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"Latar Belakang: Defek tulang yang besar membutuhkan pendekatan regenerasi tulang. Material hidroksiapatit (HA) dan gelatin telah banyak diteliti dan dikombinasikan karena sifatnya yang saling melengkapi dan meningkatkan aktivitas regenerasi tulang. Penambahan zat alami seperti propolis yang salah satunya memiliki kandungan Caffeic Acid Phenethyl Esters (CAPE) dapat menstimulasi pertumbuhan jaringan dan meningkatkan kadar biomarker pertumbuhan tulang. Oleh karena itu kombinasi biomaterial HA-gelatin-propolis yang belum pernah dilakukan sebelumnya, diharapkan dapat meningkatkan aktivitas regenerasi tulang yang dapat dilihat dari kadar alkali fosfatase (ALP) dan osteokalsin (OC) yang disekresikan oleh osteoblas.Tujuan: Menganalisis kadar ALP dan OC pada medium kultur biakan sel osteoblas setelah dipajan elusi hidroksiapatit, gelatin, dan propolis 6% .Metode: Human Osteoblast Cell line MG-63 dibiakan dan dibagi menjadi 6 kelompok pajanan yaitu kontrol, HA, propolis 6%, HA-gelatin, HA-propolis 6%, dan HA-gelatin-propolis 6%. Kadar ALP dan OC dianalisis pada medium kultur 7, 14, dan 21 hari setelah pemajanan kemudian dikuantifikasi menggunakan Uji ELISA.Hasil: Kadar ALP dan OC seluruh kelompok mengalami peningkatan pada hari ke-7 dan 14 serta pengalami penurunan pada hari ke-21. Tidak terdapat perbedaan bermakna pada kelompok pajanan HA-gelatin-propolis 6% dibandingkan dengan kelompok kontrol. Kelompok HA, propolis 6%, dan HA-gelatin menunjukkan kadar yang lebih tinggi dari kontrol. Perbedaan yang bermakna secara statistik (p<0,05) terdapat pada kelompok propolis 6%. Kenaikan kadar ALP berkorelasi positif sedang dengan kenaikan kadar OC (r = 0,385, p=0,001).Kesimpulan: Tidak terdapat perbedaan bermakna aktivitas proliferasi dan diferensiasi sel osteoblas yang dilihat dari kadar biomarker ALP dan OC pada pajanan elusi HA-gelatin-propolis 6% dibanding kelompok kontrol.

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Background: Large bone defects require a bone regeneration approach. Hydroxyapatite (HA) and gelatin have been widely studied and combined because of their complementary properties and increasing bone regeneration activity. The addition of natural substances such as propolis, one of which contains Caffeic Acid Phenethyl Esters (CAPE) can stimulate tissue growth and increase levels of bone growth biomarkers. Therefore, the combination of HA-gelatin-propolis biomaterial that has never been done before, is expected to increase bone regeneration activity which can be seen from the levels of bone growth biomarkers alkaline phosphatase (ALP) and osteocalcin (OC) secreted by osteoblasts.

Objective: To analyze the levels of bone formation biomarkers such as ALP and OC in osteoblast cell culture medium after exposure to hydroxyapatite, gelatin, and propolis 6% elution.

Methods: This research is an in vitro laboratory study. Human Osteoblast Cell line MG-63 was cultured and divided into 6 groups, namely control, HA, propolis 6%, HA-gelatin, HA-propolis 6%, and HA-gelatin-propolis 6 %. ALP and OC levels were analyzed on culture medium 7, 14, and 21 days after exposure and then quantified using the ELISA test.

Results: ALP and OC levels in all groups increased on the 7th and 14th days and decreased on the 21st day. There was no significant difference in the HA-gelatin-propolis 6% exposure group compared to the control group. The 6% propolis and HA-gelatin groups showed higher levels than the control and a statistically significant difference (p<0.05) was found in the 6% propolis group. An increase in ALP levels was positively correlated with an increase in OC levels (r = 0.385, p = 0.001).

Conclusion: There was no significant difference in the proliferative and differentiation activity of osteoblasts as seen from the levels of biomarkers of ALP and OC in the HA-gelatin-propolis 6% elution exposure compared to the control group."

