΔG= -17,15. Terdapat interaksi antara mangiferin, dan DFO dengan besi dan asam amino pada situs katalitik domain PHD2, sedangkan CuCl2 tidak berinteraksi dengan residu asam amino pada domain PHD2, tetapi langsung menggantikan Fe. Efek penghambatan terhadap PHD2 oleh mangiferin dan kuersetin disebabkan oleh delokalisasi elektron melalui kompleks transfer elektron.
Kesimpulan: Mangiferin dapat meningkatkan ekspresi mRNA HIF-1α dan meningkatkan protein HIF-1α, menurun protein PHD2 dan menurunkan protein HO-HIF-1α pada lini sel HepG2 secara in vitro. Analisis docking terdapat interaksi antara mangiferin, dan DFO dengan besi dan asam amino PHD2. Mangiferin memiliki stabilitas pengkikatan dengan besi yang berdekatan dengan DFO.

Introduction: This research was conducted to determine the role of flavanoid mangiferin to increase expression HIF-1α mRNA, and as an iron chelator to stabilize protein HIF-1α in cell line HepG2 and analyzes the interaction of mangiferin with prolil hidroksilase (PHD2) by docking simulation.
Methods: HepG2 cells were cultured and treated by mangiferin with concentration between 25-200μM. Quercetin is used as a comparison mangiferin flavonoid that works in the nucleus and DFO, CuCl2 is used as a comparison to iron-binding. HIF- 1α mRNA expression was determined by real time RT-PCR/q-PCR, and the stability HIF-1α protein were measured by the increase in HIF-1α protein, decreased PHD2 protein and decreased HO-HIF-1α using ELISA. Docking simulation was conducted between PHD2 protein and mangiferin, CuCl2, desferoxamine (DFO), and quercetin.
Results: Cell viability with MTS assay showed that cell exposure with 25μM-200μM concentrations of mangiferin, quercetin, mangiferin+quercetin mixture, DFO, and CuCl2 is above 85%. HIF-1α mRNA expression was slightly higher than in controls with mangiferin, quercetin, mangiferin quercetin mixture and DFO. HIF-1α protein concentration and ratios vs untreated controls were above 1 with mangiferin, quercetin, mangiferin quercetin mixture, DFO, and CuCl2. Docking simulation mangiferin with PHD2 showed ΔG= -16,22. Docking simulation with DFO showed ΔG= -17,15, and interact mangiferin, and DFO with iron in the catalytic site of PHD2 and with amino acid residues, whereas CuCl2 does not react with amino acid residues in the PHD2 domain, but directly replaces Fe. The inhibitory effect to PHD2 by mangiferin and quercetin is considered by electron delocalisation through an electron transfer complex.
Conclusion: Mangiferin can increase HIF-1α mRNA expression and HIF-1α protein levels in HepG2 cell line by in vitro. Binding interaction with iron and PHD2 amino acids occurs by mangiferin and DFO. Mangiferin has stability iron binding a similar with DFO.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2015
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UI - Disertasi Membership  Universitas Indonesia Library
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Veronica Galih Gunarsih
"Latar belakang : Hipoksia merupakan bahaya potensial dalam penerbangan. Waktu sadar efektif (WSE) merupakan waktu ketika seorang penerbang atau awak pesawat mulai terpajan hipoksia sampai sebelum mengalami inkapasitansi. Selama rentang waktu tersebut seorang penerbang dapat membuat keputusan atau tindakan yang tepat. Hemoglobin sangat berpengaruh terhadap saturasi O2 yang menentukan oksigenasi jaringan tubuh. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang mempengaruhi WSE yaitu pada calon dan awak pesawat militer di Indonesia.
Metode: Desain penelitian dengan potong lintang, pengambilan sampel secara purposif. Data diambil dari hasil pelaksanaan Indoktrinasi Latihan Aerofisiologi (ILA) di Lakespra Saryanto selama Januari-Mei 2014. Subyek penelitian adalah calon dan awak pesawat militer. Lama WSE diperoleh dengan demonstrasi hipoksia dalam ruang udara bertekanan rendah (RUBR) pada simulasi ketinggian 25000 kaki. Nilai kesamaptaan jasmani ditentukan dengan VO2maks. Analisis regresi linier digunakan untuk mengidentifikasi faktor risiko WSE.
