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Granzyme-B Expression as a Predictor of Immune Surveillance (Correlation Study in Patient with Squamous Cell Carcinoma and Uterine Cervical Dysplasia) Apriana, Ledisda; Udadi Sadhana; Ika Pawitra Miranti; Awal Prasetyo; Dik Puspasari
Biomedical Journal of Indonesia Vol. 7 No. 3 (2021): Biomedical Journal of Indonesia
Publisher : Fakultas Kedokteran Universitas Sriwijaya (Faculty of Medicine, Universitas Sriwijaya) Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bji.v7i3.585

Background: The most common histologic type of cervical cancer is squamous cell carcinoma (SCC), with the risk of recurrence depending on immune surveillance with granzyme-B markers, and tumor infiltrating lymphocytes (TIL) is an immunological determinant associated with a better prognosis. Granzyme-B is produced by TIL. The study was aimed to prove the difference in expression of granzyme-B in SCC epithelial cells with cervical dysplasia precancerous lesions as a predictor of immune surveillance. Methods: Correlation analytic study with cross-sectional design on paraffin block patients with SCC and cervical epithelial dysplasia at the Anatomical Pathology Laboratory, RSUP Dr. Kariadi, Semarang, during 2018 and 2019, using granzyme-B immunohistochemistry assays, assessed TIL activation. Results: Most cases of cervical SCC were 40 years old, 50% were stage IIIB, 20% with the final condition died on observation 1 year after the initial diagnosis was made. The uterine cervical SCC group expressed granzyme-B with a mean score of 5.81Â±1.17 (p=0.001) and the dysplastic epithelial lesion group with a mean score of 6.83Â±0.95 (p=022), the Mann-Whitney test showed p value = 0.009, so that the test results are statistically significant. Conclusion: Expression of granzyme-B in dysplasia is higher than in uterine cervical SCC.

GAMBARAN HISTOPATOLOGI EKSPRESI INTERFERON GAMMA (IFNγ) PADA FIBROADENOMA MAMMAE (FAM) DAN INVASIVE NO SPECIAL TYPE (NST) BREAST CARCINOMA Yuni Prastyo K; Udadi Sadhana; Dik Puspasari
Biomedika Vol 9, No 2 (2017): Biomedika Agustus 2017
Publisher : Universitas Muhamadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/biomedika.v9i2.5843

International Agency for Research Cancer tahun 2012 melaporkan bahwa 1,7 juta wanita menderita kanker payudara. Penyakit ini masih menjadi penyebab utama kematian kanker pada wanita. Fibroadenoma merupakan lesi jinak payudara yang sering ditemukan. Terdapat 50% dari seluruh biopsi payudara.. Morfologi terbanyak pada keganasan payudara adalah Invasive NST breast carcinoma sebanyak 70%-80%. Berbagai faktor terlibat dalam pertumbuhan tumor payudara, antara lain genetika, diet, faktor reproduksi, hormon dan imunitas. Gangguan mekanisme imun memiliki peran penting pada patogenesis terjadinya tumor. Wanita dengan tumor payudara memperlihatkan adanya kekacauan pada sistem imun tubuh. Hal ini ditandai dengan rendahnya kadar Interferon ᵧ dan peningkatan IL4, IL6 serta IL10. Murine melaporkan tentang peran penting Interferon ᵧ dalam kekebalan tumor. Ketika terjadi penurunan kadarnya, secara spontan akan memicu tumbuhnya tumor. Interferon ᵧ sitotoksik pada beberapa sel-sel ganas dan memiliki aktivitas anti-angiogenik. Namun, penggunaannya di klinis masih terbatas. Tujuan penelitian adalah untuk membuktikan adanya perbedaan ekspresi Interferon ᵧ pada sediaan histopatologi. yang terdiagnosis sebagai fibroadenoma mammae intrakanalikular dan perikanalikular variant (FAM) dan Invasive No Special Type (NST) breast carcinoma. Penelitian ini merupakan jenis penelitian analitik observasional dengan desain case control. Sampel terbagi 2 yaitu kelompok dengan diagnosa fibroadenoma mammae intrakanalikular dan perikanalikular variant sebanyak 10 sampel dan kelompok Invasive NST breast carcinoma sebanyak 27 sampel. kemudian dilanjutkan pemeriksaan imunohistokimia interferon γ. Data yang terkumpul tidak terdistribusi normal, sehingga dilakukan uji non-parametrik dengan menggunakan uji Fishers exact dan hipotesis satu arah (one-sided). Data hasil Penelitian diolah menggunakan uji Fisher’s exact dan hipotesis satu arah (one sided) dan didapatkan tingkat signifikansi p = 0.036 (p 0.05). Terdapat perbedaan proporsi ekspresi Interferon γ yang positif antara FAM intrakanalikular dan perikanalikular variant dan NST, di mana proporsi ekspresi positif Interferon γ pada FAM intrakanalikular dan perikanalikular variant lebih besar dari pada NST. Secara statistik perbedaan ini bermakna (p 0.05). Dapat disimpulan bahwa terdapat perbedaan bermakna tentang ekspresi interferon ᵧ pada sediaan histopatologi fibroadenoma mammae intrakanalikular dan perikanalikular variant dibanding pada sediaan Invasive NST breast carcinoma KataKunci: Interferon γ, fibroadenoma mammae, Invasive breast carcinoma of No Special Type

