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Abstract
Diabetes mellitus (DM) is a chronic metabolic disease with increasing global prevalence including in Indonesia. A key factor in the pathogenesis of DM is damage to pancreatic β cells which are essential for insulin production. This study aims to determine the effect of ethanol extract of Tithonia diversifolia leaves on blood glucose levels and pancreatic β cells in DM model rats. Tithonia diversifolia contains flavonoids and polyphenols which possess antioxidant properties. These compounds may reduce the production of reactive oxygen species (ROS) and offer cell protection The study used a laboratory-based experimental post-test only control group design. Four groups were used: a negative control group (K); three treatment groups (P1, P2, and P3) receiving T. diversifolia ethanol extract at doses of 50, 150, and 500 mg/kg body weight/day. Each group consisted of 9 males diabetic Wistar rats induced by streptozotocin. The results showed that the administration of T. diversifolia ethanol extract at a dose of 150 mg/kgBW/day resulted in a significantly higher average pancreatic β-cell count compared to the control group and the 50 and 500 mg/kg body weight (BW)/day treatment groups.
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References
- Ajao, A.A., & Moteetee, A., N. (2017). Tithonia diversifolia (Hemsl) A. Gray. (Asteraceae: Heliantheae), an invasive plant of significant ethnopharmacological importance: A review. South African Journal of Botany, 113, 396-403.
- Barboza, B. R., da Silva Barros, B., & de Melo, C. (2018). Phytochemical bioprospecting, antioxidant, antimicrobial and cytotoxicity activities of saline extract from Tithonia diversifolia (Hemsl) A. Gray leaves. Asian Pacific Journal of Tropical Biomedicine, 8(5), 245–253.
- Badan Penelitian dan Pengembangan Kesehatan. (2013). Riset Kesehatan Dasar 2013. Kementerian Kesehatan Republik Indonesia.
- Burlaka, I. A., et al. (2021). Antioxidant protection of pancreatic β-cells in diabetic rats treated with quercetin. Regulatory Mechanisms in Biosystems
- Charan, J., & Biswas, T. (2013). How to Calculate Sample Size for Different Study Designs in Medical Research? Indian Journal of Psychological Medicine, 35(2), 121–126.
- Chaudhury, A., Khunti, K., & Davies, M. J. (2017). Antidiabetic drugs – Mini review. Frontiers in Endocrinology, 8(6).
- Eddouks, M., Bidi, A., Bouhali, B.E., Hajji, L., Zeggwagh, N.A. (2014). Antidiabetic plants improving insulin sensitivity. Journal of Pharmacy and Pharmacology, 66, 1297-1214.
- Fitriyanto, R.E., Sugiarto, Ardiyanto, T.A., (2020). Effects of methanol extracts of insulin leaves (Tithonia diversifolia (hemsl.) A. Gray) on insulin resistance and secretion of alloxan induced obese diabetic rats. Jurnal Kedokteran dan Kesehatan Indonesia, 11, (2), 180-190.
- García-Aguilar, A., & Guillén, C. (2022). Targeting pancreatic beta cell death in type 2 diabetes by polyphenols. Front Endocrinol (Lausanne),13,1052317.
- Iwasaki, M., et al. (2016). Role of reactive oxygen species and nitric oxide in streptozotocin-induced β-cell death. Oxidative Medicine and Cellular Longevity.
- Juang, C.L., Yang, F.S., Hsieh, M.S., Tseng, H.Y., Chen, S.C., Wen, H.C. (2014) Investigation of Anti-Oxidative Stress in Vitro and Water Apparent Diffusion Coefficient in MRI on Rat After Spinal Cord Injury in Vivo with Tithonia Diversifolia Ethanolic Extracts (TDE) Treatment. BMC Complement Alternative Medicine,14(1),447.
- Lin, H.R. (2012). Sesquiterpene Lactones from Tithonia diversifolia Act as Peroxisome Proliferator-activated Receptor Agonists (abstract). Bioorganic & Medical Chemistry Letters, 22(8), 2954-2958.
- Murti, B. (2024). Desain dan Ukuran Sampel Untuk Penelitian Kuantitatif dan Kualitatif di Bidang Kesehatan, pp. 136-137. Gadjah Mada University Press.
- Oliveira A.E., de Dalboni C.E., Chagas-Paula T.M., Rocha D.A., Oliveira B.A., de Gasparoto R.B., da Costa F.B., Campanelli A.P. (2015). Anti-inflammatory sesquiterpene lactones from Tithonia diversifolia trigger different effects on human neutrophils. Revista Brasileira de Farmacognosia, 25(2), 111-118.
