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Ditemukan 4 dokumen yang sesuai dengan query
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Carissa Ista Indriani
"[Penicillium marneffei merupakan fungi patogen yang ditemukan di Asia
Tenggara, khususnya Thailand. Penisiliosis dapat menyebabkan mikosis sistemik
sehingga membahayakan nyawa penderita immunocompromised, khususnya
penderita HIV/AIDS. Antifungi seperti Fluconazole dan Ketoconazole, digunakan
untuk mengatasi infeksi P. marneffei. Akan tetapi, penggunaan antifungi secara
jangka panjang dapat memicu kemungkinan munculnya mutan resisten P.
marneffei. Resistensi pada fungi dapat dipengaruhi beberapa faktor, salah satunya,
overekspresi transporter pengeluaran obat (drug efflux transporter). Mekanisme
pompa pengeluaran obat diatur oleh berbagai transporter. Transporter yang paling
umum diketahui ialah transporter ABC (ATP-binding-cassette) dan MFS (Major
Facilitator Superfamily). Transporter ABC multidrug (MDR) pada P. marneffei
telah dipelajari dengan baik, sedangkan transporter MFS MDR pada fungi
tersebut, belum mendapatkan perhatian yang sama. Penelitian ini fokus pada satu
transporter MFS MDR P. marneffei, yakni PMAA 067100, yang diekspresikan
pada Saccharomyces cerevisiae ADΔ; sistem ekspresi yang sangat rentan terhadap
berbagai macam antifungi. Pengamatan melalui mikroskop konfokal dan uji Disk
Diffusion menunjukkan bahwa transporter PMAA 067100 terlokalisasi pada
membran sel S. cerevisiae ADΔ dan resisten terhadap Fluconazole dan
Terbinafine.;Penicillium marneffei has been known as a pathogenic fungi which is
found in Southeast Asia, especially Thailand. The infection by this fungi
recognized as Penicilliosis, that caused systemic mycosis, might be lethal in
immunocompromised patient, specifically HIV/AIDS patient. Antifungal such as
Fluconazole and Ketoconazole, had been used against P. marneffei infection.
However, the long-term-use of antifungal might cause an emerging resistant strain
of P. marneffei. The resistance phenomenon in fungi is caused by several factors,
one of it is the overexpression of drug efflux transporter. Mechanism of this efflux
pump is regulated by some of transporters such as ABC (ATP-binding-cassette)
and MFS (Major Facilitator Superfamily) transporter. The ABC multidrug (MDR)
transporter of P. marneffei has been studied well, yet the underrated MFS MDR
transporter of the same fungi has not received the same attention. This study focus
on one of P. marneffei MFS MDR transporter, known as PMAA 067100, which
was expressed in Saccharomyces cerevisiae ADΔ; an expression system which is
very susceptible to many kind of antifungal. Observation through confocal
microscope and Disk Diffusion test showed that PMAA 067100 transporter was
localized in S. cerevisiae ADΔ cell membrane and resistant against Fluconazole
and Terbinafine., Penicillium marneffei has been known as a pathogenic fungi which is
found in Southeast Asia, especially Thailand. The infection by this fungi
recognized as Penicilliosis, that caused systemic mycosis, might be lethal in
immunocompromised patient, specifically HIV/AIDS patient. Antifungal such as
Fluconazole and Ketoconazole, had been used against P. marneffei infection.
However, the long-term-use of antifungal might cause an emerging resistant strain
of P. marneffei. The resistance phenomenon in fungi is caused by several factors,
one of it is the overexpression of drug efflux transporter. Mechanism of this efflux
pump is regulated by some of transporters such as ABC (ATP-binding-cassette)
and MFS (Major Facilitator Superfamily) transporter. The ABC multidrug (MDR)
transporter of P. marneffei has been studied well, yet the underrated MFS MDR
transporter of the same fungi has not received the same attention. This study focus
on one of P. marneffei MFS MDR transporter, known as PMAA 067100, which
was expressed in Saccharomyces cerevisiae ADΔ; an expression system which is
very susceptible to many kind of antifungal. Observation through confocal
microscope and Disk Diffusion test showed that PMAA 067100 transporter was
localized in S. cerevisiae ADΔ cell membrane and resistant against Fluconazole
and Terbinafine.]"