Hasil: Calon dan awak pesawat militer yang melaksanakan ILA sebanyak 183 orang. Duapuluh lima subyek dikeluarkan karena tidak melaksanakan demonstrasi hipoksia di RUBR atau uji latih jantung, 158 subyek memenuhi kriteria inklusi. Faktor dominan yang memperpanjang WSE adalah Hb, sedangkan yang mempersingkat adalah IMT dan umur. Setiap 1 g/dL Hb menambah WSE 14,7 detik [koefisien regresi (β) = 14,677 ; p = 0,010].
Simpulan: Kenaikan IMT 1 kg/m2 mengurangi WSE 3,3 detik [β = -3,274; 95% interval kepercayaan (CI) = -8,287;1,738 ; p = 0,199]. Penambahan umur 1 tahun mengurangi WSE 3,9 detik (β = -3,917; p = 0,000).

Background: Hypoxia is potential hazard in aviation. Time of useful consciousness (TUC) is time during when a pilot or aircrew exposed hypoxia before experiencing incapacitation. During the span of time, a pilot can make the right decision or action. Haemoglobin (Hb) influences the oxygen saturation that determines oxygenation of the body tissue. This study aims to identify the factors affect WSE on candidates and military aircrew in Indonesia.
Methods: Study designed was cross sectional with purposive sampling. Data taken from the result of Indoktrinasi Latihan Aerofisiologi (ILA) in Lakespra Saryanto Jakarta during January to May 2014. Research subjects were candidates and military aircrews. Time of useful consciousness was obtained from hypoxia demonstration in hypobaric Chambers at 25000 feet altitude simulation. The value of physical fitness was determined by VO2max. Linear regression analysis was used to identify risk factors of TUC.
Results: Candidates and military aircrew carried out the ILA were 183 persons. Twenty-five subjects were excluded because of not carried out hypoxia demonstration in hypobaric chamber or treadmill test. The dominant factors that extend TUC were Hb. while shortening were BMI and age. Each 1 g/dL Hb extend TUC 14.7 seconds [regression coefficient (β) = 14.677 ; p = 0.010]. Increasing BMI of 1 kg/m2 shorten TUC 3.3 seconds [(β) = -3.274; 95% confidence interval (CI) = -8.287;1.738 ; p = 0.199]. Addition of age 1 year shorten TUC 3.3 seconds (β= -3.917 ; p = 0.000).
Conclusion: Increasing Hb extends TUC, while gain BMI and addition age shorten TUC.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2014
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UI - Tugas Akhir  Universitas Indonesia Library
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Dewi Hambar Sari
"ABSTRAK
Pendahuluan: Keloid adalah tumor jinak pada kulit yang ditandai denganpeningkatan deposisi kolagen yang disebabkan oleh tingginya aktivitas danproliferasi fibroblas. Karakteristik utama dari keloid adalah berada pada kondisihipoksia. Hypoxia inducible factor-1alpha HIF-1? dan HIF-2? merupakansubunit faktor transkripsi HIF-1 dan HIF-2 yang berperan penting pada adaptasiterhadap kondisi hipoksia. Kondisi hipoksia juga memicu sel memproduksireactive oxygen species ROS yang dapat ditangkal oleh sitoglobin Cygb . Padakeloid, Cygb juga berperan pada sintesis kolagen. Penelitian lain membuktikanbahwa terdapat situs pengikatan promoter HIF-1 pada hypoxia response element HRE Cygb, sedangkan situs pengikatan HIF-2 pada Cygb belum diketahui. HIF-1? dan HIF-2? juga diketahui berperan menginduksi ekspresi gen yang berperanpada proliferasi. Keduanya diketahui mengatur proliferasi sel pada beberapa jeniskanker. Namun, peran HIF-1? dan HIF-2? terhadap ekspresi Cygb dan proliferasifibroblas pada keloid belum diketahui. Oleh karena itu, penelitian ini bertujuanmengetahui peran HIF-1? dan HIF-2? terhadap ekspresi sitoglobin dan proliferasifibroblas pada keloid, dengan melakukan penghambatan HIF-1? dan HIF-2? padafibroblas keloid menggunakan inhibitor HIF berupa ibuprofen. Metode:Pemeriksaan dilakukan terhadap ekspresi mRNA dan kadar protein HIF-1?, HIF-2?, dan sitoglobin, menggunakan metode qRT-PCR dan ELISA, serta proliferasisel menggunakan metode trypan blue exclussion assay setelah diberi ibuprofendan dibandingkan dengan kontrol yang tidak diinduksi dengan ibuprofen. Hasil:Penghambatan HIF-1? menyebabkan terjadinya penurunan ekspresi mRNA Cygbdan proliferasi fibroblas pada keloid. Hal ini membuktikan bahwa HIF-1?berperan sebagai faktor transkripsi Cygb, dan juga berperan menginduksi ekspresigen yang berperan pada proliferasi fibroblas keloid. Akan tetapi, peran HIF-2?dalam meregulasi sitoglobin dan mempertahankan proliferasi fibroblas keloidbelum berhasil dibuktikan. Kesimpulan: HIF-1? berperan meregulasi eksrepsiCygb dan berperan pada proliferasi fibroblas keloid. Akan tetapi, HIF-2? belumterbukti meregulasi eksrepsi Cygb dan berperan pada proliferasi fibroblas keloid.

