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Ihda Dian Kusuma
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Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Minyak Cengkeh (Syzygium aromaticum) Menginduksi Apoptosis pada Sel Kanker Servik HeLa melalui Peningkatan Kadar Protein p53 Permatasari, Happy Kurnia; Kusuma, Ihda Dian; Mayangsari, Elly
Jurnal Kedokteran Brawijaya Vol 30, No 3 (2019)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2019.030.03.4

Abstract

Kanker serviks merupakan kanker yang paling sering dijumpai pada wanita setelah kanker payudara. Kanker ini terkait dengan infeksi persisten virus yaitu Human Papillomovirus (HPV). Virus ini mengekspresikan protein onkogenik virus yaitu protein E6 dan E7 yang terkait dengan proses karsinogenesis. Salah satu mekanisme onkogenik virus ini adalah pengikatan protein p53 yang menginduksi degradasi oleh protein E6, mengakibatkan efek anti-apoptosis dan proliferasi sel secara terus menerus. Minyak cengkeh yang mengandung senyawa aktif eugenol telah dilaporkan memiliki efek anti kanker pada beberapa kanker. Namun, mekanisme minyak cengkeh yang terkait dengan penghambatan kanker servik masih belum jelas. Penelitian ini, untuk mengkaji efek minyak cengkeh dari Syzygium aromaticum dalam efek pro-apoptosis sel kanker servik HeLa terkait dengan kadar protein p53. Tingkat apoptosis diamati dengan pewarnaan dengan Annexin-V dan PI dan dilakukan dengan metode flow-cytometry. Dilakukan pengecatan immunohistokima untuk melihat ekspresi caspase-3 aktif untuk mengonfirmasi sel yang apoptosis, sedangkan kadar protein p53 dievaluasi dari lisat sel menggunakan ELISA protein p53. Hasil studi menunjukkan bahwa minyak cengkeh memiliki efek pro-apoptosis, berkaitan dengan kadar protein p53, pada sel kanker serviks secara in vitro.
Laporan Kasus: Multiple Myeloma Non Sekretorik Kusuma, Ihda Dian; Norahmawati, Eviana
Jurnal Kedokteran Brawijaya Vol 28, No 2 (2014)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (667.153 KB) | DOI: 10.21776/ub.jkb.2014.028.02.19

Abstract

Multiple Myeloma (MM) adalah keganasan sel plasma yang termasuk golongan Malignant Small Round Cell Tumor ditandai oleh ekspansi immunoglobulin monoklonal dan akumulasi abnormal sel plasma di dalam kompartemen sum-sum tulang. Kami laporkan kasus MM non sekretorik yang jarang ditemui yaitu pasien laki-laki 54 tahun yang datang dengan keluhan benjolan pada paha kiri dan benjolan pada bahu kanan dengan hipogammaglobulinemia dan protein Bence Jones negatif. Hasil pemeriksaan klinis, radiologi, dan biopsi menunjukkan hasil sesuai MM dengan diagnosis banding  metastase karsinoma dan Non Hodgkin's Lymphoma. Hasil pulasan immunohistokimia CD 20 (-), sitokeratin () dan LCA (-) menyingkirkan diagnosis banding dan dikonfirmasi dengan hasil biopsi sumsum tulang yaitu suatu plasmasitomatosis. Pasien didiagnosis dengan multiple myeloma non sekretorik. Dari kasus ini dapat disimpulkan bahwa pemeriksaan klinis dan penunjang sangat diperlukan untuk menegakkan diagnosis MM non sekretorik dengan tepat dan kombinasi beberapa pemeriksaan immunohistokimia dapat membantu penegakan diagnosa.Kata Kunci: Hipogammaglobulinemia, Multiple Myeloma non sekretorik
PROFIL KLINIKOPATOLOGI KARSINOMA NASOFARING DI RUMAH SAKIT UMUM DAERAH (RSUD) DR.SAIFUL ANWAR MALANG TAHUN 2018-2020 Kusuma, Ihda Dian; Retnani, Diah Prabawati; Yudhanto, Hendy Setyo
Majalah Kesehatan FKUB Vol 8, No 3 (2021): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.majalahkesehatan.2021.008.03.5

