The Effect Combining Snakehead Fish Extract, Meniran, and Temulawak on Glycemic Status and Pancreatic Histopathology in High-Fat Diet Diabetic Rats
DOI:
https://doi.org/10.59188/eduvest.v4i11.43135Keywords:
Diabetes mellitus , Snakehead Fish Extract, Meniran, Temulawak, Glycemic Status, Pancreatic HistopathologyAbstract
Diabetes mellitus is a metabolic disorder characterized by hyperglycemia, frequently associated with obesity, dyslipidemia, hypertension, and cardiovascular complications, particularly in type 2 diabetes mellitus (DM). In Indonesia, traditional medicine is often favored for its safety and cost-effectiveness compared to synthetic drugs. This study involved 25 male Wistar rats, which were divided into five groups: a control group, an alloxan and high-fat diet group, a pioglitazone group, a plant extract group, and a combination group. Obesity was induced over 27 days through a high-fat diet, followed by the administration of alloxan to elevate blood glucose levels. Glucose measurements were taken at specified intervals, with HbA1c assessed on day 26, and pancreatic histopathology was analyzed post-study. The Kruskal-Wallis test revealed significant differences in weight gain (p = 0.016) and blood glucose levels (p = 0.003) among the groups. Although no significant difference was observed in blood glucose reduction (p = 0.05), the combination group exhibited the most substantial decrease. One-way ANOVA results demonstrated that the combination of the extract and pioglitazone significantly reduced HbA1c levels (p < 0.001), with the second group showing the highest levels and the fourth group displaying the most pronounced reduction. Histopathological analysis indicated damage to the islets of Langerhans in both the pioglitazone and extract groups. The combination of snakehead fish extract, meniran, temulawak, and pioglitazone effectively lowers blood glucose and HbA1c levels; however, it does not appear to ameliorate islet damage, likely due to oxidative stress resulting from the treatments
References
Al Mukminah, I., & Indradi, R. B. (2021). Interaksi antara obat konvensional dan herbal untuk Diabetes Mellitus. Berkala Ilmiah Mahasiswa Farmasi Indonesia, 8(1), 56–70.
Anam, S., Safitri, N. L. Y., Tandah, M. R., & Diana, K. (n.d.). Studi Tumbuhan Obat Tradisional Berkhasiat Antidiabetes di Kecamatan Balinggi Kabupaten Parigi Moutong Provinsi Sulawesi Tengah. Jurnal Pharmascience, 10(2), 235–258.
Ardiani, H. E., Permatasari, T. A. E., & Sugiatmi, S. (2021). Obesitas, pola diet, dan aktifitas fisik dalam penanganan diabetes melitus pada masa pandemi COVID-19. Muhammadiyah Journal of Nutrition and Food Science (MJNF), 2(1), 1–12.
Indonesia, P. E. (2021). Pedoman pengelolaan dan pencegahan Diabetes melitus Tipe 2 Dewasa di Indonesia. PB Perkeni, 46.
Indriputri, C., & Maulana, R. (2022). Pengaruh Pemberian Diet Tinggi Lemak Terhadap Profil Lipid dan Gula Darah Puasa Serum Tikus Putih (Rattus Norvegicus) Galur Wistar. HIGIENE: Jurnal Kesehatan Lingkungan, 8(3), 144–148.
Jameson, J. L. (2010). Harrison’s endocrinology. (No Title).
Kumar, A., Rana, A. K., Singh, A., & Singh, A. (2019). Effect of methanolic extract of Phyllanthus niruri on leptin level in animal model of diabetes Mellitus. Biomedical and Pharmacology Journal, 12(1), 57–63.
Lebovitz, H. E. (2019). Thiazolidinediones: the forgotten diabetes medications. Current Diabetes Reports, 19(12), 151.
Lestari, L., & Zulkarnain, Z. (2021). Diabetes Melitus: Review etiologi, patofisiologi, gejala, penyebab, cara pemeriksaan, cara pengobatan dan cara pencegahan. Prosiding Seminar Nasional Biologi, 7(1), 237–241.
Maharani, A. D. K., Santoso, P., & Udayani, N. N. W. (2023). Efek Ekstrak Etanol Buah Dewandaru (Eugenia uniflora L) terhadap Penurunan Kadar Glukosa Darah dan Perbaikan Sel Beta Pankreas pada Mencit yang Diinduksi Aloksan. Usadha, 2(2), 39–44.
Malihah, D., & Emelia, R. (2022). Pola Pengobatan Antidiabetes Terhadap Pasien Diabetes Melitus Tipe II Rawat Jalan di RSAU dr. M. Salamun. J. Delima Harapan, 9(1), 83–95.
