Main Article Content
Abstract
Highlights:
1. This study assessed the immunomodulatory potential of Moringa oleifera, which may serve as a natural source for
antimalarial treatment.
2. Moringa oleifera extract can act as an immunomodulator due to its suppressive effect on Plasmodium berghei infection.
Abstract
Malaria is an infectious disease caused by protozoa of the genus Plasmodium. In Indonesia, this disease remains a health concern that must be resolved. Due to its high prevalence in eastern Indonesia, it is a challenge to eradicate this disease. Moringa oleifera contains various substances that are believed to have antimalarial activity. This study aimed to determine the effectiveness of Moringa oleifera leaf extract in increasing immune cells and eradicating parasites by using mice infected with Plasmodium berghei. The research was conducted in vivo on BALB/c strain mice (n=40) that were already infected with Plasmodium berghei. Moringa oleifera leaf extract at 25%, 50%, and 75% concentrations was administered orally every day to the mice, while a peripheral blood smear was performed to evaluate parasitemia levels and macrophage activation. A complete blood count was also performed after all tests on the mice were completed. Statistical analysis was performed using the one-way analysis of variance (ANOVA) test with a=0.05 and 95% confidence interval (CI). The results showed that the administration of Moringa oleifera leaf extract at 25%, 50%, and 75% concentrations caused varying degrees of parasitemia compared to the negative group (p<0.05). The group that received the extract at 50% concentration differed significantly from the control groups in the number of activated macrophages. The results of the complete blood count indicated immunomodulatory effects through the presence of diverse immune cell types. In conclusion, Moringa oleifera leaf extract suppresses Plasmodium berghei infection and enhances immune cell stimulation.
Keywords
Article Details
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References
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- Erniati E, Ezraneti R (2020). Aktivitas imunomodulator ekstrak rumput laut. Acta Aquatica: Aquatic Sciences Journal 7, 79. doi: 10.29103/aa.v7i2.2463.
- Farizal J, Marlina L, Susiwati S, et al (2020). Testing effect of immunomodulator ethanol extract of mengkudu leaves (Morinda Citrifolia) on macrofag cell activities in mencit Balb/C infected plasmodium berghei. Sanitas: Jurnal Teknologi Dan Seni Kesehatan 11, 246–255. doi: https://doi.org/10.36525/sanitas.2020.23.
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- Fitriany J, Sabiq A (2018). Malaria. AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh 4, 69. doi: 10.29103/averrous.v4i2.1039.
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- Intan PR, Febrianti T, Dewi RM (2020). Infeksi plasmodium berghei anka pada mencit galur Swiss Webster dan C57bl/6 sebagai model malaria serebral. Buletin Penelitian Kesehatan. doi: 10.22435/bpk.v48i1.2867.
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- Juniantara IKA, Laksemi DAAS, Damayanti PAA, et al. (2022). Uji aktivitas buah mahkota dewa (Phaleria Macrocarpa) sebagai antimalaria pada mencit yang diinfeksi Plasmodium Berghei. E-Jurnal Medika Udayana. Available at: https://ojs.unud.ac.id/index.php/eum/article/view/81685.
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- Marhaeni LS (2021). Daun kelor (Moringa oleifera) sebagai sumber pangan fungsional dan anti-oksidan. AGRISIA: Jurnal Ilmu-Ilmu Pertanian. Available at: https://ejournal.borobudur.ac.id/ index.php/3/article/view/882.
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- Mishra P, Singh U, Pandey C, et al (2019). Application of student's t-test, analysis of variance, and covariance. Annals of Cardiac Anaesthesia 22, 407. doi: 10.4103/aca.ACA_94_19.
- Molek M, Adriana S, Manalu RU (2023). Efektivitas mengunyah buah pir hijau (Pyrus communis) dan buah pisang ayam (Musa acuminatacolla) terhadap derajat keasamandan kapasitas buffer saliva pada anak umur 6-12 tahun. Jambura Journal of Health Sciences and Research 5, 673–683. doi: 10.35971/jjhsr.v5i2.18823.
- Mustofa D, Kahtan MI, Natalia D, et al. (2019). Efektivitas ekstrak metanol akar pandan wangi (Pandanus amaryllifolius Roxb.) Sebagai antimalaria terhadap jumlah limfosit dalam darah mencit (Mus musculus) yang diinfeksi Plasmodium berghei. Intisari Sains Medis. doi: 10.15562/ism.v10i2.366.
- Obediah GA, Christian Obi N (2020). Anti-plasmodial effect of Moringa oleifera seeds in Plasmodium berghei infected albino rats. Biochemistry & Pharmacology: Open Access. doi: 10.35248/2167-0501.20.9.268.