"Latar Belakang: Inovasi biomaterial dalam rekayasa jaringan tulang dapat bermanfaat untuk pengembangan dalam manajemen defek tulang kritis. Hidroksiapatit dan gelatin sudah dikenal potensinya dalam rekayasa jaringan sedangkan propolis dikenal dengan berbagai khasiatnya sebagai antimikroba dan potensi penyembuhan luka. Penggabungan ketiga bahan ini belum diketahui biokompatibilitasnya terhadap sel eukariot.Tujuan: Penelitian ini bertujuan untuk mengevaluasi sifat biokompatibilitas hidroksiapatit-gelatin-propolis (HA-GEL-P) terhadap sel osteoblas (MG-63).Metode: HA-GEL-P dibuat dalam bentuk elusi dengan konsentrasi propolis 6% dan 10% lalu dipajankan dalam larutan medium kultur yang telah disebari sel MG-63. Viabilitas sel dievaluasi dengan uji MTT pada hari ke 1 dan ke 8 setelah pemajanan, dengan inkubasi 2 jam. Setelah inkubasi, diberikan larutan acidified isopropanol untuk melarutkan kristal formazan yang terbentuk. Absorbansi diukur dengan panjang gelombang 600 nm.Hasil: Uji MTT menunjukkan bahwa viabilitas sel setelah dipajankan dengan HA-GEL-P 6% di atas 90% pada hari ke 1, namun mengalami penurunan yang signifikan pada hari ke 8 dengan viabilitas sel di bawah 50%. Sedangkan, HA-GEL-P 10% menunjukkan viabilitas sel di bawah 50% pada hari ke 1 dan 8.Kesimpulan: HA-GEL-P 6% menunjukkan biokompatibilitas yang baik sedangkan HA-GEL-P 10% menunjukkan sifat toksik. Efek toksik HA-GEL-P tergantung pada konsentrasi dan waktu inkubasi.

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Background: Biomaterial innovation in bone tissue engineering can be useful for developments in the management of critical bone defects. Hydroxyapatite and gelatin are well known for their potential in tissue engineering, while propolis is known for its various antimicrobial and wound healing properties. The combination of these three materials is not yet known for its biocompatibility.

Objective: The purpose of this study was to assess the biocompatibility properties of hydroxyapatite-gelatin-propolis (HA-GEL-P) on osteoblast cells (MG-63).

Methods: HA-GEL-P was prepared in the form of elution with two propolis concentrations (6% dan 10%) and then exposed to a solution of culture medium that had been spread with MG-63 cells. Cell viability was evaluated by MTT assay on days 1 and 8 after exposure, with 2 hours incubation. After incubation, acidified isopropanol solution was given to dissolve the formed formazan crystals. The absorbance was measured at the wavelength of 600 nm.

Results: The MTT assay showed that the cell viability of HA-GEL-P 6% was above 90% on day 1, but had a significant decrease on day 8 with cell viability below 50%. Meanwhile, HA-GEL-P 10% showed cell viability below 50% on days 1 and 8.

Conclusion: It was suggested that adequate biocompatibility was evident for HA-GEL-P 6%, while HA-GEL-P 10% was toxic. The toxic effect of HA-GEL-P depends on the concentration and duration of incubation."

"Latar Belakang: Tulang terus memperbaharui jaringannya dengan mengandalkan keseimbangan resorpsi tulang oleh osteoklas dan deposisi tulang oleh osteoblas. Namun, hal ini dapat terhambat pada kondisi kerusakan tulang yang rumit dan ekstensif. Bone tissue engineering telah berpotensi menjadi alternatif dalam mengatasi masalah regenerasi tulang, salah satunya menggunakan material hidroksiapatit dan gelatin yang bersifat biokompatibel dan osteokonduktif. Pada studi ini, penulis ingin mengetahui pengaruh penambahan propolis pada material hidroksiapatit-gelatin terhadap sekresi protein sel osteoblas.Tujuan: Menganalisis total dan profil protein pada medium kultur sel osteoblas setelah pajanan elusi hidroksiapatit, gelatin, dan propolis untuk melihat aktivitas sel osteoblas.Metode: Medium kultur sel osteoblas diberikan pajanan berupa elusi hidroksiapatit-gelatin-propolis 6% dan diambil sampelnya pada hari ke- 3, 7, 14, dan 21. Kemudian dilakukan uji Bradford untuk melihat total protein dan uji SDS-PAGE untuk melihat profil protein.Hasil: Terdapat perbedaan total protein pada semua kelompok dan ditemukan adanya profil protein berupa COL1A1, bone sialoprotein, RUNX2, dan osteonectin.Kesimpulan: Hasil penelitian menunjukkan terdapat perbedaan antara total dan profil protein medium kultur sel osteoblas pada pemberian elusi hidroksiapatit-gelatin-propolis 6% dibanding kelompok kontrol pada hari ke- 3, 7, 14, dan 21 setelah pajanan.

