Effect of Leuhang Therapy on Lung Histopathology, Leukocytes, and Bronchoalveolar Lavage Fluid (BALF) in Asthma Rat Model

Hasbi Imanulhaq, Tria Septiani, Nasywa Asy Syaffa' Parwoko, Harry Rachman Ramadhan, Bambang Tri Laksono

Abstract


The prevalence of asthma is increasing, especially in developing countries due to lifestyle and air pollution. In addition, asthma medications can cause serious side effects, such as the use of the asthma medication LABA, which causes the side effects of tachycardia, tremor, and epicardial elevation, which is considered quite dangerous for the elderly. Sundanese people from West Java have a traditional therapy called Leuhang therapy. This therapy is believed to have various properties, including anti-asthma. In addition, this therapy is also safer and has minimal side effects. This study aims to obtain an optimal Leuhang therapy formula for preventing asthma recurrence and determine the relationship between plant extract vapor in Leuhang and its effects on the organs of asthma-induced mice. The study was conducted by dividing the mice into several groups, namely normal control, positive control, comparison, test I, and test II. Each mouse was given treatment according to its respective group. Based on the results obtained from this study, leuhang therapy with a combination of formulas focusing on anti-asthmatic properties showed anti-asthmatic activity against OVA-induced allergic asthma. The combination treatment decreased the total and differential cell counts in blood and BALF and affected the thickness of mouse lung mucosa and muscle, thus demonstrating its anti-inflammatory properties. Leuhang therapy also reduced the infiltration of neutrophils, lymphocytes, and plasma, showing its immunomodulatory properties. Statistical tests using One-Way ANOVA showed a p-value of <0.05, meaning that the four groups' mean lung histopathology scores were significantly different. Thus, Leuhang therapy has been shown to have promising potential in the alternative treatment of asthma.


Keywords


anti-asthma; asthma; histopathology; leuhang; lung; traditional

Full Text:

PDF

References


Adzani, Nazwa Aliefia, and Riki Nova. 2025. “Peran Tanaman Herbal sebagai Terapi Tambahan dalam Penanganan Asma: Tinjauan Sistematis Literatur.” Nusantara Hasana Journal 5 (1): 134–39. https://doi.org/10.59003/nhj.v5i1.1497.

Billington, Charlotte K., Raymond B. Penn, and Ian P. Hall. 2015. “β2 Agonists.” Handbook of Experimental Pharmacology, no. January, 251–63. https://doi.org/10.1007/164.

Bonser, Luke R., and David J. Erle. 2019. The Airway Epithelium in Asthma. Advances in Immunology. 1st ed. Vol. 142. Elsevier Inc. https://doi.org/10.1016/bs.ai.2019.05.001.

Corlateanu, A., Iu Stratan, S. Covantev, V. Botnaru, O. Corlateanu, and N. Siafakas. 2021. “Asthma and Stroke: A Narrative Review.” Asthma Research and Practice 7 (1): 1–17. https://doi.org/10.1186/s40733-021-00069-x.

DiPiro, Joseph T, Robert L Talbert, Gary C Yee, Barbara G Wells, and L Michael Posey. 2016. Pharmacotherapy: A Pathophysiologic Approach. 10th ed. New York: McGraw-Hill Education.

Elliot, John G., Peter B. Noble, Thais Mauad, Tony R. Bai, Michael J. Abramson, Karen O. McKay, Francis H.Y. Green, and Alan L. James. 2018. “Inflammation-Dependent and Independent Airway Remodelling in Asthma.” Respirology 23 (12): 1138–45. https://doi.org/10.1111/resp.13360.

Gurczynski, Stephen J., and Bethany B. Moore. 2018. “IL-17 in the Lung: The Good, the Bad, and the Ugly.” American Journal of Physiology - Lung Cellular and Molecular Physiology 314 (1): L6–16. https://doi.org/10.1152/ajplung.00344.2017.

Harahap, Urip, and FAdhilatuz Zuhroh. 2018. “Uji Efek Antiinflamasi Ekstrak Etanol Daun Sirih (Piper betle L.) dan Pengaruhnya terhadap Jumlah Leukosit pada Tikus Jantan yang Diinduksi Karagenan.” Universitas Sumatera Utara.

He, Wanhong, Wangdong Zhang, Cuicui Cheng, Jianfei Li, Xiuping Wu, Min Li, Zhihua Chen, and Wenhui Wang. 2019. “The Distributive and Structural Characteristics of Bronchus-Associated Lymphoid Tissue (BALT) in Bactrian Camels (Camelus bactrianus).” PeerJ 2019 (3). https://doi.org/10.7717/peerj.6571.

Hwang, Ji Young, Aaron Silva-Sanchez, Damian M. Carragher, Maria de la Luz Garcia-Hernandez, Javier Rangel–Moreno, and Troy D. Randall. 2020. “Inducible Bronchus–Associated Lymphoid Tissue (IBALT) Attenuates Pulmonary Pathology in a Mouse Model of Allergic Airway Disease.” Frontiers in Immunology 11 (September): 1–16. https://doi.org/10.3389/fimmu.2020.570661.

