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"Latar belakang: Pembentukan biofilm dan sekresi enzim hidrolase merupakan faktor virulensi Candida albicans. Salah satu enzim hidrolase yang disekresikan adalah enzim proteinase yang banyak diekspresikan pada biofilm matur Candida albicans. Temulawak yang merupakan tanaman berkhasiat obat khas Indonesia yang diketahui mampu menghambat pertumbuhan biofilm dan aktivitas enzim fosfolipase pada Candida albicans planktonik.Tujuan: Melihat aktivitas enzim proteinase pada biofilm Candida albicans yang telah terinhibisi ekstrak etanol temulawak.Metode: Pemaparan ekstrak etanol temulawak pada biofilm Candida albicans yang telah diinkubasi 90 menit, lalu diinkubasi lebih lanjut hingga mencapai fase awal (6 jam), menengah (24 jam), dan maturasi (48 jam). Biofilm yang telah terinhibisi dipindahkan pada media uji berupa bovine serum albumin agar (BSAA). Aktivitas enzim proteinase dianalisis dengan mengukur zona proteolysis yang terbentuk di luar zona koloni Candida albicans pada BSAA.Hasil: Fase awal biofilm Candida albicans yang telah terinhibisi ekstrak etanol temulawak tidak terjadi aktivitas enzim proteinase, sementara pada fase menengah dan maturasi terlihat ada aktivitas enzim proteinase tetapi tidak setinggi aktivitas enzim proteinase pada kontrol negatif.Kesimpulan: Terjadi penurunan aktivitas enzim proteinase pada berbagai fase pertumbuhan biofilm Candida albicans Candida albicans yang telah terinhibisi oleh ekstrak etanol temulawak.

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Background: Biofilm formation and hydrolase enzyme secretion are the virulence factor of Candida albicans. One of the hydrolase enzyme is secreted aspartyl proteinase or proteinase enzyme. This enzyme expressed more on mature biofilm of Candida albicans rather than on Candida albicans planktonic. Java turmeric is a native Indonesian plant which is known to have inhibition effect toward Candida albicans biofilm and could decrease the phospholipase enzyme activity of planktonic Candida albicans.Objective: To observe the activity of proteinase enzyme in Candida albicans biofilm that had been inhibited by Java turmeric ethanol extract.Method: exposure of Java turmeric ethanol extract to Candida albicans biofilm that had been incubated for 90 minutes, was followed by further incubation to reach early phase (6 hours), intermediate phase (24 hours), and maturation phase (48 hours) of biofilm formation. Inhibited biofilm then moved to the solid medium containing bovine serum albumin agar (BSAA). The activity of proteinase enzyme was analyzed by measuring the proteolytic zone seen outside the zone of Candida albicans colony on the BSAA.Result: No activity of proteinase enzyme showed on early phase of biofilm formation that had been inhibited by Java turmeric ethanol extract. On intermediate and maturation phase of biofilm that had been inhibited by Java turmeric ethanol extract showed high activity on proteinase enzyme although not as high as the activity of biofilm that had not been inhibited.Conclusion: The activity of proteinase enzyme is decreased on Candida albicans biofilm that had been inhibited by Java turmeric ethanol extract."

"Temulawak merupakan tanaman obat asli Indonesia yang diketahui memiliki aktivitas antibakteri dan antibiofilm. Tujuan penelitian adalah menganalisa efikasi ekstrak etanol temulawak teridentifikasi (EETT) dalam mengeradikasi biofilm S.sanguinis dan P.gingivalis. Metode Biofilm assay: biofilm S.sanguinis, P.gingivalis, dan kombinasi keduanya dalam berbagai fase pembentukan biofilm dipaparkan ekstrak etanol temulawak pada konsentrasi 0,5%-25% selama 1 jam. Persentase eradikasi biofilm dinilai dengan menggunakan MTT assay. Hasil menunjukkan efikasi EETT dalam mengeradikasi biofilm setara Chlorhexidine terhadap fase awal pembentukan biofilm. EETT lebih efektif terhadap biofilm S.sanguinis dibandingkan biofilm P.gingivalis. Sehingga disimpulkan ekstrak etanol temulawak mampu mengeradikasi biofilm S.sanguinis dan P.gingivalis.

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Java turmeric was a Indonesia’s native medicinal plant which’s known have an antibacteria and antibiofilm activity. Purpose this research is to analyze the efficacy of java turmeric ethanol extract identified (JTEEI) in eradicating S.sanguinis and P.gingivalis biofilm. Method Biofilm assay: single and combination biofilm on different phase biofilm formation will exposed by JTEEI at concentration 0,5%-25% for 1h. The percentage of eradication was tested with MTT assay. Result efficacy JTEEI in eradicating biofilm is equal Chlorhexidine against early phase of biofilm formation. JTEEI more effective against S.sanguinis biofilm than P.gingivalis biofilm. Conclusion is JTEEI can eradicate S.sanguinis and P.gingivalis biofilm."