ABSTRACT
Background Keloid is a benign tumor which is characterized by overabbundance of collagen deposition caused by high activity and proliferation offibroblast. The main characteristics of keloid is hypoxia. HIF 1 and HIF 2 aretwo subunits of transcrption factors HIF 1 and HIF 2 which mediate adaptationto hypoxic condition. Hypoxic condition also induces cells to produce reactiveoxygen species ROS which can be scavenged by cytoglobin Cygb . In keloid,Cygb also plays important role in collagen synthesis. Other studies prove thatthere is a binding site of HIF 1 promoter on hypoxia response element HRE ofCygb. Whereas, HIF 2 binding site on HRE of Cygb is not cleraly understood.HIF 1 and HIF 2 also play important role to induce expression of many geneswhich involved in cells proliferation. Both HIF 1 and HIF 2 are known toregulate cells proliferation in many cancer types. However, the role of HIF 1 andHIF 2 to Cygb expression and fibroblast proliferation in keloid is not fullyunderstood. Therefore, the aim of this study is to determine the role of HIF 1 andHIF 2 on Cygb expression and fibroblast proliferation in keloid, by doing aninhibition of HIF 1 and HIF 2 in keloid fibroblast primary culture usingibuprofen as HIF inhibitor. Methods Analysis was conducted by analizing HIF 1 , HIF 2 , and Cygb mRNA expression and protein level using qRT PCR andELISA, and fibroblast proliferation analysis was conducted using trypan blueexclusion assay after given with ibuprofen and compared with control which isnot given with ibuprofen. Results Inhibition of HIF 1 caused a decrease onCygb mRNA expression and fibroblast proliferation on keloid. These findingsprove that HIF 1 acts as transcription factor of Cygb, and also inducesexpression of gene which plays a role on fibroblast proliferation in keloid.However, the role of HIF 2 in regulating and maintaining Cygb expression andfibroblast proliferation in keloid was not succesfully proven. Conclusion HIF 1 regulate Cygb expression and fibroblast proliferation in keloid. However, HIF 2 role on Cygb expression and fibroblast proliferation has not be proven yet."
[, ]: 2016
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Maria Ekawati
"Pendahuluan: Hipoksia plasenta pada bayi prematur menyebabkan stres oksidatif yang merusak protein penaut endotel kapiler plasenta. Kerusakan pada kapiler plasenta diharapkan dapat menggambarkan perubahan permeabiltas kapiler otak yang menyebabkan perdarahan intraventrikel.
Metode: Penelitian observasional potong lintang terhadap 58 sampel plasenta bayi prematur. Hipoksia dinilai dari saturasi vena umbilikal, respon jaringan terhadap hipoksia dari kadar HIF-1α, stres oksidatif dari kadar malondialdehid (MDA) dan glutation (GSH). Integritas lapisan endotel dinilai dengan histomorfologi, ekspresi protein N-kaderin dan okludin dengan imunohistokimia, Glial fibrillary acidic protein (GFAP) sebagai petanda kerusakan perivaskular astrosit dan perdarahan intraventrikel dinilai dengan ultrasonografi kepala.
Hasil: Kadar HIF-1α lebih tinggi tidak bermakna pada kelompok hipoksia dibandingkan kelompok non hipoksia (uji t tidak berpasangan, p = 0,122); Kadar MDA jaringan plasenta lebih tinggi tidak bermakna sedangkan GSH lebih rendah tidak bermakna (Mann Whitney, p = 0,414 dan p = 0,810). Gambaran histomorfologi lebih tidak utuh tidak bermakna (Chi-square, p = 0,066), sedangkan ekspresi N-kaderin dan okludin lebih rendah bermakna (Chi-square, p = 0,001). Kadar GFAP serum lebih tinggi bermakna (Mann Whitney, p = 0,05). Korelasi tidak bermakna antara ekspresi N-kaderin dan okludin dengan perdarahan intraventrikel (Spearman?s rho, p = 0,869 dan p = 0,341).
