THE EFFECT OF BANANA-BASED ANALOG RICE ON KIDNEY HISTOPATHOLOGY IN RATS FED A HIGH FAT AND FRUCTOSE DIET

Main Article Content

Nahiza Atmaningtyas
Sugiyanta Sugiyanta
Ayu Munawaroh Aziz
Hairrudin Hairrudin

Abstract

High Fat and Fructose Diet (HFFD) can cause hypercholesterolemia and kidney damage, which may be reduced by banana-based rice analogs due to low glycemic index, high fiber, pectin, and phenolic. The aim of this study is to assess the effect of banana-based analogue rice on kidney histopathological features in HFFD-fed rats (Rattus norvegicus). This study is a true experimental post-test only design on 24 male rats randomly devided into negative control (CN) and HFFD groups for 14 days. HFFD-fed rats group then received standart pellets (CP), white rice pellets (WR), and banana-based analog rice pelletes (BAR) for 21 days. Kidneys were examined microscopically (400x) for inflammatory cell infiltration, edema, and necrosis in the glomerulus and renal tubules. This study showed the average kidney damage scores from highest were: WR group (5.4), CP group (5.3), BAR group (3.2), and CN group (2.5). Then One-Way ANOVA and Post-Hoc Bonferroni test showed a significant difference between BAR group with CP and WR groups. Banana-based analog rice pellet improved kidney condition in rats, which kidney damage scores in the BAR group being 60 percent lower than CP and WR groups. Future studies should consider serial termination and necropsy to evaluate kidney demage progression.


Keywords: banana analog rice, dyslipidemia, HFFD, kidney histopathology


ABSTRAK


Diet tinggi lemak dan fruktosa (HFFD) dapat menyebabkan hiperkolesterolemia hingga kerusakan ginjal, yang dapat dihambat dengan beras analog berbasis pisang karena memiliki indeks glikemik rendah, tinggi serat, pektin dan fenolik. Penelitian ini bertujuan menilai efek beras analog berbasis pisang terhadap gambaran histopatologi ginjal pada tikus (Rattus norvegicus) dengan HFFD. Penelitian ini berdesain true experimental dengan post-test only pada 24 tikus jantan (Rattus norvegicus), yang secara acak dikelompokkan dalam kelompok kontrol negatif (CN) dan perlakuan HFFD selama 14 hari. Kelompok dengan HFFD selanjutnya dibagi dan menerima pelet standar (CP), pelet beras putih (WR), dan pelet beras analog berbasis pisang (BAR) selama 21 hari. Kemudian ginjal diamati menggunakan mikroskop (400x) untuk menilai infiltrasi sel inflamasi, edema, dan nekrosis pada glomerulus serta tubulus ginjal. Penelitian ini menunjukkan rerata kerusakan ginjal dari yang terberat adalah kelompok WR (5,4); kelompok CP (5,3), kelompok BAR (3,2); kelompok CN (2,5). Uji One-Way ANOVA dan Post-Hoc Bonferroni menunjukkan perbedaan signifikan antara kelompok BAR dengan kelompok CP dan WR. Pemberian pelet beras analog berbasis pisang memberikan perbaikan pada ginjal tikus dengan nilai kerusakan ginjal kelompok BAR lebih rendah 60 persen dibandingkan dengan kelompok CP dan WR. Penelitian selanjutnya disarankan melakukan terminasi dan nekropsi secara serial guna mengevaluasi progresivitas keruskaan ginjal.


Kata kunci: beras analog pisang, dislipidemia, HFFD, histopatologi ginjal

Downloads

Download data is not yet available.

Article Details

Section
Articles
Author Biography

Nahiza Atmaningtyas, Pendidikan Dokter, Fakultas Kedokteran, Universitas Jember, Jember, Jawa Timur, 68121

Medical Student of Medical Faculty, Jember University

References

Singgih I, Yustisia I, Santoso A, Aminuddin A, Kurniawan LB, Kasim H. Efek Pemberian High Fat and Fructose Diet (HFFD) dan Carbon tetrachloride (CCL4) Terhadap Kadar Cystatin Serum. Indonesian Journal of Human Nutrion. 2021;8(2):120–8. doi:10.21776/ub.ijhn.2021.008.02.3

Mustakim, Munir, Irmayani. Warna dan Indeks Kuning Telur Puyuh (Coturnix japonica) yang diberi Tepung Daun Singkong (Manihot asculenta) dengan Level yang Berbeda. Jurnal Gallus-Gallus. 2023;1(3):2985–640. doi:10.51978/gallusgallus.v1i3.362

Nurfianti A, Tribudi YA. Kadar Malondialdehid (MDA) dan Kolesterol pada Telur Puyuh yang diberi Pakan Tambahan Tepung Pegagan (Centella asiatika). Jurnal Teknologi Pertanian. 2016;17(3):187–94. doi:10.21776/ub.jtp.2016.017.03.4

