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All Journal Jurnal Gizi dan Pangan Jurnal Media Gizi Indonesia (MGI) MNJ (Malang Neurology Journal) The Indonesian Biomedical Journal Jurnal Gizi dan Kesehatan Universa Medicina Paediatrica Indonesiana Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya Ilmu Gizi Indonesia Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) Indonesian Journal of Medicine Jurnal Aisyah : Jurnal Ilmu Kesehatan Nusantara Science and Technology Proceedings PROFESI (Profesional Islam): Media Publikasi Penelitian INPHARNMED Journal (Indonesian Pharmacy and Natural Medicine Journal) Narra J Journal of Multidisciplinary Applied Natural Science JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Indonesian Journal of Cancer Prosiding University Research Colloquium The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy Journal of Advanced Technology and Multidiscipline (JATM)

Brian Wasita

Fakultas Kedokteran, Universitas Sebelas Maret

Author-ID : 413227

Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Dentistry Economics, Econometrics & Finance Electrical & Electronics Engineering Energy Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Veterinary Other

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A 57-year-old woman with chronic hepatitis B and left hepatic nodularity unmasking intrahepatic hilar adenocarcinoma: A diagnostic case report Pramana, Triyanta Yuli; Gunawan, Timotheus A.; Prasetyo, Didik; Darmayani, Aritantri; Jati, Agus; Wasita, Brian
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 16, No 2, (2025)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol16.Iss2.art16

Metastatic breast cancer involving the biliary tract is a rare case with an incidence rate of 1.49 per 100.000 persons. Chronic hepatitis B virus (HBV) infection is associated with tumor development and migration and promotes metastasis. While hepatocellular carcinoma is the most common primary liver cancer, cholangiocarcinoma is a rarer malignancy originating from epithelial cells in various parts of the bile ducts. Intraluminal adenocarcinoma of the common hepatic duct (CHD) is an exceptionally uncommon hepatic tumor. We reported that a 57-year-old female has been complaining of abdominal pain on the upper right side for 1 year, accompanied by nausea and icterus. The patient had a history of breast cancer in 1995 and chronic hepatitis B for 20 years on Tenovofir 1x300 mg. No abnormalities were found on physical examination. However, Magnetic Resonance Cholangiopancreatography (MRCP) revealed bilateral dilatation of the intrahepatic bile duct (IHBD), common hepatic duct (CHD), ductus cysticus, and common bile duct (CBD) distal to proximal, suggesting an intraluminal mass likely due to a tumor. A plastic stent was then placed, which reduced the lesion size. Immunohistochemistry (IHC) test confirmed adenocarcinoma, in which CK-7 and mammaglobin were positive, indicating metastatic breast cancer.. A thoracic MSCT revealed multiple lytic lesions in the T1, T7, T9–T12, and L2–L3 vertebral bodies. The patient was diagnosed with intraluminal adenocarcinoma of the CHD, representing metastatic Stage I triple-negative breast cancer with biliary, pulmonary, and osseous involvement, along with chronic hepatitis B. The chemotherapy regimen included carboplatin 370 mg and paclitaxel 260 mg, continued with Taceral 500 mg 2x3 in two weeks and Zometa every 6 weeks. Post-chemotherapy MRCP evaluation showed a solid intraluminal liver lobe lesion with partial obstruction. Metastatic adenocarcinoma of the CHD caused by breast cancer is a highly unusual clinical problem. In such cases, IHC plays a vital role in identifying the primary tumor site.

