Clitoria Ternatea Antioxidant Reduces Serum MDA in Leprosy Patients with Reversal Reactions
DOI:
https://doi.org/10.36590/jika.v5i2.411Keywords:
adjuvant, clitoria ternatea, leprosy, MDA, reversal reactionAbstract
Leprosy reaction type 1 or reversal reaction is a clinical condition in leprosy patients that can occur when the patient receives MDT treatment. Patients with a reversal reaction have high MDA levels due to oxidative stress caused by inflammation and bacterial activity. The aim of this study was to determine the effectiveness of the antioxidant C. ternatea in reducing serum MDA of leprosy patients with reversal reaction. The research method used an experimental study with a randomized single blind controlled trial design to compare 2 groups (11 subjects each). Group 1 was the control group which was only given standard prednisolone therapy. Group 2 is the treatment group that was given standard therapy plus adjuvant C. ternatea flower extract 2gr/day for 1 month. Blood sampling was carried out before and after treatment in each group to test MDA levels using the ELISA method. Statistical analysis of differences in MDA levels used the Mann Whitnet test. The difference in pretest-posttest MDA levels in the control group had a median of 0,33 pg/ml (-0,05-1,55) pg/ml, while the difference in pretest-posttest MDA levels in the treatment group was 0,89 pg/ml (0,55-4,44) pg/ml with a value of p=0,020 (p-value<0,05). The difference in pretest-posttest MDA levels in the treatment group was higher than the control group. This shows that standard therapy and adjuvant C. ternatea extract are more effective in reducing MDA levels in patients with type 1 leprosy reaction than just standard therapy.
Downloads
References
Alinda MD, et al. 2020. Diagnosis and Management of Leprosy. Berkala Ilmu Kesehatan Kulit dan Kelamin, 32: 149-157. https://doi.org/10.20473/bikk.V32.2.2020.149-157
Amelia RA. 2020. Pendampingan Masyarakat Mantan Penderita Kusta. Jakarta: Sahabat Alter Indonesia
Amiruddin MD. 2012. Penyakit Kusta: Sebuah Pendekatan Klinis. Surabaya: Brilian Internasional
Ayala A, dan Arguekkes S. 2014. Lipid Peroxidation: Production, Metabolism, and Signaling Mechanisms of Malondialdehyde and 4-Hydroxy-2-Nonenal. Oxidative Medicine and Cellular Longevity, 1-32. https://doi.org/10.1155/2014/360438.
Bhandari J, Awais M, Robbins BA, Gupta V. 2022. Leprosy. Treasure Island: StatPearls Publishing.
Chauhan M, Sharma PK, Sharma LK. 2021. Oxidative Stress in Borderline and Lepromatous Leprosy. Indian Journal of Leprosy, 93: 231–239.
Chhabra, N, Bhattacharya SN, Singal A, Ahmed RS, Verma P. 2015. Profile of Oxidative Stress in Response to Treatment for Type 1 Leprosy Reaction. Leprosy Review, 86: 80–88. https://doi.org/10.47276/lr.86.1.80
Chopra A, Mitra D. 2019. A Randomized Controlled Trial of Prednisolone vs TNF-? inhibitor Infliximab in the Management of Type 1 Lepra Reaction in Leprosy Patients. Open Forum Infectious Disease, 6: S491. https://doi.org/doi: 10.1093/ofid/ofz360.1220.
Deviana Riza. 2019. Rifampisin Ofloksasin Minosiklin (ROM) sebagai Terapi Alternatif Morbus Hansen. Cermin Dunia Kedokteran, 46(10): 24–27. https://doi.org/10.55175/cdk.v46i10.417.
Dirgantini T, Lidia K, Trisno I, Buntoro IF. 2022. Hubungan Lama Menderita Morbus Hansen dengan Tingkat Depresi pada Pasien di Panti Rehabilitasi Kusta Naob Kabupaten Timor Tengah Utara 10. Jurnal Kesehatan Masyarakat, 10(4): 405-410. Doi : 10.14710/jkm.v10i4.33120.
Durga Mahalakshmi CN, Prathyusha D, Madhavi T, Swathi G, John Sushma N. 2015. Antioxidant Role of Clitoria Ternatea Extract Against Aluminum-induced Oxidative Stress in Hippocampus of Albino Rats. International Journal of Scientific and Engineering Research, 6: 156–60.
Fatimah I and Setyawati AN. 2014. Gambaran Kadar Malondialdehid (MDA) Serum pada Lansia?: Studi Kasus di Unit Rehabilitasi Sosial Pucang Gading Semarang.Jurnal Kedokteran Diponegoro, 3(1):1-11.
Geani Silvani, et al. 2022. Profile of Disability in Leprosy Patients: A Retrospective Study. Berkala Ilmu Kesehatan Kulit dan Kelamin, 34(2): 109–113. https://doi.org/10.20473/bikk.v34.2.2022.109-113.
Iamsaard Sitthichai, et al. 2014. Antioxidant Activity and Protective Effect of Clitoria Ternatea Flower Extract on Testicular Damage Induced by Ketoconazole In Rats. Journal of Zhejiang University Science B, 15(6): 548–555. doi: 10.1631/jzus.B1300299
Kemenkes RI. 2019. Peraturan Menteri Kesehatan Republik Indonesia Nomor 11 Tahun 2019 tentang Penanggulangan Kusta. Jakarta: Kementerian Kesehatan RI
Kusuma DR, et al. 2018. Comparison of Total Antioxidant Capacity (TAC) in the Multibacillary (MB) Type of Leprosy Patients Before and After 3 Months of MDT-MB WHO Therapy. International Journal of Medical Reviews and Case Reports, 2(4): 136-142. https://doi.org/10.5455/ijmrcr.total-antioxidant-capacity-multibacillary-type-leprocy.