- Rahman, N. F., Nursamsiar, N., Megawati, M., Handayani, H., & Suares, C. A. M. (2021). Total Phenolic and Flavonoid Contents and Antioxidant Activity of Kembang Bulan Leaves (Tithonia diversifolia (Hemsley) A. Gray). Indonesian Journal of Pharmaceutical Science and Technology, 1(1), 57–65.
- Sarah, D Corathers., Shawn Peavie, Marzieh Salehi. (2013). Complications of Diabetes Therapy. Endocrinol Metab Clin North Am, 42(4), 947–970.
- Scott, C. R., et al., (2015). Histochemical Insights into Pancreatic Islet Biology. The Journal of Histochemistry and Cytochemistry, 63(8), 541–542.
- Setiati S, (Ed.). (2017). Buku ajar Ilmu Penyakit Dalam. Pusat Penerbitan Departemen Ilmu Penyakit Dalam FKUI.
- Sintowati, R., Nurhayati, S., Daselva, S., & Prasetyo, R. (2021). Efek Antidiabetik Ekstrak Daun, Bunga dan Akar Kembang Bulan (Tithonia diversifolia) pada Tikus Wistar (Rattus norvegicus) yang diinduksi Aloksan. Jurnal Kesehatan, 14(1).
- Solfaine, R., Hamid, I.S., Muniroh, L. (2022). Study of Tithonia diversifolia Extract in Histomorphology of Pancreas and Interleukin-1beta expression on Aloxan Induced Wistar Rats. Jurnal Sain Veteriner, 40,(1), 44-51.
- Solis-Herrera, C., Triplitt, C., Cersosimo, E., & DeFronzo, R. A. (2021). Pathogenesis of Type 2 Diabetes Mellitus. Endotext. Diakses dari http://www.endotext.org/ (diakses 01/07/25)
- Suarsana, I. N., Priosoeryanto, B. P., Bintang, M., & Wresdiyati, T. (2010). Profil glukosa darah dan ultrastruktur sel beta pankreas tikus yang diinduksi senyawa aloksan. Jurnal Ilmu dan Teknologi Peternakan Indonesia (JITV).
- Suyono, S. (2013). Patofisiologi Diabetes Melitus, hlm. 11-18. dalam: Sidartawan Soegondo, Pradana Soewondo, Imam Subekti (edt.). Penatalaksanaan Diabetes Melitus Terpadu. Badan Penerbit FK UI.
- Wahyuningsih, S.M., Syarif, R.A., Suharmi, S., Murini, T., Saputra, F., Suryo, A. (2013). Selektivitas Ekstrak Terpurifikasi Daun Tithonia Diversifolia (Hemsley) A. Gray) Terhadap Sel Hela. Tradistional Medicine Journal,18(1), 22-28.
- Wu, K. K., & Huan, Y. (2018). Streptozotocin-Induced Diabetic Models in Mice and Rats. Current Protocols in Pharmacology.
References
Ajao, A.A., & Moteetee, A., N. (2017). Tithonia diversifolia (Hemsl) A. Gray. (Asteraceae: Heliantheae), an invasive plant of significant ethnopharmacological importance: A review. South African Journal of Botany, 113, 396-403.
Barboza, B. R., da Silva Barros, B., & de Melo, C. (2018). Phytochemical bioprospecting, antioxidant, antimicrobial and cytotoxicity activities of saline extract from Tithonia diversifolia (Hemsl) A. Gray leaves. Asian Pacific Journal of Tropical Biomedicine, 8(5), 245–253.
Badan Penelitian dan Pengembangan Kesehatan. (2013). Riset Kesehatan Dasar 2013. Kementerian Kesehatan Republik Indonesia.
Burlaka, I. A., et al. (2021). Antioxidant protection of pancreatic β-cells in diabetic rats treated with quercetin. Regulatory Mechanisms in Biosystems
Charan, J., & Biswas, T. (2013). How to Calculate Sample Size for Different Study Designs in Medical Research? Indian Journal of Psychological Medicine, 35(2), 121–126.
Chaudhury, A., Khunti, K., & Davies, M. J. (2017). Antidiabetic drugs – Mini review. Frontiers in Endocrinology, 8(6).
Eddouks, M., Bidi, A., Bouhali, B.E., Hajji, L., Zeggwagh, N.A. (2014). Antidiabetic plants improving insulin sensitivity. Journal of Pharmacy and Pharmacology, 66, 1297-1214.
Fitriyanto, R.E., Sugiarto, Ardiyanto, T.A., (2020). Effects of methanol extracts of insulin leaves (Tithonia diversifolia (hemsl.) A. Gray) on insulin resistance and secretion of alloxan induced obese diabetic rats. Jurnal Kedokteran dan Kesehatan Indonesia, 11, (2), 180-190.
