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All Journal Journal of Tropical Life Science : International Journal of Theoretical, Experimental, and Applied Life Sciences Jurnal Kedokteran Brawijaya Majalah Kedokteran Bandung The Journal of Experimental Life Sciences (JELS) e-Journal Pustaka Kesehatan Research Journal of Life Science Journal of Agromedicine and Medical Sciences Mutiara Medika: Jurnal Kedokteran dan Kesehatan UNEJ e-Proceeding Sari Pediatri Universa Medicina Majalah Kesehatan FKUB Advances in Food Science, Sustainable Agriculture and Agroindustrial Engineering (AFSSAAE) Indian Journal of Forensic Medicine & Toxicology CRJIM (Clinical and Research Journal in Internal Medicine) Lux Mensana: Journal of Scientific Health Jurnal Penelitian
Loeki Enggar Fitri
Universitas Brawijaya
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Education Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Library & Information Science Mechanical Engineering Medicine & Pharmacology Neuroscience Nursing Public Health Other

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Vitamin D3 Adjuvant Treatment Stimulate Interleukin-10 Expression in Children with Nephrotic Syndrome Without Affecting to Clinical Outcome and Glucocorticoid Receptor Expression Asariati, Husnul; Subandiyah, Krisni; Fitri, Loeki Enggar
Journal of Tropical Life Science Vol 4, No 3 (2014)
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Prominently Increased of Mannose Binding Lectin (MBL) and Myeloperoxidase (MPO) Levels in Severe Valve Regurgitation and Heart Failure of Rheumatic Heart Disease Putri, Rachmania; Suwarniaty, Renny; Fitri, Loeki Enggar; Nugroho, Susanto; Rahman, Mohammad Saifur
Journal of Tropical Life Science Vol 7, No 2 (2017)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jtls.07.02.04

Abstract

Rheumatic heart disease (RHD) is mediated by an abnormal immunological response following a Streptococcus pyogenes infection that induces a disturbance of oxidants and antioxidants balances. Mannose-binding lectin (MBL) binds to N-acetylglucosamine, a molecule present on the Streptococcus cell wall and human heart valves. There is a disturbance of oxidant and antioxidant balance in rheumatic disease. Myeloperoxidase (MPO) is a marker of oxidative stress and inflammation. This study was aimed to determine the correlation of MBL and MPO levels and severity of valvular regurgitation and heart failure (HF) in RHD patients. A case-control study was conduct using human peripheral blood samples from 32 children aged 6 to 14 years old. The subjects were divided into two groups: 16 RHD patients included in the case group and 16 healthy children as a control group. The level of MBL and MPO was investigated using ELISA method. There were significant differences on MBL and MPO level between patient and control group. The level of MBL and MPO were significantly increased in RHD group, especially on severe valvular regurgitation. There was a strong correlation between MBL and MPO levels and the severity of valvular regurgitation (r = 0.94 and r = 0.88). The least significant diff-erence (LSD) analysis showed that significant difference occurs in the severe heart failure group. Our research revealed that the MBL and MPO levels in pediatric RHD patients were significantly higher than in healthy children. The MBL and MPO levels were significantly correlated with the severity of valvular regurgitation and heart failure.
Toll Like Receptor 4 (Tlr4) And p65 Nuclear Factor Kappa B (Nf-Kb) Expression In Monocyte Cell Of Children With Steroid Resistant Nephrotic Syndrome Tikto Wahyono; Krisni Subandiyah; Loeki Enggar Fitri; Agustina Tri Endharti
Journal of Tropical Life Science Vol. 4 No. 2 (2014)
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This study aimed to prove the difference of TLR4 and subunit p65NF-kB expression between children with steroid-sensitive nephrotic syndrome (SSNS) and those with steroid-resistant nephrotic syndrome (SRNS) and to find out the correlation between expression of TLR4 and p65NF-kB on children with SRNS. Twenty three patients of idiopathic nephrotic syndrome patients (INS) were enrolled in this study and classified into two groups—those with SSNS (11 patients) and SRNS (12 patients). Peripheral Blood Mononuclear Cells (PBMC) isolation was performed, taken from 5 ml patients blood samples, followed by monocyte isolation of PMBC using monocyte culture. Examination of TLR4 and p65 NF-kB expression from monocyte's cells culture was performed using flow cytometry. All data were processed using Statistical Package for the Social Sciences (SPSS 15) for Windows. From 11 patients that were classified into SSNS group, 81.8% having good nutritional status and 18.2% comprising undernourished status compared to 12 patients of the SRNS group, in which 6 accounting for 41.7% having good nutritional status, 50% having undernourished status and 8.3% having malnourishment status. The average age is 7.59 ± 3.52 and six years old is the highest age studied. Based on normality tests using Shapiro-Wilk, variables of TLR4 have p value of 0.620 and p65 NF-kB have p value of 0.027, showing that the data of TLR4 was distributed normally but p65 NF-kB data was not distributed normally. The test on TLR4 data variation using Levene Test showed its significance value of p was 0.318, meaning that the data was homogeneous. Using unpaired t-test, the differences of TLR4 expression between SSNS and SRNS was significant (p=0.012), while using Mann-Whitney test, the differences of p65 NF-kB expression between SSNS and SRNS showed an insignificant correlation (p=0.880). Pearson correlation test between the expression of TLR4 and p65 NF-kB showed no significant correlation (p=0.472), while Spearman correlation test to see the relationship between expression of TLR4 and SRNS produced correlation value of 0.512 and its importance p value was 0.013 (p
Excess Fibrin Deposits Decrease Fetal Weight of Pregnant Mice Infected by Plasmodium berghei Desy Andari; Zainabur Rahma; Yuliyanik yuliyanik; Sujarot Dwi Sasmito; Karyono Mintaroem; Loeki Enggar Fitri
Journal of Tropical Life Science Vol. 4 No. 2 (2014)
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Low birth weight is commonly attributed to malaria in pregnancy, but the cellular and molecular mechanisms that underlie this poor birth outcome are incompletely understood. A universally described histopathological feature of placental malaria is excessive deposition of fibrin, the end-product of the coagulation cascade. This study was conducted to compare fibrin deposit in pregnant mice that infected by Plasmodium berghei (treatment group) to the normal pregnant mice (control group) and its association with fetal weight. This research is in vivo experimental laboratory study that used 18 pregnant Balb/c mice which divided to the control the group (8 mice) and treatment group (9 mice infected by P.berghei). Placentas were staining with Haematoxylin-Eosin (HE) for fibrin deposits examination whereas fetal weight was performed with Mettler analytical balance AE 50. Fetal weight of the treatment group was lower than those of the control group (t test, p=0,002). Fibrin deposits were increased in the treatment group (t test, p=0,005) and influenced weight of fetuses (Spearman r=-0,586, p=0,014). Weights of fetuses are interfered by fibrin deposits during malaria infection.
The Correlation between Serum Concentration of Vitamin D with Vitamin D Receptor Expression and Disease Activity in Indonesian Patients with Systemic Lupus Erythematosus: Preliminary Study Kusworini Handono; Laksmi Karunia Tanuwijaya; Loeki Enggar Fitri; Handono Kalim
Journal of Tropical Life Science Vol. 4 No. 2 (2014)
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Abstract

