Highlighting the Role of Acalypha indica Linn. Extract on Heart Rates with Myasthenia Gravis Rat Model

Authors

  • Desak Gede Budi Krisnamurti Department of Medical Pharmacy, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
  • Rani Wardani Hakim Department of Medical Pharmacy, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
  • Radiana Dhewayani Antarianto Department of Histology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
  • Siti Farida Department of Medical Pharmacy, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
  • Erni Hernawati Purwaningsih Department of Medical Pharmacy, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
  • Jan Sudir Purba Department of Neurology, Universitas Indonesia, Jakarta, Indonesia.

DOI:

https://doi.org/10.9734/bpi/capr/v4/1970B

Keywords:

Myasthenia gravis, extract Acalypha indica Linn, acetylcholine receptor antibody, autoimmune disease, neuromuscular junction, heart rate

Abstract

The present study determine the effect of extract of roots AI against the AChR and enzyme acetylcholinesterase in animal models NMJ-MG (Sprague-Dawley rats were injected with rocuronium bromide) on the autonomic nervous system on heart muscle, in this case, is heart rate (HR). Myasthenia gravis (MG) is a neuromuscular junction (NMJ) autoimmune disease caused by antibodies that attack components of the postsynaptic membrane, impairing neuromuscular transmission and causing skeletal muscle weakness and tiredness. The autonomic nervous system uses acetylcholine as a neurotransmitter. Immune attack on striated cardiac muscle can result in heart failure, arrhythmia, and abrupt death. Involvement of the heart rate (HR) has been claimed and reported, but a causal connection between MG and altered cardiac function has not been found.

For this study of experimental autoimmune MG (EAMG) is used rocuronium, prostigmine, and Acalypha indica (AI) Linn. compared with HR.

From the results, the study found that sympathetic activity of HR variability in EAMG injected with rocuronium 10 mg/kg body weight (BW).

in 10 min significantly found increasing in measures of short-term variations in HR variability, indicating parasympathetic impairment.

We conclude that in MG, cholinergic transmission is affected more diffusely than previously thought. Furthermore, AI was given orally.

30 mg/kg BW has an effect similar to the injecting of prostigmine 10 mg/kg BW that can reduce HR. Driven by the fact that the pharmacological treatment of MG is unsatisfied, it needs the therapeutic development for MG using herbal ingredients of AI. The  result indicate  the  need  for  routine  evaluation  of  autonomic functions in   patients   with   MG   both   to identify   patients   at   high   risk  for earlier   consideration of cardioprotection and long-term   follow- up   studies.   Furthermore,   on   the   basis   of   these   results   using drugs rocuronium, prostigmine,   and   AI   are   associated   with   HR on   EAMG,  AI has the  same effect with prostigmine. To know and  learn  more  advanced study required.

Published

2022-06-30

How to Cite

Desak Gede Budi Krisnamurti, Rani Wardani Hakim, Radiana Dhewayani Antarianto, Siti Farida, Erni Hernawati Purwaningsih, & Jan Sudir Purba. (2022). Highlighting the Role of Acalypha indica Linn. Extract on Heart Rates with Myasthenia Gravis Rat Model. Challenges and Advances in Pharmaceutical Research Vol. 4, 61–71. https://doi.org/10.9734/bpi/capr/v4/1970B