Margaretha, M. (2016). Efek Induksi Diabetes Mellitus Tipe-1 Pada Histopatologi Pancreas Tikus Putih (Rattus Norvegicus). VITEK: Bidang Kedokteran Hewan, 6.
Maulida, P. K., & Indradi, B. (2019). AKTIVITAS FARMAKOLOGIS ZINGIBER OFFICINALE ROSC., CURCUMA LONGA L., DAN CURCUMA XANTHORRHIZA ROXB. Farmaka.
Nurcahyani, D. (2022). Pengaruh Pemberian Kapsul Ekstrak Temulawak (Curcuma xanthorrhiza Roxb.) terhadap Kadar Glukosa Darah pada Mencit. Journal Pharmasci (Journal of Pharmacy and Science), 7(2).
Risnawati, R., Muharram, M., & Jusniar, J. (2021). Isolasi dan Identifikasi Senyawa Metabolit Sekunder Ekstrak n-heksana Tumbuhan Meniran (Phyllanthus niruri Linn.). Jurnal Chemica, 12(1), 65–73.
Saladin, K. S., Gan, C. A., & Cushman, H. N. (2010). Anatomy & physiology: the unity of form and function (Vol. 5). McGraw-Hill New York.
Sari, H., Kaban, V. E., Situmorang, F. R., & Fahdi, F. (2019). UJI EFEKTIVITAS ANTIDIABETES KOMBINASI EKSTRAK DAUN MENIRAN (Phyllanthus niruri L.) Dan KELOPAK BUNGA ROSELLA (Hibiscus sabdariffa L.) PADA TIKUS JANTAN PUTIH. Jurnal Penelitian Farmasi & Herbal, 2(1), 24–28.
Sari, N. N. (2018). Hubungan Obesitas Sentral dan Non Obesitas Sentral dengan Kejadian Diabetes Mellitus Tipe II. Indonesian Journal of Nursing Sciences and Practice, 1(2), 34–40.
Soniya, F., & Fauziah, M. (2020). Efektivitas ekstrak ikan gabus sebagai antihiperglikemik. Jurnal Penelitian Perawat Profesional, 2(1), 65–70.
Walean, M., Melpin, R., Rondonuwu, M., & Pinontoan, K. F. (2020). Perbaikan Histopatologi Pankreas Tikus Hiperglikemia setelah Pemberian Ekstrak Etanol Kulit Batang Pakoba (Syzygium luzonense (Merr.) Merr.). Majalah Ilmiah Biologi Biosfera: A Scientific Journal, 37(1), 43–48.
Wulandari, N. L. W. E., Udayani, N. N. W., Dewi, N. L. K. A. A., Triansyah, G. A. P., Dewi, N. P. E. M. K., Widiasriani, I. A. P., & Prabandari, A. A. S. S. (2024). Artikel Review: Pengaruh Pemberian Induksi Aloksan Terhadap Gula Darah Tikus. Indonesian Journal of Pharmaceutical Education, 4(2).
Yulizal, O. K., Lelo, A., Ilyas, S., & Kusumawati, R. L. (2020). The effect of Channa striata extract and standard eradication regimen on asymmetric dimethylarginine in Helicobacter pylori gastritis rat model. Veterinary World, 13(8), 1605.
Yulizal, O. K., Singh, R., Salim, H., & Million, H. (2021). Effect of Snakehead Fish Extract (Channa Striata) and Metformin on Glycemic Control of Rats with Diabetes Mellitus Model. Jurnal Ilmiah Kesehatan Sandi Husada, 10(2), 462–468.
Harsa, I. M. S. (2014). Efek Pemberian Diet Tinggi Lemak Terhadap Profil Lemak Darah Tikus Putih (Rattus Norvegicus). Jurnal “Ilmiah Kedokteran", 3(1), 21–28. https://doi.org/10.30742/jikw.v3i1.36
Rahmat, E., Lee, J., & Kang, Y. (2021). Javanese Turmeric (Curcuma xanthorrhiza Roxb.): Ethnobotany, Phytochemistry, Biotechnology, and Pharmacological Activities. In Evidence-based Complementary and Alternative Medicine (Vol. 2021). Hindawi Limited. https://doi.org/10.1155/2021/9960813
Solikhah, T. I. (2024, July 11). Pengaruh Ekstrak Daun Sawo Manila pada Gambaran Histopatologi Pankreas Mencit. Unair News. https://unair.ac.id/pengaruh-ekstrak-daun-sawo-manila-pada-gambaran-histopatologi-pankreas-mencit/
Published
Issue
Section
License
Copyright (c) 2024 Wa Amalia Zahiah, OK Yulizal, Erwin Sopacua
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.