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Hadits Lissentiya Armal
Potensi Dadih yang Mengandung Lactococcus lactis subsp. lactis sebagai Antiinflamasi pada Peradangan Kolon Mencit Balb/c yang Diinduksi Dextran Sulfat Sodium = The Potency of Dadih Containing Lactococcus lactis subsp. lactis as An Anti-Inflammatory in Balb/c Mice with Colon Inflammation Induced by Dextran Sodium Sulfate.
"ABSTRAK
Peradangan kronik saluran cerna seperti Inflammatory Bowel Disease (IBD) berisiko menjadi karsinoma kolorektal, disebabkan oleh ketidakseimbangan mikrobiota komensal dan patogen. Dadih sebagai probiotik dapat mempertahankan keseimbangan mikrobiota usus sehingga mengurangi risiko radang usus. Untuk melihat keefektifan probiotik susu kerbau hasil fermentasi lokal berasal dari Sumatera Barat yang mengandung Bakteri Asam Laktat, dilakukan penelitian menggunakan hewan coba. Desain penelitian eksperimental menggunakan 4 kelompok mencit Balb/c terdiri dari 6 ekor per kelompok yakni, kelompok normal diberi aquades 8 minggu, kelompok (+) dadih diberi dadih 8 minggu (112 mg/20g/BB), kelompok (+) DSS mencit diberi DSS konsentrasi 3% sebanyak 3 siklus 6 minggu, serta kelompok uji diberi dadih 8 minggu dan DSS sebanyak 3 siklus. Mencit kemudian di-euthanasia dan diambil darah intrakardiak. Kadar sitokin TNF-alpha, IL-1β dan IL-10 diperiksa menggunakan Luminex dari serum. Dadih yang digunakan mengandung bakteri Lactococcus lactis subsp. lactis sebanyak 3x107 CFU/gram. Ada beda signifikan kadar TNF-alpha (p=0,033) dan IL-1β (p=0,007) antar kelompok namun tidak terdapat perbedaan signifikan IL-10 antar kelompok (p=0,091). Serta, ada beda signifikan kadar sitokin TNF-alpha mencit diberi dadih dan DSS dengan median kadar sitokin 26,641 (16,027-35,206) lebih rendah dibandingkan mencit yang hanya diberi DSS 41,220 (36,226-101,920) namun, median kadar sitokin IL-10 lebih tinggi sebesar 109,951 (92,621-130,436) dibandingkan mencit DSS sebesar 85,164 (57,292-111,548) serta tidak terdapat perbedaan signifikan untuk IL-1β. Dadih sebagai probiotik dapat meningkatkan kadar sitokin anti-inflamasi dan menurunkan sitokin pro-inflamasi dalam keadaan radang. Sehingga dapat disimpulkan bahwa dadih dapat digunakan untuk mencegah terjadinya peradangan usus.
ABSTRACT
Chronic inflammation in the gastrointestinal tract, such as Inflammatory Bowel Disease (IBD), is a risk factor for colorectal cancer (CRC) causes the imbalance between commensal and pathogen microbiota in the intestine. Dadih could improve the balance between commensal and pathogen bacteria, and also between pro-inflammatory and anti-inflammatory responses. Aim of this research is to see the effectiveness of probiotic made from locally fermented buffalo milk originating from West Sumatra using animal model. This in vivo experimental research used 4 groups of Balb/c mice consisted of 6 mice per group there are normal group mice indued by aquades for 8 weeks, DSS(+) group mice induced by dadih for 8 weeks with doses 112mg/20g/BB, DSS(+) group mice induced DSS with concentration 3% as much as 3 cycle for 6 weeks and the last treatment group mice induced dadih for 8 weeks and DSS dor 6 weeks. The further more, mice doing euthanasia and taking blood to get the serum. Serum will be using for cytokine investigation consist of TNF-alpha, IL-1β and IL-10 with Luminex. The results showed dadih contained Lactococcus lactis ssp. lactis with 3x107 CFU/gram. The significant differences in TNF-alpha and IL-1β level with p = 0,033 and 0.007 respectively. However, there was no significant difference in IL-10 (p = 0.091). A further test was conducted to see the differences between groups the results showed that there were significant differences in TNF-alpha mice induced dadih+DSS group has median cytokine lower than DSS group equal to 26,641 (16,027-35,206) than 41,220 (36,226-101,920) but IL-10 cytokine dadih+DSS group has higher median cytokine 109,951 (92,621-130,436) than DSS group has 85,164 (57,292-111,548), but was no significant different at IL-1β cytokine. This research showed that dadih could enhance anti-inflammatory cytokines and suppress pro-inflammatory cytokines. Therefore, as locally made probiotic, dadih could be used to prevent intestinal inflammation."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2019
T59188
UI - Tesis Membership  Universitas Indonesia Library
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Peranan infeksi dan inflamasi pada polip nasi
Artikel Jurnal  Universitas Indonesia Library
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Fitria Mayasari
Profil penanda inflamasi subklinis anak obes usia 9-12 tahun = Profile of subclinical inflammatory marker in obese children age 9-12 years old
"[ABSTRAK
Latar belakang: Obesitas pada anak merupakan predisposisi terjadinya obesitas saat dewasa yang berhubungan dengan timbulnya penyakit ko-morbiditas metabolik. Obesitas ditandai dengan penimbunan jaringan adiposa tubuh secara berlebihan sehingga menghasilkan sitokin dan mediator inflamasi yang berperan dalam terjadinya inflamasi subklinis.
Tujuan: Untuk mengetahui profil penanda inflamasi subklinis pada anak obes usia 9-12 tahun melalui pemeriksaan sitokin inflamasi (Interleukin-6) dan protein fase akut (C-reactive protein dan alpha-1-acid glycoprotein).
Metode: Penelitian deskriptif potong lintang yang dilakukan pada siswa SD obes dan non-obes usia 9-12 tahun di Jakarta Selatan dan bersedia diukur antropometri serta diperiksa laboratorium IL-6, CRP, dan AGP.
Hasil: Dari 30 anak obes dan 30 anak non-obes didapatkan kadar median IL-6 anak obes lebih tinggi bila dibandingkan dengan anak non-obes yaitu 3,09 (1,16-6,49) vs 1,27 (0,51-3,86), kadar median CRP pada kelompok obes lebih tinggi dibandingkan kelompok non-obes, yaitu 2,25 (0,4-64) vs 0,2 (<0,2-2,6) dan kadar rerata AGP kelompok obes lebih tinggi dibandingkan kelompok non-obes, yaitu 93,13 ± 18,29 vs 71 ± 18,89.
Simpulan: Inflamasi subklinis telah terjadi pada anak obes berusia 9-12 tahun. Kadar sitokin inflamasi IL-6, kadar protein fase akut CRP dan AGP lebih tinggi pada anak obes dibandingkan anak non-obes.
ABSTRACT
Background: Obesity in children is an important predisposing factor of adult obesity and correlates with metabolic co-morbidities. Obesity is basically an overt body adipose tissue which resulting cytokine and inflammatory mediators. The cytokine and inflammatory mediators play important role in subclinical inflammation.
Objective: To describe subclinical inflammatory marker of obese children age 9-12 years old by examining inflammatory cytokine (Interleukin-6) and acute phase protein (C-reactive protein and alpha-1-acid glycoprotein).
Methods: Cross sectional descriptive study was conducted in elementary school students of obese and non-obese age 9-12 years old in South Jakarta. Antropometric measurements and examination of IL-6, CRP, AGP were taken.
Results: Thirty obese and thirty non-obese children were recruited in this study. Obese children showed higher median IL-6 compared to non-obese (3,09 (1,16-6,49) vs 1,27 (0,51-3,86)), higher median CRP in obese children compared to non-obese (2,25 (0,4-64) vs 0,2 (<0,2-2,6)). Obese children also showed higher mean AGP compared to non-obese (93,13 ± 18,29 vs 71 ± 18,89).
Conclusions: Obese children age 9-12 years old have evidence of subclinical inflammation. The subclinical inflammation was based on higher IL-6, CRP, and AGP in obese children compared to non-obese children.;Background: Obesity in children is an important predisposing factor of adult obesity and correlates with metabolic co-morbidities. Obesity is basically an overt body adipose tissue which resulting cytokine and inflammatory mediators. The cytokine and inflammatory mediators play important role in subclinical inflammation.
Objective: To describe subclinical inflammatory marker of obese children age 9-12 years old by examining inflammatory cytokine (Interleukin-6) and acute phase protein (C-reactive protein and alpha-1-acid glycoprotein).
Methods: Cross sectional descriptive study was conducted in elementary school students of obese and non-obese age 9-12 years old in South Jakarta. Antropometric measurements and examination of IL-6, CRP, AGP were taken.
Results: Thirty obese and thirty non-obese children were recruited in this study. Obese children showed higher median IL-6 compared to non-obese (3,09 (1,16-6,49) vs 1,27 (0,51-3,86)), higher median CRP in obese children compared to non-obese (2,25 (0,4-64) vs 0,2 (<0,2-2,6)). Obese children also showed higher mean AGP compared to non-obese (93,13 ± 18,29 vs 71 ± 18,89).
Conclusions: Obese children age 9-12 years old have evidence of subclinical inflammation. The subclinical inflammation was based on higher IL-6, CRP, and AGP in obese children compared to non-obese children.;Background: Obesity in children is an important predisposing factor of adult obesity and correlates with metabolic co-morbidities. Obesity is basically an overt body adipose tissue which resulting cytokine and inflammatory mediators. The cytokine and inflammatory mediators play important role in subclinical inflammation.
Objective: To describe subclinical inflammatory marker of obese children age 9-12 years old by examining inflammatory cytokine (Interleukin-6) and acute phase protein (C-reactive protein and alpha-1-acid glycoprotein).
Methods: Cross sectional descriptive study was conducted in elementary school students of obese and non-obese age 9-12 years old in South Jakarta. Antropometric measurements and examination of IL-6, CRP, AGP were taken.
Results: Thirty obese and thirty non-obese children were recruited in this study. Obese children showed higher median IL-6 compared to non-obese (3,09 (1,16-6,49) vs 1,27 (0,51-3,86)), higher median CRP in obese children compared to non-obese (2,25 (0,4-64) vs 0,2 (<0,2-2,6)). Obese children also showed higher mean AGP compared to non-obese (93,13 ± 18,29 vs 71 ± 18,89).
Conclusions: Obese children age 9-12 years old have evidence of subclinical inflammation. The subclinical inflammation was based on higher IL-6, CRP, and AGP in obese children compared to non-obese children., Background: Obesity in children is an important predisposing factor of adult obesity and correlates with metabolic co-morbidities. Obesity is basically an overt body adipose tissue which resulting cytokine and inflammatory mediators. The cytokine and inflammatory mediators play important role in subclinical inflammation.
Objective: To describe subclinical inflammatory marker of obese children age 9-12 years old by examining inflammatory cytokine (Interleukin-6) and acute phase protein (C-reactive protein and alpha-1-acid glycoprotein).
Methods: Cross sectional descriptive study was conducted in elementary school students of obese and non-obese age 9-12 years old in South Jakarta. Antropometric measurements and examination of IL-6, CRP, AGP were taken.
Results: Thirty obese and thirty non-obese children were recruited in this study. Obese children showed higher median IL-6 compared to non-obese (3,09 (1,16-6,49) vs 1,27 (0,51-3,86)), higher median CRP in obese children compared to non-obese (2,25 (0,4-64) vs 0,2 (<0,2-2,6)). Obese children also showed higher mean AGP compared to non-obese (93,13 ± 18,29 vs 71 ± 18,89).