Karaman, Meral, Zeynep Arikan Ayyildiz, Fatih Firinci, Müge Kiray, Alper Baĝriyanik, Osman Yilmaz, Nevin Uzuner, and Özkan Karaman. 2011. “Effects of Curcumin on Lung Histopathology and Fungal Burden in a Mouse Model of Chronic Asthma and Oropharyngeal Candidiasis.” Archives of Medical Research 42 (2): 79–87. https://doi.org/10.1016/j.arcmed.2011.01.011.

Kementerian Kesehatan RI. 2019. “Laporan Nasional Riskesdas 2018.” Jakarta.

Kumar, Vinay, Abul K Abbas, and Jon C Aster. 2015. Robbins Basic Pathology. 9th ed. Philadelphia: Elsevier.

Lalrinpuia, Benjamin, and Naveen P. 2019. “Study on Absolute Eosinophil Count Correlation with Severity of Bronchial Asthma.” International Journal of Research in Medical Sciences 7 (4): 1229. https://doi.org/10.18203/2320-6012.ijrms20191330.

Lokapirnasari, Widya Paramita, and Andreas Berny Yulianto. 2014. “Gambaran Sel Eosinofil, Monosit, dan Basofil Setelah Pemberian Spirulina pada Ayam yang diinfeksi Virus Flu Burung.” Jurnal Veteriner 15 (4): 499–505. https://doi.org/https://ojs.unud.ac.id/index.php/jvet/article/view/13229.

Marques, Lara, and Nuno Vale. 2022. “Salbutamol in the Management of Asthma: A Review.” International Journal of Molecular Sciences 23 (22): 1–19. https://doi.org/10.3390/ijms232214207.

Musiol, Stephanie, Carla P Harris, Silvia Gschwendtner, Amy Burrell, Yacine Amar, Benjamin Schnautz, Dennis Renisch, et al. 2024. “The Impact of High-Salt Diet on Asthma in Humans and Mice: Effect on Specific T-Cell Signatures and Microbiome.” Allergy 79 (7): 1844–57. https://doi.org/10.1111/all.16148.

Nair, Pranav, and Kedar Prabhavalkar. 2021. “Anti-Asthmatic Effects of Saffron Extract and Salbutamol in an Ovalbumin-Induced Airway Model of Allergic Asthma.” Sinusitis 5 (1): 17–31. https://doi.org/10.3390/sinusitis5010003.

Palupi, Dian Arsanti, Eliana Freistanti, and Vasti Eka Apriliani. 2021. “Aktifitas Antiasma Ekstrak Jahe Merah (Zingiber officinale Var Rubrum) terhadap Jumlah Eosinofil dan Sel Mast yang Tidak Terdegranulasi.” Cendekia Journal of Pharmacy 5 (1): 81–91. https://doi.org/10.31596/cjp.v5i1.134.

Patyk, Mateusz, Andrzej Obojski, Dąbrówka Sokołowska-Dąbek, Martyna Parkitna-Patyk, and Urszula Zaleska-Dorobisz. 2020. “Airway Wall Thickness and Airflow Limitations in Asthma Assessed in Quantitative Computed Tomography.” Therapeutic Advances in Respiratory Disease 14:1–10. https://doi.org/10.1177/1753466619898598.

Quirt, Jaclyn, Kyla J. Hildebrand, Jorge Mazza, Francisco Noya, and Harold Kim. 2018. “Asthma.” Allergy, Asthma and Clinical Immunology 14 (Suppl 2). https://doi.org/10.1186/s13223-018-0279-0.

Savin, Innokenty A., Marina A. Zenkova, and Aleksandra V. Sen’kova. 2023. “Bronchial Asthma, Airway Remodeling and Lung Fibrosis as Successive Steps of One Process.” International Journal of Molecular Sciences 24 (22). https://doi.org/10.3390/ijms242216042.

Thakur, Vandana R., Vikas Khuman, Jayesh V. Beladiya, Kiranj K. Chaudagar, and Anita A. Mehta. 2019. “An Experimental Model of Asthma in Rats Using Ovalbumin and Lipopolysaccharide Allergens.” Heliyon 5 (11): e02864. https://doi.org/10.1016/j.heliyon.2019.e02864.

Vennera, Maria Del Carmen, Carlos Sabadell, and Cesar Picado. 2018. “Duration of the Efficacy of Omalizumab after Treatment Discontinuation in ‘real Life’ Severe Asthma.” Thorax 73 (8): 782–84. https://doi.org/10.1136/thoraxjnl-2017-210017.

Zieliński, Grzegorz, Zuzanna Filipiak, Michał Ginszt, Anna Matysik-Woźniak, Robert Rejdak, and Piotr Gawda. 2022. “The Organ of Vision and the Stomatognathic System—Review of Association Studies and Evidence-Based Discussion.” Brain Sciences 12 (1). https://doi.org/10.3390/brainsci12010014.




DOI: http://dx.doi.org/10.52365/jecp.v5i2.1419

Article Metrics

Abstract view : 344 times
PDF - 129 times

Refbacks

  • There are currently no refbacks.


Copyright (c) 2025 Hasbi Imanulhaq, Tria Septiani, Nasywa Asy Syaffa' Parwoko, Harry Rachman Ramadhan, Bambang Tri Laksono

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.


Indexed in:


  


Creative Commons License
Journal of Experimental and Clinical Pharmacy (JECP) by Department of Pharmacy, Poltekkes Kemenkes Gorontalo is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Support By: