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Epigenetik pada Alergi Susu Sapi Vera, Risa; Irfannuddin, Irfannuddin; Salim, Eddy Mart; Karmila, Ariesti
Sari Pediatri Vol 26, No 6 (2025)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp26.6.2025.399-404

Abstract

Alergi susu sapi dipengaruhi oleh dua faktor utama, yaitu predisposisi genetik dan faktor lingkungan. Interaksi antara faktor genetik dan faktor lingkungan mencetuskan terjadinya alergi susu sapi diperantarai oleh mekanisme epigenetik. Faktor lingkungan selama masa prenatal  maupun postnatal dapat memengaruhi program epigenetik pada masa awal perkembangan sistem imun. Faktor lingkungan, seperti paparan terhadap mikroba, faktor diet pada  ibu dan anak serta  mikrobiota pada saluran cerna memengaruhi  proses imunitas di masa yang akan datang dan berperan penting dalam perkembangan penyakit alergi.
The Potential of Shell Extract as a Hemostasis and Wound Healing Agent: A Literature Review Erlyn, Putri; Irfannuddin, Irfannuddin; Murti, Krisna; Lesbani, Aldes
Jurnal Kedokteran Brawijaya Vol. 33 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2023.033.01.6

Abstract

Hemostasis is an emergency medical treatment to reduce pain and patient mortality, therefore research is being developed to find effective hemostasis. The utilization of natural materials for hemostasis and wound healing is rapidly expanding, including chitosan found in shell extracts. Chitosan is obtained from chitin found in the soft shells of marine animals such as squid, shrimp, and crabs, or from hard shells such as clams, crabs, and lobsters. Chitosan offers advantages such as good biodegradability, biocompatibility, and non-toxicity, and has been widely used in biomedical, chemical, food, and cosmetic industries. This literature review aims to investigate the potential of shell extracts, particularly the characteristics of chitosan, in wound healing across hemostasis, inflammation, proliferation, and remodeling stages. The study results indicate that extracts from shells containing chitosan exhibit varying characteristics in terms of molecular weight and degree of deacetylation. Chitosan with higher molecular weight and degree of deacetylation tends to yield better outcomes in hemostasis and wound healing. The material is effective in reducing antithrombin, enhancing blood clotting processes, and aiding clot formation. Increased molecular weight contributes to stimulating various cytokines, such as TNF-α, TGF-ß1, and FGF2, which play a key role in the wound healing process. Additionally, higher degree of deacetylation chitosan is effective in stimulating fibroblast proliferation. Chitosan also influences VEGF in inducing angiogenesis and enhancing neovascularization in bone healing. Chitosan from shell extracts with certain molecular weight characteristics and degree of deacetylation has the potential to be the material of choice for accelerating hemostasis and wound healing.
Novel Insights into the Pathophysiology of Coronary Slow Flow Phenomenon: The Role of Triglycerides-Glucose Index and Electrocardiogram Risk Score in Subclinical Atherosclerosis Kusuma, Singgih; Erwin Sukandi; Taufik Indrajaya; Ferry Usnizar; Irfannuddin
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 3 (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.v9i3.1228

