Effect of neem leaf therapy (Azadirachta indica) on TNF-α expression and hepatocyte apoptosis of balb/c mice infected with Plasmodium berghei anka

Nurfianti Indriana 1, *, Nadiya Salma Kustiawan 2, Alvi Milliana 3, Zainabur Rahmah 4, Riskiyana 5, Ach Nashichuddin 6, Usman Pagalay 6, Putri Wulan Akbar 7, Yossi Indra Kusuma 8 and Munawar Kholil 9

1 Department of Obstetrics and Gynecology, Faculty of Medicine, and Health Sciences, Universitas Islam Negeri Maulana Malik Ibrahim Malang, Indonesia.
2 Medicine Study Program, Faculty of Medicine and Health Sciences, Universitas Islam Negeri Maulana Malik Ibrahim Malang, Indonesia.
3 Department of Microbiology, Faculty of Medicine, and Health Sciences, Universitas Islam Negeri Maulana Malik Ibrahim Malang, Indonesia.
4 Department of Parasitology, Faculty of Medicine and Health Sciences, Universitas Islam Negeri Maulana Malik Ibrahim Malang, Indonesia.
5 Department of Neurology, Faculty of Medicine, and Health Sciences, Universitas Islam Negeri Maulana Malik Ibrahim Malang, Indonesia.
6 Faculty of Science and Technology, Universitas Islam Negeri Maulana Malik Ibrahim Malang, Indonesia.
7 Department of Bio Chemistry and Clinical Pathology, Faculty of Medicine and Health Sciences, Universitas Islam Negeri Maulana Malik Ibrahim Malang, Indonesia.
8 Department of Medical and Health Professions Education, Faculty of Medicine and Health Sciences, Universitas Islam Negeri Maulana Malik Ibrahim Malang, Indonesia.
9 Department of Agriculture Product Technology, Politeknik Negeri Ketapang, Ketapang, Indonesia.
 
Research Article
GSC Biological and Pharmaceutical Sciences, 2023, 25(02), 283–292
Article DOI: 10.30574/gscbps.2023.25.2.0481
Publication history: 
Received on 03 October 2023; revised on 14 November 2023; accepted on 16 November 2023
 
Abstract: 
Introduction: Malaria infection induces the release of pro-inflammatory cytokines. High concentrations of TNF-α are a bad sign of malaria. Additionally, TNF-α can induce apoptosis. Currently, there is resistance to malaria drugs so it is necessary to look for other alternative therapies. This study aims to determine the effect of Azadirachta indica on the expression of TNF-α and apoptosis of mice infected with Plasmodium berghei.
Methods: thirty BALB/C mice aged 13-16 weeks were inoculated with Plasmodium berghei. The treatment used was 96% ethanol extract of Azadirachta indica leaves at a dose of 4 mg, 8 mg, and 12 mg orally for six days. As a comparison of treatments, there is a negative control and a positive control. Liver tissue was isolated on the seventh day, and TNF-α expression and apoptosis were examined using immunohistochemistry. The hypothesis was tested using one-way ANOVA with the Least Significant Difference (LSD) and Pearson's correlation test.
Results: The ANOVA test showed that there were differences in TNF-α expression and apoptosis in each treatment (P=0.000). The results of the LSD test on TNF-α expression and apoptosis showed significant differences in the five groups. The results of the Pearson correlation test showed that there was a relationship between the expression of TNF-α and the expression of apoptosis (P = +0,893) in the hepatocyte cells of BALB/C mice.
Conclusion: Azadirachta indica leaf extract can reduce TNF-α expression and hepatocyte cell apoptosis in mice infected compared to the negative control group without therapy
 
Keywords: 
Malaria; TNF-α; Apoptosis; Azadirachta indica
 
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