Kesimpulan: Hipoksia pada plasenta menyebabkan perubahan ekspresi protein penaut endotel kapiler plasenta, secara molekuler sudah menyebabkan perubahan permeabilitas lapisan endotel kapiler plasenta tetapi secara struktural belum. Perubahan ekspresi protein penaut endotel kapiler plasenta tidak berhubungan dengan perdarahan intraventrikel.

Introduction: Plasental hypoxia in premature infants causes oxidative stress which inflicts damage to endothelial protein junction of placental capillary. It is expected that damaged of placental capillary can demonstate permeability changes in brain capillary that can cause intraventricular hemorrage.
Method:.a cross sectional observational study conducted on 58 placenta of premature infants. Hypoxia is determined by umbilical venous saturation. Tissue response to hypoxia determined by the level of HIF-1α, stress oxidative by the level of malondialdehide (MDA) and glutation (GSH). Endothelial layer integtrity by histomorfologi overview, N-cadherine and occludin by immunohistochemistry. Glial fibrillary acidic protein (GFAP) as perivascular astrocyte disruption marker and intraventricular hemorrhage carried by head ultrasound.
Result: The levels of HIF-1α was not significantly higher in hypoxia group compared to non hypoxia group (unpaired t test, p = 0,122); The level of placental MDA was not significantly hingher while GSH was not significantly lower (Mann Whitney, p = 0,414 and p = 0,810). Histomorpological overview was not significantly not intact (Chi-square, p = 0,066), while the expression of N-cadherine and occludin were significantly lower (Chi-square = 0,001). There was not significant correlation between protein junction expression with intravenrticular hemorrhage (Spearman?s rho, p = 0,869 and p = 0,341).
Conclution: Hypoxia causes lower expression of N-cadherin and occludin, moleculary it cause placental endothelial capillary permeability but structurally it does not. Protein expression changes does not correlate with intraventricular hemorrhage.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2015
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David Limanan
"[ABSTRAK
Latar Belakang: Kelahiran prematur masih menjadi salah satu penyebab
utama kematian pada neonatus. Diseluruh dunia kematian akibat kelahiran
prematur menempati posisi kedua pada anak usia dibawah lima tahun. Kelahiran
prematur dapat disebabkan oleh komplikasi dari ibu, janin dan plasenta.
Insufisiensi plasenta merupakan komplikasi kehamilan dimana plasenta tidak
dapat membawa oksigen dan nutrisi yang diperlukan untuk pertumbuhan janin
dalam uterus, sehingga menyebabkan berkurangnya suplai oksigen yang
diperlukan janin dan terjadi keadaan hipoksia dalam uterus. Cygb yang terdapat
dalam plasenta yang berfungsi dalam metabolisme oksigen akan berusaha
menkompensasi keadaan ini agar suplai oksigen kembali normal. Hipoksia yang
terus menerus ini dapat menyebabkan meningkatnya reactive oxygen species
(ROS). Pada neonatus prematur terjadi peningkatan ROS dapat melalui dua jalur,
yaitu : pertama, tidak tersedianya antioksidan. Kedua, berkurangnya kemampuan
untuk meningkatkan pembentukan antioksidan sebagai respons dari hiperoksia
atau oksidan lain. ROS yang terbentuk akan ditanggulangi oleh antioksidan yang
ada sel baik yang enzimatik maupun nonenzimatik.
Metode: Plasenta bayi prematur dibagi dalam dua kelompok berdasarkan status
oksigennya menjadi hipoksia dan non hipoksia. Kemudian dilakukan pengukuran
ekspresi mRNA dan protein Cygb, serta aktivitas antioksidan MnSOD, CAT, dan
Gpx.
