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All Journal HAYATI Journal of Biosciences Atom Indonesia Journal Majalah Obat Tradisional The Indonesian Biomedical Journal JOIV : International Journal on Informatics Visualization JSFK (Jurnal Sains Farmasi & Klinis) FITOFARMAKA: Jurnal Ilmiah Farmasi Eksakta : Berkala Ilmiah Bidang MIPA Majalah Patologi Indonesia Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Narra J Indonesian Journal of Cancer Jurnal Riset Rumpun Ilmu Kedokteran (JURRIKE) The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy Indonesian Journal of Medical Chemistry and Bioinformatics Jurnal Kefarmasian Indonesia

Kusmardi ,

Departemen Patologi Anatomi Fakultas Kedokteran Universitas Indonesia

Author-ID : 450273

Agriculture, Biological Sciences & Forestry Astronomy Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Earth & Planetary Sciences Education Energy Engineering Environmental Science Health Professions Immunology & microbiology Materials Science & Nanotechnology Mathematics Mechanical Engineering Medicine & Pharmacology Nursing Public Health Veterinary

Published : 32 Documents Claim Missing Document

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Tumor-infiltrating lymphocytes dan Peranannya pada Karsinoma Payudara Ditha Diana; Kusmardi
Majalah Patologi Indonesia Vol 29 No 1 (2020): MPI
Publisher : Perhimpunan Dokter Spesialis Patologi Indonesia (IAPI)

Infiltration of T lymphocyte cells in tumor tissue is a good prognosis in cancer patients. The infiltrating lymphocyte(TIL) tumor is the phenotype of CD4+ T lymphocytes and CD8+ T lymphocytes that infiltrate tumors. TIL can have abeneficial effect as well as a detrimental effect on breast carcinoma. There are three subtypes of T lymphocytes thatinfiltrate tumors which are T-helper (Th), T-citotoxic (Tc) and T-regulators (Treg). The role of Th lymphocytes in tumorimmunity can be divided into three phases, that are the initial induction phase, the phase maintaining the Tc responseas an effector and the memory formation phase. Th lymphocytes will secrete cytokines that can stimulate tumor cellsto increase the expression of MHC class I molecules, so that it will further optimize the function of Tc lymphocyticcytotoxicity which has the most dominant role in cytolytic tumor cells. Treg lymphocytes effectively suppressantitumor responses from Tc lymphocytes and other immune cells so that they can facilitate tumor development. Inbreast carcinoma, Treg lymphocytes have a different influence on each of the cancer subtypes.

Analisis Ekspresi P53 pada Karsinoma Urotelial Kandung Kemih Derajat Rendah dan Derajat Tinggi serta Hubungannya dengan Stadium Tumor Imelda Setiana Silitonga; Budiana Tanurahardja; Kusmardi
Majalah Patologi Indonesia Vol 30 No 2 (2021): MPI
Publisher : Perhimpunan Dokter Spesialis Patologi Indonesia (IAPI)

BackgroundUrothelial carcinoma is the most common bladder malignancy in men. Risk factors include smoking, chemicals exposure, radiation,schistosoma hematobium infection. P53 mutation is the most common mutation in urothelial bladder carcinoma that cause p53 proteinaccumulation which are detected through immunohistochemical examination. The aim of this study is to analyze the differencesbetween p53 expression in low and high grade urothelial and the carcinomas association of p53 expression with tumor stage.MethodsThis was a cross sectional study with 47 cases (22 cases of low grade and 25 cases of high grade) urothelial carcinoma in AnatomicalPathology Department Faculty Medicine of Universitas Indonesia/Cipto Mangunkusumo Hospital (FKUI/RSCM) in 2009-2017. Allcases stained with p53 antibody with immunohistochemical methods with positive cut off ≥20%.ResultsP53 positive expression are found in 33 samples, 20 cases of high grade and 13 cases in low grade; 22 cases of Nonmuscle invasivebladder cancer and 11 cases of Muscle invasive bladder cancer.ConclusionThe expression of p53 in low grade and high grade urotelial carcinoma of the bladder and its association with tumor stage showed nosignificant difference.

