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Abstrak :
Latar Belakang. Endometriosis ditandai dengan pertumbuhan jaringan endometrium di luar uterus, salah satunya disebabkan oleh disregulasi apoptosis sel yang memicu ketahanan sel ektopik. Asam galat dan turunannya pada beberapa penelitian mampu menghambat karsinogenesis pada beberapa cell line kanker. Penelitian kami terdahulu membuktikan asam galat dan turunannya dapat menekan proliferasi sel dan meningkatkan apoptosis sel endometriosis in vitro, namun efeknya terhadap mekanisme jalur apoptosis instrinsik belum di buktikan. Metode. Sel endometriosis berasal dari jaringan endometrium pasien laparaskopi, diisolasi secara enzimatis dan dikultur primer. Sel kultur diberi perlakuan asam galat, heptil galat, oktil galat dengan dosis 51,2 μg/ml, 102,4 μg/ml dan 153,6 μg/ml selama 48 jam, dilanjutkan induksi 10 ng/ml LPS selama 24 jam . Kelompok kontrol hanya di induksi LPS tanpa perlakuan. Ekspresi relatif mRNA Bax, Bcl-2, dan Caspase-3 dinilai dengan qRT-PCR. Hasil. Peningkatan tertinggi ekspresi mRNA Bax dan penekanan tertinggi ekspresi mRNA Bcl-2 pada oktil galat dosis 153,6 μg/ml. Peningkatan ekspresi mRNA Bax, dan penurunan ekspresi mRNA Bcl-2 akan di ikuti dengan peningkatan ekspresi mRNA Caspase-3. Secara statistik tidak terdapat perbedaan bermakna antara kelompok perlakuan dengan ekspresi mRNA Bax, Bcl-2, dan Caspase-3 (p > 0,05). Kesimpulan. Oktil galat, asam galat, dan heptil galat memiliki efek potensial pada mekanisme apoptosis intrinsik. ......Background. Endomeriosis characterized by the presence of extrauterine endometrial tissue, one of which caused by disregulation of apoptosis that contribute of endometrial ectopic survival. Our previous research has proven that gallic acid and its derivatives can suppress proliferation and induce apoptosis endometriosis cell in vitro. However, the effect of gallic acid and its derivatives on apoptosis intrinsic pathway mechanism is not proven yet. Method. Endometriosis cell from endometriosis patiens who had undergone laparascopy surgery were isolated by enzimatic reaction and primary cultured. Cultured cells treated by gallic acid, heptyl gallate and octyl gallate each with dosage 51.2 μg/ml, 102.4 μg/ml, 153.6μg/ml for 48 hours, than induced by LPS 10 ng/ml for 24 hours. Parameter research was assessed by qRT-PCR for mRNA expression of Bax, Bcl-2, Caspase-3. Result. Octyl gallate showed more effect to induce apoptosis intrinsic . Endometriosis cell were treated with octyl gallate shown increases of Bax and Caspase3 mRNA expression than decrease of Bcl-2 mRNA expression. Statistically, mean differences are not significant between treatment groups and mRNA expression (p > 0.05). Conclusion. This study exhibited that octyl gallate has a more potential effect on apoptosis intrinsic in endometriosis cell cultures followed by gallic acid and heptyl gallate and their potency as treatment for endometriosis.

Abstrak :
ABSTRAK
Walaupun publikasi mengenai endometriosis meningkat dalam lima tahun terakhir, penanganan dan terapi definitif untuk endometriosis masih belum ditemukan, menyebabkan 20 penurunan kualitas hidup pada pasien endometriosis. Asam galat telah digunakan pada sel kanker sehingga mendorong peneliti untuk menyelidiki potensi asam galat sebagai pemicu apoptosis pada sel endometriosis. Kultur primer didapatkan dengan teknik enzimatik dari pasien yang telah menjalani laparoskopi. Sel endometriosis in vitro diberi perlakukan dengan asam galat, heptil galat, dan oktil galat dengan dosis 25.6, 51.2, dan 102.4 selama 48 jam. Kuantifikasi dan penentuan kualitas sel dilakukan menggunakan mikroskop konfocal fluoresens dan pewarnaan Acridine Orange/Ethidium Bromide (AO/EB) dengan observasi sel yang mengalami apoptosis awal, apoptosis akhir, nekrosis, dan sel hidup. Sampel kontrol menunjukkan 63.8 sel mengalami apoptosis. Apoptosis setelah pemberian asam galat menurun dari 90,1 menjadi 79,2 dengan peningkatan dosis. Sebaliknya, 51,2 6 heptyl meningkatkan apoptosis menjadi 92.5, sedangkan oktil 51,2 6 menunjukkan apoptosis terbesar dengan 93.1 Penelitian ini menunjukkan efek apoptosis oktil galat diikuti oleh heptil galat dan asam galat dan potensi penggunaan oktil galat sebagai terapi endometriosis

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ABSTRACT
Research into endometriosis falls behind despite increasing publication for the last five years, contributing to lack of non-invasive treatments and 20% decrease in quality of life. Since gallic acid usage as anti-inflammatory agent has been elucidated in cancer cells, this study serves to investigate the potential of gallic acid as an apoptotic inducer in endometriosis cells. Primary culture of endometriosis was derived from patients who had laparascopy via enzymatic technique. In vitro endometriosis cells were treated with three dosages of 25.6, 51.2 and 102.4 of gallic acid, heptyl gallate, and octyl gallate for 48 hours. Determination of quality and quantification of early, late, viable, and necrotic cells was done using confocal fluorescence with acridine orange/ethidium bromide staining of at least 100 cells per sample. Control samples showed 63.8 cell underwent apoptosis. Gallic acid, heptyl gallate, and octyl gallate showed different inhibition pattern. Apoptosis after gallic acid treatment decreased from 90.1 to 79.2 as the dose is increased. On the contrary, 51.2 heptyl induce 92.5 apoptosis, while octyl showed most apoptosis at 93.1 This study exhibited apoptotic inductor effect of octyl gallate, followed by heptyl gallate and gallic acid and their potency as treatment for endometriosis.