Pengaplikasian Nanoteknologi dalam Terapi Gagal Ginjal Akut
DOI:
https://doi.org/10.29313/jrf.v3i2.3115Keywords:
Nanoteknologi, Nanopartikel, Gagal Ginjal AkutAbstract
Abstract. Acute kidney injury is a condition when kidney function decreases marked
by decreased glomerular filtration rate and increased metabolic end products (BUN
and creatinine). Currently, the treatment of acute kidney failure is still supportive,
expensive and most of the drugs that have the potential to treat acute kidney failure
are generally hydrophobic, easily degraded, low bioavailability, non-specifically
targeting the kidney which causes increased side effects to other organs.
Nanotechnology is the solution to this problem. Therefore, this study aims to
determine the type and method of synthesis of nanoparticles for the treatment of acute
kidney injury and to determine the effect of nanoparticles on the function of the renal
biomarkers, namely BUN and creatinine. This research was conducted using a
systematic literature review (SLR) method. Based on the results of the literature
search, nanoparticles that can be used in the treatment of acute kidney failure include
synthetic polymer nanoparticles, metallic liposomes, and carbon dots. Can be
synthesized by sonication, hydrothermal, self-assembly, and high pressure
application. It can also reduce BUN and creatinine levels.
Abstrak. Gagal ginjal akut merupakan kondisi ketika fungsi ginjal mengalami
penurunan ditandai dengan menurunnnya kadar filtrasi glomerulus dan meningkatnya
produk akhir metabolisme (BUN dan kreatinin). Saat ini, pengobatan gagal ginjal
akut masih bersifat suportif, mahal dan sebagian besar obat yang berpotensi dalam
terapi gagal ginjal akut umumnya bersifat hidrofobik, mudah terdegradasi,
bioavailabilitas rendah, tidak spesifik menargetkan ginjal yang menyebabkan efek
samping ke organ lain meningkat. Nanoteknologi menjadi solusi untuk permasalahan
tersebut. Maka dari itu, penelitian ini bertujuan untuk mengetahui jenis dan metode
sintesis nanopartikel untuk terapi gagal ginjal akut serta untuk mengetaui pengaruh
nanopartikel terhadap biomarker fungsi ginjal yaitu BUN dan kreatinin. Penelitian ini
dilakukan dengan metode systematic literature review (SLR). Berdasarkan hasil
penulusuran pustaka, nanopartikel yang dapat digunakan dalam terapi gagal ginjal
akut diantaranya yaitu nanopartikel polimer sintetik, metalik liposom, dan carbon
dots. Dapat disintesis dengan metode sonikasi, hidrotermal, self-assembly, dan
pemberian tekanan tinggi. serta dapat menurunkan kadar BUN dan kreatinin.
References
R. Bellomo, J. A. Kellum, and C. Ronco, “Acute kidney injury.,” Lancet (London, England), vol. 380, no. 9843, pp. 756–766, Aug. 2012, doi: 10.1016/S0140-
(11)61454-2.
S. Luo and M. E. Grams, “Epidemiology research to foster improvement in chronic kidney disease care.,” Kidney Int., vol. 97, no. 3, pp. 477–486, Mar. 2020, doi: 10.1016/j.kint.2019.11.010.
D. P. Basile, M. D. Anderson, and T. A. Sutton, “Pathophysiology of acute kidney injury,” Compr. Physiol., vol. 2, no. 2, pp. 1303–1353., 2012, doi: https://doi.org/10.1002/cphy.c110041.
H. Yu, D. Liu, G. Shu, F. Jin, and Y. Du, “Recent advances in nanotherapeutics for the treatment and prevention of acute kidney injury,” Asian Journal of Pharmaceutical Sciences, vol. 16, no. 4. Shenyang Pharmaceutical University, pp. 432–443, Jul. 01,
doi: 10.1016/j.ajps.2020.11.001.