Peran Sel T Memori dalam Pengendalian Pandemi Covid-19 Kusmardi; Dimas Ramadhian N; Irandi P Pratomo; Aryo Tedjo
Majalah Patologi Indonesia Vol 30 No 2 (2021): MPI
Publisher : Perhimpunan Dokter Spesialis Patologi Indonesia (IAPI)

ABSTRACTEvaluation of changes in antibody orders is a common exclusion in vaccination strategies because of the method ofanalysis. The fact that protection by antibodies produced by the Severe Acute Respiratory Syndrome Coronavirus-2(Sars-Cov-2) infection both naturally and through vaccines will decrease in less than one year, is a challenge for acountry with a large population like Indonesia to run its vaccination program. The main challenge is whether thevaccination strategy adopted will overcome the vaccine barrier and the race between the rate of vaccination and therate of viral mutation and antibody reduction. In addition to antibodies, the adaptive immune system is also run by Tcells that are included in the cell-mediated immune system (CMI) group. In patients with asymptomatic or mildsymptoms of Coronavirus 2019 (Covid-19), T and CMI responses are known to appear in some patients who are notknown to have been exposed to Sars-Cov-2 before. This evidence suggests that the adaptive catastrophe for SarsCov-2 has been acquired by ordering memory T cells and may last longer than previously thought. For countries withlarge populations, this will certainly help overcome the limitations of vaccines and the time needed to implement theirvaccination strategies.

Penilaian Indeks Apoptosis Karsinoma Medular Payudara pada Sediaan Eksisi/Mastektomi dan Simulasi Core Biopsy Erwina Muhadi; Endang SR. Hardjolukito; Kusmardi Kusmardi
Majalah Patologi Indonesia Vol 24 No 2 (2015): MPI
Publisher : Perhimpunan Dokter Spesialis Patologi Indonesia (IAPI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (294.711 KB)

Latar belakang Akibat gambaran morfologik dan imunohistokimia yang tumpang tindih, sulit dibedakan antara karsinoma medular dan karsinoma invasif no special type (NST) dengan gambaran medular derajat 3. Padahal kedua entitas tersebut memiliki perbedaan tata laksana dan prognosis. Tujuan penelitian ini untuk menganalisis penggunaan indeks apoptosis (IA) untuk mempertajam diagnosis karsinoma payudara medular secara obyektif. Metode Penelitian retrospektif analitik secara potong lintang telah dilakukan terhadap 20 kasus karsinoma medular dan 20 kasus karsinoma invasif NST derajat 3. Penilaian indeks apoptosis dilakukan dengan metode terminal deoxynucleotidyl transferase-mediated deoxyuridine triphosphate in situ nick endlabeling (TUNEL). Kedua kasus dilakukan simulasi core biopsy. Indeks apoptosis antara kedua kasus dibandingkan dan dihitung titik potongnya. Hasil Indeks apoptosis pada karsinoma medular lebih tinggi secara bermakna dibandingkan karsinoma invasif NST derajat 3 (p=0,001). Berdasarkan kurva ROC, didapatkan titik potong yang optimal pada IA 1,25. Uji kappa terhadap keselarasan sediaan simulasi core biopsy dan eksisi/mastektomi mendapatkan hasil 0,3. Kesimpulan Indeks apoptosis digunakan untuk mempertajam diagnosis karsinoma medular payudara pada sediaan eksisi/mastektomi. Indeks Apoptosis sediaan simulasi core biopsy tidak selaras dengan eksisi/mastektominya sehingga penggunaannya pada core biopsy dapat membantu jika IA>1,25 dengan morfologi mencurigakan karsinoma medular. Kata kunci : core biopsy, indeks apoptosis, karsinoma invasif NST, TUNEL.