Conclusions: Obese children age 9-12 years old have evidence of subclinical inflammation. The subclinical inflammation was based on higher IL-6, CRP, and AGP in obese children compared to non-obese children.]"
Fakultas Kedokteran Universitas Indonesia, 2015
T58636
UI - Tesis Membership  Universitas Indonesia Library
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Iris Rengganis
Are all inhaled corticosteroid long acting beta-2 agonist combinations similar in achieving GINA defined asthma control? (article on Jakarta Internal Medicine in Daily Practice (JIM DACE) 2017)
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2017
MK-Pdf
UI - Makalah dan Kertas Kerja  Universitas Indonesia Library
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Figel Ilham
Analisis Penambatan Molekuler Senyawa Turunan Benzimidazol Mannich Terhadap Siklooksigenase Menggunakan Autodock 4 dan Autodock Vina = Molecular Docking Analysis of Mannich Benzimidazole Derivatives into Cyclooxygenase by Autodock 4 and Autodock Vina
"Inflamasi merupakan respon fisiologis terhadap cedera jaringan dan infeksi. Inflamasi dapat ditangani dengan sejumlah obat seperti obat anti-inflamasi nonsteroida inhibitor selektif COX-2. Benzimidazol merupakan senyawa penuntun yang memiliki berbagai aktivitas farmakologis, salah satunya sebagai anti-inflamasi. Penelitian ini dilakukan secara in silico dengan metode penambatan molekuler senyawa turunan benzimidazol Mannich terhadap COX-1 dan COX-2 untuk mengetahui potensi anti-inflamasi senyawa menggunakan Autodock 4 dan Autodock Vina. Hasil validasi menunjukkan bahwa nilai RMSD Autodock 4 dan Autodock Vina dibawah 2 Å sehingga penambatan molekuler dilakukan pada kedua perangkat lunak. Pada penambatan molekuler menggunakan Autodock 4, turunan benzimidazol substituen vanilin 2,6-dimetilmorfolin diprediksi paling selektif terhadap COX-2 yaitu rasio Ki COX-1/2 senilai 162,79. Pada penambatan molekuler menggunakan Autodock Vina, turunan benzimidazol substituen vanilin dietilamina diprediksi paling selektif terhadap COX-2 yaitu rasio Ki COX-1/2 senilai 112,88. Visualisasi interaksi pada Autodock 4 dan Autodock Vina juga menunjukkan hasil yang sedikit berbeda. Dengan demikian terdapat dua buah kesimpulan yang diperoleh: senyawa turunan benzimidazol Mannich memiliki potensi anti-inflamasi inhibitor selektif COX-2, dan terdapat perbedaan interaksi yang muncul di antara penambatan molekuler terhadap Autodock 4 dan Autodock Vina.
Inflammation is a physiological response occurred by tissue injury and infection. Inflammation can be treated with drugs such as COX-2 selective NSAID. Benzimidazole is a leading compound that has many pharmacological activities such as anti-inflammation. In this study, in silico testing is carried out with molecular docking into Mannich benzimidazole derivatives against COX-1 and COX-2 using Autodock 4 and Autodock Vina to determine the anti-inflammatory potential of the test compounds. Validation result shows that both the RMSD value of both Autodock 4 and Autodock Vina are below 2 Å. Hence, molecular docking is conducted with both programs. Autodock 4 result shows that benzimidazole derivative with vanillin 2,6-dimethylmorpholine substitution is predicted to be the most selective against COX-2 with the Ki COX-1/2 ratio of 162.79. Autodock Vina result shows that benzimidazole derivative with vanillin diethylamine substitution is predicted to be the most selective against COX-2 with the Ki COX1/2 ratio of 112.88. Interaction visualization of Autodock 4 and Autodock Vina also shows few differences, yielding two conclusions from the study: Mannich benzimidazole derivatives have anti-inflammatory potential selective to COX-2 and there are few differences appeared in molecular docking with Autodock 4 and Autodock Vina."
Depok: Fakultas Farmasi Universitas Indonesia, 2023
S-pdf
UI - Skripsi Membership  Universitas Indonesia Library
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Ines Augustina Sumbayak
EVALUASI STATUS PERIODONTAL DAN KADAR SITOKIN PADA PENDERITA PERIODONTITIS LANJUT USIA (Kajian pada Indeks Plak, Indeks Perdarahan Papila, Interleukin 1 Beta, Tumour Necrosis Factor Alpha, dan Interleukin 10) = EVALUATION OF PERIODONTAL STATUS AND CYTOKINES LEVEL IN ELDERLY SUBJECTS WITH PERIODONTITIS (Examination of Plaque Index, Papilla Bleeding Index, Interleukin 1 Beta, Tumour Necrosis Factor Alpha, and Interleukin 10)
"Tubuh akan mengalami penurunan kemampuan menghadapi berbagai stimulus dan stres dari lingkungan saat lansia. Penurunan respons imun merupakan bentuk kemunduran fungsi pada lansia sehingga lansia menjadi lebih rentan terpapar patogen. Periodontitis merupakan penyakit pada jaringan periodontal yang sering terjadi pada lansia. Periodontitis terjadi ketika terdapat interaksi antara respons imun dan patogen. Penelitian ini bertujuan untuk membandingkan status periodontal dan kadar sitokin antara lansia dengan dewasa penderita periodontitis, serta menganalisis hubungan status periodontal dengan kadar sitokin. Subjek penelitian berjumlah 40 orang penderita periodontitis yang terdiri dari 20 lansia dan 20 dewasa. Pengukuran klinis status periodontal mencakup Indeks Plak dan Indeks Perdarahan Papila. Pemeriksaan sitokin mencakup sitokin pro-inflamasi Interleukin 1 Beta (IL-1β), Tumour Necrosis Factor Alpha (TNF-α), dan sitokin anti-inflamasi Interleukin 10 (IL-10) yang diambil dari cairan krevikular gingiva (CKG). Pengambilan CKG diperoleh dari gigi yang memiliki kedalaman poket 5-7 mm. Kadar sitokin IL-1β, IL-10 dan TNF-α dalam CKG diukur menggunakan tes ELISA. Rerata nilai Indeks Plak dan Indeks Perdarahan Papila pada lansia lebih tinggi dibandingkan dengan dewasa. Kadar sitokin pada lansia lebih tinggi pada lansia dibandingkan dewasa, meskipun tidak signifikan secara statistik. Terdapat korelasi yang kuat antara status periodontal dan kadar sitokin dalam CKG. Studi ini menunjukkan penuaan memengaruhi respons peradangan.
Aging can change the ability to respond to various stimuli and stress. The decreased immune response is a form of deterioration of function in the elderly. Periodontitis is an abnormality of periodontal tissue that often occurs in the elderly. Periodontitis occurs when there is an interaction between the host immune system and the pathogen. The aim of this study is to compare periodontal status and cytokine levels between elderly and adults with periodontitis, and to analyze the relationship between periodontal status and cytokines level. This clinical study examined 40 subjects with periodontitis, consisting of 20 adult and 20 elderly. Clinical measurement of periodontal status included Plaque Index (PlI) and Papilla Bleeding Index (PBI). Cytokines examination included proinflammatory cytokine Interleukin 1 Beta (IL-1β), Tumor Necrosis Factor Alpha (TNF-α), and anti-inflammatory cytokine Interleukin 10 (IL-10) from gingival crevicular fluid (GCF). GCF collection was obtained from teeth with a probing depth of 5-7 mm. Cytokine levels of IL-1β, IL-10 and TNF-α in GCF were quantified using ELISA kits. The mean value of PI and PBI in the elderly was higher than in adults. Cytokine levels in the elderly were higher than in adults, although there was no statistical difference. There was a strong correlation between periodontal status and cytokines level in GCF. This study indicates aging affects the inflammation response."
Jakarta: Fakultas Kedokteran Gigi Universitas Indonesia, 2022
T-pdf
UI - Tesis Membership  Universitas Indonesia Library
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Rima Irwinda
Pengaruh Seng, Beta-Carotene dan Vitamin D3 terhadap regulator inflamasi kelahiran preterm: Kajian ekspresi protein adaptor MYD88 dan TRIF, aktivitas faktor transkripsi NFκB, dan Sitokin Proinflamasi IL-1β = Role of Zinc, Beta-Carotene, and Vitamin D3 towards inflammatory regulator of preterm birth: The study of expression of adaptor protein MYD88 and TRIF, activity of transcription factor NFκB and Pro-Inflammatory Cytokine IL-1β.
"Kelahiran preterm masih merupakan masalah global. Penyebab kelahiran preterm bersifat multifaktor, di antaranya adalah proses inflamasi dan status nutrisi yang dipengaruhi oleh mikronutrien seperti seng, vitamin A dan D. Penelitian ini bertujuan mengetahui pengaruh seng, AtRA dan 25(OH)D pada regulasi respons inflamasi pada kelahiran preterm melalui pemeriksaan MyD88, TRIF, NFκB dan IL-1β. Desain kuasi eksperimental dilakukan selama periode Januari-Juni 2017 di RSUPN-CM dan RS Budi Kemuliaan, Jakarta. Subjek dibagi menjadi kelompok aterm (n=25), pretem kontrol (n=27), dan preterm perlakuan (n=26). Kelompok preterm perlakuan diberikan secara oral seng 50 mg/hari, beta-carotene 25.000 IU, dan vitamin D3 50.000 IU/minggu. Seluruh subjek dilakukan wawancara, pengukuran konsentrasi seng, AtRA dan 25(OH)D serum dan plasenta, serta kadar MyD88, TRIF, NFκB dan IL-1β plasenta. Pada kelompok aterm konsentrasi AtRA serum dan plasenta lebih tinggi dibandingkan kelompok lain. Pada kelompok preterm perlakuan, tidak didapatkan adanya perbedaan bermakna konsentrasi seng, AtRA dan 25(OH)D serum sebelum dan sesudah perlakuan. Ekspresi NFκB dan TRIF lebih rendah pada kelompok aterm dan preterm kontrol, dibandingkan kelompok preterm perlakuan. Konsentrasi IL-1β ditemukan paling tinggi pada kelompok aterm. Konsentrasi seng, AtRA dan 25(OH)D plasenta memiliki korelasi positif sedang dengan IL-1β.
Simpulan: Konsentrasi seng, AtRA dan 25(OH)D plasenta yang rendah berhubungan dengan lebih tingginya ekspresi MyD88, TRIF, NFκB dan IL-1β pada kelahiran preterm. Pemberian seng, beta-carotene dan vitamin D3 berhubungan dengan IL-1β yang lebih rendah.
Preterm birth is still a global burden. Inflammation process and nutritional status are among its multifactorial etiology which is affected by micronutrient such as vitamin A, D and zinc. Quasi-experimental design was conducted to know the role of zinc, beta-carotene and vitamin D3 towards inflammatory regulator of preterm birth during January-June 2017 in RSUPN-CM and Budi Kemuliaan Hospital, Jakarta. Subjects were classified into term (n=25), control preterm (n=27), and experimental preterm group (n=26). Subjects in experimental preterm group were given orally zinc 50 mg/day, beta-carotene 25,000 IU and vitamin D3 50,000 IU/week. Nutrient intake interview, measurement of zinc, AtRA and 25(OH)D level in serum and placenta was performed in all subjects, also placental concentration of MyD88, TRIF, NFκB dan IL-1β. The term group had higher AtRA concentration in serum and placenta. No significant difference of serum zinc, AtRA and 25(OH)D concentration was found in treated group before and after intervention. The term and control preterm groups had lower expression of NFκB and TRIF compared to the experimental group. The concentration of IL-1β was highest among term group. Placental concentration of zinc, AtRA and 25(OH) had moderate positive correlation with IL-1β.