"Latar belakang: Temulawak memiliki efek antibakteri terhadap S.mutans dan P.gingivalis. Namun efektivitas pada biofilm butuh penelitian lanjutan. Tujuan: Mengevaluasi efektivitas ekstrak etanol temulawak teridentifikasi (EETT) dalam menghambat pembentukan biofilm S.mutans dan P.gingivalis tunggal maupun kombinasi. Metode: S.mutans ATCC 25175 dan P.gingivalis ATCC 33277 diuji untuk menetapkan KHM dan KBM menggunakan teknik microdilution. Efektivitas penghambatan biofilm diuji dengan crystal violet. Hasil: Nilai KHM dan KBM EETT terhadap S.mutans adalah 5% dan 15%. Konsentrasi inhibisi biofilm minimum S.mutans 1%; P.gingivalis 15%; dan biofilm kombinasi 0,5%. Kesimpulan: Ekstrak etanol temulawak teridentifikasi efektif menghambat pembentukan biofilm S.mutans dan P.gingivalis tunggal maupun kombinasi.

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Background: Java Turmeric had antibacterial effect against S.mutans and P.gingivalis but effectiveness for biofilm needed further research.

Objective: To evaluate the effectiveness of identified java turmeric ethanol extract (IJTEE) against S.mutans and P.gingivalis single and combination biofilm.

Methods: S.mutans ATCC 25175 and P.gingivalis ATCC 33277 were tested for MIC and MBC using microdilution technique and inhibition biofilm formation was analyzed using crystal violet assay.

Results: MIC and MBC of S.mutans is 5% and 15%. Minimum inhibition biofilm of S.mutans 1%; P.gingivalis 15%; and combination 0,5%.

Conclusion: IJTEE was effective inhibiting S.mutans and P.gingivalis single and combination 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."

"Latar Belakang: Kandidiasis Oral adalah infeksi pada rongga mulut yang terutama disebabkan oleh jamur C. albicans. C. albicans dalam bentuk biofilm bersifat virulen. Pembentukan biofilm C. albicans diawali dengan proses adhesi sel diikuti dengan proliferasi dan pembentukan biofilm. Temulawak Curcuma Xanthorrhiza Roxb. merupakan tanaman obat asli Indonesia yang mengandung zat aktif xanthorrhizol yang memiliki efek antijamur. Tujuan: Menganalisis efek hambat ekstrak etanol temulawak terhadap biofilm C. albicans pada fase awal. Metode: Paparan ekstrak etanol temulawak diberikan pada kultur C. albicans isolate klinis dan ATCC 10231 usia 1.5 jam selama 6 jam untuk mencapai fase awal. Viabilitas C. albicans diuji dengan MTT assay. Hasil: KHM Ekstrak etanol temulawak terhadap C. albicans isolat klinis dan ATCC 10231 secara berturut-turut adalah 15 dan 20 . KHBM50 ekstrak etanol temulawak terhadap biofilm C. albicans isolat klinis dan ATCC 10231 pada fase awal secara berturut-turut adalah 20 dan 25. Kesimpulan: Hasil penelitian ini menunjukkan bahwa Ekstrak Etanol Temulawak dapat menghambat biofilm C. albicans pada fase awal.

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Background: Oral Candidiasis is an oral cavity infection caused by C. albicans. C. albicans in the form of biofilm is virulent. C. albicans biofilm formation initially starts with the fungal cell adhesion followed by the proliferation and the formation of biofilm. Javanese Turmeric Curcuma Xanthorrhiza Roxb. is an Indonesian medicinal plant that contains xanthorrhizol as the active substance which has antifungal effects.

Objective: To investigate the inhibitory effect of Javanese turmeric ethanol extract on C. albicans biofilm in the initial phase.

Methods: exposing Javanese Turmeric ethanol extract was given to C. albicans culture aged 1.5 hours for 6 hours to achieve initial phase of biofilm. The viability of C. albicans was assesed by MTT assay.

Result: The MIC Minimum Inhibitory Concentration of Javanese turmeric ethanol extract against C. albicans clinical isolated and ATCC 10231 were 15 and 30 , respectively. The concentration of temulawak ethanol extract which had MBIC50 value on C. albicans clinical isolated and ATCC 10231 in the adhesion phase were 20 and 25, respectively.

Conclusion: The results showed Javanese turmeric ethanol extract could inhibit C. albicans biofilm in initial phase."

"Latar Belakang: Temulawak (Curcuma xanthorrhiza Roxb.) merupakan tanaman obat asli Indonesia yang telah dilaporkan memiliki efek eradikasi terhadap biofilm Candida albicans. Faktor virulensi C. albicans di antaranya adalah aktivitas enzim fosfolipase dan pembentukan biofilm. Tujuan: Menganalisis aktivitas enzim fosfolipase ketiga fase biofilm C. albicans yang tereradikasi ekstrak etanol temulawak. Metode: Pada penelitian ini, kelompok perlakuan dipaparkan ekstrak etanol temulawak (EET), kelompok kontrol positif dipaparkan nystatin, dan kelompok kontrol negatif tidak dipaparkan apapun. Biofilm C. albicans diinkubasi selama 6, 24, dan 48 jam untuk mencapai fase awal, menengah, dan maturasi. Setelah inkubasi, biofilm C. albicans dipaparkan EET dengan konsentrasi sesuai kadar eradikasi biofilm minimal. Media egg yolk agar digunakan untuk mengobservasi aktivitas enzim fosfolipase C. albicans. Hasil: Nilai aktivitas enzim fosfolipase (nilai Pz) kelompok perlakuan secara berturut-turut pada fase awal, menengah, dan maturasi adalah 0,67, 0,66, 0,70. Nilai Pz kelompok kontrol negatif secara berturut-turut pada fase awal, menengah, dan maturasi adalah 0,51, 0,50, 0,47. Kontrol positif pada ketiga fase memiliki nilai Pz 1. Kesimpulan: Cenderung terjadi penurunan aktivitas enzim fosfolipase pada biofilm C. albicans yang tereradikasi ekstrak etanol temulawak dibandingkan pada kelompok kontrol negatif.

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Background: Javanese turmeric (Curcuma xanthorrhiza Roxb.) is an original Indonesian medicinal plant that has been reported for having eradication effect to Candida albicans biofilm. Virulence factors of C. albicans are including biofilm formation and phospholipase enzyme activity.

Objective: Analyzing phospholipase enzyme activity on three biofilm phases of C. albicans that has been eradicated by Javanese turmeric ethanol extract.

Method: The treatment group was exposed to Javanese turmeric ethanol extract, the positive control group was exposed to nystatin, and negative control group wasnt exposed to anything. C. albicans biofilm was incubated for 6, 24, and 48 hours to achieve initial, intermediate, and maturation phase. After incubation, the biofilm was exposed to minimum biofilm eradication concentration of Javanese turmeric ethanol extract. Egg yolk agar medium was used to observe phospholipase enzyme activity of C. albicans.

Result: Phospholipase enzyme activity value (Pz value) of the treatment group on initial, intermediate, and maturation phase respectively are 0,67, 0,66, and 0,70. Pz value of the negative control group on initial, intermediate, and maturation phase respectively are 0,51, 0,50, and 0,47. Positive control of every phase has Pz value = 1.

Conclusion: There is tendency of lowering phospholipase enzyme activity of C. albicans biofilm that has been eradicated by Javanese turmeric ethanol extract compared to the negative control group."

"Latar Belakang: Ekstrak etanol temulawak (Curcuma xanthorrhiza Roxb.) telah terbukti secara in vitro memiliki khasiat sebagai anti Candida albicans (C.albicans). Dalam upaya pengembangan tanaman obat tersebut sebagai obat herbal terstandar anti C.albicans, ekstrak etanol temulawak telah diformulasikan menjadi obat tetes oromukosa. Temulawak mengandung kurkumin yang merupakan senyawa polifenolik berwarna kuning yang dapat menyebabkan diskolorasi gigi. Tujuan: Mengetahui pengaruh paparan obat tetes ekstrak etanol temulawak terhadap warna email gigi. Metode: Gigi premolar tanpa karies dan defek struktural dicelupkan dalam obat tetes ekstrak etanol temulawak, CHX 0,2%, dan akuades selama 1 menit kemudian dibilas dan direndam dalam akuades selama 10 menit pada suhu 37oC. Tahapan dilakukan sebanyak 42 siklus (simulasi penggunaan 2 minggu) dan 63 siklus (simulasi penggunaan 3 minggu). Analisis warna dilakukan menggunakan colorimeter pada 3 tahap waktu yaitu sebelum paparan, setelah paparan, dan setelah penyikatan gigi. Nilai yang didapatkan berupa ΔE yang menunjukkan selisih nilai pengukuran warna email sebelum dan setelah paparan obat serta sebelum dan setelah penyikatan. Hasil: Pada tahap waktu T1-T3 simulasi penggunaan 2 minggu dan 3 minggu, nilai ΔE>3.3 pada ketiga kelompok sehingga terlihat adanya perubahan warna yang signifikan antara warna gigi awal dan setelah penyikatan gigi. Terdapat perubahan warna gigi yang signifikan setelah dilakukan penyikatan dengan pasta gigi. Kesimpulan: Obat tetes ekstrak etanol temulawak mengakibatkan perubahan warna email gigi yang signifikan. Penyikatan gigi dapat mengurangi efek perubahan warna pada email gigi.