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Background: Bone continue to renew their tissue during life that relies on the correct balance between resorption by osteoclasts and deposition by osteoblasts. However, this can be hindered in conditions of complex and extensive bone destruction. Bone tissue engineering has potential to be an alternative in overcoming the problem of bone regeneration, one of which uses hydroxyapatite and gelatin materials that are biocompatible and osteoconductive. The authors wanted to determine the effect of adding propolis to the hydroxyapatite-gelatin material on the protein secretion of osteoblast cells.

Objectives: To analyse total and profile protein on medium culture of osteoblast cells after exposure to elution of hydroxyapatite, gelatin, and propolis to see the activity of osteoblast cells.

Methods: Osteoblast cell culture medium was exposed to hydroxyapatite-gelatin-propolis 6% elution and samples were taken on days 3, 7, 14, and 21. Then the Bradford test was performed to see the total protein and SDS-PAGE test to see the protein profile.

Results: There were differences of total protein in all groups and found the presence of profile protein, such as COL1A1, bone sialoprotein, RUNX2, and osteonectin.

Conclusion: The results showed that there was a difference between the total and protein profile of the osteoblast cell culture medium in the administration of hydroxyapatite-gelatin-propolis 6% elution compared to the control group on days 3, 7, 14, and 21 after exposure.

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"Diferensiasi osteogenik dari Sel punca mesenkim (MSC) menjadi osteoblas memiliki signifikansi klinis yang sangat penting untuk mengobati cedera tulang. Berbagai penelitian telah dilakukan untuk meneliti faktor-faktor yang dapat meningkatkan diferensiasi osteogenik, termasuk pengembangan perancah untuk kultur MSC. Perancah Polivinil Alkohol (PVA)/ Fibroblast-derived Matrix (hFDM) asal manusia menjadi salah satu kandidat perancah yang diduga dapat mendukung diferensiasi osteogenik MSC. Keberadaan matriks ekstraseluler (ECM) pada perancah dapat meregulasi berbagai aktivitas seluler melalui komponen protein matriks yang terdapat pada ECM. Protein matriks berperan sebagai sekuesterasi berbagai faktor pertumbuhan. Faktor pertumbuhan seperti BMP2 dan chordin diketahui dapat meregulasi diferensiasi osteogenik. Proses terjadinya diferensiasi osteogenik dapat diamati melalui akumulasi mineral kalsium yang terdeposit pada matriks ekstraseluler. Tujuan dari penelitian ini adalah untuk mengetahui metode optimum dalam pembuatan perancah PVA/hFDM, danmengetahui peran perancah PVA/hFDM dalam mempengaruhi diferensiasi osteogenik MSC dengan mengukur ekspresi gen BMP2, dan chordin, serta ekspresi kadar kalsium relatif pada matriks ekstraseluler. Optimasi pembuatan perancah PVA hFDM dimulai dengan optimasi medium kultur, waktu kultur, preparasi, dan teknik deselulerisasi. hFDM dikarakterisasi menggunakan pewarnaan Hematoxylin, Masson Trichrome, dan Imunohistokimia untuk mengetahui keberadaan protein matriks. MSC dikultur pada perancah PVA/hFDM untuk uji diferensiasi osteogenik selama 21 hari. Sampel RNA diisolasi pada hari ke-7,14, dan 21. Ekspresi gen BMP2 dan chordin dianalisis menggunakan metode qRT-PCR. Adapun ekspresi kadar kalsium relatif dianalisis dengan uji kualitatif dan kuantitatif pewarnaan Alizarin Red. Hasil penelitian ini menunjukkan protokol pembuatan perancah PVA/hFDM telah dioptimasi, dan karakterisasi hFDM memperlihatkan keberadaan protein matriks berupa kolagen dan biglycan. Ekspresi gen BMP2 menurun pada kelompok MSC yang dikultur pada perancah PVA/hFDM baik di hari ke-7, 14, dan 21. Sedangkan ekspresi gen chordin meningkat pada kelompok MSC yang dikultur pada perancah PVA/hFDM di hari ke 7, dan 14, kembali menurun di hari ke-21. Ekspresi kadar kalsium relatif cenderung meningkat pada kelompok MSC yang dikultur pada perancah PVA/hFDM dengan gambaran mikroskopis berupa bercak merah pada permukaan perancah. Kesimpulan dari penelitian ini adalah perancah PVA/hFDM cenderung dapat mendukung diferensiasi osteogenik MSC. Hasil penelitian menunjukkan bahwa penggunaan perancah PVA/hFDM dapat menurunkan ekspresi gen BMP2, dan meningkatkan ekspresi gen chordin, serta cenderung meningkatkan ekspresi kadar kalsium relatif yang terdeposit pada matriks ekstraseluler.

