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Ninik Mudjihartini
"[ABSTRAK
Hipoksia berperan penting pada patofisiologi berbagai penyakit utama penyebab kematian seperti, penyakit jantung iskemia, strok, kanker, penyakit paru kronik, dan gagal jantung kongestif. Kedua protein golongan globin di otak, yaitu neuroglobin (Ngb) dan sitoglobin (Cygb) diduga berperan dalam suplai oksigen ke mitokondria dan melindungi jaringan otak dari kerusakan akibat hipoksia (neuroprotektan). Perubahan ekspresi protein merupakan salah satu bentuk adaptasi biokimia yang penting terhadap perubahan homeostasis. Oleh karena itu timbul pertanyaan bagaimana pola ekspresi Ngb dan Cygb serta peran neuroprotektan kedua protein tersebut di otak pada keadaan hipoksia sistemik kronik (HSK). Penelitian bertujuan manganalisis perbedaan pola ekspresi Ngb dan Cygb serta kaitannya dengan apoptosis pada HSK. Parameter yang diukur adalah Ngb, Cygb, sitokrom c, MDA, GSH dan HIF-lα. Rancangan penelitian yang digunakan adalah studi eksperimental in vivo model HSK pada tikus. Tikus sebagai hewan coba dibagi secara acak dalam 6 kelompok perlakuan, yaitu kelompok I adalah kelompok kontrol atau tanpa perlakuan hipoksia, sedangkan kelompok II, III, IV, V, dan VI mendapat perlakuan hipoksia dengan lama waktu hipoksia selama 1, 3, 5, 7, dan 14 hari. Parameter yang diperiksa meliputi ekspresi Ngb dan Cygb dengan teknik real time-RT PCR, ELISA dan imunofluoresen FITC, stres oksidatif, HIF-1α sebagai penanda hipoksia, dan sitokrom c sebagai penanda apoptosis. Hasil yang diperoleh HSK meningkatkan ekspresi mRNA Ngb pada hipoksia 3, 5, dan 7 hari, namun ekspresi proteinnya menurun pada hipoksia 1, 3, 5, 7, dan 14 hari dibanding dengan kontrol. Berbeda dengan ekspresi mRNA Cygb yang menurun selama hipoksia 1, 3, 5, 7, dan 14 hari, namun protein Cygb meningkat pada hipoksia 1, 3, 5, 7, dan 14 hari dibandingkan dengan kontrol. Korelasi Ngb dengan sitokrom c lemah tidak signifikan, sedangkan Cygb sangat lemah dan tidak signifikan. HSK menginduksi ekspresi HIF-lα yang meningkat tertinggi pada hipoksia 7 hari, dan menyebabkan stres oksidatif yang ditandai dengan meningkatnya MDA pada hipoksia 1, 3 dan 5 hari, serta menurunnya GSH pada hipoksia 1, 3, dan 5 hari. Penelitian ini membuktikan bahwa terdapat perbedaan pola ekspresi Ngb dan Cygb pada HSK. Ekspresi Ngb sebagai respons adaptasi terjadi lebih awal dan lebih dipengaruhi oleh lama waktu hipoksia dibandingkan dengan ekspresi Cygb. Meskipun lemah, Ngb cenderung mempunyai peran menghambat apoptosis dibandingkan dengan protein Cygb.;

ABSTRACT
Hypoxia has an important role in the pathophysiology of high mortality diseases, such as ischemic cardiovascular disease, stroke, cancer, chronic lung disease, and congestive heart failure. The proteins belonged to globin protein group, included neuroglobin (Ngb) and cytoglobin (Cygb), have been presumed to play a role in regulating the oxygen supply into the mitochondria and protecting the brain tissues from damage due to hypoxia (neuroprotectant). An alteration in protein expression due to a homeostatic shift is an important adaptation process in biochemistry. Therefore, the expression pattern of Ngb and Cygb as well as their protein roles in brain during a chronic systemic hypoxia condition (CSH) remain unclear. This study aim to analyse the differences of the Ngb and Cygb expression patterns, and correlation of both protein to apoptosis in chronic systemic hypoxic condition. Ngb, Cygb, Cytochrome c, MDA, GSH, and HIF-1 α. were examined. An in vivo experimental model of CSH was carried out using rat. The experimental rats were randomly divided into 6 treatment groups, i.e. group I was a control group or without hypoxic condition, groups II, III, IV, V, and VI were treated by hypoxic condition for 1, 3, 5, 7, and 14 days, respectively. The Ngb and Cygb expressions were analysed using real