The vitamin D role on the immune response of systemic lupus erythematosus (SLE) patient is mediated by vitamin D receptor (VDR). Low level of vitamin D correlated with disease activity in SLE patients, and circulating levels of activated vitamin D (1,25(OH)2D) contribute to VDR protein levels and its function. The objective of this study was to determine the correlation between vitamin D status with expression of VDR in peripheral blood mononuclear cell (PBMC) and the disease activity in SLE patients. The Research Subjects were 15 SLE patients (ACR 1997 criteria) from the Rheumato-Immunology Division, dr. Saiful Anwar Hospital, Malang and 5 healthy controls. Serum vitamin D (25(OH)D3) level was assessed using ELISA method. VDR expression in PBMC was assessed using immunocytochemistry technique. The disease activity was measured by Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) score. This study showed no difference on VDR expression in PBMC between patient and healthy control group, but patient with vitamin D deficiency had lower VDR expression in PBMC than the other group. No difference on SLEDAI score between the group. Vitamin D status correlated positively with VDR expression in PBMC (p < 0,035, r = 0,473). However vitamin D status did not correlate with disease activity scores (p = 0,686).
Vitamin D3 Adjuvant Treatment Stimulate Interleukin-10 Expression in Children with Nephrotic Syndrome Without Affecting to Clinical Outcome and Glucocorticoid Receptor Expression Husnul Asariati; Krisni Subandiyah; Loeki Enggar Fitri
Journal of Tropical Life Science Vol. 4 No. 3 (2014)
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Idiopathic nephrotic syndrome (INS) is the most glomerular disease that occurred in childhood with high rate morbidity. Glucocorticoid is drug of choice for INS and responsiveness to this drug determined prognosis. Glucocorticoid upregulate transcription of anti-inflammatory cytokines such as IL-4 and IL-10. IL-10 is an anti-inflammatory cytokine and has multiple role in immune response include modulate Th1/Th2 response. Vitamin D3 interact with glucocorticoid signaling. Administered active form of vitamin D3 increase dexamethasone-induced IL-10 expression by regulatory T cells in steroid resistant asthmatic patient. Here we showed increase of CD4+IL10+ expression after treatment both prednisone only and combination prednison with vitamin D3. Both in new-onset NS or rare relaps NS, combination treatment prednisone + vitamin D3 increase CD4+IL10+ expression significantly compared to prednisone-only treated group (p= 0.003), which first group (new-onset nephrotic syndrome + prednisone and vitamin D3 treatment) showed the most CD4+IL10+ expression enhancement (9.53±3.89). However this study failed to show a correlation between CD4+IL-10+ expression after prednisone and vitamin D3 treatment with clinical outcome (linear regression test, p= 0,125). This study also showed that there was a no correlation between CD4+IL-10+ expression and CD3+GR expression after prednison + vitamin D3 treatment (p= 0.088). CD4+IL-10+expression in new-onset and rarely relapsing nephrotic syndrome patients higher in prednisone + vitamin D3 treated group than prednisone-only treated group. There is no correlation between CD4+IL-10+expression and CD3+GR expression nor CD4+IL-10+expression and clinical outcome.
Endoglin Expression and the Level of Tgf-Î’ Are Increased In the Placental Tissue and Correlated with Low Fetal Weight in Malaria Infected Mice sujarot dwi sasmito; Adilah Ulfiati; Ardhian Wardana; Fitriana Nugraheni; Nur Fahma Pradiptasari; Zakiyah Zulaifa; Eviana Norahmawati; Teguh Wahju Sardjono; Loeki Enggar Fitri
Journal of Tropical Life Science Vol. 5 No. 1 (2015)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jtls.5.1.%x