Puglisi MJ, Fernandez ML. The Health Benefits of Egg Protein. Nutrients. 2022;14(14). doi:10.3390/nu14142904

Zhao B, Gan L, Graubard BI, Männistö S, Albanes D, Huang J. Associations of Dietary Cholesterol, Serum Cholesterol, and Egg Consumption With Overall and Cause-Specific Mortality: Systematic Review and Updated Meta-Analysis. Am Hear Assoc. 2022;145(20):1506–20. doi:10.1161/circulationaha.121.057642

Susanti N, Rahmawati E, Kristanti RA. Efek Diet Tinggi Fruktosa terhadap Profil Lipid Tikus Rattus Rattus norvegicus Strain Wistar. J Islam Med. 2019;3(2):26–35. doi:10.18860/jim.v3i2.8724

Liwanto G, Santoso AH. Hubungan Asupan Gula Dalam Minuman Bersoda Dengan Obesitas Pada Mahasiswa Fakultas Kedokteran Universitas Tarumanagara. J Muara Med dan Psikol Klin. 2021;1(1):1. doi:10.24912/jmmpk.v1i1.12050

Permenkes. Permenkes No. 30 Th 2013. 2013.

Cahyani AAAE, Santosa B, Mukaromah AH. Pengaruh Pemberian Variasi Konsentrasi Biotin Terhadap Kadar Kolesterol Total Resiko Dislipidemia. Bali Med J. 2022;9(1):1–10. doi:10.36376/bmj.v9i1

Elhaq IH, Ramdhan DH. Analisis Faktor Risiko Dislipidemia Karyawan Kantor PT. X di Jakarta Tahun 2022. J Keselam Kesehat Kerja dan Lingkung. 2024;5(1):76–82. doi:10.25077/jk3l.5.1.76-82.2024

Mohamed-Yassin MS, Baharudin N, Abdul-Razak S, Ramli AS, Lai NM. Global prevalence of dyslipidaemia in adult populations: A systematic review protocol. BMJ Open. 2021;11(12):9–12. doi:10.1136/bmjopen-2021-049662

Nasution AA, Siregar PP, Nasution YA. Laporan Kunjungan Rumah Kasus Dislipidemia : pengalaman mahasiswa kedokteran stase Kesehatan Komunitas. J Implementasi Husada. 2022;2(3):266–72. doi:10.30596/jih.v2i3.11488

Tobias DK. What Eggsactly Are We Asking Here? Unscrambling the Epidemiology of Eggs, Cholesterol, and Mortality. Am Hear Assoc.2022;145(20):1521–3. doi:10.1161/cisculationaha.122.059393

Permenkes. Permenkes No. 28 Tahun 2019. 2019

Santya T, Suharyanto CE, Simanjuntak P, Alfandianto A. Sistem Pakar Menentukan Maksimal Kalori Harian Berbasis Mobile. Innov Res Informatics. 2019;1(2):70–7. doi:10.37058/innovatics.v1i2.920

Sutanto K, Karjadidjaja I. Hubungan antara Obesitas Sentral dengan Kejadian Dislipidemia pada Karyawan Universitas Tarumanagara Pengunjung Poliklinik Fakultas Kedokteran Universitas Tarumanagara November 2016 - April 2017. Tarumanagara Med J. 2019;1(2):352–60. doi: 10.24912/TMJ.V1I2.3836

Haile K, Timerga A. Dyslipidemia and its associated risk factors among adult type-2 diabetic patients at jimma university medical center, Jimma, Southwest Ethiopia. Diabetes, Metab Syndr Obes. 2020;13:4589–97. doi:10.2147/DMSO.S283171

Rif’at ID, Hasneli N Y, Indriati G. Gambaran Komplikasi Diabetes Melitus Pada Penderita Diabetes Melitus. J Keperawatan Prof. 2023;11(1):52–69. doi:10.33650/jkp.v11i1.5540

Kathak RR, Sumon AH, Molla NH, Hasan M, Miah R, Tuba HR, et al. The association between elevated lipid profile and liver enzymes: a study on Bangladeshi adults. Sci Rep. 2022;12(1):1–8. doi:10.1038/s41598-022-05766-y

Purqoti DN, Arifin Z, Fatmawati BR, Ilham I, Istianah I, Hapipah H. Upaya Pengenalan Faktor Risiko Dan Pencegahan Gagal Ginjal Kronis. LOSARI J Pengabdi Kpd Masy. 2023;5(1):6–10. doi:10.53860/losari.v5i1.118

Shu S, Wang Y, Zheng M, Liu Z, Cai J, Tang C, et al. Hypoxia and hypoxia-inducible factors in kidney injury and repair. Cells. 2019;8(3):1–21. doi:10.3390/cells8030207