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Osteogenic differentiation from Mesenchymal Stem Cell (MSC) to osteoblasts has great clinical significance for treating bone injury. Various studies have been conducted to investigate factors that can enhance osteogenic differentiation, including scaffold development for MSC culture. Scaffold Polyvinyl Alcohol (PVA) / human Fibroblast-derived Matrix (hFDM) is a scaffold candidate assumed to support osteogenic differentiation of MSCs. The extracellular matrix (ECM) presence on the scaffold can regulate various cellular activities through the matrix protein components contained in the ECM. Matrix protein plays a role in sequestering multiple growth factors. Growth factors such as BMP-2 and chordin are to regulate osteogenic differentiation. The process of osteogenic differentiation can be observed by accumulating calcium minerals in the extracellular matrix. The purpose of this study was to determine the optimal method for making PVA / hFDM scaffold and to determine the role of the PVA / hFDM scaffold in affecting MSC osteogenic differentiation by measuring the expression of BMP2 and chordin genes, as well as the expression of relative calcium levels in the extracellular matrix. Optimization of making hFDM PVA scaffold begins with the optimization of culture medium, culture time, preparation, and decellularization techniques. hFDM was characterized using Hematoxylin, Masson Trichrome, and Immunohistochemical staining to determine matrix proteins' presence. MSCs were cultured on the PVA / hFDM scaffold for osteogenic differentiation assay for 21 days. RNA samples were isolated on day 7,14 and 21. Expression of BMP2 and chordin genes were analyzed using the qRT-PCR method. The expression of relative calcium levels was analyzed by qualitative and quantitative tests of Alizarin Red staining. The results of this study indicate that the PVA / hFDM scaffold preparation protocol has been optimized, and the hFDM characterization shows the presence of matrix proteins in the form of collagen and biglycan. BMP-2 gene expression decreased in the MSC group cultured on the PVA / hFDM scaffold on days 7, 14, and 21. In contrast, the chordin gene expression increased in the MSC group cultured on the PVA / hFDM scaffold on days 7, and 14, back down on day 21. The expression of relative calcium levels tended to increase in the MSC group cultured on the PVA / hFDM scaffold with a microscopic appearance of red spots on the scaffold surface. This study concludes that Scaffold PVA / hFDM tends to support osteogenic differentiation of MSCs. The results showed that the use of the PVA / hFDM scaffold could decrease the expression of the BMP2 gene, and increase the expression of the chordin gene, and tended to increase the expression of the relative calcium levels deposited in the extracellular matrix.