A. Abebe, K. Kumela, M. Belay, B. Kebede, and Y. Wobie, “Mortality and predictors of acute kidney injury in adults: a hospital-based prospective observational study,” Sci. Rep., vol. 11, no. 1, pp. 1–8, 2021, doi: 10.1038/s41598-021-94946-3.
Kemenkes, “Keputusan-Dirjen-Yankes-ttg-Tata-Laksana-dan-Menejemen-Klinis- Atypical-Progressive-Acute-Kidney-Injury.” Jakarta: Kemenkes RI, 2022.
N. M. Chadwick, M. L. Perman, F. Leavai, and A. Kaspar, “Acute Kidney Injury: Incidence, aetiology, management and outcome measures of a Samoan case series,” Ann. Med. Surg., vol. 75, no. December 2021, p. 103362, 2022, doi: 10.1016/j.amsu.2022.103362.
Z. Chen et al., “Hydrogenated Germanene Nanosheets as an Antioxidative Defense Agent for Acute Kidney Injury Treatment,” Adv. Sci., vol. 2202933, pp. 1–13, 2022, doi: 10.1002/advs.202202933.
P. Davey, At Glance MEDICINE. Jakarta: Jakarta: Erlangga, 2006.
T. Sun et al., “A Melanin-Based Natural Antioxidant Defense Nanosystem for Theranostic Application in Acute Kidney Injury,” Adv. Funct. Mater., vol. 29, no. 48,
pp. 1–9, 2019, doi: 10.1002/adfm.201904833.
Z. Qamar et al., “Nano-Based Drug Delivery System: Recent Strategies for the Treatment of Ocular Disease and Future Perspective.,” Recent Pat. Drug Deliv. Formul., vol. 13, no. 4, pp. 246–254, 2019, doi: 10.2174/1872211314666191224115211.
Y. Herdiana, N. Wathoni, S. Shamsuddin, and M. Muchtaridi, “Scale-up polymeric- based nanoparticles drug delivery systems: Development and challenges,” OpenNano, vol. 7, no. February, p. 100048, 2022, doi: 10.1016/j.onano.2022.100048.
X. Zhao et al., “Redox-Mediated Artificial Non-Enzymatic Antioxidant MXene Nanoplatforms for Acute Kidney Injury Alleviation,” Adv. Sci., vol. 8, no. 18, pp. 1–13, 2021, doi: 10.1002/advs.202101498.
S. M. El-Sayed, M. E. El-Naggar, J. Hussein, D. Medhat, and M. El-Banna, “Effect of Ficus carica L. leaves extract loaded gold nanoparticles against cisplatin-induced acute kidney injury,” Colloids Surfaces B Biointerfaces, vol. 184, no. August, p. 110465, 2019, doi: 10.1016/j.colsurfb.2019.110465.
J. Hou et al., “Treating Acute Kidney Injury with Antioxidative Black Phosphorus Nanosheets,” Nano Lett., vol. 20, no. 2, pp. 1447–1454, 2020, doi: 10.1021/acs.nanolett.9b05218.
Z. He et al., “BAPTA-AM nanoparticle for the curing of acute kidney injury induced by ischemia/reperfusion,” J. Biomed. Nanotechnol., vol. 14, no. 5, pp. 868–883, 2018, doi: 10.1166/jbn.2018.2532.
Z. T. Rosenkrans et al., “Selenium-Doped Carbon Quantum Dots Act as Broad- Spectrum Antioxidants for Acute Kidney Injury Management,” Adv. Sci., vol. 7, no. 12,
pp. 1–11, 2020, doi: 10.1002/advs.202000420.
H. Yu et al., “ROS-responsive nano-drug delivery system combining mitochondria- targeting ceria nanoparticles with atorvastatin for acute kidney injury,” Theranostics, vol. 10, no. 5, pp. 2342–2357, 2020, doi: 10.7150/thno.40395.
R. Wang, R. Xiao, Z. Zeng, L. Xu, and J. Wang, “Application of poly(ethylene glycol)- distearoylphosphatidylethanolamine (PEG-DSPE) block copolymers and their derivatives as nanomaterials in drug delivery.,” Int. J. Nanomedicine, vol. 7, pp. 4185– 4198, 2012, doi: 10.2147/IJN.S34489.
S. T. F. Mirakabad et al., “PLGA-based nanoparticles as cancer drug delivery systems.,” Asian Pac. J. Cancer Prev., vol. 15, no. 2, pp. 517–535, 2014, doi: 10.7314/apjcp.2014.15.2.517.
K. Koczkur, S. Mourdikoudis, P. Lakshminarayana, and S. Skrabalak, “Polyvinylpyrrolidone (PVP) in nanoparticle synthesis,” Dalt. Trans., 2015.
D. Mishra, J. R. Hubenak, and A. B. Mathur, “Nanoparticle systems as tools to improve drug delivery and therapeutic efficacy,” J. Biomed. Mater. Res. - Part A, vol. 101, no. 12, pp. 3646–3660, 2013, doi: 10.1002/jbm.a.34642.
S. Durrani et al., “Plant-derived Ca, N, S-Doped carbon dots for fast universal cell imaging and intracellular Congo red detection.,” Anal. Chim. Acta, vol. 1202, p. 339672, Apr. 2022, doi: 10.1016/j.aca.2022.339672.
I. A. Rusdiana, E. Hambali, and D. M. Rahayuningsih, “Pengaruh Sonikasi Terhadap Sifat Fisik Formula Herbisida yang Ditambahkan Surfaktan Dietanolamida,” Agroradix, vol. 1, no. 2, pp. 34–41, 2018.
Z. Li et al., “Mechanisms of Liquid-Phase Exfoliation for the Production of Graphene,”
ACS Nano, vol. 14, no. 9, pp. 10976–10985, 2020, doi: 10.1021/acsnano.0c03916.
Yan Y. Xi, Yan F. Hsu, and Wai K. Chan, “Hydrothermal Synthesis of Nanostructures,” Recent Pat. Nanotechnol., vol. 1, no. 2, pp. 121–128, 2008, doi: 10.2174/187221007780859591.
H. Berlian and B. Arif, “Review Artikel: penggunaan teknologi nano pada formulasi obat herbal,” Farmaka, vol. 15, no. 2, pp. 29–41, 2017.
S. H. Ansari, F. Islam, and M. Sameem, “Influence of nanotechnology on herbal drugs:
A Review,” J. Adv. Pharm. Technol. Res., vol. 3, no. 3, pp. 142–146, 2012, doi: 10.4103/2231-4040.101006.
Verdiansah, “Pemeriksaan Fungsi Ginjal,” CDK-237, vol. 43, no. 2, pp. 148–154, 2016.
P. S. Rejeki, E. A. C. Putri, and R. E. Prasetya, Ovariektomi Pada Tikus Dan Mencit. 2018.
G. AlBasher et al., “Nephroprotective Role of Selenium Nanoparticles Against Glycerol- Induced Acute Kidney Injury in Rats,” Biol. Trace Elem. Res., vol. 194, no. 2, pp. 444– 454, 2020, doi: 10.1007/s12011-019-01793-5.
A. Awadalla et al., “Effect of zinc oxide nanoparticles and ferulic acid on renal ischemia/reperfusion injury: possible underlying mechanisms,” Biomed. Pharmacother., vol. 140, p. 111686, 2021, doi: 10.1016/j.biopha.2021.111686.
V. Bunel et al., “Early detection of acute cisplatin nephrotoxicity: interest of urinary monitoring of proximal tubular biomarkers.,” Clin. Kidney J., vol. 10, no. 5, pp. 639– 647, Oct. 2017, doi: 10.1093/ckj/sfx007.