Abstract

Background: Coronary slow flow phenomenon (CSFP) is characterized by delayed distal coronary vessel opacification without significant epicardial coronary stenosis. The underlying mechanisms of CSFP remain unclear, but subclinical atherosclerosis is a likely contributor. This study investigated the relationship between the Triglycerides-Glucose Index (TyG), Electrocardiogram Risk Score (ERS), and carotid intima-media thickness (CIMT) in CSFP patients. Methods: This cross-sectional study involved 31 patients diagnosed with CSFP at Dr. Mohammad Hoesin General Hospital Palembang. CSFP was determined based on coronary blood flow slowdown on angiography. Data collection included anamnesis, physical examination, laboratory tests, echocardiography, and CIMT measurement. Statistical analysis was performed using SPSS 27. Results: The majority of CSFP patients were male (51.6%) with a mean age of 50.87 ± 13.94 years. Dyslipidemia was the most prevalent risk factor (77.4%), followed by hypertension (35.5%), smoking (22.6%), and diabetes mellitus (6.5%). Statistical analysis revealed significant positive correlations between TyG index and CIMT (r = 0.445, p = 0.012), and between ERS and CIMT (r = 0.476, p = 0.007). Conclusion: TyG and ERS indices are positively correlated with CIMT in CSFP patients. These indices may be useful tools for cardiovascular risk evaluation and early identification of high-risk patients for subclinical atherosclerosis and potential CSFP.
Walking as a Modality for Enhancing Physical Fitness : A Review Maya, Rachel; Irfannuddin, Irfannuddin; Putri, Siti Sarahdeaz Fazzaura
BEST Journal (Biology Education, Sains and Technology) Vol 8, No 1 (2025): Juni 2025
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v8i1.10979

Abstract

Abstrak: Berjalan kaki berperan penting dalam menjaga kebugaran jasmani yang krusial bagi kesehatan. Kebugaran jasmani terdiri atas dua komponen utama, yaitu kesehatan dan keterampilan. Kebugaran umumnya diukur melalui penilaian daya tahan kardiorespirasi, kekuatan otot, kelenturan, dan komposisi tubuh. Tinjauan ini melakukan penelusuran literatur komprehensif menggunakan publikasi terkemuka seperti Elsevier, PubMed, dan sumber relevan lainnya. Penelusuran ini berfokus pada penelitian yang telah melalui telaah sejawat mengenai dampak berjalan kaki terhadap kebugaran. Banyak penelitian menunjukkan bahwa berjalan kaki adalah olahraga sederhana dan mudah diakses, serta memberikan manfaat signifikan, seperti peningkatan daya tahan kardiorespirasi, kekuatan otot, dan kelenturan. Disarankan berjalan kaki 150 menit per minggu guna memperoleh manfaat optimal. Untuk memaksimalkan manfaatnya, diperlukan postur tubuh yang benar dan teknik pernapasan baik. Selain manfaat fisik, berjalan kaki juga meningkatkan kesejahteraan mental dan sosial. Aktivitas ini fleksibel dan sesuai untuk berbagai kelompok usia, termasuk individu dengan kondisi kesehatan tertentu. Memahami hubungan antara berjalan kaki dan kebugaran membantu masyarakat mengintegrasikan aktivitas ini guna meningkatkan kesehatan. Penelitian di masa depan dapat berfokus pada aspek kebugaran tertentu untuk mengembangkan pedoman yang lebih tepat bagi berbagai kelompok masyarakat.
Perubahan Metilasi DNA Akibat Paparan Timbal Perinatal Meningkatkan Resiko Terjadinya Gangguan Sistem Saraf : Narative Review Anggraeni Janar Wulan; Irfannuddin Irfannuddin; Mohammad Zulkarnain; Nur Arfian
MAHESA : Malahayati Health Student Journal Vol 6, No 8 (2026): Volume 6 Nomor 8 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i8.24101

