Displaying publications 1 - 20 of 36 in total

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  1. Nasution S, Nuraini
    Pak J Biol Sci, 2023 Apr;26(5):213-223.
    PMID: 37859553 DOI: 10.3923/pjbs.2023.213.223
    <b>Background and Objective:</b> Bamboo clam <i>Solen lamarckii</i> is one of the bivalve's species that have important economic value in Indonesian waters. Knowledge of the reproductive biology of a species is essential for proper and sustainable fisheries management. Monthly variations in the gonad maturity level of the clams from the coastal waters of Bengkalis Island Indonesia, were examined. <b>Materials and Methods:</b> Samples of the clam were collected monthly at the intertidal zone during low tide from May to September, 2020. A total of 239 specimens of which 116 females and 123 males were examined. Reproductive aspects observed in this study included sex ratio, gonadosomatic index, monthly gonadal maturity level and female fecundity. Mature female or near spawning phases were used for fecundity estimation. The sex ratios were analysed using a Chi-quadrat-Test, whereas to determine differences in fecundity between female individuals tested by Analysis of Variance. <b>Results:</b> Based on the gonadosomatic index (GSI) and histological observation of both sexes's gonads, it can be concluded that early spawning occurred in August and the peak seemed to take place during October-November. The sex ratios were analysed using a Chi-quadrat-Test which was not different from parity. Gonad maturation time between males and females indicates synchrony and no hermaphrodites were observed in the collection. Females shell length range of 75.5 to 89.3 mm produced 4.63×103-7.43×103 eggs ind-1 female (N = 10). Females with a shell length between 75.5 and 89.3 mm had varying fecundities, but analysis of variance showed no significant difference (Sig>0.05). <b>Conclusion:</b> Based on the gonadosomatic index (GSI) and histological analysis, <i>S. lamarckii</i> in Bengkalis waters spawned in August. Males and females showed spawning synchrony.
  2. Zakaria L, Aziz WNW
    Trop Life Sci Res, 2018 Jul;29(2):201-211.
    PMID: 30112150 MyJurnal DOI: 10.21315/tlsr2018.29.2.14
    Endophytic fungi are part of microbial community found in various types of plant tissues including the leave, and display a range of symbiotic interactions with the plant host. In this study, endophytic fungi isolated from banana leaves were identified using ITS (Internal Transcribed Spacer region) sequences of which 10 genera comprising 17 species were molecularly identified. Endophytic fungal species identified were Nigrospora oryzae, Nigrospora sphaerica, Colletotrichum gloeosporioides, Colletotrichum siamense, Fusarium equiseti, Fusarium chlamydosporum, Phoma sorghina, Pestalotiopsis oxyanthi, Pestalotiopsis theae, Pestalotiopsis eugeniae, Penicillium steckii, Penicillium purpurogenum, Bipolaris papendorfii, Bipolaris sp., Lasidiodiplodia theobromae, Cochliobolus intermedius dan Aspergillus niger. The present study showed that several endophytic fungal genera/species are common plant pathogen and there is a possibility that these endophytes can become pathogenic. Some of the fungal endophyte might be mutualist or saprophyte.
  3. Buari NH, Chen AH, Musa N
    J Optom, 2014 Oct-Dec;7(4):210-6.
    PMID: 25323642 DOI: 10.1016/j.optom.2013.12.009
    A reading chart that resembles real reading conditions is important to evaluate the quality of life in terms of reading performance. The purpose of this study was to compare the reading speed of UiTM Malay related words (UiTM-Mrw) reading chart with MNread Acuity Chart and Colenbrander Reading Chart.
  4. Handajani J, Effendi N, Sosroseno W
    F1000Res, 2020;9:186.
    PMID: 32399205 DOI: 10.12688/f1000research.22536.2
