SEQUESTRATION OF ERYTHROCYTE INFECTED BY Plasmodium berghei ANKA IN MICE LIVER TREATED WITH ETHANOL EXTRACT OF PEARL GRASS (Hedyotis corymbosa (L.) Lamk)

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Background: Malaria is a parasitic infection caused by the Plasmodium genus. Certain Plasmodium species can evade the immune system by sequestering internal organs, including the liver. The ethanolic extract of pearl grass (Hedyotis corymbosa (L.) Lamk) (EEPG) has been reported to have an antimalarial activity in reducing parasitemia and hepatomegaly in Plasmodium berghei ANKA-infected mice. Purpose: To analyze the effect of EEPG administration on the sequestration of P. berghei ANKA-infected erythrocytes in the livers of BALB/c mice. Method: P. berghei ANKA-infected mice were treated with EEPG at doses of 250, 300, and 350 mg/kg BW. The positive and negative control groups received dihydroartemisinin-piperaquine (DHP) 187.2 mg/kgBW and 1% CMCNa, respectively. The treatments were administered for four consecutive days, followed by observation of parasitemia on Giemsa-stained tail blood smears. On day five, mice were sacrificed for liver removal. Sequestrations were observed on HE-stained slides of mouse livers. The differences in sequestration between treatment groups were analyzed using One-way ANOVA and Games-howell post-hoc analysis. The correlation between parasitemia and sequestration was analyzed using the Pearson correlation test. Result: The percentage reduction of the number of infected erythrocyte sequestration in EEPG-treated groups was 81.74%, 77.72%, and 77.70%, respectively, while the positive control group was 91.14%. Parasitemia was correlated with the number of erythrocytes sequestration (p-value < 0.05). Conclusion: EEPG was able to decrease parasitemia along with the decrease in the number of infected erythrocytes sequestration in the liver. These results indicated that EEPG is
Ali, A.H., Sudi, S., Shi-Jing, N., Hassan, W.R.M., Basir, R., Agustar, H.K., Embi, N., Sidek, H.M., Latip, J., 2021. Dual Anti-Malarial and GSK3β-Mediated Cytokine-Modulating Activities of Quercetin Are Requisite of Its Potential as a Plant-Derived Therapeutic in Malaria. Pharmaceuticals (Basel, Switzerland) Vol. 14(3), Pp. 248.
Antwi-Baffour, S., Mensah, B.T., Johnson, G., Armah, D.N.O., Ali-Mustapha, S., Annison, L., 2023.Haematological Parameters and Their Correlationwith The Degree of Malaria Parasitaemia amongOutpatients Attending A Polyclinic. Malaria Journal Vol. 22(1), Pp. 281.
Belachew, E.B., 2018. Immune Response and Evasion Mechanisms of Plasmodium falciparum Parasites. Journal of Immunology Research Vol. 2018, Pp. 6529681.
Bin Said, I., Kouakou, Y.I., Omorou, R., Bienvenu, A.-L., Ahmed, K., Culleton, R., Picot, S., 2022. Systematic Review of Plasmodium knowlesi in Indonesia: A Risk of Emergence in The Context of Capital Relocation to Borneo ? Parasites & Vectors Vol. 15(1), Pp. 258.
Bruneel, F., 2019. Human Cerebral Malaria: Mini Review. Rev Neurol (Paris) Vol. 175(7-8), Pp. 445-450.
Clark, I.A., Budd, A.C., Alleva, L.M., Cowden, W.B., 2006. Human Malarial Disease: A Consequence of Inflammatory Cytokine Release. Malaria Journal Vol. 5(1), Pp. 85.
Cunningham, D.A., Lin, J., Brugat, T., Jarra, W., Tumwine, I., Kushinga, G., Ramesar, J., Franke-Fayard, B., Langhorne, J., 2017. ICAM-1 is A Key Receptor Mediating Cytoadherence and Pathology in The Plasmodium Chabaudi Malaria Model. Malaria Journal Vol. 16(1), Pp. 185.
Das, S., Mondal, N., Mondal, S., Ghosh, P., Ghosh, C., Das, C., Chatterjee, S., 2019. Botanical Features, Phytochemical and Pharmacological Overviews of Oldenlandia Corymbosa Linn.: A Brief Review. The Pharma Innovation Journal Vol. 8(2), Pp. 464-468.