Hasil: Terjadi peningkatan protein Cygb, akan tetapi terjadi penurunan ekspresi
mRNA Cygb. Terjadi penurunan aktivitas spesifik MnSOD, sedangkan CAT dan
GPx tidak berbeda bermakan. Analisis statistik menunjukan hubungan bermakna
antara aktivitas spesifik MnSOD dengan aktivitas spesifik GPx dan terdapat
hubungan yang bermakana antara mRNA Cygb dengan aktivitas spesifik MnSOD
pada neonatus prematur hipoksia dan tidak hipoksia
Kesimpulan: Terjadi peningkatan protein Cygb dan penurunan mRNA Cygb
untuk mempertahankan homeostasis janin dalam keadaan hipoksia. Antioksidan
pada bayi prematur lebih rendah, akan tetapi hal ini akan dibantu oleh Cygb dalam
mengeliminasi ROS yang ada dalam tubuh, terlihat dari penurunan aktivitas
spesifik MnSOD pada plasenta prematur hipoksia, sedangkan aktivitas spesifik
katalase dan GPx relatif sama.

ABSTRACT
Background: Preterm birth is still one of the main causes of mortality in
neonates. Nowadays, preterm birth is the second most common cause of death in
children younger than five years. Preterm birth can be caused by complications of
the mother, fetus and placenta. Placenta insufficiency is complication of
pregnancy, where the placenta can not carry oxygen and nutrients for fetus growth
in uterus, that lead to decrease oxygen supplies for the fetus and hypoxia in
uterus. Cygb in placenta, that have function in oxygen metabolism will try to
compensate this situation, so the oxygen suplies will back to normal. The hypoxia
will increase reactive oxygen species (ROS). In preterm neonates the increase of
ROS is cause by: First, there is no antioxidant supplies. Second, the lack of
antioxidant respon to hyperoxsia or other oxidan ROS will be eliminate by
antioxidant system with in the cell.
Methods: Placenta from preterm neonates divided in teo groups, hypoxia and non
hypoxia. And the sample is measure for mRNA Cygb expression, Cygb proteins,
and antioxidant activity for MnSOD, CAT and GPx.
Results: The Cygb protein increase in placenta neonates hypoxia, but the
expression of mRNA Cygb decrease in placenta neonates hypoxia. There is
decrease of MnSOD specific activity in placental neonates hypoxia, but not in
CAT and GPx. Statistical analysis show correlation between MnSOD specific
activity with GPx specific activity, and correlation between mRNA Cygb with
MnSOD specific activity.
Conclusion: There is an increase of Cygb protein and decrease of Cygb mRNA in
placental neonates hypoxia, to maintain the neonates homeostasis in hypoxia
environment. Antioxidant is lower in preterm, Cygb with the capability to
eliminate free radical will help antioxidant to reduce the ROS. It was seen at the
decrease of MnSOD specific activity, and the katalase and GPx specific activity is
relatively the same in plasenta hipoksia and non hipoksia, Background: Preterm birth is still one of the main causes of mortality in
neonates. Nowadays, preterm birth is the second most common cause of death in
children younger than five years. Preterm birth can be caused by complications of
the mother, fetus and placenta. Placenta insufficiency is complication of
pregnancy, where the placenta can not carry oxygen and nutrients for fetus growth
in uterus, that lead to decrease oxygen supplies for the fetus and hypoxia in
uterus. Cygb in placenta, that have function in oxygen metabolism will try to
compensate this situation, so the oxygen suplies will back to normal. The hypoxia
will increase reactive oxygen species (ROS). In preterm neonates the increase of
ROS is cause by: First, there is no antioxidant supplies. Second, the lack of
antioxidant respon to hyperoxsia or other oxidan ROS will be eliminate by
antioxidant system with in the cell.
Methods: Placenta from preterm neonates divided in teo groups, hypoxia and non
hypoxia. And the sample is measure for mRNA Cygb expression, Cygb proteins,
and antioxidant activity for MnSOD, CAT and GPx.
Results: The Cygb protein increase in placenta neonates hypoxia, but the
expression of mRNA Cygb decrease in placenta neonates hypoxia. There is
decrease of MnSOD specific activity in placental neonates hypoxia, but not in
CAT and GPx. Statistical analysis show correlation between MnSOD specific
activity with GPx specific activity, and correlation between mRNA Cygb with
MnSOD specific activity.
Conclusion: There is an increase of Cygb protein and decrease of Cygb mRNA in
placental neonates hypoxia, to maintain the neonates homeostasis in hypoxia
environment. Antioxidant is lower in preterm, Cygb with the capability to
eliminate free radical will help antioxidant to reduce the ROS. It was seen at the
decrease of MnSOD specific activity, and the katalase and GPx specific activity is
relatively the same in plasenta hipoksia and non hipoksia]"
2015
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Prinka Diaz Adyta
"Pendahuluan: Malnutrisi dan hipoksia merupakan faktor yang mempengaruhi kegagalan terapi pada KNF stadium lokal lanjut. Kadar albumin merupakan salah satu pemeriksaan status nutrisi. Hipoksia menyebabkan radioresistensi terhadap radiasi.Tujuan dari penelitian ini adalah mengetahui korelasi antara kadar albumin praradiasi, hipoksia terhadap respon radiasi.