Clinical Manifestations and Behavior Changes in Rats Treated with Jamaican Cherries Extract (Muntingia calabura) Afdhaliya, Noor Khalwati; Indarto, Dono; Wasita, Brian
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Iron deficiency anemia (IDA) in female adolescents is one of the health problems, which occupied 8th position as a cause of global disability and is the main cause of anemia in reproductive women. Iron tablet supplementation is the government program to reduce IDA prevalence in Indonesia but often results in gastrointestinal side effects. Jamaican cherries fruits contain vitamin C, iron and flavonoids, which play essential roles in iron metabolism. This study aimed to investigate the effects of Jamaican cherries fruits ethanol extract on clinical manifestations and behavior changes in female Wistar rats. This randomized controlled trial with pre-posttest control group design used 24 female Wistar rats, aged 10 -12 weeks and were randomly divided into 6 groups: N, positive control (PC: AIN-93M low iron food + elemental iron) and treatments (T1-4: AIN-93M low iron food + 0.26, 0.35, 0,5 or 0.75g/ 100g Body Weight (BW) Jamaican cherries fruits extract respectively for 28 days). Clinical manifestations, reflexes and behavior changes were observed at day 0, 14 and 28 interventions. BW data were analyzed using one way ANOVA and repeated measures ANOVA tests. All rats had normal reflexes and did not show clinical manifestations and behavior changes. The average of rat BW in T1-4 groups did not significantly differ before (p=0.896), during (p=0.884) and after treatment (p=0.775) but the average of rat BW in the T1 group increased significantly (p=0.012). In conclusion, administering Jamaican cherries fruits ethanol extracts up to 0.75g/100g BW has no toxic effects in female Wistar rats. Abstrak: Anemia defisiensi besi (ADB) pada remaja putri merupakan salah satu masalah kesehatan yang menempati posisi ke-8 sebagai penyebab disabilitas tingkat global dan penyebab utama anemia pada ibu hamil. Suplementasi tablet besi merupakan program pemerintah untuk mengurangi prevalensi ADB di Indonesia tetapi sering menimbulkan efek samping di saluran percernaan. Buah kersen mengandung vitamin C, zat besi dan flavonoids yang berperan penting dalam metabolisme besi. Penelitian ini bertujuan untuk mengetahui pengaruh ekstrak buah kersen terhadap manifestasi klinis dan perubahan perilaku tikus Wistar betina. Penelitian randomized controlled trial ini dengan pre-posttest control group design dengan menggunakan 24 ekor tikus Wistar betina umur 10 -12 minggu dan dibagi secara acak menjadi 6 kelompok: normal, kontrol posistif (KP) dan perlakuan (P1-4). Tikus di KP diberi pakan AIN-93M dengan besi rendah + besi elemental sedangkan P1-4 diberi pakan yang sama ditambah 0.26, 0.35g, 0,5g atau 0.75g/100g berat badan (BB) secara berturut-turut ekstrak buah kersen selama 28 hari. Manifestasi klinis, reflek dan perubahan perilaku tikus diamati pada hari ke-0, 14 dan 28. Data BB dianalisis menggunakan uji one way ANOVA dan uji repeated measures ANOVA. Semua tikus memiliki reflek yang normal dan tidak menunjukkan manifestasi klinis dan perubahan perilaku. Rerata BB tikus pada P1-4 tidak berbeda signifikan sebelum (p=0,896), selama (p=0,884), maupun setelah perlakuan (p=0,775) tetapi rerata BB tikus P1 meningkat secara signifikan (p=0,012). Kesimpulan, pemberian ekstrak buah kersen hingga 0,75g/100g BB tidak menyebabkan toksisistas tikus Wistar betina.

Effects of Ambon Banana Juice on Glucose Levels and Lipid Profile in Diabetic Rats Herviana, Herviana; Indarto, Dono; Wasita, Brian
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Consumption of fruit juice is an alternative for diabetic patients who cannot consume fresh. Banana is one of the recommended fruits for diabetic patients because it has flavonoid content. This study aims to evaluate the effect of Ambon banana juice on fasting blood glucose (FBG), triglycerides, and total cholesterol levels in diabetic Wistar rats. The type of research is an experimental laboratory study with a pre-posttest design. The research sample was 21 male Wistar rats divided into 3 groups, T1 (control), T2 (10% fructose), and T3 (4 ml of Ambon banana juice) which were administered for 21 days. The FBG, triglycerides, and total cholesterol levels were examined using the colourimetric enzymatic method. The data were analyzed using one-way ANOVA, and post hoc tests. Ambon banana juice can improve FBG levels compared to control (p less than 0.01). Ambon banana juice can increase triglyceride levels but is significantly different from T2 (p less than 0.01). Ambon banana juice did not significantly increase total cholesterol levels compared to T2 (p less than 0.01). In conclusion, Ambon banana juice was demonstrated to decrease FBG and did not increase triglyceride and total cholesterol levels.Konsumsi jus buah merupakan alternatif bagi penderita diabetes yang tidak dapat mengkonsumsi buah segar. Pisang termasuk jenis buah yang direkomendasikan penderita diabetes, karena memiliki senyawa flavonoid. Tujuan penelitian ini untuk mengevaluasi efek jus pisang Ambon terhadap glukosa darah puasa (GDP), kadar trigliserida dan kolesterol total pada tikus diabetes. Jenis penelitian yaitu eksperimental laboratorik dengan desain pre-post test. Sampel penelitian berjumlah 21 ekor wistar jantan yang dibagi dalam 3 kelompok, T1 (kontrol), T2 (10% fruktosa), dan T3 (4ml jus pisang Ambon) yang diberikan selama 21 hari. Kadar GDP, trigliserida dan kolesterol total diukur menggunakan metode kolorimetri enzimatik. Data dianalisis menggunakan one-way ANOVA dan tes post hoc. Jus pisang ambon dapat membantu menurunkan kadar GDP dibanding kontrol (p kurang dari 0,01). Jus pisang Ambon dapat meningkatkan kadar trigliserida tetapi signifikan berbeda dibanding T2 (p kurang dari 0,01). Jus pisang ambon tidak signifikan meningkatkan kadar kolesterol total dibanding T2 (p kurang dari 0,01). Oleh karena itu, jus pisang ambon dapat membantu menurunkan kadar GDP dan tidak meningkatkan kadar trigliserida dan kolesterol total.

Propolis effectiveness on the reduction of blood glucose level and improvement of body weight in diabetic model's rat Meida, Nur Shani; Purwanto, Bambang; Wasita, Brian; Indrakila, Senyum; Soetrisno, Soetrisno
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 8 No 01 (2024): Qanun Medika Vol 08 No 01 January 2024
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v8i01.18617

Propolis is an herbal medicinal plant that contains caffeic acid phenethyl ester. This natural polyphenol compound acts as an antioxidant and can reduce blood glucose levels and increase body weight. This study aims to determine the effectiveness of Gunung Lawu propolis in lowering blood glucose levels and increasing body weight in diabetic rats. The Wistar rats were induced with STZ 45 mg/kg BW and nicotinamide 110 mg/kg BW as diabetic model rats. Research subjects were taken randomly and divided into five groups: (1) Normal, (2) DM with no propolis, (3) DM 14 days + propolis 100 mg/kg BW/day (P1), (4) DM 14 days + Propolis 200 mg/kg BW/day (P2), and (5) DM 0 day + Propolis 200 mg/kg BW/day (P3). Propolis extract was given orally once a day for 14 consecutive days (in groups 3 and 4) and 28 consecutive days (in group 5). Blood glucose levels in the treatment group (P1, P2, and P3) decreased significantly (P1: 115.28 ± 4.7 mg/dL; P2: 98.36 ± 4.8 mg/dL; and P3: 87.36 ± 4, 2 mg/dL) compared with that in the DM group (272.07 ± 3.9 mg/dL). The body weight of the treatment group (P1, P2, and P3) increased significantly (P1: 180.60 ± 5.7 g; P2: 180.60 ± 4.2 g; and P3: 208.00 ± 5.1 gr) compared with that in the DM group (160.00 ± 3.2 gr). In conclusion, Propolis is effective in reducing blood glucose levels and improving (increasing) body weight in diabetic model rats.