time-RTPCR, ELISA, immunofluorescence with FITC, and the measurement of stress oxidative biomarkers, included HIF-1α as a biomarker of hypoxic condition and cytochrome c as a biomarker of apoptosis. The CSH was increased the mRNA expression of Ngb at 3, 5, and 7 days hypoxic groups, while the protein expression was decreased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The mRNA expression of Cygb was decreased at 1, 3, 5, 7, and 14 days hypoxic groups, whereas the Cygb protein expression was increased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The correlation between Ngb with cytochrome c was weakly statistically insignificant, and Cygb with cytochrome c was statistically insignificant. The CSH induced the HIFlα, which was shown by a high increase at 7 days hypoxic group, as well as stress oxidative which was represented by MDA at 1, 3, and 5 days hypoxic groups, and decreased GSH at 1, 3, and 5 days hypoxic groups. There are differences in expression pattern of Ngb and Cygb in CSH. The expression of Ngb, as an adaptive response, occurs earlier and is more influenced by the duration of hypoxic condition compared to Cygb. Although the correlation is weak, the Ngb seems more likely to inhibit apoptosis compared to Cygb protein;Hypoxia has an important role in the pathophysiology of high mortality diseases, such as ischemic cardiovascular disease, stroke, cancer, chronic lung disease, and congestive heart failure. The proteins belonged to globin protein group, included neuroglobin (Ngb) and cytoglobin (Cygb), have been presumed to play a role in regulating the oxygen supply into the mitochondria and protecting the brain tissues from damage due to hypoxia (neuroprotectant). An alteration in protein expression due to a homeostatic shift is an important adaptation process in biochemistry. Therefore, the expression pattern of Ngb and Cygb as well as their protein roles in brain during a chronic systemic hypoxia condition (CSH) remain unclear. This study aim to analyse the differences of the Ngb and Cygb expression patterns, and correlation of both protein to apoptosis in chronic systemic hypoxic condition. Ngb, Cygb, Cytochrome c, MDA, GSH, and HIF-1 α. were examined. An in vivo experimental model of CSH was carried out using rat. The experimental rats were randomly divided into 6 treatment groups, i.e. group I was a control group or without hypoxic condition, groups II, III, IV, V, and VI were treated by hypoxic condition for 1, 3, 5, 7, and 14 days, respectively. The Ngb and Cygb expressions were analysed using real time-RTPCR, ELISA, immunofluorescence with FITC, and the measurement of stress oxidative biomarkers, included HIF-1α as a biomarker of hypoxic condition and cytochrome c as a biomarker of apoptosis. The CSH was increased the mRNA expression of Ngb at 3, 5, and 7 days hypoxic groups, while the protein expression was decreased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The mRNA expression of Cygb was decreased at 1, 3, 5, 7, and 14 days hypoxic groups, whereas the Cygb protein expression was increased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The correlation between Ngb with cytochrome c was weakly statistically insignificant, and Cygb with cytochrome c was statistically insignificant. The CSH induced the HIFlα, which was shown by a high increase at 7 days hypoxic group, as well as stress oxidative which was represented by MDA at 1, 3, and 5 days hypoxic groups, and decreased GSH at 1, 3, and 5 days hypoxic groups. There are differences in expression pattern of Ngb and Cygb in CSH. The expression of Ngb, as an adaptive response, occurs earlier and is more influenced by the duration of hypoxic condition compared to Cygb. Although the correlation is weak, the Ngb seems more likely to inhibit apoptosis compared to Cygb protein;Hypoxia has an important role in the pathophysiology of high mortality diseases, such