PENGARUH PEMBERIAN KETAMIN TERHADAP JUMLAH SEL MAKROFAG PADA GINJAL TIKUS PUTIH DARI GALUR WISTAR MODEL SEPSIS
DOI:
https://doi.org/10.22219/sm.Vol14.SMUMM2.7131Abstract
Latar Belakang. Paparan LPS yang akan menyebabkan terjadinya sepsis digambarkan dengan adanya pelepasan sitokin proinflamasi seperti TNF-α, IL-1β, IL-8 yang berhubungan dengan kerusakan endotel dan jaringan. Ketamin mensupresi produksi LPS-induced TNF- , IL-6 dan IL-8 dan rhTNF-induced IL-6 and IL-8 dalam darah manusia. Tujuan. Mengetahui pengaruh pemberian ketamin terhadap jumlah sel makrofag ginjal dan pengaruh perbedaan waktu dan cara pemberian pemberian ketamin terhadap sel makrofag tikus. Metode. Penelitian menggunakan metode experimental, dengan sampel hewan coba tikus putih rattus norvegicus dari galur wistar model sepsis menggunakan metode fecal induced peritonitis (FIP). Sampel dibagi menjadi enam kelompok perlakuan yaitu : kontrol negatif (-), kontrol positif (+), pemberian ketamin 5mg/kgbb pada jam ke-0 (A), ke-3 (B), ke-5 (C) dan pemberian berturut-turut pada jam ke 0,2,4 (D). Analisa data menggunakan anova dan post hoc test. Hasil. Analisis anova diperoleh nilai signifikansi sebesar 0,000 (p<0,05) yang menunjukkan ada perbedaan bermakna rerata antar tiap kelompok perlakuan. Hasil uji post hoc test didapat nilai signifikansi yang berbeda yang menunjukkan waktu pemberian ketamin berpengaruh positif terhadap jumlah makrofag ginjal tikus model sepsis. Kesimpulan. Waktu dan cara pemberian ketamin berpengaruh positif terhadap jumlah makrofag ginjal tikus serta terdapat perbedaan jumlah makrofag pada setiap kelompok perlakuan pemberian ketamin.
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References
Bonavia A, singbartl K, 2017. A review of the role of immune cells in acute kidney injury. Pediatric nephrology, 10(4), p.1-7
Bonventre JV. Pathophysiology of ischemic acute renal failure. In: Ronco C, Bellomo R, Brendolan A, eds. Sepsis, kidney, and multiple organ dysfunction. Contrib nephrol. Basel: Karger; 2004. p. 19-30
Danielle P K, Bull S, Duk P V, Gremmels J, Hellebrekers L. Ketamin inhibits LPS-induce Tumor Necrosis Faktor-alpha and Interleukin-6 in an Equine Macrophag Cell Line. Section Anesthesiologi and Intensive Care, Utrecht University; 2005: 257-62
Guntur AH. The Role Cytokine of the Pathogenesis of SIRS – Sepsis. Perspektif Masa Depan Imunologi Infeksi. International Journal on Immunorehabilitation 2003 ; 4 : 23-0.
Gurfinkel R., Czeiger D., Douvdevani A., Shapira Y., Artru A.A., Sufaro Y., et al., 2006. Ketamine improves survival in burn injury followed by sepsis in rats, Anesthesia & Analgesia, 103(2): pp. 396-402.
Han,Hwa.et al.2017. The role of macrophages during acute kidney injury: destruction and repair. https://doi.org/10.1007/s00467-017-3883-1.
Hirota K. dan Lambert D. 2011, 'Ketamine: new uses for an old drug?'. British Jrnl Anaesthesia.
Kirsten, P et al. 2003. Molecular basis of endothelial dysfunction in sepsis. Cardiovascular Research 60 (2003) 49–57.
Loix S., De Kock M. dan Henin P., 2011. The anti-inflammatory effects of ketamine: state of the art, Acta Anaesthesiol Belg, 62(1): pp. 47-58.
Tripathi P. dan Aggarwal A., 2006. NF-kB transcription factor: a key player in the generation of immune response, CURRENT SCIENCE-BANGALORE-, 90(4): p. 519.
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