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Analyses of Precore and Core Promoter Mutations of Hepatitis B Virus in Patients with Chronic Hepatitis B in Surabaya, Indonesia . JUNIASTUTI; EDUARDUS BIMO AKSONO; TAKAKO UTSUMI; YOSHIHIKO YANO; . SOETJIPTO; YOSHITAKE HAYASHI; HAK HOTTA; FEDIK ABDUL RANTAM; HERNOMO ONTOSENO KUSUMOBROTO; MARIA INGE LUSIDA
Microbiology Indonesia Vol. 4 No. 3 (2010): December 2010
Publisher : Indonesian Society for microbiology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1048.865 KB) | DOI: 10.5454/mi.4.3.%p

Abstract

Mutations of precore (A1896) and core promoter (T1762/A1764) of hepatitis B virus can reduce HBeAg production. These mutations are frequently found in the late HBeAg seroconversion. However, it has been a controversy about the role played by precore and core promoter mutations in determining outcome of chronic hepatitis B. In the present study, the variability of precore and core promoter of hepatitis B virus were analyzed using PCR amplification and sequencing, according to the outcome (viral load and HBeAg/anti-HBe) in chronic hepatitis B patients in Surabaya. The study groups included 5 patients with uncomplicated chronic hepatitis B and 10 patients with chronic hepatitis B and liver cirrhosis in Dr. Soetomo Hospital, Surabaya. The control group included 6 blood donors obtained from Indonesia Red Cross, Surabaya. All groups were HBsAg positive. Precore mutation A1896 was predominant in all groups (60%-67% of each), together with precore variant T1858. As reported, precore variant T1858 is a prerequisite for precore A1896 and characteristic for viral genotype. Nevertheless, core promoter mutations T1762/A1764 were predominant only in LC patients (60%). All of these mutations were found mostly after HBeAg seroconversion (anti-HBe+). Of most samples with anti-HBe+, precore mutation was related with low viral load (<105 copies/mL), but core promoter mutations with high viral load (>105 copies/mL). Precore mutation A1896 was predominant in all groups, but core promoter mutations T1762/A1764 were only predominant in LC patients. The precore mutation alone is possible not critical to indicate a poor outcome, the core promoter mutations must be considered also.
The Relation Between Levels of TNF Alpha, IL-1B, PGE2 and PLA with the Severity Degree of Dengue Hemorrhagic . PURWATI; . NASRONUDIN; ENDANG RETNOWATI KUSUMOWIDAGDO; FEDIK ABDUL RANTAM
Microbiology Indonesia Vol. 5 No. 2 (2011): June 2011
Publisher : Indonesian Society for microbiology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (73.223 KB) | DOI: 10.5454/mi.5.2.1

Abstract

The pathogenesis of dengue virus infection is still being debated.  Based on the existing data, there is a strong evidence that the immunopathological mechanism plays a role in dengue virus infection with various complications.  Some unknown immune responses play a role in the pathogenesis of dengue virus infection. Researchers are trying to establish the role of several inflammatory mediators such as PLA2, IL-1, TNF-, PGE2, PGI2, Thromboxane A2, Leucotrien and MPTP, in relation to the severity degree of the dengue virus infection.  The aim of this study is to recognize the relation between the severity degrees of DHF (Dengue Hemorrhagic Fever) patients and the immunological profile in the sub-cellular level, such as PLA2, IL-1, TNF-, PGE2 and PLA 2.  The collected data was processed and presented analytically. The relation between each parameter (TNFα, SPLA2, PGE2,IL-1β) and the degree of DHF was analyzes, using Spearman's correlation analysis, ordinal regression, and using ANOVA.  It was shown that there was no relation between the levels of TNF-ά, PGE2, IL-1β, and SPLA2  in patients with various degrees of DHF, but there were significant differences between DHF grade 1 and 3, and also 2 and 3, on IL-1β.  There were increased levels of the four parameters in dengue grade 1 to 2, but decreased levels in grade 3. This can be caused by inflammatory processes, but the severity degree of DHF can also be influenced by complement, thromboxane, and leukotrien.
Pengaruh Penambahan SPACE terhadap Karakteristik dan Stabilitas Gel Freeze Dried Amniotic Membrane Stem Cell-Metabolite Product Ria Hanistya; Tristiana Erawati; Cita Rosita Sigit Prakoeswa; Fedik Abdul Rantam; Widji Soeratri
JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA Vol. 7 No. 2 (2020): JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jfiki.v7i22020.59-65