    Background: Estrogen expression levels may be associated with age and may affect keratinization of the hard palate. Keratinized epithelium expresses cytokeratin 5 and 14 in the basal layer. The aim of this study was to determine the correlation between the levels of salivary estrogen and number of cytokeratin 5-positive oral epithelial cells. Methods: A total of 30 female subjects were recruited and divided into children, adults and elderly (N=10 per group). Salivary estrogen levels and cytokeratin 5-expressing oral epithelial cells were assessed using ELISA and immunohistological methods, respectively. Data were analyzed using ANOVA with post hoc LSD test and Pearson's correlation coefficient. Results: The results showed that both the number of cytokeratin 5-positive cells and the level of salivary estrogen were significantly higher in adults but decreased in the elderly, as compared with those in children (p<0.05). Furthermore, the levels of salivary estrogen were significantly correlated with the number of cytokeratin 5-positive cells (r=0.815). The ANOVA result showed significance difference cytokeratin 5 expression and estrogen level (p<0.05). The post hoc LSD test revealed cytokeratin 5 expression and estrogen level to be significantly different in children, adults, and elderly participants (p<0.05). Conclusions: These results suggest that the profile of salivary estrogen and oral epithelial cell-expressed cytokeratin 5 may be positively correlated with age and depend on age.
  5. Nurul Nazierah Mohd Yusri, Kartini Kamaruddin, Hamidah Mohd Saman, Nuraini Tutur
    Scientific Research Journal, 2018;15(1):47-58.
    MyJurnal
    Sewage sludge is a by-product generated within the wastewater treatment process. Severe concern arised as the sludge are massively been dumped to the landfill and it may affect the environment. Many studies had been conducted in reusing the sewage sludge as construction material, where it is one of the optional ways to solve the issue. In this study, dried sewage sludge was incinerated with two different temperatures in order to produce sewage sludge ash (SSA), which are 800°C and 1000°C. Afterfew processes, this SSA then reused in mortar as cementreplacement with the replacement percentage of 5%, 10%, 15% and 20% by weight. The strength performance of mortar specimens was investigated after 7, 28, 60 and 90 days of curing. From the results, it is clearly showed that the compressive strength of all mortar specimens increased when the period of curing was prolonged. Moreover, almost all compressive strength of SSA mortars was higher than the control mortar. Therefore, there is potential to reuse this waste material as part of construction materials and hence, its plays an important role for future researches in minimisation of waste.
  6. Dahlia Lema, A.M., Kartini, K., Dyg. Siti Quraisyah, A.A., Anthony, A.D., Nuraini, T., Siti Rahimah, R.
    MyJurnal
    Sludge is an unavoidable product of wastewater treatment that creates problems of disposal. Increasingly, strict environmental control regulations have resulted in limitations on sludge disposal options.Disposal by incineration has been found to be a good option. In this research, application of domestic waste sludge powder (DWSP) was used as cement replacement in concrete mix. This study utilised replacement of 3 %, 5 %, 7 %, 10 % and 15 % by weight of OPC with water binder (w/b) ratio of 0.60, 0.55 and 0.40 for Grade 30, Grade 40 and Grade 50 respectively. The performance of DWSP concrete in terms of its compressive strength, water absorption, water permeability and Rapid Chloride Ion penetration were investigated. All values of compressive strength for DWSP concrete were lower compared to the OPC control, and the strength decreased as the percentage of replacement with DWSP increased for Grade 30 and Grade 50, except for Grade 40 at replacement of 7 %. Meanwhile, water absorption and water permeability for the DWSP concrete increased as the replacement increased. Overall, with further research in producing quality DWSP, the potential of using this waste as a cement replacement material is very promising.
  7. Wan Hasan WN, Chin KY, Abd Ghafar N, Soelaiman IN
    Drug Des Devel Ther, 2020;14:969-976.
    PMID: 32184566 DOI: 10.2147/DDDT.S224941
    PURPOSE: Annatto-derived tocotrienol (AnTT) has been shown to improve bone formation in animal models of osteoporosis and promote differentiation of pre-osteoblastic cells. However, the mechanism of action of AnTT in achieving these effects is unclear. This study aims to investigate the mechanism of action of AnTT on MC3T3-E1 pre-osteoblasts via the mevalonate pathway.