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"Latar Belakang: Trauma dentoalveolar merupakan kerusakan pada daerah gigi dan tulang alveolar serta jaringan pendukung gigi. Prosedur pemulihan dengan cara Bone grafting yang menggantikan tulang yang hilang. Bahan alami seperti Hidroksiapatit Gelatin dan propolis dilaporkan dapat meningkatkan proliferasi dan mineralisasi sel osteoblas. Tujuan: Untuk menetapkan peningkatan proliferasi dan minrealisasi setelah pemajanan elusi hidroksiapatit, gelatin, dan propolis 6% pada hari ke-7, 14, dan 21 terhadap medium kultur sel osteoblast sebagai bone graft secara in vitro. Metode: Melakukan uji pewarnaan Alizarin Red Staining (ARS) pada kelompok perlakuan dengan interval waktu hari ke-7, 14, dan 21. Analisis menggunakan ImageJ menentukan deposisi kalsium dan jumlah sel osteoblast. Hasil: Pada tiap interval waktu hari ke-7, 14, dan 21 kelompok uji Hidroksiapatit-Gelatin-Propolis mengalami peningkatan deposisi kalsium dan jumlah sel. Namun, terdapat hasil fluktuatif pada beberapa kelompok uji pada hari ke-7, 14, dan 21. Kesimpulan: Elusi Hidroksiapatit-Gelatin-Propolis dapat meningkatkan proliferasi dan mineralisasi pada sel osteoblast.

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Background: Dentoalveolar trauma is damage to the area of ​​​​the tooth, the alveolar bone and the supporting tissues of the teeth. A recovery procedure by means of bone grafting which replaces the lost bone. Natural ingredients such as Hydroxyapatite Gelatin and propolis are reported to increase the proliferation and mineralization of osteoblast cells.

Aim: To determine the increase in proliferation and mineralization after exposure hydroxyapatite, gelatin, and propolis 6% elution on days 7, 14, and 21 to osteoblast cell culture medium as bone graft in vitro.

Method: Performed Alizarin Red Staining (ARS) staining test on the treatment group with time intervals of 7, 14, and 21 days. Analysis by using ImageJ to determined calcium deposition and the number of osteoblast cells. Result : At each time interval of 7, 14, and 21 days the Hydroxyapatite-Gelatin-Propolis test group experienced an increase in calcium deposition and cell number. However, there were fluctuating results in several test groups on the 7th, 14th, and 21st days.

Conclusion: Hydroxyapatite-Gelatin-Propolis elution can increase the proliferation and mineralization of osteoblast cells."

"ABSTRAKPengembangan material implan gigi berbasis titanium yaitu Ti-6Al-4V dan Ti-6Al-7Nb termodifikasi TiO2 nanotube TiNT berdopan logam Ag, telah dipelajari dalam penelitian ini. Kondisi di dalam mulut yang minim energi foton perlu adanya modifikasi material implan gigi tersebut dengan TiNT terdopankan logam Ag. Kombinasi TiNT dan pendopanan logam Ag dilakukan dengan metode Photo-Assisted Deposition PAD dapat berperan sebagai electron trapper dan menghasilkan radikal hidroksil sehingga memiliki sifat menghambat pertumbuhan biofilm. Selain itu juga meningkatkan hidrofilitas permukaan material implan gigi dan dapat meningkatkan osseointegrasi antara sel osteoblas dan implan gigi. Kemampuan titanium untuk melekat dengan sel atau jaringan hidup disekitarnya osseointegrasi dapat diamati dari pertumbuhan sel osteoblas secara in vitro. Pembuktian sifat ossointegrasi dilakukan dengan uji viabilitas sel untuk mengetahui kemampuan sel ostoblas dalam bertahan hidup menggunakan 3- 4,5-dimethylthiazol-2-yl -2,5-diphenyltetrazolium bromide MTT assay serta uji Alkaline Phosphatase ALP assay untuk mengetahui aktivitas enzim ALP yang dapat membentuk jaringan keras gigi dan tulang pada waktu inkubasi 7 dan 14 hari. Karakterisasi bahan dilakukan dengan XRD, FESEM/EDX dan Contact Angle Meter. Hasil uji in vitro yang optimum adalah Ti-6Al-4V dan Ti-6Al-7Nb dengan konsentrasi dopan logam Ag 0,10 M yang memiliki persentase viabilitas sel masing-masing sebesar 113,72 dan 99,68 dalam waktu inkubasi 14 hari. Modifikasi material implan gigi ini mampu meningkatkan pertumbuhan sel osteoblas sehingga memiliki sifat osseointegrasi yang baik.

