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Agnes Frethernety
Abstrak :
Latar Belakang: Hipoksia adalah keadaan defisiensi suplai oksigen ke dalam sel atau jaringan akibat gagalnya sistem respirasi yang membawa oksigen sehingga mengakibatkan kerusakan jaringan. Hati merupakan organ yang sensitif terhadap hipoksia. Keadaan hipoksia dapat menyebabkan kerusakan hati yang mendasari beberapa kondisi patologis jaringan seperti ischemic hepatitis, cirrhosis hepatis. Tanaman Acalypha indica (AI) dan Centella asiatica (CA) telah terbukti memiliki efek antioksidan dan dapat melindungi banyak organ dari kondisi hipoksia. Pada penelitian ini menganalisis pengaruh pemberian kombinasi ekstrak etanol AI dan CA pada pascahipoksia sitemik terhadap fungsi hati, stres oksidatif dan aktivitas antioksidan organ hati. Metode: Dua puluh delapan tikus Spraque-Dawley dibagi secara acak menjadi 7 kelompok. Kelompok kontrol adalah perlakuan tanpa hipoksia, perlakuan enam kelompok lainnya pascahipoksia 7 hari diberikan zat uji sebagai berikut: air, kombinasi dosis 1 dan 2, dosis tunggal AI, dosis tunggal CA dan dosis tunggal vitamin C selama 7 hari. Aktivitas ALT dan AST, kadar MDA, rasio GSH/GSSG dan aktivitas SOD dianalisis dengan statistik menggunakan uji ANOVA yang dilanjutkan multiple comparisons Post Hoc dengan uji Least Significant Difference (LSD) untuk mengetahui kelompok mana yang berbeda, dimana perbedaan dianggap bermakna secara statistik bila p<0.05. Hasil: Tidak ada perbedaan aktivitas ALT dan AST yang bermakna pada semua kelompok. Kadar MDA meningkat pada kelompok pascahipoksia 7 hari dibanding kontrol. Kelompok kombinasi 1 memiliki MDA yang rendah, rasio GSH/GSSG dan aktivitas SOD yang meningkat dibanding dengan kelompok pascahipoksia 7 hari. Kesimpulan: Pemberian zat uji kombinasi 1 memiliki efek perlindungan pada hati tikus terhadap pascahipoksia 7 hari melalui mekanisme stres oksidatif dan antioksidan. ......Background: Hypoxia occurs due to the deficiency of oxygen supply to the cells or tissue caused by the failure of the respiratory system that carries oxygen result in cell or tissue damage. Liver is an organ that has sensitive reaction to hypoxia. Hypoxia may cause liver damage underlying the condition of several pathological tissues, such as; ischemic hepatic, cirrhosis hepatic. Acalypha indica (AI) and Centella asiatica (CA) have been proved to have antioxidant effects and may protect many organs from hypoxic conditions. This study analysed the effect of ethanol extract combination of AI and CA on post-hypoxia toward liver function, oxidative stress and antioxidant activity of the liver. Methode: Twenty-eight Spraque-Dawley rats divided randomly into 7 groups. Controlled group was treated without hypoxia while the six other groups on 7 days-post-hypoxia were given with such substance test as follows: water, dose combination of 1 and 2, single dose of AI, single dose of CA, and single dose of vitamin C. Activities of ALT and AST, MDA, GSH / GSSG ratio and SOD activity were analyzed statistically using ANOVA test followed by Post Hoc multiple comparison by the Least Significant Difference (LSD) to determine which groups was different, where the difference was considered statistically significant at p <0:05. Result: There is no significant difference in the activity of ALT and AST in all groups. MDA levels increased in the 7 days-posthypoxia group compared to the controlled one. The group combination 1 has lower MDA and increasing GSH/GSSG ratio and SOD activity compared with the 7 days-posthypoxia group. Conclusion: The substance of combination 1 test has a protective effect on the rats? liver on 7 days-posthypoxia through oxidative stress and antioxidant mechanisms.
