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Ninik Mudjihartini
"[ABSTRAK
Hipoksia berperan penting pada patofisiologi berbagai penyakit utama penyebab kematian seperti, penyakit jantung iskemia, strok, kanker, penyakit paru kronik, dan gagal jantung kongestif. Kedua protein golongan globin di otak, yaitu neuroglobin (Ngb) dan sitoglobin (Cygb) diduga berperan dalam suplai oksigen ke mitokondria dan melindungi jaringan otak dari kerusakan akibat hipoksia (neuroprotektan). Perubahan ekspresi protein merupakan salah satu bentuk adaptasi biokimia yang penting terhadap perubahan homeostasis. Oleh karena itu timbul pertanyaan bagaimana pola ekspresi Ngb dan Cygb serta peran neuroprotektan kedua protein tersebut di otak pada keadaan hipoksia sistemik kronik (HSK). Penelitian bertujuan manganalisis perbedaan pola ekspresi Ngb dan Cygb serta kaitannya dengan apoptosis pada HSK. Parameter yang diukur adalah Ngb, Cygb, sitokrom c, MDA, GSH dan HIF-lα. Rancangan penelitian yang digunakan adalah studi eksperimental in vivo model HSK pada tikus. Tikus sebagai hewan coba dibagi secara acak dalam 6 kelompok perlakuan, yaitu kelompok I adalah kelompok kontrol atau tanpa perlakuan hipoksia, sedangkan kelompok II, III, IV, V, dan VI mendapat perlakuan hipoksia dengan lama waktu hipoksia selama 1, 3, 5, 7, dan 14 hari. Parameter yang diperiksa meliputi ekspresi Ngb dan Cygb dengan teknik real time-RT PCR, ELISA dan imunofluoresen FITC, stres oksidatif, HIF-1α sebagai penanda hipoksia, dan sitokrom c sebagai penanda apoptosis. Hasil yang diperoleh HSK meningkatkan ekspresi mRNA Ngb pada hipoksia 3, 5, dan 7 hari, namun ekspresi proteinnya menurun pada hipoksia 1, 3, 5, 7, dan 14 hari dibanding dengan kontrol. Berbeda dengan ekspresi mRNA Cygb yang menurun selama hipoksia 1, 3, 5, 7, dan 14 hari, namun protein Cygb meningkat pada hipoksia 1, 3, 5, 7, dan 14 hari dibandingkan dengan kontrol. Korelasi Ngb dengan sitokrom c lemah tidak signifikan, sedangkan Cygb sangat lemah dan tidak signifikan. HSK menginduksi ekspresi HIF-lα yang meningkat tertinggi pada hipoksia 7 hari, dan menyebabkan stres oksidatif yang ditandai dengan meningkatnya MDA pada hipoksia 1, 3 dan 5 hari, serta menurunnya GSH pada hipoksia 1, 3, dan 5 hari. Penelitian ini membuktikan bahwa terdapat perbedaan pola ekspresi Ngb dan Cygb pada HSK. Ekspresi Ngb sebagai respons adaptasi terjadi lebih awal dan lebih dipengaruhi oleh lama waktu hipoksia dibandingkan dengan ekspresi Cygb. Meskipun lemah, Ngb cenderung mempunyai peran menghambat apoptosis dibandingkan dengan protein Cygb.;

ABSTRACT
Hypoxia has an important role in the pathophysiology of high mortality diseases, such as ischemic cardiovascular disease, stroke, cancer, chronic lung disease, and congestive heart failure. The proteins belonged to globin protein group, included neuroglobin (Ngb) and cytoglobin (Cygb), have been presumed to play a role in regulating the oxygen supply into the mitochondria and protecting the brain tissues from damage due to hypoxia (neuroprotectant). An alteration in protein expression due to a homeostatic shift is an important adaptation process in biochemistry. Therefore, the expression pattern of Ngb and Cygb as well as their protein roles in brain during a chronic systemic hypoxia condition (CSH) remain unclear. This study aim to analyse the differences of the Ngb and Cygb expression patterns, and correlation of both protein to apoptosis in chronic systemic hypoxic condition. Ngb, Cygb, Cytochrome c, MDA, GSH, and HIF-1 α. were examined. An in vivo experimental model of CSH was carried out using rat. The experimental rats were randomly divided into 6 treatment groups, i.e. group I was a control group or without hypoxic condition, groups II, III, IV, V, and VI were treated by hypoxic condition for 1, 3, 5, 7, and 14 days, respectively. The Ngb and Cygb expressions were analysed using real time-RTPCR, ELISA, immunofluorescence with FITC, and the measurement of stress oxidative biomarkers, included HIF-1α as a biomarker of hypoxic condition and cytochrome c as a biomarker of apoptosis. The CSH was increased the mRNA expression of Ngb at 3, 5, and 7 days hypoxic groups, while the protein expression was decreased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The mRNA expression of Cygb was decreased at 1, 3, 5, 7, and 14 days hypoxic groups, whereas the Cygb protein expression was increased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The correlation between Ngb with cytochrome c was weakly statistically insignificant, and Cygb with cytochrome c was statistically insignificant. The CSH induced the HIFlα, which was shown by a high increase at 7 days hypoxic group, as well as stress oxidative which was represented by MDA at 1, 3, and 5 days hypoxic groups, and decreased GSH at 1, 3, and 5 days hypoxic groups. There are differences in expression pattern of Ngb and Cygb in CSH. The expression of Ngb, as an adaptive response, occurs earlier and is more influenced by the duration of hypoxic condition compared to Cygb. Although the correlation is weak, the Ngb seems more likely to inhibit apoptosis compared to Cygb protein;Hypoxia has an important role in the pathophysiology of high mortality diseases, such as ischemic cardiovascular disease, stroke, cancer, chronic lung disease, and congestive heart failure. The proteins belonged to globin protein group, included neuroglobin (Ngb) and cytoglobin (Cygb), have been presumed to play a role in regulating the oxygen supply into the mitochondria and protecting the brain tissues from damage due to hypoxia (neuroprotectant). An alteration in protein expression due to a homeostatic shift is an important adaptation process in biochemistry. Therefore, the expression pattern of Ngb and Cygb as well as their protein roles in brain during a chronic systemic hypoxia condition (CSH) remain unclear. This study aim to analyse the differences of the Ngb and Cygb expression patterns, and correlation of both protein to apoptosis in chronic systemic hypoxic condition. Ngb, Cygb, Cytochrome c, MDA, GSH, and HIF-1 α. were examined. An in vivo experimental model of CSH was carried out using rat. The experimental rats were randomly divided into 6 treatment groups, i.e. group I was a control group or without hypoxic condition, groups II, III, IV, V, and VI were treated by hypoxic condition for 1, 3, 5, 7, and 14 days, respectively. The Ngb and Cygb expressions were analysed using real time-RTPCR, ELISA, immunofluorescence with FITC, and the