    METHODS: Murine pre-osteoblastic cells, MC3T3-E1, were cultured with the density of 1 × 104 cells/mL and treated with 4 concentrations of AnTT (0.001-1 µg/mL). Expression of HMG-CoA reductase (HMGR) gene was carried out using qPCR after treatment with AnTT for 21 days. RhoA activation and bone morphogenetic protein-2 (BMP-2) were measured using immunoassay after 9 and 15 days of AnTT treatment. Lovastatin was used as the positive control. Mineralized nodules were detected using Von Kossa staining after 21 days of AnTT treatment.

    RESULTS: The results showed that HMGR was up-regulated in the lovastatin group on day 9 and 21 compared to the control. Lovastatin also inhibited RhoA activation (day 9 and 15) and increased BMP-2 protein (day 15). On the other hand, AnTT at 0.001 μg/mL (day 3) and 0.1 μg/mL (day 21) significantly down-regulated HMGR gene expression compared to the control. On day 21, HMGR gene expression was significantly reduced in all groups compared to day 15. AnTT at 0.1 μg/mL significantly decreased RhoA activation on day 9 compared to the control. AnTT at 1 μg/mL significantly increased BMP-2 protein on day 15 compared to the control (P<0.05). Mineralized calcium nodules were more abundant in AnTT treated groups compared to the control on day 21.

    CONCLUSION: AnTT suppresses the mevalonate pathway by downregulating HMGR gene expression and inhibiting RhoA activation, leading to increased BMP-2 protein in MC3T3-E1 cells. This explains the stimulating effects of AnTT on osteoblast mineralization.

  8. Daliana Nik Farid N, Aziz N, Jalaludin MY, Majid HA
    PMID: 39158029 DOI: 10.1177/10105395241273106
    The prevalence of mental health problems among youth worldwide is alarming and a public health concern. This study aimed to determine the prevalence of psychological distress (PD) among youth at two time points, ages 15 and 20 years, and to identify groups that are particularly vulnerable to PD. Utilizing data from the Malaysian Health and Adolescents Longitudinal Research Team study, we analyzed a cohort of 416 participants who underwent mental health assessments in both 2014 and 2019/2020. The prevalence of PD increased significantly between the ages of 15 (15.9%) and 20 (34.6%) years. Factors such as parental mental health problems, Indian and other ethnicity, lower maternal education attainment, and alcohol consumption were significantly associated with PD in youth. This study underscores the importance of increasing access to mental health care while improving surveillance and prevention programs to protect youth's psychosocial well-being.
  9. Ng, Wai Han, Norshariza Jamhuri, Zuwariah Abdul Rahman, Betti Sharina, Mohd Haniff Lai, Siti Nuraini Mohd Samwil
    Malays J Nutr, 2018;24(4):627-635.
    MyJurnal
    Introduction: Malnutrition is a frequent complication in cancer patients and can
    negatively affect treatment outcome. Preliminary audit conducted at the Oncology
    Clinic, National Cancer Institute (NCI), found that only 5.8% of outpatients underwent
    nutrition screening using the Malnutrition Screening Tool (MST), and only 2.6% of
    dietitian referrals were recorded. This audit aims to determine the rate of adherence
    to nutritional screening, and to implement remedial measures for improved patient
    care. Methods: This was a cross-sectional audit comprising three phases, namely
    initial audit, remedial measures and re-audit. Criteria audited include screening
    rate using MST and dietitian referral based on MST scores. Standards were set at
    100% for both criteria. Data collected for initial audit were patients’ MST scores
    records and total dietitian referral forms retrieved from Electronic Medical Records.
    After initial audit, self-administered questionnaires for nurses and physicians were
    developed to identify barriers. Measures implemented for change included patientadministered MST to shorten screening time, and procedure flowchart to facilitate