PENGARUH KEPADATAN HELICOBACTER SPP DAN DERAJAT INFLAMASI TERHADAP KERUSAKAN HISTOPATOLOGIK PADA GASTRITIS KRONIK: REEVALUASI ARSIP SLIDE GASTRITIS KRONIK DI LABORATORIUM PATOLOGI ANATOMI RSUP DR KARIADI TH 2011-2013 Eny Dyah Kurniawati; Udadi Sadhana; Indra Wijaya
Biomedika Vol 7, No 2 (2015): Biomedika Agustus 2015
Publisher : Universitas Muhamadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/biomedika.v7i2.1869

Infeksi Helicobacter pylorii (Hp) telah menjadi masalah kesehatan yang mendunia, sebagai penyebab utama gastritis kronik, tukak lambung dan keganasan, akan tetapi mekanismenya dalam menimbulkan gastritis kronik masih belum sepenuhnya dimengerti. Penelitian ini bertujuan untuk mengetahui pengaruh kepadatan kuman Helicobacter spp dan derajad inflamasi terhadap derajat kerusakan histopatologik pada penderita gastritis kronik serta prevalensinya di RSUP dr.Kariadi. Penelitian ini adalah penelitianobservasional dengan pendekatan potong lintang dengan sampel sebanyak 70 slide arsip dari laboratorium Patologi Anatomi RSUP dr.Kariadi mulai 1 Januari 2011 – 31 Desember 2013 yang telah didiagnosis sebagai gastritis kronik disertai kuman Helicobacter spp positif oleh dokter spesialis Patologi Anatomi. Data kepadatan kuman Helicobacter spp, derajat inflamasi dan derajat kerusakan histopatologik gaster dianalisa dengan uji Kruskal Wallis, dilanjutkan dengan uji Mann-Whitney U dan uji korelasi Spearman. Prevalensi gastritis kronik dengan kuman Helicobacter spp positif di RSUP dr.Kariadi pada tahun 2011 sebesar 58%, tahun 2012 naik menjadi 70% dan tahun 2013 menjadi 79%. Terdapat perbedaan yang tidak bermakna antara derajat kepadatan kuman Helicobacter spp dengan derajat inflamasi baik aktif maupun kronik dengan korelasi positif yang lemah dan perbedaan yang bermakna pada atrofi kelenjar yang merupakan bagian dari derajat kerusakan histopatologik gaster dengan korelasi positif yang lemah pada penderita gastritis kronik. Terdapat perbedaan yang signifikan antara derajat inflamasi baik aktif maupun kronik dengan derajat perubahan histopatologik dengan korelasi positif pada penderita gastritis kronik. Derajad inflamasi yang terjadi pada gastritis kronik akibat kuman Helicobacter spp berpengaruh pada derajat kerusakan histologik pada penderita gastritis kronik.Kata kunci : Kepadatan kuman Helicobacter spp, derajat inflamasi, derajat kerusakan histopatollogik, gastritis kronik.

