Efek Kombinasi Ekstrak Anamirta cocculus dan Artemisin terhadap Penurunan Jumlah Sel Apoptosis Jaringan Paru Mencit Malaria

• Main Authors: Loeki Enggar Fitri, Dara Dasawulansari Syamsuri, Dorta Simamora, Soemarko Soemarko, Karyono Mintaroem
• Format: Article
• Language: English
• Published: Universitas Padjajaran 2013-06-01
• Series: Majalah Kedokteran Bandung
• Subjects: Anamirta cocculus; artemisinin; caspase 3; lung apoptotic cell; malaria
• Online Access: http://journal.fk.unpad.ac.id/index.php/mkb/article/view/91

The presence of Plasmodium in erythrocytes will induce immune responses, including the production of free radicals which can lead to lung tissue cells damage. Combination therapy of Anamirta cocculus extract and artemisin is expected to prevent complications caused by free radicals produced by immune cells and artemisin. This experimental study which using post test control group design only was done in Laboratory of Parasitology and Biomedic Faculty of Medicine, Brawijaya University on June–October 2010 to prove the effect of combination therapy of A. cocculus extract and artemisin towards the number of apoptotic lung tissue cells of Balb/C mice infected by Plasmodium berghei. Mice were divided into 6 groups, the first normal Balb/C mice, the second mice infected by P. berghei without treatment, the third mice infected by P. berghei and treated with artemisin 0.04 mg/g BW, and 3 combination contains mice infected by P. berghei and treated with a combination of artemisin 0.04 mg/ gBW and A.cocculus extract 0.01 mg/gBW, 0.1 mg/gBW, 1 mg/ gBW respectively. The apoptotic cells of lung tissue were counted from the expression of caspase-3 in immunohistochemical staining. In day 3 combination A. cocculus extract dose 0.01 mg/gBW, 0.1 mg/gBW, 1 mg/ gBW and artemisin reduced the number of apoptotic cells significantly compared to the artemisin monotherapy (p=0.00, 0.026, 0.000). There was a positive corelation between the length of treatment and the expression of caspase-3 (p=0.013) on group that treated with combination of A. cocculus extract 0.01 mg/gBW and artemisin 0,04 mg/gBB. In conclusion, the short treatment of combination A. cocculus extract and artemisin has a better effect than artemisin monotherapy in decreasing number of apoptotic lung tissue cells.