    referral. After 6 months, a re-audit was conducted. Results: Total subjects for
    initial audit and re-audit were 349 and 390, respectively. Initial audit and re-audit
    showed screening rate using MST increased significantly from 6.3% to 79.5%, but
    there was no significant change for the dietitian referral rate. Conclusion: This
    clinical audit has led to a change in the policy in NCI outpatient clinics whereby
    nurses directly schedule dietitian referrals without going through physicians for
    patients with MST scores ≥2. Continuous audit and monitoring are necessary to
    facilitate improvement in MST implementation for better outpatient care.
  10. Nik Mazlina M, Ruziaton H, Nuraini DB, Izan Hairani I, Norizzati Bukhary IB, Mohamad Rodi I, et al.
    Malays Fam Physician, 2014;9(3):20-6.
    PMID: 26425301 MyJurnal
    BACKGROUND: The Ministry of Health is committed to achieve Millenium Development Goal (MDG) MDG 4 and 5 by 2015 and include pre-pregnancy care as a strategy. This study evaluates the risk factors detected during the pre-pregnancy screening at selected public primary care clinics in Selangor.
    OBJECTIVES: The objectives of this study were to determine the proportion of women with risk factors receiving pre-pregnancy care in selected clinics in Selangor, their socio demographic features, the types of risk factors detected and their significance.
    METHODS: A retrospective review using secondary data was carried out from the month of March until June 2013 in four public primary care clinics in Klang and Petaling districts of Selangor. Data were obtained through non-probability sampling, using the pre-pregnancy screening form utilised in 2012, which is a standard questionnaire to determine the presence of risk factors. Women with at least one defined risk factor were considered as being at risk of an adverse obstetric outcome. Data were analysed using SPSS version 16.
    RESULTS: A total of 840 pre-pregnancy screening forms were collected. However only 614 (73.1%) were analysed and studied. The proportion of women with at least one risk factor was 68.8% (95% CI: 65.1, 72.5). The majority was Malays who had tertiary education and earned more than RM 1000. Most were in the reproductive age group of 18-35 years old (350, 82.9%). The mean age was 28.68 + 5.78 years. Most of the women were parous (259, 65.1%) and did not practice any form of contraception (308, 80.8%) despite having risks. The percentage of those not receiving any form of immunisation was small i.e. 9.8% but it was of importance and needed to be addressed prior to the conception. This study did not reveal any person with mental disorder or those who endured domestic abuse. Additionally, 3% (12) of them had unhealthy lifestyle habits, which include smoking, alcohol and substance abuse. Approximately one-third (212, 35.2%) of the women screened were overweight and obese, putting them at risk of developing gestational diabetes mellitus, pregnancy induced hypertension or deep vein thrombosis. The mean body mass index (BMI) for those at risk was 25.36 + 5.94 compared to 21.06 ± 1.46 for those with no risk. This study also found a small percentage of women with raised blood pressure (3.9%), abnormal physical examination (1.5%) and anaemia (14.4%), which need to be investigated and treated prior to conception.
    CONCLUSION: More than half of the women who attended the pre-pregnancy screening were found to have at least one risk factor.
  11. Andityas M, Nuraini DM, Sota P, Loong SK, Sripa B, Sukon P, et al.
    Vet World, 2024 Feb;17(2):255-272.
    PMID: 38595668 DOI: 10.14202/vetworld.2024.255-272
    BACKGROUND AND AIM: Leptospirosis in felids (domestic and wild cats) presents an ongoing challenge in our understanding. Numerous studies have reported the detection of Leptospira spp. in these feline populations, highlighting their potential as zoonotic carriers. This systematic review and meta-analysis aimed to provide insight into the global prevalence of leptospirosis in domestic and wild cats.

