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Journal : Buletin Farmatera

Kajian Molekuler P53 Pemanfaatan Tanaman Herbal Buah Legundi (Vitex Trifolia L) Terhadap Massa Tumor Jaringan Kulit Humairah Medina Liza Lubis
Buletin Farmatera Vol 3, No 1 (2018)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (476.212 KB) | DOI: 10.30596/bf.v3i1.1242

Abstract

Tujuan jangka panjang penelitian adalah untuk (1) membuktikan dan menganalisa potensi antikanker dari ekstrak etanol buah legundi (V. trifolia) pada tikus putih yang diinduksi benzoalphapyrene, (2) membuktikan adanya hubungan antara molekul protein p53 dengan kejadian sel kanker kulit, (3) membuktikan dan menjelaskan patogenesis terjadinya kanker kulit dengan melihat ekspresi protein p53 yang diduga kuat mengalami mutasi dan kerusakan gen.Target khusus yang ingin dicapai dari penelitian ini adalah memperoleh data yang valid dan akurat tentang potensi ekstrak buah legundi (V. trifolia) sebagai antikanker berdasarkan pemeriksaan biomolekuler protein p53 pada tikus putih yang diinduksi benzoalphapyrene.Metode yang dipakai adalah dengan menggunakan sampel 25 blok jaringan tumor kulit dari tikus putih jantan jenis Wistar yang dibagi atas 5 kelompok, yaitu (1) blok parafin K1 = blok histologi kelompok kontrol negatif yang diambil dari jaringan kulit tikus normal (tikus hanya diberi diet standar tanpa induksi benzoalphapyrene), (2) blok parafin K2 = blok histologi kelompok kontrol positif (tikus diberi diet standar, diinduksi benzoalphapyrene pada lapisan subkutan, setelah timbul massa tumor tidak diberi ekstrak buah legundi, dan diterminasi pada minggu ke-3 untuk melihat jenis tumor kulit secara mikroskopik), (3) blok parafin P1 = blok histologi perlakuan 1 (tikus diberi diet standar, diinduksi benzoalphapyrene pada lapisan subkutan bersamaan dengan pemberian ekstrak buah legundi0,5g/kgBB/hari selama 2 minggu secara oral), (4) blok parafin P2 = blok histologi perlakuan 2 (diberi diet standar, diinduksi benzoalphapyrene pada lapisan subkutan, setelah timbul massa tumor diberi ekstrak buah legundi0,5g/kgBB/hari selama 2 minggu secara oral), (5) blok parafin P3 = blok histologi perlakuan 3 (diberi diet standar, diinduksi benzoalphapyrene pada lapisan subkutan, setelah timbul massa tumor diberi ekstrak buah legundi1g/kgBB/hari selama 2 minggu secara oral).Hasil penelitian didapatkan 3 slide (60%) dari kelompok kontrol yang diinduksi benzoalphyrene adalah tumor ganas (non keratinizing squamous cell carcinoma), 1 slide (20%) adalah lesi atipik, dan 1 slide (20%) adalah lesi jinak. Dengan menggunakan pewarnaan imunohistokimia p53 didapatkan bahwa 2 tumor ganas menunjukkan ekspresi protein p53 kuat sedangkan 1 tumor ganas menunjukkan ekspresi sedang. Pada sel atipik menunjukkan ekspresi lemah sedangkan lesi jinak tidak menunjukkan ekspresi protein p53.  
Penghambat Aktifitas Proliferasi Sel dan Perubahan Histopatologi Epitelial Jaringan Paru dengan Pemberian Ekstrak Buah Pare ( Momordica charantia ) Muhammad Zulfikar Karim Chan; Isnaini Ulfa; Muhammad Farouq Hilmi Harahap; Tania Mulia Utami; Rizkitha Martono Putri; Humairah Medina Liza Lubis
Buletin Farmatera Vol 2, No 2 (2017)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (136.171 KB) | DOI: 10.30596/bf.v2i2.1063