Fonager, J., Pasini, E.M., Braks, J.A.M., Klop, O., Ramesar, J., Remarque, E.J., Vroegrijk, I.O.C.M., van Duinen, S.G., Thomas, A.W., Khan, S.M., Mann, M., Kocken,C.H.M., Janse, C.J., Franke-Fayard, B.M.D., 2012.Reduced CD36-Dependent Tissue Sequestration of Plasmodium-Infected Erythrocytes is Detrimentalto Malaria Parasite Growth In Vivo. The Journal ofExperimental Medicine Vol. 209(1), Pp. 93-107.
Franke-Fayard, B., Fonager, J., Braks, A., Khan, S.M., Janse, C.J., 2010. Sequestration and Tissue Accumulationof Human Malaria Parasites: Can We Learn Anythingfrom Rodent Models of Malaria? PLoS PathogensVol. 6(9), Pp. e1001032.
Gallego-Delgado, J., Ty, M., Orengo, J., Hoef, D., Rodriguez, A., 2014. A Surprising Role for Uric Acid: The Inflammatory Malaria Response. Current Rheumatology Reports Vol. 16(401), Pp. 1-6.
Gao, F., Lucke-Wold, B.P., Li, X., Logsdon, A.F., Xu, L.-C., Xu, S., LaPenna, K.B., Wang, H., Talukder, M.A.H., Siedlecki, C.A., Huber, J.D., Rosen, C.L., He, P., 2018. Reduction of Endothelial Nitric Oxide Increases The Adhesiveness of Constitutive Endothelial Membrane ICAM-1 through Src-Mediated Phosphorylation. Frontiers in Physiology Vol. 8, Pp. 1-14.
Ghazanfari, N., Mueller, S.N., Heath, W.R., 2018. Cerebral Malaria in Mouse and Man. Frontiers in Immunology Vol. 9, Pp. 1-11.
Hempel, C., Kohnke, H., Maretty, L., Jensen, P.Ø., Staalsø, T., Kurtzhals, J.A.L., 2014. Plasmodium falciparum Avoids Change in Erythrocytic Surface Expression of Phagocytosis Markers during Inhibition of Nitric Oxide Synthase Activity. Molecular and Biochemical Parasitology Vol. 198(1), Pp. 29-36.
Lennartz, F., Smith, C., Craig, A.G., M.K., Higgins., 2019. Structural Insights into Diverse Modes of ICAM-1 Binding by Plasmodium falciparum-Infected Erythrocytes. Proceedings of The National Academy of Science of The United Stated of America Vol. 116(04), Pp. 20124–20134.
Loy, D.E., Liu, W., Li, Y., Learn, G.H., Plenderleith, L.J., Sundararaman, S.A., Sharp, P.M., Hahn, B.H., 2017. Out of Africa: Origins and Evolution of The Human Malaria Parasites Plasmodium falciparum and Plasmodium Vivax. International Journal for Parasitology Vol. 47(2-3), Pp. 87-97.
Mahamar, A., Attaher, O., Swihart, B., Barry, A., Diarra, B.S., Kanoute, M.B., Cisse, K.B., Dembele, A.B., Keita, S., Gamain, B., Gaoussou, S., Issiaka, D., Dicko, A., Duffy, P.E., Fried, M., 2017. Host Factors That Modify Plasmodium falciparum Adhesion to Endothelial Receptors. Scientific Reports Vol. 7(1), Pp. 13872.
Mishra, K., Dash, A.P., Swain, B.K., Dey, N., 2009. Anti-Malarial Activities of Andrographis paniculata and Hedyotis corymbosa Extracts and Their Combination with Curcumin. Malaria Journal Vol. 8, Pp. 26.
Oelschlegel, A.M., Bhattacharjee, R., Wenk, P., Harit, K., Rothkötter, H.-J., Koch, S.P., Boehm-Sturm, P., Matuschewski, K., Budinger, E., Schlüter, D., Goldschmidt, J., Nishanth, G., 2024. Beyond The Microcirculation: Sequestration of Infected Red Blood Cells and Reduced Flow in Large Draining Veins in Experimental Cerebral Malaria. Nature Communications Vol. 15(1), Pp. 2396.