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Background: Javanese Turmeric (Curcuma xanthorrhiza Roxb.) ethanol extract is known to have antifungal properties against Candida albicans (C.albicans) based on in vitro studies. The next step in developing a standardised herbal medicine is by formulating Javanese Turmeric Ethanol Extract into oromucosal drops. Curcumin found in javanese turmeric is a yellowish polyphenolic compound that has the potential to cause staining on the enamel.

Objective: This study is aimed to evaluate the effect Javanese Turmeric ethanol extraxt oromucosal drops on discoloration of the dental enamel.

Method: Premolars with no caries and structural defects are immersed in the Javanese Turmeric ethanol extract oromucosal drops, a 0,2% CHX mouthwash, and distilled water for 1 minute. After rinsing, they are then immersed in distilled water for 10 minutes at 37oC. The method mentioned is repeated for 42 cycles (2-week simulation) and 63 cycles (3-week simulation). Color assessment is done using a colorimeter at three different time points: before immersion, after immersion, and after brushing. Results will be shown as ΔE which is the color difference of enamel before and after immersion, as well as before and after toothbrushing.

Result: At time point T1-T3 for the 2-week and 3-week simulation, the ΔE score is greater than 3.3 on all three groups indicating a significant color difference before immersion and after toothbrushing. A significant color difference is observed after toothbrushing with toothpaste.

Conclusion: Javanese Turmeric ethanol extract oromucosal drops cause a significant tooth discoloration. Brushing had significant effect on removal of induced stains."

"ABSTRAKLatar Belakang: Temulawak Curcuma xanthorrhiza Roxb. merupakan tanaman obat asli Indonesia yang diketahui memiliki efek antijamur. Infeksi jamur yang paling umum terjadi di rongga mulut yaitu kandidiasis oral sering disebabkan oleh jamur Candida albicans. Salah satu faktor virulensi C. albicans yaitu kemampuannya untuk membentuk biofilm. Pada biofilm C. albicans fase menengah terjadi perubahan bentuk dari ragi menjadi hifa muda dengan matriks ekstraseluler yang dapat meningkatkan resistensi agen antijamur. Tujuan: Menganalisis efek ekstrak etanol temulawak dalam menghambat pertumbuhan fase menengah biofilm C. albicans. Metode: Pemaparan ekstrak etanol temulawak pada biofilm C. albicans strain klinis dan ATCC 10231 usia 1.5 jam selama 24 jam untuk mencapai biofilm fase menengah. MTT assay digunakan untuk menguji viabilitas biofilm C. albicans. Hasil: Ekstrak etanol temulawak memiliki nilai Konsentrasi Hambat Biofilm Minimal KHBM50 untuk biofilm C. albicans strain klinis dan ATCC 10231 pada fase menengah berturut-turut sebesar 30 dan 35 . Kesimpulan: Ekstrak etanol temulawak berpotensi dalam menghambat pertumbuhan fase menengah biofilm C. albicans.

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ABSTRACTBackground Javanese turmeric Curcuma xanthorrhiza Roxb. is an Indonesian rsquo s native medicinal plant which is known to have antifungal effect. The most common fungal infection occurs in the oral cavity is oral candidiasis caused by Candida albicans. One of the virulence factors of C. albicans is the ability to form biofilm. In intermediate phase of biofilm, C. albicans may change forms from yeast into hyphae with extracellular matrix which can inhibit the penetration of antifungal agent. Objective To invesitigate the inhibitory effect of Javanese turmeric ethanol extract againts C. albicans biofilm in intermediate phase. Method Javanese Turmeric ethanol extract was exposed to 1.5 hours aged of C. albicans clinical strain and C. albicans ATCC 10231 biofilm for 24 hours to achieve intermediate phase. MTT assay was used to asses the viability of C. albicans biofilm. Result The Minimum Biofilm Inhibitory Concentrations MBIC50 of Javanese turmeric ethanol extract for C. albicans clinical strain and ATCC 10231 in intermediate phase were 30 and 35 , respectively. Conclusion Javanese turmeric ethanol extract had potential to inhibit the the growth of Candida albicans biofilm in intermediate phase."

"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."

"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."