Abstract

Penghambat Aktifitas Proliferasi Sel dan Perubahan Histopatologi Epitelial Jaringan Paru dengan Pemberian Ekstrak Buah Pare ( Momordica Charantia )                                                   Abstrak: Indonesia  merupakan  negara  tropis  yang  mempunyai  dua  iklim,  yaitu musim panas dan musim hujan. Hal ini menyebabkan perkembangan nyamuk di Indonesia  semakin  meningkat,  terutama  selama  musim  pancaroba. Hal ini dimanfaatkan oleh produsen obat nyamuk terutama obat nyamuk bakar oleh karena daya beli masyarakat yang kurang. Padahal obat nyamuk jenis ini sangat berbahaya bagi kesehatan paru. Banyak tanaman herbal yang sudah diteliti untuk kesehatan manusia, salah satunya adalah tanaman pare yang memiliki kandungan antioksidan. Penelitian ini bertujuan untuk mengetahui pengaruh  pemberian  ekstrak buah pare (Momordica charantia) terhadap aktifitas proliferasi sel dan perubahan histopatologi epitelial jaringan paru tikus Wistar yang diinduksi obat nyamuk bakar. Penelitian ini terdiri dari dua perlakuan yaitu kelompok kontrol dan kelompok yang dipapar asap obat nyamuk selama 6 jam perhari. Nekropsi untuk pengambilan sampel dilakukan setelah 1 bulan perlakuan pada tikus dan dibuat sediaan histopatologi. Analisis berupa nekrosis, perdarahan, peradangan dan kongesti yang dilakukan dengan pengamatan histopatologi jaringan dibawah mikroskop dengan pembesaran 100x dan 400x pada empat lapangan pandang. Data hasil penelitian ditabulasi, diskoring,dan dianalisis dengan menggunakan uji non parametrik Kruskal-Wallis. Hasil penelitian menunjukkan bahwa terdapat perbedaan nyata antara skor nekrosis, perdarahan, peradangan dan kongesti antara kelompok perlakuan dan kelompok kontrol. Dapat disimpulkan bahwa terdapat perbaikan pada gambaran histopatologi parenkim paru.Kata kunci: aktifitas proliferasi sel, ekstrak buah pare,, epithelial jaringan paru, histopatologi, obat nyamuk bakar. The Effect of Giving Pare Extract (momordica charantia) to Cell Proliferation Activity and Epistastial Histopathological Changes of Wistar Lung Tissue Abstract: Indonesia is a tropical country that has two climates, namely summer and rainy season. This causes the development of mosquitoes in Indonesia is increasing, especially during the transition season. It is utilized by mosquito repellent manufacturers, especially mosquito coils, because of the poor people's purchasing power. Though this type of mosquito repellent is very dangerous for lung health. Many herbs that have been studied for human health, one of them is a pare that has antioxidant content. This study aimed to determine the effect of giving pare extract (Momordica charantia) to cell proliferation activity and epistastial histopathological changes of Wistar lung tissue. This study consisted of two treatments, namely control group and the group that exposed the smoke of mosquito coil exposed for 6 hours per day. Necropsy for sampling was performed after 1 month of treatment in mice. Sample organ taken in the right and left lung for histopathology making process. Analysis of necrosis, bleeding, inflammation and congestion is done by histopathological observation of tissue under a microscope with 400x and 1000x magnification with four field of view. The research data was tabulated, diskored, and analyzed using non parametric Kruskal-Wallis test. The results showed that there were significant differences between necrosis score, bleeding, inflammation and congestion between treatment group and control group. It can be concluded that there are improvements in the histopathology of the pulmonary parenchyma.Keyword: cell proliferative activity, histopathology, pulmonary tissue epithelial, smoke of mosquito coil.
High-Grade Endometrial Stromal Sarcoma Humairah Medina Liza Lubis
Buletin Farmatera Vol 2, No 2 (2017)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (134.115 KB) | DOI: 10.30596/bf.v2i2.937

