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Abstrak :
Gen Osteokalsin merupakan gen kandidat terjadinya osteoporosis.. Polimorfisme pada gen tersebut menyebabkan densitas tulang menurun. Densitas tulang juga dipengaruhi oleh aktivitas fisik dan asupan makanan. Faktor-faktor tersebut untuk mendapatkan model prediksi tulang sehingga dapat dilakukan pencegahan. Dengan demikian dilakukan pengukuran densitas tulang, pemeriksaan biokimia darah serta polimorfisme gen osteokalsin digunakan enzim HindIII dengan teknik PCR-RFLP. Diperoleh rataan usia 67,21±9,1; IMT 22,14±4,08; fosfat alkalin 87,26±25; kalsium 8,9±0,82; estradiol 24,8±11,7; osteokalsin 1,75±0,83; mempunyai T-score ≤ - 2,5 dengan varian TT (64,3%) diikuti varian CC (60,6%) dan CT (50%) sehingga diperoleh model yang dapat memprediksi derajat keparahan tulang. ......The aim of the research to obtain a model that uses the genetic factors, the environment and nutrient to predict bone density and risk of osteoporotic fracture. Bone mineral density and biochemical markers were determined, as well as the C298T polymorphism status of osteocalcin gene using PCR-RFLP. The subjects had a mean age of 67.2±9.1 years. ; BMD 22.14±4.08; phosphate alkaline 87.26±25; calcium 8.9 ±0.82; estradiol 24.8±11.7; osteocalcin 1.75±0.83; the C298T polymorphic genotypes showed TT (64.3%) CC (60.6 %) and a CT (50%) determine in T-score≤ -2,5. We identified a model of age and the level osteocalcin that can predict severity of bone density.

Abstrak :
Latar Belakang: Osteoporosis merupakan penyakit yang ditandai oleh penurunan massa tulang, sehingga menyebabkan perubahan mikroarsitektur tulang. Osteokalsin adalah protein penanda adanya pembentukan dan resorpsi tulang. Tujuan: Menganalisis hubungan antara kadar osteokalsin dengan status periodontal pada perempuan berisiko osteoporosis. Metode: Studi potong lintang pada 70 perempuan pascamenopause. Dilakukan pemeriksaan status periodontal dan kadar osteokalsin dalam serum menggunakan metode ELISA. Hasil: Tidak terdapat perbedaan kadar osteokalsin antara subjek osteoporosis, osteopenia, dan normal. Terdapat hubungan antara kadar osteokalsin terhadap kehilangan perlekatan klinis pada subjek osteoporosis. Kesimpulan: Ada hubungan antara kadar osteokalsin dengan status periodontal pada subjek osteoporosis. ...... Background: Osteoporosis is defined as a bone disease characterised by a decrease in bone mass results in bone microarchitecture alteration. Osteocalcin is a valid biomarker for bone turnover and resorption. Aim: To analyze relationship between serum osteocalcin levels and periodontal status in osteoporotic risk women. Methods: A cross-sectional study was conducted on 70 postmenopausal women. Periodontal examination and serum osteocalcin levels was measured using ELISA method. Result: There is no difference of serum osteocalcin levels on osteoporotic, osteopenia, and normal subjects. Relationship between serum osteocalcin and clinical attachment loss was found on osteoporotic subjects. Conclusion: Relationship between serum osteocalcin levels and periodontal status was found on osteoporotic subjects.

Abstrak :
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. ......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.