Metode penelitian: Penelitian ini merupakan studi kohort retrospektif menggunakan data sekunder terhadap 40 pasien kanker nasofaring stadium lokal lanjut yang memenuhi kriteria inklusi di Departemen Radioterapi dan Departemen Patologi Anatomi RSUP Dr Cipto Mangunkusumo dari Desember 2012 sampai Agustus 2013. Dilakukan pencatatan kadar albumin praradiasi, berat badan serta CT scan sebelum dan sesudah radiasi. Kemudian dilakukan analisa HIF1α dengan pulasan imunohistokimia. Sel yang positif hipoksia dihitung per 10 lapang pandang besar. Setelah itu, dilakukan penilaian respon radiasi berdasarkan kriteria Recist.
Hasil: Rerata kadar albumin praradiasi sebesar 3,9 +/- 0,5 g/dL, dan median persentase hipoksia sel yaitu 24,7(1-100)%. Tidak terdapat hubungan yang bermakna antara kadar albumin praradiasi terhadap respon radiasi (p≥0,05). Terdapat hubungan yang bermakna anatara hipoksia terhadap respon radiasi (p<0,05). Korelasi antara kadar albumin praradiasi dan hipoksia menunujukkan korelasi yang lemah dan tidak bermakna (r=-0,24, p=0,324).
Kesimpulan: Hasil penelitian ini memperlihatkan bahwa albumin praradiasi tidak berhubungan dengan respon radiasi pada KNF stadium lokal lanjut. Terbukti bahwa hipoksia meningkatkan radioresistensi dan menurunkan respon radiasi. Tidak terdapat korelasi antara albumin praradiasi dan hipoksia.

Introduction: Malnutrion and hypoxia had been shown to cause irradiation failure. Albumin is one of the nutritional status examination. Hypoxia caused radioresistance to irradiation. The purpose of this study was to evaluate the correlation of albumin, hypoxia towards radiation response in locally advanced nasopharyngeal carcinoma.
Methods: This is a retrospective cohort study using secondary data from Departement of Radiotheraphy and Departement of Pathology Cipto Mangunkusomo hospital of 40 patients locally advanced nasopharyngeal cancer who meet the inclusion criteria from December 2012 to August 2013. Albumin preirradiation, body weight and CT scan before and after radiation were recorded. We examined the expression of HIF1 α by immunohistochemistry staining. Hypoxia cell was asessed by cell counting. Radiation response was determined by Recist criteria.
Results: The mean of serum albumin is 3.9 + / - 0.5 g /dL, and the median percentage of hypoxia was 24,7(1-100)%. There was no statistically significant relationship between albumin and radiation response (p≥0.05). There was a statistically significant relationship between hypoxia and radiation response (p<0,05). There were no correlation between albumin and hypoxia (r=-0,24, p=0,324).
Conclusion: This study showed that there was no correlation between albumin preirradiation and response in locally advanced nasopharyngeal cancer. It was proven that hypoxia increased radioresistance in locally advanced nasopharyngeal cancer. There was no correlation between albumin preirradiation and hypoxia.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2013
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Agi Satria Putranto
"ABSTRAK
Latar Belakang. Striktur usus merupakan suatu bentuk komplikasi dari hernia stangulata, yang menyebabkan obstruksi usus setelah beberapa bulan pascaoperasi. Kejadian striktur usus sangat berkaitan dengan fibrosis. Namun tidak semua fibrosis usus akan menjadi striktur. Penelitian ini bertujuan untuk melihat peran TGF-β, sitoglobin, miR-21, miR-29b sebagai faktor dalam memprediksi striktur usus pada tikus dengan studi eksperimental penjepitan usus.
Metode. Studi dilakuakn di Fakultas Kedokteran Universitas Indonesia pada 2018-2019. Hewan coba yang digunakan di dalam penelitian adalah galur Sprague-Dawley dewasa muda berusia 6-8 minggu dengan berat 150-200gram. Tikus di anestesi menggunakan ketamin dan dilakukan laparotomi untuk melakukan tindakan penjepitan pada usus tikus. Penjepitan menggunakan cable tie dengan ukuran diameter lilitan 6 mm dan terlebih dahulu lindungi plastik rigid, pada bagian ileum terminal. Spesimen yang diperoleh berupa bagian usus di antara jepitan sepanjang 1 cm serta darah dari jantung pada jam ke-6 dan ke-24. Untuk pemeriksaan histopatologi diberikan pulasan hematoksilin-eosin dan Masson trichrome. Analisa serum biokimia menggunakan RT-PCR dan ELISA.
