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In vivo Antiplasmodial of the Most Active Fraction and Its Compound of Kapur Leaves (Harmsiopanax aculeatus Harms) Extract Against Plasmodium berghei
Get PDFIntroduction : The rising of Plasmodium resistance towards chloroquine and other antimalarial drugs have encouraged to discover and develop new drugs mainly derived from natural products. Harmsiopanax aculeatus (kapur plant) has traditionally used by people of in Maluku Province to treat malaria.Objectives: The aims of this study were to identify antiplasmodial activity and its chemical constituents of the most active fraction of kapur leaves.Methods: The dried powder of Kapur leaves (1.3 kg) were extracted successively by maceration with n-hexane, ethyl acetate and methanol. After removal the solvents the hexane 15.6 g (1.2%), ethyl acetate 53.3 g (4.1%) and methanol 61.1 g (4.7%) extracts were obtained. Those extracts were assayed for their in vivo antiplasmodial activities by using 4-days suppressive test in Swiss mice infected with Plasmodium berghei, HPIA and identified the compound by GC-MS.Results: The ED50 of hexane, ethyl acetate and methanol extracts were 467.58, 2074.02 and 16.16 mg/kgBW, respectively. Fractionation of the methanol extract gave 18 combined fractions (FG1 – FG18). FG8 was the most active fraction with the IC50 HPIA of 18.22 μg/ml. Phytochemical test of this fraction using spray reagent showed the existence of essential oils, triterpenoids, and phenolic compounds. Separation of FG8using pressed chromatography gave 19 combined fractions (FG8.1-FG8.19). The fraction containing intense blue fluorescent spot (FG8.5) was further separated by PLC fourthly eluted with chloroform. Seven major components with the percentage of compotition more than 3.11% were identified as eugenol (tr = 12.692; 18.22%), isoprophyl myristate (tr = 16.333; 3.99%); bis(2-methylpropyl) phtalat (tr = 16.939; 7.15%); methyl palmitic (tr = 17.442; 3.11%); palmitic acid (tr = 17.883; 25.72%); butyl 2-methylpropyl phtalat (tr = 17.957; 9.37%) and bis(2-ethylhexyl) phtalat (tr = 23.258; 23%).Conclusion: Methanol extract of H. aculeatus was the most potential in vivo antiplasmodial activity. Combined fraction 8 which contain 7 compounds was the most active fraction.Keywords: Harmsiopanax aculeatus Harms, in vivo antiplasmodial, HPIA, PLC, GC-M
The Differences of the Prevalences and Serotypes of Dengue Virus on Aedes Aegypti Mosquitoes from Pagutan and Pagutan Timur in the Sub District of Mataram
Get PDFoai:jurnal.ugm.ac.id:article/4290Introduction: Sub district of Mataram is one of endemic area of Dengue Haemoraghagic Fever in the West of Nusa Tenggara province, the number of dengue cases are reported increasing every years. Pagutan is a village that has been reported as higth case incidance area and Pagutan Timur as low case insidance area.Objectives: The aims of this study is to determine the density of the Aedes aegypti mosquitoes and to know the prevalence and dominant serotypes of dengue virus in the Aedes aegypti mosquitoes from the village of Pagutan and Pagutan Timur Mataram sub district.Methods: The Collection of Aedes aegypti mosquitoes were conducted by ovitrap provided indoor and outdoor of randomly selected houses. The mosquitoes density was determined by calculating the average number of mosquitoes emerged from eggs collected each houses. The prevalence of dengue virus were calculated by the percentage of mosquitoes that containing of dengue virus as examined by immunocytochemistry method, using the monoclonal antibody anti-dengue DSSE10, while dengue virus serotypes determined by Reverse Transcriptase-Polymerase Chain Reaction using Lanciotti specific primers.Results: The density of Aedes aegypti mosquitoes from Pagutan is significantly higher than Pagutan Timur Village (p<0.05). The confirmed statistical analysis with Paired t test were obtained. The prevalence of dengue virus in Pagutan and Pagutan Timur are 18.4% and respectively 14.3%. The serotypes of dengue virus in Pagutan areas is dengue 1, dengue 2 and dengue 3, whereas in Pagutan Timur areas is dengue 1.Conclusion: There is diffences of mosquitoes density, prevalence and the serotypes of dengue virus found in Aedes aegypti mosquitoes from Pagutan and Pagutan Timur in the sub district of Mataram.Keywords: Mosquito density, Aedes aegypti, dengue virus, prevalence and serotyp