Pengaruh Penyimpanan Nasi Gelatinsasi Terhadap Berat Badan dan Asam Propianat Pada Obesitas Harsono, Tri; Indarto, Dono; Wasita, Brian
Prosiding University Research Colloquium Proceeding of The 11th University Research Colloquium 2020: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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

Latar Belakang. Obesitas merupakan masalah baik di negara maju maupun negara berkembang dan selalu meningkat prevalensinya setiap tahun. Dampak obesitas berkaitan erat dengan penyakit metabolisme dan kardiovaskuler. Nasi gelatinisasi yang disimpan panas dan dingin menyebabkan retrogradasi dan oksidasi karbohidrat sehingga dapat meningkatkan jumlah pati resisten dan menurunkan IG (Indeks Glikemik) serta terbentuknya asam lemak rantai pendek (asetat, propianat, butirat). Pati resisten berperan dalam menurunkan kadar glukosa darah, sedangkan asam propianat berperan dalam sekresi hormon glucagon, GLP-1 dan PYY sehingga menekan nafsu makan dan menurunkan berat badan. Tujuan. Menganalisis pengaruh metode dan lama penyimpanan nasi gelatinisasi terhadap berat badan dan asam propianat pada obesitas. Metode. Desain penelitian adalah eksperimental pre-post controlled grup design dengan 65 responden obesitas dibagi dalam 5 kelompok perlakuan secara acak (Kontrol, P1, P2, P3, dan P4). Instrumen penelitian pengukuran komposisi tubuh dengan BIA (Biompedence Analysis) pre-post test, kadar asam propianat dengan VPA-GCMS (Volatil Fatty Acid - Gas Cromatography Mass Spectrometry) post test, dan food recall. Analisa statistik dengan Saphiro Wilk dan Paired t test atau Wilcoxon. Hasil. Metode dan lama penyimpanan nasi gelatinisasi berbeda nyata terhadap berat badan (p = 0,007 < 0,05) pada penyimpanan dingin 4 0C selama 48 jam (P4), sedangkan kadar asam propianat signifikan pada perlakuan (P4) yaitu (p = 0,000 < 0,05) sebanyak 0,26 mMol. Kesimpulan. Nasi gelatinisasi yang disimpan dingin pada suhu 4 0C (refrigerator) selama 48 jam dapat menurunkan berat badan dan meningkatkan asam propianat.

Retinoblastoma tumor suppressor protein is not a risk factor for the location of condyloma acuminatum among adults Primisawitri, Pratiwi Prasetya; Mulianto, ⁠Nurrachmat; Ellistasari, Endra Yustin; Poncorini, Eti; Kariosentono, ⁠⁠Harijono; Widhiati, Suci; Wasita, Brian; Setyawan, Novan Adi; Yudhistira, Muhammad Yurizar
Universa Medicina Vol. 44 No. 3 (2025)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2025.v44.343-349

BackgroundCondylomata acuminata (CA) are sexually transmitted infections primarily caused by low-risk HPV types 6 and 11. Retinoblastoma protein (pRb) interacts with HPV oncoproteins, leading to destabilization, genomic instability, and carcinogenesis. This study aimed to determine whether variations in pRb expression and sexual orientation are risk factors of the anatomical location of CA lesions and to compare differences in pRb expression by sexual orientation. MethodsA cross-sectional study was conducted among 33 patients aged >18 years with clinically and histopathologically confirmed CA. Demographic data, pRb expression assessed via excision biopsy and immunohistochemistry, and relevant risk factors were collected. Statistical analyses including Simple and multiple binary logistic regression were used to analyze the data, with model fit assessed using the Hosmer–Lemeshow test. ResultsWeak pRb expression predominated in anal lesions (92.3%; p=0.018) and among homosexual/bisexual individuals (57.9%; p=0.031), while moderate expression was more common in genital lesions (66.7%; p=0.018) and heterosexual individuals (57.1%; p=0.011). Simple logistic regression analysis showed that HIV status (OR=11.88; p=0.025), sexual orientation (OR=13.33; p=0.001), and moderate-to-strong pRb expression (OR=24.00; p=0.008; OR=12.00; p=0.048) were associated with lesion location. In the multivariate model, pRb expression was excluded due to multicollinearity. Sexual orientation remained the only independent predictor of lesion location (Adj OR=8.89; p=0.023), with heterosexual individuals more likely to present with genital lesions. ConclusionThe expression of pRb was not a risk factor of the anatomical location of CA, and differed between genital and anal CA. However, sexual orientation emerged as the dominant independent factor associated with lesion location.