measurement of stress oxidative biomarkers, included HIF-1α as a biomarker of hypoxic condition and cytochrome c as a biomarker of apoptosis. The CSH was increased the mRNA expression of Ngb at 3, 5, and 7 days hypoxic groups, while the protein expression was decreased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The mRNA expression of Cygb was decreased at 1, 3, 5, 7, and 14 days hypoxic groups, whereas the Cygb protein expression was increased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The correlation between Ngb with cytochrome c was weakly statistically insignificant, and Cygb with cytochrome c was statistically insignificant. The CSH induced the HIFlα, which was shown by a high increase at 7 days hypoxic group, as well as stress oxidative which was represented by MDA at 1, 3, and 5 days hypoxic groups, and decreased GSH at 1, 3, and 5 days hypoxic groups. There are differences in expression pattern of Ngb and Cygb in CSH. The expression of Ngb, as an adaptive response, occurs earlier and is more influenced by the duration of hypoxic condition compared to Cygb. Although the correlation is weak, the Ngb seems more likely to inhibit apoptosis compared to Cygb protein;Hypoxia has an important role in the pathophysiology of high mortality diseases, such as ischemic cardiovascular disease, stroke, cancer, chronic lung disease, and congestive heart failure. The proteins belonged to globin protein group, included neuroglobin (Ngb) and cytoglobin (Cygb), have been presumed to play a role in regulating the oxygen supply into the mitochondria and protecting the brain tissues from damage due to hypoxia (neuroprotectant). An alteration in protein expression due to a homeostatic shift is an important adaptation process in biochemistry. Therefore, the expression pattern of Ngb and Cygb as well as their protein roles in brain during a chronic systemic hypoxia condition (CSH) remain unclear. This study aim to analyse the differences of the Ngb and Cygb expression patterns, and correlation of both protein to apoptosis in chronic systemic hypoxic condition. Ngb, Cygb, Cytochrome c, MDA, GSH, and HIF-1 α. were examined. An in vivo experimental model of CSH was carried out using rat. The experimental rats were randomly divided into 6 treatment groups, i.e. group I was a control group or without hypoxic condition, groups II, III, IV, V, and VI were treated by hypoxic condition for 1, 3, 5, 7, and 14 days, respectively. The Ngb and Cygb expressions were analysed using real time-RTPCR, ELISA, immunofluorescence with FITC, and the measurement of stress oxidative biomarkers, included HIF-1α as a biomarker of hypoxic condition and cytochrome c as a biomarker of apoptosis. The CSH was increased the mRNA expression of Ngb at 3, 5, and 7 days hypoxic groups, while the protein expression was decreased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The mRNA expression of Cygb was decreased at 1, 3, 5, 7, and 14 days hypoxic groups, whereas the Cygb protein expression was increased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The correlation between Ngb with cytochrome c was weakly statistically insignificant, and Cygb with cytochrome c was statistically insignificant. The CSH induced the HIFlα, which was shown by a high increase at 7 days hypoxic group, as well as stress oxidative which was represented by MDA at 1, 3, and 5 days hypoxic groups, and decreased GSH at 1, 3, and 5 days hypoxic groups. There are differences in expression pattern of Ngb and Cygb in CSH. The expression of Ngb, as an adaptive response, occurs earlier and is more influenced by the duration of hypoxic condition compared to Cygb. Although the correlation is weak, the Ngb seems more likely to inhibit apoptosis compared to Cygb protein;Hypoxia has an important role in the pathophysiology of high mortality diseases, such as ischemic cardiovascular disease, stroke, cancer, chronic lung disease, and congestive heart failure. The proteins belonged to globin protein group, included neuroglobin (Ngb) and cytoglobin (Cygb), have been presumed to play a role in regulating the oxygen supply into the mitochondria and protecting the brain tissues from damage due to hypoxia (neuroprotectant). An alteration in protein expression due to a homeostatic shift is an important adaptation process in biochemistry. Therefore, the expression pattern of Ngb and Cygb as well as their protein roles in brain during a chronic systemic hypoxia condition (CSH) remain unclear. This study aim to analyse the differences of the Ngb and Cygb expression patterns, and correlation of both protein to apoptosis in chronic systemic hypoxic condition. Ngb, Cygb, Cytochrome c, MDA, GSH, and HIF-1 α. were examined. An in vivo experimental model of CSH was carried out using rat. The experimental rats were randomly divided into 6 treatment groups, i.e. group I was a control group or without hypoxic condition, groups II, III, IV, V, and VI were treated by hypoxic condition for 1, 3, 5, 7, and 14 days, respectively. The Ngb and Cygb expressions were analysed using real time-RTPCR, ELISA, immunofluorescence with FITC, and the measurement of stress oxidative biomarkers, included HIF-1α as a biomarker of hypoxic condition and cytochrome c as a biomarker of apoptosis. The CSH was increased the mRNA expression of Ngb at 3, 5, and 7 days hypoxic groups, while the protein expression was decreased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The mRNA expression of Cygb was decreased at 1, 3, 5, 7, and 14 days hypoxic groups, whereas the Cygb protein expression was increased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The correlation between Ngb with cytochrome c was weakly statistically insignificant, and Cygb with cytochrome c was statistically insignificant. The CSH induced the HIFlα, which was shown by a high increase at 7 days hypoxic group, as well as stress oxidative which was represented by MDA at 1, 3, and 5 days hypoxic groups, and decreased GSH at 1, 3, and 5 days hypoxic groups. There are differences in expression pattern of Ngb and Cygb in CSH. The expression of Ngb, as an adaptive response, occurs earlier and is more influenced by the duration of hypoxic condition compared to Cygb. Although the correlation is weak, the Ngb seems more likely to inhibit apoptosis compared to Cygb protein, Hypoxia has an important role in the pathophysiology of high mortality diseases, such as ischemic cardiovascular disease, stroke, cancer, chronic lung disease, and congestive heart failure. The