In Vitro Antiplasmodial Activity of Brucein A Semisynthetic Compounds
Get PDFIntroduction: Brucein A has been known to have antiplasmodial activity. Some new compounds were synthesized to increase their antiplasmodial activity, i.e 3-benzoylbruceinA, 3-dimethyl sulphate bruceine A, 3-choro benzoyl brucein A, and 3-chloro acetyl bruceine A.However, their antiplasmodial activity have not studied yet.Objectives: To know the in vitro antiplasmodial activity of 3-benzoyl brucein A, 3-dimethyl sulphate bruceine A, 3-choro benzoyl brucein A, and 3-chloro acetyl bruceine A.Methods: Antiplasmodial activity was conducted by incubating FCR-3 strain of P. falciparum with 3- benzoyl brucein A, 3-dimethyl sulphate bruceine A, 3-choro benzoyl brucein A, and 3-chloro acetyl bruceine A in various concentrations for 72 hours. Parasitemia after incubation period of each compound was calculated by making a thin smear stained with 5% Giemsa.Results: Semisynthetic compounds of bruceine A have antiplasmodial activity in vitro with IC50 value were 2.648 ± 1.30 ng/mL for 3-benzoyl bruceine A, 1.098 ± 0.510 ng/mL for 3-dimethyl sulphate bruceine A, 50.246 ± 0.207 ng/mL for 3-chloro benzoyl bruceine A and 67.951 ± 11.517 ng/mL for 3- chloro acetyl brucein A. The IC50 value of Bruceine A as the lead compound was 3.87 ± 2.530 ng/mLConclusion: The 3-dimethyl sulphate bruceine A showed the highest antiplasmodial activity among 4 semisynthetic compounds of Bruceine A.Keywords:bruceineA, semisynthetic compound, Plasmodiumfalciparum, invitroantiplasmodial activity
Prevalence and Risk Factors of Intestinal Protozoan Infection in HIV/AIDS Patients in Dr. Sardjito General Hospital Yogyakarta
Get PDFIntroduction: Intestinal protozoa is one of the etiology of gastroenteritis in developing countries. The risk of intestinal protozoan infection increases among HIV/AIDS patients. HIV/AIDS patients with CD4+ T cell < 200 cells/μL are easily infected by intestinal protozoa causing broad clinical symptoms including diarrhea and even death. However, it can be prevented by understanding various risk factors which have role in thepathogenesis of intestinal protozoan infection.Objectives: To study the prevalence and risk factors which aff ect intestinal protozoan infection among HIV/AIDS patients in RSUP Dr. Sardjito Yogyakarta.Methods: Data from 32 HIV/AIDS patients in RSUP Dr Sardjito Yogyakarta in December 2009-March 2010 were obtained by questionnaires, medical records, and macroscopic-microscopic examination of fecal samples with phormol-eter method and acid-fast staining. Data was analysed using Chi square test and multivariate analysis. A p value less than 0.05 is considered as a signifi cantly diff erent.Results: Prevalence of intestinal protozoan infection in HIV/AIDS patients in RSUP Dr Sardjito Yogyakarta was 81.2%. Intestinal protozoa found in fecal examination were Cryptosporidium sp. (60.98%), Microsporidiumsp. (19.51%), Entamoeba histolytica (9.76%), Cyclospora cayetanensis (4.88%), Blastocystis hominis (2.44%), and Giardia lamblia (2.44%) (n = 26). Bivariate analysis showed that in female HIV/AIDS patients with clinical stadium 1 and 2, CD4+ T cell ≥ 200 cells/μL, had lower risk to be infected by intestinal protozoa (RR = 0.600, 0.065, and 0.026, respectively). Intestinal protozoa were easily found in feces of HIV/AIDS patients with diarrheal symptom. In multivariate analysis, clinical stadium was the most signifi cant factor (Exp(β) = 18.85).Conclusion: Prevalence of intestinal protozoan infection in HIV/AIDS patients in RSUP Dr Sardjito Yogyakarta in December 2009-March 2010 was 81.2%. Clinical stadium with moderate and severe symptoms was the most dominant risk factor for intestinal protozoan infection in HIV/AIDS patients.Keywords: risk factor, intestinal protozoa, CD4+ T cell - HIV/AIDS patien
Malaria Risk Factors and Mapping in Amfoang Barat Daya-Kupang Nusa Tenggara Timur
Get PDFIntroduction: Amfoang District is one of malaria-endemic areas in East Nusa Tenggara Province. The areas are adjacent to the shore at the lowland and adjacent to the forest at the highland respectively. Residential areas are surrounded by forest, shrubs, field, streams and pools of water. Most population work as farmers, have low education levels and do not use mosquito bed netObjectives: This study aims to investigate the factors that influence the incidence of malaria risk and determine the pattern of clustering of cases in the Amfoang Barat Daya, District of Kupang, Nusa Tenggara Timur.Methods: Mass blood surveys were conducted to investigate malaria cases in three villages in October 2011, January 2012 and April 2012. The 3,515 blood samples were collected for thick blood film. Riskfactors were identified through questionares and OR were calculated. Significance was assumed at p <0.05. Coordinates were taken from residence of patients by GPS and analyzed with Purely Spatial Bernaullymodel to investigate any cluster of malaria cases. River with potentials breeding place was buffered 1km by ArcGis to determine whether malaria cases were in the mosquito fly distance areas.Results: Dry land farmer, education, malaria symptomatic, habitual of sleep outdoors, farming and fishing (06.00pm-06.00 am), outdoors gathering (06.00pm-06.00 am), wooden wall, mosquito wire, ventilation, plafond, animal shelter distance, breeding place and climate were insignificant for prevalence of malaria. Bed nets and breeding place were significant for prevalence of malaria. Potential of malaria vectors (An. barbirostris and An. sundaicus) were found in lowlands but was not found in highlands. Bed nets is protective factor from incidence of malaria. One primer most likely cluster and 3 secondary clusters were insignificant.Conclusion : Lowland has risk from malaria. The use of bed nets during 06.00pm – 06.00am is as protective factor for malaria OR 0.1.Keyword:Amfoang Barat Daya, risk factormalaria, thick blood smear, Anopheles sp., bed nets,mappin
The effect of Jati Belanda (Guazuma ulmifolia Lamk) leaves extract on histopathology of rat’s kidney
Get PDFIntroduction: “Jati Belanda”(Guazumaulmifolia Lamk) is a common tropical plant that its leaves extract has long been used traditionaly to treat some tropical diseases and also to reduce body weight as slimming herbs in some of tropical countries. However, the side effect of the administration of“Jati Belanda”leaves extract on themost sensitive excretory organ, the kidney is still notwell documented.Objectives: To study the effect of the oral administration of “Jati Belanda” (Guazuma ulmifolia Lamk.) leaves extract on the histopathology of the kidney.Methods: The study was a pretest and posttest experimental design using four groups of three rat. The study was a pretest and posttest experimental design using four groups of three rat. The exctract of “Jati Belanda” leaves was prepared by boilling of a certain weight of dried “Jati Belanda” leaves in 200 ml of destilated water until the volume of the water became 100 ml. Rat in group I was a control group which were given destilated water, group II were given 0,53 g/100 ml extract, group III were given 1,06 g/100 ml extract and group IV were given 2,12 g/100 ml extract, and the histopathological changes of the rat kidney before, 1 day and 7 days after administration of the extract were compared.Results: Histopathological changes were found in rat kidney following single dose treatment while the control group was not. At one day after administration, mesangial cells proliferation was found in 33,3% of rat in group II and 33,3% of rat in group III, while congestion of blood vessels was found in 66,6% of rat in group III and all rats at the highest dose, group IV. Meanwhile, after 7 days, congestion of micro-vessels was found in all rats of group II, III and IV. Moreover, necrosis of cells was found in 33,3% of rat in group III and infiltration of inflammation cell was found in 66,6% of rat in group IV.Conclusion: A single dose treatment of “Jati Belanda” leaves extract caused histopathological changes on rat kidney. The changes include increased in mesangial cell proliferation, congestion of renal blood vessels in the glomerulus or tubulus, inflamatory cell infiltration and tissue necrosis.Keywords: herbal medicine, “Jati Belanda” Guazuma ulmifolia Lamk. Histopathology, kidney
