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All Journal Majalah Kedokteran Bandung Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Jurnal Keperawatan Respati Yogyakarta Green Medical Journal Narra J
Nur Arfian, Nur
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Efek Sitotoksik Madu Dan Silver Dressing Terhadap Sel Fibroblas Dalam Media Tinggi Glukosa: Studi In Vitro Rizqi, Januar; Agustiningsih, Denny; Agung, Dwi Aris; Arfian, Nur
Jurnal Keperawatan Respati Yogyakarta Vol 6, No 2 (2019): Mei 2019
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (93.812 KB) | DOI: 10.2016/jkry.v6i2.316

Abstract

Penyembuhan luka diabetes merupakan proses yang unik dan kompleks. Sejumlah dressing dikembangkan untuk mengetahui manfaat yang diharapkan meningkatkatkan proses penyembuhan. Penelitian in vivo maupun in vitro madu dan silver menunjukan hasil yang berbeda. Diperlukan penelitian lebih lanjut aktifitas sitotoksik madu dan silver terhadap sel fibroblas dalam media tinggi glukosa. Penelitian inibertujuan untuk mengetahui apakah madu dan silver bersifat sitotoksik terhadap sel fibroblast dalam media tinggi glukosa. Jenis penelitian ini adalah kuasi eksperimental  dengan post test only desain. Kultur sel fibroblast di uji sitotoksik dengan meggunakan metode MTT Assay secara in vitro. Kelompok penelitian dibagi menjadi  kelompok madu dengan konsentrasi 6%, 3% 1.5% dan kelompok Silver. Silver memiliki efek sitotoksik terhadap sel fibroblas dengan nilai penghambatan sebesar 100%. Madu dengan konsentrasi 6% dan 3% memiliki nilai penghambatan lebih dari 50%. Madu konsentrasi 1,5% menujukan proses penghambatan kurang dari 50% dan meningkatkan proses priliferasi sel fibroblas dalam media tinggi glukosa. Madu memiliki aktifitas sitotoksik yang lemah terhadap sel fibroblas dan dapat meningkatkan proliferasi sel, sedangkan silver memiliki aktifitas sitotoksik yang kuat terhadap sel fibroblast.
Aloe vera stimulate cell proliferation, cell migration, expression of vascular endothelial growth factor-A (VEGF-A), and c-Jun N-terminal kinase-1 (JNK-1) on fibroblast of diabetic rat models Firdaus, Insanul; Arfian, Nur; Wahyuningsih, Mae Sri Hartati; Agustiningsih, Denny
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 51, No 2 (2019)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1675.401 KB) | DOI: 10.19106/JMedSci005102201903

Abstract

The disturbance of cell migration and cell proliferation,diminished production of vascular endothelial growth factor-A (VEGF-A) and c-Jun N-terminal kinase-1 (JNK-1) are important factors in wound healing process. Aloe vera contains active compounds which can help in the wound healing process. Thestudy aimed to investigate the effect of ethanol extract ofA. veraon cell proliferation, cell migration, VEGF-A and JNK-1 expression of skin fibroblast cells of diabetic rats. The primary skin fibroblast cells were isolated from diabetic Wistar rat and incubated with the A. vera extract in various concentrations i.e. 500 (AV500), 250 (AV250), and 125 µg/Ml (AV125) for 24, 48 and 72 h.The cell proliferation was examined visually by counting the cells number, the cell migration was observed using in vitro scratch assay, whereas VEGF-A and JNK-1 expression were examined using RT-PCR. In 24 and 48h incubation,the cell proliferation of AV500 and AV250 groups had higher number of cells than negative control group,but there was no significant difference (p>0.05). However in72 h incubation,the cell proliferation of AV500 group (29.33±1.28x104 cells/mL)was significantly different compared to negative control group (22.91±3.21x104 cells/mL) (p<0.05). In 24 h incubation, the cell migration of AV500(78.13±7.18%), AV250 (73.88±4.75%) and AV125 (68.80±17.11%) groupswere significantly higher thanthat of negative control group (53.91±2.74%) (p<0.05). In contrastin 48 and 72 hincubation,there were no significantly different in cell migration (p>0.05).The expression of VEGF-A and JNK-1 after incubation with the AV500 for 48 h, weresignificantly higher than those of negative control group (p<0.05).In conclusion, A. vera increases cell proliferation, cell migration, VEGF-A and JNK-1 expression offibroblast cellof diabetic rat skin.
Antifibrotics and Antioxidants of Chlorogenic Acid Inhibits Toll- Like Receptors-4 as Liver Fibrotic Marker Naibey, Rosdiana; Wasityastuti, Widya; Anggorowati, Nungki; Arfian, Nur
Green Medical Journal Vol 3 No 2 August (2021): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/gmj.v3i2.86