proteins belonged to globin protein group, included neuroglobin (Ngb) and cytoglobin (Cygb), have been presumed to play a role in regulating the oxygen supply into the mitochondria and protecting the brain tissues from damage due to hypoxia (neuroprotectant). An alteration in protein expression due to a homeostatic shift is an important adaptation process in biochemistry. Therefore, the expression pattern of Ngb and Cygb as well as their protein roles in brain during a chronic systemic hypoxia condition (CSH) remain unclear. This study aim to analyse the differences of the Ngb and Cygb expression patterns, and correlation of both protein to apoptosis in chronic systemic hypoxic condition. Ngb, Cygb, Cytochrome c, MDA, GSH, and HIF-1 α. were examined. An in vivo experimental model of CSH was carried out using rat. The experimental rats were randomly divided into 6 treatment groups, i.e. group I was a control group or without hypoxic condition, groups II, III, IV, V, and VI were treated by hypoxic condition for 1, 3, 5, 7, and 14 days, respectively. The Ngb and Cygb expressions were analysed using real time-RTPCR, ELISA, immunofluorescence with FITC, and the measurement of stress oxidative biomarkers, included HIF-1α as a biomarker of hypoxic condition and cytochrome c as a biomarker of apoptosis. The CSH was increased the mRNA expression of Ngb at 3, 5, and 7 days hypoxic groups, while the protein expression was decreased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The mRNA expression of Cygb was decreased at 1, 3, 5, 7, and 14 days hypoxic groups, whereas the Cygb protein expression was increased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The correlation between Ngb with cytochrome c was weakly statistically insignificant, and Cygb with cytochrome c was statistically insignificant. The CSH induced the HIFlα, which was shown by a high increase at 7 days hypoxic group, as well as stress oxidative which was represented by MDA at 1, 3, and 5 days hypoxic groups, and decreased GSH at 1, 3, and 5 days hypoxic groups. There are differences in expression pattern of Ngb and Cygb in CSH. The expression of Ngb, as an adaptive response, occurs earlier and is more influenced by the duration of hypoxic condition compared to Cygb. Although the correlation is weak, the Ngb seems more likely to inhibit apoptosis compared to Cygb protein]"
2015
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UI - Disertasi Membership  Universitas Indonesia Library
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Endah Wulandari
"Latar belakang: Sitoglobin (Cygb) adalah protein pengangkut O2 yang diekspresikan oleh fibroblas dan fibroblast like cells aktif. Keperluan O2 dan energi meningkat pada fibrosis akibat proliferasi fibroblas dan sintesis kolagen. Pada fibrosis terjadi hipoksia yang ditandai oleh stabilisasi hypoxia inducible factor-1α (HIF-1α), yang kemudian membentuk HIF-1 yang merupakan faktor transkripsi untuk ekspresi protein adaptasi (termasuk Cygb). Diduga Cygb berperan dalam suplai O2 pada fibrosis. Tujuan penelitian ini adalah untuk memperoleh informasi mengenai peran Cygb pada hipoksia jaringan fibrosis dengan keloid sebagai model.
Metode: Penelitian bersifat observasional deskriptif. Sampel keloid diperoleh melalui biopsi, sedangkan kontrol preputium diperoleh melalui sirkumsisi, masing-masing 10 sampel jaringan. Pengukuran ekspresi mRNA Cygb, HIF-1α, kolagen I dan III dilakukan dengan real time RT-PCR; kadar protein Cygb dan HIF-1α dengan ELISA; dan ekspresi protein Cygb, HIF-1α, FGF, kolagen I dan III di lapisan dermis dengan imunohistokimia (IHK). Pengukuran kadar MDA dan GSH (tingkat stres oksidatif) serta kadar hidroksiprolin (untuk pematangan kolagen) dengan spektrofotometri, sedangkan pengukuran kepadatan kolagen dengan pewarnaan Van Gieson. Data dianalisis secara statistik menggunakan uji-t.
Hasil: Pada keloid dibandingkan preputium, ekspresi mRNA Cygb meningkat 8,7 kali, protein Cygb meningkat bermakna (1,196 Vs 0,779 ng/mg protein dan 95% Vs 63% ; p <0,05). Ekspresi mRNA HIF-1α meningkat 5,1 kali, protein HIF-1α meningkat bermakna (0,201 Vs 0,122 ng/mg protein dan 80% Vs 38%; p <0,05). Terdapat korelasi kuat antara ekspresi protein HIF-1α dan mRNA Cygb (Pearson; R = 0,649; p <0,01). Ekspresi protein FGF keloid meningkat bermakna (78% Vs 41%; p <0,05). Demikian pula ekspresi mRNA prokolagen I dan III keloid meningkat bermakna (35 kali dan 27,1 kali), serta ekspresi protein kolagen I dan III (61% Vs 37% dan 39% Vs. 16%; p <0,05). Juga terdapat korelasi kuat antara protein HIF-1α dengan FGF, prokolagen I dan III (Pearson; R= 0,878; R=0,960; dan R=0884; p<0,01). Kadar hiroksiprolin lebih tinggi pada keloid (0,297 Vs 276 ng/mg protein; p >0,05) dan pematangan kolagen lebih tinggi bermakna (1,2 kali; p <0,05). Cygb berkorelasi kuat dengan pematangan kolagen (kadar hidroksiprolin) (Pearson; R = 0,790; p <0,001).
Kesimpulan: Cygb berperan pada hipoksia jaringan fibrosis yang ditandai dengan peningkatan ekspresinya. Peran Cygb terkait dengan ekspresi HIF-1α yang berkorelasi dengan peningkatan FGF, pro/kolagen I dan III yang merupakan faktor penting pada fibrosis. Cygb juga berperan pada pematangan kolagen.

Background: Cytoglobin (Cygb) is an O2 carrier protein expressed by fibroblasts and active fibroblast like cells. O2 and energy demand increased in fibrosis due to proliferation of fibroblasts and synthesis of collagen. In fibrosis hypoxia occurred which is characterized by stabilization of hypoxia inducible factor-1α (HIF-1α), which later forming the HIF-1, a transcription factor for the expression of adaptation protein (including Cygb). Cygb alleged role in the supply of O2 in fibrosis. The purpose of this study was to obtain information about Cygb role in fibrosis hypoxia with keloid tissue as a model.
Methods: This was an observational descriptive study. Keloid samples were obtained from biopsy, while the preputium as control were obtained from circumcision, 10 tissue samples each. Measurement of Cygb, HIF-1α, collagen I and III mRNA expression were carried out by real time RT?PCR. Cygb and HIF-1α protein level were measured by ELISA; while Cygb, HIF-1α, FGF, and collagen I and III protein expressions in the dermis layer by immunohistochemistry (IHC). Measurement of MDA and GSH levels (oxidative stress) and hydroxyprolin concentration (marker of mature collagen) by spectrophotometry, while the collagen density measurement with van Gieson staining. Data were analyzed statistically using t-test.