Hasil. Serat kolagen ditemukan bermakna pada perlakuan jam ke-6 vs kontrol (10.66±4.66; p<0.05) dan jam ke-24 vs kontrol (17.98±6.93; p<0.01) serta deposit serat kolagen paling banyak terdapat pada lapisan submukosa. Deposisi kolagen usus diikuti peningkatan konsentrasi miR-21 baik pada serum (med.6jam=54.25; p>0.05&med.24jam=37 ;p>0.05) maupun jaringan (med.6jam=21.9; p<0.05&med.24jam=144 ;p>0.05) Deposisi kolagen usus diikuti peningkatan miR-29b baik serum (med.6jam=631.5; p>0.05 & med.24jam=863.5 ; p>0.05) maupun jaringan (med.6jam = 675; p>0.05& med.24jam=759.5 ; p>0.05). Deposisi kolagen usus diikuti dengan peningkatan yang bermakna pada TGF-β serum (medp.6jam= 32.85; p<0.05&med.24jam = 24.87; p<0.05) maupun jaringan (medp.6jam=14.8; p<0.05&med.24jam=58.32; p<0.05). Deposisi kolagen usus diikuti dengan peningkatan bermakna sitoglobin serum (medp.6jam=162.9; p<0.05&medp.24jam=263.72; p<0.05) dan jaringan (medp.6jam=2712.61; p<0.01&medp.24jam=1308.38; p>0.05). Terdapat korelasi yang bermakna antara serat kolagen dengan TGF-β jaringan (r= 0.436; p=0.033). Uji diagnostik menunjukkan TGF-β serum yang tinggi dan sitoglobin yang tinggi yang diperiksa pada jam ke 24 setelah jepitan memiliki sensitivitas yang tinggi untuk mendeteksi serat kolagen (fisher<0.01; sensitivitas 100%; spesifisitas 63%).
Simpulan. Pemeriksaan serum TGF-B dan sitoglobin yang dilakukan secara bersamaan pada waktu 24 jam mempunyai hubungan dengan peningkatan serat kolagen yang berpotensi menjadi fibrosis sehingga dapat digunakan sebagai prediktor kejadian striktur usus.

ABSTARCT
Background. Intestinal stricture has been a troublesome complication following strangulated hernia, which may result in intestinal obstruction after several months postsurgery. The occurrence of intestinal stricture is closely related to fibrosis. Not all of the fibrotic lesions, however, lead to stricture. The present study is aimed to investigate the role of TGF-β, cytoglobin, miR-21, miR-29b and collagen deposition as factors in predicting the occurrence of intestinal stricture in the rats underwent experimental intestinal strangulation.
Methods. The study was conducted in Animal Cluster and Laboratories at Faculty of Medicine, University of Indonesia during 2018-2019. Adult, male Sprague-Dawley rats of 6-8 weeks old, 150-200 g were used in the study. Following anesthesia with ketamine, the rats were laparotomized and intestinal strangulation was conducted bymeans of a cable tie. Intestinal tissues and blood samples were collected at 6 and 24 hours of strangulation. Tissue samples were stained with Hematoxylin-eosin and Massons trichrome to visualize collagen and pathological alteration. TGF-β, cytoglobin, miR21 and miR29b were determined in blood sera and tissue samples and analyzed using RT-PCR and ELISA.
