Combination of three laboratory data as predictor of severe dengue in adults : a retrospective cohort study

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Suhendro Suwarto
Surya Ulhaq
Bing Widjaja


Skin hydration decreases with aging. Aquaporin-3 (AQP3) is a major protein that plays a role in skin hydration, therefore it is a novel target for skin moisturizing treatment. Retinoic acid (RA) as a well-known active agent in antiaging treatment increases AQP3 expression, but frequently causes harmful side effects. Asiaticoside, a saponin compound isolated from Centella asiatica (CA) is also known as an antiaging cosmetic and plays a role in wound healing. The aim of this study was to evaluate and compare the effect of asiaticoside isolated from CA and the effect of RA on the AQP3 expression in normal human epidermal keratinocytes (NHEKs).

An experimental laboratory study was performed using primary NHEKs that were derived from the foreskin of a boy. AQP3 expression in NHEKs was examined in vitro after the cells were incubated for 24 hours with asiaticoside or with RA at several concentrations. The AQP3 expression was evaluated by immunocytochemistry and quantitatively analyzed by Image-J software. Independent t-test and one-way ANOVA were used to analyze the data, followed by post-hoc Tukey test.

There was an increasing trend of AQP3 expression upon exposure to asiaticoside at all concentrations compared to the control group. However, RA exposure seemed to induce a higher level of AQP3 expression. Asiaticoside effected a lower increase in AQP3 expression in NHEKs than did RA (p=0.042). Optimal results were achieved at 1 mg/ml concentration of asiaticoside.

Asiaticoside isolated from CA can enhance the AQP3 expression in NHEKs. Therefore it can be used as an active ingredient in cosmetic moisturizer formulation for dry skin treatment.

Article Details

How to Cite
Suwarto, S., Ulhaq, S., & Widjaja, B. (2017). Combination of three laboratory data as predictor of severe dengue in adults : a retrospective cohort study. Universa Medicina, 36(1), 19–24.
Original Articles
Author Biography

Suhendro Suwarto, Tropical and Infectious Diseases Consultant, Pondok Indah Hospital, Jakarta

Division of Tropical and Infectious Diseases, Department of Internal Medicine, Faculty of Medicine, Indonesia University, Cipto Mangunkusumo National Hospital, Jakarta, Indonesia


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