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"Pendahuluan: Candida albicans merupakan flora normal rongga mulut yang dapat berubah menjadi flora pathogen. Temulawak (Curcuma xanthorrhiza Roxb.) merupakan tanaman berkhasiat obat yang mengandung Xanthorrhizol. Ekstrak etanol temulawak secara in vitro dilaporkan dapat menghambat dan mengeradikasi biofilm C. albicans sehingga dapat diformulasikan untuk dikembangkan mejadi bentuk sediaan obat tetes topikal oromukosa. Uji toksisitas merupakan salah satu uji biokompatibilitas yang penting dalam proses pengembangan obat baru. Tujuan: Menetapkan nilai LD50 dan kategori toksisitas obat tetes ekstrak etanol temulawak. Serta efek yang ditimbulkannya pada berat badan, aktivitas fisik, dan makroskopis organ dalan hewan uji. Metode: 15 ml (16.650 mg)/kg BB obat tetes ekstrak etanol temulawak diberikan pada 5 hewan uji. Selanjutnya hewan uji diamati selama 14 hari untuk observasi tanda-tanda toksisitas dan kematian hewan uji. Jika terdapat kematian minimal pada dua hewan uji, maka diberikan dosis 7,5 ml/kg berat badan. Pada akhir pengamatan, hewan uji dikorbankan untuk pemeriksaan makroskopis organ dalam hewan uji. Hasil: Tidak ditemukan kematian hewan uji hingga akhir periode observasi. Seluruh hewan uji mengalami penurunan berat badan pada hari ke 2-5, kurang aktif selama 4 hari, dan dua hewan uji mengalami diare pada hari ke 2 dan 3. Pada pemeriksaan makroskopis tidak ditemukan kelainan pada organ usus, hati, paru-paru, jantung, limpa, dan ginjal. Kesimpulan: LD50 Obat tetes etanol temulawak lebih dari 16.650 mg/kg BB dengan kategori relatif aman, tidak menimbulkan perubahan aktifitas, gejala klinis dan berat badan yang menetap serta tidak ditemukan perubahan makroskopis organ dalam hewan uji.

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Introduction: Candida albicans is a normal flora of the oral cavity which can be transformed into pathogenic flora. Temulawak (Curcuma xanthorrhiza Roxb.) Is a medicinal plant containing Xanthorrhizol. Curcuma xanthorrhiza ethanolic extract is reported to inhibit and eradicate C. albicans biofilm so that it can be formulated to be developed into oral dosage form for oromucosal drops. The toxicity test is an important biocompatibility test in the process of developing new drugs.

Objective: To determine the LD50 value and the toxicity category of oromucosal drop containing Curcuma xanthorrhiza ethanolic extract, The effect on body weight, physical activity, and macroscopic organs in test animals.

Methods: 15 ml (16,650 mg)/kg BW of oromucosal drop containing Curcuma xanthorrhiza ethanolic extract were given to 5 test animals. Furthermore, the test animals were observed for 14 days to observe signs of toxicity and death of the tested animals. If there is death in at least two tests, a dose of 7.5 ml/kg BW is given. At the end of the observation, the test animal was sacrificed for macroscopic examination of the organs in the test animal.

Results: There were no deaths of test animals until the end of the observation period. Test animals experienced weight loss on day 2-5, were less active for 4 days, and all tested animals experienced diarrhea on days 2 and 3. On macroscopic examination, there were no abnormalities in the intestinal organs, liver, lungs, heart, spleen, and kidneys.

Conclusion: LD50 oromucosal drop containing Curcuma xanthorrhiza ethanolic extract more than 16.650 mg/kg BW are categorized as relatively safe, changes in activity, clinical symptoms, and body weight are not permanent, and there is no macroscopic change in the organs of the tested animals."

