The effect of Temulawak extract ( Curcuma xanthorrhiza roxb .) On serum albumin in Wistar Rats induced by Paracetamol

Rizqy Alyaa Putri Irawan, Muflihah Rizkawati

Abstract


Introduction: Paracetamol is a drug that is often used as an analgesic and antipyretic. However, the incidence of poisoning due to Paracetamol is still relatively high. Liver damage due to a lethal dose of Paracetamol causes an increase in liver serum enzymes and a decrease in albumin levels. Various plants have been extensively researched to act as hepatoprotectors. Temulawak (Curcuma xanthorrhiza) contains secondary metabolites, including xanthorrhizol and curcumin, which function as hepatoprotection by capturing free radicals, lipid peroxidase, and reducing hepatocyte apoptosis.

Objective: This study aims to determine the effect of ginger extract on serum albumin levels induced by Paracetamol in Wistar rats.

Methods: This research is an experimental study (pretest-posttest with control group). A total of 25 rats were divided into five groups: Group I (K1) was only given distilled water; Group II (K2) was given Paracetamol 2000 mg/kg BW; Group III (P1) given 800 mg/kgBW ginger extract on days 8-14 and Paracetamol 2000 mg/kgBW on day 19-21 for three days; Group IV (P2) given ginger extract 1600 mg/kgBW on day 8-14 and Paracetamol 2000 mg/kgBW on day 19-21 for three days; and group V (P3) given ginger extract 3200 mg/kgBW on day 8-14 and Paracetamol 2000 mg/kgBW on days 19-21 for three days. Serum albumin levels were measured before and after treatment.

Results: Temulawak extract at 1600 and 3200 mg/kgBW had a better hepatoprotective effect than 800 mg/kgBW. Statistically, the difference is significant with a p=0.000 (p<0.05).

Conclusion: Ginger extract has a significant effect on changes in serum albumin levels in Wistar rats induced by toxic doses of Paracetamol.


Keywords


Curcuma xanthorrhiza roxb; Paracetamol; Albumin Serum; Temulawak

References


Carvalho, J. R., & Machado, M. V. (2018). New insights about albumin and liver disease. Annals of Hepatology, 17(4), 547–560. https://doi.org/10.5604/01.3001.0012.0916

Chamchoy, K., Sudsumrit, S., Thita, T., Krudsood, S., Patrapuvich, R., & Boonyuen, U. (2022). Cytochrome P450 2D6 (CYP2D6) and glucose-6-phosphate dehydrogenase (G6PD) genetic variations in Thai vivax malaria patients: Implications for 8-aminoquinoline radical cure. PLoS Neglected Tropical Diseases, 16(12), 1–20. https://doi.org/10.1371/journal.pntd.0010986

Febriani, S., Setyaningrum, N., & Hadi, N. S. (2020). Profil Keracunan Di Fasilitas Kesehatan Tersier Kota Yogyakarta Periode 2016 – 2017. Kartika: Jurnal Ilmiah Farmasi, 7(2), 58–65. https://doi.org/10.26874/kjif.v7i2.189

Hadinata, M. (2016). UJI EFEK HEPATOREPAIR EKSTRAK TEMULAWAK (Curcuma xanthorrhiza Roxb) PADA TIKUS PUTIH JANTAN GALUR WISTAR YANG DIINDUKSI PARACETAMOL.

Handayani, K., Suryani, D., & Lubis Liza, M. H. (2021). Perbandingan Efektivitas Nefroprotektor Ekstrak Jintan Hitam (Nigella sativa) dan Ekstrak Temulawak (Curcuma xanthorrhiza). Jurnal Ilmiah Maksitek, 6(2), 120–127. https://makarioz.sciencemakarioz.org/index.php/JIM/article/download/257/248

Hidayati, H., & Kustriyani, A. (2020). Paracetamol, Migraine, and Medication Overuse Headache (Moh). JPHV (Journal of Pain, Vertigo and Headache), 1(2), 42–47. https://doi.org/10.21776/ub.jphv.2020.001.02.5

Jantan, I., Saputri, F. C., Qaisar, M. N., & Buang, F. (2012). Correlation between chemical composition of curcuma domestica and curcuma xanthorrhiza and their antioxidant effect on human low-density lipoprotein oxidation. Evidence-Based Complementary and Alternative Medicine, 2012(Ldl). https://doi.org/10.1155/2012/438356

Khasanah, Y., Ratnayani, Ariani, D., Angwar, M., & Nuraeni, T. (2015). In Vivo Study on Albumin and Total Protein in White Rat (Rattus Norvegicus) after Feeding of Enteral Formula from Tempe and Local Food. Procedia Food Science, 3, 274–279. https://doi.org/10.1016/j.profoo.2015.01.030