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2014
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UI - Tesis Membership  Universitas Indonesia Library
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David Limanan
Abstrak :
[ABSTRAK
Latar Belakang: Kelahiran prematur masih menjadi salah satu penyebab utama kematian pada neonatus. Diseluruh dunia kematian akibat kelahiran prematur menempati posisi kedua pada anak usia dibawah lima tahun. Kelahiran prematur dapat disebabkan oleh komplikasi dari ibu, janin dan plasenta. Insufisiensi plasenta merupakan komplikasi kehamilan dimana plasenta tidak dapat membawa oksigen dan nutrisi yang diperlukan untuk pertumbuhan janin dalam uterus, sehingga menyebabkan berkurangnya suplai oksigen yang diperlukan janin dan terjadi keadaan hipoksia dalam uterus. Cygb yang terdapat dalam plasenta yang berfungsi dalam metabolisme oksigen akan berusaha menkompensasi keadaan ini agar suplai oksigen kembali normal. Hipoksia yang terus menerus ini dapat menyebabkan meningkatnya reactive oxygen species (ROS). Pada neonatus prematur terjadi peningkatan ROS dapat melalui dua jalur, yaitu : pertama, tidak tersedianya antioksidan. Kedua, berkurangnya kemampuan untuk meningkatkan pembentukan antioksidan sebagai respons dari hiperoksia atau oksidan lain. ROS yang terbentuk akan ditanggulangi oleh antioksidan yang ada sel baik yang enzimatik maupun nonenzimatik. Metode: Plasenta bayi prematur dibagi dalam dua kelompok berdasarkan status oksigennya menjadi hipoksia dan non hipoksia. Kemudian dilakukan pengukuran ekspresi mRNA dan protein Cygb, serta aktivitas antioksidan MnSOD, CAT, dan Gpx. Hasil: Terjadi peningkatan protein Cygb, akan tetapi terjadi penurunan ekspresi mRNA Cygb. Terjadi penurunan aktivitas spesifik MnSOD, sedangkan CAT dan GPx tidak berbeda bermakan. Analisis statistik menunjukan hubungan bermakna antara aktivitas spesifik MnSOD dengan aktivitas spesifik GPx dan terdapat hubungan yang bermakana antara mRNA Cygb dengan aktivitas spesifik MnSOD pada neonatus prematur hipoksia dan tidak hipoksia Kesimpulan: Terjadi peningkatan protein Cygb dan penurunan mRNA Cygb untuk mempertahankan homeostasis janin dalam keadaan hipoksia. Antioksidan pada bayi prematur lebih rendah, akan tetapi hal ini akan dibantu oleh Cygb dalam mengeliminasi ROS yang ada dalam tubuh, terlihat dari penurunan aktivitas spesifik MnSOD pada plasenta prematur hipoksia, sedangkan aktivitas spesifik katalase dan GPx relatif sama.
ABSTRACT
Background: Preterm birth is still one of the main causes of mortality in neonates. Nowadays, preterm birth is the second most common cause of death in children younger than five years. Preterm birth can be caused by complications of the mother, fetus and placenta. Placenta insufficiency is complication of pregnancy, where the placenta can not carry oxygen and nutrients for fetus growth in uterus, that lead to decrease oxygen supplies for the fetus and hypoxia in uterus. Cygb in placenta, that have function in oxygen metabolism will try to compensate this situation, so the oxygen suplies will back to normal. The hypoxia will increase reactive oxygen species (ROS). In preterm neonates the increase of ROS is cause by: First, there is no antioxidant supplies. Second, the lack of antioxidant respon to hyperoxsia or other oxidan ROS will be eliminate by antioxidant system with in the cell. Methods: Placenta from preterm neonates divided in teo groups, hypoxia and non hypoxia. And the sample is measure for mRNA Cygb expression, Cygb proteins, and antioxidant activity for MnSOD, CAT and GPx. Results: The Cygb protein increase in placenta neonates hypoxia, but the expression of mRNA Cygb decrease in placenta neonates hypoxia. There is decrease of MnSOD specific activity in placental neonates hypoxia, but not in CAT and GPx. Statistical analysis show correlation between MnSOD specific activity with GPx specific activity, and correlation between mRNA Cygb with MnSOD specific activity. Conclusion: There is an increase of Cygb protein and decrease of Cygb mRNA in placental neonates hypoxia, to maintain the neonates homeostasis in hypoxia environment. Antioxidant is lower in preterm, Cygb with the capability to eliminate free radical will help antioxidant to reduce the ROS. It was seen at the decrease of MnSOD specific activity, and the katalase and GPx specific activity is relatively the same in plasenta hipoksia and non hipoksia, Background: Preterm birth is still one of the main causes of mortality in neonates. Nowadays, preterm birth is the second most common cause of death in children younger than five years. Preterm birth can be caused by complications of the mother, fetus and placenta. Placenta insufficiency is complication of pregnancy, where the placenta can not carry oxygen and nutrients for fetus growth in uterus, that lead to decrease oxygen supplies for the fetus and hypoxia in uterus. Cygb in placenta, that have function in oxygen metabolism will try to compensate this situation, so the oxygen suplies will back to normal. The hypoxia will increase reactive oxygen species (ROS). In preterm neonates the increase of ROS is cause by: First, there is no antioxidant supplies. Second, the lack of antioxidant respon to hyperoxsia or other oxidan ROS will be eliminate by antioxidant system with in the cell. Methods: Placenta from preterm neonates divided in teo groups, hypoxia and non hypoxia. And the sample is measure for mRNA Cygb expression, Cygb proteins, and antioxidant activity for MnSOD, CAT and GPx. Results: The Cygb protein increase in placenta neonates hypoxia, but the expression of mRNA Cygb decrease in placenta neonates hypoxia. There is decrease of MnSOD specific activity in placental neonates hypoxia, but not in CAT and GPx. Statistical analysis show correlation between MnSOD specific activity with GPx specific activity, and correlation between mRNA Cygb with MnSOD specific activity. Conclusion: There is an increase of Cygb protein and decrease of Cygb mRNA in placental neonates hypoxia, to maintain the neonates homeostasis in hypoxia environment. Antioxidant is lower in preterm, Cygb with the capability to eliminate free radical will help antioxidant to reduce the ROS. It was seen at the decrease of MnSOD specific activity, and the katalase and GPx specific activity is relatively the same in plasenta hipoksia and non hipoksia]
2015
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library