Pengaruh Pemberian Ekstrak Meniran Terhadap Ekspresi MMP 9 Dan Luas Lesi Endometriosis Pada Mencit Model Endometriosis
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Pada endometriosis, ekspresi MMP 9 ditemukan dalam konsentrasi yang lebih tinggi.Sekresi MMP 9 disebabkan oleh aktivasi ROS di rongga peritoneum dan menyebabkan peningkatan stres oksidatif. Peningkatan aktivitas MMP 9 pada endometriosis dapat memfasilitasi invasi yang mengakibatkan pembentukan lesi endometriosis. Tujuan penelitian ini adalah untuk mengetahui pengaruh ekstrak meniran (Phyllanthus niruri L.) pada dosis 14,28 dan 56 mg / 20 gBB terhadap ekspresi MMP 9 dan luas lesi endometriosis pada mencit model endometriosis. Penelitian ini merupakan penelitian eksperimental laboratorium. Dua puluh empat tikus betina digunakan sebagai sampel dan dibagi menjadi 4 kelompok: 1 kelompok kontrol dan 3 kelompok perlakuan. Keduanya, kelompok kontrol dan kelompok perlakuan diinduksi dan dijadikan model endometriosis selama 14 hari. 14 hari berikutnya, Na-CMC 0,5% diberikan kepada kelompok kontrol, sedangkan ekstrak Phyllanthus niruri L. pada dosis 14, 28 dan 56 mg / 20 gBB diberikan kepada kelompok perlakuan secara oral. Luas lesi endometriosis pada rongga peritoneum diperiksa. Hasil penelitian ini menunjukkan bahwa ada perbedaan yang signifikan pada ekspresi MMP 9 dengan rata-rata (± SD) K1, K2, K3, K4 sebesar 2.19±1.77, 0.19±0.13, 0.14±0.13, 0.08±0.14 dan luas lesi endometriosis pada K1, K2, K3, K4 adalah 120.04±100.09, 73.86±36.72, 69.08±15.73, 25.53±3.51. Kesimpulannya, ekspresi MMP 9 dan lesi endometriosis secara signifikan lebih rendah pada kelompok yang diobati dengan ekstrak Phyllanthus niruri L. herbal.
Kata kunci : ekstrak meniran, endometriosis, ekspresi MMP 9, luas lesi endometriosis
DAFTAR PUSTAKA
Arumugam K and Dip YC. 1995. Endometriosis and infertility: the role of exogenous lipid peroxides in the peritoneal fluid. Fertil Steril 63,198–199.
Bedaiwy Mohamed A, Liu James. 2010. Pathophysiology, diagnosis, and surgical management of endometriosis: A chronic disease. SRM e-journal Vol. 8, No. 3, Aug 2010, 4-8.
Brack E. 1999. Encyclopedic Dictionary of Useful Plants of Peru.Cusxco and Peru : Feed Your Health.
Brittani Lauren Cureton. 2013. A Critical Review of Endometriosis Pathology. (Master's thesis). University of South Carolina.
Bruner, K.L., L.M. Matrisian, W.H. Rodgers, et al. 1997. Suppression of matrix metalloproteinases inhibits establishment of ectopic lesions by human endometrium in nude mice. J. Clin. Invest.
Bulun E.S. 2009. Endometriosis. N Engl J Med 2009; 360:268-279 January 15, 2009 DOI: 10.1056/NEJMra0804690
Chen Q, Qiu N, Pu D, Zhou Y, Li T and Yang H. 2010. Change profiles in matrix metalloproteinase-2 and -9 in induced endometriosis in mice. J Huazhong Univ Sci Technolog Med Sci 30: 188-192, 2010.
Collette T, Maheux R, Mailloux J et al. 2006. Increased expression of matrix metalloproteinase-9 in the eutopic endometrial tissue of women with endometriosis. Hum Reprod 2006; 21:3059–3067.
Cox, K.E., M. Piva & K.L. Sharpe-Timms. 2000. Differential expression of matrix metalloproteinase-3 (MMP-3) gene expression in endometriotic lesions as compared to endometrium. Biol. Reprod. In press
Cramer DW, Missmer SA. 2002. The epidemiology of endometriosis. Ann NY Acad Sci. 2002;955:11-22.
Donnez J, Van Langendonckt A, Casanas-Roux F, Van Gossum JP, Pirard C, Jadoul P, Squifflet J and Smets M. 2002. Current thinking on the pathogenesis of endometriosis. Gynecol Obstet Invest 54 (Suppl 1),52–58.
Giudice Linda C. 2010. Endometriosis. N Engl J Med 2010;362:2389-98.
Hu X, Li D, Zhang W, Zhou J, Tang B and Li L. 2012. Matrix metalloproteinase-9 expression correlates with prognosis and involved in ovarian cancer cell invasion. Arch Gynecol Obstet 286: 1537-1543, 2012.