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ABSTRACTThe development of dental implant material based titanium Ti 6Al4V and Ti 6Al 7Nb modified with TiO2 nanotube array TiNT metal doped Ag, have been studied in this research. The oral condition which has less photon of energy will inhibit activation of photocatalyst. Combination between composition of metal doped and method Photo Assisted Deposition PAD can serve as electron trapper and produces hydroxyl radicals that have the properties of inhibiting the growth of biofilm. Furthermore, this modivication can increase hidrophilicity and osseointegration cell dental implant. Osseointegration denotes the formation of interface between the bone and implant surface an can be osbserved by the growth of osteoblast cells. The surface morphology of titanium alloys was characterized using XRD, FESEM EDX and Contact Angle Meter. Moreover, the results was investigated by a test to obtain the viability of osteoblasts growth in vitro method with 3 4,5 dimethylthiazol 2 yl 2,5 diphenyltetrazoliumbromide MTT assay and Alkaline phosphatase ALP assay to reflect osteoblast activity and is thought to play a major role in bone formation and mineralization. As a coclusion, Ti 6Al 4V and Ti 6Al 7Nb doped Ag 0,10 M improves 113,72 and 99,68 of viability osteoblast cell, respectively."

"ABSTRAKLatar Belakang: Penyakit Graves merupakan penyebab terbanyak hipertiroidisme. Remodeling pada hipertiroidisme dilaporkan meningkat terutama resorpsi tulang. Peningkatan turnover tulang terus menerus bertanggung jawab terhadap percepatan keropos tulang. Tujuan penelitian ini adalah untuk melihat korelasi antara status tiroid dengan kadar ALP, OC sebagai penanda formasi tulang dan CTx sebagai penanda resorpsi tulang.Metode: Metode yang digunakan adalah potong lintang dengan consecutive sampling pada wanita penyakit Graves usia reproduktif di Poliklinik Metabolik Endokrin RSCM pada periode Juli–September 2014. Analisis statistik dilakukan dengan Mann Whitney, korelasi Spearman dan analisis ROC.Hasil: Pada 68 subyek penelitian, didapatkan 28 (41.2%) eutiroid, 23 (33.8%) hipertiroid subklinis dan 17 (25%) hipertiroid. Terdapat perbedaan median kadar penanda remodeling tulang antara kelompok eutiroid dan kelompok belum eutiroid (hipertiroid subklinis/hipertiroid) yaitu ALP (71 U/L [40-165] vs 91.5 U/L [39-256]), OC (19.48 ng/mL [10.95-92.70] vs 32.46 ng/mL [13.31-137.0]), dan CTx (0.36 ng/mL [0.11-1.24] vs 0.613 [0.11-1.93]).Pada uji Spearman didapatkan tidak ada korelasi yang bermakna antara FT4 dengan ALP (r=0.106 p=0.389); terdapat korelasi positif yang bermakna FT4 dengan OC dan CTx (r=0.289 p=0.017 dan r=0.265 p=0.029); terdapat korelasi negatif yang bermakna antara TSH dengan ketiga penanda tulang yaitu ALP (r=- 0.240 p=0.049), OC (r=-0.450 p=<0.001) dan CTx (r=-0.420 p<0.001). Sensitivitas dan spesifisitas diskriminasi TSH dengan kadar serum CTx adalah baik dengan nilai 70.72% dan 70.96% dan titik potong TSH yang didapatkan adalah 0.015 μIU/mL.Simpulan: Median ALP, OC dan CTx pada kelompok belum eutiroid lebih tinggi daripada kelompok eutiroid. Terdapat korelasi positif yang bermakna antara FT4 dengan OC dan CTx. Terdapat korelasi negatif yang bermakna antara TSH dengan ALP, OC dan CTx. Titik potong TSH 0.015μIU/mL merupakan penanda yang sensitif dan spesifik untuk kadar serum CTx.