as ischemic cardiovascular disease, stroke, cancer, chronic lung disease, and congestive heart failure. The proteins belonged to globin protein group, included neuroglobin (Ngb) and cytoglobin (Cygb), have been presumed to play a role in regulating the oxygen supply into the mitochondria and protecting the brain tissues from damage due to hypoxia (neuroprotectant). An alteration in protein expression due to a homeostatic shift is an important adaptation process in biochemistry. Therefore, the expression pattern of Ngb and Cygb as well as their protein roles in brain during a chronic systemic hypoxia condition (CSH) remain unclear. This study aim to analyse the differences of the Ngb and Cygb expression patterns, and correlation of both protein to apoptosis in chronic systemic hypoxic condition. Ngb, Cygb, Cytochrome c, MDA, GSH, and HIF-1 α. were examined. An in vivo experimental model of CSH was carried out using rat. The experimental rats were randomly divided into 6 treatment groups, i.e. group I was a control group or without hypoxic condition, groups II, III, IV, V, and VI were treated by hypoxic condition for 1, 3, 5, 7, and 14 days, respectively. The Ngb and Cygb expressions were analysed using real time-RTPCR, ELISA, immunofluorescence with FITC, and the measurement of stress oxidative biomarkers, included HIF-1α as a biomarker of hypoxic condition and cytochrome c as a biomarker of apoptosis. The CSH was increased the mRNA expression of Ngb at 3, 5, and 7 days hypoxic groups, while the protein expression was decreased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The mRNA expression of Cygb was decreased at 1, 3, 5, 7, and 14 days hypoxic groups, whereas the Cygb protein expression was increased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The correlation between Ngb with cytochrome c was weakly statistically insignificant, and Cygb with cytochrome c was statistically insignificant. The CSH induced the HIFlα, which was shown by a high increase at 7 days hypoxic group, as well as stress oxidative which was represented by MDA at 1, 3, and 5 days hypoxic groups, and decreased GSH at 1, 3, and 5 days hypoxic groups. There are differences in expression pattern of Ngb and Cygb in CSH. The expression of Ngb, as an adaptive response, occurs earlier and is more influenced by the duration of hypoxic condition compared to Cygb. Although the correlation is weak, the Ngb seems more likely to inhibit apoptosis compared to Cygb protein;Hypoxia has an important role in the pathophysiology of high mortality diseases, such as ischemic cardiovascular disease, stroke, cancer, chronic lung disease, and congestive heart failure. The proteins belonged to globin protein group, included neuroglobin (Ngb) and cytoglobin (Cygb), have been presumed to play a role in regulating the oxygen supply into the mitochondria and protecting the brain tissues from damage due to hypoxia (neuroprotectant). An alteration in protein expression due to a homeostatic shift is an important adaptation process in biochemistry. Therefore, the expression pattern of Ngb and Cygb as well as their protein roles in brain during a chronic systemic hypoxia condition (CSH) remain unclear. This study aim to analyse the differences of the Ngb and Cygb expression patterns, and correlation of both protein to apoptosis in chronic systemic hypoxic condition. Ngb, Cygb, Cytochrome c, MDA, GSH, and HIF-1 α. were examined. An in vivo experimental model of CSH was carried out using rat. The experimental rats were randomly divided into 6 treatment groups, i.e. group I was a control group or without hypoxic condition, groups II, III, IV, V, and VI were treated by hypoxic condition for 1, 3, 5, 7, and 14 days, respectively. The Ngb and Cygb expressions were analysed using real time-RTPCR, ELISA, immunofluorescence with FITC, and the measurement of stress oxidative biomarkers, included