Abstract

Pendahuluan: Sebagai organ terluas yang menyusun tubuh manusia, kulit menjadi salah satu lokasi penting dalam menghantarkan obat atau bahan aktif tertentu ke dalam tubuh manusia. Beberapa bahan aktif berbentuk makromolekul dengan berat molekul lebih dari 500 Da tidak dapat menembus stratum korneum sehingga membutuhkan bantuan penetration enhancer. SPACE (Skin Penetrating and Cell Entering) merupakan rangkaian molekul peptida berukuran kecil yang berpotensi bekerja sebagai enhancer dalam menghantarkan makromolekul dengan cara yang tidak invasif. Namun SPACE merupakan enhancer golongan baru sehingga efek penambahan SPACE terhadap karakteristik dan stabilitas fisik pada formulasi sediaan gel masih belum banyak diketahui. Tujuan: Penelitian kali ini bertujuan untuk mengevaluasi efek pemberian SPACE pada karakteristik dan stabilitas fisik sediaan gel freeze dried Amniotic Membrane Stem Cell-Metabolite Product. Metode: Karakteristik fisik sediaan gel freeze dried AMSC-MP dengan SPACE dievaluasi menggunakan parameter organoleptis (warna, bau, bentuk, tekstur), pH dan diameter sebar sediaan. Stabilitas fisik sediaan akan dievaluasi dengan menguji karakteristik fisik sediaan selama 30 hari penyimpanan. Hasil: Gel freeze dried Amniotic Membrane Stem Cell memiliki pH sekitar 6,1 dan diameter sebar sediaan sekitar 6,0 cm. Seluruh hasil pengujian karakteristik masih memenuhi rentang yang dipersyaratkan. Hasil uji karakteristik dianalisis menggunakan statistika metode ANOVA satu arah dan tidak menunjukkan adanya perbedaan bermakna antar formula. Semua formula F1, F2, F3 dan F4 stabil selama 30 hari penyimpanan. Kesimpulan: Penambahan SPACE tidak mempengaruhi karakteristik dan stabilitas fisik sediaan gel freeze dried Amniotic Membrane Stem Cell-Metabolite Product.
Pengaruh Asam Hialuronat-Space Peptide terhadap Karakteristik, Stabilitas Fisik Gel Amniotic Membran-Stemcell Metabolite Product Rina Mutya Suzliana; Tristiana Erawati; Cita Rosita Sigit Prakoeswa; Fedik Abdul Rantam; Widji Soeratri
JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA Vol. 7 No. 2 (2020): JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jfiki.v7i22020.66-73