EKSPRESI INTERLEUKIN-1 (IL-1) Β PADA ENDOMETRIOSIS, KARSINOMA ENDOMETRIOID DAN KARSINOMA SEROSUM OVARIUM Nadia Nur Lestari; Siti Amarwati; Udadi Sadhana; Dik Puspasari
Biomedika Vol 8, No 1 (2016): Biomedika Februari 2016
Publisher : Universitas Muhamadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/biomedika.v8i1.3016

Endometriosis ovarium memiliki resiko keganasan epithelial ovarium (resiko relatif 1.9 sampai 4.2). Karsinoma endometrioid adalah salah satu jenis keganasan yang paling sering berhubungan dengan endometriosis, sementara karsinoma serosum merupakan keganasan epitelial terbanyak pada ovarium.Serum sitokin pro-inflamasi interleukin-1 (IL-1) β telah ditemukan berperan pada endometriosis dan karsinogenesis.Penelitian Keita, 2010, menemukan bahwa karsinoma endometrioid memiliki kadar IL-1β yang lebih tinggi secara bermakna dibandingkan jenis lainnya. Penelitian ini bertujua untuk mengetahui perbedaan ekspresi IL-1β pada jaringan endometriosis, karsinoma endometrioid dan karsinoma serosum ovarium. Desain penelitian ini adalah cross sectional design. Sampel adalah tiga puluh 33 blok parafin yang telah didiagnosis dan dire-evaluasi sebagai endometriosis (kelompok A), karsinoma endometrioid (kelompok B) dan karsinoma serosum ovarium (kelompok C) dan dilakukan pemeriksaan imunohistokimia IL-1β. Data ekspresi IL-1β dianalisis uji One Way ANOVA, dilanjutkan dengan uji beda rerata Post Hoc. Hasil uji One Way ANOVA kelompok A, B dan C, p = 0,037, menunjukkan adanya perbedaan bermakna. Uji beda rerata Post Hoc didapatkan kelompok A vs kelompok B dan C (p = 0,034 dan p = 0,020) bermakna. Sedangkan kelompok B vs kelompok C (p =0,805) tidak bermakna. Dari penelitian ini dapat disimpulkan terdapatperbedaan yang bermakna ekspresi IL-1β antara endometriosis dengan karsinoma endometrioid dan karsinoma serosum ovarium, namun tidak terdapat perbedaan yang bermakna ekspresi IL-1β antara karsinoma endometrioid ovarium dan karsinoma serosum ovarium.Kata kunci: Endometriosis, interleukin-1β, karsinoma endometrioid, karsinoma serosum

EKSPRESI ANTI-HELICOBACTER PYLORI PADA GASTRITIS KRONIS, LESI PRAKANKER, DAN KARSINOMA GASTER Lina Damayanti; Bambang Hendro Putranto; Udadi Sadhana
Biomedika Vol 7, No 2 (2015): Biomedika Agustus 2015
Publisher : Universitas Muhamadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/biomedika.v7i2.1896

Prevalence of Helicobacter pylori infection in Indonesia was 36-46%. In Jakarta and Surabaya, the prevalence were 85,7%-93,9%. Helicobacter pylori infection play role in pathogenesis of pectic ulcers, chronic gastritis, carcinoma of gaster and gastric lymphoma. Epidemiologic study showed 80% of carcinoma of gaster related with H pylori infection.This study analyzed expression of anti-Helicobacter pylori in chronic gastritis, precancer lesion , and carcinoma of gaster. This study was a observational descriptive study with case control design. Thirty (30) samples from paraffin bloc that were diagnosed with chronic gastritis, precancer lesion, and carcinoma of gaster at Dokter Kariadi hospital in 2013 was stained by hematoxylin eosin, giemsa and immunohistochemistry of anti-helicobacter pylori. Data was analyzed by descriptive analysis. Thirty (30) samples were diagnosed as gastritis chronis 13 (43,3% ), pra cancer lesion(36.6%), and carcinoma(20.1%). Chronic gastritis can be occurred at all age and no distinct difference on sex, while gastric carcinoma predominant in male older than 40 years. Expresion of Helicobacter pylori on chronic gastritis was 84.6%, precancer lesion was 54.5%, and gastric carcinoma was 83.3%. The Giemsa stain gave 23.3% false positive and 20% false negative. Helicobacter pylori expression can be showed in chronic gastritis, precancer lesion, and gastric carcinoma.Keywords: Chronic gastritis, gastric carcinoma, Helicobacter pylori