PERUBAHAN BERAT BADAN TIKUS AKIBAT INJEKSI HOMOSISTEIN SEBAGAI MODEL HEWAN PENYAKIT ALZHEIMER Rizma, Amalina; Wasita, Brian; Probandari, Ari
INPHARNMED Journal (Indonesian Pharmacy and Natural Medicine Journal) Vol. 5 No. 1 (2021)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/inpharnmed.v5i1.1630

Homosistein merupakan salah satu senyawa yang digunakan untuk menginduksi penyakit alzheimer pada tikus. Kadar homosistein yang tinggi memicu stress oksidatif, peradangan saraf dan pembentukan amiloid-beta pada otak. Hal ini dapat mempengaruhi fungsi otak yang terlibat dalam pengaturan nafsu makan sehingga dapat mengakibatkan penurunan berat badan. Penelitian ini bertujuan untuk menganalisis perubahan berat badan tikus yang diinjeksi homosistein selama 7 hari, 14 hari dan 21 hari. Sebanyak 9 ekor tikus galur Sprague dawley usia 8-12 minggu dengan berat 150-200gram dibagi menjadi 3 kelompok. Kelompok I, II dan III diinjeksi homosistein masing-masing selama 7, 14 dan 21 hari. Berat badan tikus ditimbang sebelum perlakuan, hari ke-7, hari ke-14 dan hari ke-21 setelah pemberian homosistein. Analisis data menggunakan uji paired t-test dan one-way Anova. Rata-rata berat badan tikus kelompok I, II dan III mengalami peningkatan masing-masing sebesar 3,33±1,15 gram; 5,00±2,00 gram; dan 2,33±3,51 gram. Hasil analisis statistik menunjukkan bahwa terdapat perbedaan berat badan yang signifikan antara sebelum dan sesudah injeksi homosistein selama 7 hari pada kelompok I (p=0,038) dan 14 hari pada kelompok II (p=0,049), sedangkan berat badan tikus pada kelompok III tidak mengalami perubahan yang signifikan (p=0,369). Tidak ada perbedaan berat badan yang signifikan antara kelompok I, II dan III setelah injeksi homosistein (p=0,182). Berat badan tikus model alzheimer setelah injeksi homosistein selama 7, 14, dan 21 hari mengalami perlambatan kenaikan berat badan. Kondisi ini mirip dengan pasien alzheimer yang pada umumnya mengalami penurunan berat badan sehingga perlu pemantauan asupan makan untuk mencegah penurunan berat badan lebih lanjut.

PENGARUH HOMOSISTEIN TERHADAP BERAT OTAK TIKUS MODEL PENYAKIT ALZHEIMER Marintan, Elita; Wasita, Brian; Magna, Adi
INPHARNMED Journal (Indonesian Pharmacy and Natural Medicine Journal) Vol. 5 No. 1 (2021)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/inpharnmed.v5i1.1765

Homosistein (hcy) adalah asam amino mengandung sulfur yang terbentuk selama metabolisme metionin asam amino esensial. Pemberian homosistein menyebabkan peningkatan stres oksidatif, kerusakan DNA, pemicu apoptosis dan eksitotoksisitas, yang penting dalam degenerasi saraf. Kadar homosistein yang meningkat menyebabkan neurotoksisitas dan atrofi otak pada Penyakit Alzheimer (AD). Penelitian ini bertujuan untuk mengamati bobot otak tikus Sprague Dawley yang diinduksi Hcy selama 7, 14 dan 21 hari. Penelitian ini merupakan eksperimental laboratorik dengan posttest only group design. Sembilan ekor tikus Sprague dawley umur 8-12 minggu dengan berat badan antara 150-200 gram dibagi secara acak menjadi 3 kelompok (n=3). Semua kelompok diberikan injeksi homosistein dengan dosis yang sama yaitu 0,4 mg / kg berat badan. Kelompok I, II dan III diinjeksi homosistein selama 7, 14, dan 21 hari untuk setiap kelompok secara berurutan. Pengamatan berat otak dilakukan setelah eutanasia pada hari ke 7, 14, dan 21 setelah perlakuan. Sampel berat otak diukur dengan menggunakan timbangan digital. Perbedaan berat otak antar kelompok dianalisis dengan menggunakan ANOVA. Hubungan antara berat otak dan lama injeksi homosistein dianalisis dengan menggunakan uji korelasi product-moment Pearson. Semua prosedur penelitian telah dilakukan dengan persetujuan dari Komite Etik Hewan Fakultas Kedokteran UNS No: 106/UN27.06.6.1/KEPK/EC/2020. Injeksi homosistein selama 7, 14 dan 21 hari tidak mengubah berat otak. Berat otak mengalami penurunan tetapi tidak signifikan secara statistik (p=0,549). Hasil penelitian menunjukkan bahwa peningkatan kadar homosistein tidak mempengaruhi berat otak tikus model penyakit Alzheimer.