Abstract

Pendahuluan: Amniotic membran stem cell metabolite product (AMSC-MP) merupakan metabolit produk yang diperoleh dari Amniotic membrane yang diisolasi dan dikultur yang kemudian ditumbuhkan dalam medium terkondisi. AMSC-MP mengandung banyak growth factor dan sitokin yang sangat berguna sebagai antiaging. Growth factor dan sitokin yang pada umumnya berukuran besar lebih dari 20 KDa menyebabkan AMSC-MP membutuhkan formulasi khusus untuk penggunaannya secara topikal. Pada penelitian ini digunakan asam hialuronat dikombinasi dengan SPACE peptide yang memiliki fungsi sebagai enhancer makromolekul untuk formulasi sediaan gel AMSC-MP sebagai antiaging. Untuk memastikan kualitas dan stabilitas suatu sediaan, maka perlu dilakukan uji karakteristik fisik dan uji stabilitas fisik sediaan tersebut. Tujuan: Mengevaluasi pengaruh penambahan asam hialuronat (0; 0,01; 0,02; 0,04 %) yang dikombinasi SPACE peptide terhadap karakteristik dan stabilitas dari formulasi sediaan gel AMSC-MP. Metode: Karakteristik fisik sediaan gel freeze dried AMSC-MP dengan penambahan asam hialuronat yang dikombinasi SPACE peptide dievaluasi dengan menggunakan parameter organoleptis (warna, bau, konsistensi dan tekstur), pengukuran pH dan kapasitas penyebaran. Pengujian stabilitas fisik dievaluasi dengan pengukuran pH dan kapasitas penyebaran sediaan setelah penyimpanan selama 28 hari. Hasil: Hasil uji karakteristik dan stabilitas fisik sediaan gel AMSC-MP menunjukkan penampilan fisik yang baik, gel transparan dengan konsistensi kental, lembut dengan bau yang khas. Nilai pH sekitar 5,26 - 5,37 dan kapasitas penyebaran pada 6,13 - 6,50. Semua formula stabil selama 28 hari penyimpanan. Kesimpulan: Penambahan kombinasi asam hialuronat dan SPACE peptide pada formulasi tidak merusak karakteristik dan stabilitas fisik sediaan gel AMSC-MP pada penyimpanan selama 28 hari.
Efek ekstrak buah delima (Punica Granatum L) terhadap ekspresi wild p53 pada sel ganas rongga mulut mencit strain swiss webster Sri Hernawati; Fedik Abdul Rantam; I Ketut Sudiana; Retno Pudji Rahayu
Dental Journal (Majalah Kedokteran Gigi) Vol. 46 No. 3 (2013): September 2013
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (445.509 KB) | DOI: 10.20473/j.djmkg.v46.i3.p148-151

Abstract

Background: Squamous cell carcinoma is the most common cancer in the oral cavity. DNA tests showed that almost 90% of cases revealed wild p53 gene mutations. Wild p53 gene mutations cause p53 inactivation so the cell cycle does not stop in G1 phase but continues to S phase and G2 and M, it makes the mutated DNA remains multiplied and apoptosis does not occur. One candidate of the cancer treatment alternatives is pomegranate extract (Punica granatum L – PGL). Purpose: The purpose of study was to examine the effect of PGL on wild p53 expression in oral cavity malignant cell of swiss webster strain mice. Methods: Thirty- two swiss webster strain mice (Balb/c) 5 months old were randomly divided into four groups. Two control groups (K0: no benzopirene exposed and untreated; K1: benzopirene exposed and untreated); and 2 treatment groups (P1: benzopirene exposed and given EA; P2: benzopirene exposed and given PGL extract). The expression of wild p53 was determined by immunohistochemical techniques. Results: The results showed that administration of PGL could increase the expression of wild p53 in malignant epithelial cells in the oral mucosa of mice, and the expression was higher than EA. Conclusion: This study suggested that the PGL extract could express wild p53 in the oral cavity malignant cells of swiss Webster strains mice.Latar belakang: Karsinoma sel skuamosa merupakan kanker yang sering terjadi pada rongga mulut. Pemeriksaan DNA menunjukkan hampir 90% kasus dijumpai adanya mutasi gen wild p53. Mutasi gen wild p53 menyebabkan inaktivasi wild p53 sehingga siklus sel tidak berhenti pada fase G1 tetapi berlanjut ke fase S dan G2 dan M, sehingga DNA yang mengalami mutasi tetap dilipatgandakan dan apoptosis tidak terjadi. Salah satu kandidat obat kanker adalah ekstrak buah delima (Punica Granatum L - PGL). Tujuan: Penelitian ini bertujuan untuk meneliti efek ekstrak PGL terhadap ekspresi wild p53 pada sel ganas rongga mulut mencit strain swiss webster. Metode: Tiga puluh dua ekor mencit (Balb/c) strain swiss webster jantan berumur 5 bulan dibagi secara random menjadi 4 kelompok, yaitu 2 kelompok kontrol (K0: tidak dipapar benzopirene dan tidak diberi perlakuan; K1: dipapar benzopirene dan tidak diberi perlakuan); serta 2 kelompok perlakuan (P1: dipapar benzopirene dan diberi EA; P2: dipapar benzopirene dan diberi ekstrak PGL). Pemeriksaan ekspresi wild p53 dilakukan dengan teknik  imunohistokimia. Hasil: Hasil penelitian menunjukkan bahwa pemberian ekstrak PGL dapat meningkatkan ekspresi wild p53 pada sel epitel ganas pada mukosa rongga mulut mencit, dan lebih tinggi dibanding dengan pemberian EA. Simpulan: Penelitian ini menunjukkan bahwa ekstrak PGL dapat meningkatkan ekspresi wild p53 pada sel ganas rongga mulut mencit strain swiss webster
Cytotoxicity test and characteristics of demineralized dentin matrix scaffolds in adipose-derived mesenchymal stem cells of rats Desi Sandra Sari; Ernie Maduratna; F. Ferdiansyah; I Ketut Sudiana; Fedik Abdul Rantam
Dental Journal (Majalah Kedokteran Gigi) Vol. 51 No. 4 (2018): December 2018
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1443.079 KB) | DOI: 10.20473/j.djmkg.v51.i4.p194-199