Abstract

ABSTRACT Perinatal lead (Pb) exposure causes in DNA methylation patterns. Changes in methylation patterns have been shown to cause neurotoxicity due to Pb with inter- and transgenerational inheritance patterns. The inheritance of these patterns increases the risk of developmental programming for neurodegenerative diseases and impaired cognitive, emotional, mental, and motor function development. To analyze the effects of perinatal Pb exposure on changes in DNA methylation patterns, what genetic material is involved, possible nervous system disorders, and influencing factors.  Narrative Review using databases from (1) PubMed Central, (2) Google Scholar, (3) Nature, and (4) Cell Press. The articles used were published between 2014 and 2024. The keywords used were lead exposure, DNA methylation, and neurodevelopment combined with Boolean Operators (AND/OR). A total of 11 articles met the criteria and were analyzed narratively. Perinatal exposure to Pb causes changes in DNA methylation, both hypermethylation and hypomethylation. The changes were widespread in various body tissues, including neurons in the cerebral cortex, hippocampus, blood, and placenta, and were inherited by offspring in the F1, F2, and F3 generations. The inheritance pattern was influenced by the age of exposure, stage of pregnancy, sex, and composition involved in the lineage, as well as the exposure dose. Genes considered important predictors of cognitive, motor, behavioral, and emotional developmental disorders are the CCSER1 gene (cg02901723), the GCNT1 gene (CG18515027), and the TRAPPC6A gene (cg19703494). Other genes that undergo changes in DNA methylation patterns are Ankdd1b, Cdh24, APOA5, Dynein Cytoplasmic 1 Light Intermediate Chain 1 (Dync1li1), GOLPH3, DNHD1, Trhde, FABP4, GPR20, and NINJ2.Prenatal exposure to lead increases the risk of various nervous system disorders in the next generation through epigenetic mechanisms, particularly DNA methylation. Changes in DNA methylation in certain genes can be used as predictors of nervous system developmental disorders. Keywords: Developmental Programming, DNA Methylation, Neurodevelopment, Perinatal, Lead. ABSTRAK Paparan timbal (Pb) periode perinatal menyebabkan perubahan pola metilasi DNA . Perubahan pola metilasi terbukti berperan menyebabkan neurotoksisitas akibat Pb dengan pola pewarisan  inter dan transgenerasi. Pewarisan pola ini meningkatkan resiko  munculnya developmental programming terhadap penyakit neurodegeneratif dan gangguan fungsi perkembangan fungsi kognitif, emosi, mental, dan motorik.   Untuk menganalisis bagaimana pengaruh paparan Pb periode perinatal terhadap perubahan pola metilasi DNA, material genetik apa saja yang terlibat, gangguan fungsi sistem saraf apa saja yang mungkin ditimbulkan serta faktor – faktor yang mempengaruhi.  Narative Review dengan menggunakan basis data yang berasal dari (1) PubMed Central, (2) Google Scholar, (3) Nature, dan (4) Cell press. Artikel yang digunakan adalah artikel yang terbit antara tahun 2014 – 2024. Kata kunci yang digunakan adalah  lead exposure, DNA methylation dan neurodevelopment yang digabungkan dengan Boolean Operator (AND/OR). Sebanyak 11 artikel memenuhi kriteria dan dianalisis secara naratif. Paparan Pb perinatal menyebabkan hipermetilasi dan hipometilasi DNA pada promotor, regio, maupun lokus CpGs secara spesifik. Perubahan pola tersebar pada berbagai jaringan tubuh meliputi neuron kortek cerebri, hippocampus, darah, dan plasenta serta menjadi pola yang menetap yang diwariskan pada keturunannya baik F1, F2, dan F3. Pola pewarisan dipengaruhi oleh usia paparan, tahapan usia kehamilan, jenis kelamin dan  komposisi jenis kelamin yang terlibat dalam garis keturunan serta dosis paparan. Gen yang dianggap berperan penting sebagai prediktor terjadinya gangguan perkembangan fungsi kognitif, motorik,   perilaku, dan emosi adalah  gen CCSER1 (cg02901723), gen GCNT1 (CG18515027), dan gen TRAPPC6A (cg19703494). Gen lain yang mengalami perubahan pola metilasi DNA  dan berhubungan dengan penyakit pada sistem saraf adalah Ankdd1b, Cdh24, APOA5, gen Dync1li1, GOLPH3, DNHD1, Trhde, FABP4, GPR20, dan  NINJ2. Paparan Pb periode perinatal meningkatan resiko terjadinya berbagai gangguan fungsi sistem saraf pada generasi berikutnya melalui mekanisme epigenetik khususnya metilasi DNA. Perubahan metilasi DNA pada gen tertentu dapat digunakan sebagai prediktor terjadinya gangguan perkembangan sistem saraf.  Kata Kunci: Developmental Programming, Metilasi DNA, Neurodevelopment, Perinatal, Timbal.
Analysis of Geographic Environmental Risk Factors Associated with Dengue Infection in Palembang City Muhammad Prima Cakra Randana; Irfannuddin; Nurhayati Damiri; Chairil Anwar
Bioscientist : Jurnal Ilmiah Biologi Vol. 14 No. 2 (2026): June
Publisher : Department of Biology Education, FSTT, Mandalika University of Education, Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33394/bioscientist.v14i2.20161