Dong XQ, Chu LK, Cao X, Xiong QW, Mao YM, Chen CH, et al. Glutathione Metabolism Rewiring Protects Renal Tubule Cells Against Cisplatin-Induced Apoptosis and Ferroptosis. Redox Rep. 2023;28(1). doi:10.1080/13510002.2022.2152607

Jankowski J, Floege J, Fliser D, Böhm M, Marx N. Cardiovascular Disease in Chronic Kidney Disease Pathophysiological Insights and Therapeutic Options. Circulation. 2021;143(11):1157–72. doi:10.1161/circulationaha.120.050686

Portolés J, Martín L, Broseta JJ, Cases A. Anemia in Chronic Kidney Disease: From Pathophysiology and Current Treatments, to Future Agents. Front Med. 2021;8(March):1–14. doi:10.3389/fmed.2021.642296

Shroff R, Wesseling-Perry K, Bacchetta J. Chronic Kidney Disease - Mineral and Bone Disorder (CKD-MBD). Pediatr Nephrol Eighth Ed. 2022;52(1):1751–78. doi:10.1007/978-3-030-52719-8_129

Nuswantoro A, Aprillia D, Juliana Cristyaningsih. Lipid Profile of Prolanis Patients in Pontianak City. J Teknol Kesehat Borneo.2023;4(1):1–9. doi:10.30602/jtkb.v4i1.209

Wari AT, Muhlishoh A, Nurzihan NC. Indeks Glikemik Dan Beban Glikemik Makanan Kaitannya Dengan Kadar Ldl Dan Rlpp Pasien Diabetes Mellitus Tipe-2. J Nutr Coll. 2023;12(1):61–9. doi:10.14710/jnc.v12i1.36164

Wijonarko W, Ferry F. Identification and management of chronic kidney disease: A case study. Holistik J Kesehat. 2024;18(2):233–9. doi:10.33024/hjk.v18i2.108

Sumardiono S, Budiyono B, Kusumayanti H, Silvia N, Luthfiani VF, Cahyono H. Production and physicochemical characterization of analog rice obtained from sago flour, mung bean flour, and corn flour using hot extrusion technology. Foods. 2021;10(12). doi:10.3390/foods10123023

Kumara PP, Hairrudin, Normasari R. Beras Analog dapat Mencegah Kerusakan Ginjal pada Tikus Induksi Kombinasi HFD dan STZ. Indones J Hum Nutr. 2021;8(1):8–20. doi:10.21776/ub.ijhn.2021.008.01.2

Rachman A, Brennan MA, Morton J, Brennan CS. Effect of cassava and banana flours blend on physico-chemical and glycemic characteristics of gluten-free pasta. J Food Process Preserv. 2019;43(9):1–8. doi:10.1111/jfpp.14084

Kusumawardani HD, Marsono Y, Murdiati A, Samsudin M. Potensi Tepung Pisang Uter (Musa Acuminata) Sebagai Pangan Fungsional Untuk Menurunkan Kolesterol. Bul Penelit Kesehat. 2020;47(4):275–82. doi:10.22435/bpk.v47i4.1589

Prameswari DC. Konsumsi Pisang dalam Menurunkan Kadar Kolesterol Darah. J Penelit Perawat Prof. 2021;3(3):511–8. doi:10.37287/jppp.v3i3.537

Zahra NI, Siregar PP. Perilaku Konsumsi Serat Pada Mahasiswa Angkatan 2020 Fakultas Kesehatan Masyarakat Universitas Islam Negeri Sumatera Utara Tahun 2023. JK J Kesehat. 2023;1(1):177–85.

Falcomer AL, Riquette RFR, De Lima BR, Ginani VC, Zandonadi RP. Health benefits of green banana consumption: A systematic review. Nutrients. 2019;11(6):1–22. doi:10.3390/nu11061222

K. Netshiheni R, O. Omolola A, A. Anyasi T, I.O. Jideani A. Banana Bioactives: Absorption, Utilisation and Health Benefits. Banan Nutr - Funct Process Kinet. 2020. doi:10.5772/intechopen.83369

Horne RG, Yu Y, Zhang R, Abdalqadir N, Rossi L, Surette M, et al. High fat-high fructose diet-induced changes in the gut microbiota associated with dyslipidemia in Syrian hamsters. Nutrients. 2020;12(11):1–20. doi:10.3390/nu12113557

Arifin WN, Zahiruddin WM. Sample Size Calculation in Animal Studies Using Resource Equation Approach. Malaysian J Med Sci. 2017;24(5):101–5. doi:10.21315/mjms2017.24.5.11

Octavia ZF, Widyastuti N. Pengaruh Pemberian Jus Daun Ubi Jalar (Ipomoea batatas (L.) Lam) Terhadap Kadar Trigliserida Tikus Wistar Jantan (Rattus norvegicus) yang Diberi Pakan Tinggi Lemak. J Nutr Coll. 2014;3(4):838–47. doi:10.21315/mjms2017.24.5.11