Lynoora ER, Agusni I, Hidayati AN. 2017. Kadar Malondialdehyde (MDA) pada Pasien Kusta dengan Reaksi dan Tanpa Reaksi. Media Dermato-Venereologica Indonesiana, 44: 33S-40S.
Maneesai Putcharawipa, et al. 2021. Butterfly Pea Flower (Clitoria Ternatea Linn.) Extract Ameliorates Cardiovascular Dysfunction and Oxidative Stress in Nitric Oxide-Deficient Hypertensive Rats. Antioxidants, 10(4):1-16. https://doi.org/10.3390/antiox10040523.
Marpaung AM. 2020. Tinjauan Manfaat Bunga Telang (Clitoria ternatea L.) Bagi Kesehatan Manusia. Journal of Functional Food and Nutraceutical, 1(2): 63–85. https://doi.org/10.33555/jffn.v1i2.30
Nery JA da C, Machado AM, Bernardes Filho, F, Oliveira S de SC, Quintanilha, J, Sales, AM. 2013. Understanding the Type 1 Reactional State for Early Diagnosis and Treatment: a Way to Avoid Disability in Leprosy. Anais Brasileiros de Dermatologia, 88(5): 787–792. https://doi.org/10.1590/abd1806-4841.20132004
Pane RS, Lubis SR, Darmi M. 2018. Analysis of Malondialdehyde Level in Leprosy Patients. International Journal of Innovative Research in Medical Science, 03: 2228–2230. https://doi.org/https://doi.org/10.23958/ijirms/vol03-i10/443.
Prasad CVB, Kodliwadmath MV, Kodliwadmath GB. 2008. Erythrocyte glutathione peroxidase, glutathione reductase activities and blood glutathione content in leprosy. Journal of Infection, 56(6), 469–473. doi:10.1016/j.jinf.2008.03.009.
Pratamasari MA, Listiawan MY. 2015. Retrospective Study: Type 1 Leprosy Reaction. Berkala Ilmu Kesehatan Kulit dan Kelamin, 27(2): 137–143.
Primasanti F, Suryaatmadja L, Djoko RS. 2016. Effect of Nigella Sativa on IL-10 in MB Leprosy that Received MDT-WHO Therapy. Journal of Biomedicine and Translational Research, 2(1): 5-9. https://doi.org/10.14710/jbtr.v2i1.438.
Purba Endang C. 2020. Kembang Telang (Clitoria ternatea L.): Pemanfaatan dan Bioaktivitas, Jurnal EduMatSains, 4(2): 111-124. https://doi.org/10.33541/edumatsains.v4i2.1377.
Raka I, Rastogi MK, Gahalaut P, Kaur J, and Mishra N. 2018. Enzymatic Oxidative Stress Indicators and Oxidative Stress Index in Patients of Leprosy. Nepal Journal of Dermatology Venereology and Leprology, 16(1): 35–40. https://doi.org/http://dx.doi.org/10.3126/njdvl.v16i1.19402.
Rosdiana BI, et al. 2021. The Profile of Type 1 Leprosy Reaction at Leprosy Division of Dermatology and Venerology Outpatient Clinic of Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Berkala Ilmu Kesehatan Kulit dan Kelamin, 33: 168-172. https://doi.org/10.20473/bikk.v33.3.2021.168-172.
Sari LPVC, Darmada IGK. 2018. Prevalensi dan Karakteristik Penderita Reaksi Kusta Tipe 1 di Poliklinik Kulit dan Kelamin RSUP Sanglah Periode Januari - Desember 2014. Jurnal Medika Udayana, 7(11): 1–5.
Swathi M, Tagore R. 2015. Study of Oxidative Stress in Different Forms of Leprosy. Indian Journal of Dermatol, 60: 321. https://doi.org/10.4103/0019-5154.156426.
Talpate KA, Bhosale U, Zambare M, Somani R. 2013. Antihyperglycemic and Antioxidant Activity of Clitorea Ternatea Linn. on Streptozotocin-Induced Diabetic Rats. An International Quarterly Journal of Research in Ayurveda, 34(4): 433-439. doi: 10.4103/0974-8520.127730.
Thilavech Thavaree, et al. 2021. Clitoria Ternatea Flower Extract Attenuates Postprandial Lipemia and Increases Plasma Antioxidant Status Responses to a High-Fat Meal Challenge in Overweight and Obese Participants. Biology, 10(10): 1–16. https://doi.org/10.3390/biology10100975.
Uddin Md Sahab, et al. 2020. Exploring the Promise of Flavonoids to Combat Neuropathic Pain: from Molecular Mechanisms to Therapeutic Implications. Front in Neuroscience, 14: 1-18. https://doi.org/10.3389/fnins.2020.00478.
WHO. 2021. Weekly Epidemiological Record, World Health Organization, 36: 421-444.
Wisnu IM, Sjamsoe-Daili ES and Menaldi SL. 2019. Kusta, in SL Menaldi, K Bramono & W Indriatmi (eds), Ilmu Penyakit Kulit Dan Kelamin. Jakarta: Badan Penerbit Fakultas Kedokteran Universitas Indonesia
Yasir M, Goyal A, Bansal P, Sonthalia S. 2023. Corticosteroid Adverse Effects. Treasure Island: StatPearls Publishing.
Yuniati R, Khrisna MB. 2019. Glucocorticoids in Leprosy Reversal reaction. Serbian Journal of Dermatology and Venereology, 11: 77–83. https://doi.org/10.2478/sjdv-2019-0011.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Fitri Aulia Ananda, Novi Kusumaningrum, Muflihatul Muniroh, Farmaditya EP Mundhofir, Renni Yuniati
This work is licensed under a Creative Commons Attribution 4.0 International License.