Potential of avocado oil (Persea americana) in improving triglyceride and High Density Lipoprotein (HDL) levels in rats (Rattus novergicus) model of dyslipidaemia due to high fat diet Sari, Eka Puspita; Wasita, Brian; Muthmainah, Muthmainah
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 12 ISSUE 4, 2024
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2024.12(4).296-305

Background: Elevated levels of Dyslipidaemia pose a significant threat to cardiovascular health. Fortunately, the abundance of polyunsaturated and monounsaturated fatty acids (PUFA and MUFA) present in avocado oil offers a promising avenue for individuals with Dyslipidaemia to improve their lipid profile levels.Objectives: The objective of this research is to ascertain the potential of avocado oil in improving triglyceride and HDL levels.Methods: A pre-post test control group design was employed, utilizing male Wistar rats aged 8 weeks with a body weight ranging from 150-200 g. The mice were segregated into six groups: N, K-, K+, P1, P2, and P3. Throughout the trial, solely group N abstained from ingesting avocado oil or HC. Conversely, all other groups were administered HC and subsequently, K+ was prescribed simvastatin while P1, P2 and P3 received avocado oil for a duration of 28 days. The data was subjected to statistical analysis using SPSS vr.25. The statistical significance threshold was set at p<0.05.Results: Mean changes in levels (mg/dL) for TG -29.67 (P1), -48.99 (P2), -56.78 (P3) and for HDL 41.75 (P1), 46.35 (P2). There was a significant difference in TG and HDL levels between P1, P2, P3 when compared with K- (p<0.05).Conclusion: Avocado oil exhibits efficacy in lowering TG levels and elevating HDL levels, rendering it a viable option for daily consumption.

Modulation of AR-FGF-2-TGF beta Axis by Cosmos caudatus Suppresses Prostatic Epithelial Proliferation in a BPH Rat Model: A Comparative Study with Finasteride Sahara, Nita; Mudigdo, Ambar; Wasita, Brian; Pamungkasari, Eti Poncorini; Dirgahayu, Paramasari; Cilmiaty, Risya
Journal of Multidisciplinary Applied Natural Science Articles in Press
Publisher : Pandawa Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47352/jmans.2774-3047.370

Benign prostatic hyperplasia (BPH) progression is critically influenced by the androgen receptor (AR), Fibroblast growth factor-2 (FGF-2), and transforming growth factor-β (TGF-β) signaling axis. Although finasteride (FIN) is the standard therapeutic agent, its use is limited by adverse effects. This study evaluated the efficacy of Cosmos caudatus (CC) extract, administered alone or in combination with FIN, in modulating the AR–FGF-2–TGF-β axis in a testosterone-induced BPH rat model. Rats were divided into five groups (n = 6): Normal (N), BPH control (KN), FIN (KP; 0.44 mg/kg), CC extract (P1; 250 mg/kg), and combination (P2; CC 250 mg/kg + FIN 0.44 mg/kg). Prostatic AR, FGF-2, and TGF-β expression was analyzed using immunohistochemistry (IHC) with H-score quantification. Both KP and P1 significantly reduced AR (KP: 112 ± 15; P1: 105 ± 12 vs KN: 195 ± 18, p < 0.05) and FGF-2 (KP: 98 ± 14; P1: 92 ± 11 vs KN: 180 ± 20, p < 0.05), approaching normal values (AR N: 90 ± 10; FGF-2 N: 85 ± 9). In contrast, combination therapy (P2) failed to suppress AR (188 ± 17, p = 0.936) and FGF-2 (175 ± 19, p = 0.870) and induced a significant increase in TGF-β (P2: 145 ± 16 vs KN: 110 ± 12, p < 0.05). All treatment groups showed reduced epithelial thickness and prostate index (p < 0.05). These findings indicate that CC extract alone exerts therapeutic effects comparable to FIN by modulating the AR–FGF-2 axis, whereas combining it with FIN disrupts pathway regulation and promotes a pro-fibrotic response. The study supports the potential of CC extract as an effective alternative for BPH management without pharmacologic complications.

