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Hepatoprotective effect of Cinnamon (Cinnamomum burmanii) extract on Serum Aspartate Transaminase (AST) of male wistar rats induced with isoniazid Sovia, Evi; Kristiana, Ris; Nurdina, Salsabila; Rachman, Hidayatul
ACTA Medical Health Sciences Vol. 2 No. 3 (2024): ACTA Medical Health Sciences
Publisher : ACTA Medical Health Sciences

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Abstract

Hepatotoxicity is a condition of liver cell damage that is often caused by drugs such as isoniazid. Isoniazid (INH) is an anti-tuberculosis drug that, when used excessively, can cause an increase in Reactive Oxygen Species (ROS) and trigger oxidative stress, thereby inducing cell necrosis, especially in the liver. Cinnamon is a plant that contains flavonoids, tannins, alkaloids, and essential oils, which are useful as antioxidants and have the potential hepatoprotective properties. This study aims to determine the effect of ethanol extract of cinnamo n (Cinnamomum burmanii) and its effective dose as hepatoprotection on aspartate transaminase (AST) levels in isoniazid-induced male rats. Extract preparation was carried out using the maceration method. This study was a post-test only control group design laboratory experiment with a sample of 25 male Wistar rats consisting of five groups: the normal control group was given aquabidest (K1), the positive control was induced with 200 mg/kg isoniazid (K2), and three treatment groups were induced with 200 mg/kg isoniazid and given cinnamon ethanol extract at a dose of 100 mg/kg BW, 200 mg/kg BW and 400mg/kg BW for 14 days. At the end of the study, the AST levels were measured. Data were analyzed using the One -Way Anova test and the Tukey's Post Hoc Test. The results showed that the ALT levels of the group given cinnamon at doses of 100, 200, and 400 mg/kg decreased significantly (p<0.05) by 93,20 ± 8,55, 85,60 ± 8,23, and 71,20 ± 3,56 U/L, respectively. The cinnamon ethanol extract could prevent increases in isoniazid-induced AST in rats, thus having a hepatoprotective activity. DOI : 10.35990/amhs.v2n3.p109-115 REFERENCES Lei, S., Gu, R., & Ma, X. (2021). Clinical perspectives of isoniazid-induced liver injury. Liver Research, 5(2), 45–52. https://doi.org/10.1016/j.livres.2021.02.001 Juliarta, I. G., Mulyantari, N. K., & Yasa, I. W. P. S. (2018). Gambaran hepatotoksisitas (ALT/AST) penggunaan obat antituberkulosis lini pertama dalam pengobatan pasien tuberkulosis paru rawat inap di RSUP Sanglah Denpasar tahun 2014. E-Jurnal Medika, 7(10), 1–10. Banjuradja, I., & Singh, G. (2020). Mekanisme hepatotoksisitas dan tatalaksana tuberkulosis pada gangguan hati. Indonesian Journal of Chest, 7(2), 55–64. Sumantri, A. F., Djumhana, A., Wisaksana, R., & Sumantri, R. (2015). Insidensi dan karakteristik hepatotoksisitas obat antituberkulosis pada penderita tuberkulosis dengan dan tanpa infeksi HIV. Global Medical and Health Communication, 3(2), 78. https://doi.org/10.29313/gmhc.v3i2.1548 Santoso, S. B., Chabibah, P. U., & Pribadi, P. (2021). Hepatotoxicity risk profile of Indonesian due to polymorphism of NAT2 and CYP2E1 in isoniazid metabolism. Urecol Journal Part D: Applied Science, 1(1), 9–16. Wang, P., Pradhan, K., Zhong, X. B., & Ma, X. (2016). Isoniazid metabolism and hepatotoxicity. Acta Pharmaceutica Sinica B, 6(5), 384–392. https://doi.org/10.1016/j.apsb.2016.07.014 Nahid, P., & Hopewell, P. C. (2016). Tuberculosis treatment. In International Encyclopedia of Public Health (Vol. 43(5), pp. 267–276). https://doi.org/10.1016/B978-0-12-803678-5.00473-2 Błaszczyk, N., Rosiak, A., & Kałużna-Czaplińska, J. (2021). The potential role of cinnamon in human health. Forests, 12(5), 1–17. https://doi.org/10.3390/f12050648 Rasydy, L. O. A., Supriyanta, J., & Novita, D. (2019). Formulasi ekstrak etanol 96% daun sirih hijau (Piper betle L.) dalam bedak tabur anti jerawat dan uji aktivitas antiacne terhadap Staphylococcus aureus. Jurnal Farmagazine, 6(2), 18. https://doi.org/10.47653/farm.v6i2.142 Rahayu, L., Yantih, N., & Supomo, Y. (2018). Analisis SGPT dan SGOT pada tikus yang diinduksi isoniazid untuk penentuan dosis dan karakteristik hepatoprotektif air buah nanas (Ananas comosus L. Merr) mentah. Jurnal Ilmu Kefarmasian Indonesia, 16(1), 100–106. Ifeanyi, O. E. (2018). A review on free radicals and antioxidants. International Journal of Current Research in Medical Sciences, 4(2), 123–133. https://doi.org/10.2174/22123989oteznmziwtcvy Singh, D., Cho, W. C., & Upadhyay, G. (2016). Drug-induced liver toxicity and prevention by herbal antioxidants: An overview. Frontiers in Physiology, 6(JAN), 1–18. https://doi.org/10.3389/fphys.2015.00363 Metushi, I., Uetrecht, J., & Phillips, E. (2016). Mechanism of isoniazid-induced hepatotoxicity: Then and now. British Journal of Clinical Pharmacology, 81(6), 1030–1036. https://doi.org/10.1111/bcp.12885 Maliangkay, O. J., Assa, Y., & Tiho, M. (2020). Kadar serum glutamic oxaloacetic transaminase (SGOT) pada peminum minuman beralkohol di Kelurahan Tosuraya Selatan. Jurnal e-Biomedik, 8(1), 120–126. Rafita, I. D., Lisdiana, & Marianti, A. (2016). Pengaruh ekstrak kayu manis terhadap gambaran histopatologi dan kadar SGOT-SGPT hepar tikus yang diinduksi parasetamol. Life Science, 4(1), 29–37. Antasionasti, I. J. (2021). Aktivitas antioksidan ekstrak etanol kayu manis (Cinnamomum burmani) secara in vitro. Jurnal Farmasi Udayana, 10(1), 38. https://doi.org/10.24843/jfu.2021.v10.i01.p05 Panche, A. N., Diwan, A. D., & Chandra, S. R. (2016). Flavonoids: An overview. Journal of Nutritional Science, 5(e47), 1–15. https://doi.org/10.1017/jns.2016.41 Hanifa, D. D., & Hendriani, R. (2016). Tanaman herbal yang memiliki aktivitas hepatoprotektor. Farmaka, 14(4), 43–51. Lestari, T., Lubis, Y. M., Nasution, S. W., et al. (2019). Uji efektivitas ekstrak buah kurma (Phoenix dactylifera) dan ekstrak buah mahkota dewa (Phaleria macrocarpa) sebagai nefroprotektor terhadap tikus yang diinduksi paracetamol. Jurnal Farmasi, 1(1), 8–15. Lagarde, F., Beausoleil, C., Belcher, S. M., et al. (2015). Non-monotonic dose-response relationships and endocrine disruptors: A qualitative method of assessment. Environmental Health, 14(1), 13. https://doi.org/10.1186/1476-069X-14-13
Edukasi Penggunaan Obat Analgetik dan Antipiretik Secara Rasional Sovia, Evi; Ratwita, Welly; Nugraha, Rhea Veda; Anggraeni, Dian; Rachman, Hidayatul
Jurnal Abdimas Kartika Wijayakusuma Vol 5 No 2 (2024): Jurnal Abdimas Kartika Wijayakusuma
Publisher : LPPM Universitas Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26874/jakw.v5i2.428