- Perdana PR (2021). Review artikel: Aktivitas imunomodulator ekstrak herba meniran (Phyllanthus Niruri L.). Jurnal Farmasi Malahayati 4, 44–52. doi: 10.33024/jfm.v4i1.4264.
- Prakoeswa FR (2020). Peranan sel limfosit dalam imunulogi: Artikel review. Jurnal Sains dan Kesehatan 2, 525–537. doi: 10.25026/jsk.v2i4.212.
- Pratiwi KY (2018). Pengaruh substitusi tepung daun kelor (Moringa oleifera) terhadap karakteristik biskuit daun kelor (thesis). Poltekkes Denpasar. Available at: http://repository.poltekkes-denpasar.ac.id/1214/.
- Refdanita R, Rika P, Veryanti, et al (2020). Petunjuk dan paket materi praktikum Farmakologi. ePrints. Available at: http://repository.istn.ac.id/594/.
- Rivai ATO (2020). Identifikasi senyawa yang terkandung pada ekstrak daun kelor (Moringa oleifera). Indonesian Journal of Fundamental Sciences. doi: https://doi.org/10.26858/ijfs.v6i2.16870.
- Samson E, Sopacua M, Eddy L (2019). Efek jus pisang tongka langit (Musa troglodytarum) terhadap ginjal mencit (Mus musculus) model malaria. EKSAKTA: Journal of Sciences and Data Analysis 154–168. doi: 10.20885/eksakta.vol19. iss2.art6.
- Subryana N, Wardiyanto W, Susanti O (2020). Penggunaan ekstrak daun kelor Moringa oleifera (Lam, 1785) untuk meningkatkan imunitas non spesifik benih ikan nila Oreochromis niloticus (Linnaeus, 1758) yang diinfeksi Aeromonas hydrophila. Journal of Aquaculture and Fish Health 9, 194. doi: 10.20473/jafh.v9i3.16321.
- Taek MM (2018). Aktivitas antimalaria ekstrak Strychnos Ligustrina sebagai obat tradisional antimalaria di Timor dalam uji in-vivo pada mencit yang terinfeksi Plasmodium Berghei. Res Gate. Available at: https://www.researchgate.net /publication/329538239_AKTIVITAS_ANTIMALARIA_EKSTRAK_Strychnos_ligustrina_SEBAGAI_OBAT_TRADISIONAL_ANTIMALARIA_DI_TIMOR_DALAM_UJI_IN-VIVO_PADA_ MENCIT_YANG_TERINFEKSI_Plasmodium_berghei.
- Tania POA (2020). Mekanisme escape dan respon imun innate terhadap Candida albicans. Jurnal Ilmiah Kedokteran Wijaya Kusuma 9, 60. doi: 10.30742/jikw.v9i1.747.
- Veronica E, Amelia I, Yunatan KA, et al (2020). Potensi kombinasi ekstrak daun kelor (Moringa oliefera) dan artemisia (Artemisia annua) sebagai antimalaria plasmodium falciparum. Jurnal Ilmiah Kesehatan Sandi Husada 12, 831–841. doi: 10.35816/jiskh.v12i2.415.
- Wardani AK, Wahid AR, Astuti Y (2020). In in vitro antimalarial activity of ashitaba stem ethanolic extract (Angelica keiskei [Miq.] Koidz). Jurnal Ilmu Kefarmasian Indonesia. doi: https://doi.org/ 10.35814/jifi.v18i2.815.
- Widiani N, Winandari OP, Kamelia M, et al (2021). Analisis in silico senyawa hibiscetin kombucha rosella sebagai imunomodulator sel imuno-kompeten pada penyakit malaria. BIOEDUKASI (Jurnal Pendidikan Biologi) 12, 229. doi: 10.24127/bioedukasi.v12i2.4452.
- Yahya Y, Haryanto D, Pahlevi RI, et al (2020). Keanekaragaman jenis nyamuk anopheles di sembilan kabupaten (Tahap pre-eliminasi malaria) di Provinsi Sumatera Selatan. Vektora : Jurnal Vektor dan Reservoir Penyakit 12, 41–52. doi: 10.22435/vk.v12i1.2621.
References
Amran P, Al Qarni AW (2019). Analisis jumlah pemeriksaan limfosit pada penderita Human Immunodefisiency Virus (HIV). Jurnal Media Analis Kesehatan 10, 28. doi: 10.32382/mak.v10i1.982
Arwati H, Bahalwan RR, Hapsari WT, et al (2021). Suppressive effect of goat bile in Plasmodium berghei ANKA infection in mice. Veterinary World 2016–2022. doi: 10.14202/vetworld.2021. 2016-2022.
Azzahra F, Hayati M (2019). Uji aktivitas ekstrak daun pegagan (Centella Asiatica (L). Urb) terhadap pertumbuhan streptococcus mutans. B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah 5, 9–19. doi: 10.33854/jbd.v5i1.133.