Kim, M. B., Kim, C., Song, Y., & Hwang, J. K. (2014). Antihyperglycemic and anti-inflammatory effects of standardized Curcuma xanthorrhiza Roxb. Extract and its active compound xanthorrhizol in high-fat diet-induced obese mice. Evidence-Based Complementary and Alternative Medicine, 2014. https://doi.org/10.1155/2014/205915

Levitt, D. G., & Levitt, M. D. (2016). Human serum albumin homeostasis: A new look at the roles of synthesis, catabolism, renal and gastrointestinal excretion, and the clinical value of serum albumin measurements. International Journal of General Medicine, 9, 229–255. https://doi.org/10.2147/IJGM.S102819

Li, G., Chen, J. B., Wang, C., Xu, Z., Nie, H., Qin, X. Y., Chen, X. M., & Gong, Q. (2013). Curcumin protects against acetaminophen-induced apoptosis in hepatic injury. World Journal of Gastroenterology, 19(42), 7440–7446. https://doi.org/10.3748/wjg.v19.i42.7440

Li, R., Wang, Y., Liu, Y., Chen, Q., Fu, W., Wang, H., Cai, H., Peng, W., & Zhang, X. (2013). Curcumin Inhibits Transforming Growth Factor-β1-Induced EMT via PPARγ Pathway, Not Smad Pathway in Renal Tubular Epithelial Cells. PLoS ONE, 8(3), 3–10. https://doi.org/10.1371/journal.pone.0058848

Masfufatun, M., Sari, M., & Jamilah, A. (2021). The Antioxidant and Hepatoprotective Potential of Temulawak (Curcuma xanthorrhiza Roxb) Ethanol Extract in Paracetamol-induced Rats. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.3795716

Oon, S. F., Nallappan, M., Tee, T. T., Shohaimi, S., Kassim, N. K., Sa’ariwijaya, M. S. F., & Cheah, Y. H. (2015). Xanthorrhizol: A review of its pharmacological activities and anticancer properties. Cancer Cell International, 15(1), 1–15. https://doi.org/10.1186/s12935-015-0255-4

Pramono, S., Arifah, F. H., Pribadi, F. H., & Nugroho, A. E. (2018). Hepatoprotective activity of Curcuma xanthorrhiza Roxb. On paracetamol-induced liver damage in rats and correlation with their chemical compounds. Thai Journal of Pharmaceutical Sciences, 42(4), 188–195. https://doi.org/10.56808/3027-7922.2366

Przybyła, G. W., Szychowski, K. A., & Gmiński, J. (2021). Paracetamol – An old drug with new mechanisms of action. Clinical and Experimental Pharmacology and Physiology, 48(1), 3–19. https://doi.org/10.1111/1440-1681.13392

Rahmat, E., Lee, J., & Kang, Y. (2021). Javanese Turmeric (Curcuma xanthorrhiza Roxb.): Ethnobotany, Phytochemistry, Biotechnology, and Pharmacological Activities. Evidence-Based Complementary and Alternative Medicine, 2021. https://doi.org/10.1155/2021/9960813

Rohman, A., Widodo, H., Lukitaningsih, E., Windarsih, A., Rafi, M., & Nurrulhidayah, A. F. (2020). Review on in vitro antioxidant activities of curcuma species commonly used as herbal components in Indonesia. Food Research, 4(2), 286–293. https://doi.org/10.26656/fr.2017.4(2).163

Saide, K., Sherwood, V., & Wheeler, G. N. (2019). Paracetamol-induced liver injury modelled in Xenopus laevis embryos. Toxicology Letters, 302(July 2018), 83–91. https://doi.org/10.1016/j.toxlet.2018.09.016

Sedky, R., Taha, N., Mandour, A., Lebda, M., & Hashem, A. (2019). Potential Protective Effect of Curcumin on Paracetamol Model of Liver Injury in Rats. Alexandria Journal of Veterinary Sciences, 63(1), 77. https://doi.org/10.5455/ajvs.63350

Sharma, C. V., & Mehta, V. (2014). Paracetamol: Mechanisms and updates. Continuing Education in Anaesthesia, Critical Care and Pain, 14(4), 153–158. https://doi.org/10.1093/bjaceaccp/mkt049

Win, Than, Zhang, Oo, R. (2018). New insights into the role and mechanism of c-Jun-N-terminal kinase signaling in the pathobiology of liver diseases. Hepatology, 67(5), 2013–2024.

Xie,Mc Gill, Du, D. (2015). Mitochondrial protein adducts formation and mitochondrial dysfunction during N-acetyl-m-aminophenol (AMAP)-induced hepatotoxicity in primary human hepatocytes Yuchao. Toxicol Appl Pharmacol, 289(2), 213–222.


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DOI: 10.24815/jks.v24i3.36849

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