The Effect of Bacille Calmette-Guerin (BCG) on the Changes in Number and Functional Activities of Mononuclear Phagocytes in Malaria- infected Mice Model
Get PDFIntroduction: Recent studies have indicated that Bacille Calmette-Guerin (BCG) vaccination may have benefi cial eff ect on the survival of infant living in malaria endemic area as well as of malaria-infected mice model. However, the impact of injection of BCG vaccine on the changes in number and functional activities of Mononuclear Phagocytes during malaria-infection in animal model is still poorly understood.Objectives: To evaluate the eff ect of BCG on the changes in number and functional activities of Mononuclear Phagocytes (MPs) during Plasmodium berghei infection.Methods: Two groups of 18 Swiss mice were used. The fi rst group was given 0.1 ml of BCG injection subcutaneously and the second was the control non-BCG group. One week after BCG injection, all mice in both groups were inoculated with 107 Plasmodium berghei infected erythrocytes. The parasitaemia were monitored daily and the number and functional activity of splenic and peritoneal macrophages were tested.Results: The parasites were detected in the blood of both groups on the fi rst day after infection. The parasitaemia in the control group grew slowly until day 3, followed by rapid increased up to 38.96% on day 9. Parasitemia of mouse which still alive on day 12 was 59.6%. The parasitaemia of BCG-injected mice were also increased at lower rate after day 3, and the mice still survive until day 15 after infection. The number of peritoneal macrophages from BCG-injected mice increased to a higher degree compared to the non-BCG injected mice. Moreover, the phagocytic activities of peritoneal macrophages in BCG injected group were increased higher up to twice (200%) of normal levels compared to the non-BCG control group which increase only up to 1,5 times (150%) of the normal levels.Conclusion: The injection of BCG on Plasmodium berghei infected Swiss mice resulted in the extension of survival of the mice until day 15, accompanied by higher increased in number of circulating blood, splenic and peritoneal MPs, and the phagocytic activities of peritoneal MPs up to 137% of the increased in non-BCG mice.Keywords: BCG vaccine, malaria, Plasmodium berghei, macrophages, phagocytosis
Spatial Analysis on Vulnerability to Dengue Hemorrhagic Fever in Kotabaru Subdistrict, Jambi Municipality, Jambi Province
Get PDFIntroduction: High incidence of DHF in Kotabaru Subdistrict was high even endemic in all villages. Utilization of Geographical Information System technology integrated with the wide of settlement land, the density of Aedes sp, maya index, resistance and transovarial of virDen, got a picture or map vulnerable areas prone event of DHF in Kotabaru Subdistrict.Objectives: This study to map areas vulnerable to dengue hemorrhagic fever is based on the highest incidence of DHF in Kotabaru Subdistrict, Jambi Municipality.Methods: This study is an observational survey with cross sectional design. The variable of the study was population density, the wide of settlement land, the density of Aedes sp. population, rainfall, vector vulnerability, and transovarial of virDen.Results: The result showed population density had no correlation to Dengue Hemorrhagic Fever (DHF) incidence, whereas the wide of settlement land (p=0.004) and population density of Aedes sp. (p=0.001) influenced DHF incidence. The number water containers controllable sites (89%) and percentage of Maya Index (p=<0.001) was high influenced DHF incidence. Rainfall not influenced DHF incidence. The vector resistance not influenced the high of DHF incidence and the high of DHF incidence was not influenced by transovarial of virDen. The high vulnerability to DHF in Kotabaru Subdistrict occurred in 2 villages and the intermediate vulnerability happens in 4 villages. The area with intermediate vulnerability generally have direct border to the village with high vulnerability category.Keywords: Spatial, Maya Index, Resistance, DH
