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Abstrak :
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.

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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.

Abstrak :
[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.

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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.]

Abstrak :
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.

Abstrak :
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.

Abstrak :
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

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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

Abstrak :
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

Abstrak :
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.

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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.

Abstrak :
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.

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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.