Modulation effects of Etlingera elatior ethanol extract as anti-inflammatory on chronic kidney disease in mice with hypertension and diabetes

Main Article Content

Teky Widyarini
Dono Indarto
Soetrisno
Bambang Purwanto

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

Abstract 418 | PDF Downloads 455 XML Downloads 70 HTML Downloads 85

References

1. Indonesian Renal Registry. 8th Report of Indonesian Renal Registry. Tim Indonesian Renal Registry. 2015; p 45. https://www.indonesianrenal-registry.org/data/INDONESIAN%20RENAL%20REGISTRY%202015.pdf
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