Jones RL, Findlay JK, Farnworth PG, Robertson DM, Wallace E &Salamonsen LA. 2006. Activin A and inhibin A differentially regulate human uterine matrix metalloproteinases: potential interactions during decidualization and trophoblast invasion. Endocrinology 147 724–732.
Junieva P.N. 2006. Pengaruh Pemberian Ekstrak Meniran (Phyllanthus sp.) Terhadap Gambaran Mikroskopis Paru Tikus Wistar Yang Diinduksi Karbon Tetraklorida. Artikel. Semarang : Universitas Diponegoro
Kathy L Sharpe-Timms. 2008. Endometrial anomalies in woman with endometriosis. Dept of obstetrics and gynecology. University of Missouri-columbia
Liu XJ, He YL and Peng DX. 2002. Expression of metalloproteinase-9 in ectopic endometrium in women with endometriosis. Di Yi Jun Yi Da Xue Xue Bao 22,467±469.
Manero M.G, Royo P, Olartecoechea B, Alcázar J.L. 2009. Endometriosis in a postmenopausal woman without previous hormonal therapy: a case report. Journal of Medical Case Reports 2009, 3:135.
Matrisian, L.M. 1992. The matrix degrading metalloproteinases. Bioassays
Mori K, Shibanuma M, Nose K. 2004. Invasive potential induced under long-term oxidative stress in mammary epithelial cells. Cancer Res 2004; 64:7464–7472.
Murphy AA, Palinski W, Rankin S, Morales AJ and Parthasarathy S. 1998. Evidence for oxidatively modiï¬ed lipid-protein complexes in endometrium and endometriosis. Fertil Steril 69,1092–1094.
Nugroho T. 2003. Pengaruh Pemaparan Kombinasi Ekstrak Meniran (Phyllanthus niriri L.) dan Ekstrak Sirih (Piper betle L.) Terhadap Viabilitas Sel Tumor Adenocarsinoma Mammae Mencit C3H Secara Invitro. Tesis. Semarang : Universitas Diponegoro
Osteen K.G., K.L. Bruner & K.L. Sharpe-Timms. 1996. Steroids and growth factor regulation of matrix metalloproteinases expression and the disease endometriosis. Sem. Reprod. Endocrinol.
Ozawa Y, Murakami T, Terada Y, Yaegashi N, Okamura K, Kuriyama S, Tsuji Ichiro. 2006. Management of the Pain Associated with Endometriosis: An Update of the Painful Problems. Tohoku J. Exp. Med 2006, 210, 175-188.
Pediana R. 2010. Efek Perlindungan Ekstrak Meniran (Phyllanthus niruri L.) Terhadap Kerusakan Histologis Lambung Mencit (Mus musculus) Yang Diinduksi Aspirin. Skripsi. Surakarta : Universitas Sebelas Maret
Pustovrh MC, Jawerbaum A, Capobianco E et al. 2005. Oxidative stress promotes the increase of matrix metalloproteinases-2 and -9 activities in the feto-placental unit of diabetic rats. Free Radic Res 2005; 39:1285–1293.
Rajagopalan S, Meng XP, Ramasamy S et al. 2003. Reactive oxygen species produced by macrophage-derived foam cells regulate the activity of vascular matrix metalloproteinases in vitro. Implications for atherosclerotic plaque stability. J Clin Invest 1996; 98:2572–2579.
Somerville RP, Oblander SA, Apte SS. 2003. Matrix metalloproteinases: old dogs with new tricks. Genome Biol 2003; 4:216.
Sourial S., Herbert V., Veith R.. 2014. Theories on the Pathogenesis of Endometriosis, International Journal of Reproductive Medicine. Volume 2014, Article ID 179515, 9 pages
Sudarsono, Agus P, Didik G dkk. 1996. Tumbuhan obat. Yogyakarta : UGM, Pusat Penelitian Obat Tradisional.
Sulaksana J. dan Jayusman D.I. 2004. Meniran, Budidaya dan Pemanfaatan Untuk Obat. Jakarta : Penebar Swadaya.
Wahyuningsih H.K. 2010. Pengaruh Pemberian Ekstrak Herba Meniran (Phyllanthus niruri L.) Terhadap Penurunan Kadar Asam Urat Darah Tikus Putih Jantan Hiperurisemia. Skripsi. Semarang : Universitas Sebelas Maret
Weigel MT, Krämer J, Schem C, Yang S, Fang Z, Gurates B, Tamura M,. 2012. Differential expression of MMP-2, MMP 9 and PCNA in endometriosis and endometrial carcinoma. Eur J Obstet Gynecol Reprod Biol 160: 74-78, 2012.
Widhi. 2007. Endometriosis: Dari biomolekuler sampai masalah klinis. Majalah Obstetri dan Ginekologi, 10(1): 43-50.
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