Abstract

Kanker nasofaring adalah tumor ganas dari sel-sel epitel yang melapisi nasofaring. Pada tahun 2020, kanker nasofaring menempati urutan ke-5 di dunia. Tujuan penelitian ini adalah untuk mengetahui profil klinikopatologi kasus karsinoma nasofaring di RSUD Dr. Saiful Anwar dari tahun 2018 hingga 2020.  Penelitian ini adalah penelitian deskriptif analitik dengan pendekatan cross sectional untuk mengetahui jumlah kasus karsinoma nasofaring di RSUD Dr. Saiful Anwar dari tahun 2018 hingga 2020. Data yang dikumpulkan berupa spesimen biopsi kanker nasofaring dari laboratorium patologi anatomi meliputi jenis kelamin, umur, dan tipe histopatologi. Terdapat 557 kasus dari biopsi organ nasofaring yang terdiri dari 282 kasus ganas, 21 kasus suspek ganas, dan 216 kasus non-ganas. Kasus keganasan nasofaring pada laki-laki sebesar 69,86%. Jumlah kasus tertinggi terdapat pada rentang usia lebih dari 50 tahun. Tipe histopatologi yang paling banyak adalah karsinoma tidak berdiferensiasi (undifferentiated carcinoma) sebanyak 244 kasus.  Dapat disimpulkan bahwa kasus karsinoma nasofaring masih cukup tinggi di RSUD Dr. Saiful Anwar Malang dengan profil klinikopatologi yaitu mayoritas pasiennya adalah laki-laki, usia tua, dengan tipe histopatologi karsinoma tidak berdiferensiasi. 
EFEK PEMBERIAN THYMOQUINONE TERHADAP JUMLAH SEL MAKROFAG PADA PARU TIKUS YANG DIINFEKSI BAKTERI Mycobacterium tuberculosis Angelina, Aina; Iskandar, Agustin; Rambe, Annisa Fadhila Aurelia; Kusuma, Ihda Dian; Dewi, Rose Khasana; Olivianto, Ery
Majalah Kesehatan Vol. 11 No. 3 (2024): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2024.011.03.1

Abstract

Penyakit tuberkulosis merupakan salah satu penyebab kematian terbanyak di dunia. Hal ini karena  banyaknya kasus resistensi OAT. Imunomodulator dapat meningkatan sistem imun dan membantu pengobatan tuberkulosis. Thymoquinone adalah salah satu komponen aktif dari jintan hitam yang dapat digunakan sebagai imunomodulator. Penelitian ini bertujuan mengetahui efek thymoquinone terhadap jumlah sel makrofag pada paru tikus (Rattus norvegicus) model tuberkulosis yang diamati secara mikroskopis. Tikus dibagi menjadi sepuluh kelompok yaitu lima kelompok perlakuan 14 hari dan lima kelompok perlakuan 21 hari. Tikus diinokulasi oleh bakteri Mycobacterium tuberculosis  secara intra-trakeal. Thymoquinone diberikan per oral pada kelompok perlakuan dengan tiga dosis berbeda (25 µg/kgBB, 50 µg/kgBB, dan 75 µg/kgBB).  Pengamatan jumlah sel makrofag dilakukan dengan pulasan imunohistokimia menggunakan antibodi CD68. Hasil penelitian ini menunjukkan bahwa pemberian thymoquinone pada dosis 50 µg/kgBB dapat meningkatkan jumlah sel makrofag pada paru tikus model TB. Hasil analisis oneway ANOVA menunjukkan perbedaan signifikan pada kelompok perlakuan 21 hari (p =  0,007;α < 0,05) sedangkan pada kelompok perlakuan 14 hari tidak didapatkan perbedaan signifikan. Kesimpulan penelitian ini ialah pemberian thymoquinone selama 21 hari dapat meningkatkan jumlah sel makrofag pada paru tikus yang diinokulasi bakteri Mycobacterium tuberculosis.
The Effect of Sub-Acute Inhalation Exposure to Polyethylene Micro-Nano Plastics on the Histopathological Features of the Mammary Glands in Female Wistar White Rats (Rattus Norvegicus) Kusuma, Ihda Dian; Janasti, Laksmitha; Sari, Riana Trinovita; Nanda, Britania Laila; Sulistomo, Hikmawan Wahyu; Nurdiana, Nurdiana
JURNAL INFO KESEHATAN Vol 22 No 2 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss2.1534

Abstract

Most household appliances are made of plastic derived from synthetic petroleum and result from polymerization processes. One type of plastic is Polyethylene (PE). Polyethylene (PE) contains antimony trioxide compounds that are carcinogenic if ingested in excessive amounts, triggering cancer and oxidative stress. This effect can be assessed by measuring malondialdehyde (MDA) levels in the body. This study aims to determine the proliferation of abnormal cells in the lactiferous ducts and mammary gland acini, as well as the increase in MDA levels. The research method used is a true experimental design with a Randomized Post Test Only Group Design. This study used the mammary organs and blood of female white rats exposed to PE for 28 days. The number of samples used in this study was 12 female white rats. The results showed significant differences in the mammary glands' histopathological features and MDA levels. Based on the Independent T-Test results on the number of cell layers in the lactiferous ducts, acini, and the number of acini (p<0.05) and the Mann-Whitney test on MDA levels (p<0.05). Significant changes in the histopathological features and MDA levels were observed in the mammary glands exposed to polyethylene (PE) plastic. Exposure to micro-nano plastics of PE type at a dose of 15 mg/m3 for 28 days differed significantly in the MDA levels of mammary glands, histopathological picture of mammary glands at cell proliferation events, both in the lactiferous ducts and acini cells. In addition, exposure to PE plastic has the potential to cause health problems in the breast organs if exposed for a long time and in excess doses.
Evaluation of Hematotoxicity in Female Wistar Rats Following Sub-Acute Inhalation Exposure to Polyethylene Microplastic Sulistomo, Hikmawan Wahyu; Setyowati, Anisa; Situmorang, Melani Chysti; Sulistiani, Ita; Wardani, Dewi Azar Nuria; Gusti, Kharisma Ciptaning; Nurdiana, Nurdiana; Kusuma, Ihda Dian; Rahardjo, Bambang; Reksohusodo, Subandi
JURNAL INFO KESEHATAN Vol 22 No 2 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss2.1585