García-Aguilar, A., & Guillén, C. (2022). Targeting pancreatic beta cell death in type 2 diabetes by polyphenols. Front Endocrinol (Lausanne),13,1052317.
Iwasaki, M., et al. (2016). Role of reactive oxygen species and nitric oxide in streptozotocin-induced β-cell death. Oxidative Medicine and Cellular Longevity.
Juang, C.L., Yang, F.S., Hsieh, M.S., Tseng, H.Y., Chen, S.C., Wen, H.C. (2014) Investigation of Anti-Oxidative Stress in Vitro and Water Apparent Diffusion Coefficient in MRI on Rat After Spinal Cord Injury in Vivo with Tithonia Diversifolia Ethanolic Extracts (TDE) Treatment. BMC Complement Alternative Medicine,14(1),447.
Lin, H.R. (2012). Sesquiterpene Lactones from Tithonia diversifolia Act as Peroxisome Proliferator-activated Receptor Agonists (abstract). Bioorganic & Medical Chemistry Letters, 22(8), 2954-2958.
Murti, B. (2024). Desain dan Ukuran Sampel Untuk Penelitian Kuantitatif dan Kualitatif di Bidang Kesehatan, pp. 136-137. Gadjah Mada University Press.
Oliveira A.E., de Dalboni C.E., Chagas-Paula T.M., Rocha D.A., Oliveira B.A., de Gasparoto R.B., da Costa F.B., Campanelli A.P. (2015). Anti-inflammatory sesquiterpene lactones from Tithonia diversifolia trigger different effects on human neutrophils. Revista Brasileira de Farmacognosia, 25(2), 111-118.
Rahman, N. F., Nursamsiar, N., Megawati, M., Handayani, H., & Suares, C. A. M. (2021). Total Phenolic and Flavonoid Contents and Antioxidant Activity of Kembang Bulan Leaves (Tithonia diversifolia (Hemsley) A. Gray). Indonesian Journal of Pharmaceutical Science and Technology, 1(1), 57–65.
Sarah, D Corathers., Shawn Peavie, Marzieh Salehi. (2013). Complications of Diabetes Therapy. Endocrinol Metab Clin North Am, 42(4), 947–970.
Scott, C. R., et al., (2015). Histochemical Insights into Pancreatic Islet Biology. The Journal of Histochemistry and Cytochemistry, 63(8), 541–542.
Setiati S, (Ed.). (2017). Buku ajar Ilmu Penyakit Dalam. Pusat Penerbitan Departemen Ilmu Penyakit Dalam FKUI.
Sintowati, R., Nurhayati, S., Daselva, S., & Prasetyo, R. (2021). Efek Antidiabetik Ekstrak Daun, Bunga dan Akar Kembang Bulan (Tithonia diversifolia) pada Tikus Wistar (Rattus norvegicus) yang diinduksi Aloksan. Jurnal Kesehatan, 14(1).
Solfaine, R., Hamid, I.S., Muniroh, L. (2022). Study of Tithonia diversifolia Extract in Histomorphology of Pancreas and Interleukin-1beta expression on Aloxan Induced Wistar Rats. Jurnal Sain Veteriner, 40,(1), 44-51.
Solis-Herrera, C., Triplitt, C., Cersosimo, E., & DeFronzo, R. A. (2021). Pathogenesis of Type 2 Diabetes Mellitus. Endotext. Diakses dari http://www.endotext.org/ (diakses 01/07/25)
Suarsana, I. N., Priosoeryanto, B. P., Bintang, M., & Wresdiyati, T. (2010). Profil glukosa darah dan ultrastruktur sel beta pankreas tikus yang diinduksi senyawa aloksan. Jurnal Ilmu dan Teknologi Peternakan Indonesia (JITV).
Suyono, S. (2013). Patofisiologi Diabetes Melitus, hlm. 11-18. dalam: Sidartawan Soegondo, Pradana Soewondo, Imam Subekti (edt.). Penatalaksanaan Diabetes Melitus Terpadu. Badan Penerbit FK UI.
Wahyuningsih, S.M., Syarif, R.A., Suharmi, S., Murini, T., Saputra, F., Suryo, A. (2013). Selektivitas Ekstrak Terpurifikasi Daun Tithonia Diversifolia (Hemsley) A. Gray) Terhadap Sel Hela. Tradistional Medicine Journal,18(1), 22-28.
Wu, K. K., & Huan, Y. (2018). Streptozotocin-Induced Diabetic Models in Mice and Rats. Current Protocols in Pharmacology.