Abstract

High-Grade Endometrial Stromal SarcomaAbstrak: High-grade endometrial stromal sarcoma merupakan tumor yang agresif dan pada kebanyakan kasus, kematian sering terjadi tiga tahun setelah histerektomi.Ditandai dengan ketiadaan diferensiasi spesifik dan gambaran histologis yang tidak menyerupai stroma endometrium. Insidensinya diperkirakan sekitar 10% dari keseluruhan tumor mesenkim uterus dan hanya 0,2% dari seluruh keganasan uterus. Sering ditemukan pada korpus uterustetapi dapat meluas ke ekstrauterus.Umumnya keluhan berupa perdarahan pervaginam, nyeri panggul dan pada pemeriksaan fisik terkadang menunjukkan pembesaran uterus atau penonjolan tumor melewati cervical os. Kami melaporkan satu kasus yang ditemukan di praktek swasta dokter spesialis Patologi Anatomi dan RSUP H. Adam Malik Medan pada seorang wanita berumur 27 tahun dengan keluhan perdarahan pervaginam sejak 6 tahun yang lalu. Dilakukan STAH dan BSO di rumah sakit daerah dan beberapa bulan kemudian dilakukan biopsi serviks. Pemeriksaan histopatologi pada endometrium dan serviks didapatkan gambaran yang sama berupa komponen sarcomatous yang diduga berasal dari stroma endometrium. Imunohistokimia menggunakan marker S-100 protein, Vimentin, Desmin, SMA dan CD10, dengan komponen mesenkim yang positif pada Vimentin, Desmin dan SMA, sedangkan komponen epitelial negatif dengan S-100 protein. Kemudian untuk membedakannya dengan limfoma Non Hodgkin dipakai marker CD10 dengan hasil negatif.Sehingga dapat disimpulkan sebagai kasus High-Grade Endometrial Stromal Sarcoma pada endometrium dan serviks.Kata kunci: high-grade endometrial stromal sarcoma, low-grade endometrial stromal sarcoma, stroma endometrium, imunohistokimia. High-Grade Endometrial Stromal Sarcoma Abstract: High-grade endometrial stromal sarcoma is an aggressive tumor, and death occurs from tumor dissemination within three years after hysterectomy in most cases. A high grade endometrial sarcoma that lacks specific differentiation and bears no histological resemblance to endometrial sarcoma. Represent approximately10% of all uterine mesenchymal tumors. Most occurs in corpus uterine and adjacent to extra uterine. The patient had vaginal bleeding, pelvic pain and on physical examination findings uterine enlargement throughout cervical os. We report an unusual case of ESS arising in a-27-year-old woman had vaginal bleeding since 6 years previously. She had undergone subtotal hysterectomy and bisalphyngoovorectomy previously and a few months ago had cervical biopsy. On histological findings, sarcomatous component was suspectly endometrial stromal origin. Immunostaining showed that mesenchymal component were vimentin, desmin, and SMA-positive, whereas epithelial component were S-100 protein-negative. Distinction ESS from Non Hodgkin lymphoma was usedCD10 antigen, and the result was stained negative for CD10. The conclusion for this case was High-Grade endometrial stromal sarcoma on endometrial and cervical uterine.Keywords: High-Grade Endometrial Stromal Sarcoma, Low-Grade Endometrial Stromal Sarcoma, endometrial stromal, imunohistochemistry
Anti-Cervical Cancer Study of a Labdane-type Diterpene Obtained from Legundi Fruit (Vitex triolia L.) Targeting the Bcl-2 Gene Humairah Medina Liza Lubis; Emni Purwoningsih; Nurfadly Nurfadly
Buletin Farmatera Vol 7, No 3 (2022)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/bf.v7i3.11728

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Abstract: The development and induction of cervical cancer carcinogenesis are linked to sexually transmitted Human Papillomavirus (HPV) infection, and can affect human genes, particularly those involved in the apoptotic process, one of which is the Bcl-2 gene. Several synthetic compounds, including pyrimidineylpiperazine, phenylpyrazole, kendomycin, and navitoclax, have been shown to be effective in inhibiting the antiapoptotic activity of Bcl-2, but it is the labdane-type diterpene content of the natural legundi fruit plant (Vitex trifolia L.) that has anticancer bioactivity, particularly in the process of genetic mutations, Apoptotic inhibition and therapeutic failure have yet to be discovered, particularly in cervical cancer. The study's goal was to investigate the mechanism of interaction (molecular docking) of labdane type-diterpene compounds with the antiapoptotic protein Bcl-2. In silico (docking molecular) research was used to determine the interaction between legundi fruit ligands and the Bcl-2 target protein in cervical cancer. The docking analysis results will then be visualized with the Discovery Studio 4.1, LigPlot+, and Ligand Scout 3.1 software. The interaction of proteins and ligands was studied to determine the number and type of bonds formed, such as hydrogen and hydrophobic bonds. The results were as follows: Gibbs energy -7.8, pKi 1.91 m, 10 hydrophobic bonds, and hydrophobic residues Leu80, Leu82, Thr83, Thr86, Ala87, Cys90, Met118, Glu121, Ser122, and Leu130. The findings presented here suggest that labdane-type diterpenes are powerful anticancer agents capable of inducing apoptosis and inhibiting the antiapoptotic action of the Bcl-2 gene, which should be investigated further in (pre)clinical studies.
Microscopic Features of Central Caseous Necrosis in Tuberculosis Lymphadenitis Patients: The Relationship with Lymphocyte Density Rafa Nabila Haifa; Humairah Medina Liza Lubis
Buletin Farmatera Vol 8, No 1 (2023)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/bf.v8i1.12282