Conclusion: Lower placental concentrations of zinc, AtRA and 25(OH)D relate to higher expression of MyD88, TRIF and NFκB. The supplementation of zinc, beta-carotene and vitamin D3 relate to lower expression of IL-1β."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2018
D-pdf
UI - Disertasi Membership  Universitas Indonesia Library
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Ekida Rehan Firmansyah
Modulasi Jalur Inflamasi oleh Ko-kemoterapi Kurkumin dan Nanokurkumin terhadap Hepatotoksisitas Cisplatin pada Model Kanker Ovarium Tikus = Modulation of Inflammatory Pathway by Co-chemotherapy Curcumin and Nanocurcumin toward Cisplatin-induced Hepatotoxicity in Ovarian Cancer Rat Model
"Salah satu obat antikanker yang sekarang paling efektif digunakan sebagai kemoterapi kanker ovarium adalah cisplatin. Namun, cisplatin memiliki banyak efek samping pada berbagai organ, salah satunya hepar. Hepatotoksisitas akibat cisplatin menyebabkan terbatasnya dosis kemoterapi cisplatin. Salah satu faktor kunci patofisiologi kerusakan akut hepar adalah inflamasi. Kurkumin merupakan senyawa alami yang memiliki sifat antiinflamasi tetapi bioavailabilitasnya rendah. Untuk itu, diformulasikan nanokurkumin untuk meningkatkan bioavailabilitasnya. Meskipun begitu, efek kurkumin dan nanokurkumin dalam memodulasi jalur inflamasi hepatotoksisitas akibat cisplatin pada kanker ovarium belum diamati. Penelitian ini bertujuan untuk membandingkan pengaruh kurkumin dan nanokurkumin sebagai ko-kemoterapi terhadap hepatotoksisitas cisplatin dalam jalur inflamasi. Penelitian in vivo dilakukan pada tikus Wistar betina yang diinduksi DMBA untuk mendapatkan model kanker ovarium. Kemudian, tikus-tikus diberi perlakuan terapi dengan cisplatin secara intraperitoneal (4 mg/kgBB/minggu) dan kombinasinya dengan kurkumin (100 mg/kgBB/hari) dan nanokurkumin (100 mg/kgBB/hari) per oral. Tikus-tikus tersebut dibagi menjadi kelompok: tikus normal, model kanker ovarium saja, terapi cisplatin, terapi cisplatin + kurkumin, dan terapi cisplatin + nanokurkumin. Setelah 1 bulan, tikus di-sacrifice dan organ hepar disimpan beku. Ekspresi mRNA relatif NF-κB dan IL-1β serta kadar protein IL-6 diukur dengan metode qt RT-PCR dan ELISA secara berurutan. Data hasil pengukuran IL-6 dan data hasil transformasi logaritma NF-κB dan IL-1β dianalisis menggunakan uji one-way ANOVA, menggunakan perangkat lunak SPSS20. Tidak terdapat perbedaan signifikan secara statistik antar kelompok perlakuan dalam mRNA NF-κB (p=0,503), mRNA IL-1β (p=0,237), dan protein IL-6 (p=0,157). Tidak ada perbedaan yang signifikan antara kurkumin dan nanokurkumin dalam memodulasi jalur inflamasi hepatotoksisitas cisplatin pada model kanker ovarium tikus.
Up to now, one of the most effective anticancer drug as ovarian cancer chemotherapy is cisplatin. Nevertheless, cisplatin has many side effects on several organs, one of which is liver. Cisplatin-induced hepatotoxicity causes limited cisplatin chemotherapy dose. One of the pathophysiological key factor of acute liver injury is inflamation. Curcumin is natural compound which has antiinflamation properties but the bioavailability is low. To overcome it, nanocurcumin is made to increase its bioavailability. Nonetheless, curcumin and nanocurcumin effect on modulating inflammatory pathway toward cisplatin-induced hepatotoxicity in ovarian cancer rat model has not been observed. This study aims to compare the effect of curcumin and nanocurcumin as co-chemotherapy toward cisplatin-induced hepatotoxicity in inflammatory pathway. An in vivo study was done on female Wistar rats induced by DMBA to achieve ovarian cancer model. Then, rats was treated with cisplatin intraperitoneally (4 mg/kgBW/week) and the combination with per oral curcumin (100 mg/kgBW/day) and nanocurcumin (100 mg/kgBW/day). Those rats were divided into groups, which are normal rat, only ovarian cancer model, cisplatin therapy, cisplatin + curcumin therapy, and cisplatin + nanocurcumin therapy. After 1 month, rats are sacrificed and liver organs are stored frozen. mRNA relative expression of NF-κB and IL-1β as well as protein level of IL-6 was measured using qt RT-PCR and ELISA method, respectively. The result data from the measurement of IL-6 and the data from logarithmic transformation of NF-κB and IL-1β was analysed using one-way ANOVA test using SPSS20 software. There is no significant differences between groups in mRNA NF-κB (p=0.503), mRNA IL-1β (p=0.237), and protein IL-6 (p=0.157). There is no significant differences between curcumin and nanocurcumin in modulating inflammatory pathway of cisplatin-induced hepatotoxicity in ovarian cancer rat model."
Jakarta: Fakultas Kedokteran Universitas Indonesia , 2020
S-Pdf
UI - Skripsi Membership  Universitas Indonesia Library
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Nova Diana
Perbandingan Efektifitas Tetes Mata Prednisolon Asetat 1 dengan Nepafenac 0,1 sebagai Anti Inflamasi Pasca Vitrektomi pada Rhegmatogenous Retinal Detachment = Comparison of topical nepafenac 0,1 and prednisolon acetate 1% as postoperative anti-inflammatory after vitrectomy in rhegmatogenous retinal detachment
"ABSTRAK
Tujuan: Mengetahui efektifitas nepafenac dibandingkan dengan prednisolon asetat terhadap derajat inflamasi bilik mata depan, skala nyeri (visual analogue scale), dan ketebalan makula sentral pasca vitrektomi pada pasien rhegmatogenous retinal detachment (RRD). Metode: Penelitian ini adalah prospektif, uji klinis acak tersamar tunggal membandingkan dua kelompok, yaitu yang mendapat tetes mata prednisolon asetat 1% dan tetes mata nepafenac 0,1% selama 4 minggu pasca vitrektomi. Sebanyak 46 subyek RRD dirandomisasi menjadi dua kelompok. Dilakukan pemeriksaan tajam penglihatan dengan koreksi (TPDK), tekanan intraokuler (TIO), dan pemeriksaan status oftalmologis lainnya. Pasca vitrektomi, dilakukan pemeriksaan derajat inflamasi bilik mata depan, skala nyeri, ketebalan makula sentral, TIO dan TPDK pasca vitrektomi pada 1 hari, 1 minggu, 2 minggu, dan 4 minggu. Hasil: Inflamasi bilik mata depan pada follow up 1 minggu lebih rendah pada kelompok prednisolon asetat (sel +2) dibandingkan kelompok nepafenac (sel +3) namun perbedaan tersebut tidak bermakna secara statistik (p>0.05). Pada follow up 2 dan 4 minggu, tidak ada perbedaan bermakna inflamasi bilik mata depan antara kedua kelompok. Skala nyeri (VAS) tidak berbeda bermakna antara kedua kelompok pada setiap follow up (p>0,05). Median ketebalan makula sentral pada kelompok nepafenac yaitu 206 μm (rentang 131-299) dan pada kelompok prednisolon asetat yaitu 208 μm (rentang 129-451) pada follow up 1 hari (p>0.05). Pada follow up 4 minggu, tidak ada perbedaan bermakna antara kedua kelompok (p>0.05). Simpulan: Nepafenac 0,1% memiliki kemampuan yang sama dengan prednisolon asetat dalam mengatasi inflamasi bilik mata depan, skala nyeri, dan mempertahankan ketebalan makula sentral pasca vitrektomi.
ABSTRACT
Purpose: Comparing the efficacy of postoperative topical nepafenac 0,1% with prednisolon acetate 1% as anti-inflammatory agents in eyes undergoing pars plana
vitrectomy. Method: This is prospective, single blind, randomized single center clinical study. A total of 46 eyes from 46 subjects undergoing vitrectomy surgery. The subjects were randomized to receive either topical nepafenac 0.1% (23 eyes) or prednisolon acetate 1% (23 eyes). Eyes were evaluated for day 1 postoperative and 1-, 2-, and 4-week. Grading of anterior chamber inflammation was using the standardized classification.
Grading of ocular pain was done using Visual Analogue Scale (VAS). Central macular thickness was measured using optical coherence tomography (OCT). Result: Anterior
chamber inflammation of grade 2 (range 1-4) noted in prednisolon acetate group and grade 3 (range 0.5-4) in nepafenac group at day 1 (p>0.05). During the follow up, both group nepafenac and prednisolon acetate did not have a significant difference related to the grade of anterior chamber inflammation (p> 0.05). Pain perception was not significant different in both group (p > 0.05). The nepafenac and prednisolon acetate groups had median central macular thickness of 206 μm (range 131-299) and 208 μm (range 129-451) at 1 day (p> 0.05). At 4 week, there was no statistically significant difference in the
mean central macular thickness between the nepafenac group (174.9 ±30.7 μm) and nepafenac group (185.5 ± 50.1 μm) (p> 0.05). Conclusion: Postoperative topical
nepafenac was equal to prednisolon acetate in reducing postoperative inflammation in eyes undergoing pars plana vitrectomy."
2016
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Nessa
Efek lunasin dari ekstrak kedelai terhadap ekspresi COX-2, INOS dan ?-katenin pada kolon mencit yang diinduksi dextran sodium sulfate = The effect of lunasin from soybean extract on COX-2, INOS and ?-katenin expressions in dextran sodium sulfate induced mice colon
"ABSTRAK
Inflammatory bowel disease IBD merupakan kondisi yang menggambarkan peradangan saluran cerna kronik. Peradangan kronis yang terjadi di kolon dapat berkembang menjadi kanker kolon. Lunasin telah diketahui dapat menekan reaksi inflamasi yang diinduksi lipopolisakarida secara in vitro. Peran lunasin sebagai antiinflamasi secara in vivo masih belum banyak diketahui. Pada penelitian ini dianalisis efek lunasin kedelai dalam menghambat inflamasi dengan melihat ekspresi COX-2, iNOS, dan ?-katenin. Mencit sebanyak 30 ekor dibagi dalam 6 kelompok. Kelompok normal adalah mencit yang tidak diinduksi DSS. Kelompok lain diinduksi dengan DSS 2 melalui air minum selama 9 hari. Hari berikutnya mencit kelompok kontrol negatif tidak menerima perlakuan sedangkan kelompok yang menerima perlakuan diberikan lunasin dosis 20mg/kgBB, dosis 40mg/kgBB dan lunasin komersil serta kontrol positif diberikan aspirin. Perlakuan dilakukan selama 5 minggu. Pemeriksaan histopatologi kolon yang mengalami inflamasi dan skor hasil pewarnaan imunohistokimia protein COX-2, iNOs dan ?-katenin dianalisis menggunakan uji statistik. Lunasin dosis 20mg/kgBB dan dosis 40mg/kgBB mampu menurunkan inflamasi secara signifikan p
ABSTRACT
Inflammatory bowel disease IBD is a condition describing chronic gastrointestinal inflammation. Chronic inflammation that occurs in the colon can develop into colon cancer. Lunasin has been known to resist inflammatory reactions induced by lipopolysaccharide in vitro. The role of lunasin as antiinflammatory in in vivo is not widely known. In this study we analyzed the effect of lunasin from soybean to decrease the risk of inflammation by analyzing the expression of COX 2, iNOS, and catenin. 30 mice are divided into 6 groups. Normal group was not induced by DSS. The other groups were induced by 2 DSS through drinking water for 9 days. After 9 days, negative control group did not receive any treatment, beside the other groups received treatment given lunasin dose 20mg kgBB and 40mg kgBB, commercial lunasin and positive control given aspirin. Treatment was performed for 5 weeks. Inflammatory colon histopathologic examination and immunohistochemical score of COX 2, iNOs and catenin proteins were analyzed using statistical tests. Lunasin dose 20mg kgBW and 40mg kgBB were able to significantly reduce inflammation p"
2017
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Tena Djuartina
Peran nitric oxide (no) terhadap terjadinya abnormalitas daerah sfingter gastroesophageal junction sebuah kajian tentang pengaruh inflamasi, dan berkurangnya antioksidan endogen dengan tikus sebagai model = The role of nitric oxide (no) in the development of gastroesophageal junction (gej) sphincter abnormalities. a study of the effects of inflammation, and reduction of endogenous antioxidants using rat model.