Abstract

Analgetik dan antipiretik merupakan salah satu obat yang sering dikonsumsi baik secara tunggal maupun kombinasi, tetapi obat-obat ini memiliki berbagai efek samping seperti kerusakan mukosa pada saluran gastrointestinal, disfungsi ginjal, kejadian kardiovaskuler (peningkatan risiko hipertensi, strok, dan serangan jantung), bahkan sampai kematian. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memberikan edukasi tentang penggunaan obat analgetik dan antipiretik secara rasional. Metode yang digunakan adalah penyuluhan secara daring (webinar). Materi yang diberikan meliputi indikasi dan efek samping penggunaan analgetik dan antipiretik, klasifikasi obat-obat analgetik dan antipiretik dan cara menggunakan obat analgetik dan antipiretik secara bijak. Peserta webinar juga mengisi kuesioner tentang penggunaan obat analgetik dan antipiretik. Penyuluhan dihadiri oleh 233 orang, Sebagian besar perempuan (86,8%) dan berusia 21-30 tahun (79,8%). Hasil kuesioner menunjukkan hampir seluruh peserta webinar (94,8%) pernah mengonsumsi obat analgetik antipiretik. Obat analgetik antipiretik yang paling banyak dikonsumsi adalah parasetamol (93,6%), sedangkan tempat mendapatkan obat analgetik antipiretik terbanyak yaitu apotek (70,1%). Sebagian besar peserta webinar mengonsumsi obat analgetik antipiretik tanpa resep dokter (75,2%). Penyakit terbanyak yang menyebabkan peserta mengonsumsi obat analgetik antipiretik adalah panas badan (82,5%). Pengetahuan peserta mengenai efek samping obat analgetik antipiretik pada umumnya menjawab mual (65%). Pengetahuan masyarakat tentang penggunaan obat analgetik antipiretik masih perlu ditingkatkan.
Immunomodulatory Effect of Red Guava Yogurt on Escherichia coli-Infected Mice Kurniawati PD, Ania; Shavilla, Evy; Rachman, Hidayatul; Rachmat, Iqmal D; Pebrian, Noval Y
ACTA Medical Health Sciences Vol. 4 No. 1 (2025): Acta Medical and Health Sciences
Publisher : ACTA Medical Health Sciences