Abstract

Background: Demineralized dentin matrix (DDM) scaffold is a substitute material for the bone contained in human teeth. DDM is a scaffold-derived tooth dentine containing type I collagen and bone morphogenetic protein (BMP). While DDM possesses the ability to perform osteoinductive and osteoconductive roles, a cytotoxicity test of DDM scaffold remains extremely important in evaluating the level of toxicity of a material if cultured in cells. Adipose-derived mesenchymal stem cells (ADMSCs) are multipotent in nature because they contain progenitor cells and have the potential for differentiation via adipogenic, osteogenic and chondrogenic pathways. ADMSCs are also known to have high biocompatibility and the ability to combine with other bone material. Purpose: The purpose of this study was to determine the cytotoxicity and characteristics of DDM scaffolds derived from bovine teeth in the ADMSCs of rats cultured in vitro. Methods: This research constituted an experimental study. ADMSCs were isolated from the inguinal fat of rats. Thereafter, DDM was extracted from bovine teeth and formed 355-710 μm-sized particles. DDM scaffolds were assessed using SEM and the effects of DDM scaffolds on the cell viability of ADMSCs at concentrations of 10%, 50%, and 100% analyzed by means of 3-4,5’dimethylihiazol-2-yl,2.5-di-phenyl-tetrazolium bromide (MTT) assay. The results obtained were then analyzed by an ANOVA to establish the difference between the groups. Results: SEM results showed the diameter sizes of the dental tubulis DDM scaffolds to be approximately 4.429 μm and 7.519 μm. The highest cell viability (97.08%) was found by means of an MTT test to be in ADMSCs at a concentration of 10% compared to those at concentrations of 50% and 100%. Conclusion: In conclusion, DDM scaffold derived from bovine teeth with a particle size of 355-710 μm produces a low cytotoxicity effect on ADMSCs.
Dedifferentiation of MCF-7 Breast Cancer Continuous Cell Line, Development of Breast Cancer Stem Cells (BCSCs) Enriched Culture and Biomarker Analysis Ami Ashariati Prayogo; Andi Yasmin Wijaya; Winona May Hendrata; Steven Sheng Looi; Reny I’tishom; Lukman Hakim; Fedik Abdul Rantam; I Ketut Sudiana; Abdurachman Abdurachman
The Indonesian Biomedical Journal Vol 12, No 2 (2020)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v12i2.977