"Gastro Esophageal Reflux Disease)  adalah suatu kondisi terjadinya refluks isi lambung ke dalam esophagus yang menyebabkan  berbagai gejala klinis. Penyebab dari GERD sudah banyak diketahui namun patofisiologi  densitas saraf pleksus Meissner dan pleksus Aurbach di daerah gastroesofagus junction (GEJ) akibat pemberian senyawa nitrat (NO3) sehingga menyebabkan  GERD belum diketahui.
Metode : Membuat model hewan  GERD dan menilai variabel-variabel   pengaruh senyawa nitrat  di daerah GEJ menggunakan tikus wistar usia 10-12 minggu dengan berat badan 200-300 gram yang  dibagi dalam 4 kelompok :  kontrol (n=12) dan  kelompok perlakuan (n=36). Pada kelompok perlakuan dilakukan pemberian senyawa nitrat masing kelompok (n=12)  sebanyak 1 ml, 1.5 ml dan 2 ml  NaNO3 . Pada hari ke 2,4,6 dan 8 setelah   puasa dan diberikan  senyawa nitrat, sebanyak 3 tikus dari setiap kelompok dianalisis menggunakan pemeriksaan biokimia, histologi, histokimia dan imunohistokimia (IHK).
Hasil: Tikus  model GERD berhasil dibuat. Dimana  pada hari ke 2 terdapat korelasi antara NO luminal dengan  fibroblast, NO jaringan dengan perpanjangan lamina propria, penebalan sel basal dengan limfosit, hiperplasi sel basal dengan  IHK IL6 dan perpanjangan lamina propria dengan  limfosit.  Pada hari ke 4 didapat korelasi antara NO luminal dengan penebalan sel basal, NO luminal dengan GSH, penebalan  sel basal dengan GSH, dan korelasi limfosit dengan IHK IL6.  Pada ke 6 terdapat korelasi antara NO luminal dengan FGF2. Pada hari ke 8 didapati  korelasi antara NO luminal dengan densitas saraf pleksus Meissner dan pleksus Auerbach didapat korelasi kuat dan bermakna ( r = 0,758 dan p = 0,004) , penebalan sel basal dengan fibroblas , limfosit dengan fibroblast, IHK IL6 dengan fibroblast dan IHK FGF2 dengan penebalan sel basal.
Kesimpulan: Pemberian senyawa NO3 meningkatkan kadar NO luminal yang mengakibatkan  perubahan morfologi makrokopis dan mikroskopis, penurunan antioksidan endogen, inflamasi serta peningkatan densitas saraf pleksus Meissner dan pleksus Auerbach didaerah sfingter GEJ sehingga menyebabkan terjadinya GERD.
Background: GERD (Gastro Esophageal Reflux Disease) is a condition with reflux of gastric contents into the esophagus which causes various clinical symptoms. The causes of GERD have been  known but the pathophysiology of the density of the Meissner plexus nerve and the Aurbach plexus in the gastroesofagus junction region (GEJ) due to administration of nitrate (NO3) compounds is not known unknown.
Methods: GERD animal models were prepared to asses the variables affected by nitrate compounds in the GEJ area using wistar mice aged 10-12 weeks with a weight of 200-300 grams divided into 4 groups: control (n = 12) and treatment group (n = 36). In the treatment group, nitrate compounds were given as NaNO3 in each group (n = 12) with the doses of 1 ml, 1.5 ml and 2 ml. On days 2,4,6 and 8 after fasting and gavage of nitrates, 3 rats from each group were sacrificed, and esophageal tissue was taken for biochemical, histological, histochemical and immunohistochemical (IHC) examinations.
Results: GERD model rats were successfully made. On day 2, there was a significant correlation between luminal NO level with fibroblasts, tissue NO with extension of lamina propria, thickening of basal cells with lymphocytes, basal cell hyperplasia with IL6 IHC and extension of lamina propria with lymphocytes. On day 4, there was a correlation between luminal NO and basal cell thickening, luminal NO with GSH, basal cell thickening with GSH, and lymphocyte with IL6 IHK. On day 6, we found a significant correlation between luminal NO and FGF2. On day 8, there was a correlation between luminal NO and the density of Meissner plexus nerve and Auerbach plexus with a strong and significant correlation (r = 0.758 and p = 0.004), thickening of basal cells with fibroblasts, lymphocytes with fibroblasts, IL6 IHC with fibroblasts and FGF2 IHC with thickening of basal cells.
Conclusion: The administration of NO3 compounds increases luminal NO levels which results in changes in macroscopic and microscopic morphology, decreased endogenous antioxidants, inflammation and increased density of Meissner plexus nerve and Auerbach plexus in the area of the GEJ sphincter leading to development of GERD."
2019
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UI - Disertasi Membership  Universitas Indonesia Library
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Kenneth
Hubungan Neutrophil-Lymphocyte Ratio dan Platelet-Lymphocyte Ratio dengan Risiko Kanker Payudara di Rumah Sakit Cipto Mangunkusumo = The association of Neutrophil-Lymphocyte Ratio and Platelet-Lymphocyte Ratio with Breast Cancer Risk at Cipto Mangunkusumo Hospital
"Latar belakang. Neutrophil-lymphocyte ratio (NLR) dan platelet-lymphocyte ratio (PLR) merupakan pemeriksaan indikator inflamasi yang sederhana, yaitu hanya membutuhkan pemeriksaan darah perifer lengkap dengan menghitung jenis leukosit absolut. Beberapa studi telah menunjukkan bahwa peningkatan NLR dan PLR berasosiasi dengan keluaran yang lebih buruk pada subjek dengan kanker payudara. Sampai saat ini, studi yang meneliti peran NLR dan PLR sebagai penanda biologis keganasan dan indikator penilaian risiko terhadap kanker payudara masih sangat sedikit, sehingga bukti ilmiah yang ada belum konklusif. Tujuan dari penelitian ini adalah untuk menganalisis hubungan antara NLR dan PLR terhadap risiko kanker payudara di Rumah Sakit dr. Cipto Mangunkusumo.
Metode. Studi potong lintang dilakukan di RSCM dengan melibatkan perempuan dewasa dengan atau tanpa diagnosis kanker payudara yang belum pernah menerima kemoterapi, terapi radiasi, dan pembedahan. Usia, stadium kanker payudara, subtipe molekuler kanker payudara, indeks massa tubuh (IMT), komorbiditas, NLR, dan PLR merupakan variabel yang diteliti terhadap kejadian kanker payudara.
Hasil. Pada penelitian ini, didapatkan sebanyak 65 subjek dengan kanker payudara dan 70 subjek tanpa kanker payudara. Hasil menunjukkan bahwa terdapat hubungan bermakna antara NLR tinggi dengan risiko kejadian kanker payudara dengan OR(IK95%) = 5,47 (2,39-12,52) dan p <0,001. Selain itu, didapatkan hubungan bermakna antara PLR tinggi dengan peningkatan risiko kejadian kanker payudara dengan OR(IK95%) = 4,67 (2,18-10) dan p <0,001. Dari uji multivariat didapatkan NLR dan PLR merupakan faktor-faktor yang berhubungan bermakna secara statistik (p = 0,001) dengan terjadinya kanker payudara dibandingkan dengan faktor-faktor lain.
Kesimpulan. Terdapat asosiasi antara NLR dan PLR tinggi dengan peningkatan risiko kanker payudara.
Background. The neutrophil-lymphocyte ratio (NLR) and platelet-lymphocyte ratio (PLR) are simple inflammatory indicator tests, which only require a complete peripheral blood count by calculating the absolute leukocyte type. Several studies have shown that increased NLR and PLR are associated with poorer outcomes in subjects with breast cancer. To date, there have been very few studies examining the role of NLR and PLR as biological markers of malignancy and risk assessment indicators for breast cancer, so that the scientific evidence is not conclusive. The purpose of this study was to analyze the relationship between NLR and PLR on the risk of breast cancer at dr. Cipto Mangunkusumo.
Methods. A cross-sectional study was conducted at RSCM involving adult women with or without a diagnosis of breast cancer who had never received any chemotherapy, radiation therapy, and surgery. Age, stage of breast cancer, molecular subtype of breast cancer, body mass index (BMI), comorbidities, NLR, and PLR are the variables studied on the incidence of breast cancer.
Results. In this study, there were 65 subjects with breast cancer and 70 subjects without breast cancer. The results showed that there was a significant association between high NLR and the increased risk of breast cancer with OR(95% CI) = 5.47 (2.39-12.52) and p <0.001. In addition, a significant association was found between high PLR and an increased risk of breast cancer with OR (95% CI) = 4.67 (2.18-10) and p <0.001. From the multivariate test, it was found that only increased NLR and increased PLR were independent factors that were statistically significant (p = 0.001) related to the occurrence of breast cancer compared to other factors.
Conclusion. High NLR and PLR are associated with an increased risk of breast cancer"
Depok: Fakultas Kedokteran Universitas Indonesia, 2023
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Syarief Darmawan
Peran inflamasi usus pada anak usia di bawah 2 tahun terhadap kejadian pendek = The role of intestinal inflammation in children under 2 years of age in stunted incidents
"Latar Belakang dan Tujuan: Prevalensi pendek pada anak usia di bawah dua tahun (baduta) di Indonesia pada tahun 2018 sebesar 29,9%, sedangkan di Jakarta sebesar 27,2%. Kondisi pendek pada awal kehidupan berhubungan dengan peningkatan morbiditas dan mortalitas, serta dapat mengurangi kapasitas fisik dan peningkatan risiko penyakit metabolik pada usia dewasa. Tujuan penelitian adalah memahami peran inflamasi usus pada baduta terhadap kejadian pendek.
Metode dan bahan: Studi dengan desain kasus kontrol yang dilakukan pada anak usia 6–23 bulan di Kelurahan Kampung Melayu, Jakarta. Penentuan subjek penelitian secara acak sederhana. Pendek ditetapkan berdasarkan nilai z-score panjang badan menurut­­­­­­ umur (PB/U). Pengukuran panjang dan tinggi badan menggunakan infantometer dan microtoise. Penilaian hormon pertumbuhan berdasarkan kadar TSH, sedangkan penilaian inflamasi usus berdasarkan pengukuran kadar Reg 1B. Fungsi absorbsi usus ditetapkan dengan pengukuran kadar xilosa darah. Infeksi parasit dideteksi dengan pemeriksaan feses secara makroskopis dan kultur Blastocystis. Penilaian asupan energi dan zat gizi makro dilakukan dengan metode recall 24 jam. Frekuensi pengukuran panjang dan tinggi badan, inflamasi usus dan penilaian asupan dilakukan 2 kali dengan selang waktu 6 bulan.