Results: In keloid compared preputium, Cygb mRNA expression increased 8.7 times compared to preputium, Cygb protein increased significantly (1.196 Vs 0.779 ng/mg protein and 95% Vs 63%, p <0.05). HIF-1α mRNA expression increased by 5.1 times in keloid tissue, and protein HIF-1α increased significantly (0.201 Vs 0.122 ng/mg protein and 80% Vs 38%, p <0.05). There is a strong correlation between the expression of HIF-1α protein and Cygb mRNA (Pearson; R = 0.649, p <0.01). Keloid FGF protein expression increased significantly (78% Vs 41%; p <0.05). Similarly, mRNA expression of procollagen I and III keloid increased significantly (35 times and 27.1 times), and protein expression of collagen I and III (61% Vs 37% and 39% Vs 16%, p <0.05). There is also a strong correlation between HIF-1α protein with FGF, procollagen I and III (Pearson, R = 0.878, R = 0.960; and R = 0.884, p <0.01). Hydroxyprolin concentration were higher in keloid (0.297 Vs 0.276 ng/mg protein; p >0.05) and collagen maturation was significantly higher (1.2 times, p <0.05). Cygb is correlated with maturation of collagen (hydroxyproline levels) (Pearson, R = 0.790, p <0.001).
Conclusion: Cygb play role in fibrosis hypoxia which is characterized by its increased expression. Cygb role is associated with the expression of HIF-1α which are correlated with increased FGF, pro/collagen I and III, which are important factor in fibrosis. Cygb also play a role in the maturation of collagen."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2016
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UI - Disertasi Membership  Universitas Indonesia Library
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Uly Alfi Nikmah
"Tujuan: Tujuan penelitian ini adalah untuk mempelajari perubahan ekspresi dan aktivitas spesifik karbamoil fosfat sintetase 1 (Carbamoyl Phosphate Synthetase 1/CPS 1) dan protein HIF-1α (hypoxia-inducible factor) pada hati tikus (Rattus norvegicus) selama hipoksia sistemik kronik.
Disain: Disain penelitian ini adalah eksperimen in vivo dengan menggunakan tikus sebagai hewan coba.
Metode: Ada lima perlakukan tikus; tikus kontrol, hipoksia 1 hari, hipoksia 3 hari, hipoksia 5 hari dan hipoksia 7 hari. Ekspresi gen karbamoil fosfat sintetase 1 (CPS1) diukur menggunakan real time RT-PCR dan menggunakan 18s rRNA sebagai gen referensi. Aktivitas spesifik CPS1 diukur menggunakan hidroksiurea sebagai larutan standar. Metode ELISA digunakan untuk mengukur protein HIF-1α.
Hasil : Ekspresi gen karbamoil Fosfat Sintetase 1 meningkat secara signifikan dan menunjukkan ekspresi tertinggi daripada perlakuan lain pada satu hari hipoksia dibandingkan dengan kelompok control. Pada hipoksia hari berikutnya, ekspresi CPS1 menurun secara signifikan dibandingkan kelompok control (ANOVA, p<0,05). Aktivitas spesifik CPS1 meningkat secara signifikan pada satu hari dan tiga hari hipoksia dibanding kelompok control (ANOVA, p<0,05). Protein HIF-1α juga dipengaruhi oleh induksi hipoksia (ANOVA, p<0,05). Hubungan antara ekspresi dan aktivitas CPS1 menunjukkan hubungan positif kuat dan hubungan protein HIF-1α dan ekspresi CPS1 menunjukkan hubungan positif sedang (Pearson, p<0,05). Sedangkan hubungan antara protein HIF-1α dan aktifitas spesifik menunjukkan tidak ada hubungan secara statistik.
Kesimpulan: Kondisi hipoksia berperan penting dalam pengaturan ekspresi gen dan aktivitas spesifik CPS1 serta protein HIF-1α. Regulasi ekspresi gen CPS1 oleh HIF-1α belum diketahui.

Background: The aim of this research is to study the changeover of expression and specific activity of Carbamoyl Phosphate Synthetase 1 (CPS 1) and HIF-1α protein of rat (Rattus norvegicus) liver during systemic chronic hypoxia.
Design: Design of this research is an in vivo experimental study using rat as laboratory animal.
Method: There are five treatment of rats; control, 1 day of hypoxia, 3 days of hypoxia, 5 days of hypoxia and 7 days of hypoxia. Carbamoyl phosphate synthetase 1 gene expression was measured using real time RT-PCR and using 18s RNA gene as housekeeping gene. The specific activity of CPS1 was measured using hydroxyurea as standard solution. ELISA was performing in order to measure HIF-1α protein.
Result: Carbamoyl phosphate synthetase 1 gene expression was increased significantly and shows the highest expression than other treatment in one day of systemic chronic hypoxia treatment of rat liver compared with control group. And the following days of hypoxia CPS1 gene expression were decreased significantly than control group (ANOVA, p<0,05). The specific activity of CPS1 was increased significantly in one day and three days of systemic chronic hypoxia than control group (ANOVA, p<0,05). The HIF-1α protein was decreased in one day and increased in three days of systemic chronic hypoxia than control group (ANOVA, p<0,05). The correlation between expression and specific activity of CPS1 shows strong positive correlation and between HIF-1α protein and CPS1 expression shows moderate positive correlation (Pearson, p<0,05). The HIF-1α protein and specific activity of CPS1 shows no correlation statistically.
Conclusion: Hypoxic condition plays an important role in the regulation of gene expression and specific activity of CPS1 and HIF-1α protein. Regulation of CPS1 gene expression by HIF-1α is not known yet.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2013
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
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Andriani
"Hipoksia sistemik kronik dapat menyebabkan kekurangan oksigen pada otak sehingga metabolisme sel menjadi metabolisme anaerob. Konsekuensi metabolisme anaerob ini adalah kekurangan energi dalam bentuk ATP mengingat otak adalah organ yang sangat aktif. Akibat penurunan energi ini terjadi stimulasi yang berlebihan terhadap kanal Ca2+ sehingga terjadi influks Ca2+ yang berlebihan ke dalam sel memicu berbagai macam efek antara lain peningkatan penglepasan neurotransmiter ACh. Hipoksia sendiri memicu pembentukan radikal bebas dengan hasil akhir MDA. Pada kerusakan otak akibat hipoksia GFAP yang merupakan protein spesifik pada astrosit dapat mengalami peningkatan sintesis.