HIF-1α as a biomarker of hypoxic condition and cytochrome c as a biomarker of apoptosis. The CSH was increased the mRNA expression of Ngb at 3, 5, and 7 days hypoxic groups, while the protein expression was decreased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The mRNA expression of Cygb was decreased at 1, 3, 5, 7, and 14 days hypoxic groups, whereas the Cygb protein expression was increased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The correlation between Ngb with cytochrome c was weakly statistically insignificant, and Cygb with cytochrome c was statistically insignificant. The CSH induced the HIFlα, which was shown by a high increase at 7 days hypoxic group, as well as stress oxidative which was represented by MDA at 1, 3, and 5 days hypoxic groups, and decreased GSH at 1, 3, and 5 days hypoxic groups. There are differences in expression pattern of Ngb and Cygb in CSH. The expression of Ngb, as an adaptive response, occurs earlier and is more influenced by the duration of hypoxic condition compared to Cygb. Although the correlation is weak, the Ngb seems more likely to inhibit apoptosis compared to Cygb protein, Hypoxia has an important role in the pathophysiology of high mortality diseases, such as ischemic cardiovascular disease, stroke, cancer, chronic lung disease, and congestive heart failure. The proteins belonged to globin protein group, included neuroglobin (Ngb) and cytoglobin (Cygb), have been presumed to play a role in regulating the oxygen supply into the mitochondria and protecting the brain tissues from damage due to hypoxia (neuroprotectant). An alteration in protein expression due to a homeostatic shift is an important adaptation process in biochemistry. Therefore, the expression pattern of Ngb and Cygb as well as their protein roles in brain during a chronic systemic hypoxia condition (CSH) remain unclear. This study aim to analyse the differences of the Ngb and Cygb expression patterns, and correlation of both protein to apoptosis in chronic systemic hypoxic condition. Ngb, Cygb, Cytochrome c, MDA, GSH, and HIF-1 α. were examined. An in vivo experimental model of CSH was carried out using rat. The experimental rats were randomly divided into 6 treatment groups, i.e. group I was a control group or without hypoxic condition, groups II, III, IV, V, and VI were treated by hypoxic condition for 1, 3, 5, 7, and 14 days, respectively. The Ngb and Cygb expressions were analysed using real time-RTPCR, ELISA, immunofluorescence with FITC, and the measurement of stress oxidative biomarkers, included HIF-1α as a biomarker of hypoxic condition and cytochrome c as a biomarker of apoptosis. The CSH was increased the mRNA expression of Ngb at 3, 5, and 7 days hypoxic groups, while the protein expression was decreased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The mRNA expression of Cygb was decreased at 1, 3, 5, 7, and 14 days hypoxic groups, whereas the Cygb protein expression was increased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The correlation between Ngb with cytochrome c was weakly statistically insignificant, and Cygb with cytochrome c was statistically insignificant. The CSH induced the HIFlα, which was shown by a high increase at 7 days hypoxic group, as well as stress oxidative which was represented by MDA at 1, 3, and 5 days hypoxic groups, and decreased GSH at 1, 3, and 5 days hypoxic groups. There are differences in expression pattern of Ngb and Cygb in CSH. The expression of Ngb, as an adaptive response, occurs earlier and is more influenced by the duration of hypoxic condition compared to Cygb. Although the correlation is weak, the Ngb seems more likely to inhibit apoptosis compared to Cygb protein]"
2015
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UI - Disertasi Membership  Universitas Indonesia Library
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Purba, Dewi Pratiwi