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Abstract

Antibodies are a component of the adaptive immune system that plays a crucial role in preventing foreign pathogens that cause various infections. One effective way to enhance the immune response is through the consumption of probiotic-based fruit yogurt (fruitghurt). The purpose of this study is to determine the effect of administering red guava juice-based fruitghurt on the immune response of mice induced by Escherichia coli bacteria. This research used is a laboratory experimental design. The subjects consisted of Mus musculus mice, which were divided into 3 groups: positive control group, negative control group, and treatment group. Data were analyzed using one-way analysis of variance (ANOVA), and post hoc comparisons conducted via Tukey’s test to determine specific intergroup differences. The results demonstrate a statistically significant rise in antibody titers among mice receiving fruit yogurt treatment compared to control groups. The observed increase in antibody titers may be attributed to the immunomodulatory effects of Lactobacillus acidophilus, the micronutrient content of red guava, and immune stimulation induced by Escherichia coli exposure. Furthermore, Lactobacillus acidophilus enhances macrophage activity and antigenic presentation, thereby stimulating B lymphocytes to produce antibodies. Concurently, the micronutrients in red guava promotes the proliferation and differentiation of B lymphocytes, further enhancing antibody synthesis. Collectively, these findings demonstrate that yogurt fermented with Lactobacillus acidophilus and enriched with red guava juice exerts significant immunomodulatory effects. This functional food intervention enhances antibody titers, lymphocyte counts, and macrophage activity in Escherichia coli-infected mice, underscoring its potential as a dietary strategy to bolster immune responses against bacterial infections. DOI : 10.35990/amhs.v4n1.p41-50 REFERENCES Masud Parvez GM, Uzzaman S, Miah Akanda K, Mehjabin S. A short review on a nutritional fruit: guava. Open Access Toxicol Res. 2018;1(1):1–8. Yang Y, Greenleaf Z, Kann W, Sha M. Microaerobic fermentation of Lactobacillus acidophilus within gut microbiome physiological conditions by BioFlo® bioprocess control stations. Appl Eppend Note. 2019;(412):1–8. Yousefi B, Eslami M, Ghasemian A, Kokhaei P, Salek-Farrokhi A, Darabi N. Probiotics importance and their immunomodulatory properties. J Cell Physiol. 2019;234(6):8008–18. Rusli, Amalia F, Dwyana Z. Potential of Lactobacillus acidophilus bacteria as antidiare and immunomodulator. J Biol Makassar. 2018;3(2):25–30. Creswell JW. Research design. 4th ed. Thousand Oaks (CA): SAGE Publications; 2014. 342 p. Dewi AKP, Nawangsih EN. Pengaruh penambahan sukrosa dalam media jambu biji merah terhadap TPC Lactobacillus acidophilus pada penyimpanan suhu refrigerator. Fak Kedokt Univ Jenderal Achmad Yani. 2015;55–8. Tejada-Simon MV, Lee JH, Ustunol Z, Pestka JJ. Ingestion of yogurt containing Lactobacillus acidophilus and Bifidobacterium potentiates immunoglobulin A responses to cholera toxin in mice. J Dairy Sci. 1999;82(4):649–60. Widianingsih M, Kurniawati PDA, et al. Efektifitas probiotik single dan multi strain terhadap Escherichia coli secara in vitro. J Sains Teknol. 2018;71(6):885–94. Aattouri N, Bouras M, Tome D, Marcos A, Lemonnier D. Oral ingestion of lactic acid bacteria by rats increases lymphocyte proliferation and interferon-γ production. Br J Nutr. 2002;87(4):367–73. Gutiérrez RMP, Mitchell S, Solis RV. Psidium guajava: A review of its traditional uses, phytochemistry and pharmacology. J Ethnopharmacol. 2008 Apr 17;117(1):1–27. Subowo. Imunobiologi. 4th ed. Jakarta: Sagung Seto; 2021. Hall JE, Guyton AC. Guyton dan Hall buku ajar fisiologi kedokteran. Philadelphia: Saunders Elsevier; 2011. 