Hasil: Pada penapisan 269 anak didapatkan 20,4% pendek dengan 55,8% laki-laki, 55,0% kelompok umur 12-23 bulan dan 47,3% memiliki kedua orang tua normal. Profil subjek penelitian adalah 61,1% laki-laki, 88,9% pada kelompok umur 12-23 bulan dan memiliki kadar TSH normal. Persentase rata-rata asupan energi dan zat gizi makro anak pendek lebih rendah daripada anak normal, tetapi tidak berbeda secara statistik. Pada subjek penelitian tidak ditemukan Soil Transmitted Helminths dan hanya 1 anak normal yang positif Blastocystis hominis. Untuk pemeriksaan Reg 1B tidak ditemukan perbedaan antara anak pendek dan normal, tetapi subjek penelitian yang mengalami peningkatan kadar Reg 1B sebagian besar terjadi penurunan nilai Z-score PB/U dan berbeda bermakna secara statistik. Pada pemeriksaan kadar xilosa darah tidak ditemukan perbedaan antara anak pendek dan normal. Dalam analisis korelasi, tidak diperoleh korelasi antara infeksi parasit usus dengan inflamasi usus dan malabsorbsi tetapi ada korelasi bermakna antara inflamasi usus dengan malabsorbsi.
Kesimpulan: Inflamasi usus terjadi pada anak pendek dan normal serta secara signifikan menurunkan nilai Z-score PB/U dari kedua anak tersebut dan berkorelasi secara bermakna dengan malabsorbsi.
Background and Objective: The prevalence of stunting in children under two years in Indonesia in 2018 is 29.9%, while in Jakarta it is 27.2%. Stunted early in life is associated with increased morbidity and mortality, and can reduce physical capacity and increase the risk of metabolic diseases in adulthood. The aim of the study was to understand the role of intestinal inflammation in children under 2-yrs of age in stunted incidents.
Materials and Methods: A case-control study involving children aged 6-23 months in Kampung Melayu Village, Jakarta was done in 2018. Study sampling was determined by simple randomization. Stunting is determined based on the z-score of the body length by age (LZA). Length was measured using infantometer while height was measured by microtoise. Growth hormone was determined by TSH levels, while intestinal inflammation was determined with faecal Reg 1B levels. The function of intestinal absorption is determined by blood xylose levels. Parasitic infections are determined by macroscopic fecal examination and Blastocystis culture. Assessment of intake of energy and macro nutrients was analyzed by 24-hour recall method. The frequency of length and height measurements, intestinal inflammation and intake assessment were carried out twice with an interval of 6 months.
Results: Screening of 269 children found 20.4% of stunting with 55.8% of men, 55.0% of age group 12-23 months and 47.3% had both normal parents. The percentage of the average intake of energy and macro nutrients from stunting was lower than normal, but not statistically different. Soil Transmitted Helminths were not found and only one child for positive Blastocystis hominis. For the examination of Reg 1B there was no difference between stunted and normal children, but the study subjects who experienced an increase in Reg 1B levels were mostly accompanied by decreased Z-score values of LZA and were significantly different. On examination of blood D-xylose levels no differences were found between stunted and normal children. In correlation analysis, there was no correlation between intestinal parasitic infection and intestinal inflammation and malabsorption but there was a significant correlation between intestinal inflammation and malabsorption.
Conclusion: Intestinal inflammation occurs in stunted and normal children and significantly decreases the Z-score of LZA from these two children and correlates significantly with malabsorption.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2019
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Endang Hanani
Uji Efek Anti-Inflamasi Fraksi Kloroform Daun Jambu Mede ( (Anacardium occidentale L)
"ABSTRAK
Anacardium occidentale L. atau dikenal dengan nama daerah jambu mede atau jambu mente, merupakan salah satu tumbuhan yang dapat dimanfaatkan sebagai obat tradisional disamping biji yang sering digunakan sebagai makanan dan daun sebagai lalapan.

Penelitian ini bertujuan untuk mengetahui apakah sari kloroform daun jambu mede yang diberikan per oral memiliki efek anti-inflamasi terhadap udem yang ditimbulkan dengan karagenin pada telapak kaki tikus putih.
Penelitian dilakukan menurut metode Winter dkk. yang telah dimodifikasi. Pengamatan dilakukan berdasarkan penghambatan udem yang terjadi. Udem buatan ditimbulkan dengan suntikan karagenin. Sari kloroform diberikan secara oral dengan 3 macam dosis, dengan menggunakan pembanding natrium diklofenak. Pengukuran volume udem pada kaki tikus dilakukan menggunakan pletismometer, sebelum pemberian karagenin dan setiap jam selama 5 jam setelah pemberian karagenin. Hasil penelitian memperlihatkan bahwa sari kloroform daun jambu mede dengan dosis 125,4 mg dan 250,8 mg per kg berat badan, berdasarkan analisis statistik tidak menunjukkan efek anti -inflamasi yang bermakna. Sari kloroform dengan dosis 501,6 mg/ kg berat. badan memperlihatkan efek anti inflamasi yang bermakna pada jam kedua setelah pemberian karagenin (p<0,05)

Bila dibandingkan dengan natrium diklofenak efek anti-inflamasi daun jambu mede lebih kecil. "
Lembaga Penelitian Universitas Indonesia, 1996
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UI - Laporan Penelitian  Universitas Indonesia Library
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Sannidhya Rakhmadini
Uji efek anti inflamasi suspensi dari gambir (Uncaria gambier Roxb.) PT. X terhadap Udem yang ditimbulkan karagenin pada telapak kaki tikus putih jantan.
"Penelitian ini dilakukan berdasarkan penelitian terdahulu tentang khasiat gambir sebagai analgesik dan efek katekin sebagai anti inflamasi. Tujuan dari penelitian ini adalah untuk menganalisa khasiat gambir (Uncaria gambier Roxb.) dari PT. ?X? yang diduga mempunyai efek anti inflamasi terhadap udem akibat induksi karagenin pada tikus putih jantan galur Sprague-Dawley. Tikus percobaan dibuat udem dengan karagenin 2% yang diberikan subplantar setengah jam setelah suspensi gambir dalam CMC 1% per oral dengan dosis 216 mg/200 g bb, 270 mg/200 g bb dan 337,5 mg/200 g bb. Sebagai kontrol digunakan tikus yang diberi natrium diklofenak dengan dosis 27 mg/200 g bb dan CMC 1% secara oral dan diperlakukan sama seperti kelompok uji. Volume udem diukur dengan pletismometer. Pemberian suspensi gambir dengan dosis 216 mg/200 g bb, 270 mg/200 g bb dan 337,5 mg/200 g bb memperlihatkan efek anti inflamasi yang bermakna pada jam kedua dan ketiga setelah injeksi karagenin. Suspensi gambir dengan dosis 270 mg/200 g bb dan 337,5 mg/200 g bb memperlihatkan efek anti inflamasi yang sebanding dengan obat anti inflamasi non steroid natrium diklofenak dosis 27 mg/200 g bb pada jam kedua setelah injeksi karagenin.
This study was based on the last researchs about efficacy of gambir as an analgesic and the anti-inflammatory effect of catechin. The aim of this study was to evaluate the anti-inflammatory effect of Gambir (Uncaria gambier Roxb.) from ?X? company on the carrageenin-induced inflammatory in male Sprague-Dawley albino rats. Inflammation in rats were induced by 2% carrageenin subplantar, half hour before oral adsministration of gambir suspension at various dose 216 mg/200 g bw, 270 mg/200 g bw and 337,5 mg/200 g bw. As control groups were used rats which were given diclofenac sodium 27 mg/200 g bw and CMC 1% at the same volume and were treated exactly as same as experiment groups. The volume of inflammation were measured with plethysmometer. The results were administration of gambir suspension at dose 216 mg/200 g bw, 270 mg/200 g bw and 337,5 mg/200 g bw had a significant anti-inflammatory effect at 2-3 hours after carrageenin injection. The anti-inflammatory effect of gambir suspension at dose 270 mg/ 200 g bw and 337,5 mg/200 g bw were equal as a non steroid anti-inflammatory drug diclofenac sodium at dose 27 mg/200 g bw two hours after carrageenin injection."
Depok: Fakultas Matematika dan Ilmu Pengetahuan Alam Universitas Indonesia;, 2006
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Nurusysyarifah Aliyyah
Model Pengaruh Pajanan PM2,5 di Udara Ambien terhadap Kejadian Hipertensi melalui Stress Oksidatif dan Sitokin Inflamasi pada Penduduk di Jakarta Pusat = The Influence Model of Ambient Air PM2,5 Exposure with Hypertension through Oxidative Stress and Inflammatory Cytokines among residents in Central Jakarta
"Hipertensi merupakan salah satu kondisi medis yang cukup serius karena dapat meningkatkan risiko penyakit jantung, otak, ginjal dan penyakit lainnya. Wilayah di DKI Jakarta dengan prevalensi hipertensi tertinggi berdasarkan diagnosis dokter yaitu Kota Jakarta Pusat sebesar 12,16%. Partikulat meter organik dan komponen partikulat meter dapat memicu proinflammatory effects pada paru-paru karena kemampuannya mengakibatkan stress oksidatif. Penelitian ini bertujuan untuk menyusun model pengaruh pajanan PM2,5 di udara ambien terhadap kejadian hipertensi melalui stress oksidatif dan sitokin inflamasi pada penduduk di Jakarta Pusat. Penelitian dilakukan pada penduduk dewasa (18-65 tahun) di Kota Jakarta Pusat dengan disain studi hybrid cross sectional ecology. Pengumpulan data secara cluster random sampling dengan analisis data dilakukan melalui pemodelan regresi logistik multilevel dan cox regresi proporsional hazard.
Hasil analisis menunjukkan terdapat asosiasi antara PM2,5 di udara ambien dengan biomarker stress oksidatif (IOR PM2,5: 2,185173-2,185176) dan dengan biomarker sitokin inflamasi (IOR PM2,5: 1,21-1,91). Pemodelan multivariat dengan cox regresi proporsional hazard menunjukkan bahwa variabel umur dan indeks massa tubuh merupakan confounder hubungan antara stress oksidatif dengan hipertensi dan antara sitokin inflamasi dengan hipertensi dengan nilai Rasio Prevalens adjusted (95% CI) masing-masing sebesar 1,19 (0,69-2,03) dan 0,99 (0,58-1,72). Dapat disimpulkan bahwa variabel konsentrasi PM2,5 di udara ambien memiliki peran terhadap terjadinya hipertensi, stress oksidatif dan sitokin inflamasi pada penduduk di Jakarta Pusat.
Hypertension is a serious medical condition that can increase the risk of heart, brain, kidney and other diseases. The area in DKI Jakarta with the highest prevalence of hypertension based on doctor diagnosis is Central Jakarta city about 12.16%. Organic particulate matters and particulate matter components can trigger proinflammatory efects in the lung due to their ability to cause oxidative stress. This study aims to develop a model of the Influence of PM2,5 Exposure in Ambient Air on Hypertension Occurrence through Oxidative Stress and Inflammatory Cytokines among residents in Central Jakarta. The study was conducted among adult residents (age 18-65 years) in Central Jakarta with hybrid cross sectional study design. Data collected using cluster random sampling with data analysis carried out through multilevel logistic regression modeling and cox proportional hazard regression.