"Latar Belakang: C. albicans rongga mulut adalah flora normal yang dapat berubahmenjadi patogen sehingga menyebabkan kandidiasis oral. Ekstrak etanol temulawakdengan kandungan utama xanthorrhizol dilaporkan dapat menginhibisi danmengeradikasi biofilm C. albicans pada konsentrasi 15%, serta menurunkan aktifitasenzim fosfolipase dan proteinase C. albicans. Selanjutnya, ekstrak etanol temulawakdiformulasikan dan dikembangkan menjadi bentuk sediaan obat tetes mikroemulsi.Dalam pengembangan bentuk sediaan obat, maka diperlukan penetapan formulasi danuji stabilitas biologis, fisik, dan kimia. Tujuan: Menetapkan formulasi danmengevaluasi stabilitas fisik dan kimia obat tetes mikroemulsi ekstrak etanoltemulawak Metode: Ekstrak etanol temulawak 15% diformulasikan menjadi sediaanobat tetes mikroemulsi. Kemudian stabilitas fisik dan kimia dievaluasi 2-4 minggupada 3 suhu penyimpanan yang berbeda yaitu 4±2oC; 28±2oC; dan 40±2oC. Selanjutnyastabilitas fisik berupa organoleptis, homogenitas, pH, viskositas, dan tipe alirandievaluasi. Pada stabilitas kimia dievaluasi perubahan kadar xanthorrhizol setelah 2dan 4 minggu, menggunakan metode GC-MS. Hasil: Formulasi obat tetes mikroemulsimengandung ekstrak etanol temulawak 15% memiliki organoleptik; larutan kuningkecoklatan, rasa pahit, dan berbau khas jamu, homogenitas; terjadi pemisahan antarakomponen minyak dan air, pH berkisar 6,3-6,9, dan tipe alir pseudoplastis pada 2-4minggu dengan 3 suhu penyimpanan. Viskositas menurun seiring dengan peningkatansuhu penyimpanan. Kadar xanthorrhizol menurun setelah 2-4 minggu pada ketiga suhupenyimpanan. Kesimpulan: Adanya pemisahan komponen minyak dan air sertapenurunan kadar zat aktif dalam kurun 2-4 minggu mendasari kesimpulan bahwaformulasi obat tetes ekstrak etanol temulawak 15% tidak stabil secara fisik dan kimiasetelah disimpan selama 2 dan 4 minggu sehingga masih diperlukan reformulasi.

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Introduction: C. albicans is a normal flora in oral cavity that can be pathogenic that

causing oral candidiasis. Curcuma xanthorrhiza ethanoic extract has a main

component, xanthorrhizol that was reported to be able to inhibit and eradicate C.

albicans biofilms at a 15% concentration and reduce the activity of phospholipase and

proteinase enzymes of C. albicans. Furthermore, curcuma xanthorrhiza ethanoic extract

is formulated and developed into microemulsion oromucosal drops. In the development

of the drug, it is necessary to determine the formulation and test the stability in

biological, physical, and chemical. Objective: Determining the formulation and

evaluating the physical and chemical stability of microemulsion oromucosal drops

containing 15% curcuma xanthorrhiza ethanoic extract. Methods: Curcuma

xanthorrhiza ethanoic extract is formulated into microemulsion oromucosal drops

containing 15% curcuma xanthorrhiza ethanoic extract. Then, the physical and

chemical stability are evaluated for 2-4 weeks in 3 different temperature, that is 4 ±

2oC; 28 ± 2oC; and 40 ± 2oC. Furthermore, the physical stability in the form of

organoleptic, homogeneity, pH, viscosity, and flowing type are evaluated. Chemical

stability is evaluated the xanthorrhizol level using the GC-MS method. Results:

Microemulsio oromucosal drops containing 15% curcuma xanthorrhiza ethanoic

extract have organoleptic; brownish-yellow solution, bitter taste, and smells like herb,

homogeneity; there is a separation between the oil and water phase, pH ranges from

6,3-6,9, and flowing type are pseudoplastic. The viscosity value decreases with the

increasing of storage temperature. Xanthorrhizol level are decreasing after 2-4 weeks

of storage in the 3 different temperature. Conclusion: The separation between the oil

and water phase and degradation of xanthorrhizol level after stored 2-4 weeks are the

underlying conclusion that formulation of oromucosal drops containing curcuma

xanthorrhiza ethanoic extract are not stabile in physical and chemical after stored for 2

and 4 weeks so that the drugs need to be reformulated."

"Latar Belakang: Temulawak (Curcuma xanthorrhiza Roxb.) merupakan salah satu tanaman obat unggul Indonesia yang memiliki potensi untuk menghambat pembentukan biofilm C. albicans. Faktor virulensi yang dapat menyebabkan C. albicans menjadi fungi patogen diantaranya adalah pembentukan biofilm dan sekresi enzim hidrolitik. Fosfolipase merupakan salah satu enzim hidrolitik yang dapat merusak membran sel inang. Tujuan: Menganalisis aktivitas fosfolipase pada biofilm C. albicans ATCC 10231 fase awal, menengah, dan maturasi yang terhambat ekstrak etanol temulawak (Curcuma xanthorrhiza Roxb.). Metode: Nilai Kadar Hambat Biofilm Minimal (KHBM50) C. albicans ditentukan dengan uji MTT-assay. Ekstrak etanol temulawak dengan konsentrasi sesuai KHBM50 dipaparkan pada biofilm fase awal, menengah, dan maturase. Kontrol negative tidak dipaparkan apapun, kontrol positif dipaparkan Nystatin 100.000 IU. Aktivitas fosfolipase biofilm C. albicans dianalisis dengan mengukur proporsi antara diameterzona presipitasi dengan diameter koloni C. albicans pada medium Egg Yolk Agar (EYA). Hasil: Nilai KHBM50 ekstrak etanol temulawak terhadap biofilm C. albicans ATCC 10231 pada fase awal, fase menengah, dan fase maturasi berturut-turut adalah 25%, 30%, dan 35%. Pada kontrol positif, aktivitas fosfolipase biofilm C. albicans fase awal, fase menengah, dan fase maturasi bernilai 1. Aktivitas fosfolipase biofilm C. albicansfase awal, fase menengah, dan fase maturasi yang terhambat ekstrak etanol temulawak berturut-turut 0.84, 0.80, dan 0.83. Pada kontrol negatif, aktivitas enzim fosfolipase biofilm C. albicans fase awal, fase menengah, dan fase maturasi berturut-turut 0.59, 0.57, dan 0.57. Kesimpulan: Terdapat kecenderungan penurunan aktivitas enzim fosfolipase pada biofilm C. albicans yang terhambat > 50% ekstrak etanol temulawak.

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Background: Javanese turmeric (Curcuma xanthorrhiza Roxb.) is one of medical plant from Indonesia that has potency to inhibit biofilm formation of C. albicans. Biofilm formation and hydrolyticenzymes are two among manyvirulence factors of C. albicans. Phospholipaseisone of hydrolyticenzymesthat could degrade the hostcell membrane.

Objective: To observe the activities ofphospholipase in early phase, intermediate phase, and maturation phase of biofilm C. albicans ATCC 10231 that has been inhibited by Javanese turmeric ethanolic extract.

Method: MTT-assay wasused to measure the minimum biofilm inhibitory concentration (MBIC50) of C. albicans ATCC 10231in three phases of C. albicans biofilm. Those concentrations were used to observe phospholipase activities of biofilm in the relevant phases. The negative control were not exposed to anything, while the positive control were exposed to Nystatin 100.000 IU. Phospholipase activities were determined bymeasuring the proportion of precipitation zone diameter and C. albicans colony diameter onan egg yolk-agar medium.

Results: The MBIC50of Javanese turmeric ethanolic extract towards formation of C. albicans biofilm ATCC 10231 in early phase, intermediate phase, and maturation phase were 25%, 30%, and 35%, respectively. Phospholipase activities value in early phase, intermediate phase, and maturation phase of C. albicans biofilm exposed by Nystatin were 1. Phospholipase activities value in early phase, intermediate phase, and maturation phase of C. albicans biofilms exposed by Javanese turmeric ethanolic extract were 0.84, 0.80, and 0.83, respectively. Phospholipase activities value in early phase, intermediate phase, and maturation phase of unexposed C. albicans biofilm were 0.59, 0.57, and 0.57, respectively.

Conclusion: There istendency of decreased phospholipase activity in early phase, intermediate phase, and maturation phase of biofilm C. albicans that has been inhibited by Javanese turmericethanolic extract."

"Latar Belakang: Temulawak (Curcuma xanthorrhiza Roxb.) merupakan tanaman obat asli Indonesia yang mengandung zat antijamur. Faktor virulensi berperan penting dalam proses infeksi Candida albicans, salah satunya adalah sekresi enzim fosfolipase yang dapat merusak membran sel inang. Tujuan: Penelitian ini bertujuan untuk menganalisis pengaruh penghambatan dan pemberantasan aktivitas enzim fosfolipase pada fase awal, intermediet, dan pematangan biofilm C. albicans ATCC 10231. Metode: Efek penghambatan ekstrak etanol temulawak diamati dengan menginkubasi C. albicans selama 1,5 jam, kemudian dipapar ekstrak KHBM50. etanol temulawak kemudian diinkubasi selama 6, 24, dan 48 jam untuk mencapai fase awal, intermediet, dan pematangan biofilm C. albicans. Efek eradikasi diamati dengan menginkubasi C. albicans selama 6, 24, dan 48 jam, kemudian dipapar KEBM50 EET dan diinkubasi pada suhu 37ºC selama 24 jam. KHBM50 dan KEBM50 EET (kelompok perlakuan), nistatin 100.000 IU (kontrol positif), dan SDB (kontrol negatif). Aktivitas enzim fosfolipase dianalisis berdasarkan luas zona pengendapan yang terbentuk pada agar kuning telur. Hasil: KHBM50 EET pada fase awal 15%, intermediate 15%, dan pematangan 25%. Nilai KEBM50 EET untuk ketiga fase biofilm C. albicans adalah 35%. Pada kontrol positif baik inhibisi maupun eradikasi, tidak terlihat adanya zona presipitasi pada ketiga fase biofilm C. albicans. Sementara itu, kelompok penghambatan dan pemberantasan menunjukkan ukuran zona pengendapan yang lebih kecil jika dibandingkan dengan kelompok kontrol negatif pada ketiga fase biofilm C. albicans. Kesimpulan: Aktivitas enzim fosfolipase cenderung menurun pada fase awal, menengah, dan pematangan biofilm C. albicans setelah penghambatan dan eradikasi ekstrak etanol temulawak.Background: Temulawak (Curcuma xanthorrhiza Roxb.) is a medicinal plant native to Indonesia that contains antifungal substances. Virulence factors play an important role in the process of Candida albicans infection, one of which is the secretion of phospholipase enzymes that can damage host cell membranes. Objective: This study aimed to analyze the effect of inhibition and eradication of phospholipase enzyme activity in the early, intermediate, and maturation phases of C. albicans ATCC 10231 biofilm. Methods: The inhibitory effect of temulawak ethanol extract was observed by incubating C. albicans for 1.5 hours, then exposed to KHBM50 extract. Temulawak ethanol was then incubated for 6, 24, and 48 hours to reach the initial, intermediate, and maturation phases of the C. albicans biofilm. The eradication effect was observed by incubating C. albicans for 6, 24, and 48 hours, then exposed to KEBM50 EET and incubated at 37ºC for 24 hours. KHBM50 and KEBM50 EET (treatment group), nystatin 100,000 IU (positive control), and SDB (negative control). The activity of the phospholipase enzyme was analyzed based on the area of ​​the deposition zone formed on egg yolk agar. Results: KHBM50 EET in early phase 15%, intermediate 15%, and maturation 25%. The KEBM50 EET value for the three phases of the C. albicans biofilm was 35%. In the positive control, both inhibition and eradication, no precipitation zones were seen in the three phases of the C. albicans biofilm. Meanwhile, the inhibition and eradication groups showed a smaller deposition zone size when compared to the negative control group in all three phases of the C. albicans biofilm. Conclusion: The activity of the phospholipase enzyme tends to decrease in the early, intermediate, and maturation phases of C. albicans biofilm after inhibition and eradication of ethanol extract of temulawak."

"Pendahuluan: Salah satu faktor virulensi utama yang mempengaruhi perubahan Candida albicans(C. albicans) dari flora komensal menjadi patogen adalah pembentukan biofilm. Pada biofilm fase maturasi, C. albicansmenjadi lebih resisten terhadap agen antifungal. Telah dibuktikan efek inhibisi ekstrak etanol temulawak (Curcuma xanthorrhiza Roxb.) terhadap pertumbuhan biofilm C. albicans. Tujuan: Menganalisis gambaran TEM sel C. albicans ATCC 10231pada biofilm fase maturasi yang terinhibisi ekstrak etanol temulawak (EET). Metode: Penelitian ini dibagi dua kelompok yaitu kelompok perlakuan dan tanpa perlakuan. Sebanyak 100μL suspensi C. albicans ATCC 10231dalam 96-well-plate diinkubasi selama 1.5 jam pada 370C,kemudian diaspirasi dan dibilas menggunakan PBS. Pada kelompok perlakuan dipapar 100μLEET dengan konsentrasi KHBM50(35%), sedangkan kelompok tanpa perlakuan tidak dipapar EET. Kedua kelompok di inkubasi kembali hingga 48 jam, kemudian dipindahkan ke Eppendorf tube untuk difiksasi dalam 2.5% glutaraldehyde dan dilakukan pemeriksaan TEM. Kontrol positif dipapar nystatin oral suspension. Hasil: Pemeriksaan TEM pada kelompok perlakuan, sel C. albicansATCC 10231 pada biofilm fase maturasi yang terpapar ekstrak etanol temulawak terlihat perubahan gambaran ultrastruktur yang berupa perubahan bentuk sel, penebalan dinding sel, pembesaran vakuola, dan iregularitas sitoplasma berikut organel-organel di dalamnya seperti disorganisasi pada nukleus, mitokondria, dan retikulum endoplasma. Sedangkan pada kelompok tanpa perlakuan menunjukan gambaran sel C. albicans ATCC 10231 normal. Kesimpulan: Pemeriksaan TEM dapat menunjukkan perubahan sel C. albicans ATCC 10231 pada biofilm fase maturasi yang terinhibisi ekstrak etanol temulawak.

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Introduction: One of main virulence factor that influence the alteration of Candida albicans (C. albicans) from commensal flora into pathogenic flora is biofilm formation. At the maturation phase, C. albicans ismore resistant to antifungal agent. It has been proven that there is an inhibition effect of Javanese turmeric (Curcuma xanthorrhiza Roxb) on the growth of C. albicans biofilm.

Objective: To analyze the TEM image of C. albicans cell on the maturation phase of biofilm inhibit by Javanese turmeric ethanol extract.

Method: This research divided into two groups, there were treated group and untreated group. A 100μLC. albicans ATCC 10231 suspension on a 96-well-plate incubated for 1.5 hour at 370C, and then aspirated and washed by phosphate buffer saline (PBS). The treated group was exposed to 100μL Javanese turmeric ethanol extract as MBIC50 concentration (35%), while the untreated group was not exposed to Javanese turmeric ethanol extract. Both groups were incubated until 48 h, and then moved into the Eppendorf tube and fixed with glutaraldehyde 2.5% to examine using TEM. The positive control was exposed to nystatin oral suspension.

Result: Compared to the negative control, C. albicans cell on biofilm maturation phase treated by Javanese turmeric extract ethanol extract shows the alteration on the its ultra structure. The alteration showed in shape, the thickness of cell wall, the enlargement of vacuole, and irregularity of cytoplasm include the organelles in it such as disorganization on nucleus, cytoplasm, and endoplasmic reticulum.

Conclusion: TEM examination showed the alteration of C. albicans ATCC 10231 cell on maturation phase biofilm inhibited by Javanese turmeric ethanol extract."

"Background: One of the major challenges in developing an antifungal against Candida albicans as a therapeutic strategy for oral candidiasis is its resistance towards antimicrobial agents. Currently, medicinal plants are continuously being developed as a therapeutic agent, including Javanese turmeric (Curcuma xanthorrhiza Roxb.), an Indonesian plant widely used as a traditional medicine. Its main active compound, xanthorrhizol, as well as the Javanese turmeric Ethanol Extract (EET) had been reported to have antifungal properties. However, extract quality as well as cultivation site of a medicinal plant may affect its’ effectivity as a therapeutic agent. Objective: To analyze the influence of Javanese turmeric cultivation site against its’ ethanolic extract effectivity in inhibiting C. albicans biofilms. Methods: 2 Javanese turmeric ethanolic extract were collected from different cultivation sites, which were Bogor, West Java and Malang, East Java. The extracts were tested for inhibitory activity against C. albicans biofilm using OD600, TPC, and MTT assay measurements. Results: There were concentration differences of xanthorrhizol content in between the two extracts. Despite so, both extracts showed insignificant MBIC50 differences at roughly 0,10 µg/mL, while their MBIC90 were measured to be constant at all biofilm development phases, at 0,30 µg/mL. Conclusion: The different cultivation site of Javanese turmeric in Java island does not influence the effectivity of JtET in inhibiting C. albicans biofilm.

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Background: One of the major challenges in developing an antifungal against Candida albicans as a therapeutic strategy for oral candidiasis, an opportunistic oral fungal infection, is its resistance towards antimicrobial agents. Currently, medicinal plants are being developed as a therapeutic agent, including Javanese turmeric (Curcuma xanthorrhiza Roxb.), an Indonesian plant widely used as a traditional medicine. Its main active compound, xanthorrhizol, is known to have antifungal properties. However, extract quality as well as cultivation site of a medicinal plant may affect its’ effectivity as a therapeutic agent. Up until now, there hasn’t been any datas that explain how these factors affect Javanese turmeric ethanolic extract as a C. albicans strategy. Objective: To analyze the effect of Javanese turmeric cultivation site against its’ ethanolic extract ability to inhibit C. albicans biofilms. Methods: 2 Javanese turmeric ethanolic extract were collected from different cultivation sites, which were Bogor, West Java and Malang, East Java. The extracts were tested for inhibitory activity against C. albicans biofilm using OD600, TPC, and MTT assay measurements. Results: There were concentration differences of xanthorrhizol between the extracts. Despite so, both extracts’ MBIC50 differences were insignificant at roughly 0,10 µg/mL, while their MBIC90 were measured to be constant at all biofilm development phases, at 0,30 µg/mL. Conclusion: There were no significant differences between the MBICs of both extracts against C. albicans biofilm. More research needs to be done to confirm the role of other factors such as storage time on their MBIC."

"Latar belakang: Salah satu faktor virulensi C. albicans adalah pembentukan biofilm yang dapat meningkatkan resistensi terhadap agen antijamur. Temulawak merupakan tanaman obat khas Indonesia yang diketahui memiliki efek antijamur karena mengandung zat aktif xanthorrhizol. Tujuan: Mengetahui potensi penggunaan ekstrak etanol temulawak dalam mengeradikasi biofilm C. albicans isolat klinis. Metode: Pemaparan ekstrak etanol temulawak kepada biofilm C. albicans selama 1 jam pada berbagai fase pembentukan biofilm. MTT assay digunakan untuk mengukur persentase eradikasi biofilm. Hasil: Ekstrak etanol temulawak memiliki nilai KHM dan KBM 15 terhadap C. albicans isolat klinis planktonik. Nilai Konsentrasi Eradikasi Biofilm Minimal KEBM50 ekstrak etanol temulawak terhadap biofilm C. albicans isolat klinis pada fase awal, fase menengah, dan fase maturasi adalah 25 , 15 , dan 15. Kesimpulan: Ekstrak etanol temulawak mampu mengeradikasi biofilm C. albicans isolat klinis.

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Background: An ability to form biofilm is one of the C. albicans rsquo s virulence factor that increase resistance towards antifungal agents. Java turmeric is an Indonesian medicinal plant which reported to have antifungal effects due to its active component, xanthorrhizol.

Objective: To measure in vitro potential use of Java turmeric ethanol extract in eradicating C. albicans clinical isolate biofilm.

Method: One hour exposure of Java turmeric ethanol extract to C. albicans biofilm formation phases. MTT assay is used to test the percentage of biofilm eradication.

Result: The Minimum Inhibitory Concentration MIC and Minimum Fungicidal Concentration MFC of Java turmeric ethanol extract towards planktonic C. albicans was 15. The Minimum Biofilm Eradication Concentration MBEC50 in the early phase was 25, intermediate phase 15 and maturation phase 15.

Conclusion: Java turmeric ethanol extract is effective in eradicating clinical isolate of C. albicans biofilm."

"Biofilm C. albicans memiliki matriks ekstraseluler yang mempersulit penetrasi agen antifungal sintetik. Matriks ini diproduksi pada fase filamentasi dan terakumulasi pada fase maturasi. Temulawak merupakan obat herbal yang banyak digunakan di Indonesia dan ekstraknya telah dilaporkan memiliki efek antifungal terhadap C. albicans planktonik karena memiliki senyawa aktif yaitu xanthorrhizol. Penelitian ini dilakukan dengan MTT assay untuk menghitung viabilitas biofilm C. albicans setelah pemaparan dengan ekstrak etanol temulawak secara in vitro. Hasil yang didapatkan menunjukkan ekstrak etanol temulawak memiliki efek antifungal yang setara dengan nystatin terhadap biofilm C. albicans fase filamentasi dan maturasi pada konsentrasi 35%.

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Extracellular matrix in C. albicans biofilm preventing access of synthetic antifungal agents to C. albicans biofilm. This matrix is produced during filamentation phase and accumulated on maturation phase. Java turmeric is a common Indonesian herbal medicine and has been reported to have antifungal effect against planktonic C. albicans for its active component, xanthorrhizol. This research was conducted using MTT assay to count C. albicans biofilm viability after in vitro exposure to Java turmeric ethanol extract. The result showed it has an equal antifungal effect to nystatin against C.albicans biofilm on filamentation and maturation phase in 35% of concentration."

"Salah satu faktor virulensi Candida albicans adalah kemampuannya dalam membentuk biofilm sehingga meningkatkan resistensi terhadap agen antifungal. Fase awal merupakan prasyarat terbentuknya biofilm serta ditandai dengan adhesi dan proliferasi sel C. albicans. Temulawak merupakan tanaman khas Indonesia dan dilaporkan memiliki efek antifungal karena mengandung zat aktif yaitu xanthorrhizol. Penelitian ini dilakukan dengan MTT assay untuk mengukur viabilitas C. albicans pada biofilm setelah pemaparan ekstrak etanol temulawak secara in vitro. Hasil penelitian menunjukkan ekstrak dengan konsentrasi 35% dapat menurunkan viabilitas C. albicans setara dengan nystatin. Ekstrak etanol temulawak terbukti memiliki efek antifungal terhadap C. albicans pada biofilm fase adhesi dan proliferasi.

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Candida albicans has the ability to form biofilm that increase resistance to antifungal agents. Early phase is a prerequisite, characterized by adhesion and proliferation. Java turmeric is an Indonesian medicinal plants and reported to have antifungal effect due to its active component, xanthorrhizol. This study was conducted using MTT assay to measure viability of C. albicans in biofilm after exposure to Java Turmeric ethanol extract.

The result showed extract in 35% concentration can reduce the viability of C. albicans equal to nystatin’s capability. Java Turmeric ethanol extract has antifungal effect against C. albicans in adhesion and proliferation phase of biofilm."

"Latar belakang: Temulawak adalah tanaman obat asli Indonesia yang mengandung zat aktif xanthorrhizol dan memiliki efek antifungal. Dengan membentuk biofilm, Candida albicans menjadi virulen dan semakin virulen ketika mencapai fase maturasi. Tujuan: Mengetahui potensi ekstrak etanol temulawak dalam menghambat biofilm C. albicans isolat klinis dan C. albicans ATCC 10231 pada fase maturasi. Metode: Pemaparan ekstrak etanol temulawak berbagai konsentrasi pada biofilm C. albicans dimulai pada 1.5 jam setelah inkubasi dan dilanjutkan selama 48 jam. MTT assay digunakan untuk mengukur persentase viabilitas sel C. albicans pada biofilm yang kemudian dikonversi menjadi persentase inhibisi biofilm oleh ekstrak temulawak. Hasil: Terhadap C. albicans isolat klinis, Kadar Hambat Minimum KHM dan Kadar Bunuh Minimum KBM ekstrak etanol temulawak adalah 15 dan 30, sedangkan terhadap C. albicans ATCC 10231 adalah 20 dan 35. Nilai Kadar Hambat Biofilm Minimum KHBM50 ekstrak etanol temulawak adalah 35 terhadap C. albican isolat klinis dan 40 terhadap C. albicans ATCC 10231. Dibutuhkan konsentrasi ekstrak etanol temulawak yang lebih tinggi untuk menghambat C. albicans ATCC 10231 daripada untuk menghambat C. albicans isolat klinis. Kesimpulan: Baik terhadap C. albicans isolat klinis maupun C. albicans ATCC 10231, ekstrak etanol temulawak berpotensi menghambat biofilm C. albicans fase maturasi.

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Background: Javanese turmeric is an Indonesian medicinal plant which contains xanthorrhizol had been reported to have antifungal effect. By forming biofilms, C. albicans becomes virulent and more virulent as it reaches the maturation phase.

Objective: To investigate the capability of Javanese turmeric ethanol extract in inhibiting the formation of maturation phase C. albicans biofilm both of clinical isolate and ATCC 10231.

Methods: The Exposure of various concentrations of Javanese turmeric ethanol extract to C. albicans biofilm started at 1.5 hours after incubation and continued for 48 hours. MTT assay was used to measure the percentage viability of C. albicans cells on the biofilm which was then converted into the percentage of biofilm inhibition.

Results: Against C. albicans clinical isolate, Minimum Inhibition Concentration MIC and Minimum Fungicidal Concentration MFC of javanese turmeric ethanol extract was 15 and 30 whereas against C. albicans ATCC 10231 was 20 and 35. Minimum Biofilm Inhibition Concentration MBIC50 of javanese turmeric ethanol extract was 35 against C. albicans clinical isolate and 40 against C. albicans ATCC 10231 biofilm. Higher concentration of the extract was required to inhibit C. albicans ATCC 10231 compared to the concentration to inhibit C. albicans clinical isolate.

Conclusion: Both against C. albicans clinical isolat and C. albicans ATCC 10231, javanese turmeric ethanol extract has potential in inhibiting mature phase of C. albicans biofilm."