Ghasemi, Asghar; Sajad JKK. Review article : The Laboratory Rat : Age and Body Weight Matter. EXCLI J. 2021;2005:1431–45. doi:10.17179/excli2021-4072

Kurniasari I, Kusnandar F, Budijanto S. Karakteristik Fisik Beras Analog Instan Berbasis Tepung Jagung dengan Penambahan k-Karagenan dan Konjak. agriTECH.2020;40(1):64. doi:10.22146/agritech.47491

Mustofa S, Dewi SN. Rhizophora apiculata Bark Ethanolic Extracts Prevent Kidney Damage Caused by Cigarette Smoke in Male Rats. Sriwij J Med. 2023;6(1):17–23. doi:10.32539/sjm.v6i1.204

Gilles CF coudray, Claire F, Béatrice V, Bernard B, Blachnio-zabielska A, Rieusset J, et al. Long-Term Measures of Dyslipidemia , Inflammation , and Oxidative Stress in Rats Fed a High-Fat / High-Fructose Diet. Lipids. 2019;54(1):81-97. doi:10.1002/lipd.12128

Rahmawati FC, Djamiatun K, Suci N. Pengaruh yogurt sinbiotik pisang terhadap kadar glukosa dan insulin tikus sindrom metabolik. Jurnal Gizi Klinik Indonesia. 2017;14(1):10–8. doi:10.22146/ijcn.19379

Fauziah, Febriani H, Rahmadina. Uji Aktivitas Ekstrak Daun Samarinda (Carissa carandas L.) Terhadap Histopatologi Ginjal Tikus Putih (Rattus norvegicus L.) Hiperkolesterolemia. Biol Educ Sci Technol. 2021;4(2):339–45. doi:10.30743/best.v4i2.4544

Ali A, Waly MI, Al-Mahrazi M, Al-Maskari J, AlWaheibi S. Glycemic Index and Glycemic Load of Selected Omani Rice Dishes. Food Sci Eng. 2022;4(1):1–8. doi:10.37256/fse.4120231858

Fattah H, Layton A, Vallon V. How Do Kidneys Adapt to a Deficit or Loss in Nephron Number? Physiology. 2019;34(3):189–97. doi:10.1152/physiol.00052.2018

Sinulingga BO. Pengaruh konsumsi serat dalam menurunkan kadar kolesterol. J Penelit Sains. 2020;22(1):9–15. doi:10.26554/jps.v22i1.556

Yoeantafara A, Martini S. Pengaruh Pola Makan Terhadap Kadar Kolesterol Total (The Influence of Diet to Total Cholesterol Levels). J MKMI. 2017;13(4):304–9. doi:10.30597/mkmi.v13i4.2132

Feng Y, Xu D. Short-chain fatty acids are potential goalkeepers of atherosclerosis. Front Pharmacol. 2023;14:1–10. doi:10.3389/fphar.2023.1271001

Azqinar TC, Anggraini DI, Kania S. Penatalaksanaan Holistik Pada Wanita Usia 60 Tahun dengan Dislipidemia Melalui Pendekatan Kedokteran Kekeluargaan. J Penelit Perawat Prof. 2022;4:1093–100. doi:10.37287/jppp.v4i4.1105

Oktavelia W, Kusuma SAF. Therapy for Dyslipidemia: Plant Inhibitors of HMG-CoA Reductase. Indones J Biol Pharm. 2022;2(3):159–70. doi:10.24198/ijbp.v2i3.41376

Düsing P, Zietzer A, Goody PR, Hosen MR, Kurts C, Nickenig G, et al. Vascular Pathologies in Chronic Kidney Disease: Pathophysiological Mechanisms and Novel Therapeutic Approaches. J Mol Med. 2021;99(3):335–48. doi:10.1007/s00109-021-02037-7

Ayunda RD, Malita S. Pemanfaatan Senyawa Flavonoid sebagai Antioksidan pada Penderita Hiperkolesterolemia : Studi Literatur. J Kedokt Unram. 2024;13(3). doi:10.29303/jk.v13i3.5388

Świetek M, Lu YC, Konefał R, Ferreira LP, Cruz MM, Ma YH, et al. Scavenging of Reactive Oxygen Species by Phenolic Compound-Modified Maghemite Nanoparticles. Beilstein J Nanotechnol. 2019;10:1073–88. doi:10.3762/BJNANO.10.108

Asih DJ, Kadek Warditiani N, Wiarsana IGS. Review Artikel: Aktivitas Antioksidan Ekstrak Amla (Phyllanthus emblica/Emblica officinalis). J Ilm Multidisplin Indones. 2022;1(6):674–87. doi:10.32670/ht.v1i6.1533