Results show there is an association between PM2.5 in ambient air with oxidative stress biomarkers (IOR PM2.5: 2.185173-2.185176) and with inflammatory cytokine biomarkers (IOR PM2.5: 1.21-1.91). Multivariate modeling with Cox regression proportional hazard shows that age and body mass index are confounders of the relationship between oxidative stress with hypertension and between inflammatory cytokines with hypertension with an adjusted prevalence ratio (95% CI) value of 1.19 (0.69-2.03) and 0.99 (0.58-1.72). It can conclude that concentration of PM2.5 in ambient air has a role on hypertension, oxidative stress and inflammatory cytokine among residents in Central Jakarta."
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2024
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Retno Sulistyo Wardani
Profil ekspresi gen penderita polip hidung kaitannya dengan respons terapi terhadap protokol pengobatan polipektomi sederhana endoskopik dan glukokortikoid intranasal
Jakarta: 2010
D1741
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Fitria Mayasari
Profil penanda inflamasi subklinis anak obes usia 9-12 tahun = Profile of subclinical inflammatory marker in obese children age 9-12 years old
"Latar belakang: Prevalens obesitas pada anak dan remaja di seluruh dunia meningkat secara dramatis. Obesitas pada anak menjadi masalah karena merupakan predisposisi terjadinya obesitas saat dewasa yang berhubungan dengan timbulnya penyakit komorbiditas metabolik. Obesitas ditandai dengan penimbunan jaringan adiposa tubuh secara berlebihan, dan jaringan adiposa tersebut menghasilkan sitokin dan mediator inflamasi yang berperan dalam terjadinya inflamasi subklinis.
Tujuan: Untuk mengetahui profil penanda inflamasi subklinis pada anak obes usia 9-12 tahun melalui pemeriksaan sitokin inflamasi (IL-6) dan protein fase akut (CRP dan AGP).
Metode: Penelitian deskriptif potong lintang yang dilakukan pada siswa SD yang obes dan non-obes usia 9-12 tahun di Jakarta Selatan yang diizinkan oleh orangtua untuk mengikuti penelitian ini dan bersedia diukur antropometri serta diperiksa laboratorium Interleukin-6 (IL-6), C-reactive protein (CRP), dan alpha-1-acid glycoprotein (AGP).
Hasil: Dari 30 anak obes dan 30 anak non-obes didapatkan kadar median IL-6 anak obes lebih tinggi bila dibandingkan dengan anak non-obes dengan nilai 3,09 (1,16-6,49) vs 1,27 (0,51-3,86), kadar median CRP pada kelompok obes lebih tinggi dibandingkan kelompok non-obes dengan nilai 2,25 (0,4-64) vs 0,2 (<0,2- 2,6) dan kadar rerata AGP kelompok obes lebih tinggi dibandingkan kelompok non-obes dengan nilai rerata 93,13 ± 18,29 vs 71 ± 18,89.
Simpulan: Inflamasi subklinis telah terjadi pada anak obes berusia 9-12 tahun. Kadar sitokin inflamasi IL-6 lebih tinggi pada anak obes dibandingkan anak non- obes, kadar protein fase akut CRP lebih tinggi pada anak obes dibandingkan anak non-obes, dan kadar penanda AGP lebih tinggi pada anak obes dibandingkan anak non-obes.
Background: Prevalence of obesity in children and adolescence is dramatically increasing. Obesity in children is an important predisposing factor of adult obesity and correlates with metabolic comorbidities. Obesity is basically an overt body adipose tissue which resulting cytokine and inflammatory mediators. The cytokine and inflammatory mediators play important role in subclinical inflammation.
Objective: To describe subclinical inflammatory marker of obese children age 9- 12 years old by examining inflammatory cytokine (Interleukine 6) and acute phase protein (C-reactive protein and Alpha-1-acid glycoprotein).
Methods: Cross sectional descriptive study was conducted in elementary school students of obese and non-obese age 9-12 years old in South Jakarta. Antropometric measurements and examination of IL-6, CRP, and AGP were taken from all subjects.
Results: Thirty obese and thirty non-obese children were recruited in this study. Obese children showed higher median IL-6 compared to non-obese (3,09 (1,16- 6,49) vs 1,27 (0,51-3,86)), higher median CRP in obese children compared to non-obese (2,25 (0,4-64) vs 0,2 (<0,2-2,6)). Obese children also showed higher mean AGP compared to non-obese (93,13 ± 18,29 vs 71 ± 18,89).
Conclusions: Obese children age 9-12 years old have evidence of subclinical inflammation. The subclinical inflammation was based on higher IL-6, CRP, and AGP in obese children compared to non-obese children."
Depok: Universitas Indonesia, 2015
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Idrus Alwi
Hubungan faktor metabolik dengan respons inflamasi pada sindrom koroner akut pasien diabetes melitus tipe 2. Kajian efek kurkumin terhadap faktor metabolik dan respons inflamasi pada sindrom koroner akut
"Diabetes mellitus (DM) is one of the public health problems worldwide, including in Indonesia. Cardiovascular disease was the main cause of death (75-80%) in DM, three-fourths of this death was caused by coronary heart disease (CHD). Approximately 34.2% of patients with acute coronary syndrome (ACS) receiving care at ICCU of Dr. Cipto Mangunkusumo General Hospital (RSCM) suffered from DM. Mortality rates of ACS in DM patients were still high and ACS prognosis in DM patients were still unfavorable. There are many factors playing a part in atherosclerosis and ACS incidence in DM patients, such as metabolic disorders due to hyperglycemia and the fomration of advanced glycation end product (AGE), oxidative stress, atherogenic dyslipidemia in DM in the form of high triglyceride level and low HDL cholesterol as well as an increase in small dense LDL, and insulin resistance. In addition, other risk factors of CHD frequently encountered with DM were hypertension, obesity, thrombocytc hyperaggregation and hypercoagulation. The management ofthis disease which was based on the control of risk factors was not yet satisfactory.
Inflammatory response played an important role in pathogenesis of atherosclerosis, beginning with early lesion up to acute coronary syndrome. Increase in inflammatory responses (hsCRP) could predict cardiovascular event and predict post-ACS prognosis. Studies in DM population showed an increase in inflammation. ln-depth studies on inflammatory responses in ACS DM patients have not yet been reported. In normal condition, there was a balance of proinflammatory and antiinflammatory cytokines. The ratio of proinflammatory and antiinflammatory cytokines in ACS, particularly DM patients has not been studied. The relationship between metabolic factor (blood glucose, glyco Hb and lipid) and inflammatory response in ACS DM patients has not yet also been studied.
Currently, the effort to decrease inflammatory response is made, among others, by aspirin, statin hypolipidemic medication and insulin sensitizer. Although aspirin and statin were used routinely in ACS patients and have proved to reduce inflammation, morbidity and mortality rates of ACS patients were still high. Thus, we would like to observe whether an addition of other medications in standard therapy could reduce inflammation better. Curcumin in experimental animals-and humans) showed -hypolipidemic effect (decrease 'in absorption and increase in catabolism) and hypoglycemia (effect on PPAR-7). Curcumin also demonstrated antiinflammatory effect. In this study we would like to observe the effects of curcumin on both metabolic factors and inflammatory responses in ACS patients.
PROBLEM IDENTIFICATION
The above elaboration showed a discrepancy associated with inflammatory response in DM ACS patients. Up to now, the relationship of metabolic factor and inflammatory response in DM ACS has not been clear yet. Likewise, the effects of curcumin on metabolic factor and inflammatory response in ACS have not yet been identified.
OBJECTIVES
To evaluate inflammatory responses in DM ACS and its relationship with metabolic factors (glucose, blood; glyco Hb, total cholesterol, LDL cholesterol, HDL cholesterol and triglyceride); to evaluate the ratio of proinflammatory and antiinflammatory cytokines (IL-6/IL-10) in ACS DM patients, and to identify the effects of curcumin on metabolic factors and inflammatory responses in ACS patients.
SETTING
The study was conducted at ICCU of RSCM, ICCU of Persahabatan, ICCU of RS MMC and ICCU of Medistra Hospital, Cardiology Polyclinic, Department of Internal Medicine, Faculty of Medicine University of Indonesia! RSCM and Integrated Cardiac Service Poiyclinic of RSCM.
STUDY SUBJECTS
ACS patients (DM and non-DM) and CHD (DM and non-DM).
DESIGN
There were two studies: l. Observational design to observe inflammatory responses (hscRP, IL-6, IL-IO, VCAM and ICAM) in DM ACS, non-DM ACS, DM CI-ID, and non-DM CHD; to evaluate the relationship between metabolic factors (fasting blood glucose, blood glucose 2 hours PP, glyco Hb, total cholesterol, LDL cholesterol, HDI.. cholesterol and triglyceride) and inflammatory responses (hsCRP, IL-6, IL-10, VCAM and ICAM) in ACS DM. 2. Interventional study which was a double-blind randomized trial to evaluate the effects of curcumin at escalating doses (low dose 3:-:IS mglday, moderate dose 3x30 mg/day and high dose 3x60 mg/day on metabolic factors (fasting blood glucose. blood glucose 2 hours PP and glyco Hb) and the effects of curcumin at escalating doses on inflammatory responses (hsCRP, ll.-6, VCAM and ICAM) in ACS patients.
RESULTS
In observational study, |46 subjects were analyzed, consisting of 84 ACS patients, (30 DM ACS patients and 54 non-DM ACS), and 62 CHD (25 DM CHD patients and 37 non-DM CHD patients). The results of the study in the four groups of patients showed: 1. Inflammatory response in DM ACS was higher than in DM CHD (hsCRP, p=0.00; II..-6, p=0.00; IL-10, p=0.00) and non-DM ACS (ICAM, P=0.03). 2. The ratio of proinflammatory and antiinflammatory cytokines (IL-6/II..-10) in DM ACS did not differ from that of DM CHD (p=0.2l) and non-DM ACS (p=0.5 l). 3. There was a relationship between metabolic factors and inflammatory responses in DM ACS: triglyceride and ll.-6 (r=O.39, p=0.03) and II..-I0 (r=0.37, p=o.o4).
In interventional study we performed randomization in 75 ACS patients divided into four groups, consisting of low-dose curcumin group of 15 patients, moderate-dose curcumin group of 15 patients, high-dose curcumin group of IS patients, and placebo group of 30 patients. The results of the study in these four groups showed: l. Low-dose curcumin showed a decrease in hsCRP in one week ofthe first month after intervention, there was a significant difference liom that of placebo (p=0.04). Low-dose, moderate-dose, high-dose curcumin groups showed a decrease in IL-6, but was not significantly different from placebo. Low-dose, moderate-dose, high-dose curcumin did not show a decrease in VCAM and ICAM after intervention of 2 months. 2. Low-dose curcumin group tended to experience a decrease in glyco Hb level after intervention of 2 months (p=0.06); however, it was not significantly different from that of placebo. 3. There was a tendency that low-dose curcumin reduced total cholesterol and LDI. cholesterol; however, it was not significantly different from that of placebo. There was a tendency that low-dose curcumin increased HDL cholesterol; however, it was not significantly different from that of placebo. 4. There was a tendency that the pattern of escalating doses had some effects in inflammatory responses and metabolic factors, in which low-dose curcumin showed the best effects, followed by moderate-dose and finally high- dose curcumin.