Abstract

Malaria infection during pregnancy can cause accumulation of infected-red blood cells in placental intervillous space and induces placental tissue inflammation and hypoxia. This condition triggers endoglin expression, and release of soluble endoglin which can interfere TGF-β binding to its receptor. The aim of this study was to investigate the correlation between placental endoglin expression and TGF-β level with low fetal weight (LFW) in malaria-infected mice. Nine pregnant mice infected with Plasmodium berghei on the day 9th post mating (malaria infected group) and eight normal pregnant mice (non-infected group) were used in this study. The mice were sacrificed on the day 18th post mating, and all fetal body weights were measured by analytical scale. Enzyme Link Immunosorbent Assay (ELISA) was done to determine the level of placental TGF-β while immunohistochemical staining was performed to examine endoglin expression in placental tissue. The mean of fetal body weights of malaria infected group was significantly lower than non-infected group (p=0,002), while the expression of placental endoglin in malaria infected group was significantly higher than non-infected group (p=0.003). The level of placental TGF-β in malaria infected group was also higher than non-infected group but the difference was not significant (p=0.064). Pearson correlation test showed that there were significant negative correlations between fetal body weights with the level of placental TGF-β (p=0.017, r=-0.568) and the expression of placental endoglin (p=0.002, r=-0.694). Malaria infection in pregnant mice will increase both TGF- β and endoglin in placenta tissue and correlate with low fetal weight.   
Intraperitoneal Injection of High Tumor Necrosis Factor (TNF-α) Serum Increase Soluble Fms-like Tyrosine Kinase-1 (sFlt-1) and Blood Pressure of Pregnant Mice Bramantyo Aji Wicaksono; Siti Candra Windu Baktiyani; Loeki Enggar Fitri
Journal of Tropical Life Science Vol. 5 No. 2 (2015)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jtls.05.02.01

Abstract

Preeclampsia has major symptoms of hypertension and proteinuria and is a cause of significant maternal and infant mortality in the world. The slow development of preeclampsia research possibility caused by the difficulty in acquiring animal preeclampsia. Many existing animal model have been developed, but most of them are expensive to do. The purpose of this study was to determine the effects of intraperitoneal injection of pregnant patients serum with high TNF-α levels toward sFlt-1 serum concentration and blood pressure of pregnant mice. Pregnant patients serum with high TNF-α levels (>20 pg/mL) was injected intraperitoneally to pregnant mice at gestational age 13 and 14 days. At 18 days of gestation, the blood pressure was measured, then the mice were dissected and the serum was taken to measure serum sFlt-1 concentration using ELISA kit(Bioassay Technology Laboratory, E0611Mo). The results showed there was a significant increase in blood pressure (p = 0.000) and the sFlt-1 levels (p = 0.002) of pregnant mice group that injected by pregnant patient serum with high TNF-α levels compare to control group. From these data it can be concluded that intraperitoneal injection of pregnant patients serum with high TNF-α levels to pregnant mice can increase blood pressure and sFlt-1 serum concentration of mice.
Level Of 25(OH)D Serum, Expression of Interleukin 4 And Glucocorticoid Receptor of Mononuclear Cell In Steroid Resistance Nephrotic Syndrome Children Vonny Mariany Deckert; Loeki Enggar Fitri; Krsni Subandiyah
Journal of Tropical Life Science Vol. 5 No. 3 (2015)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jtls.05.03.06