Abstract

BACKGROUND: Cancer stem cells (CSCs) eradication might serve as a robust approach for cancer eradication. MCF-7 as breast cancer continuous cell line is known to contain breast CSCs (BCSCs) for its capability to maintain its original tumor population. CSCs enriched culture is a fundamental tool for CSCs targeted therapy development. Effective and unsophisticated CSCs dedifferentiation protocol for producing CSCs enriched culture is needed.METHODS: MCF-7 cells were cultured initially in Dulbecco's Modified Eagle Medium (DMEM) low glucose medium then changed to DMEM:F12. Serum starvation was performed during each medium refreshment gradually with fetal bovine serum (FBS) concentration of 10%, 5%, 2.5% until reaching 1% FBS concentration. Stable MCF-7 culture was then adapted to serum free culture system, containing DMEM:F12, epidermal growth factor (EGF), basic fibroblast growth factor (bFGF), and B27 supplement as dedifferentiation protocol for 18 days. Cluster of differentiation (CD)44 and CD24 double staining immunocytochemistry was performed to evaluate cell stemness.RESULTS: The population of cells expressing BCSCs markers (CD44+/CD24low) in non-adherent single cells subpopulation was significantly increased after the dedifferentiation procedure (70.39%) compared to control groups (0.71%) (p<0.05). In contrast, the expression of BCSCs marker in adherent single cells subpopulation and for both adherent and non-adherent mammosphere the BCSCs markers showed a stable expression.CONCLUSION: BCSCs enrichment of breast cancer cell cultures from MCF-7 breast cancer cell line can be performed. Breast cancer cell plasticity is observed during the dedifferentiation protocol. Development of dedifferentiation inducing protocols can serve as an important foundation for breast cancer therapy development through BCSCs elimination.KEYWORDS: breast neoplasms, cell line, dedifferentiation, immunohistochemistry, neoplastic stem cells
Detection of Pentastomida on Crab-Eating Frog (Fejervarya cancrivora) in Surabaya and Sidoarjo Areas Gilang Maulana Putra; Emmanuel Djoko Poetranto; Fedik Abdul Rantam
Journal of Parasite Science (JoPS) Vol. 4 No. 2 (2020): Journal of Parasite Science
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (572.706 KB) | DOI: 10.20473/jops.v4i2.29160

Abstract

This research was conducted to detect the presence of Pentastomida on Crab-eating Frog (Fejervarya cancrivora) in Surabaya and Sidoarjo areas. A total of 50 samples were taken in three different time and the identification was conducted in Laboratory of Parasitology, Universitas Airlangga by Semichen-Acetic Carmine staining method. Pentastomida that found in the body of Crab-eating Frog (Fejervarya cancrivora) was belong to Maxillopoda class which is included in Crustacea subphylum were matched by macroscopic and microscopic taxonomy and observation. The result of this research showed that there found Pentastomida on Crab-eating Frog collected Surabaya and Sidoarjo areas, East Java.
Ekspresi protein P53 dan HSP70 pada sel punca karsinoma nasofaring yang resisten terhadap radioterapi Muhtarum Yusuf; Ahmad Chusnu Romdhoni; Widodo Ario Kentjono; Fedik Abdul Rantam
Oto Rhino Laryngologica Indonesiana Vol 44, No 2 (2014): Volume 44, No. 2 July - December 2014
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1061.659 KB) | DOI: 10.32637/orli.v44i2.93