CONCLUSIONS
In this study, inflammatory responses in DM ACS patients were higher than those in DM CHD and non-DM ACS patients. There was no difference in the ratio of proinflammatory and antiinflammatory cytokines (IL-6fIL-IO) in DM ACS compared with DM CHD and non-DM ACS. ln addition, the present study identified some of the relationships between metabolic factors and inflammatory responses. Low-dose curcumin reduced hsCRP in one week of the first month after the intervention in ACS patients. There was a tendency that low-dose curcumin reduced glyco Hb level in ACS."
Depok: Universitas Indonesia, 2006
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Nur Laily Putri
Uji aktivitas antioksidan dan penghambatan aktivitas lipoksigenase serta penetapan kadar flavonoida total dari ekstrak daun garcinia kydia roxburgh = Antioxidant activity and lipoxygenase inhibition test with total flavonoid content from garcinia kydia roxburgh leaves extract
"Strategi terapi yang digunakan untuk mengatasi stres oksidatif dan menghambat sintesis mediator inflamasi melalui jalur lipoksigenase salah satunya adalah antioksidan. Garcinia adalah marga terbesar dari suku Clusiaceae yang terbukti memiliki aktivitas antioksidan dan antiinflamasi. Garcinia kydia Roxburgh adalah salah satu tanaman dari marga Garcinia yang telah diketahui memiliki aktivitas antioksidan, namun potensi antiinflamasi dengan cara menghambat aktivitas lipoksigenase dari tanaman ini belum diketahui. Penelitian ini bertujuan untuk menguji aktivitas antioksidan ekstrak metanol, etil asetat dan n-heksana daun Garcinia kydia Roxburgh dengan metode FRAP (Ferric Reducing Antioxidant Power), uji aktivitas antiinflamasi dengan metode penghambatan lipoksigenase, dan penetapan kadar flavonoida total dengan metode kolorimetri AlCl3.
Hasil uji menunjukkan aktivitas antioksidan ekstrak metanol, etil asetat dan n-heksana daun Garcinia kydia Roxburgh memiliki nilai EC50 berturut-turut 18,448; 12,389 dan 31,260 µg/mL, dan aktivitas penghambatan lipoksigenase dengan nilai IC50 berturut-turut 0,556; 0,212 dan 3,575 µg/mL. Ekstrak teraktif dari kedua uji adalah ekstrak etil asetat yang memiliki kadar flavonoida total sebesar 30,650 mgQE/gram ekstrak. Berdasarkan hasil pengujian, dapat disimpulkan bahwa ekstrak metanol, etil asetat dan n-heksana daun Garcinia kydia Roxburgh memiliki aktivitas antioksidan dan dapat menghambat aktivitas lipoksigenase, serta ekstrak etil asetat sebagai ekstrak teraktif memiliki kandungan flavonoida total terbesar.
Antioxidant is one of the therapeutic strategy to overcome oxidative stress and inhibit synthesis of inflammatory mediators through lipoxygenase pathway. Garcinia is the largest of Clusiaceae family which has been proven to provide antioxidant and anti-inflammatory activity. Garcinia kydia Roxburgh is one of the plant of this genus which is known to have antioxidant activity but lipoxygenase inhibition activity from this plant was unknown. This study aimed to test antioxidant activity of the methanol, ethyl acetate and n-hexane extract from Garcinia kydia Roxburgh leaves by FRAP (Ferric Reducing Antioxidant Power) method, anti-inflammatory activity was tested by inhibit lipoxygenase, and total flavonoid content by colorimetric methods AlCl3.
The results showed antioxidant activity of methanol extract, ethyl acetate and n-hexane leaves of Garcinia kydia Roxburgh have EC50 value, respectively 18,448; 12,389 and 31,260 µg/mL, and the lipoxygenase inhibition activity have IC50 value, respectively 0,556; 0,212 and 3,575 µg/mL. Ethyl acetate extract of Garcinia kydia Roxburgh leaves were the most active extract in this study which has total flavonoid content, 30,650 mgQE/gram extract. The conclusion, Garcinia kydia Roxburgh has antioxidant and lipoxygenase inhibition activity, with ethyl acetate extract as the most active extract which contain the most total flavonoids."
Depok: Fakultas Farmasi Universitas Indonesia, 2016
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Arry Yanuar
Analisis Penambatan dan Simulasi Dinamika Molekular Komplex Siklookgesinenase-2 dengan Beberapa Senyawa Turunan Kuinazolinon
2014
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Dony Hermanto
Potensi ekstrak etanol kulit buah delima punica granatum linn. sebagai antiinflamasi kolon mencit yang diinduksi dextran sodium sulfate: kajian pada ekspresi COX-2 dan INOS. = The potency of pomegranate peel ethanol extract punica granatum linn as antiinflammatory agent in mice colon induced by dextran sodium sulfate focus on COX-2 and INOS expressions
"Latar belakang: Inflamasi pada kolon atau kolitis ulseratif KU adalah penyakit inflamasi pada lapisan mukosa kolon dan salah satu sub tipe penyakit inflammatory bowel diasease. Berbagai efek samping obat kolitis menyebabkan penggunaan tanaman obat sebagai terapi alternatif. Ekstrak kulit buah delima telah digunakan pada pengobatan nyeri dan inflamasi. Penelitian ini bertujuan untuk mengetahui efek antiinflamasi ekstrak etanol kulit buah delima pada kolon mencit melalui jalur inflamasi dengan menekan ekspresi inducible nitric oxide synthase iNOS dan siklooksigenase-2 COX-2 pada kolon mencit model inflamasi kronis yang diinduksi dextran sodium sulfate DSS.
Metode: Tiga puluh mencit Swiss Webster dibagi menjadi 6 kelompok yaitu kelompok normal, kelompok aspirin ASP, kelompok asam elagat murni ELG, kelompok kontrol negatif, kelompok mencit yang diberi ekstrak kulit buah delima 240 mg/kgBB per hari. DOSIS-1 dan 480 mg/kgBB per hari DOSIS-2. Kecuali kelompok normal, semua kelompok diberikan DSS 2 selama 3 siklus setiap siklus dalam setiap kelompok diberikan DSS 2 dalam air minum selama 7 hari, kemudian 7 hari dengan air minum biasa. Pada akhir percobaan, sampel usus dicuci dengan air kemudian difiksasi dengan buffered neutral formalin BNF 10 dan dilakukan proses penamanan jaringan kolon pada medium parafin untuk keperluan analisis histologi.
Hasil: DOSIS-1 dan DOSIS-2 secara signifikan P.
Background: Inflammatory disease occurs in the mucosal of colon or ulcerative colitis UC is one of sub types of inflammatory bowel disease. The numerous of drug side effects for treatment of colitis give rise to using medicinal herbs as alternative therapies. Pomegranate peel extract has been used for treatment of pain and inflammatory conditions. This study aimed to investigate the antiinflammatory effects of pomegranate peel ethanol extract on mice colon through inflammation pathway which suppress of the expression of inducible nitric oxide synthase iNOS and cyclooxygenase 2 COX 2 in mice model of chronic inflammation induced by dextran sodium sulfate DSS.
Methods: Thirty Swiss Webster mice divided randomly into 6 groups normal, aspirin group ASP, pure ellagic acid group ELG, negative control, pomegranate peel ethanol extract 240 mg kg body weight per day DOSIS 1 and 480 mg kg body weight per day DOSIS 2. All groups were given DSS 2 over 3 cycles except normal group where each cycle in the DSS group consisted of 2 DSS in drinking water for 7 days, followed by a 7 day interval with normal drinking water. At the end of the experiment, colon samples were washed with water then buffered neutral formalin BNF 10 fixed and paraffin embedded for histological analysis.
Result: DOSIS 1 and DOSIS 2 were significantly reduced inflammation score in colon mice induced by DSS P"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2017
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Putri Kusuma Wardani
Pengaruh Pemberian Propolis Terhadap Tumor Necrosis Factor Αlpha dan Interleukin 10 Pada Penderita Endometriosis Dengan Terapi Implan Levonorgestrel = Effect of Propolis on Tumor Necrosis Alpha (TNF-α) Level and Interleukine 10 (IL-10) Level in Endometriosis Patients with Levonorgestrel Implant Therapy
"Endometriosis merupakan penyakit ginekologi umum yang dipicu terjadinya peradangan kronis yang ditandai dengan produksi beberapa sitokin pro-inflamasi, salah satu yang terbanyak yaitu TNF-α. Di sisi lain, sitokin anti-inflamasi, seperti IL-10, dapat mengakhiri proses inflamasi berlanjut ini. Propolis adalah bahan bioaktif alami produk lebah, sebagai imunomodulator dan efek anti-inflamasi yang dapat menekan proliferasi sel-sel patologis. Penelitian ini bertujuan untuk menentukan pengaruh pemberian propolis terhadap tumor necrosis factor alpha dan interleukin 10. Penelitian ini menggunakan desain uji klinis dengan alokasi acak dan double-blinded. 24 wanita dengan terapi Levonorgestrel (LNG) karena endometriosis secara acak ditugaskan untuk menerima propolis yang mengandung 17,5 mg flavonoid per tetes atau plasebo. Intervensi diberikan dua kali sehari, pada pagi dan malam hari, dengan dosis 1 tetes/10 kg berat badan (kgBB) per kali. Sampel darah dan penilaian gizi diambil pada kunjungan pertama dan 30 hari setelahnya. Hasil penelitian menunjukkan bahwa kadar tumor necrosis factor alpha dan interleukin 10 tidak memiliki perbedaan yang signifikan antara kedua kelompok (p>0,05). Kadar tumor necrosis factor alpha mengalami penurunan yang lebih besar pada kelompok propolis sebesar 4,17 (44,36-50,05) pg/mL dibandingkan dengan kelompok plasebo. Kadar IL-10 menunjukkan peningkatan sebesar 344,94 setelah 30 hari diberikan intervensi. Pemberian flavonoid dalam propolis tidak menghasilkan perubahan yang signifikan dalam kadar Tumor Necrosis Factor Αlpha dan Interleukin 10 selama periode intervensi 30 hari.
Endometriosis is a common gynecological disease triggered by chronic inflammation characterized by the production of several pro-inflammatory cytokines, one of which is TNF-α. On the other hand, anti-inflammatory cytokines, such as IL-10, can end this ongoing inflammatory process. Propolis are natural bioactive ingredients contained in bee products, as immunomodulators and anti-inflammatory effects that can suppress the proliferation of pathological cells. This study aimed to determine the effect of propolis supplementation on tumor necrosis factor alpha and interleukin 10. This study used clinical trial design with random allocation and double- blinded. 24 women with Levonorgestrel (LNG) therapy due to endometriosis were randomly assigned to receive propolis-contained 17.5 mg of flavonoids per drop or placebo. The intervention given two times a day,in the morning and at night, with a dose of 1 drop /10 kg body weight (kgBW) per time. Blood samples and nutritional assessment were taken at the first time of visit and 30 days thereafter. The results showed that the levels of tumor necrosis factor alpha and interleukin 10 did not differ significantly between the two groups (p>0.05). Tumor necrosis factor alpha levels experienced a greater decrease in the propolis group by 4.17 (44.36-50.05) pg/mL compared to the placebo group. IL-10 levels showed an increase of 344.94 after 30 days of intervention. The administration of propolis supplementation did not result in significant changes in the levels of Tumor Necrosis Factor Αlpha and Interleukin 10 during the 30- day intervention period."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2023
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Butarbutar, Maruli Wisnu Wardhana
Apakah inflamasi kronik berperan dalam restenosis katup mitral pasca komisurotomi mitral transvena perkutan? = Does chronic inflammation play a role in rheumatic mitral valve restenosis after percutaneous transvenous mitral commissurotomy?