"Oksigen merupakan zat penting dalam metabolisme energi tubuh, terutama otak. Neuroglobin (Ngb), salah satu famili hemoprotein berperan sebagai pengikat oksigen di otak. Seperti hemoprotein lainnya, gugus hem pada Ngb rentan mengalami oksidasi Fe2+ menjadi Fe3+ yang dapat menghilangkan fungsi pengikatan oksigennya. Penelitian ini bertujuan untuk menganalisis perubahan spektrum Ngb terhadap oksigen dan karbonmonoksida serta mencari potensi enzim yang dapat mereduksi Ngb teroksidasi (metNgb). Protein Ngb diisolasi dengan teknik fraksinasi menggunakan amonium sulfat kejenuhan 90%, dipurifikasi dengan kromatografi penukar anion (DEAE Selulosa) dan kromatografi imunoafinitas. Hasil isolasi dikonfirmasi dengan SDS-PAGE dan Western blot. Enzim pereduksi metneuroglobin diisolasi dengan RIPA lysis buffer, dipurifikasi dengan kromatografi Affi gel blue, dan dikonfirmasi dengan SDS-PAGE. Ngb hasil purifikasi memiliki berat molekul 17,26 kDa. Analisis spektrum pada rentang panjang gelombang 350-500nm, memperlihatkan puncak soret dari deoksiNgb, oksiNgb, karboksiNgb dan metNgb berturut-turut adalah 415 nm, 405 nm, 405 nm, dan 420 nm. Hasil isolasi enzim pereduksi yang diperoleh terdiri dari 2 bagian, yaitu eluat tidak terikat matriks (eluat-1) dan eluat terikat matriks (eluat-2). Hasil SDS-PAGE dari eluat-1, eluat-2 dan fraksi bebas Ngb (hasil samping purifikasi Ngb) menunjukkan 3 pita yang sama pada berat molekul 72,45; 26,84 dan 16,33 kDa yang diduga berpotensi sebagai enzim pereduksi. Kinetik reduksi diuji dengan mereaksikan fraksi dan metNgb serta mengukur serapan deoksiNgb yang terbentuk tiap satuan waktu. Hasil pengukuran rasio NgbFe3+ menjadi NgbFe2+ dari fraksi bebas Ngb, eluat-1 dan eluat-2, yang memiliki aktivitas reduksi terbaik adalah eluat-1 karena memiliki nilai regresi terbaik.
......Oxygen is an important substance in the body's energy metabolism, especially the brain. Neuroglobin (Ngb), one of the hemoprotein families, acts as an oxygen binder in the brain. Like other hemoproteins, the haem group in Ngb is susceptible to Fe2+ oxidation to Fe3+ which can eliminate its oxygen binding function. This study aims to analyze the changes in the Ngb spectrum towards oxygen and carbon monoxide and to find the potential for enzymes that can reduce oxidized Ngb (metNgb). Ngb protein was isolated by fractionation technique using ammonium sulfate 90% saturation, purified by anion exchange chromatography (DEAE Cellulose) and immunoaffinity chromatography. The isolation results were confirmed by SDS-PAGE and Western blot. The metneuroglobin-reducing enzyme was isolated by RIPA lysis buffer, purified by Affi gel blue chromatography, and confirmed by SDS-PAGE. The purified Ngb has a molecular weight of 17.26 kDa. Spectrum analysis in the wavelength range of 350-500nm, showed the afternoon peaks of deoxyNgb, oxyNgb, carboxyNgb and metNgb were 415 nm, 405 nm, 405 nm, and 420 nm, respectively. The results of the isolation of reducing enzymes obtained consisted of 2 parts, namely the matrix-bound eluate (eluate-1) and the matrix-bound eluate (eluate-2). SDS-PAGE results of eluate-1, eluate-2 and Ngb-free fraction (byproduct of Ngb purification) showed the same 3 bands at a molecular weight of 72.45; 26.84 and 16.33 kDa which are thought to have potential as reducing enzymes. The reduction kinetics was tested by reacting the fraction and metNgb and measuring the deoxyNgb uptake formed per unit time. The results of the measurement of the ratio of NgbFe3+ to NgbFe2+ from the free fractions Ngb, eluate-1 and eluate-2, which has the best reduction activity is eluate-1 because it has the best regression value.Oxygen is an important substance in the body's energy metabolism, especially the brain. Neuroglobin (Ngb), one of the hemoprotein families, acts as an oxygen binder in the brain. Like other hemoproteins, the haem group in Ngb is susceptible to Fe2+ oxidation to Fe3+ which can eliminate its oxygen binding function. This study aims to analyze the changes in the Ngb spectrum towards oxygen and carbon monoxide and to find the potential for enzymes that can reduce oxidized Ngb (metNgb). Ngb protein was isolated by fractionation technique using ammonium sulfate 90% saturation, purified by anion exchange chromatography (DEAE Cellulose) and immunoaffinity chromatography. The isolation results were confirmed by SDS-PAGE and Western blot. The metneuroglobin-reducing enzyme was isolated by RIPA lysis buffer, purified by Affi gel blue chromatography, and confirmed by SDS-PAGE. The purified Ngb has a molecular weight of 17.26 kDa. Spectrum analysis in the wavelength range of 350-500nm, showed the afternoon peaks of deoxyNgb, oxyNgb, carboxyNgb and metNgb were 415 nm, 405 nm, 405 nm, and 420 nm, respectively. The results of the isolation of reducing enzymes obtained consisted of 2 parts, namely the matrix-bound eluate (eluate-1) and the matrix-bound eluate (eluate-2). SDS-PAGE results of eluate-1, eluate-2 and Ngb-free fraction (byproduct of Ngb purification) showed the same 3 bands at a molecular weight of 72.45; 26.84 and 16.33 kDa which are thought to have potential as reducing enzymes. The reduction kinetics was tested by reacting the fraction and metNgb and measuring the deoxyNgb uptake formed per unit time. The results of the measurement of the ratio of NgbFe3+ to NgbFe2+ from the free fractions Ngb, eluate-1 and eluate-2, which has the best reduction activity is eluate-1 because it has the best regression value"
Depok: Fakultas Kedokteran Universitas Indonesia, 2022
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UI - Tesis Membership  Universitas Indonesia Library
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Ninik Mudjihartini
Depok: Fakultas Kedokteran Universitas Indonesia, 2023
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UI - Pidato  Universitas Indonesia Library
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Rimawati Tedjasukmana
"Latar belakang: Obstructive Sleep Apnea OSA berkorelasi dengan hipertensi. Pada OSA dengan hipertensi resisten ditemukan hiperaldosteronisme primer. Disfungsi gen Cryptochrome-1 Cry1 dan Cry2 menyebabkan peningkatan aldosteron dan hipertensi pada mencit. Neuroglobin Ngb diketahui mempengaruhi gen Per. Peneliti menduga penurunan kadar Cry pada OSA menyebabkan peningkatan aldosteron dan hipertensi, dan kadar neuroglobin serum mempengaruhi Cry.Metodologi: Subyek dikumpulkan secara konsekutif dari survei populasi Jakarta berusia 30-65 tahun yang menderita OSA sedang-berat dan hipertensi. OSA didiagnosis menggunakan portable monitor tipe 2 Alice Pdx unattended. Subyek didiagnosis hipertensi bila tekanan darah pagi hari lebih dari 140/90 mmHg atau minum obat anti hipertensi. Konsentrasi aldosteron, renin, neuroglobin, Cry1 dan Cry2 serum ditentukan dengan metode ELISA. Hiperaldosteronisme ditentukan dengan Aldosterone Renin Ratio ARR >20.Hasil Penelitian: Terdapat 40 subyek yang memenuhi kriteria, 26 laki-laki dan 14 perempuan dengan median usia 52,5 tahun, BMI 27,46 kg/m2, AHI 34.8 kali/jam. Ditemukan 16 subyek dengan hiperaldosteronisme primer HP dan 24 subyek nonHP. Tidak ditemukan perbedaan bermakna Cry1, Cry2 dan Ngb pada kedua kelompok. Walaupun secara statistik tidak bermakna terdapat kecenderungan penurunan kadar Cry1 dan Cry2 pada ARR tinggi pada HP, terutama Cry1. Ditemukan korelasi positif antara kadar Ngb dengan Cry1 pada HP Spearman rsquo;s rho= 0.455, p= 0.038 . Selain itu ditemukan hubungan bermakna antara Cry1 dan O2 nadir p= 0.026 . Cry1 menurun pada hipoksia berat. Pada HP terdapat kecenderungan penurunan Ngb pada kadar O2 nadir rendah, walaupun secara statistik tidak bermakna.Kesimpulan: Penurunan kadar Cry1 mungkin berhubungan dengan terjadinya kelebihan aldosteron pada OSA. Ngb tampak berperan pada penurunan Cry1.