Okafor, C.N., Finnigan, N.A., 2025. Plasmodium Ovale Malaria. In: StatPearls. StatPearls Publishing, Treasure Island (FL).
Plenderleith, L.J., Liu, W., Li, Y., Loy, D.E., Mollison, E., Connell, J., Ayouba, A., Esteban, A., Peeters, M., Sanz, C.M., Morgan, D.B., Wolfe, N.D., Ulrich, M., Sachse, A., Calvignac-Spencer, S., Leendertz, F.H., Shaw, G.M., Hahn, B.H., Sharp, P.M., 2022. Zoonotic Origin of The Human Malaria Parasite Plasmodium malariae from African Apes. Nature Communications Vol. 13(1), Pp. 1868.
Putri, J., Chairunnisa, N., Arwati, H., Kahar, H., 2023. Effect of Ethanol Extract of Hedyotis corymbosa (L.) Lamk against Parasitemia and Hepatomegaly in Plasmodium berghei ANKA-Infected Mice. Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya Vol. 7(1), Pp. 89-99.
Rai, S., Girdhar, M., Siraj, F., Sharma, S., Kumar, M., Katyal, A., 2023. Mechanistic Insights into Immunopathogenesis of Murine Cerebral Malaria: Cues from “Young” C57BL/6J and BALB/c Mice. Immunology Letters. Vol. 256–257, Pp. 9-19.
Sahat, D., 2006. Pengaruh Pemberian Ekstrak Hedyotis corymbosa Dosis Bertingkat terhadap Produksi Nitric Oxide Makrofag Mencit BALB/C yang diinfeksi dengan Salmonella typhimurium (Thesis). Universitas Diponegoro, Faculty of Medicine, Department of Medicine.
Schober, P., Boer, C., Schwarte, L.A., 2018. Correlation Coefficients: Appropriate Use and Interpretation. Anesthesia and Analgesia Vol. 126(5), Pp. 1763-1768.
Serirom, S., Raharjo, W.H., Chotivanich, K., Loareesuwan, S., Kubes, P., Ho, M., 2003. Anti-Adhesive Effect of Nitric Oxide on Plasmodium falciparum Cytoadherence under Flow. The American Journal of Pathology Vol. 162(5), Pp. 1651-1660.
Soemardji, A., Anisa, I., Damayanti, N., 2015. Study on Rumput Mutiara (Hedyotis corymbosa) Herbs as Medicine. Journal Of Medicine & Health Vol. 1(2), Pp. 187-199.
Storm, J., Craig, A.G., 2014. Pathogenesis of Cerebral Malaria-Inflammation and Cytoadherence. Frontiers in Cellular and Infection Microbiology Vol. 4, Pp. 100.
Vasquez, M., Zuniga, M., Rodriguez, A., 2021. Oxidative Stress and Pathogenesis in Malaria. Frontiers in Cellular and Infection Microbiology Vol. 11, Pp. 768182.
Viriyavejakul, P., Khachonsaksumet, V., Punsawad, C., 2014. Liver Changes in Severe Plasmodium falciparum Malaria: Histopathology, Apoptosis and Nuclear Factor Kappa B Expression. Malaria Journal Vol. 13(1), Pp. 106.
Wardani, K., Aini, K., Arwati, H., Sandhika, W., 2020. Sequestration of Erythrocytes Infected with Plasmodium berghei ANKA in BALB/c Mice Treated with Goat Bile. Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya Vol. 4(2), Pp. 179.
Wassmer, S.C., Grau, G.E.R., 2017. Severe Malaria: What’s New on The Pathogenesis Front? International Journal for Parasitology Vol. 47(2-3), Pp. 145-152.
Weinberg, J.B., Lopansri, B.K., Mwaikambo, E., Granger, D.L., 2008. Arginine, Nitric Oxide, Carbon Monoxide, and Endothelial Function in Severe Malaria. Current Opinion in Infectious diseases Vol. 21(5), Pp. 468-475.
WHO, 2024. Fact Sheet about Malaria.Zuniga, M., Gomes, C., Chen, Z., Martinez, C., Devlin, J.C., Loke, P., Rodriguez, A., 2022.
Plasmodium Falciparum and TNF-α Differentially Regulate Inflammatory and Barrier Integrity Pathways in Human Brain Endothelial Cells. mBio Vol. 13(5), Pp. e0174622.
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