PENGARUH ELEUHTERINE PALMIFOLIA (L) MERR TERHADAP PROLIFERASI SEL TUMOR PADA TIKUS SPRAGUE DAWLEY DENGAN KANKER PAYUDARA Ratna Widayati; Yan Wisnu Prajoko; Udadi Sadhana
Unram Medical Journal Vol 10 No 4 (2021): Jurnal Kedokteran Volume 10 nomor 4 (Desember) 2021
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v10i4.545

Background : Immunotherapy is widely used to increase the response rate of chemotherapy drugs. Eleuhterine palmifolia (L) Merr or dayak onion are known to contain phytochemical compounds that have antiproliferative effects, and have been used as anti-cancer empirical therapies. This study aimed to prove the antiproliferative effect of Eleuhterine palmifolia (L) Merr extract in Sprague-Dawley rats with breast cancer. Methods : This study used 18 Sprague-dawley rats, divided into 3 groups, K, P1 and P2. K was given regular feed, P1 received adriamycin 5 mg/kgBW single dose, P2 received adriamycin 5 mg/kgBW single dose and extract of dayak onion 105 mg/kgBW/day for 3 weeks. Results : Difference in tumor size before and after treatment was 7.2 ± 2.57 mm (K), 3.23 ± 3.03 mm (P1), 3.14 ± 2.65 mm (P2), with p value is 0,157 (p>0,05). Ki-67 index calculations are 11.1 ± 7.27% (K), 9.64 ± 6.99% (P1), 9.58 ± 3.52% (P2), with p value is 0,704 (p>0,05). Conclusion : The addition of Eleuhterine palmifolia (L) Merr (dayak onion) extract did not cause a significant difference in tumor cell proliferation in Sprague-Dawley rats with breast cancer.

MALIGNANT STRUMA OVARII (KASUS LANGKA) Adi Arianto; Udadi Sadhana
Zona Kebidanan: Program Studi Kebidanan Universitas Batam Vol 13 No 2 (2023): APRIL
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zkeb.v13i2.1143

Struma ovarii (SO) are rare and accur in 2-3% of mature ovarian teratomas, most SO cases are benign. Malignant struma ovarii (MSO) is even more rare and occurs in 0,5- 5% of all cases, with the most common histologies identified are papillary and follicular carcinoma, most commonly affect patients in their 4th to 6th decade of life. Due to the rarity of malignant transformation, data about its management are lacking. A 49-years-old woman P2A0 with abdominal pain and pelvic mass, admitted for a hysterectomy and bilateral salpingo-oophorectomy. The left ovary was measured 13x11x5 cm, cystic and partly solid, filled with gelatinous fluid, composed of thyroid follicles with the appearance of "ground glass", "nuclear inclusion" and "nuclear groove", forming a papillifer structure. The diagnostic of MSO is based on histological features include cellular atypia, increased hyperplasia, nuclear pleomorphism, mitotic activity, vascular and/or capsular invasion. To be classified as a MSO, teratoma containing 50% or more thyroid tissue. MSO necessitates surgical staging for ovarian cancer with pelvic washings, total abdominal hysterectomy, bilateral salpingo- oophorectomy, lymph node sampling, total thyroidectomy, and radioactive I-131 ablation. Based on the clinical examination and histopatological examination the patient was diagnosed with MSO (ICD O: 9090/3).

Platelet-Rich Plasma for Burn Wound Healing in Preclinical Models: A Systematic Review of Efficacy and Biomolecular Mechanisms George Dyland De Ussy Whandyra; Udadi Sadhana; Yuriz Bakhtiar
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 10 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i10.1398

Background: Burn injuries represent a major global health issue, with complex pathophysiology that often leads to significant morbidity. Platelet-rich plasma (PRP) has been identified as a potential therapeutic agent due to its high concentration of growth factors that promote tissue renewal. This review synthesizes preclinical evidence on the efficacy of PRP for burn wounds. Methods: This systematic review followed PRISMA guidelines, searching PubMed, Scopus, and ScienceDirect for animal studies on PRP for burn wounds. The primary outcomes were wound healing, fibroblast scores, and VEGF/EGF levels. The SYRCLE tool was used for risk of bias assessment. Results: Eleven studies involving 526 animals were included. The risk of bias across studies was generally high or unclear, primarily due to poor reporting of randomization and blinding. Macroscopically, PRP was reported to accelerate wound closure in partial-thickness burns within 4-7 days and in full-thickness burns from day 8 onward. On a biomolecular level, PRP was associated with increased fibroblast scores and elevated tissue concentrations of VEGF and EGF from the first day post-treatment (P<0.05 in multiple studies). Conclusion: While the included studies suggest PRP may enhance healing, definitive conclusions are precluded by the high risk of bias and methodological heterogeneity across the preclinical evidence base.