"Latar Belakang: Restenosis katup mitral didefinisikan sebagai penurunan mitral valve area (MVA) <1,5 cm2 atau penurunan MVA >50% pasca KMTP. Restenosis katup mitral bersifat time-dependent dan dikaitkan dengan major adverse cardiovascular events (MACE), seperti gagal jantung kongestif, kematian, operasi penggantian katup dan KMTP ulangan. Mekanisme penyebab restenosis katup mitral belum diketahui secara pasti tetapi diduga berkaitan dengan proses inflamasi kronik.
Tujuan: Mengetahui hubungan inflamasi kronik dengan restenosis katup mitral pasca KMTP.
Metode: Total 40 pasien stenosis katup mitral yang telah menjalani tindakan KMTP dikelompokkan menjadi kelompok kasus (n=20) dan kelompok kontrol (n=20) berdasarkan matching. Diambil data sekunder dari rekam medis berupa karakteristik pasien (jenis kelamin, usia dan profilaksis sekunder), data ekokardiografi pre KMTP (Skor Wilkins dan MVA pre KMTP), dan data ekokardiografi post KMTP (MVA pasca KTMP). Dilakukan pemeriksaan ekokardiografi (MVA follow-up) dan pemeriksaan lab (kadar IL-6). Kemudian dilakukan analisis statistik untuk mencari hubungan antara kadar penanda inflamasi kronik serta variabel bebas lainnya dengan restenosis katup mitral.
Hasil: Median konsentrasi IL-6 adalah 2,39 (0,03 - 11,4) pg/mL. Tidak terdapat perbedaan statistik yang bermakna kadar IL-6 pada kedua kelompok (nilai p >0,05). Penurunan MVA adalah 0,13 (0 - 0,62) cm2/tahun dengan laju penurunan MVA ≥0,155 cm2/tahun merupakan prediktor kejadian restenosis katup mitral (nilai p <0.001, OR = 46,72, 95% CI 6,69 - 326,19).
Simpulan: Inflamasi kronik yang dinilai dengan IL-6 tidak berhubungan dengan restenosis katup mitral.
Background: Mitral valve restenosis is defined as decreased mitral valve area (MVA) <1.5 cm2 or decreased MVA >50% after PTMC. It is time-dependent and associated with major adverse cardiovascular events (MACE), such as congestive heart failure, cardiac death, mitral valve replacement, and redo PTMC. The mechanism is not yet known; however, chronic inflammation may have a role.
Objective: To know the association between chronic inflammation and mitral valve restenosis after PTMC.
Methods: A total of 40 patients with mitral valve stenosis who underwent successful PTMC were matched and classified into restenosis/case group (n=20) and no restenosis/control group (n=20). Secondary data was taken from electronic medical records such as patient characteristics (gender, age & 2nd prophylaxis), echocardiography data before PTMC (Wilkins’ score and MVA before PTMC), and echocardiography data after PTMC (MVA after PTMC). Follow-up echocardiography examination (follow-up MVA) and laboratory assessment of chronic inflammation marker (IL-6) were done on all patients. Statistical analyses were done to look for an association between the level of chronic inflammation marker & other independent variables with mitral valve restenosis.
Results: Median IL-6 concentration was 2.39 (0.03 - 11.4) pg/mL. There was no statistically significant difference in IL-6 levels between both groups (p-value >0.05). MVA decrement was 0.13 (0 - 0.62) cm2/year with rate of MVA decrement ≥0.155 cm2/year was predictor of mitral valve restenosis (p-value <0.001, OR = 46.72, 95% CI 6.69 - 326.19).
Conclusion: Chronic inflammation assessed by IL-6 was not associated with mitral valve restenosis"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2022
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Irena Ujianti
Mekanisme Kerja H. sabdariffa. terhadap Steatosis Akibat Restriksi Vitamin B12: Kajian Molekular Persinyalan Stres Retikulum Endoplasma dan Lipogenesis = Mechanism of Action of H. sabdariffa. Against Steatosis due to Vitamin B12 Restriction: Molecular Study of Endoplasmic Reticulum Stress Signaling and Lipogenesis
"Belum banyak studi mempelajari keterkaitan antara defisiensi vitamin B12 dan toksisitas homosistein. Hiperhomosisteinemia dikaitkan dengan penyakit selular terkait NAFLD. Toksisitas homosistein dapat berupa steatosis atau inflamasi sel hati. H. sabdariffa. dan konstituen aktifnya memiliki efek pencegahan terhadap cedera seluler. Ekstrak H. sabdariffa. diuji pada tikus Sprague-Dawley (SD) dalam penelitian ini.Penelitian ini untuk melihat efek H.sabdariffa terhadap peningkatan homosistein pada hati tikus SD yang diberikan diet resriksi vitamin B12.
Penelitian ini merupakan penelitian in vivo yang dilakukan di Fakultas Kedokteran Universitas Indonesia. Sebanyak 30 ekor tikus SD dibagi menjadi enam kelompok sesuai waktu perlakuan di 8 dan 16 minggu sebagai berikut: Kelompok kontrol diberikan diet standar AIN-93M, kelompok restriksi vitamin B12 diberi diet AIN-93M dengan modifikasi pengurangan komponen vitamin B12 dan kelompok restriksi vitamin B12 diberi AIN-93M dengan modifikasi pengurangan komponen vitamin B12 ditambah ekstrak etanol H.sabdariffa (HSE). Setelah 8 dan 16 minggu, kadar vitamin B12 dan homosistein diukur. Peningkatan aktivitas toksisitas homosistein dilihat dari ekspresi protein GRP78, SREBP1c dan NF-kB. Aktivitas hepatoprotektif HSE dinilai menggunakan AST, ALT, GGT, dan NAFLD Activity Score (NAS).
Kadar vitamin B12 pada 8 minggu (233 ± 10.8 vs 176 ± 5.4 pg/L; p < 0.001) dan 16 minggu (226 ± 13 vs 190 6 pg/L; p < 0,001), lebih tinggi secara bermakna pada kelompok restriksi vitamin B12 dengan diet HSE dibandingkan kelompok diet restriksi vitamin B12 tanpa HSE. Kadar plasma homosistein plasma lebih rendah secara bermakna pada kelompok restriksi vitamin B12 dengan HSE dibandingkan kelompok restriksi vitamin B12 tanpa HSE di usia perlakuan 8 minggu (2,25 ± 0,07 vs 2,63 ± 0,1 mol/L; p < 0,001) dan 16 minggu (2,18 ± 0,07 vs 2,64 ± 0,09 mol/L; p < 0,001). Aktivitas GGT plasma di usia 16 minggu perlakuan menurun secara bermakna pada kelompok restriksi vitamin B12 dengan HSE dibandingkan kelompok restriksi vitamin B12 tanpa HSE (14,5 ± 1,1 vs 22,9 ± 2,4 IU; p < 0,05). Ekspresi protein GRP78, SREBP1c, dan NfKB diukur menggunakan protein GADPH sebagai kontrol internal. Pada minggu ke-8 dan 16, ekspresi protein NF-kB lebih rendah pada kelompok restriksi vitamin B12 dengan HSE dibandingkan dengan grup restriksi vitamin B12 tanpa HSE (0,78 ± 0,08 vs 1,08 ± 0,06; p < 0,05). Ekspresi protein SREBP1c lebih rendah pada kelompok restriksi vitamin B12 dengan HSE dibandingkan dengan grup restriksi vitamin B12 tanpa HSE pada usia perlakuan 16 minggu (0,55 ± 0,03 vs 1,00 ± 0,02; p < 0,05). Kelompok restriksi vitamin B12 dengan HSE memiliki gambaran histopatologis steatosis, inflamasi, dan fibrosis lebih baik dibandingkan kelompok yang restriksi vitamin B12 tanpa HSE setelah 16 minggu perlakuan.
Disimpulkan peningkatan homosistein akibat diet restriksi vitamin B12 pada tikus SD menyebabkan steatosis hati, inflamasi, dan fibrosis. Ekstrak etanol H.Sabdariffa memiliki efek pencegahan terhadap kondisi steatosis, inflamasi dan fibrosis akibat peningkatan homosistein pada tikus SD yang diberi diet restriksi vitamin B12.
There haven't been many studies on the link between vitamin B12 deficiency and homocysteine toxicity. Homocysteine is linked to NAFLD-related cellular disease, and toxicity can manifest as steatosis or inflammation of the liver cells. H. sabdariffa. and its active constituents have a preventive effect against cellular injury. H. sabdariffa extract was tested on Sprague-Dawley (SD) rats with NAFLD in this study. This study aimed to examine the effect of H. sabdariffa on increasing homocysteine ​​in the liver of SD rats fed a vitamin B12 restriction diet.
This research is an in vivo study conducted at the Faculty of Medicine, University of Indonesia. 30 SD rats were divided into six groups based on treatment time at 8 and 16 weeks, with the following treatments: the control group received the standard AIN-93M diet, the vitamin B12 restriction group received the AIN-93M diet with a modified reduction of the vitamin B12 component, and the vitamin B12 restriction + HSE group received the AIN-93M diet with a modified reduction of the vitamin B12 component and an ethanol extract of H. sabdariffa (HSE). After 8 and 16 weeks, vitamin B12 and homocysteine ​​levels were measured. The increase in homocysteine ​​toxicity activity was seen from the expression of GRP78, SREBP1c, and NF-kB proteins. The hepatoprotective activity of HSE was assessed using the AST, ALT, GGT, and NAFLD Activity Score (NAS).
Vitamin B12 levels at 8 weeks (233 ± 10.8 vs 176 ± 5.4 pg/L; p < 0.001) and 16 weeks (226 ± 13 vs 190 6 pg/l; p < 0.001), significantly higher in the HSE group with a vitamin restriction diet. B12. Plasma homocysteine ​​levels were significantly lower in the vitamin B12 restriction group with HSE than in the vitamin B12 restriction group without extract at 8 weeks of age (2.25 ± 0.07 vs. 2.63 ± 0.1 mol/L; p < 0.001 ) and 16 weeks (2.18 ± 0.07 vs. 2.64 ± 0.09 mol/L; p < 0.001). Plasma GGT activity at 16 weeks of treatment decreased significantly in the vitamin B12-restricted group with HSE compared to the vitamin B12-restricted group without HSE (14.5 ± 1.1 vs. 22.9 ± 2.4 IU; p < 0.05). GRP78, SREBP1c, and NfKB protein expressions were measured using GADPH protein as an internal control. At weeks 8 and 16, NF-kB protein expression was lower in the vitamin B12 restriction group with HSE compared to the vitamin B12 restriction group without HSE (0.78 ± 0.08 vs. 1.08 ± 0.06; p < 0 ,05). SREBP1c protein expression was lower in the vitamin B12 restriction group with HSE compared to the vitamin B12 restriction group without HSE at 16 weeks of treatment (0.55 ± 0.03 vs. 1.00 ± 0.02; p < 0.05). The vitamin B12 restriction group with HSE had better histopathological features of steatosis, inflammation, and fibrosis than the vitamin B12 restriction group without HSE after 16 weeks of treatment.
It was concluded that the increase in homocysteine ​​due to dietary restriction of vitamin B12 in SD rats caused liver steatosis, inflammation, and fibrosis. The ethanolic extract of H. Sabdariffa had a preventive effect on steatosis, inflammation, and fibrosis due to increased homocysteine ​​in SD rats fed a vitamin B12 restriction diet."
Depok: Fakultas Kedokteran Universitas Indonesia, 2022
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