Abstract

Polyethylene (PE) becomes a source of microplastics that can be widely distributed through the digestive and respiratory systems. However, its effects on blood cells are still being investigated. This study aims to analyze the impact of Polyethylene Microplastic (PE-MPs) exposure on the blood of female rats, including erythrocytes, leukocytes, and platelets. This study used female Wistar rats, which were divided into control and PE-MP groups. PE-MP was administered via whole-body inhalation at a concentration of 15 mg/m³ for 4 hours daily for 28 days. The absorption of plastic particles detected in the human bloodstream is likely to occur through mucosal contact (either through ingestion or inhalation). After the exposure period, the rats were euthanized to collect blood samples through the heart. A complete blood count was performed using an automatic hematology analyzer, and blood morphology was analyzed using thin blood smears. This study used the Mann-Whitney test. PE-MP exposure increased erythrocyte and platelet counts without a corresponding rise in leukocytes. Erythrocytes showed abnormal morphology (12.73% with ovalocytes and tear-shaped cells). Erythrocyte indices (MCV, MCH, MCHC) showed no significant differences. Platelet count rose by 1.7% (p-value= 0.017). Leukocyte and neutrophil counts were lower (0.84 and 0.94 times lower, respectively), while lymphocytes and monocytes were higher (1.03 and 1.61 times higher, respectively) in the PE-MP group compared to controls. The neutrophil-to-lymphocyte ratio did not differ significantly. PE-MP exposure in rats disrupts blood parameters, altering erythrocyte morphology and increasing platelet counts. Potential causes include oxidative stress, immune responses, and compensatory mechanisms. Study limitations include a small sample size and exclusive focus on inhalation exposure. Integrating multiple exposure routes (inhalation, ingestion, dermal) could offer a broader view of microplastic impacts. Future research with larger samples, diverse doses and durations, and exploration of additional markers or organ-specific effects is crucial for understanding PE-MP toxicity in real-world scenarios.               
The Effect of Sub-Acute Inhalation Exposure to Polyethylene and Polyvinyl Chloride Micro-Nano Plastics on the Superoxide Dismutase (SOD) Level and Malondialdehyde (MDA) Level in Rat Ovary Sulistomo, Hikmawan Wahyu; Janasti, Laksmitha; Sari, Riana Trinovita; Kusworini, Kusworini; Ratnaningrum, Safrina Dewi; Kusuma, Ihda Dian; Nurdiana, Nurdiana
JURNAL INFO KESEHATAN Vol 22 No 3 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss3.1612

Abstract

Plastic is a synthetic or semi-synthetic organic polymer widely used in daily life and industrial production. Microplastics are widespread contaminants and can enter the human body by consuming foods containing microplastics, inhaling microplastics in the air, and making skin contact with microplastic particles in products. Microplastics can enter the ovaries as foreign bodies and can cause inflammation, oxidative stress, and even ovarian granulosa cell death. Polyethylene plastic shards generally have a higher ability to absorb environmental toxins than other types of plastic. Polyvinyl chloride (PVC) is one of the oldest thermoplastic polymers that is often used as water pipes. PVC has carcinogenic monomers and some harmful additives. This study aims to determine the effect of subacute exposure to micro-nanoplastics per inhalation on SOD and MDA levels in rat ovaries. The research method used is a true experimental design with a Randomize Post Test Only Group Design research design. This study used the ovarian organs of female white rats exposed to PVC and PE for 28 days. The number of samples used in this study amounted to 18 female rats. Subacute exposure to micro-nanoplastics per inhalation can lower SOD levels and significantly increase MDA levels in rat ovaries. This study is expected to provide knowledge and an overview for future research on the mechanism of toxicity of micro-nanoplastic exposure that has an impact on female infertility through free radicals in the ovaries.                   
Co-Authors Agustin Iskandar Aina Angelina Bambang Rahardjo Dewi, Rose Khasana Ery Olivianto Eviana Norahmawati Gusti, Kharisma Ciptaning Happy Kurnia Permatasari Janasti, Laksmitha Kusworini Handono Mayangsari, Elly Nanda, Britania Laila Nurdiana Nurdiana Rambe, Annisa Fadhila Aurelia Retnani, Diah Prabawati Safrina Dewi Ratnaningrum, Safrina Dewi Sari, Riana Trinovita Setyowati, Anisa Situmorang, Melani Chysti Subandi Subandi Sulistiani, Ita Sulistomo, Hikmawan Wahyu Wardani, Dewi Azar Nuria Yudhanto, Hendy Setyo