Modulation effects of Etlingera elatior ethanol extract as anti-inflammatory on chronic kidney disease in mice with hypertension and diabetes
Main Article Content
Keywords
diabetic nephropathy, ethanol extract of E.elatior fruit, anti-inflammation.
Abstract
The incidence of diabetes increased significantly around the world in accordance with lifestyle and change in eating behaviour. Streptozotocin-Nicotinamide (STZ-NA) is capable of inducing Diabetes Mellitus type 2 in experimental animals for insulin resistance. In this research, we inspect the therapeu-tic potential of Etlingera elatior ethanol extract (EEEE) on diabetes associated with diabetic nephropa-thy and hypertension complications in mice models. Diabetes and hypertension are induced in mice using STZ 45 mg/kgBB and NA 110 mg/kgBB, followed by unilateral ureter ligation (UUO) for 4 weeks after a week of STZ-NA induction. The EEEE solution was given in the last 4 weeks with doses of 200, 400, 600, and 800 mg/kgBB. The results of this study prove the effect of vanillic acid on improving systolic blood pressure, plasma creatinine, plasma glucose, albuminuria and reducing the inflammatory marker high sensitivity C-reactive protein (hs-CRP). Histopathology of kidney is under investigation for being part of diabetes hypertension pathology. Treatment using EEEE 600 and 800 mg/kgBB for 4 weeks in experimental mice results in the decrease of plasma glucose, systolic blood pressure, plasma creatinine, albuminuria, and hs-CRP, including the restoration of kidney histology significantly com-pared to 200 and 400 mg/kgBB doses. This result concludes that EEEE offers modulation effects on diabetes hypertension control by reducing blood glucose rate, blood pressure rate, kidney defect, and inflammation markers
References
2. Nogueira A, Pires MJ, and Oliveira PA. Pathophysiological mechanisms of renal fibrosis: a review of animal models and therapeutic strategies. In Vivo. 2017; 31(1): 1–22. https://doi.org/10.21873/invivo.11019
3. National High Blood Pressure Education Program Working Group report on hypertension in diabetes. Hypertension. 1994 Feb; 23(2): 145–158; discussion 159–160. https://doi.org/10.1161/01.HYP.23.2.145
4. Hill NR, Fatoba ST, Oke JL, et al. Global prevalence of chronic kidney disease – a systematic review and meta-analysis. PLoS One. 2016; 11(7): e0158765. https://doi.org/10.1371/journal.pone.0158765
5. Kao MPC, Ang DSC, Pall A, et al. Oxidative stress in renal dysfunction: mechanisms, clinical sequelae and therapeutic options. J Hum Hypertens. 2010; 24(1): 1–8. https://doi.org/10.1038/jhh.2009.70
6. Purwanto B. Hipertensi (patogenesis, kerusakan target organ, dan penatalaksanaan). Surakarta: Uns Press; Surakarta. 2012. pp: 3-5, 8-25, 59-60
7. Tucker PS, Scanlan AT, and Dalbo VJ. Chronic kidney disease influences multiple systems: describing the relationship between oxidative stress, inflammation, kidney damage, and con-comitant disease. Oxid Med Cell Longev. 2015; 2015: 806358. https://doi.org/10.1155/2015/806358
8. Meenakshi Sundaram SP, Nagarajan S, and Manjula Devi AJ. Chronic kidney disease—effect of oxidative stress. Chin J Biol. 2014; e216210. https://doi.org/10.1155/2014/216210
9. Isyanti M, Andarwulan N, and Faridah DN. Karakteristik Fisik dan Fitokimia Buah Kecombrang (Etlingera elatior (Jack) R.M. Sm). Warta Industri Hasil Pertanian. 2019; 36(2): 96–105. https://doi.org/10.32765/wartaihp.v36i2.5267
10. Fristiohady, A., Wahyuni, W., Ilyas, M., Mentarry, B., Ode, L., Purnama, M. J., Sangadji, F., Malaka, M.H., Malik, F., Hong, J., Wibawa, A., Yodha, M., & Sahidin, S. Nephroprotective effect of extract Etlingera elatior (Jack) R.M. Smith on CCl 4 -induced nephrotoxicity in rats. Current Research on Biosciences and Biotechnology. 2020; 1. 62–65. https://doi.org/10.5614/crbb.2019.1.2/DAPM6106
