Folia Medica Indonesiana
ISSN 0303-7932
Vol. 49 / No. 4 / Published : 2013-10
Order : 4, and page :220 - 225
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Original Article :
Effect of red yeast rice (monascus purpureus) extract to the trombopoietin level in dengue infected patients
Author :
- Muhammad Noor Diansyah*1
- Suharto*2
- Erwin Astha Triyono*3
- Dosen Fakultas Kedokteran
- Dosen Fakultas Kedokteran
- Dosen Fakultas Kedokteran
Abstract :
Thrombocytopenia is the key component and important parameter in dengue infection from the potency of bleeding and lifethreatening condition. Angkak (red yeast rice) a fermented product of rice and red yeast (Monascus purpureus), has been used inIndonesia to increase platelet count in dengue infection. Pre-clinical research has shown that Monascus purpureus extract canincrease platelet count significantly. However the mechanism has not been understood clearly. It has been suggested that themechanisms are due to anti-inflammatory effect or the stimulation of thrombopoiesis. Research design used single blind randomizedcontrolled trial. The subjects of this research were patients with dengue infection, hospitalized in Tropical-Infectious Disease Ward,RSUD Dr. Soetomo Surabaya. The total samples were 30 patients who divided into trial group (n=15) and control group (n=15).Trial group received standard therapy for dengue infection and Monascus purpureus extract capsule 3 times 1 capsule daily for 48hour. Control group received standard therapy for dengue infection. TPO levels was measured before and 48 hour after treatment.The comparative analysis on both groups shows that between 15 patients in trial group and 15 patients in control group, there aredecrease of TPO level (median value) from 90 pg/mL to 26,6 pg/mL, and from 130 pg/mL to 66,8 pg/mL respectively. Trial group hasgreater decrease of TPO level (63,4 pg/ml) than control group (63,2 pg/ml) but statistically not significant (p = 0,916).(FMI2013;49:220-225)
Keyword :
Monascus purpureus, Thrombopoietin, Dengue Infection,
References :
Arunachalam C and Narmadhapriya D,(2011) Monascus fermented rice and its beneficial aspects: a new review - : Asian Journal of Pharmaceutical and Clinical Research
Cardier JE, Balogh V, Perez-Silva C, Romano E, Rivas B, Bosch N, Rothman AL,(2006) Relationship of thrombopoietin and interleukin-11 levels to thrombocytopenia associated with dengue disease - : Cytokine
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