Académique Documents
Professionnel Documents
Culture Documents
FACULTY OF MEDICINE
MARANATHA CHRISTIAN UNIVERSITY
BANDUNG
2009
1
BACKGROUND
Paracetamol Analgesic, Antipiretic, and
Antiinflammation
Side effect hepatotoxicity
Long term usage of paracetamol may
cause liver damage
BACKGROUND cont
Paracetamol
Cytochrom P450
(Van de straat et al.,
1987)
Biotransformation
Lipid Peroxidation
reaction
(Manson, 1992)
Free radicals
N-acetyl-pbenzoquinone
imine (NAPQI)
LIVER DAMAGE
Th2 cells
IL-4 IL-5 IL-6 IL-10 IL-13
BACKGROUND cont
Cordyceps sinensis is one of a traditional
herbal medicine, which has been widely used
by the ancient chinese
Cordyceps sinensis (917,92 mg/kg BW)
could decrease serum AST & ALT level in
paracetamol-induced mice (Emily, 2008)
Cordyceps sinensis used as alternative therapy
for many kind of diseases (Manson, 1992)
4
PROBLEMS
Does Cordyceps sinensis decrease
serum IL-2 level in paracetamol-induced
mice
OBJECTIVE
Examine the effect of Cordyceps
sinensis against serum IL-2 level in
paracetamol-induced mice
RESEARCH BENEFICIALS
Academic beneficial: to expand the
knowledge about herbal medicine,
particularly Cordyceps sinensis
Practical beneficial: to explore
scientific application for Cordyceps
sinensis as hepatoprotector
FRAME OF WORKS
Paracetamol
Liver Damage
HYPOTHESIS
Cordyceps sinensis decrease serum IL-2
level in paracetamol-induced mice
EXPERIMENTAL DESIGN
Comparative prospective laboratory
experiment with complete randomized design
Measurement of serum IL-2 level ELISA
method
Data One-Way ANOVA & Tukey HSD
10
11
MACROSCOPIC OF LIVER
12
MICROSCOPIC OF LIVER
Sinusoid
Spatium
Disse
Central
vein
Liver cells
Kupffer cell
Billiaris canaliculi
Terminal
limfatic
Limfatic vein
Portal vein
Hepatic artery
Billiaris Duct
13
LIVER FUNCTION
1. Metabolic function
2. Haematologic function
3. Bile secretion
14
LIVER PATHOLOGY
1.
2.
3.
4.
5.
6.
15
PARACETAMOL (Acethaminophen)
16
INTERLEUKIN 2 (IL-2)
blastogenic factor, T cell growth factor,
lymphocyte proliferating factor
Function:
17
BIOLOGIC ACTIVITY
18
CATERPILLAR FUNGUS
(Cordyceps sinensis [Berk.] Sacc.)
Divisio
Subdivisio
Class
Ordo
Famili
Genus
Species
: Fungi
: Ascomycota
: Sordariomycetes
: Hypocreales
: Clavicipitaceae
: Cordyceps
: Cordyceps sinensis (Berk.) Sacc.
(Holiday and Cleaver, 2004)
19
ACTIVE COMPOUNDS
-
cordycepin (3deoxyadenosin)
cordycepic acid (d-mannitol)
23 dideoxyadenosine
complex polysaccharides
(Holiday and Cleaver, 2004)
20
Cordycepin (3deoxyadenosin)
# Function:
- Reduce mRNA procollagen I and II
- Inhibits deposit of collagen
- decrease TIMP-2 and TIMP-3
(Kenyon, 2005)
21
22
Treatments
:
Blood
Blood
sample
sample
n=6
d1
d5 d6
Group:
1. CMC 1% (0,4mL/day)
2. Paracetamol (400 mg/kg BW/day)
3. CMC 1% (0,4mL/day)
4. Paracetamol (400 mg/kg BW/day)
Group 1
Group 2
Group 3
Group 4
d12
Group:
1. CMC 1% (0,4mL/day)
2. CMC 1% (0,4mL/day)
3. CS (917,92 mg/kg BW/day)
4. CS (917,92 mg/kg BW/day)
Negative Control
Paracetamol
CS
Paracatamol + Cs
23
24
Serum IL-2
Level
Day 5 Day 12
Negative Control
1,296
Paracetamol
19,515
40,979
Cordyceps sinensis
0,986
3,819
Paracetamol +
Cordyceps sinensis
22,367
3,681
25
80
** P = 0,007
60
** P = 0,010
40
20
0
Control
Paracetamol
CS
Paracetamol +
CS
D-5
26
80
** P = 0,000
** P = 0,000
60
** P = 0,000
40
20
0
Kontrol
Parasetamol
CS
Parasetamol +
CS
D-12
27
DISCUSSION
In paracetamol-induced mice IL-2
level increased significantly
Cordyceps sinensis (917 mg/KgBW)
reduce significantly IL-2 Level in
Paracetamol-induced mice
28
DISCUSSION cont
Paracetamol
Inflammation
NK cells
CS
TNF-
IL-2
LIVER DAMAGE
29
Conclusion
Cordyceps sinensis has an ability to
decrease serum IL-2 level in
paracetamol-induced mice
30
THANK YOU
31