    MATERIALS AND METHODS: We conducted extensive searches across five databases (PubMed, Scopus, Web of Science, Science Direct, and Google Scholar) following the Preferred Reporting Items for Systematic Reviews and Meta-analyses Protocols guidelines. Random-effect meta-analyses were performed using R software version 4.3.0 to estimate pooled prevalence rates. Subgroup meta-analyses were conducted based on continents, diagnostic methods, sample types, and wildcat genera.

    RESULTS: A total of 71 articles on leptospirosis in domestic cats and 23 articles on leptospirosis in wild cats met the eligibility criteria. Our findings indicated a significantly higher pooled seroprevalence of leptospirosis in domestic cats compared with infection prevalence (9.95% [95% confidence interval (CI), 7.60%-12.54%] vs. 4.62% [95% CI, 2.10%-7.83%], p = 0.01). In contrast, no significant difference was observed in pooled seroprevalence and infection prevalence among wild cats (13.38% [95% CI, 6.25%-21.93%] vs. 2.9% [95% CI, 0.00%-18.91%], p = 0.21). A subgroup meta-analysis of domestic cats revealed significant differences in seroprevalence across continents, sample types, and diagnostic methods. On the contrary, wild cats had no significant differences in any of the subgroups.

    CONCLUSION: Leptospira spp. have evidently been exposed to both domestic and wild cats, highlighting their potential roles as reservoir hosts for leptospirosis. These findings highlight the importance of considering felids as a possible public health threat.

  12. Ridlo MR, Andityas M, Primatika RA, Widantara H, Loong SK, Nuraini DM
    Vet Q, 2024 Dec;44(1):1-14.
    PMID: 39162149 DOI: 10.1080/01652176.2024.2390945
    Indonesia has a long history of livestock brucellosis, but the overall pooled prevalence remains unclear. This study aims to determine the pooled estimated prevalence of livestock brucellosis in Indonesia using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Five databases were searched and screened using predefined inclusion and exclusion criteria. Data from included studies were extracted and analyzed using a random effects model in R 4.3.0 for pooled estimated prevalence, subgroup meta-analysis, and meta-regression. Publication bias and sensitivity tests were conducted using Egger's test, funnel plot, trim and fill plot, and leave-one-out. The screening process identified 46 included studies, representing 47,057 samples for brucellosis testing. The pooled estimated prevalence for livestock brucellosis was 3.25% (95% CI, 1.81%-5.78%) with high heterogeneity (Q = 2130.91, p = 0, I2=98%). Subgroup meta-analysis indicated no significant difference in the prevalence of livestock brucellosis across the main islands in Indonesia (p = 0.44) and across provinces in Sulawesi Island (p = 0.83), but significant differences were found among provinces in Java (p 
  13. Alhamada TF, Azmah Hanim MA, Jung DW, Nuraini AA, Hasan WZW
    Nanomaterials (Basel), 2021 Oct 15;11(10).
    PMID: 34685175 DOI: 10.3390/nano11102732
    This article discusses the application of two-dimensional metal MXenes in solar cells (SCs), which has attracted a lot of interest due to their outstanding transparency, metallic electrical conductivity, and mechanical characteristics. In addition, some application examples of MXenes as an electrode, additive, and electron/hole transport layer in perovskite solar cells are described individually, with essential research issues highlighted. Firstly, it is imperative to comprehend the conversion efficiency of solar cells and the difficulties of effectively incorporating metal MXenes into the building blocks of solar cells to improve stability and operational performance. Based on the analysis of new articles, several ideas have been generated to advance the exploration of the potential of MXene in SCs. In addition, research into other relevant MXene suitable in perovskite solar cells (PSCs) is required to enhance the relevant work. Therefore, we identify new perspectives to achieve solar cell power conversion efficiency with an excellent quality-cost ratio.
  14. Kusuma P, Brucato N, Cox MP, Letellier T, Manan A, Nuraini C, et al.
    Eur J Hum Genet, 2017 08;25(8):1004-1010.
    PMID: 28513608 DOI: 10.1038/ejhg.2017.88
    The Bajo, the world's largest remaining sea nomad group, are scattered across hundreds of recently settled communities in Island Southeast Asia, along the coasts of Indonesia, Malaysia and the Philippines. With a significant role in historical trading, the Bajo lived until recently as nomads, spending their entire lives on houseboats while moving long distances to fish and trade. Along the routes they traveled, the Bajo settled and intermarried with local land-based groups, leading to 'maritime creolization', a process whereby Bajo communities retained their culture, but assimilated - and frequently married into - local groups. The origins of the Bajo have remained unclear despite several hypotheses from oral tradition, culture and language, all currently without supporting genetic evidence. Here, we report genome-wide SNP analyses on 73 Bajo individuals from three communities across Indonesia - the Derawan of Northeast Borneo, the Kotabaru of Southeast Borneo and the Kendari of Southeast Sulawesi, with 87 new samples from three populations surrounding the area where these Bajo peoples live. The Bajo likely share a common connection with Southern Sulawesi, but crucially, each Bajo community also exhibits unique genetic contributions from neighboring populations.
  15. Hasan F, Setia Budi H, Ramasamy R, Tantiana T, Ridwan RD, Winoto ER, et al.
    F1000Res, 2024;13:1080.
    PMID: 39866729 DOI: 10.12688/f1000research.155987.2
    BACKGROUND: The interaction between Streptococcus mutans (S. mutans) and Veillonella species (Veillonella spp.) is unclear. This study aims to investigate the interaction between S. mutans and Veillonella spp. on caries development using systematic review.

