Ganoderma lucidum Polysaccharide Peptide Reduce Inflammation and Oxidative Stress in Patient with Atrial Fibrillation

BACKGROUND: Atrial fibrillation (AF) could be triggered by inflammation and oxidative stress. Ganoderma lucidum has an active substance in the form of β-glucan that can reduce inflammatory process and oxidative stress in rats. The objective of this study was to evaluate the effect of Ganoderma lucid...

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Main Authors: Ardian Rizal, Ferry Sandra, Muhamad Rizki Fadlan, Djanggan Sargowo
Format: Article
Language:English
Published: Secretariat of The Indonesian Biomedical Journal 2020-12-01
Series:Indonesian Biomedical Journal
Online Access:https://inabj.org/index.php/ibj/article/view/1244
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author Ardian Rizal
Ferry Sandra
Muhamad Rizki Fadlan
Djanggan Sargowo
author_facet Ardian Rizal
Ferry Sandra
Muhamad Rizki Fadlan
Djanggan Sargowo
author_sort Ardian Rizal
collection DOAJ
description BACKGROUND: Atrial fibrillation (AF) could be triggered by inflammation and oxidative stress. Ganoderma lucidum has an active substance in the form of β-glucan that can reduce inflammatory process and oxidative stress in rats. The objective of this study was to evaluate the effect of Ganoderma lucidum polysaccharide peptide (GLPP) in paroxysmal AF subjects with parameters of anti-inflammatory antioxidant, electrocardiography and health-related quality of life (HRQoL). METHODS: A randomized closed-label clinical trial with pre- and post-test design was conducted. After AF subjects selection, the subjects were randomized, interviewed and veni-punctured to isolate blood plasma. AF Subjects were then treated with placebo or GLPP for 90 days. Post-test blood plasma was collected on the following day after the 90th day. Then anti-inflammatory and antioxidant parameters were measured. After that, echocardiographic and HRQoL assessments were performed. RESULTS: A total of 38 subjects, 11 males and 27 females, completed the study with no significant changes in diets, physical activities, or medications. Comparing to control, the 90-days GLPP-treated subject characteristics were significant difference in systolic blood pressure, heart rate, malondialdehyde, high-sensitivity C-reactive protein, tumor necrosis factor-a, interleukin (IL)-1b, IL-6, primary (P)-wave dispersion, P-max, physical functioning, limitation to physical health, energy/fatigue, pain, and physical limitation. CONCLUSION: GLPP has several potential effects in AF subjects, including anti-inflammatory, antioxidant, and atrial remodelling, so that HRQoL of AF subjects could be improved. Hence, GLPP could suggested as a potential supplementing agent for AF management. KEYWORDS: atrial fibrillation, Ganoderma lucidum, inflammation, antioxidant, atrial remodelling, quality of life
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spelling doaj.art-4569bebccd674f03bccb2d027277eabe2022-12-21T20:28:59ZengSecretariat of The Indonesian Biomedical JournalIndonesian Biomedical Journal2085-32972355-91792020-12-0112438438910.18585/inabj.v12i4.1244386Ganoderma lucidum Polysaccharide Peptide Reduce Inflammation and Oxidative Stress in Patient with Atrial FibrillationArdian Rizal0Ferry Sandra1Muhamad Rizki Fadlan2Djanggan Sargowo3Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Brawijaya/dr. Saiful Anwar General Hospital, Jl. Jaksa Agung Suprapto No.2, Malang 65111Department of Biochemistry and Molecular Biology, Division of Oral Biology, Faculty of Dentistry, Universitas Trisakti, Jl. Kyai Tapa No.260, JakartaDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Brawijaya/dr. Saiful Anwar General Hospital, Jl. Jaksa Agung Suprapto No.2, Malang 65111Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Brawijaya/dr. Saiful Anwar General Hospital, Jl. Jaksa Agung Suprapto No.2, Malang 65111BACKGROUND: Atrial fibrillation (AF) could be triggered by inflammation and oxidative stress. Ganoderma lucidum has an active substance in the form of β-glucan that can reduce inflammatory process and oxidative stress in rats. The objective of this study was to evaluate the effect of Ganoderma lucidum polysaccharide peptide (GLPP) in paroxysmal AF subjects with parameters of anti-inflammatory antioxidant, electrocardiography and health-related quality of life (HRQoL). METHODS: A randomized closed-label clinical trial with pre- and post-test design was conducted. After AF subjects selection, the subjects were randomized, interviewed and veni-punctured to isolate blood plasma. AF Subjects were then treated with placebo or GLPP for 90 days. Post-test blood plasma was collected on the following day after the 90th day. Then anti-inflammatory and antioxidant parameters were measured. After that, echocardiographic and HRQoL assessments were performed. RESULTS: A total of 38 subjects, 11 males and 27 females, completed the study with no significant changes in diets, physical activities, or medications. Comparing to control, the 90-days GLPP-treated subject characteristics were significant difference in systolic blood pressure, heart rate, malondialdehyde, high-sensitivity C-reactive protein, tumor necrosis factor-a, interleukin (IL)-1b, IL-6, primary (P)-wave dispersion, P-max, physical functioning, limitation to physical health, energy/fatigue, pain, and physical limitation. CONCLUSION: GLPP has several potential effects in AF subjects, including anti-inflammatory, antioxidant, and atrial remodelling, so that HRQoL of AF subjects could be improved. Hence, GLPP could suggested as a potential supplementing agent for AF management. KEYWORDS: atrial fibrillation, Ganoderma lucidum, inflammation, antioxidant, atrial remodelling, quality of lifehttps://inabj.org/index.php/ibj/article/view/1244
spellingShingle Ardian Rizal
Ferry Sandra
Muhamad Rizki Fadlan
Djanggan Sargowo
Ganoderma lucidum Polysaccharide Peptide Reduce Inflammation and Oxidative Stress in Patient with Atrial Fibrillation
Indonesian Biomedical Journal
title Ganoderma lucidum Polysaccharide Peptide Reduce Inflammation and Oxidative Stress in Patient with Atrial Fibrillation
title_full Ganoderma lucidum Polysaccharide Peptide Reduce Inflammation and Oxidative Stress in Patient with Atrial Fibrillation
title_fullStr Ganoderma lucidum Polysaccharide Peptide Reduce Inflammation and Oxidative Stress in Patient with Atrial Fibrillation
title_full_unstemmed Ganoderma lucidum Polysaccharide Peptide Reduce Inflammation and Oxidative Stress in Patient with Atrial Fibrillation
title_short Ganoderma lucidum Polysaccharide Peptide Reduce Inflammation and Oxidative Stress in Patient with Atrial Fibrillation
title_sort ganoderma lucidum polysaccharide peptide reduce inflammation and oxidative stress in patient with atrial fibrillation
url https://inabj.org/index.php/ibj/article/view/1244
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AT muhamadrizkifadlan ganodermalucidumpolysaccharidepeptidereduceinflammationandoxidativestressinpatientwithatrialfibrillation
AT djanggansargowo ganodermalucidumpolysaccharidepeptidereduceinflammationandoxidativestressinpatientwithatrialfibrillation