Mucolitic Ambroxol Versus Hypertonic Saline Nebulizer Induction: For Increasing Sputum Volume And Finding Acid-Fast Bacilli
Get PDFIntroduction: Tuberculosis, a major killer disease in the community, was caused by Mycobacterium tuberculosis. According to WHO (2006), pulmonary tuberculosis cases in Indonesia was third ranked in the world. Prevalence of pulmonary tuberculosis in Eastern Indonesia was higher than in Java and Bali, but the findings of positive smear was lowest. AFB discovery will be decreased because of the poor quality and quantity of sputum.The useful of mucolitic ambroxol or hypertonic saline nebulizer induction will be to increase quality and quantity of sputum smear.Objectives: The aim of this study was to determine and to compare the effectiveness of ambroxol and use a hypertonic saline induction on new suspected pulmonary tuberculosis patients to increase sputum volume and to find AFB.Methods: 76 new suspected pulmonary tuberculosis patients were divided into 2 groups with doubleblind and open-label simple randomsampling RCT (Randomized Controlled ClinicalTrial-Parallel design) study.The sputum induction using ambroxol or 3%hypertonic saline solution.The primary and secondary outcome were increasing sputum volume and finding AFB by Ziehl-Neelsen staining to calculate the AFB count per 100 fields of view. Non parametric statistical analysis and percentage of success.Results: All patients can produce sputum. Only one patient ambroxol group can’t produce it.The quality and quantity of sputum hypertonic saline induction volume better than ambroxol. AFB finding increaseboth groups, but no significant difference. AFB finding increase 26.47%(9/34)with ambroxol and 27.78% (10/36)with hypertonic saline induction compared than previous negative smear.Conclusions: Significant differences increase sputumvolume hypertonic saline induction compared than ambroxol.No significant difference AFB finding improvement hypertonic saline induction compared for ambroxol. Finding AFB increase 26.47% with ambroxol and 27.78% with hypertonic saline induction compared previous negative smear.Keywords: Tuberculosis, Ambroxol, Nebulizer induction, Sputum volume, AF
Laboratory Testing of Transovarial Transmission in Aedes Aegypti Mosquito
Get PDFIntroduction: Ae. aegypti is one of the vectors causing Dengue Hemorrhagic Fever (DHF) that feeds on human blood suffering from DHF and transmit it to another healthy human. The ability of Dengue Virus (DENV) to survive in nature is due to 2 mechanisms i.e. horizontal transmission among viremic vertebratae infected by Aedes mosquitos and vertical (transovarial) transmission from infected female mosquito to another generation.Objectives: To know the differences between next generation’s viral carriage, percentage ofmosquito descendants carrying DENV, and the distribution of DENV in its infected mosquitos.Methods: Study design was a quasi experimental posttest-only design with control group. The study was conducted on 53 second-generation female Ae. aegypti mosquitos which are grouped into treatment and control groups. Dengue Viral antigen in both groups were detected by immunohistochemistry method using Streptavidin Biotin Peroxidase Complex (SBPC) in paraffin embedding preparation of mosquitos aged 1-7 days. Fisher exact test was used to compare proportion of virus detected in moaquitos between 2 groups.Results: The virus detected in second generation of DEN-infected and uninfected mosquitos were 100% and 85.7%, respectively. The virus was distributed from day 1 to 7 in all organs such as brains, thorax, salivary gland, gastric epithelial cells, and ovarium of the infected mosquitos. Similar distribution was not detected in control mosquitoes.Conclusion: There was no difference in next mosquito generation’s transovarial infection among DENV-infected and uninfected Ae. aegypti mosquitos.Keywords: Ae. aegypti mosquito; Dengue virus (DENV); transovarial transmission; immunohistochemistry method, Streptavidin Biotin Peroxidase Complex (SBPC)