    METHODS: This systematic review was accorded to the guideline of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Three electronic databases, namely PubMed, Embase, and the Cochrane library, were used to conduct a systematic search for eligible studies from their inception until July 18, 2023. PROSPERO registration number was No. CRD42023445968.

    RESULTS: We initially identified 4,774 articles. After eliminating duplicates and irrelevant articles, 11 studies met the inclusion criteria. The studies revealed important aspects of the relationship between S. mutans and Veillonella spp. in dental caries. One significant finding is that Veillonella spp. can affect the acid production capacity of S. mutans. Some studies indicate that Veillonella spp. can inhibit the acid production by S. mutans, potentially reducing the cariogenic process. Another aspect is the competition for substrates. Veillonella spp. utilize lactic acid, which is a by product of S. mutans metabolism, as a source of carbon. This metabolic interaction may decrease the availability of lactic acid for S. mutans, potentially influencing its cariogenic potential.

    CONCLUSIONS: This systematic review highlights the emerging evidence on the interaction between S. mutans and Veillonella spp. in dental caries. The findings suggest that Veillonella spp. can modulate the acid production, and substrate competition of S. mutans, potentially influencing the cariogenic process.

  16. Aini Masitah Mohammad, Zalina Abu Zaid, Ho Chiou Yi, Zuriati Ibrahim, Zulfitri ‘Azuan Mat Daud, Nor Baizura Md. Yusop, et al.
    MyJurnal

    Introduction: This is open label randomised control trial, aimed to identify whether an early (commenced at the time of diagnosis) and intensive nutrition intervention (INI) (individualised dietary counselling, oral nutritional sup- plements [ONS], telephone, and home visit) can improve weight and dietary intake of gynaecological cancer (GC) patients preoperatively. Methods: Selected GC patients planned for surgery were randomly grouped into control group (CG) (n = 35) and intervention group (IG) (n = 34). Malnutrition screening tool (MST) was used as a screening tool, while Patient-Generated Subjective Global Assessment (PG-SGA) was used as a nutrition assessment tool. IG received an intensive individualised dietary counselling with the supply of ONS at baseline (Day 1). This continued with telephone and home visit follow-up by research dietitian (Day 3 and Day 6). Meanwhile, CG only received general nutritional counselling without supply of ONS. Final assessment was conducted on Day 14. The primary outcomes included weight changes measured using TANITA and dietary intake assessment using 24-hour diet recall. Results: Mean duration of INI was 14 days. At the end of the treatment period, there was a significant weight change between groups (p < 0.001), with 0.14% weight gain in IG and 1.3% weight reduction in CG. Mean energy and protein intake of IG were higher compared to CG by +329 kcal/day and +12.2 g/day, respectively. Conclusion: This study showed that INI that incorporated individualised dietary counselling, ONS, telephone counselling, and home visit can increase energy and protein intake of GC patients, resulting in weight gain.
  17. Nur Suhana Mohamad Ripim, Nuraini Fazil, Saidatul Nadrah Kholid Ibrahim, Adibah Ahamad Bahtiar, Yip Chee Wai, Nazlina Ibrahim, et al.
    Sains Malaysiana, 2018;47:1725-1730.
    A study was conducted to investigate the antiviral activity of aqueous extracts from Orthosiphon stamineus (OS).
    Extraction was done using different parts of OS. The whole plant except root (WPOS), leaves (LOS) and flowers (FOS) of
    OS were extracted using aqueous extraction method. Cytotoxicity was assessed using 3-(4,5-dimethylthiazol-2,5-diphenyl
    tetrazolium bromide (MTT) assay. Plaque reduction assays were carried out to evaluate the antiviral activity of OS extract
    against herpes simplex virus type 1 (HSV-1). These include post-treatment, pre-treatment and virucidal assays. High
    antiviral activity was observed in post-treatment and virucidal assay with 100% reduction of HSV-1 plaque at 0.39 mg/
    mL in LOS, FOS and WPOS. In pre-treatment assay, 79%, 84% and 97% plaque reduction using the same concentration
    was observed in FOS, LOS and WPOS, respectively. In conclusion, this study showed that OS aqueous extract has promising
    potential to be explored as anti-HSV-1 agent regardless of the mode of treatment.
  18. Wan Hasan WN, Kwak MK, Makpol S, Wan Ngah WZ, Mohd Yusof YA
    PMID: 24559113 DOI: 10.1186/1472-6882-14-72
    Nuclear factor-erythroid 2 p45 related factor 2 (Nrf2) is a primary transcription factor, protecting cells from oxidative stress by regulating a number of antioxidants and phase II detoxifying enzymes. Dietary components such as sulforaphane in broccoli and quercetin in onions have been shown to be inducers of Nrf2. Piper betle (PB) grows well in tropical climate and the leaves are used in a number of traditional remedies for the treatment of stomach ailments and infections among Asians. The aim of this study was to elucidate the effect of Piper betle (PB) leaves extract in Nrf2 signaling pathway by using 2 types of cells; mouse embryonic fibroblasts (MEFs) derived from wild-type (WT) and Nrf2 knockout (N0) mice.
  19. Aliahmat NS, Abdul Sani NF, Wan Hasan WN, Makpol S, Wan Ngah WZ, Mohd Yusof YA
    J Nutrigenet Nutrigenomics, 2016;9(5-6):243-253.
    PMID: 28002828 DOI: 10.1159/000452407
    BACKGROUND/AIMS: The objective of this study was to elucidate the underlying antioxidant mechanism of aqueous extract of Piper betle (PB) in aging rats. The nuclear factor erythroid 2-related factor 2 (Nrf2)/ARE pathway involving phase II detoxifying and antioxidant enzymes plays an important role in the antioxidant system by reducing electrophiles and reactive oxygen species through induction of phase II enzymes and proteins.