11. Nasution J, Riyanto R, and Chandra RH. Kajian Etnobotani Zingiberaceae Sebagai Bahan Pengobatan Tradisional Etnis Batak Toba Di Sumatera Utara: Ethnobotany of Zingiberaceae as a traditional herbal medicine of Batak Toba Ethnic in North Sumatera. Medkon. 2020; 25(1): 98–102. https://doi.org/10.29244/medkon.25.1.98-102
12. Leorita M, Mardikasari SA, Wahyuni W, et al. Aktivitas Antioksidan dan Toksisitas Akut Ekstrak Etanol Buah, Daun, Batang dan Rimpang Tanaman Wualae (Etlingera elatior (Jack) R.M. Smith). Pharmauho: Jurnal Farmasi, Sains, dan Kesehatan [Internet]. 2019 [cited 2022 Jun 3]; 4(2). Available from: http://ojs.uho.ac.id/index.php/pharmauho/article/view/6263
13. Sahidin S, Salsabila S, Wahyuni W, et al. Potensi Antibakteri Ekstrak Metanol dan Senyawa Aromatik dari Buah Wualae (Etlingera ela-tior). J Kimia Valensi. 2019; 5(1): 1–7. https://doi.org/10.15408/jkv.v5i1.8658
14. Ramasamy S, Mazlan N, Ramli N, et al. Bioactivity and Stability Studies of Anthocyanin-Containing Extracts from Garcinia mangostana L. andEtlingera elatior Jack (Aktiviti Biologi dan Kajian Kestabilan Ekstrak mengandungi Antosianin dari-pada Garcinia mangostana L. dan Etlingera elatior Jack). Sains Malaysiana. 2016; 45:559–565. https://www.researchgate.net/publication/303458813
15. Dumitriu I, Gurzu B, Elena C, et al. Validation of GOD/PAP method for quantitative determination of glucose concentration in human serum. Rev Rom Med Labor. 2011; 19: 85–100.
16. Delanghe, J. R., & Speeckaert, M. M. Creatinine determination according to Jaffe-what does it stand for?. NDT plus, 2011; 4(2): 83–86. https://doi.org/10.1093/ndtplus/sfq211
17. Ghasemi A, Khalifi S, and Jedi S. Streptozotocin-nicotinamide-induced rat model of type 2 diabetes (review). Acta Physiol Hung. 2014; 101(4): 408–420. https://doi.org/10.1556/APhysiol.101.2014.4.2
18. Szkudelski T. Streptozotocin-nicotinamide-induced diabetes in the rat. Characteristics of the experi-mental model. Exp Biol Med (Maywood). 2012; 237(5): 481–490. https://doi.org/10.1258/ebm.2012.011372
19. Yang T, and Li C. Role of COX-2 in unilateral ureteral obstruction: what is new? Am J Physiol Renal Physiol. 2016; 310(8): F746–F747. https://doi.org/10.1152/ajprenal.00498.2015
20. Atılgan D, Parlaktas BS, Uluocak N, et al. Effects of melatonin on partial unilateral ureteral obstruction induced oxidative injury in rat kid-ney. Urology Annals. 2012; 4(2): 89. https://doi.org/10.4103/0974-7796.95552
21. Wu Z, Zhu A, Takayama F, et al. Brazilian green propolis suppresses the hypoxia-induced neuroin-flammatory responses by inhibiting NF-κB activa-tion in microglia. Oxid Med Cell Longev. 2013; 2013: 906726. https://doi.org/10.1155/2013/906726
22. Chinnappan SM, George A, Thaggikuppe P, et al. Nephroprotective effect of herbal extract Eurycoma longifolia on paracetamol-induced nephrotoxicity in rats. Evid Based Complement Altern Med. 2019; 2019: e4916519. https://doi.org/10.1155/2019/4916519
23. Ezejiofor AN, and Orisakwe OE. Nephroprotective effect of Costus afer on lead induced kidney dam-age in albino rats. Int J Physiol Pathophysiol Pharmacol. 2019; 11(2): 36–44
24. Vaidya VS, Waikar SS, Ferguson MA, et al. Urinary biomarkers for sensitive and specific detection of acute kidney injury in humans. Clin Transl Sci. 2008; 1(3): 200–208. https://doi.org/10.1111/j.1752-8062.2008.00053.x
25. Chevalier RL. The proximal tubule is the primary target of injury and progression of kidney disease: role of the glomerulotubular junction. Am J Physiol Renal Physiol. 2016; 311(1): F145–F161. https://doi.org/10.1152/ajprenal.00164.2016
26. Yang HC, Zuo Y, and Fogo AB. Models of chronic kidney disease. Drug Discov Today DisModels. 2010; 7(1): 13–19. https://doi.org/10.1016/j.ddmod.2010.08.002
27. Bilous RW. The pathology of diabetic nephropathy. In: Alberti K, Zimmet P, DeFronzo RA, and Keen H, editors. International textbook of diabetes melli-tus. Chichester: Wiley; 1997; pp. 1349–1362.
28. Ziyadeh FN. The extracellular matrix in diabetic nephropathy. Am J Kidney Dis. 1993; 22(5): 736–744. https://doi.org/10.1016/S0272-6386(12)80440-9