Deteksi High Risk Human Papilloma Virus pada Jaringan Adenoma dan Adenokarsinoma Kolorektal di FKUI/RSCM Wiwiek Ernajanti; Diah Rini Handjari; Kusmardi Kusmardi; Yusra Yusra
Majalah Patologi Indonesia Vol 26 No 2 (2017): MPI
Publisher : Perhimpunan Dokter Spesialis Patologi Indonesia (IAPI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (296.27 KB)

Latar belakangKarsinoma kolorektal merupakan tumor ganas ketiga di dunia. Sembilan puluh lima persen karsinoma kolorektal merupakan adenokarsinoma yang berasal dari lesi prekursor adenoma. Dilaporkan 15%-20% karsinoma terkait dengan infeksi virus. Virus yang diduga berhubungan dengan karsinoma kolorektal adalah human papilloma virus (HPV) dan tipe tersering adalah 16 dan 18. Hubungan antara HPV dan karsinoma kolorektal masih menjadi perdebatan. Penelitian ini bertujuan untuk mengetahui perbedaan prevalensi infeksi HPV pada adenoma dan adenokarsinoma kolorektal di Departemen Patologi Anatomik FKUI/RSCM Jakarta dengan menggunakan teknik polymerase chain reaction (PCR).MetodePemeriksaaan DNA HPV pada 33 kasus adenoma dan 33 kasus adenokarsinoma kolorektal dengan teknik nested PCR MY/GP dan elektroforesis. Pada kasus dengan hasil HPV positif, dilanjutkan PCR menggunakan primer spesifik HPV 16 dan HPV 18. Subjek penelitian berasal dari Departemen Patologi Anatomik FKUI/RSCM.HasilSatu dari 33 kasus (3,0%) adenoma dan 3 dari 33 kasus (9,1%) adenokarsinoma positif infeksi HPV. Satu kasus adenoma positif HPV bukan merupakan tipe 16 dan 18. Satu kasus adenokarsinoma dengan positif HPV merupakan tipe 16, 2 kasus merupakan gabungan tipe 16 dan 18.KesimpulanPrevalensi infeksi HPV pada adenokarsinoma lebih tinggi dibandingkan adenoma kolorektal. Tipe HPV pada kasus adenokarsinoma kolorektal merupakan tipe 16 dan 18.

Comparison of Helicobacter pylori Detection Using Immunohistochemistry and Giemsa and Its Association with Morphological Changes in Active Chronic Gastritis Wildawati Nurdin; Ening Krisnuhoni; Kusmardi Kusmardi
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 17, No 1 (2016): VOLUME 17, NUMBER 1, April 2016
Publisher : The Indonesian Society for Digestive Endoscopy

Background: Gastritis is an inflammation of the gastric mucosa as a response to infection or irritation of the gaster. The most common aetiology of chronic gastritis is Helicobacter pylori (H. pylori) infection. Presence of H. pylori is associated with the occurrence of inflammation, atrophy, and intestinal metaplasia. In terms of morphology, H. pylori is known in 2 forms, which are rod-shaped and coccoid-shaped. Coccoid-shaped bacteria are difficult to detect using Giemsa staining. Therefore, immunohistochemistry staining of H. pylori and evaluation of the sensitivity of coccoid-shaped of H. pylori are needed.Method: Cross-sectional study on 90 biopsy tissues of chronic gastritis patients in year 2015 and 2014, which included 30 Giemsa cases with positive H. pylori, 30 cases of active chronic gastritis with negative H. pylori but coccoid-shaped was found, and 30 non-active chronic gastritis, were subsequently stained with immunohistochemistry staining of H. pylori.Results: Expression of coccoid-shaped H. pylori in active chronic gastritis was significantly different (p 0.05) in immunohistochemistry staining. There was a significant difference between active chronic gastritis with positive H. pylori and negative H. pylori in immunohistochemistry staining with degree of inflammation. Sensitivity and specificity test between Giemsa and immunohistochemistry staining showed sensitivity of 65% and specificity of 100%.Conclusion: Immunohistochemistry staining in active chronic gastritis was more sensitive compared to Giemsa staining in detecting H. pylori, particularly the coccoid-shaped bacteria.