Abstract

This study aimed to identify the relationship between environmental factors temperature, humidity, and rainfall, and dengue infection incidence in Palembang City, with emphasis on temporal lag effects and their implications for disease surveillance and control. A quantitative descriptive study was conducted using monthly secondary data from 2021 to 2023. Time-series descriptive analysis and lag correlation methods were applied to examine both concurrent and delayed associations between the environmental variables and dengue case counts. While temperature and humidity showed no consistent concurrent association with dengue incidence, rainfall demonstrated a notable lag-1 effect, whereby increased rainfall in a given month was followed by a rise in dengue cases one month later. This temporal pattern suggests that post-rainfall accumulation of standing water may facilitate mosquito breeding and subsequently elevate transmission risk. These findings highlight the importance of incorporating temporal environmental indicators into dengue early warning systems. Integrating rainfall lag patterns into public health monitoring could support more timely and targeted prevention efforts in Palembang and comparable urban settings across Indonesia.
Exercise and Inflammatory Response: Mechanism of Interleukin-6 Expression Changes Delvy Atriani; Irfannuddin Irfannuddin; Budi Santoso
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i2.1548

Abstract

Exercise has a broad impact on health through various physiological mechanisms, one of which is through the regulation of interleukin-6 (IL-6). IL-6 is a pleiotropic cytokine that plays a role in immune responses, inflammation, and energy metabolism regulation, and is produced not only by immune cells but also by skeletal muscle as myokine during physical activity. This article aims to examine the physiological adaptations of exercise to IL-6 production and function and its relationship to energy metabolism, mitochondrial function, and inflammatory response. The research method employed was a literature review utilizing a descriptive approach. In acute exercise, muscle contraction triggers a rapid and temporary increase in IL-6 through mechanisms involving changes in calcium homeostasis, activation of AMP-activated protein kinase (AMPK) due to decreased energy reserves, oxidative stress, and epigenetic regulation. This study was conducted using a descriptive literature review approach. Relevant primary research articles and review papers were systematically identified through electronic databases, the selected literature was analyzed and synthesized to explore the mechanisms underlying exercise-induced changes in Interleukin-6 (IL-6) expression and signaling, with particular emphasis on acute and chronic exercise adaptations, energy metabolism, mitochondrial function, and inflammatory responses. The increase in IL-6 during this phase plays a role in maintaining energy homeostasis by increasing glucose transport, fatty acid oxidation, and modulating the immune response. Conversely, regular exercise induces long-term adaptations in the form of increased mitochondrial number and function, increased antioxidant capacity, and increased muscle sensitivity to IL-6 through the classical signaling pathway. These adaptations enhance IL-6 signaling efficiency, enabling metabolic and anti-inflammatory responses to be achieved with lower IL-6 production. Thus, regular exercise plays a crucial role in reducing systemic inflammation, improving energy metabolism, and supporting health and the prevention of chronic diseases.
