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In Silico Study of Bioactive Compounds from Acalypha indica L. Interacting with the COX-2 Receptor as Potential Anti-Inflammatory Candidates Lisa Savitri; Kharisul Ihsan; Rochmad Krissanjaya; Elfred Rinaldo Kasimo
Biology, Medicine, & Natural Product Chemistry Vol 15, No 1 (2026)
Publisher : Sunan Kalijaga State Islamic University & Society for Indonesian Biodiversity

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14421/biomedich.2026.151.31-37

Abstract

Acalypha indica L. is a medicinal herb traditionally used across Asia for treating inflammation-related conditions. Although several studies report anti-inflammatory activity in its extracts, little is known about the molecular interaction of its individual phytochemicals with cyclooxygenase-2 (COX-2)—a validated therapeutic target for inflammatory diseases. This study fills this gap by performing a comprehensive in silico analysis of 20 major bioactive compounds of A. indica using molecular docking, binding interaction profiling, and ADMET predictions. Docking against the COX-2 receptor (PDB: 3LN1) using AutoDock Vina revealed that rutin (-10.4 kcal/mol), kaempferol-3-O-rutinoside (-10.1 kcal/mol), quercetin (-9.6 kcal/mol), and luteolin (-9.3 kcal/mol) demonstrated strong predicted affinity and stable interactions with key residues Arg120, Tyr355, and Tyr385, comparable to celecoxib (-10.8 kcal/mol). ADMET profiling showed that aglycone flavonoids possessed more favorable drug-likeness properties than glycosides. These results suggest that A. indica contains multiple promising lead compounds for future COX-2 inhibition studies and highlight the molecular mechanisms supporting its ethnomedicinal use as an anti-inflammatory agent.
Laboratory Detection of Toenail Onychomycosis Using Malt Extract Agar in Students Lisa Savitri; Kharisul Ihsan; Elfred Rinaldo Kasimo
Biology, Medicine, & Natural Product Chemistry Vol 14, No 2 (2025)
Publisher : Sunan Kalijaga State Islamic University & Society for Indonesian Biodiversity

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14421/biomedich.2025.142.1325-1330

Abstract

Onychomycosis is a common nail disorder caused by dermatophytes, non-dermatophyte molds, and yeasts. Despite being more prevalent in older adults, it is increasingly reported among younger populations, including university students, due to lifestyle factors and communal exposures. Rapid and accurate diagnosis is critical for effective management, but conventional methods remain limited in sensitivity. This study aimed to evaluate the prevalence and etiological profile of toenail onychomycosis among university students using potassium hydroxide (KOH) microscopy and Malt Extract Agar (MEA) culture. A total of 98 students with clinical signs of onychomycosis provided toenail specimens. Direct microscopy examination with 20% KOH was performed, followed by culture on MEA at 28–30 °C for up to 21 days. Fungal isolates were identified based on macroscopic and microscopic morphology. Statistical analysis assessed associations between clinical features and culture results. KOH microscopy detected fungal elements in 59.2% of specimens, while MEA culture yielded growth in 63.3%. When combined, the overall prevalence of confirmed onychomycosis was 71.4%. Trichophyton rubrum was the most frequent isolate (35.5% of positive cultures), followed by non-dermatophyte molds such as Aspergillus and Fusarium, and yeasts including Candida albicans and Candida parapsilosis. Nail thickening and discoloration were significantly associated with culture positivity (p < 0.05). Onychomycosis is prevalent among university students, with MEA culture providing superior diagnostic yield compared to KOH microscopy alone. The identification of non-dermatophyte molds and yeasts underscores the importance of comprehensive diagnostic strategies for guiding effective treatment. Future studies should combine culture and molecular methods to enhance detection accuracy and clarify the clinical significance of emerging pathogens.
Jumlah Neutrofil sebagai Penanda Inflamasi pada Diabetes Melitus Tipe 2 dengan dan tanpa Ulkus Aprilia Anjarwati; Elfred Rinaldo Kasimo; Dita Apriana Dwi Astuti
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 2 (2026): Juli: Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v6i2.10194

Abstract

Type 2 diabetes mellitus causes chronic hyperglycemia, systemic inflammation, and immune dysfunction, which increase the risk of diabetic foot ulcers, amputation, and mortality. This study is urgent because the dominance of elevated neutrophil counts in T2DM patients with ulcers reflects an active inflammatory response that may worsen wound healing, while neutrophil testing is widely available in clinical pathology laboratories. The literature highlights the role of inflammation, cytokines, NLR, and complex biomarkers in diabetic complications; however, these indicators are often costly, less applicable in regional healthcare settings, and rarely compare ulcerated and non-ulcerated T2DM patients directly. This study addresses this gap by proposing absolute neutrophil count as a simple, quantitative, and categorical inflammatory indicator. The objective was to analyze differences in neutrophil counts between T2DM patients with and without ulcers at RSU Daha Husada Kediri using a comparative descriptive quantitative design involving 20 patients. The results showed that 80% of ulcerated T2DM patients had elevated neutrophil levels compared with 10% in the non-ulcer group, with a significantly higher mean neutrophil count (9.19 ± 2.56 vs 4.80 ± 1.32 ×10³/µL; p = 0.00012). In conclusion, increased neutrophil counts significantly distinguish the inflammatory status of T2DM patients with ulcers and represent a practical clinical marker for early screening of diabetic foot ulcer complications in regional hospitals.