Response Surface Optimization of Gamma Irradiation Synthesis of Alginate-Stabilized Silver Nanoparticles Without Addition of a Hydroxyl Radical Scavenger D. P. Perkasa; W. Arozal; K Kusmardi; M. Syaifudin
Atom Indonesia Vol 48, No 3 (2022): December 2022
Publisher : PPIKSN-BATAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17146/aij.2022.1169

The use of isopropanol as a hydroxyl radical scavenger on the radiosynthesis of alginate-stabilized silver nanoparticles (AgNPs) can limit its application in nanomedicine. Meanwhile, optimum condition for gamma irradiation synthesis of alginate-stabilized AgNPs without addition of a hydroxyl radical scavenger has not been reported yet. In this study, the optimization of this process was carried out using response surface methodology (RSM) combined with Central Composite Design (CCD). The three processing conditions, i.e. radiation dose, precursor silver ion concentration, and alginate concentration were selected as decision variables to maximize two responses in terms of the conversion yield and AgNP concentration responses. The results indicated that the regression model of conversion yield and AgNP concentration fit linearly with the two-factor interaction and the linear model, respectively. The significant effect of the alginate factor on the conversion yield indicates the dual stabilizing–scavenging role of the alginate. The optimum conditions derived from CCD-RSM were obtained at a 20 kGy radiation dose, 7.78 mM precursor silver ion concentration, and 1.2 % (w/v) alginate concentration with the desirability of 0.731. The actual experimental results were 65.43% conversion yield and 480.91 ppm AgNP concentration, which were within the prediction interval at confidence of 95 %. The AgNPs under the optimum condition had a spherical shape, 97.4 % volume of size distribution at 6.50-28.21 nm, and zeta potential of -28.3 mV.

Prothrombin Time (PT), Activated Partial Thromboplastin Time (APTT), Fibrinogen, and D-dimer in Coronavirus Disease 2019 Outcome Atmaja, Fredy Wirya; Adiyanti, Sri Suryo; Kristanty, Diyah; Dwira, Surya; Kusmardi, Kusmardi
Indonesian Journal of Medical Chemistry and Bioinformatics Vol. 3, No. 1
Publisher : UI Scholars Hub

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

COVID-19, caused by SARS-CoV-2 has been reported to be associated with coagulopathy and DIC. This study aimed to investigate the profiles and differences of PT, APTT, fibrinogen, and D-dimer in COVID- 19 outcome. This retrospective cohort was conducted at Central Laboratory Clinical Pathology Department of dr. Cipto Mangunkusumo Hospital from July – December 2020. Demographic, clinical, and laboratory data were extracted from EHR and compared between poor and good outcome. Ninety-seven subjects were confirmed positive COVID-19, 45 of whom (46.4%) were in poor outcome group, while 52 subjects (53.6%) were in good outcome group. Median of PT 11.0” (9.7-28.3), APTT 38.4” (23.9-121), fibrinogen 484.8 mg/dL (51.2-940.9), and D-dimer 1,800 µg/L (190-35,200). Longer PT, APTT, and higher D-dimer (p < 0.05), while lower fibrinogen (p > 0.05) was found in poor outcome group. There were significant differences of PT, APTT and D-dimer in COVID-19 outcome.

Moringa oleifera Leaves Ethanol Extract Inhibits HT-29 Cells and COX-2 Expression Predictably Through PPARγ Activation Tedjo, Aryo; Aprilliyani, Ifana; Kusmardi, Kusmardi; Megawati, Ajeng; Noor, Dimas Ramadhian
Majalah Obat Tradisional Vol 29, No 2 (2024)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mot.89037

Colorectal cancer is the second leading cause of death among all cancer cases worldwide. Cancer cells often exhibit overexpression of cyclooxygenase-2 (COX-2), producing prostaglandin E2 (PEG2) and subsequent inflammation and neoplasia. Moringa oleifera is rich in bioactive compounds such as polyphenols, flavonoids, and saponins, known for their anti-inflammatory and antioxidant properties. This study aimed to investigate the inhibitory effects of M. oleifera leaves ethanol extract on COX-2 expression in HT-29 cells. Dried M. oleifera leaves (5 g) were ethanol-macerated for 24 hours, yielding a 10 mg ethanol extract. MTT inhibition is used for immunocytochemistry evaluation of COX-2 expression. Molecular docking of phenolic compounds from the extract on PPARγ indicated an agonistic potential. The ethanol extract of M. oleifera leaves demonstrated anticancer activity with an IC50 value of 114.8 µg/ml, with a significant reduction in COX-2 expression observed at a dose of 100 ppm, resulting in an H-score of 111.83 ± 2.21. Peroxisome proliferator-activated receptor-gamma (PPARγ) activity is thought to be the first step in suppressing COX-2 expression. Three phenolic compounds found in M. oleifera are predicted to be PPARγ agonists: rutin, naringin, and hesperidin, according to the molecular docking simulations.