Abstract

Nephrotic syndrome (NS) is autoimmune disease and its steroid resistance status supposed correlate with 25(OH)D level and IL-4 expression. The aimed of this study was investigated 25(OH)D plasma level, IL-4 and GR expression of PBMC in steroid sensitive and resistant pediatric NS patients and the association of those parameters. 27 subjects were divided into three groups (control group, steroid resistant NS group, and steroid sensitive NS group). Peripheral blood mononuclear cells (PBMCs) isolated using Ficoll-Hypaque method. Plasma 25(OH)D level was measured using ELISA method. IL-4 and GR expression were measured using flowcytometry of PBMCs. This study showed that 25(OH)D level and GR expression were significantly different in control group compared to steroid resistant NS group (p<0.05). Plasma 25(OH)D level, IL-4 and GR expression were not correlated each other in NS patients (p>0.05). Plasma 25(OH)D level, IL-4 and GR expression were not contributed in steroid resistance in NS patients. However, GR expression has highest contribution in steroid resistance of NS patient (Wald score 1.198). Plasma 25(OH)D level and GR expression was lower in steroid resistant NS group. GR expression has a highest contribution in steroid resistance of NS patients.
Effects of Artemisin and Moringa oleifera Extract Combination on CD4+ and CD8+ Percentage of Mice Infected with Plasmodium berghei Melda Fio Flora BR. Sijabat; Tinny Endang Hernowati; Loeki Enggar Fitri
Journal of Tropical Life Science Vol. 6 No. 3 (2016)
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Abstract

 This research aims to examine the effect of Artemisin and Moringa oleifera leaf extract combination on the percentage of CD4+ and CD8+ T cell of mice infected with P.berghei. CD4+ and CD8+ T cells have important role in eliminating Plasmodium intracellular parasite that causes malaria infection. Artemisin is a potent antimalarial that kills the parasite through free radicals production. Excessive free radicals damage the immune cells, including CD4+ and CD8+ T cells. Flavonoid (quercetin and kaempferol) bioactive on Moringa leaves is a powerful antioxidant and anti-inflammatory, and is expected to prevent and decrease the adverse effects of Artemisin. This experimental post-test group research was conducted on six groups, i.e. normal mice (negative control), P.berghei infected mice without treatment (positive control), and four other groups, i.e. P.berghei infected mice and treated with Artemisin 0.004mg/gBW (A), and combinations of Artemisin 0.004mg/gBW and Moringa leaf extract 0.125mg/gBW (DK1), 0.250mg/gBW (DK2), and 0.500mg/gBW (DK3). On day 3 and 7, blood samples from each group were drawn randomly, parasitemia degree was calculated microscopically (magnification 1000 times), the percentage of CD4+ and CD8+ T cells was determined using flowcytometry. The results of this study indicated that the administration of Artemisin and Moringa leaf extract combination for 7 days significant increased the percentage of CD4 + T cells in DK2 (p=0.001) and DK3 (p=0.000), and decreased the degree of parasitemia in DK1 (p=0.000), DK2 (p=0.000), and DK3 (p=0.000), however CD8 + T cells show no difference. There was a relationship between Artemisin and Moringa leaf extract combination with the degree of parasitemia (p=0.000) and the percentage of CD4+ T cells (p = 0.000), but not on CD8+ T cells. Keywords: parasitemia, CD4+ and CD8+ T cells, Moringa oleifera
Co-Authors A.A. Ketut Agung Cahyawan W AA Sudharmawan, AA Adilah Ulfiati Adilah Ulfiati, Adilah Agustin Iskandar Agustina Tri Endharti Agustina Tri Endharti Ahmad Fauziansyah Ahmad Fauziansyah Zian Ajeng Maharani Putri Alfian Wika Cahyono Ali Rahmanto Anak Agung Gede Sugianthara Andi Arahmadani Arasy Anik Widijanti Arasy, Andi Arahmadani Ardhian Wardana Ardhian Wardana, Ardhian Ariel, Dio Giovanni Arif Setyawan, Sang Aji Arifin, Mochammad Samsul Astutik Pudjirahaju Bagus Hermansyah BR. Sijabat, Melda Fio Flora Bramantyo Aji Wicaksono Bramantyo Aji Wicaksono, Bramantyo Aji Brigitta Ida RV Corebima Burhan, Niniek Cahyono, Alfian Wika Chairul A. Nidom Chairul A. Nidom Dalhar, Mochamad Damayanti, Ria Dara Dasawulansari Syamsuri Desy Andari Dewi Indiastari Didi Candradikusuma Didi Candradikusuma Dio Giovanni Ariel Dorta Simamora Edi Widjajanto Elviliana, Elviliana Erma Sulistyaningsih Erwan, Nabila Erina Eviana Norahmawati Firdiani Nur Afifah, Firdiani Nur Fitria Febriliani Putri Fitriana Nugraheni Fitriana Nugraheni, Fitriana Ghofar, Hervin Febrina Handono Kalim Hayu Sukowati Nopitasari Heri Kristianto Heri Suroso, Heri Herpan Syafii Harahap Hervin Febrina Ghofar Hidayat Sujuti Husnul Asariati Husnul Asariati I Ketut Gede Muliartha Ihwan Ihwan Ika Setyo Rini Irene Ratridewi Isnadiyah Juhdi Joko Agus Gunawan Josef Sem Berth Tuda Juhdi, Isnadiyah Kana Mardhiyyah Kartika Senjarini Karyono Mintaroem Karyono Mintaroem Karyono Mintaroem Khadafi Indrawan Khairiyadi Khairiyadi Krisni Subandiyah Krisni Subandiyah Krisni Subandiyah Krsni Subandiyah Kusworini Handono Laksmi Karunia Tanuwijaya Laksmi Karunia Tanuwijaya Lilik Maslachah Lilik Zuhriyah M. Fahrul Arifin Mardhiyyah, Kana Mario B. Nara Melda Fio Flora BR. Sijabat Merici, Angela Mochammad Dalhar Moh Mirza Nuryady Moh Mirza Nuryady, Moh Mirza Mohammad Saifur Rahman Mulyohadi Ali Muti'ah, Roihatul Nabila Erina Erwan Nafi’ah, Riris Waladatun Namira, Anggi Alya Nashi Widodo Natalia Erica Jahja Nicole Berens-Riha Nicole Berens-Riha, Nicole Niniek Budiarti B Niniek Burhan Noer Aini Nopitasari, Hayu Sukowati Nugraha, Rivo Yudhinata Brian Nur Fahma Pradiptasari Nur Fahma Pradiptasari, Nur Fahma Nur Hidayat Nur Permatasari Nurdiana Nurdiana Nurdiana Nurdiana Nurtyas, Yunika pertiwi, resti anggun Poedji Hastutiek Pratama, Andhika Putra Agus Putri, Ajeng Maharani Putri, Fitria Febriliani Putri, Rachmania Rachmania Putri Rahma, Zainabur Rahmad Rahmad Rahman, Mohammad Saifur Renny Suwarniaty Renny Suwarniaty, Renny Rifa'i, Muhaimin Rivo Yudhinata Brian Nugraha Rizky Amalia Rohma, Novita Ainur Sabrina Sunyoto, Nimas Mayang Saiful Akhyar Lubis Sakunda Anggarini, Sakunda Samsul Arifin Siti Candra Windu Baktiyani Siti Candra Windu Baktiyani Soebaktiningsih Soebaktiningsih Soemarko Soemarko Sri Hayati, Yati Sri Murwani Sri Poeranto, Sri Sri Suhartini Sri Winarsih Subekti, Indah Fitriana Sudjari Sudjari Sugeng Setyo Utomo Sugeng Setyo Utomo, Sugeng Setyo Sujarot Dwi Sasmito sujarot dwi sasmito, sujarot dwi Sumarno . Sumarno Sumarno Susanto Nugroho Susanto Nugroho Sutiman B. Sumitro Swastomo, Rahadi Syarkiah Syarkiah Teguh Wahju Sardjono Teguh Wahju Sardjono Teguh Wahju Sardjono Thomas Loescher Thomas Loescher, Thomas Tikto Wahyono Tinny Endang Endang H Tinny Endang Hernowati Tinny Endang Hernowati Tuda, Josef Sem Berth Umar Zein Verry Asfirizal Vonny Mariany Deckert Wahyono, Tikto Wongso Suhendro Yoes Prijatna Dachlan Yuanita Mulyastuti Yuliyanik yuliyanik Yunika Nurtyas Yunita Armiyanti Zainabur Rahma Zakiyah Zulaifa Zakiyah Zulaifa, Zakiyah