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ABSTRACTBackground: Grave's disease (GD) is one of the main causes of hyperthyroidism. Bone remodelling has been reported to increase in hyperthyroidisme, especially bone resorption. Continuous increase in bone remodelling has been held responsible for accelerated bone loss. The aim of this study is to find correlation between thyroid status and serum ALP and OC levels as bone formation marker as well as serum CTx as bone resorption marker.Methods: This is a cross-sectional study involving reproductive-age women with GD who attended endocrine metabolic outpatient clinic Cipto Mangunkusumo General Hospital from July to September 2014. Sampling was conducted by mean of consecutive sampling. Statistical analysis was performed using Mann-Whitney, Spearman correlation and ROC analysis.Results: From 68 subjects, 28 (41.2%) were euthyroidism, 23 (33.8%) were subclinical hyperthyroidism and 17 (25%) were hyperthyroidism. We found the difference in median concentration of bone markers between euthyroidism group and non euthyroidism group (subclinical hyperthyroidism/hyperthyroidism) i.e. ALP (71 U/L [40-165] vs 91.5 U/L [39-256]), OC (19.48 ng/mL [10.95-92.70] vs 32.46 ng/mL [13.31-137.0]), and CTx (0.36 ng/mL [0.11-1.24] vs 0.613 [0.11- 1.93]). Spearman test used to find correlation between FT4 and bone markers showed no significant correlation between FT4 and ALP (r=0.106, p=0.389). Nevertheless, FT4 was significantly correlated with OC and CTx in a positive manner (r=0.017 and r=0.265, p=0.029). Correlation between TSH and bone markers was found to be significantly negative (ALP [r=-0.240, p=0.049], OC [r=-0.450, p=<0.001] and CTx [r=-0.420, p=<0.001]). Sensitivity and specificity of TSH discrimination with serum concentration of CTx was 70.72% and 70.96% respectively with obtained cut off for TSH was 0.015 μIU/mL.Conclusion: Median value of the three bone markers are higher in non euthyroidism group compared to that of euthyroid group. The correlation between FT4 and OC or CTx is positive and significant. Cut-off point of 0.015 μIU/mL for TSH is a sensitive and specific marker for serum concentration of CTx."

"Latar Belakang: Pada jaringan yang terkena kerusakan maupun degenerasi sangat dibutuhkan perawatan untuk menggantikan jaringan baru. Dalam merancang material untuk rekayasa jaringan, dibutuhkan material yang memiliki sifat mekanis yang tahan pada lingkungan in vivo. Hidroksiapatit banyak digunakan sebagai bahan rekayasa jaringan karena bersifat bioaktif. Propolis memiliki kandungan Caffeic Acid Phenethyl Esters (CAPE) yang dapat menstimulasikan pertumbuhan jaringan. Tujuan: Mengevaluasi karakterisasi gugus fungsi dan kuat tekan scaffold hidroksiapatit-gelatin-propolis yang dibuat melalui metode freeze-dry dari larutan hidroksiapatit-gelatin dengan tambahan propolis 4, 6, dan 10% Metode: Scaffold Hidroksiapatit-Gelatin-Propolis dengan konsentrasi kandungan propolis 4%, 6%, dan 10% yang telah dihasilkan kemudian diuji menggunakan Universal Testing Machine Shimadzu AGS-5kNX untuk mengetahui kuat tekannya. Selanjutnya, Scaffold Hidroksiapatit-Gelatin-Propolis dikarakterisasi dengan Fourier Transform Infra-Red (FTIR) dan dilihat gugus fungsi yang terdapat didalamnya. Hasil: Karakterisasi FTIR menunjukkan puncak serapan ion fosfat yang rendah pada kelompok sampel Scaffold Hidroksiapatit- Gelatin-Propolis dan kelompok kontrol. Kelompok sampel Scaffold Hidroksiapatit-Gelatin- Propolis memiliki kuat tekan yang lebih rendah dibanding kelompok kontrol. Kesimpulan: Hidroksiapatit tidak terbentuk pada kelompok kontrol dan kelompok Scaffold Hidroksiapatit- Gelatin-Propolis. Semakin tinggi kandungan propolis dalam Scaffold Hidroksiapatit-Gelatin- Propolis, semakin rendah kuat tekannya.

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Background: When tissue get damaged or degenerated, to replace it, new tissue treatment is needed. In designing materials for tissue engineering, materials that have mechanical properties that are resistant to in vivo are needed. Hydroxyapatite is widely used as a tissue engineering material because it is bioactive. Propolis contains Caffeic Acid Phenethyl Esters (CAPE) which can stimulate tissue growth. Purpose: To evaluate characterization of functional group and compressive strength Hydroxyapatite-Gelatin-Propolis Scaffold that is made by freeze-drying method from hydroxyapatite-gelatin solution with addition of 4, 6, 10% propolis. Methods: Hydroxyapatite-Gelatin-Propolis Scaffold with 4%, 6%, and 10% propolis concentration that has been generated were tested using Universal Testing Machine Shimadzu AGS-5kNX to find out the compression strength. Furthermore, Hydroxyapatite- Gelatin-Propolis Scaffold were characterized using Fourier Transform Infra-Red (FTIR) and the functional groups were observed. Result: FTIR Characterization showed low intensity of phosphate ion absorption peak in Hydroxyapatite-Gelatin-Propolis Scaffold specimens and control specimen. Hydroxyapatite-Gelatin-Propolis Scaffold specimens had lower compressive strength than control specimens. Conclusion: Hydroxyapatite was not formed in control specimens and Hydroxyapatite-Gelatin-Propolis Scaffold specimens. The higher the propolis content in the Hydroxyapatite-Gelatin-Propolis Scaffold, the lower the compressive strength."

"Latar Belakang: Bone tissue engineering merupakan alternatif untuk remodeling tulang pada defek kritis melalui pemanfaatan scaffold tiga dimensi berbahan polimer maupun ceramic. Bahan dari alam seperti propolis telah terbukti mampu meningkatkan pembentukan tulang baru melalui pemanfaatannya secara tunggal maupun dengan material lainnya. Namun, penambahan propolis dengan polymer-ceramic based scaffold belum pernah dilakukan sebelumnya. Tujuan: Mengevaluasi pengaruh propolis terhadap fasa kristal hidroksiapatit dan ukuran pori scaffold hidroksiapatit-gelatin-propolis melalui karakterisasi XRD dan SEM. Metode: Karakterisasi XRD dan SEM dilakukan pada scaffold dengan prosedur yang diadaptasi dari penelitian Sunarso et al. (2011). Agen crosslink pada penelitian ini menggunakan glutaraldehida. Scaffold dikarakterisasi dengan XRD untuk mengamati fasa kristal hidroksiapatit dan SEM untuk mengamati morfologi permukaan. Hasil: Pada seluruh spesimen, fasa kristal masih didominasi oleh Ca(OH)2 dan kadungan hidroksiapatit menurun seiring penambahan propolis. Semakin tinggi konsentrasi propolis, ukuran pori semakin meningkat dengan rentang rata-rata diameter pori dari seluruh spesimen 87 μm-112 μm. Kesimpulan: Hidroksiapatit pada penelitian ini tidak terbentuk sempurna dan penambahan propolis menurunkan kristalitas hidroksiapatit. Secara morfologi, spesimen yang dihasilkan memenuhi syarat scaffold.

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Background: Bone tissue engineering is an alternative for bone remodeling in critical defects through the use of three-dimensional scaffold made from polymer or ceramic. Natural material such as propolis has been shown to increase new bone formation through their use alone or with other materials. However, incorporation of propolis to polymer-ceramic based scaffold has never been done before. Objective: To evaluate the effect of propolis on hydroxyapatite crystal phase and pore size of hydroxyapatite-gelatin-propolis scaffold through XRD and SEM characterization. Methods: XRD and SEM characterization was carried out on scaffold made from chemical mixing procedure adopted from Sunarso et al. (2011). This study used glutaraldehyde as crosslink agent. The scaffold was characterized by XRD to observe the hydroxyapatite crystal phase and SEM to observe the surface morphology. Results: The crystal phase from all specimens is still dominated by Ca(OH)2 and the hydroxyapatite content is decreasing as the addition of propolis. Addition of propolis also increasing the pore size increases with the average range is 87 μm-112 μm. Conclusion: The hydroxyapatite in this study is not fully formed and the addition of propolis decreases the crystallinity of hydroxyapatite. Morphologically, all specimens fulfill the scaffold requirements."