Benyamin CA (2023). Pengaruh variasi konsentrasi Zn(NO3)2 6H2O terhadap gugus fungsi, ukuran partikel, dan morfologi partikel nanopartikel Zno dengan metode sintesis hijau Menggunakan Ekstrak Daun Kelor (thesis). Universitas Lampung. Available at: http://digilib.unila.ac.id/ id/eprint/73836.
Erniati E, Ezraneti R (2020). Aktivitas imunomodulator ekstrak rumput laut. Acta Aquatica: Aquatic Sciences Journal 7, 79. doi: 10.29103/aa.v7i2.2463.
Farizal J, Marlina L, Susiwati S, et al (2020). Testing effect of immunomodulator ethanol extract of mengkudu leaves (Morinda Citrifolia) on macrofag cell activities in mencit Balb/C infected plasmodium berghei. Sanitas: Jurnal Teknologi Dan Seni Kesehatan 11, 246–255. doi: https://doi.org/10.36525/sanitas.2020.23.
Fatmawati D, Suparmi, Yusuf I, et al. (2018). Buku Petunjuk Praktikum Biologi. Fakultas Kedokteran UNISSULA, Semarang. Available at: http://research.unissula.ac.id/file/publikasi/210109143/2795Buku_petunjuk_praktikum_instrumentasi.pdf.
Fitriany J, Sabiq A (2018). Malaria. AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh 4, 69. doi: 10.29103/averrous.v4i2.1039.
Gultom F, Wiyono WI, Tjitrosantoso H (2019). Studi penggunaan obat pada pasien malaria di Instalasi Rawat Inap RSUD Kabupaten Mimika. Pharmacon 8, 498. doi: 10.35799/pha.8.2019. 29319.
Hermanto F, Nur Anisa I, Wahyuningsih S, et al (2022). Aktivitas antiplasmodium dan pengaruh resveratrol terhadap indeks organ mencit yang terinfeksi plasmodium berghei ANKA. PHARMACY: Jurnal Farmasi Indonesia (Pharmaceutical Journal of Indonesia) 19, 28. doi: 10.30595/pharmacy.v19i1.12693.
Intan PR, Febrianti T, Dewi RM (2020). Infeksi plasmodium berghei anka pada mencit galur Swiss Webster dan C57bl/6 sebagai model malaria serebral. Buletin Penelitian Kesehatan. doi: 10.22435/bpk.v48i1.2867.
Islam Z, Islam SMR, Hossen F, et al. (2021). Moringa oleifera is a prominent source of nutrients with potential health benefits ed. Yan Z-F. International Journal of Food Science 2021, 1–11. doi: 10.1155/2021/6627265.
Juniantara IKA, Laksemi DAAS, Damayanti PAA, et al. (2022). Uji aktivitas buah mahkota dewa (Phaleria Macrocarpa) sebagai antimalaria pada mencit yang diinfeksi Plasmodium Berghei. E-Jurnal Medika Udayana. Available at: https://ojs.unud.ac.id/index.php/eum/article/view/81685.
Kweyamba PA, Zofou D, Efange N, et al (2019). In vitro and in vivo studies on anti-malarial activity of Commiphora africana and Dichrostachys cinerea used by the Maasai in Arusha region, Tanzania. Malaria Journal 18, 119. doi: 10.1186/s12936-019-2752-8.
Lee W-C, Russell B, Rénia L (2022). Evolving perspectives on rosetting in malaria. Trends Parasitol 38, 882–889. doi: 10.1016/j.pt.2022. 08.001.
Marhaeni LS (2021). Daun kelor (Moringa oleifera) sebagai sumber pangan fungsional dan anti-oksidan. AGRISIA: Jurnal Ilmu-Ilmu Pertanian. Available at: https://ejournal.borobudur.ac.id/ index.php/3/article/view/882.
Ministry of Health of the Republic of Indonesia (2022). Mengenal malaria: Penyakit mematikan dunia. Minist Heal Repub Indones. Available at: https://p2pm.kemkes.go.id/publikasi/artikel/mengenal-malaria-penyakit-mematikan-dunia.
Mishra P, Singh U, Pandey C, et al (2019). Application of student's t-test, analysis of variance, and covariance. Annals of Cardiac Anaesthesia 22, 407. doi: 10.4103/aca.ACA_94_19.
Molek M, Adriana S, Manalu RU (2023). Efektivitas mengunyah buah pir hijau (Pyrus communis) dan buah pisang ayam (Musa acuminatacolla) terhadap derajat keasamandan kapasitas buffer saliva pada anak umur 6-12 tahun. Jambura Journal of Health Sciences and Research 5, 673–683. doi: 10.35971/jjhsr.v5i2.18823.