Abstract

Tuberculosis lymphadenitis (TBLN) is the most common extra pulmonary TB (EPTB) case in the world with a range of 30-40% of all EPTB cases. When the body's immune system cannot kill the pathogen, the body will try to contain the pathogen (granuloma). The outer portion of the granuloma becomes calcified and the cells in the center undergo necrosis. The formation of central necrosis is associated with the emergence of cellular hypersensitivity with the features of local accumulation of macrophages and lymphocytes. The current study aimed to determine the relationship between the microscopic features of central caseous necrosis with lymphocyte density in patients with tuberculous lymphadenitis. Thirty histopathological slides of TBLN patients were observed under a microscope to see the features of central caseous necrosis and assess the lymphocyte density with the results assessed based on the cutoff point of the median of all lymphocyte mean values. Based on the microscopic examination, 25 samples of central caseous necrosis were found and the other 5 samples were not found to have caseous necrosis. Twenty-six patients had low lymphocyte density, and 4 patients had high lymphocyte density. The results of the Fisher Exact test obtained p = 0.009. There is a significant relationship between the features of central caseous necrosis and lymphocyte density in patients with TBLN.
PD-L1 as a Potential Therapeutic Target to Immune Checkpoint Blockade in Cervical Cancer: A Review of the Literature Lubis, Humairah Medina Liza; Sitompul, Asma Dwi Nantika; Shaik Hussain, Basrah Bee Binte; Nasution, Annissa Ambaravista
Buletin Farmatera Vol 7, No 1 (2022)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/bf.v7i1.8926

Abstract

Cervical cancer (CC) is still one of the most common malignant tumors in women worldwide. Malignant tumors are known for evading immune surveillance. In cervical lesions, the mechanism has received less attention. Evasion of immune surveillance through a variety of mechanisms; one of which is the immune checkpoint pathway has attracted interest because it can be therapeutically targeted, the programmed cell death 1 (PD-1) pathway that tumor cells use to block antitumoral immune responses. Increasing the prevalence of PD-L1 expression in up to 80% of cervical malignancies, there is a significant indication using immunotherapy to maintain the immune response against malignancies. The purpose of this literature review is to examine the potential role of immune checkpoint inhibitors in the treatment of cervical neoplastic lesions, by reviewing articles on cervical intraepithelial neoplasia (CIN) and cervical cancer that carried out histopathological and immunohistochemical examination PD-L1 as well as immunotherapy treatment with anti-PD-L1. There were 10 articles were found to be associated with anti-PD-1/PD-L1 immunotherapy. In conclusion, PD-L1 is a potential therapeutic target in cervical cancer
Relationship Between Necrosis, Neovascularization, and Lymphocyte Reaction in Histopathological Types of Cervical Cancer Jamilah, Qurratu Kasturi; Lubis, Humairah Medina Liza
Buletin Farmatera Vol 9, No 2 (2024)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/bf.v9i2.21947

Abstract

Abstract: Cervical cancer is a malignant tumour that grows on the cervix, more than 90% of which are caused by HPV 16 and 18. lymphocytes are one of the immune systems that play a role in immunosurveillance against cancer cells. However, cervical cancer will cause necrosis and activate Hypoxia-Inducible Factor-1 (HIF-1) which plays a role in the formation of neovascularization. Based on histopathological findings, cervical cancer types are classified into squamous cell carcinoma (SCC) and adenocarcinoma (ADC). This study aimed to determine the relationship between necrosis, neovascularization, and lymphocyte reaction in various histopathological types of cervical cancer. This research is observational analysis using medical records and histopathological slides of patients diagnosed with cervical cancer. There were 26 cases of cervical cancer consisting of 16 types of SCC and 12 types of ADC. Based on the highest percentage, more necrosis was found in ADC 81.8% (p-value 0.014), neovascularization in SCC 73.3% (p-value 0.014), and lymphocyte reaction in SCC 86.7% (p-value 0.973). This means that there was a significant relationship between necrosis and lymphocyte reaction in various histopathological types of cervical cancer, however, there is no significant relationship between neovascularization in various histopathological types of cervical cancer.
Antibacterial Activity of Legundi (Vitex trifolia L.) Fruit Extract Against Lactobacillus gasseri ATCC 19992: Study In Vitro Cindykia, Assyifa; Lubis, Humairah Medina Liza
Buletin Farmatera Vol 10, No 1 (2025)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/bf.v10i1.22821