Penelitian ini merupakan penelitian ekperimental dengan desain rancang acak lengkap menggunakan hewan coba tikus Spraque Dawley yang diinduksi dengan hipoksia sistemik kronik. Sampel penelitian ini menggunakan jaringan otak bagian korteks dan plasma tikus sebanyak 5 ekor pada tiap kelompok terdiri atas 1 kelompok kontrol dan 4 kelompok perlakuan yang terdiri atas tikus yang diinduksi hipoksia 1 hari, 3 hari, 5 hari dan 7 hari. Parameter yang diperiksa adalah konsentrasi MDA otak dan plasma, aktivitas spesifik enzim AChE jaringan otak serta kadar GFAP jaringan otak.
Hipoksia sistemik kronik tidak menimbulkan peningkatan konsentrasi MDA otak sementara dalam plasma terjadi peningkatan yang tidak bermakna konsentrasi MDA plasma. Induksi hipoksia sistemik meningkatkan aktivitas spesifik enzim AChE pada jaringan otak dan meningkatkan kadar GFAP jaringan otak secara bermakna. Sedangkan pada plasma tidak terjadi peningkatan kadar GFAP. Pada induksi hipoksia sistemik ini belum terjadi kerusakan oksidatif. Peningkatan aktivitas spesifik AChE dan kadar GFAP merupakan mekanisme adaptasi otak untuk mencegah terjadinya kerusakan karena hipoksia.

Chronic systemic hypoxia induced hypoxia in the brain region thus brain cells produce energy by anaerobic metabolism. Anaerobic metabolism cause depletion in ATP synthesis. ATP depletion stimulates alterations on calcium ion in the sitoplasma of neuronal cells through the overstimulation of glutamate receptor. Alterations in intracellular calcium ions stimulates ACh release in neuronal cells. Hypoxia increased free radicals level in the cell, thus increased MDA as the final product of lipid peroxidation by free radicals. Due to respond the brain damage, astrocyte produces more spesific sitosceletal protein called GFAP.
The aim of the study was to analyze the effects of chronic systemic hypoxia in brain damage by measuring the MDA level in brain tissue compared to plasma, spesific activity of AChE in the brain tissue and GFAP level in the brain tissue compared to plasma. Twenty-five male Spraque Dawley rats were subjected to systemic hypoxia by placing them in the hypoxic chamber supplied 8-10% of O2 for 0, 1, 3, 5, and 7 days, respectively. Cortex and hipocampus of brain tissue and blood plasma were used as the sample. MDA levels were measured using Will?s methode. AChE spesific activity was measured using RANDOX Butyrylcholinesterase Colorimetric Methode. GFAP was analyzed using Rat GFAP ELISA kit by CUSABIO.
This study demonstrates that MDA level didn't increase during induced hypoxic systemic in the brain tissue, meanwhile there's no significance increased of MDA levels in plasma. There's significance increased of AChE spesific activity during induced hypoxic systemic in the brain tissue. This study also demonstrates significance increased in brain tissue's GFAP level but not in the plasma during induced systemic hypoxia. We conclude that there?s no oxydative damage in the brain tissue during this induced systemic hypoxia. The increased in AChE spesific activity and GFAP levels showed an adaptive mechanism to protect the brain tissue from hypoxic insult.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2013
T59154
UI - Tesis Membership  Universitas Indonesia Library
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Masagus Zainuri
"Penelitian ini bertujuan menganalisis aktivitas spesifik enzim MnSOD, katalase dan OPT pada sel hati tikus yang diinduksi hipoksia sistemik dan hubungannya dangan stres oksidatif. Sampel penelitian ini adalah jaringan had tikus jantan strain Sprague Dawley (Rattus novergieus L), yang diinduksi hipoksia sistemik kmnik 1,7,14 dan 21 hari. Pada homogenat hati tikus dilakuksn beberapa pomeriksaan, yaitu pemeriksaan aktivitas spesifik MnSOD, aktivitas spesifik katalase, aktivitas spesifik enzim OPT, kadar MDA dan pemeriksaan senyawa karbonil.
Dari penelitian ini didapatkan hasil tidak adanya perubahan bennakna pada aktivitas spesifik MnSOD, OPT, dan kadar karbonil. Pada hipoksia 7 dan 21 hari terjadi penurunan bermakna aktivitas spesifik katalase, dan kadar MDA menurun bertuakna peda bipoksia 21 hati.
Dari hasil analisis didapat bubungan negatif antara MnSOD dan katalase dengan kerusakan oksidatif, disimpulkan bahwa MnSOD dan kstalase berperan dalam mencegah kerusakan oksidatif. Analisis hubungan aktivitas spesifik OPT dengan kerusakan oksidatif didapat hubungan negatif. Hal ini mengindikasikan bahwa penurunan OPT di hati dapat dipaksi sebagai indikator kerusakan oksidatif.
Dari basil penelitian ini disimpulkan bahwa jaringan hari memiliki sistem pertahanan antioksidan yang adekuat, sehingga sel hati cukup tahan terhadap terjadinya kerusaknn oksidalif.

The aim of this study was to analyze the specific activities of MoSOD, catalase and GPT in rat liver cells induced by systemic hypoxia related to oxidative stress. The samples were obtained from liver tissue of Spmgue Dawley rats at days I, 7, 14, and 21 of citronic systemic hypoxia and were used to measure specific activity ofMnSOD, catalase, GPT, and the levels ofMDA, and protein carbonyis.
Results showed that there were not significant alteration of specific activity ofMnSOD, ofGPT, and levels of carbonyls. At days 7 and 21 of hypoxic induction there were significant decrease of catalase specific activity. Levels of MDA significant decreased at days 21.
Based on correlation analyzing it can be concluded that MnSOD and catalase had a role in prevent oxidative damage. Correlation analyzing of OPT specific activity and oxidative damage showed negative correlation. This means that decreased of GPT specfic activity in liver could be used as oxidative damage indicator.
It is concluded that liver tissue provided with adequate antioxidant defense mechanism which makes Uver cells survive during hypoxic oxidative insult.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2010
T32819
UI - Tesis Open  Universitas Indonesia Library
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Syarifah Dewi
"Tujuan: Menganalisis ekspresi gen manganese superoxide dismutase (MnSOD) pada jaringan jantung, otak dan darah tikus yang diinduksi hipoksia sistemik.
Desain: penelitian eksperimental in vivo dengan menggunakan hewan coba.
Metode: Sampe! penelitizm ini adalah 25 ekor tikus jantan strain Sprague Dawley (Rarms novergicus L), yang dibagi menjadi 5 kelompok: kelompok I tikus tanpa perlakuan hipoksia sebagai kontrol, kelompok II, III, IV dan V adalah kelompok tikus dengan perlakuan hipoksia 10% O2 selama 1, 7, 14 dan 21 hari. Setelah perlakuan tikus dimaiikan, kemudian darah, otak dan jantung tikus diambil untuk diperiksa tingkat ekspresi mRNA dengan menggunakan real time RT PCR dengan pewamaan SYBR green, serta diukur aktivitas spesifik MnSOD dengan menggunakan kit RanSOD® dengan ditambahkan NaCN untuk menghambat aktivitas CuZn SOD.
Hasil: Pada hipoksia awa] (1 hari) ekspresi relatif mRNA MnSOD dan aktivitas spesifik MnSOD menunjukkan penurunan di darah dan jantung, sedangkan pada otak tidak te1jadi penurunan. Hal ini menunjukkan bahwa dalam keadaan hipoksia sistemik perlindungan antioksidan pada otak terjadi lebih awal dibandingkan jantung dan darah. Pada hipoksia awal di jantung dan darah, mulai terjadi peningkatan ROS sehingga aktivitas spesink MnSOD menurun, namun belum dapat menstimulasi peningkatan eksprsi mRNA-nya_ Pada hipoksia I-I4 hari baik ekspresi mRNA maupun aktivitas spesiiik MnSOD pada ketiga jaringan tersebut mengalami peningkatan sejalan dengan lamanya hipoksia. Pada hipoksia lanjut (21 hari) terjadi korelasi negatif antara ekspresi relatif mRNA dngan aktivitas spesiiik MnSOD di jantung dan darah. Hal ini mnmgkin disebabkan karena produksi ROS yang sangat masif, sehingga ekspresi MRNA terus ditingkatkan namun stres oksidatif belum dapat diatasi, sedangkan pada otak fenomena tersebut tidak terjadi. Hal ini diduga karena peningkatan ROS pada hipoksia lanjut masih dapat diatasi dengan aktivitas enzim MnSOD yang tersedia tanpa harus meningkatkan ekspresi mRNA-nya. Hasil ini menunjukkan bahwa otak cenderung lebih dilindungi dalam keadaan hipoksia sistemik dibandingkan janrung dan darah. Hasil analisis uji korelasi Pearson menunjukkan bahwa perubahan ekspresi relatif MRNA dan aktivitas spesifik MnSOD pada induksi hipoksia sistemik pada darah sejalan dengan perubahannya pada jantung dan otak.
Kesimpulan: Setiap jaringan mempunyai pola ekspresi gen MnSOD dan aktivitas MnSOD yang berbeda-beda pada kondisi hipoksia. Terdapat perbedaan regulasi ekspresi gen MnSOD antara hipoksia sistemik awal dan lanjut. Pengukuran ekspresi MnSOD (mRNA dan aktivitas spesifik) pada darah dapat sekaligus menggambarkan ekspresi tersebut pada jantung dan otak.

Background: The aim of this study is to determine the gene expression of manganese supenoxide dismutase (MnSOD) in rat?s heart, brain and blood induced by systemic hypoxia.
Design: This study is an in vivo experimental study.
Method: This study was conducted on 25 male Sprague Dawley rats (Rattus no1°e:~_gicn.s~ L) which were divided into 5 groups and subjected to systemic hypoxia by placing them in hypoxic chamber supplied by 10% O3 for O, l, 7. I4, 2.1 days. respectively. Rats were sacrified after treatment, and the blood. heart and brain were used for measurement of relative mRNA level ofMnSOD with real time RT PCR and measurement of spesitic activity of MnSOD enzyme using RanSOD® kit.
Result: Determination of gene expression of MnSOD (relative mRNA expression and specific activity) in rat blood and heart cells under early hypoxic induction (1 day) resulted in the lower levels compared to the level in control group. After l day of hypoxic induction the gene expression level was then increased and again decreased under very late hypoxic condition (21 days) compared to the control. This suggests that the blood and heart cells at early hypoxia have not enough time to provide more MnSOD enzyme through gene expression to eliminate the sudden accumulation of ROS. In contrast to the results in heart and blood cells. the gene expression of MnSOD in brain cells were demonstrated to be increased since early systemic hypoxia (day I) up to day l4_ and tends to decrease under late hypoxic condition (day 21) although the level still slightly higher compared to the level in control group. Under late hypoxic condition (21 days). the capacity of1VlnSOD to eliminate the accumulated ROS has been saturated as found in brain cells, or even reduced to the lower level than in normal condition as found in blood and heart cells. This study could demonstrate that brain cells have different pattern of gene expression of MnSOD compared to blood and heart cells during several time points of hypoxic induction, particularly at early stage. It should also be considered that the levels of gene expression of MnSOD in each tissue were distinct although measured under the same condition. Analysis of Pearson correlation test shows that pattern of gene expression ot`MnSOD in blood cells is appropriate with the pattern in heart and brain cells under hypoxic condition.
Conclusion: Every tissue has the different pattern of gene expression of MnSOD (relative mRNA expression and specific activity) under hypoxic condition There is different regulation of MnSOD gene expression at early and late hypoxia Analysis gene expression of MnSOD in blood cells could represent the analysis of gene expression of MnSOD in heart and brain cells under hypoxia condition.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2008
T32890
UI - Tesis Open  Universitas Indonesia Library
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Yulia Suciati
"Keadaan hipoksia dapat membuat sel melakukan adaptasi melalui ekspresi berbagai macam gen. Banyak gen tersebut adalah gen yang diinduksi oleh suatu faktor transkripsi yang disebut HIF-I HlF-la adalah subunit yang diregulasi oleh kadar oksigen untuk aktifitas faktor transkripsi tersebut.
Penelitian ini bertujuan untuk mengetahui bagaimana pola mRNA HIF 1u dan ekspresi protein HIF-ln pada organ ginjal dari tikus yang mengalami kondisi hipoksia secara sistemik yang terbagi menjadi 5 kelompok berdasarkan lamanya perlakuan (kelompok kontrol, hipoksia 13, 7 dan 14 hari masing-masing 6 ekor tikus) menggunakan Hypoxic Chamber dengan kadar 02 8% dan Nitrogen 92%. Pola mRNA HIF-la dilihat berdasarkan basil RT-PCR dengan membandingksn rasio kelompok nonnoksia dan kelompok hipoksia. Ekspresi protein HIF-1a dilakukan dengan metode Western Blot dengan menggunakan anti HIF-la sebagai antibodi primer.