1091 p. Marcos A. Editorial: A review of micronutrients and the immune system—working in harmony to reduce the risk of infection. Nutrients. 2021;13(11). Erkelens MN, Mebius RE. Retinoic acid and immune homeostasis: a balancing act. Trends Immunol. 2017 Mar 1;38(3):168–80. World Health Organization, Food and Agriculture Organization. Health and nutritional properties of probiotics in food including powder milk with live lactic acid bacteria [Internet]. 2001 [cited 2023 Feb 4]. Available from: https://www.fao.org/3/a0512e/a0512e.pdf Nanjundaiah YS, Wright DA, Baydoun AR, Khaled Z, Ali Z, Dean P, et al. Modulation of macrophage function by Lactobacillus-conditioned medium. Front Cell Dev Biol [Internet]. 2020 Jul 30 [cited 2023 Feb 4];8. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7406691/ Todar K. Lactobacillus acidophilus [Internet]. University of Wisconsin; 2020 [cited 2022 Jul 30]. Available from: https://textbookofbacteriology.net/index.html Artanti D, Sari YES, Azizah F, Puwaningsih NV, Rohmayani V, Nasrullah D. Effect of giving probiotic supplement Lactobacillus acidophilus La-14 as an immunomodulator to maintain a respiratory system in Mus musculus. Iran J Microbiol. 2021 Jun;13(3):381–8. Rocha-Ramírez LM, Pérez-Solano RA, Castañón-Alonso SL, Moreno Guerrero SS, Ramírez Pacheco A, García Garibay M, et al. Probiotic Lactobacillus strains stimulate the inflammatory response and activate human macrophages. J Immunol Res. 2017;2017:1–9. Dewi AKP, Pratiwi ST, Hasan K, Sasongko S, Hanif Y, Pardosi DV. Uji organoleptik dan karakteristik fisikokimia fruitghurt sari jambu biji merah (organoleptic test and physicochemical characteristics of fruitghurt red guava). Medika Kartika J Kedokt Kesehat. 2018;4:1–7. Agnesa OS, Susilo H, Lestari SR. Aktivitas imunostimulan ekstrak bawang putih tunggal pada mencit yang diinduksi Escherichia coli. Pharmaciana. 2017 May 8;7(1):105–12. Kopp-Hoolihan L. Prophylactic and therapeutic uses of probiotics: a review. J Am Diet Assoc. 2001 Feb;101(2):229–38. Van Gorkom GNY, Klein Wolterink RGJ, van Elssen CHMJ, Wieten L, Germeraad WTV, Bos GMJ. Influence of vitamin C on lymphocytes: an overview. Antioxidants. 2018;7(3):1–15. Sathawane P, Kamal MM, Deotale PR, Mankar H. Nuances of the Papanicolaou stain. Cytojournal. 2022;19:43. Alberts B, Johnson A, Lewis J, Raff M, Roberts K, Walter P. Lymphocytes and the cellular basis of adaptive immunity. In: Molecular biology of the cell. 4th ed. New York: Garland Science; 2002. p. 1201–55.
Edukasi Anemia dan Penggunaan Obat Antianemia pada Siswa SMA Nurul Fikri Serang Banten Sovia, Evi; Ratwita, Welly; Nugraha, Rhea Veda; Rachman, Hidayatul
Jurnal Abdimas Kartika Wijayakusuma Vol 6 No 3 (2025): Jurnal Abdimas Kartika Wijayakusuma
Publisher : LPPM Universitas Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26874/jakw.v6i3.708

Abstract

Anemia merupakan salah satu masalah kesehatan yang terjadi di masyarakat dan sering dijumpai di seluruh dunia, terutama di negara berkembang seperti Indonesia. Anemia bisa terjadi pada wanita usia subur, ibu hamil, anak usia sekolah serta remaja. Pengetahuan siswa SMA tentang anemia masih kurang. Tim pengabdi melaksanakan kegiatan pengabdian masyarakat dalam bentuk memberikan edukasi tentang anemia dan penggunaan obat antianemia pada siswi SMA Nurul Fikri Serang Banten dengan tujuan meningkatkan pengetahuan dan pemahaman tentang penyebab, pencegahan serta pengobatan anemia. Metode yang digunakan adalah dengan melakukan edukasi atau pendidikan kesehatan melalui penyuluhan kesehatan dan diskusi kepada siswi-siswi SMA Nurul Fikri Serang Banten. Hasil dari pengabdian ini adalah meningkatnya pengetahuan siswi SMA Nurul Fikri tentang anemia dan penggunaan obat antianemia.