......
Background Obstructive Sleep Apnea OSA patients with resistant hypertension also had primary hyperaldosteronism. Cryptochrome 1 Cry1 and Cry2 dysfunction were associated with increased aldosterone and hypertension. Neuroglobin Ngb is known to influence Per gene. In this study we want to investigate whether Cry decrease in moderate to severe OSA causes aldosterone increase and hypertension, also the possible role of Ngb on Cry expression.Methods Subjects were recruited consecutively from a population study of OSA in Jakarta, subjects aged 30 65 years with moderate to severe OSA and hypertension. OSA was diagnosed using unattended type 2 portable monitor Alice Pdx , hypertension was established when morning blood pressure exceed 140 90 mmHg or on anti hypertensive drugs. Serum aldosterone, renin, neuroglobin, Cry1 and Cry2 were determined using ELISA method. Primary hyperaldosteronism was determined by Aldosterone Renin Ratio ARR 20.Results Of the 40 subjects recruited, there were 26 males and 14 females, with median age 52.5 years, BMI 27.46 kg m2, and AHI 34.8 times hour. We found 16 subjects with primary hyperaldosteronism PH and 24 nonPH. No difference in Cry1, Cry2 and Ngb levels was found in these groups. Although statistically not significant Cry1 and Cry2 concentration decrease with higher ARR in PH, especially Cry1. There was a positive correlation between Ngb and Cry1 in PH Spearman rsquo s rho 0.455, p 0.038 . There was relationship between Cry1 and nadir O2 p 0.026 . Cry1 was decreased in severe hypoxia. Although statistically not significant, serum Ngb decreased in severe hypoxia.Conclusions Cry1 decrease might be the cause of increased aldosterone in OSA. Ngb decrease is associated with Cry1 decrease."
Depok: Fakultas Kedokteran Universitas Indonesia, 2017
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UI - Disertasi Membership  Universitas Indonesia Library
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Fadhlan Rusdi
"Latar Belakang: Penanda prognostik dapat menunjang tata laksana stroke iskemik (SI) akut. Protein neuroglobin (Ngb), yang berperan dalam transpor oksigen intrasel neuron dan mengurangi dampak hipoksia, adalah salah satu penanda potensial memenuhi fungsi tersebut.
Metode: Studi potong lintang dilakukan pada pasien SI akut yang dirawat di RSUPN dr. Cipto Mangunkusumo pada Maret-April 2023. Sampel serum untuk pemeriksaan Ngb diambil pada tiga hari pasca awitan stroke, sedangkan modified Rankin scale (mRS), National Institutes of Health Stroke Scale (NIHSS), indeks Barthel (BI) dan Montreal Cognitive Assessment (MoCA-Ina) diperiksa pada hari ketujuh. Analisis kemaknaan dan kurva receiver operating characteristic (ROC) digunakan untuk mengetahui hubungan Ngb dengan luaran stroke iskemik akut.
Hasil: Sebanyak 42 subjek menjalani analisis. Kadar Ngb serum lebih tinggi pada kelompok dengan skor mRS 3-6 dibandingkan 0-2 (12,42 ng/mL [3,57-50,43] vs 4,79ng/mL [2,25-37,32], p=0,005), dengan skor area di bawah kurva ROC sebesar 0,75. Kadar Ngb juga lebih tinggi pada kelompok dengan NIHSS pulang lebih tinggi (p=0,03), serta BI dan MoCA-Ina yang lebih rendah (p=0,01 dan p=0,002).
Kesimpulan: Kadar Ngb serum pada SI akut yang lebih tinggi berkaitan dengan luaran fungsional jangka pendek yang lebih buruk. Penelitian lebih lanjut dibutuhkan sebelum terapan klinis.
......Background: Prognostic markers can optimize the management of acute ischemic stroke (AIS). The neuroglobin (Ngb), which plays a role in intraneuronal oxygen transport and reduces the effects of hypoxia, is a marker that may perform this function.