Abstract

Abstract: Lactobacillus species are the most frequent bacterial colonies in the human microbiome that can be found in the gastrointestinal tract, urinary tract, and vaginal microbiota. Lactobacillus gasseri is an important constituent of the female urogenital tract. if there is excessive proliferation of Lactobacillus, there will be changes in the homeostasis of the human microbiome. Homeostasis of the human microbiome can undermine the symbiotic relationship between host and microorganisms, induce physiological changes in the individual, and lead to the development of diseases such as to the development of diseases such as cancer. Legundi fruit extract was found to be cytotoxic against several lines of cancer cells and has antimicrobial activity. This research aims to determine the diameter of antibacterial inhibition of Legundi fruit extract, and determine the minimum inhibition concentration (MIC), minimum kill concentration (MKC) against Lactobacillus gasseri. This research used solid and liquid dilution and diffusion methods with concentrations of 10%, 20%, 25%, 50%, 75%, 100%, positive and negative controls. Extract of Legundi fruit can’t inhibit bacterial growth at concentrations of 10% and 20%. The longest diameter was in the positive control with streptomycin. The higher the concentration of Legundi fruit ethanol extract given, the higher the inhibition ability.    
Co-Authors Afelita, Tia Afif Fadhilah Irsyad Afifah Endah Dwi Purianti Aini, Rahma Ainur Rofiq Ainur Rofiq Aisyah Salsabila Alamsyah, Tegar Alfarisi, Bunail Isna Amanda Farra Assyfah Aminuyati Amira Fazhira Ance Roslina ANNISA . ANNISA FITRI HENDEWI Annisa Rifqa Hestiana Annissa Ambaravista Nasution Anriani, Dwi Arifin, Salsalina Dwi Atika Dwiyanti Atika Rahmi Atmaja, Pramudia Barasa, Neza Farach Addiba Berkah Tania Sawitri Bunail Isna Alfarisi Ceri Permata Ayuni Charisma Yani Roza Cindy, Tiara Safira Cindykia, Assyifa DEA YULIA LUBIS Delyuzar, Delyuzar Des Suryani Des Suryani DEWI AGUSTIN HAKIM HARAHAP Dilma Ayu Khairani DIWA AULIA AHMAD Dwiyanti, Atika Fadillah, Akram Fadlina, Shofiah Dina Fayyaza, Nesya Alya Febryandani, Silvy Claresta Filzah, Rahmah Fitri Nur Malini Frina Aeni Putri Galang Ramadhan Hasanah, Nurul HENDRA SUTYSNA Herian, M. Fauzan Alfatin Hervina, Hervina Hestiana, Annisa Rifqa Hidayatullah, Muhammad Rafli HSB, Fatur M Ahmad Hutabarat, Siti Rahmah IBNU AFIF ARMADI Ilham Hariaji Indyra Mahrani Lubis Irsyad, Afif Fadhilah Islami, M. Dian Isnaini Ulfa Jamilah, Qurratu Kasturi KARTIKA HANDAYANI Kesuma, Ilham Jaya KHAIRATUL FITHRIYAH Khairunisa, Zafira Kirana Arum Indra Laden Laden, Laden LITA SEPTINA Lubita, Mardiyah M. Dian Islami Malini, Fitri Nur MEIZLY ANDINA Muhammad Al Anas Muhammad Farouq Hilmi Harahap Muhammad Fathurridha Arabia Salim Muhammad Rafli Hidayatullah Muhammad Zikri Agung Ramadhan Muhammad Zulfikar Karim Chan Nasution, Annissa Ambaravista Nasution, Reyhan Khaira Helmita Nesya Alya Fayyaza Noviardy, Arya Nurcahaya Sinaga Nurfadly, Nurfadly Oche Axena Yulhan Parinduri, Saskya Nabila Prayoga, M. Iqbal Purwoningsih, Emni Qatrunnada Medina Salim Qatrunnada Medina Salim Rafa Nabila Haifa Rafa Nabila Haifa Rahma Rifda F.S. Lubis Rahmah Filzah Raihana Zavira Ramadhan, Galang Ramadhan, Reza Mukti Ratih Yulistika Utami Riaulina, Nasha RIFQY IMSYA AL AYYUBI LUBIS Rizkitha Martono Putri Rizky Yusfasari Robitah Asfur Salsabila, Aisyah Salsabila, Asya Salsabila, Salsabila Sari, Indah Permata Sembiring, Khairul Rasyid Septiady, Teuku Baihaqi Shaik Hussain, Basrah Bee Binte SITI MIRHALINA Siti Mulyani Sitompul, Asma Dwi Nantika Sri Rezeki Arbaningsih Tania Mulia Utami Tegar Alamsyah Teuku Baihaqi Septiady USWATUL KHOIROT Utami, Tania Mulia Widya Yustika Yulhan, Oche Axena Yusmawati Yusran Yustika, Widya Zavira, Raihana Zulkarnain, Rizki Chairani