Mustofa D, Kahtan MI, Natalia D, et al. (2019). Efektivitas ekstrak metanol akar pandan wangi (Pandanus amaryllifolius Roxb.) Sebagai antimalaria terhadap jumlah limfosit dalam darah mencit (Mus musculus) yang diinfeksi Plasmodium berghei. Intisari Sains Medis. doi: 10.15562/ism.v10i2.366.
Obediah GA, Christian Obi N (2020). Anti-plasmodial effect of Moringa oleifera seeds in Plasmodium berghei infected albino rats. Biochemistry & Pharmacology: Open Access. doi: 10.35248/2167-0501.20.9.268.
Perdana PR (2021). Review artikel: Aktivitas imunomodulator ekstrak herba meniran (Phyllanthus Niruri L.). Jurnal Farmasi Malahayati 4, 44–52. doi: 10.33024/jfm.v4i1.4264.
Prakoeswa FR (2020). Peranan sel limfosit dalam imunulogi: Artikel review. Jurnal Sains dan Kesehatan 2, 525–537. doi: 10.25026/jsk.v2i4.212.
Pratiwi KY (2018). Pengaruh substitusi tepung daun kelor (Moringa oleifera) terhadap karakteristik biskuit daun kelor (thesis). Poltekkes Denpasar. Available at: http://repository.poltekkes-denpasar.ac.id/1214/.
Refdanita R, Rika P, Veryanti, et al (2020). Petunjuk dan paket materi praktikum Farmakologi. ePrints. Available at: http://repository.istn.ac.id/594/.
Rivai ATO (2020). Identifikasi senyawa yang terkandung pada ekstrak daun kelor (Moringa oleifera). Indonesian Journal of Fundamental Sciences. doi: https://doi.org/10.26858/ijfs.v6i2.16870.
Samson E, Sopacua M, Eddy L (2019). Efek jus pisang tongka langit (Musa troglodytarum) terhadap ginjal mencit (Mus musculus) model malaria. EKSAKTA: Journal of Sciences and Data Analysis 154–168. doi: 10.20885/eksakta.vol19. iss2.art6.
Subryana N, Wardiyanto W, Susanti O (2020). Penggunaan ekstrak daun kelor Moringa oleifera (Lam, 1785) untuk meningkatkan imunitas non spesifik benih ikan nila Oreochromis niloticus (Linnaeus, 1758) yang diinfeksi Aeromonas hydrophila. Journal of Aquaculture and Fish Health 9, 194. doi: 10.20473/jafh.v9i3.16321.
Taek MM (2018). Aktivitas antimalaria ekstrak Strychnos Ligustrina sebagai obat tradisional antimalaria di Timor dalam uji in-vivo pada mencit yang terinfeksi Plasmodium Berghei. Res Gate. Available at: https://www.researchgate.net /publication/329538239_AKTIVITAS_ANTIMALARIA_EKSTRAK_Strychnos_ligustrina_SEBAGAI_OBAT_TRADISIONAL_ANTIMALARIA_DI_TIMOR_DALAM_UJI_IN-VIVO_PADA_ MENCIT_YANG_TERINFEKSI_Plasmodium_berghei.
Tania POA (2020). Mekanisme escape dan respon imun innate terhadap Candida albicans. Jurnal Ilmiah Kedokteran Wijaya Kusuma 9, 60. doi: 10.30742/jikw.v9i1.747.
Veronica E, Amelia I, Yunatan KA, et al (2020). Potensi kombinasi ekstrak daun kelor (Moringa oliefera) dan artemisia (Artemisia annua) sebagai antimalaria plasmodium falciparum. Jurnal Ilmiah Kesehatan Sandi Husada 12, 831–841. doi: 10.35816/jiskh.v12i2.415.
Wardani AK, Wahid AR, Astuti Y (2020). In in vitro antimalarial activity of ashitaba stem ethanolic extract (Angelica keiskei [Miq.] Koidz). Jurnal Ilmu Kefarmasian Indonesia. doi: https://doi.org/ 10.35814/jifi.v18i2.815.
Widiani N, Winandari OP, Kamelia M, et al (2021). Analisis in silico senyawa hibiscetin kombucha rosella sebagai imunomodulator sel imuno-kompeten pada penyakit malaria. BIOEDUKASI (Jurnal Pendidikan Biologi) 12, 229. doi: 10.24127/bioedukasi.v12i2.4452.
Yahya Y, Haryanto D, Pahlevi RI, et al (2020). Keanekaragaman jenis nyamuk anopheles di sembilan kabupaten (Tahap pre-eliminasi malaria) di Provinsi Sumatera Selatan. Vektora : Jurnal Vektor dan Reservoir Penyakit 12, 41–52. doi: 10.22435/vk.v12i1.2621.