Hasil penelitian menunjukkan terdapat penurunan ekspresi mRNA HIF-la dibandingkan kontrol pada kelompok hipoksia 1 hari dan diikuti peningkatan pada kelompok hipoksia 3 hari dan mulai mengalami penurunan kembali pada kelompok 7 hari. Sementara protein HIF-la. memperlihatkan terdapatnya peningkatan ekspresi protein HIF-la yang mulai mengalami penurunan pada kelompok hipoksia 14 hari. Dapat disimpulkan bahwa regulasi H1F-1a terjadi pada tahap transkripsi dan tahap pasca translasi.

Hypoxia could make cell to adapt trough gene expression. Many of these gene induced by the transcription factor called HIP-1. HIF-I tz is the subunit which regulated by oxygen level to activated the transcription factor.
The aim of this study is to know the pattern of Hypoxia Inducible Factor-Ia (HIP-la) mRNA and HIF-Ia protein Expression of Renal Rat in Systemic Chronic Hypoxia which divided to 5 groups based on the duration of hypoxia (control, I, 3, 7, and I4 days of hypoxia with 6 rats each group ) using hypoxia chamber with 8% oxigen and 92% Nitrogen. The pattern was measure with RT-PCR which combine the ratio of control group and the hypoxic group. The protein expression measure with Western Blot method using anti HIF-l a as 1? antibody.
The result shows that HIP-lo. mRNA expression decrease in 1" day of hypoxia, elevated and reach a peak at 3 days of hypoxia and start to decrease since then. While the HIP-lo. protein shows an increase expression until I4 days of hypoxia which start to decrease. It can be concluded that HIF-la regulation occurs in transcription level and post translation.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2009
T32319
UI - Tesis Open  Universitas Indonesia Library
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Himmi Marsiati
"Pendahuluan: Penelitian dilakukan untuk mengetahui peran senyawa flavonoid mangiferin dalam meningkatkan ekspresi mRNA HIF-1α dan sebagai pencekal besi dalam menstabilkan HIF-1α pada lini sel HepG2 dan menganalisis interaksi mangiferin dengan prolil hidroksilase (PHD2) secara simulasi docking.
Metode: Sel HepG2 dikultur hingga >80% konfluen dan selanjutnya diberikan mangiferin konsentrasi 25-200μM. Kuersetin digunakan sebagai pembanding flavonoid mangiferin yang bekerja di dalam inti sel, sedangkan DFO dan CuCl2 digunakan sebagai pembanding daya ikat terhadap besi. Ekspresi mRNA HIF-1α ditentukan dengan real time RT- PCR/q-PCR, dan stabilisasi protein HIF-1α ditentukan mengunakan teknik ELISA. Simulasi docking dilakukan terhadap protein PHD2 dengan mangiferin, CuCl2, deferoksamin (DFO), dan campuran mangiferin+ kuersetin.
Hasil: Uji viabilitas sel menggunakan metode MTS dengan pemberian mangiferin, kuersetin, campuran mangiferin-kuersetin, DFO dan CuCl2 (25-200μM) memperlihatkan hasil diatas 85%. Ekspresi mRNA HIF-1α dengan mangiferin, kuersetin, mangiferin+kuersetin, dan DFO menunjukkan hasil sedikit lebih tinggi dibanding kontrol. Konsentrasi protein HIF-1α pada pemberian mangiferin, kuersetin, mangiferin-kuersetin, DFO dan CuCl2 lebih tinggi dibanding kontrol. Simulasi docking mangiferin terhadap PHD2 memperlihatkan ΔG= -16,22, dan DFO menunjukkan ΔG= -17,15. Terdapat interaksi antara mangiferin, dan DFO dengan besi dan asam amino pada situs katalitik domain PHD2, sedangkan CuCl2 tidak berinteraksi dengan residu asam amino pada domain PHD2, tetapi langsung menggantikan Fe. Efek penghambatan terhadap PHD2 oleh mangiferin dan kuersetin disebabkan oleh delokalisasi elektron melalui kompleks transfer elektron.
Kesimpulan: Mangiferin dapat meningkatkan ekspresi mRNA HIF-1α dan meningkatkan protein HIF-1α, menurun protein PHD2 dan menurunkan protein HO-HIF-1α pada lini sel HepG2 secara in vitro. Analisis docking terdapat interaksi antara mangiferin, dan DFO dengan besi dan asam amino PHD2. Mangiferin memiliki stabilitas pengkikatan dengan besi yang berdekatan dengan DFO.

Introduction: This research was conducted to determine the role of flavanoid mangiferin to increase expression HIF-1α mRNA, and as an iron chelator to stabilize protein HIF-1α in cell line HepG2 and analyzes the interaction of mangiferin with prolil hidroksilase (PHD2) by docking simulation.
Methods: HepG2 cells were cultured and treated by mangiferin with concentration between 25-200μM. Quercetin is used as a comparison mangiferin flavonoid that works in the nucleus and DFO, CuCl2 is used as a comparison to iron-binding. HIF- 1α mRNA expression was determined by real time RT-PCR/q-PCR, and the stability HIF-1α protein were measured by the increase in HIF-1α protein, decreased PHD2 protein and decreased HO-HIF-1α using ELISA. Docking simulation was conducted between PHD2 protein and mangiferin, CuCl2, desferoxamine (DFO), and quercetin.
Results: Cell viability with MTS assay showed that cell exposure with 25μM-200μM concentrations of mangiferin, quercetin, mangiferin+quercetin mixture, DFO, and CuCl2 is above 85%. HIF-1α mRNA expression was slightly higher than in controls with mangiferin, quercetin, mangiferin quercetin mixture and DFO. HIF-1α protein concentration and ratios vs untreated controls were above 1 with mangiferin, quercetin, mangiferin quercetin mixture, DFO, and CuCl2. Docking simulation mangiferin with PHD2 showed ΔG= -16,22. Docking simulation with DFO showed ΔG= -17,15, and interact mangiferin, and DFO with iron in the catalytic site of PHD2 and with amino acid residues, whereas CuCl2 does not react with amino acid residues in the PHD2 domain, but directly replaces Fe. The inhibitory effect to PHD2 by mangiferin and quercetin is considered by electron delocalisation through an electron transfer complex.
Conclusion: Mangiferin can increase HIF-1α mRNA expression and HIF-1α protein levels in HepG2 cell line by in vitro. Binding interaction with iron and PHD2 amino acids occurs by mangiferin and DFO. Mangiferin has stability iron binding a similar with DFO.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2015
D-Pdf
UI - Disertasi Membership  Universitas Indonesia Library
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Veronica Galih Gunarsih
"Latar belakang : Hipoksia merupakan bahaya potensial dalam penerbangan. Waktu sadar efektif (WSE) merupakan waktu ketika seorang penerbang atau awak pesawat mulai terpajan hipoksia sampai sebelum mengalami inkapasitansi. Selama rentang waktu tersebut seorang penerbang dapat membuat keputusan atau tindakan yang tepat. Hemoglobin sangat berpengaruh terhadap saturasi O2 yang menentukan oksigenasi jaringan tubuh. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang mempengaruhi WSE yaitu pada calon dan awak pesawat militer di Indonesia.
