Praja, Dedy Indra
Internal Medicine Department, Faculty of Medicine Universitas Indonesia-RSCM

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Journal : Jurnal Penyakit Dalam Indonesia

Pengaruh Kurkumin Terhadap Kadar NF-κB dan Derajat Fibrosis Hati pada Tikus Fibrosis Hati Supriono, Supriono; Pratomo, Bogi; Praja, Dedy Indra
Jurnal Penyakit Dalam Indonesia Vol 5, No 4 (2018)
Publisher : Internal Medicine Department, Faculty of Medicine Universitas Indonesia-RSCM

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Abstract

Pendahuluan. Inflamasi kronik merupakan mekanisme utama penyebab fibrosis hati. NF-κB  berfungsi mengatur inflamasi, penyembuhan luka, serta kematian sel. Kurkumin berperan sebagai antiinflamasi, antifibrotik, dan induksi apoptosis, salah satunya melalui hambatan terhadap NF-κB. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian kurkumin terhadap perubahan kadar NF-κB dan korelasi antara lama pemberian kurkumin terhadap kadar NF-κB dan derajat fibrosis hati.Metode. Penelitian ini merupakan penelitian eksperimental in vivo menggunakan 32 ekor tikus wistar yang dibagi dalam 8 kelompok perlakuan, tiap kelompok terdiri dari 4 ekor tikus. Perlakuan terhadap tikus berupa induksi CCl4 dan pemberian kurkumin. Pengukuran kadar NF-κB dengan metode ELISA. Derajat fibrosis hati menggunakan Metavir scoring system. Analisis data menggunakan uji korelasi, one-way Anova, unpair T-test, Mann-Whitney, Chi-square, Kruskal-Wallis dan analisis jalur model struktural dengan nilai p signifikan yaitu p<0,05. Hasil. Terdapat perbedaan yang signifikan kadar NF-κB dan derajat fibrosis hati antara kelompok kontrol positif dengan kelompok kontrol negatif. Terdapat pengaruh yang signifikan pemberian kurkumin dan lama pemberian kurkumin terhadap perubahan derajat fibrosis hati dan kadar NF-κB jaringan hati. Terdapat korelasi negatif antara lama pemberian kurkumin dengan perubahan kadar NF-κB dan korelasi positif antara perubahan kadar NF-κB dengan derajat fibrosis hati.Simpulan. Pemberian kurkumin dapat menurunkan kadar NF-κB dan derajat fibrosis hati. Lama pemberian kurkumin berkorelasi dengan penurunan kadar NF-κB dan penurunan kadar NF-κB berkorelasi dengan penurunan derajat fibrosis hati. Kata Kunci: Derajat fibrosis hati, Kurkumin, NF-κB, Tikus model fibrosis hati The Effects of Curcumin on NF-κB Level and Degree of Liver Fibrosis in Rat Liver Fibrosis Introduction. Chronic inflammation is the main mechanism responsible for liver fibrosis. NF-κB regulates inflammation, wound healing, and cell death. Curcumin acts as an antiinflammatory, antifibrotic and induced apoptosis, one of them through resistance to NF-κB. This study aimed to determine the effect of curcumin on NF-κB levels and the correlation between the duration of curcumin on NF-κB and degree of liver fibrosis. Methods. This study was an experimental in rats using a completely randomized design. The treatment of rats was induced with CCl4 and given curcumin. Measurement of NF-κB levels by ELISA method. Degree of liver fibrosis using metavir scoring system. The data were analyzed using correlation test, one-way anova, unpair T-test, mann-whitney, chi-square, kruskal-wallis, structural model with significant p value p < 0,05. Results. There were significant differences in NF-κB level and degree of liver fibrosis between the positive control group and the negative control group. There was a significant effect of curcumin administration on the level of NF-κB and degree of liver fibrosis. There was a negative correlation between duration of curcumin and NF-κB level and positive correlationbetween NF-κB levels and degree of liver fibrosis. Conclusions. Curcumin can decrease NF-κB levels and decrease the degree of liver fibrosis. The duration of the curcumin administration correlated with decreased levels of NF-κB and decreased NF-κB levels correlated with decreased degree of liver fibrosis in rat liver fibrosis.