Potential of Malang Robusta Coffee Beans as Anti-breast Cancer In-Vitro Utami, Novi Fajar; Elya, Berna; Hayun, Hayun; Kusmardi, Kusmardi; Nur, Syamsu; Fajriati, Annisa
FITOFARMAKA: JURNAL ILMIAH FARMASI Vol 13, No 2 (2023): FITOFARMAKA: Jurnal Ilmiah Farmasi
Publisher : Universitas Pakuan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33751/jf.v13i2.8922

Robusta coffee from Malang Regency, East Java is one of the superior products of the largest coffee-producing region in Indonesia. The coffee has high antioxidants. The component that acts as an antioxidant is the tannin content, and these tannins are also anti-cancer. Using the UV-Vis spectrophotometry method the tannin content in Malang Robusta coffee beans is known and then to measure its ability as an anticancer in-vitro against breast cancer cells using MCF-7. The results showed that the tannin contained in Malang Robusta coffee bean extract was 2.81 % and inhibited MCF-7 at 400 µg/mL, it has potential as an anticancer with an inhibition value of 68.88 %. Therefore, the use of Robusta coffee from Malang at this concentration can be used as an anti-breast cancer agent.

Co-Authors . Syamsudin Adisti Dwijayanti Agnes Stephanie Harahap Alfred Pakpahan Aniati Murni Anwar S. Ibrahim Anwar S. Ibrahim Aprilliyani, Ifana Ari Estuningtyas, Ari Ariadi Humardhani Ariffandi, Bagas Arleni Bustami Aryo Tedjo Atmaja, Fredy Wirya Azizah, Norma N. Berna Elya Budiana Tanurahardja Budiana Tanurahardja D. P. Perkasa Dewi Sukmawati Diah Rini Handjari Dian Ratih Laksmitawati Dimas Ramadhian N Ditha Diana Ditha Diana Dwitia Wulandari Endang SR. Hardjolukito Endang Sri Roostini Hardjolukito Enif Esti Triana Ening Krisnuhoni Erlina, Linda Erwina Muhadi Fadhillah, Muhamad Rizqy Fadilah Fadilah, Fadilah Fajriati, Annisa Ham, Maria Francisca Hamdani Zain Hanum, Sitti Fatimah Hardjolukito, Endang SR Hashim, Najihah M. Hayun Hayun Hellyanti, Tantri Hendig Winarno Heri Wibowo Heru Suhartanto Hikariastri, Pangartika Imelda Setiana Silitonga Irandi Putra Pratomo Ismalasari, Wahyu Jasni Mohammad Zain Khatimah, Nurul Gusti Kristanty, Diyah Ladeska, Vera Landyyun Rahmawan Sjahid Landyyun Rahmawan Sjahid Lestari, Tri Wahyuni Lili Indrawati Linggodigdo, Michelle Liviandari, Regina Lubis, Nadar Sukri M. Syaifudin Maris, Stephanie Megawati, Ajeng Muhammad Hanafi Murtiani, Farida Nina Yolanda Putri Noor, Dimas Ramadhian Novi Fajar Utami Nurdin, Wildawati Peni Kistijani Samsuria Pratomo, Irandi P Putri Reno Intan Ramadhian N, Dimas Rani Wardani Hakim Rino Patiatta Rizky Clarinta Putri Rohmat, Siti Saudah Shirly Kumala Silitonga, Imelda Setiana Sri S. Ningsih, Sri S. Sri Suryo Adiyanti, Sri Suryo Surya Dwira Syamsu Nur, Syamsu Toto Haryanto Triana, Novi Utomo, Dayanto Indro Virhan Novianry Vivi Setiawaty W. Arozal Wahyu Hidayati Wahyu Hidayati Wahyu Ismalasari Wawaimuli Arozal Widiantari, Aninda Dinar Wildawati Nurdin Wiwiek Ernajanti Wiyanto, Marwito Yulhasri Yulhasri Yusoff, Marina Yusra Yusra

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