Metode: Desain penelitian dengan potong lintang, pengambilan sampel secara purposif. Data diambil dari hasil pelaksanaan Indoktrinasi Latihan Aerofisiologi (ILA) di Lakespra Saryanto selama Januari-Mei 2014. Subyek penelitian adalah calon dan awak pesawat militer. Lama WSE diperoleh dengan demonstrasi hipoksia dalam ruang udara bertekanan rendah (RUBR) pada simulasi ketinggian 25000 kaki. Nilai kesamaptaan jasmani ditentukan dengan VO2maks. Analisis regresi linier digunakan untuk mengidentifikasi faktor risiko WSE.
Hasil: Calon dan awak pesawat militer yang melaksanakan ILA sebanyak 183 orang. Duapuluh lima subyek dikeluarkan karena tidak melaksanakan demonstrasi hipoksia di RUBR atau uji latih jantung, 158 subyek memenuhi kriteria inklusi. Faktor dominan yang memperpanjang WSE adalah Hb, sedangkan yang mempersingkat adalah IMT dan umur. Setiap 1 g/dL Hb menambah WSE 14,7 detik [koefisien regresi (β) = 14,677 ; p = 0,010].
Simpulan: Kenaikan IMT 1 kg/m2 mengurangi WSE 3,3 detik [β = -3,274; 95% interval kepercayaan (CI) = -8,287;1,738 ; p = 0,199]. Penambahan umur 1 tahun mengurangi WSE 3,9 detik (β = -3,917; p = 0,000).

Background: Hypoxia is potential hazard in aviation. Time of useful consciousness (TUC) is time during when a pilot or aircrew exposed hypoxia before experiencing incapacitation. During the span of time, a pilot can make the right decision or action. Haemoglobin (Hb) influences the oxygen saturation that determines oxygenation of the body tissue. This study aims to identify the factors affect WSE on candidates and military aircrew in Indonesia.
Methods: Study designed was cross sectional with purposive sampling. Data taken from the result of Indoktrinasi Latihan Aerofisiologi (ILA) in Lakespra Saryanto Jakarta during January to May 2014. Research subjects were candidates and military aircrews. Time of useful consciousness was obtained from hypoxia demonstration in hypobaric Chambers at 25000 feet altitude simulation. The value of physical fitness was determined by VO2max. Linear regression analysis was used to identify risk factors of TUC.
Results: Candidates and military aircrew carried out the ILA were 183 persons. Twenty-five subjects were excluded because of not carried out hypoxia demonstration in hypobaric chamber or treadmill test. The dominant factors that extend TUC were Hb. while shortening were BMI and age. Each 1 g/dL Hb extend TUC 14.7 seconds [regression coefficient (β) = 14.677 ; p = 0.010]. Increasing BMI of 1 kg/m2 shorten TUC 3.3 seconds [(β) = -3.274; 95% confidence interval (CI) = -8.287;1.738 ; p = 0.199]. Addition of age 1 year shorten TUC 3.3 seconds (β= -3.917 ; p = 0.000).
Conclusion: Increasing Hb extends TUC, while gain BMI and addition age shorten TUC.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2014
SP-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Rizka Ramadhani
"Hipoksia adalah defisiensi oksigen setingkat jaringan.Otak merupakan organ yang mutlak memerlukan oksigen. Hipoksia akan mengganggu integritas otak, dan bermanifestasi menjadi berbagai penyakit. Untuk itu, tubuh memiliki sistem penginderaan oksigen.Pada saat perfusi oksigen jaringan kurang, muncul mekanisme adaptasi.
Penelitian ini bertujuan untuk mengetahui aktivitas enzim alanin aminotransferase (ALT) pada jaringan otak saat keadaan hipoksia sistemik.Penelitian ini merupakan studi eksperimental yang dilakukan kepada 25 tikus Sprague Dawley yang dibagi rata ke dalam 5 kelompok. Kelompok pertama merupakan kelompok kontrol, dipelihara dalam keadaan normoksia. Sisanya dipelihara dalam keadaan hipoksia (10% O2 dan 90% N2) masing-masing selama 1, 3, 7, dan 14 hari.Otak tikus diambil, dan dijadikan homogenat. Dilakukan pengukuran kadar protein jaringan otak untuk setiap sampel. Kemudian, dilakukan pengukuran aktivitas ALT menggunakan spektrofotometer.
Hasilnya dibagi dengan kadar protein untuk mengetahui aktivitas spesifik. Data kadarprotein dianalisis menggunakan ujione-way ANOVA. Diperoleh nilai p>0,05, artinya kadar protein di jaringan otak normoksia dan hipoksia tidak berbeda bermakna. Hasilnya,nilai p>0,05 yang berarti aktivitas enzim ALT di jaringan otak tikus pada keadaan normoksia tidak berbeda bermakna dengan keadaan hipoksia sistemik semua kelompok. Sehingga dapat disimpulkan bahwa tidak ada perbedaan signifikan dari kadar protein dan aktivitas ALT pada keadaan hipoksia.

Hypoxia is a deficiency of O2 at tissue level. Brain is an organ that absolutely requires O2. Hypoxia will disrupt brain's integrity, and manifests as various diseases. Therefore, the body has oxygen sensing system. When oxygen perfusion level decreases, there will be some adaptive mechanisms to cope with the situation.
This study intends to ascertain the activity of ALT in brain tissue induced by systemic hypoxia. This is an experimental based study. Twenty five rats were divided into 5 groups. First group was placed in the normoxic condition. Four other groups were placed in hypoxic chamber (O2 10% and N2 90%), each group were placed for 1, 3, 7, 14 days. Their brains were extracted. Tissues? protein level was measured for sample. Subsequently, the measurement of ALT activity was done by using reagent in assay kit.
The results were divided by tissues protein level. Data of tissues protein level were analyzed using one-way ANOVA parametric test. This test obtained p value > 0.05, meaning there were no significant difference between the control and hypoxic groups. Data of specific ALT activity were analyzed using Kruskal-Wallis non-parametric test.The test obtained p value > 0.05, meaning there were no significant difference between the control and the hypoxic groups. Hence, it can be concluded that there were no significant difference of protein level and ALT activity in hypoxic brain.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2013
S-Pdf
UI - Skripsi Membership  Universitas Indonesia Library
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