[, ], 2015
S62258
UI - Skripsi Membership  Universitas Indonesia Library
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Sitepu, Joice Sola Gratia
"Kandidiasis merupakan suatu penyakit kulit yang diakibatkan oleh Candida krusei yang telah resisten terhadap antijamur Flukonazol. Resistensi disebabkan gen penanda: ERG11, FKS1, ABC1 dan ABC2 yang meningkatkan aktivitas membran transporter. Maka diperlukan pencarian kandidat antijamur yang dapat menggantikan Flukonazol, dimulai dengan memanfaatkan senyawa fenolik yang terdapat pada tanaman herbal. Penelitian ini dilakukan untuk mencari kandidat antijamur Candida krusei dari golongan senyawa fenolik melalui perspektif studi In Silico dengan protein target Enzim lanosterol 14 α-demetilase dengan kode PDB 5V5Z. Aplikasi LiganScout digunakan untuk Virtual Screening, ditemukan beberapa senyawa fenolik, diambil tiga senyawa yaitu Eugenol, Kuersetin, dan Asam Galat. Dilanjutkan dengan penambatan molekular menggunakan Aplikasi Molegro 2011. Hasil penambatan molekular senyawa ligan natif, Flukonazol, dan ketiga senyawa fenolik terhadap Enzim lanosterol 14α-demetilase wild type menunjukkan rerank score berturut-turut: -154.433; -98.3027; -97.4626; -66.4573 dan -65.2084, sedangkan rerank score mutan: -31.0348; -99.4858; -92.1078; -63.9848; dan -62.6408. Ketiga senyawa fenolik menunjukkan potensi antijamur karena rerank score lebih baik dari ligan natif, meski tidak lebih baik dari rerank score Flukonazole. Dilakukan uji aktivitas Antijamur ketiga senyawa fenolik dan Flukonazol, didapatkan nilai uji hambat berturut-turut 3,33; 1,25; 0,63 dan 0 mm. Hal ini menunjukkan ketiga senyawa fenolik berpotensi sebagai Antijamur menggantikan Flukonazol di masa depan.

Candidiasis is a dermatological condition caused by the fungus Candida krusei, which exhibits resistance to the antifungal medication Fluconazole. The presence of marker genes, namely ERG11, FKS1, ABC1, and ABC2, leads to resistance via enhancing the function of membrane transporters. It is imperative to seek other antifungal options to replace Fluconazole. This can be achieved by harnessing the potential of phenolic chemicals derived from herbal plants. The purpose of this study was to identify potential antifungal agents for Candida krusei from the phenolic chemical category using In Silico experiments, focusing on the lanosterol 14 α-demethylase enzyme with the PDB code 5V5Z. The LiganScout software was employed for Virtual Screening, resulting in the identification of many phenolic compounds. Three specific compounds were selected, namely Eugenol, Kuersetin, and Gallic Acid. Subsequently, molecular docking was performed utilizing the Molegro 2011 Application. The molecular docking results of the natif ligan compound, Fluconazole, and the three phenolic compounds against the wild type lanosterol 14α-demethylase enzyme yielded rerank scores of -154.433, -98.3027, -97.4626, -66.4573, and -65.2084 respectively. The mutant rerank scores were -31.0348, -99.4858, -92.1078, -63.9848, and -62.6408. The three phenolic compounds exhibited antifungal efficacy as their rerank score surpassed that of the natural ligan, while it did not surpass the rerank score of Fluconazole. The antifungal activity of the three phenolic compounds and Fluconazole was individually examined using an inhibition test. The corresponding inhibition test values were 3.33 mm, 1.25 mm, 0.63 mm, and 0 mm, respectively. These findings demonstrate that the three phenolic compounds possess the capacity to function as antifungal agents, potentially replacing Fluconazole in the future."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2024
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UI - Tesis Membership  Universitas Indonesia Library
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Salman Azis Nizami
"Candida sp. Berbagai spesies Candida seperti; C.albicans, C.glabrata, C,parapsilosis, C.tropicalis, C.keyfr, C.lusitaniae dan C.krusei. Saat ini, kandidiasis meningkat akibat tingginya individu dengan defisiensi imun, penyakit kronik, transplantasi dan faktor lainnya. Beberapa obat dilaporkan mengalami resistensi. Fluconazole merupakan salah
satu lini pertama pada kandidiasis. Beberapa studi melaporkan fluconazole mengalami resistensi terhadap C. krusei. Voriconazole merupakan golongan azole terbaru yang mempunyai sensitifitas lebih tinggi terhadap C.krusei. Tujuan: Penelitian ini bertujuan untuk mengetahui sensitifitas fluconazole dan voriconazole terhadap C.krusei Metode: Penelitian ini menggunakan data sekunder dari rekam medik pasien kandidiasis di RSCM tahun 2013-2018 yang sudah diuji difusi cakram untuk pengujian sensitifitas dengan total sampel adalah 249. Hasil: Uji sensitifitas menunjukkan perbedaan yang bermakna antara fluconazole dengan voriconazole dengan rincian 191 isolat diuji dengan fluconazole 50.26% sensitif, 2.09% Susceptible Dose Dependent (SDD), dan 47.64% resisten sementara dengan voriconazole menunjukkan 100% sensitif dari 58 sampel (p< 0.05). Hasil dari penelitian, voriconazole
lebih sensitif dari fluconazole terhadap Candida krusei. Kesimpulan: C.krusei lebih sensitif terhadap voriconazole karena memiliki kemampuan
resistensi secara intrinsik terhadap fluconazole.