Abstract

Latar belakang: Pada penderita Karsinoma Nasofaring (KNF) masih sering ditemukan kekambuhan meskipun sudah mendapat terapi yang lengkap. Penelitian terbaru membuktikan bahwa kekambuhan disebabkan oleh sel punca KNF yang resisten terhadap radioterapi. Mekanisme resistensi sel punca kanker terhadap radioterapi diduga karena hambatan terhadap apoptosis dan atau memicu proliferasi. Hambatan terhadap apoptosis disebabkan oleh penurunan protein p53 (wild type), selain over-ekspresiHsp70. Tujuan: Menjelaskan mekanisme resistensi sel punca KNF terhadap radioterapi berdasarkan profil ekspresi protein p53(wild type)dan Hsp70. Metode: Penelitian true experimental dengan menggunakan rancangan randomisasi kelompok kontrol sebelum dan sesudah tes. Kultur sel punca KNF dibagi menjadi dua kelompok, masing-masing 16 sampel. Pada kelompok perlakuan diberikan paparan radioterapi dengan dosis 1,5 Gy menggunakan pesawat Linac, lalu diinkubasi selama 24 jam. Sebelum dan sesudah perlakuan pada kedua kelompok diperiksa ekspresi p53 (wild type) dan Hsp70. Pemeriksaan menggunakan metode flowcytometry. Hasil: Ekspresi p53 (wild type) antara kelompok perlakuan dan kontrol terdapatperbedaan yang tidak bermakna dengan p=0,576 (p≥0,05). Ekspresi Hsp70, antara kelompok perlakuan dan kontrol terdapat perbedaan yang tidak bermakna dengan p=0,172 (p≥0,05). Kesimpulan: Tidak terdapatperubahan ekspresi p53 (wild type) dan Hsp70 pada sel punca KNF yang resisten terhadap radioterapi.Kata kunci : Sel punca KNF, p53 (wild type), Hsp70, karsinoma nasofaring ABSTRACTBackground: Recurrences are frequently occurred in nasopharyngeal  carcinoma (NPC) patients, eventhough they had received complete therapy. Recent studies have proved that those recurrences were caused by NPC cancer stem cells that resistant to radiotherapy. Mechanisms of resistance of cancer stem cells to radiotherapy is assumed due to the block of apoptosis and or proliferation inducing. The block of apoptosis was caused by the decrease of p53 (wild type) expression, in addition to Hsp70 over expression. Objective: To find out the mechanism of NPC stem cells that resistant to radiotherapy based on profiles of protein p53 (wild type) and Hsp70 expression. Methods: Using true experimental study by randomizedpre and post test control group design. The cultured NPC stem cells were divided into two groups, with 16 samples each. The treatment group had 1,5Gy dose of radiotherapy exposure with Linac device, then incubated for 24 hours. Both groups were examined for p53 (wild type) and Hsp70 expressions before and after treatment. The examinations were conducted by flowcytometry method. Result: The P53 (wild type) expression between the treatment and control group showed insignificant difference with p=0.576(p≥0.05). The Hsp70 expression between treatment and control group showed insignificant difference with p=0.172 (p≥0.05). Conclusion: There were no changes of p53 (wild type) and Hsp70 expressions on NPC stem cells that resistant to radiotherapyKeywords: NPC stem cells, p53 (wild type), Hsp70, nasopharyngeal carcinoma
DIFFERENCES OF BONE REGENERATION USING BOVINE HYDROXYAPATITE AND BOVINE HYDROXYAPATITE WITH FREEZE-DRIED PLATELET RICH PLASMA ALLOGRAFT IN BONE DEFECT OF FEMORAL WHITE RABBIT Mouli Edward; Henry Dominica; Ferdiansyah Mahyudin; Fedik Abdul Rantam
Journal Orthopaedi and Traumatology Surabaya Vol. 9 No. 2 (2020): October 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v9i2.2020.34-54