Results. Collagen fiber was found to be significant at the 6th hour vs. control (10.66 ±4.66; p <0.05) and 24th hour vs control (17.98 ± 6.93; p <0.01), most collagen fibers deposit were found in the submucosal layer. Increase in intestinal collagen deposition was followed by an increase in the concentration of miR-21 both in serum (med.t.6 hours = 54.25; p> 0.05 & med. t.24 hours = 37; p> 0.05) and tissue (med.t.6 hours = 21.9; p <0.05 & med.t.24 hours = 144; p> 0.05) Increase in deposition of intestinal collagen followed by an increase in miR-29b both serum (med. t.6 hours = 631.5; p> 0.05 & med. t.24 hours = 863.5; p> 0.05) and tissue (med. t.6 hours = 675; p> 0.05 & med. t.24 hours = 759.5; p> 0.05). Increase in intestinal collagen deposition was followed by a significant increase in serum TGF-β (med.t.6 hours = 32.85; p <0.05 & med.t.24 hours = 24.87; p <0.05) and tissue (med.t.6 hours = 14.8; p <0.05 & med t.24 hours = 58.32 hours); p <0.05). Increase in intestinal collagen deposition was followed by a significant increase in serum cytoglobin (med.t.6 hours = 162.9; p <0.05 & med. t.24 hours = 263.72; p <0.05) and tissue (med.t.6 hours = 2712.61; p <0.01 & med.t.24 hours = 1308.38; p> 0.05). There was a significant correlation between collagen fiber and TGF-β tissue (r= 0.436; p = 0.033). Diagnostically, high serum TGF-β and cytoglobin that were examined at 24 hours after strangulation occur have high sensitivity to detect collagen fiber (fisher <0.01; sensitivity 100%; specificity 63%).
Conclusions. Simultaneous increase of serum TGF-β and cytoglobin at 24 hours of strangulation associated with increased collagen fibers may become potential factors in predicting intestinal stricture in the rat underwent experimental strangulated intestines"
2020
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Naela Himayati Afifah
"Pada kondisi hipoksia, untuk tetap mencukupi jumlah adenosine trifosfat (ATP), sel akan melakukan adaptasi dengan mengubah metabolisme dari proses aerob menjadi anaerob. Sebagai enzim glikolisis anaerob, jumlah laktat dehidrogenase (LDH) pun akan meningkat di dalam sel. Paru, sebagai organ vital penyedia oksigenasi adekuat bagi tubuh, juga memiliki respon terhadap kondisi hipoksia.
Penelitian ini bertujuan untuk mengetahui gambaran adaptasi metabolisme jaringan paru melalui aktivitas spesifik LDH, pada tikus yang telah diinduksi hipoksia sistemik dibandingkan dengan normoksia (kontrol). Sejumlah tikus ditempatkan pada kandang hipoksia (kandungan O2 10%) selama 1, 3, 7, dan 14 hari. Pada akhir periode, bersama dengan kelompok tikus normoksia, semua tikus percobaan dieuthanasia, dan organ parunya dianalisis untuk pengukuran aktivitas spesifik LDH.
Hasil penelitian menunjukkan aktivitas LDH paru menurun pada kondisi hipoksia dibandingkan dengan normoksia. Penurunan glikolisis anaerob pada sel paru menggambarkan kegagalan mekanisme adaptasi sel yang berujung pada apoptosis. Perhitungan One-Way ANOVA menunjukkan perbedaan bermakna antara kelompok normoksia dan kelompok-kelompok hipoksia (p=0,015). Pada Uji Post-Hoc diketahui bahwa aktivits LDH pada kelompok hipoksia 1 hari, 7 hari, dan 14 hari, berbeda bermakna dibandingkan normoksia.
Disimpulkan bahwa pada jaringan paru tikus hipoksia sistemik terdapat penurunan bermakna aktivitas spesifik LDH dibandingkan kontrol normoksia.

In hypoxia, to maintain adenosine triphosphate (ATP) production, cell conducts an adaptation mechanism by shifting metabolism from aerobic into anaerobic. As an anaerobic glycolytic enzyme, the amount of lactate dehydrogenase (LDH) is increasing intracellularly regarding hypoxia condition. Lung, as a vital organ regulating adequate oxygenation to systemic, has a response to hypoxia.
This research aims to get a display of metabolism adaptation on lung tissue in systemic hypoxia induced rats compared to normoxia. Some amount of rats are divided into groups and placed inside hypoxic cage (O2 10%) in 1, 3, 7, and 14 days. In the end, together with normoxia group, they were euthanized, and the lung organ was analyzed for specific LDH activity.
The result shows a declining on LDH activity in hypoxia compared to normoxia. The decreasing of anaerobic glycolytic process in lung tissue portrays a failure of lung cell adaptation mechanism, and this condicition leads to cell apoptosis. One-way ANOVA test shows significant difference on LDH specific activity between normoxia and hypoxia groups (p=0,015). Post-Hoc test then shows the significant difference is between 1 day, 7 days, and 14 days hypoxia compared to normoxia.
In conclusion, there is significant decreasing of specific LDH activity on hypoxia compared to normoxia in lung tissue.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2013
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