Pengaruh Alfa Tokoferol pada Efek Ototoksik Sisplatin

Ototoxicity is a known side effect of cisplatin chemotherapy due to formation of free radicals causing death to cochlear outer hair cells, resulting in hearing loss. Alpha tocopherol has otoprotective effects towards cisplatin in animal studies. Further human studies are needed. The objective of thi...

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Main Authors: Yanuar Iman Santosa, Dindy Samiadi, Nur Akbar Aroeman, Pandji Irani Fianza
Format: Article
Language:English
Published: Universitas Padjajaran 2012-12-01
Series:Majalah Kedokteran Bandung
Subjects:
Online Access:http://journal.fk.unpad.ac.id/index.php/mkb/article/view/176
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author Yanuar Iman Santosa
Dindy Samiadi
Nur Akbar Aroeman
Pandji Irani Fianza
author_facet Yanuar Iman Santosa
Dindy Samiadi
Nur Akbar Aroeman
Pandji Irani Fianza
author_sort Yanuar Iman Santosa
collection DOAJ
description Ototoxicity is a known side effect of cisplatin chemotherapy due to formation of free radicals causing death to cochlear outer hair cells, resulting in hearing loss. Alpha tocopherol has otoprotective effects towards cisplatin in animal studies. Further human studies are needed. The objective of this study was to measure hearing function to know the otoprotective effects of alpha tocopherol against cisplatin. A randomized control trial was performed at Dr. Hasan Sadikin Hospital Bandung in December 2011–February 2012 in 2 groups. The treatment group received standard cisplatin chemotherapy treatment and alpha tocopherol 400 International Unit (IU)/day since day 1 before a 30-day-treatment. the control group received standard cisplatin chemotherapy treatment. Hearing evaluation was done using tympanometry, audiometry and distortion product otoacoustic emission (DPOAE) before and after the first and second cycles of chemotherapy. Results showed that ototoxic incidence after the first cycle of chemotherapy was significantly lower in group 1 (33.3%) than group 2 (66.7%) (p=0.046, CI=95%). Ototoxic incidence after the second cycle of chemotherapy was significantly lower in group 1 (50%) than group 2 (88.9%) (p=0.027, CI=95%). In conclusion, oral alpha tocopherol 400 IU can prevent cisplatin-induced ototoxicity.
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spelling doaj.art-739cacd04d7844b6bed50a8eae1755392022-12-21T21:21:14ZengUniversitas PadjajaranMajalah Kedokteran Bandung0126-074X2338-62232012-12-0144420521210.15395/mkb.v44n4.176Pengaruh Alfa Tokoferol pada Efek Ototoksik SisplatinYanuar Iman SantosaDindy SamiadiNur Akbar AroemanPandji Irani FianzaOtotoxicity is a known side effect of cisplatin chemotherapy due to formation of free radicals causing death to cochlear outer hair cells, resulting in hearing loss. Alpha tocopherol has otoprotective effects towards cisplatin in animal studies. Further human studies are needed. The objective of this study was to measure hearing function to know the otoprotective effects of alpha tocopherol against cisplatin. A randomized control trial was performed at Dr. Hasan Sadikin Hospital Bandung in December 2011–February 2012 in 2 groups. The treatment group received standard cisplatin chemotherapy treatment and alpha tocopherol 400 International Unit (IU)/day since day 1 before a 30-day-treatment. the control group received standard cisplatin chemotherapy treatment. Hearing evaluation was done using tympanometry, audiometry and distortion product otoacoustic emission (DPOAE) before and after the first and second cycles of chemotherapy. Results showed that ototoxic incidence after the first cycle of chemotherapy was significantly lower in group 1 (33.3%) than group 2 (66.7%) (p=0.046, CI=95%). Ototoxic incidence after the second cycle of chemotherapy was significantly lower in group 1 (50%) than group 2 (88.9%) (p=0.027, CI=95%). In conclusion, oral alpha tocopherol 400 IU can prevent cisplatin-induced ototoxicity.http://journal.fk.unpad.ac.id/index.php/mkb/article/view/176Alpha tocopherolcisplatinototoxicity
spellingShingle Yanuar Iman Santosa
Dindy Samiadi
Nur Akbar Aroeman
Pandji Irani Fianza
Pengaruh Alfa Tokoferol pada Efek Ototoksik Sisplatin
Majalah Kedokteran Bandung
Alpha tocopherol
cisplatin
ototoxicity
title Pengaruh Alfa Tokoferol pada Efek Ototoksik Sisplatin
title_full Pengaruh Alfa Tokoferol pada Efek Ototoksik Sisplatin
title_fullStr Pengaruh Alfa Tokoferol pada Efek Ototoksik Sisplatin
title_full_unstemmed Pengaruh Alfa Tokoferol pada Efek Ototoksik Sisplatin
title_short Pengaruh Alfa Tokoferol pada Efek Ototoksik Sisplatin
title_sort pengaruh alfa tokoferol pada efek ototoksik sisplatin
topic Alpha tocopherol
cisplatin
ototoxicity
url http://journal.fk.unpad.ac.id/index.php/mkb/article/view/176
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AT dindysamiadi pengaruhalfatokoferolpadaefekototoksiksisplatin
AT nurakbararoeman pengaruhalfatokoferolpadaefekototoksiksisplatin
AT pandjiiranifianza pengaruhalfatokoferolpadaefekototoksiksisplatin