Abstract

Introduction: Chlorogenic Acid (CGA) is an antifibrotic and antioxidant for fibrotic tissues. These double roles be able to inhibit or fibrotic tissues chains because of internal and external issues. For example, virus, bacteria or other pathogens and also by drugs, alcohol, cigarettes, etc. as external factor that affect quality of body tissues. Toll-Like Receptor-4 (TLR-4) as a marker fibrotic tissues. It is a key for researcher could be find out by expression performance. The aim of this study is to reveal the CGA as a candidate of antifibrotic & antioxidant in liver fibrosis that induced by CCL4. Methods: This is a pure experimental research with a simple experimental design or post-test only control group design. The total 29 mices of 2.5-month-old male Swiss mices with weigh 35-40 gram divided into 6 group: 3 groups of controls (injected by natrium chloride, CGA, and CCL4) and 3 groups of treated (injected by CGA doses 42 mg/kg, 63 mg/kg or 84 mg/kg). Liver organ was used to examine the expression of TLR-4 by rt-PCR. This research revealed that expression of TLR-4 lower than the CCL4 control group (respectively, p=0.042; p=0.005; p=0.006; and p=0.001). Higher dose of CGA showed greater ability as anti-fibrotic through inhibit the expression of TLR-4. Some research found the expression of TLR-4 has been decreased by treatment of Clorogenic Acid (CGA). Conclusion: To sum up, CGA has double roles to repair liver fibrotic tissues. The greater doses of CGA, the stronger inhibition of TLR-4 expression.
Effects of Yacon Leaf Extract on MCP-1 and IL-10 Expressions and Macrophage Phenotypes in CKD Mouse Model Sofyana, Meida; Wasityastuti, Widya; Ihsana, Nuni; Purwono, Setyo; Arfian, Nur
Majalah Kedokteran Bandung Vol 56, No 2 (2024)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v56.3605

Abstract

Macrophages are essential in tissue homeostasis and immunity, but also contribute to disease development and progression. Chronic kidney disease (CKD) is characterized by interstitial infiltration of macrophages, the density of which correlates inversely with kidney survival. Studies have shown that yacon (Smallanthus sonchifolius) has beneficial effects on CKD. Therefore, this study aimed to investigate the effects of yacon leaf extract on mice with subtotal nephrectomy by evaluating the M1 and M2 macrophage counts and mRNA expressions of monocyte chemoattractant protein-1 (MCP-1 and IL-10. The mice were randomly divided into five groups: SO (negative control: underwent sham operation), SN (positive control: underwent subtotal nephrectomy), and yacon-treated groups: YK1, YK2, and YK3 (underwent subtotal nephrectomy, given peroral yacon leaf extract for 14 days with doses of 24,5 mg/kgBW/day, 49 mg/kgBW/day, and 98 mg/kgBW/day, respectively). The macrophage subtypes were assessed using immunohistochemistry anti-CD68 for M1 and anti-Arginase I for M2. MCP-1 and IL-10 mRNA expressions were analyzed using semi-quantitative PCR. Results showed that yacon leaf extract could significantly lower the M2 macrophage count (p<0.001) and the mRNA expressions of MCP-1 and IL-10 in all yacon-treated groups when compared to the SN group. However, the M1 macrophage count was only lower in the YK2 group (p=0.009). In conclusion, the administration of yacon leaf extract could attenuate kidney injury by lowering the macrophage count and the expression of MCP-1 and IL-10.
Association of MPV, NLR, PLR and CRP on testicular salvage in testicular torsion: A systematic review and meta-analysis Brodjonegoro, Sakti R.; Rizal, Dicky M.; Arfian, Nur; Luzman, Raedi A.; Pikatan, Narpati W.; Robert, Robert; Febriyanto, Toni; Liliana, Belinda; Yogahutama, Noka; Dwiaji, Iqbal W.
Narra J Vol. 5 No. 1 (2025): April 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i1.1785

Abstract

Testicular torsion, a critical urological emergency caused by twisting of the spermatic cord, poses a risk of ischemia, particularly in children who often struggle to pinpoint symptoms onset. Delay in managing testicular torsion can lead to the need for orchiectomy. The aim of this study was to assess the association between hematologic parameters—mean platelet volume (MPV), neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and C-reactive protein (CRP)—and testicular salvage in cases of testicular torsion. Four databases (PubMed, Embase (Ovid), Science Direct, and Scopus) were systematically searched for eligible studies published up to November 4, 2024. The primary outcome was testicular salvage. Sensitivity analysis was performed using leave-one-out plot. Subgroup analysis was performed based on age, country, region, duration to orchiopexy and duration to orchiectomy. Heterogeneity was examined using I² statistics, and a random-effect model was applied. Out of 363 studies identified, nine observational studies involving 796 patients were included, with 338 (42.3%) in orchiopexy group. The meta-analysis indicated that MPV value was significantly elevated in orchiectomy group (mean difference (MD): -0.4; 95% confidence interval (95%CI): -0.62–(-0.18); p<0.01), with higher MPV levels associated with an increased likelihood of orchiectomy (odds ratio (OR): 2.12; 95%CI: 1.35–3.33; p<0.01). NLR, PLR, and CRP showed no significant association with testicular salvage, as demonstrated by pooled MD and OR analyses (p>0.05). No significant differences were observed after sensitivity and subgroup analysis (p>0.05). These findings suggest that elevated MPV levels are associated with non-salvageable testis, requiring orchiectomy highlighting its potential utility in clinical evaluation for testicular torsion.
Co-Authors Agung, Dwi Aris Agus Surono Anggraeni M, Andi Sri Dewi Brodjonegoro, Sakti R. Calisto, Kadek Egadia Dharmansyah, Mohamad Irwan Dicky M. Rizal, Dicky M. Dwi Cahyani Ratna Sari Dwiaji, Iqbal W. Febriyanto, Toni Ihsana, Nuni Januar Rizqi Koeswardani, Millani Amastasia Lesbatta, Kezia Josawel Liliana, Belinda Luzman, Raedi A. Mae Sri Hartati Wahyuningsih Naibey, Rosdiana Nungki Anggorowati Nurfadilah, N Papendang, Harry Allan Pikatan, Narpati W. Robert Robert Setyo Purwono Sofyana, Meida Widya Wasityastuti Yogahutama, Noka Yuniartha, Ratih