Hafizah Ilmi Sufa
Poltekkes Kemenkes Bandung

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Acute and Sub-Acute Oral Toxicity Assessment of Marchantia paleacea Bertol. Liverwort Herb Extract in Mice on Liver and Kidney Function Dicki Bakhtiar Purkon; Aurelya Veny Kurnia Nainggolan; Padmasari Diah Ayu Kumala Ningsih; Mimin Kusmiyati; Yayat Sudaryat; Ine Srinati; Faizah Min Fadhlillah; Hafizah Ilmi Sufa; Alni Khusnul Hotimah
Jurnal Farmasi Sains dan Komunitas (Journal of Pharmaceutical Sciences and Community) Vol 22, No 1 (2025)
Publisher : Sanata Dharma University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24071/jpsc.008218

Abstract

Herbaceous liverwort Marchantia paleacea Bertol. has been known as a potential source that has bioactive compounds with various pharmacological benefits, such as: antimicroorganism, antifungal, antioxidant, immunomodulator, hepatoprotector, antipyretic, diuretic, cardiotonic, and vasorelactan. However, information regarding oral acute and sub-acute toxicity data from ethanol extracts of Marchantia paleacea Bertol. liverwort herb is still very limited. Therefore, this study aimed to evaluate the acute and sub-acute toxicity of liverwort herb ethanol extract in female mice of ddY strains. The acute toxicity test method was carried out by giving ethanol extract of the liverwort herb Marchantia paleacea Bertol. (EEMP) in single doses at doses of 250, 500, 1000, and 2000 mg/kg bw orally for 14 days, while sub-acute toxicity tests were performed by administering EEMP test extracts at doses of 125, 250, 500, 1000, and 2000 mg/kg bw orally for 28 days in accordance with testing standards from BPOM (2022), Thompson-Weil, and OECD. Parameters observed include clinical symptoms (including: mortality), profile of body weight changes, biochemical analysis of serum, and histopathological analysis of vital organs (liver and kidney). Results from acute toxicity testing showed that a single dose of EEMP at the tested level did not cause significant clinical symptoms and histopathological disorders, and there were no deaths in test animals classified as mild toxic substances based on BPOM criteria ( 2000 mg/kg bw). And sub-acute toxicity tests from the 125, 250, and 2000 mg/kg bw test groups revealed a significant increase in average SGOT levels compared to the normal control group on the 28th test day (p0.05) but still within the normal range. Most other test parameter profiles show no significant changes. Some of the observed changes, particularly in the biochemical and histological parameters of the organs that occur are assumed to be transient reaction effects and are not a sign of toxicity. These findings suggest the need for further study of the potential toxic effects of the liverwort herb Marchantia paleacea Bertol. This study provides important insights in the understanding of the potential uses of the liverwort herb Marchantia paleacea Bertol. as a product of herbal ingredients (nutraseutics, supplements, and traditional medicine), and reinforces the need to understand the potential toxicity risks associated with it. 
Comparison Of Middlebrook 7H9 Culture and Xpert MTB/XDR for Detecting Isoniazid and Fluoroquinolone Resistance Rika Rostikawati; Hafizah Ilmi Sufa; Oos Fatimah Rosyati; Asep Dermawan
Indonesian Journal of Health Science Vol 10 No 02 (2026): September
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/ijhs.v10i02.13441

Abstract

Drug-resistant tuberculosis (DR-TB) remains a major public health challenge in Indonesia, necessitating rapid and accurate detection of resistance to key anti-tuberculosis drugs. This quantitative descriptive analytic cross-sectional study evaluated the concordance of Mycobacterium tuberculosis resistance detection between phenotypic Middlebrook 7H9 liquid culture and genotypic TCM XDR in 44 DR-TB patients, focusing on isoniazid (H) and fluoroquinolone/levofloxacin (FQ/Lfx) resistance. Data were analyzed using the McNemar test methode. High-concentration H resistance was detected in 68.2% by culture and 65.9% by TCM XDR, while FQ/Lfx resistance was identified in 18.2% and 15.9%, respectively. No significant differences were observed between methods for high-concentration H and FQ/Lfx resistance detection (P=1.000), indicating high concordance with cappa values 0,74 isoniazid for and 0,86 for FQ/Lfx resistance. In contrast, a significant discrepancy was found for low-concentration H resistance (P=0.001), with a discordance rate of 25%, potentially attributable to HA promoter mutations not included in the TCM XDR panel or non-genetic adaptive mechanisms.