Methods: A cross-sectional study was conducted on AIS patients who were treated at RSUPN dr. Cipto Mangunkusumo in March-April 2023. Serum samples for Ngb examination were taken three days after the onset of stroke, while modified Rankin scale (mRS), National Institutes of Health Stroke Scale (NIHSS), Barthel index (BI) and Montreal Cognitive Assessment (MoCA-Ina) were examined on the seventh day. Significance analysis and receiver operating characteristic (ROC) curve were used to determine the relationship between Ngb and AIS outcomes.
Results: A total of 42 subjects underwent analysis. Serum Ngb levels were higher in subjects with mRS score of 3-6 than 0-2 (12.42 ng/mL [3.57-50.43] vs 4.79 ng/mL [2.25-37.32], p=0.005). The area under the ROC curve score was 0.75. Ngb levels were also higher in the group with higher NIHSS at discharge (p=0.03), lower BI (p=0.01) and lower MoCA-Ina score (p=0.002).
Conclusion: Higher serum Ngb levels in AIS are associated with poorer short-term functional outcomes. Further research is needed before clinical application."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2023
SP-pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Masengi, Angelina Stevany Regina
"ABSTRAK
Hipoksia hipobarik intermiten HHI dengan menggunakan protokol profil penerbangan modifikasi Mulyawan pada ruang hipobarik dapat digunakan sebagai model hipoksia yang bersifat melindungi melalui ekspresi HIF-1? dan protein yang diregulasinya yang bermanfaat dalam mengatasi radikal bebas yang terbentuk selama induksi tersebut. Pada penelitian ini dinilai ekspresi protein sitoglobin Cygb dan neuroglobin Ngb serta aktivitas spesifik asetilkolin esterase AChE sebagai dampak dari induksi HHI pada tikus dewasa. Digunakan 25 tikus Sprague-Dawley dewasa yang terbagi atas dua kelompok kontrol yakni normoksia dan hipoksia hipobarik akut HHA , serta 3 kelompok yang terpapar HHI kelompok pertama terpapar pada hari ke-1 dan ke-8 IHH1x , kelompok ke-2 terpapar pada hari ke-1, -8 dan -15, sedangkan kelompok ke-3 terpapar pada hari ke-1, -8, -15 dan -22 . Sitoglobin dan Ngb menurun pada induksi akut dan meningkat secara signifikan seiring dengan peningkatan frekuensi paparan HHI. Aktivitas spesifik AChE meningkat secara signifikan sejak paparan pertama HHA namun kemudian menurun pada induksi terakhir IHH3x . Dari hasil penelitian ini disimpulkan bahwa pada HHI3x terjadi respons adaptasi yang bersifat melindungi jaringan otak tikus percobaan terhadap perlakuan.

ABSTRACT
Proposed as a protective model of hypoxia via HIF 1 expression, intermittent hypobaric hypoxia IHH in the rat, using Mulyawan rsquo s modified flight profile in a hypobaric chamber, is known to be useful in overcoming the free radicals formed during the induction. Using the same method, this study 39 s aims are to investigate cytoglobin Cygb and neuroglobin Ngb protein expressions and specific activity of acetylcholine esterase as the impacts of the IHH induction in adult rats. We used 25 adult Sprague Dawley male, divided into 2 control groups normoxia and acute hypobaric hypoxia AHH , and 3 IHH exposed groups the first group was exposed on day 1 and 8 IHH 1x the second group on day 1, 8 and 15 IHH 2x and the third group on day 1, 8, 15 and 22 IHH 3x . Cytoglobin and Ngb were decreased in the acute induction and increased significantly along with the increasing frequency of the IHH induction. The specific activity was increased significantly since the first AHH induction of hypobaric hypoxia but then decreased in the last induction IHH3x . From these findings, it is concluded that IHH, especially IHH3x, seems to be a protective adaptive response in the rat rsquo s brain tissue. "
2016
T-Pdf
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