Co-Authors Adam Fauzi Adi Magna, Adi Adi Prayitno Afdhaliya, Noor Khalwati Agus Kristiyanto Amarduan, Tince Bety Ambar Mudigdo Amilia Yuni Damayanti Ana Rima Anugrah, Tessa Septian Ari Probandari Asrial, An A. Bambang Purwanto Binti Maulina Brahmana, Ivanna Beru Budiningsih, Fatichati Budiyanti Wiboworini Cindikya Saftiari Dewi Cr. Siti Utari Cr. SitiUtari Darmayani, Aritantri David Perdana Dentiko Wasis Aulia Dewi Okta Anggraini Didik Prasetyo Diffah Hanim Dono Indarto Eka Puspita Sari Eka Tri Wulandari, Eka Tri Ellistasari, Endra Yustin ernawati, ammik Eti Poncorini Pamungkasari Fadila, F Gardjito, Fajar Baskoro Gunawan, Timotheus A. Hari Wujoso Harsono Salimo Hermansyah, Muhamad Lukman Herviana, Herviana Ida Nurwati Idulhaq, Mujaddid Irawan, Amelia Tjandra Irma Suryani Jati, Agus Kariosentono, ⁠⁠Harijono Kusumaningrum, Sulistyani Laqif, Abdurrahman LAWEI, THARINA Marintan, Elita Muchamad Syamsulhadi, Muchamad Muhammad Riza Mulianto, ⁠Nurrachmat MULYOTO PANGESTU Muthaminah, Muthaminah Muthmainah Muthmainah Muthmainah Nanang Wiyono Nofia, Yasinta Novan Adi Setyawan Nur Shani Meida Nursulistyo, Fajar Paramasari Dirgahayu Paulus Kusnanto Pesik, Riza N. Poncorini, Eti Primisawitri, Pratiwi Prasetya Pudjiastuti, Anggit puguh santoso, puguh Rachmi Fauziah Rahayu Rahayu, Rachmi F. Rahmah Rahmah Ratih Dewi Yudhani Ratih Puspita Febrinasari Reviono Reviono Risya Cilmiaty, Risya Rita Cempaka Riza Deviana Riza Novierta Pesik Rizma, Amalina Sabariyah, Lely Sahara, Nita Santi, Nur Saputra, Rhyan Darma Senyum Indrakila Setianto, Budi Y. Sholikah, Tri Agusti Siswanto, Febby Gunawan Siti Maesaroh Soestrisno, Soestrisno Soetrisno Soetrisno Soetrisno Sri Lestariningsih Suyatmi Suyatmi Tamaulina Br Sembiring Taufiqurrahman, Surya Tedjo Danudjo Tonang Dwi Ardyanto Tri Harsono Tri Nugraha Susilawati Triyanta Yuli Pramana Uki Retno Budihastuti Umi Mahmudah Vitri Widyaningsih Wardhani, Lusi O. Wardhani, Lusi Oka Wayanshakty, Janur Widhiati, Suci Wulandari, Eka T. Wulansari, Indry Yarsa, Kristanto Y. Yarso, Kristanto Yuli Yudhani, Ratih D. Yudhistira, Muhammad Yurizar Yundari, Yundari yusari Yusup Subagio Yusup Subagio Sutanto Yuyun Yueniwati Zahidah, Fairuz Zahrah, Fathimah Afifah Zaidah, Lailatuz

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