Candida sp. Various species of Candida such as; C. albicans, C. glabrata, C. parapsilosis, C. tropicalalis, C. keyfr, C. lusitaniae and C. krusei. Currently, candidiasis is increasing due to the high number of individuals with immunodeficiency, chronic disease, transplantation and other factors. Several drugs have been reported to be resistant. Fluconazole is one of the the first line of treatment for candidiasis. Several studies reported that fluconazole was resistant to C. krusei. Voriconazole is the newest azole group that has a higher sensitivity to C. krusei. Objective: This study aims to determine the sensitivity of fluconazole and voriconazole to C.krusei Methods: This study used secondary data from the medical records of candidiasis patients at the RSCM in 2013-2018 which had been tested for disc diffusion for sensitivity testing with a total sample of 249. Results: Test sensitivity showed a significant difference between fluconazole and voriconazole with details of 191 isolates tested with fluconazole 50.26% sensitive, 2.09% Susceptible Dose Dependent (SDD), and 47.64% resistant while with voriconazole showed 100% sensitivity from 58 samples (p < 0.05). The results of the study, voriconazole more sensitive than fluconazole to Candida krusei. Conclusion: C. krusei is more sensitive to voriconazole because it has the ability to
intrinsic resistance to fluconazole."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2019
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UI - Skripsi Membership  Universitas Indonesia Library
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Julianty
"Kandidiasis invasif yang disebabkan oleh Candida krusei merupakan salah satu penyebab kematian dengan angka kematian yang tinggi. Terjadinya resistansi terhadap flukonazol dilaporkan terkait dengan gen penanda resistansi intrinsik. Data epidemiologi molekular dengan Whole Genome Sequencing (WGS) yang mengidentifikasi gen dan varian yang terkait virulensi dan resistansi obat Candida krusei belum pernah dilaporkan di Jakarta, maupun di Indonesia. Berdasarkan permasalahan di atas, dilakukan penelitian lebih lanjut untuk menentukan profil gen resistansi dengan metode Whole Genome Sequencing. Hasil pemetaan MLST diperoleh ada 6 housekeeping gen yaitu ADE2, HIS3, LEU2, LYS2D, NMT1 dan TRP1. Berdasarkan hasil variant calling ditemukan beberapa gen yang berperan dalam resistansi yaitu ERG11 dan FKS1. Mutasi yang ditemukan meliputi missense, synonymous, stop gain dan indel. Sebagian besar adalah varian mutasi missense dan synonymous. Pola kepekaan Candida krusei dengan metode difusi cakram sebagian besar terdiri dari isolat yang resisten dan sensitif terhadap beberapa antijamur seperti flukonazol, itrakonazol, ketonazol, amfoterisin B, nistatin, vorikonazol dan mikonazol.

Invasive candidiasis caused by Candida krusei is one of the causes of death with a high mortality rate. The occurrence of resistance to fluconazole is reported to be related to intrinsic resistance marker genes. Molecular epidemiological data related to Whole Genome Sequencing (WGS) that identify genes and variants associated with Candida krusei virulence and drug resistance have never been reported in Jakarta, nor in Indonesia. Based on the problems above, further research was carried out to determine the resistance gene profile using the Whole Genome Sequencing method. The results of the MLST mapping showed that there were 6 housekeeping genes namely ADE2, HIS3, LEU2, LYS2D, NMT1, and TRP1. Based on the results of variant calling, several genes that play a role in resistance were found, namely ERG11 and FKS1. The mutations found include missense, synonymous, stop gain, and indel. Most are missense and synonymous mutation variants. The sensitivity pattern of Candida krusei by disc diffusion method mostly consisted of isolates that were resistant and sensitive to several antifungals such as fluconazole, itraconazole, ketoconazole, amphotericin B, nystatin, voriconazole, and miconazole."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2022
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UI - Tesis Membership  Universitas Indonesia Library