    METHODS: Genes and proteins of phase II detoxifying antioxidant enzymes were analyzed by QuantiGenePlex 2.0 Assay and Western blot analysis.

    RESULTS: PB significantly induced genes and proteins of phase II and antioxidant enzymes, NAD(P)H quinone oxidoreductase 1, and catalase in aging mice (p < 0.05). The expression of these enzymes were stimulated via translocation of Nrf2 into the nucleus, indicating the involvement of ARE, a cis-acting motif located in the promoter region of nearly all phase II genes.

    CONCLUSIONS: PB was testified for the first time to induce cytoprotective genes through the Nrf2/ARE signaling pathway, thus unraveling the antioxidant mechanism of PB during the aging process.

  20. Sukarna N, Tan PC, Hong JGS, Sulaiman S, Omar SZ
    Arch Gynecol Obstet, 2021 08;304(2):345-353.
    PMID: 33452923 DOI: 10.1007/s00404-020-05950-3
    PURPOSE: To compare 3 consecutive days of hyperglycemic response following antenatal dexamethasone regimens of 12-mg or 6-mg doses 12 hourly in diet-controlled gestational diabetes.

    METHODS: A randomized controlled trial was carried out in a university hospital in Malaysia. Women with lifestyle-controlled gestational diabetes scheduled to receive clinically indicated antenatal corticosteroids (dexamethasone) were randomized to 12-mg 12 hourly for one day (2 × 12-mg) or 6-mg 12-hourly for two days (4 × 6-mg). 6-point (pre and 2-h postprandial) daily self-monitoring of capillary blood sugar profile for up to 3 consecutive days was started after the first dexamethasone injection. Hyperglycemia is defined as blood glucose pre-meal ≥ 5.3 or 2 h postprandial ≥ 6.7 mmol/L. The primary outcome was a number of hyperglycemic episodes in Day-1 (first 6 BSP points). A sample size of 30 per group (N = 60) was planned.

    RESULTS: Median [interquartile range] hyperglycemic episodes 4 [2.5-5] vs. 4 [3-5] p = 0.3 in the first day, 3 [2-4] vs. 1 [0-3] p = 0.01 on the second day, 0 [0-1] vs. 0 [0-1] p = 0.6 on the third day and over the entire 3 trial days 7 [6-9] vs. 6 [4-8] p = 0.17 for 6-mg vs. 12-mg arms, respectively. 2/30 (7%) in each arm received an anti-glycemic agent during the 3-day trial period (capillary glucose exceeded 11 mmol/L). Mean birth weight (2.89 vs. 2.49 kg p 

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