Abstract

Background: Hydroxyapatite is a bone graft that has osteoconductive properties for bone defects treatment. Platelet-rich plasma (PRP) has a capability of providing many bioactive molecules in physiological proportions. Hydroxyapatite given freeze-dried PRP is expected to create a graft that can strengthen the matrix while promoting osteoinduction. This study compares the effects of regeneration on the bone between bovine hydroxyapatite (BHA) and bovine hydroxyapatite with freeze-dried platelet-rich plasma (FD-PRP) as a bone graft in bone defect of the femoral white rabbit.Methods: The 12 equal New Zealand white rabbits aged 6-9 months are divided into two groups. Bone defects were made in the lower femoral meta-diaphysis with a diameter of 2.5 mm. The defects were filled with BHA with FD-PRP allograft in the treatment group and BHA in the control group. Both groups will be sacrificed in the third and sixth weeks, then evaluated histologically for microvascular structure, osteoblasts, woven bone, type-I collagen, osteocalcin, alkaline phosphatase, and immunoglobulin G.Results: During the evaluation in week 3 and 6, microvascular structure, osteoblast, and type-I collagen decreased in both groups with insignificant differences (p>0.05). Woven bone, osteocalcin, and immunoglobulin G increased in the treatment group but was not significant (p>0.05). Alkaline phosphatase increased higher in the treatment group, with a considerable difference in the sixth week (p=0.008).Conclusion: The elevation in the production of woven bone, osteocalcin, and alkaline phosphatase at the third and sixth-week evaluations highlight the possibility that administering BHA given FD-PRP may have contributed to the healing of bone defects.
Co-Authors . Helen . Mulyani . Purwati . PURWATI . Suwarno A'la, Rofiqul Abdurachman Abdurachman Ahmad Chusnu Romdhoni Aksono HP., Eduardus Bimo Amaq Fadholly Ami Ashariati Amrullah, Amirul Muslim Andi Yasmin Wijaya Andriyanto Andriyanto Anindya, Afifatus Annise Proboningrat Ardhanella, Sellianova Arif Nur Muhammad Ansori Aris Widayati Aswin, Ahmad Aucky Hinting Aulia Andi Mustika Azahro, Aisyah Bambang Sektiari Lukiswanto Boedi Setiawan Candra Bumi Cita Rosita Sigit Prakoeswa Damayanti Tinduh Desi Sandra Sari Diah Nugrahani Pristihadi Didik Handijatno Diyantoro Diyantoro, Diyantoro Dwikora Novembri Utomo Emmanuel Djoko Poetranto ENDANG RETNOWATI KUSUMOWIDAGDO Endang Suprihati ERMA SAFITRI Ernawati, Rahaju Ernawati, Rahayu Ernie Maduratna Estoepangestie, Agnes Theresia Soelih Ferdiansyah Ferdiansyah Mahyudin Gilang Maulana Putra HAK HOTTA Hani Plumeriastuti Hari Basuki Notobroto Harijani, Nenny Helen Susilowati, Helen Henry Dominica Heri Suroto HERNOMO ONTOSENO KUSUMOBROTO I'tishom, Reny Ika WAHYUNI IMAM MUSTOFA Imam Mustofa Indah Rahmawati Ira Sari Yudaniayanti Iwan Sahrial Hamid Juniastuti Juniastuti Kadek Rachmawati Khairullah, Aswin Rafif Kharisma, Viol Dhea Kirana, Maha Kuncorojakti, Suryo Kusnoto Kusnoto, Kusnoto Laba Mahaputra Lina Noviyanti Sutardi Lucia Tri Suwanti, Lucia Tri Lukman Hakim Machin, Abdulloh MARIA INGE LUSIDA Mas’ud Hariadi Mouli Edward Mufasirin Mustofa Helmi Effendi Mutiarasari, Nonie Olivia Adia Nasronudin Nasronudin Ni Ketut Suwiti Nidom, Chairul Anwar Nunuk Dyah Retno Lastuti Nusdianto Triakoso Purwati Purwati Putih, Nurvita R. Heru Prasetyo Rahaju Ernawati Raharjo, Dadik Rahmahani, Jola Ratih Ratnasari Ratna Damayanti Retno Pudji Rahayu Ria Hanistya Rina Mutya Suzliana Romaniyanto Romaniyanto Romaniyanto Romy Muhammad Dary Mufa S.Pd. M Kes I Ketut Sudiana . Santoso, Kuncoro Puguh SOETJIPTO . Sri Hernawati Sri Pantja Madyawati Sri Wigati Mardi Steven Sheng Looi Suwarno . Suwarno Suwarno Suwarno Suwarno Suzanita Utama Tacharina, Martia Rani TAKAKO UTSUMI Tristiana Erawati Tyasningsih, Wiwiek Venri Novryantoro Wibi Riawan Widiyatno, Thomas Valentinus Widji Soeratri Widjiati . Widjiati Widjiati Widodo Ario Kentjono Wijaya, Andi Yasmin Winona May Hendrata Wulandari, Innah Yoes Priyatna Dachlan YOSHIHIKO YANO YOSHITAKE HAYASHI Yulanda Antonius Yusuf, Muhtarum Zahro, Vida Seanita Zayyin Dinana