Profil Biomarker Apolipoprotein B dan Lipid terhadap Skor SYNTAX pada Pasien Sindrom Koroner Kronik Chalik, Muhammad Novran; Sukandi, Erwin; Indrajaya, Taufik; Usnizar, Ferry; Indra, Syamsu; Saleh, Imran; Chodilawati, Rukiah; Irfannuddin, Irfannuddin
Jurnal Penyakit Dalam Indonesia
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction. Apolipoproteins are structural components of plasma lipoproteins that are involved in lipoprotein metabolism and lipid transport, reflecting the number of circulating atherogenic particles. The degree of coronary artery stenosis can be assessed by calculating the Synergy between PCI with TAXUS/paclitaxel-eluting stent and Cardiac Surgery (SYNTAX) score, which is an angiographic scoring system used to evaluate the complexity of coronary artery lesions. This study aimed to investigate the profile of apolipoprotein B and lipids, as well as their correlation with the SYNTAX score in patients with chronic coronary syndrome. Methods. An observational analytic study with a cross-sectional design was conducted from July to September 2024 in the cardiac catheterization laboratory of the Department of Internal Medicine, Mohammad Hoesin General Hospital, Palembang. A total of 69 samples were obtained using consecutive sampling. Samples that met the inclusion and exclusion criteria were analyzed using SPSS version 22. Data were presented in tables and figures. Data analysis was performed using correlation tests with a significance level of p < 0.05. This study received ethical approval from the Ethics Committee of Dr. Mohammad Hoesin General Hospital, Palembang. Results. Among the 34 analyzed subjects, the mean total cholesterol, LDL cholesterol, and apolipoprotein B levels were 175.88 (SD 36.01) mg/dL, 123.59 (SD 35.54) mg/dL, and 141.41 (SD 25.06) mg/dL, respectively. HDL cholesterol and triglyceride levels were not normally distributed and were therefore expressed as medians (range): 42 (29–80) mg/dL and 89 (40–289) mg/dL, respectively. The mean SYNTAX score was 24.09 (SD 2.69). Overall, 20.59% of subjects had a SYNTAX score Conclusions. Patients with chronic coronary syndrome demonstrated elevated apolipoprotein B levels and high SYNTAX scores. Higher apolipoprotein B levels were independently and positively associated with the SYNTAX score. Further studies are needed to investigate additional factors influencing apolipoprotein B levels, lipid profiles, and the SYNTAX score.
Integration of Molecular Factors Influencing VCAM-1 Expression in Vascular Inflammation and Atherosclerosis: A Systematic Review of In Vitro Studies Asini, Nur; Indrajaya, Taufik; Irfannuddin, Irfannuddin; Putri, Siti Sarahdeaz Fazzaura
Jurnal Kedokteran Brawijaya Vol. 34 No. 2 (2026)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2026.034.02.12

Abstract

Vascular Cell Adhesion Molecule-1 (VCAM-1) is a vascular adhesion molecule that plays a crucial role in vascular inflammation, endothelial dysfunction, and the development of atherosclerosis. Increased VCAM-1 expression occurs in response to various inflammatory stimuli and cellular stressors that involve the activation of specific molecular signaling pathways. Various factors such as chronic inflammation, oxidative stress, activation of the Nuclear Factor-kappa B (NF-κB) pathway, the Janus Kinase-Signal Transducer and Activator of Transcription (JAK-STAT) pathway, obesity, leptin resistance, genetic factors, and changes in vascular hemodynamics are known to contribute to increased VCAM-1 expression. This study aims to analyze various factors that influence VCAM-1 changes molecularly using a narrative review method. Article searches were conducted through the PubMed, Scopus, and Google Scholar databases using the keywords "VCAM-1", "NF-κB", "oxidative stress", "LEPR", "leptin resistance", "endothelial dysfunction", and "atherosclerosis". The articles used were published between 2020 and 2026, relevant to the research topic, and available in full text. The review results indicate that NF-κB activation is the primary mechanism of VCAM-1 elevation triggered by pro-inflammatory cytokines, increased reactive oxygen species (ROS), leptin resistance, and LEPR activation via the JAK-STAT pathway. Furthermore, genetic factors such as LEPR polymorphisms and epigenetic mechanisms also contribute to increased vascular inflammation and VCAM-1 expression. Thus, VCAM-1 has great potential as a biomarker of vascular inflammation and a therapeutic target in cardiovascular disease, particularly atherosclerosis.
Co-Authors Ahmad Junaidi Ahmadi Ahmadi Aini, Lela Aldes Lesbani Aldiar Ali Ghanie Alifia Salsabila Amallia, RA Hoetary Tirta Andi Miarta Andi Saputra Andi Saputra Andika Okparasta Andini Agustina Anggraeni Janar Wulan Anggraini, Wieke Ardesy Melizah Kurniati Arwan Bin Laeto Athiah, Medina Budi Santoso Chairil Anwar Chalik, Muhammad Novran Citra Maharani Dahlan, Kemas Daniel Saputra Delvy Atriani Dewi Susan Diansari, Yunni Dwi Budi Santoso Eddy Ibrahim Eddy Mart Salim, Eddy Mart Eka Febri Zulissetiana Eka Febri Zulissetiana Elsafani Faddiasya Erni Desmita Erwin Sukandi Erwin Sukandi Esa Indah Ayu, Esa Indah Fachmi Idris Fatmawati Fatmawati Febian Aji Wicaksono FERLY OKTRIYEDI Ferry Usnizar Ferry Usnizar, Ferry Fredi Heru Irwanto Geo Vanda Ghina Kartika Handayani, Sri Hanna Marsinta Harahap, Huntari Hestiningsih, Tyas Husodo, Reyki Yudho Iche Andriyani Liberty, Iche Andriyani INDRA FRANA JAYA KK Indra, Syamsu Indrajaya, Taufik Indriyani Indriyani Jayawarsa, A.A. Ketut Karmila, Ariesti Kemas Dahlan Koibuchi, Noriyuki Krisna Murti Kusuma, Singgih Legiran Legiran Lela aini Lestari, Ajeng dwinta Lilik Pranata M. Hatta Dahlan M. Hatta Dahlan Mailan Alexander Mariana Mariana marisdina, selly Masagus Irsan Saleh Masayu Rita Dewi Masayu Rita Dewi Maya, Rachel Mega Gemala Miftahurrahmah Miftahurrahmah, Miftahurrahmah Minerva Riani Kadir Mohammad Zulkarnain Monica, Ricca Muhammad Hatta Dahlan Muhammad Irsan Saleh Muhammad Prima Cakra Randana Mukhlisa Muradi, Akhmadu Nadia Mutiara Ngudiantoro . Nur Arfian Nur Asini Nurhayati Damiri Nursiah Nasution Nursiah Nasution Nursiah Nasution, Nursiah Nurwany, Raissa Oktarizal, Hengky Pahrul, Dedi Patiyus Agustiansyah Poedji Loekitowati Hariani Pudi Handayani Putri Erlyn R.Kintoko Rochadi Rachel Maya Raden Muhammad Indra Radi Noorsyawal Radiyati Umi Partan Rini Nindela Rini Yana Risa Vera, Risa Rizal Sanif Roni Saputra Rukiah Chodilawati Sadakata Sinulingga Safri Dhaini Safyudin Saleh, Imran Santoso, Budi Shanty Chairani Sintiya Halisya Pebriani Siti Nurmaini Siti Rusdiana Puspa Dewi Siti Sarahdeaz Fazzaura Putri Subandrate Suheryanto Sukandi, Erwin Suprapti Suprapti Susanty, Tri Susilawati Susilawati Swanny Swanny, Swanny Syahputri, Rizka Aprillia Syarif Darwin Tanzila, R.A Tanzila, Raden Ayu Taufik Indrajaya Taufik Indrajaya Tri Suciati Trijoso Permono Trinovita Andraini Yenny Febriany Yuanita Windusari Yudhie Tanta Yudianita Kesuma, Yudianita Yunita Fediani Yunita Fediani Yunita Panca Putri, Yunita Yusuf Effendi Yususf, Fahmi Jaka Zaky Hasan Zulkarnain, Mohammad Zulkhair Ali Zulkifli