Beyond the Species Barrier: A Systematic Review and Risk of Bias Assessment on the Efficacy, Safety, and Translational Potential of Xenogenic Platelet-Rich Plasma for Wound Healing Kharisma Naufal Yudantono; Udadi Sadhana; Yuriz Bakhtiar
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 10 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i10.1400

Background: Chronic wounds represent a significant clinical burden. Autologous platelet-rich plasma (PRP) is an effective but patient-limited therapy. Xenogenic PRP (xPRP), derived from animal sources, offers a potential off-the-shelf, scalable alternative. This review synthesizes the current preclinical and early clinical evidence on the efficacy and safety of xPRP for wound healing. Methods: A systematic search was conducted in PubMed, Scopus, ScienceDirect, and Google Scholar up to July 2025, with no publication date restrictions, following PRISMA guidelines. Studies evaluating xPRP on wound healing outcomes in in vivo, in vitro, or ex vivo models were included. Two independent reviewers performed study selection, data extraction, and risk of bias assessment using the SYRCLE tool for animal studies and a modified QUIN tool for in vitro studies. Data were synthesized narratively due to heterogeneity. Results: Eleven studies met the inclusion criteria, comprising ten animal and three in vitro investigations (two studies reported both components). Evidence from porcine, bovine, and deer xPRP sources consistently demonstrated significant improvements in wound closure rates, re-epithelialization, angiogenesis, and collagen deposition compared to saline controls. Porcine xPRP, for instance, accelerated wound closure by up to 45% over controls in diabetic rodent models. However, when compared to autologous PRP, xPRP generally showed slightly inferior, though still positive, outcomes. Immunogenic responses were minimal and localized, with no systemic adverse events reported. Risk of bias assessment revealed that while most studies had clear objectives, many were at high risk of bias due to a lack of randomization, allocation concealment, and blinded outcome assessment. Conclusion: Xenogenic PRP demonstrates considerable promise as a bioactive therapeutic for wound healing, promoting key regenerative processes with a reassuring preliminary safety profile. However, the current evidence base is limited by methodological inconsistencies and a high risk of bias. Future research must prioritize standardized preparation protocols and methodologically rigorous, large-animal and human clinical trials to validate its translational potential.

Platelet-Rich Plasma for Burn Wound Healing in Preclinical Models: A Systematic Review of Efficacy and Biomolecular Mechanisms George Dyland De Ussy Whandyra; Udadi Sadhana; Yuriz Bakhtiar
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 10 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i10.1398

Background: Burn injuries represent a major global health issue, with complex pathophysiology that often leads to significant morbidity. Platelet-rich plasma (PRP) has been identified as a potential therapeutic agent due to its high concentration of growth factors that promote tissue renewal. This review synthesizes preclinical evidence on the efficacy of PRP for burn wounds. Methods: This systematic review followed PRISMA guidelines, searching PubMed, Scopus, and ScienceDirect for animal studies on PRP for burn wounds. The primary outcomes were wound healing, fibroblast scores, and VEGF/EGF levels. The SYRCLE tool was used for risk of bias assessment. Results: Eleven studies involving 526 animals were included. The risk of bias across studies was generally high or unclear, primarily due to poor reporting of randomization and blinding. Macroscopically, PRP was reported to accelerate wound closure in partial-thickness burns within 4-7 days and in full-thickness burns from day 8 onward. On a biomolecular level, PRP was associated with increased fibroblast scores and elevated tissue concentrations of VEGF and EGF from the first day post-treatment (P<0.05 in multiple studies). Conclusion: While the included studies suggest PRP may enhance healing, definitive conclusions are precluded by the high risk of bias and methodological heterogeneity across the preclinical evidence base.

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