1.Association between Oxidative DNA Damage, Fruits and Vegetables Intake with Breast Cancer: A Preliminary Study in Klang Valley
Suzana Shahar ; Kim Tiu Teng ; Nor Fadilah Rajab ; Fatimah Arshad
Malaysian Journal of Health Sciences 2008;6(1):61-77
A preliminary study was conducted to determine the level of oxidative DNA damage, fruits and vegetables intake among 50 breast cancer patients (cases)
as compared to 50 healthy women (controls) with no known medical history of breast cancer in Klang Valley. Both groups were matched for age and ethnicity.
Data on socio-demographic, health status and medical history, fruits and vegetables intake, and supplements intake were obtained through an interviewbased
questionnaire. Anthropometry measurements included weight, height, and waist and hip circumference were also carried out on subjects. A total of 3mL fasting venous blood was drawn to assess lymphocytes oxidative DNA
damage using Alkaline Comet Assay. Results indicated that the mean intake of fruits and vegetables was lower in cases (4.09 ± 1.17 servings/d) than controls
(4.77 ± 0.90 servings/d)(p < 0.05) The intake of fruits and vegetables from family groups of solanaceae, myrtaceae, caricaceae, apiaceae, brinjal, rutaceae,
broccoli, orange, carrot, watermelon were 0.5 - 1 servings/week significantly higher among controls as compared to cases (p < 0.05 for all parameters).
However, the intake of fruits from rosaceae family and apple was higher among controls than cases (p < 0.05). The estimated intake of β-carotene, carotenoids,
vitamin A, vitamin C (p < 0.001), α-carotene and lycopene (p < 0.05) from fruits and vegetables were higher among controls than cases. Mean DNA damage
level of cases (4.55 ± 1.78 % DNA in tail, %TD; 0.35 ± 0.21 tail moment, TM) were 3.5 and 3.9 times higher than the value of controls (1.3 ± 0.70% TD; 0.09
± 0.09 TM) (p < 0.001) and the damage increased with higher values of waist hip ratio (% TD, r = 0.396, p < 0.05; TM, r = 0.349, p < 0.05) and waist
circumference (% TD, r = 0.334, p < 0.05; TM, r = 0.360, p < 0.05). There was an inverse relationship between oxidative DNA damage with intake of total
fruits and vegetables, cauliflowers and water convolvulus and also consumption from rutaceae and solanaceae families. Similar trend was noted for estimated intake of vitamin A, carotenoids, vitamin C, β-carotene and lycopene. In conclusion, the intake of fruits and vegetables of five servings/d and the
consumption of specific families and types of fruits and vegetables might protect against oxidative DNA damage and further reduce breast cancer risk.
2.Effects of Electromagnetic Field (EMF) on Histological Changes and Norepinephrine Levels in the Brains of Adult Male Rats
Yanti Rosli ; Yap Hui Cin ; Asmah Hamid ; Farah Wahida Ibrahim ; Nor Fadilah Rajab
Malaysian Journal of Health Sciences 2016;14(1):55-61
The emergence of research about the biological effects of electromagnetic field (EMF) have growing concern among
researchers. The aim of this study was to investigate the effects on the brain of rats periodically exposed to 0.1 mT EMF.
Total 24 adult male Sprague Dawley rats were subdivided randomly to 4 groups: 2 control groups (C1 6 hours: 6 h/
day for 5 days; C2 20 hours: 20 h/day for 5 days) and 2 treatment groups which exposed to 0.1 mT EMF (T1 6 hours:
6 h/day for 5 days; T2 20 hours: 20 h/day for 5 days). A significant decrease in the pyramidal cell number was higher
as the exposure duration to EMF was extended (T1, p<0.05; T2, p<0.001). The total numbers of pyramidal cells for T1
was 15.18 % lower than of the total found in C1; and in concurring to the pattern, the number of pyramidal cells in T2
was 33.54 % lower than the total in C2. Similarly, there was a significant decrease of the Purkinje cell number as the
duration exposure to EMF, extended (T1, p<0.05; T2, p<0.001). The total numbers of Purkinje cells for T1 was 11.20
% lower than C1, in T2 was 16.19 % lower than in C2. There were significant differences between the thickness of
granular layer and molecular layer in the control groups and treatment groups. We also report a significant difference
in the levels of norepinephrine in T2, 10.71 % higher than C2. Cumulatively, these results suggested that exposure to
EMF can exert negative effect on rats brains.
Electromagnetic Fields
3.Anti-neuroinflammatory Effects of Hibiscus sabdariffa Linn. (Roselle) on Lipopolysaccharides-induced Microglia and Neuroblastoma Cells
Nor Fadilah Rajab ; Siti Masitah Musa ; Munirah Ahmad Munawar ; Leong Lek Mun ; Heng Kai Yen ; Farah Wahida Ibrahim ; Chan Kok Men
Malaysian Journal of Health Sciences 2016;14(2):111-118
Hibiscus sabdariffa Linn. (roselle) is a polyphenol rich fruit. This study aimed to identify the neuroprotective effect of roselle on LPS-induced cell proliferation and nitric oxide-induced free radical in microglia and neuroblastoma cells. MTT assay was used to identify the appropriate concentration of roselle and LPS for microglia and neuroblastoma cells proliferation study. Griess assay were used to determine the level of nitric oxide accumulated based on the reaction of Griess to estimate the activity of iNOS in nitric oxide production. The results showed that roselle at the concentration of 50 μg/mL and 100 μg/mL and LPS at concentration of 1 μg/mL does not give cytotoxic effect towards microglia C8-B4 and neuroblastoma LN18 cells. The roselle treatment at 50 μg/mL and 100 μg/mL showed a protective effect on LPS-induced microglia C8-B4 cells. However, in neuroblastoma LN18 cells, no protective effect was seen on both 50 μg/mL and 100 μg/mL of roselle treatment following induction with 1 μg/mL of LPS. On the other hand, the production of nitric oxide (NO) was reduced when LPS-induced microglia C8-B4 cells were treated with 50 μg/mL of roselle. Treatment of roselle at concentration 100 μg/mL on LPS-induced neuroblastoma LN18 cells also reduced the production of nitric oxide. As a conclusion, roselle had the ability to give neuroprotective effect by the inhibition of LPS induction activity on microglia activation for normal and cancer cells at different concentrations.
Hibiscus
4.Mechanism Identification Of Ficus Deltoidea Aqueous Extract In Rat Uterine Contractions
Farah Wahida IBRAHIM ; Nor Idayu DERASED ; Umi Romaizatul Amiera Zainudin ; Nor Fadilah RAJAB
Malaysian Journal of Health Sciences 2018;16(Special Issue (Article)):75-81
Ficus deltoidea or ‘mas cotek,’ is a uterotonic herb traditionally consumed by women to improve menstrual circulation,assist labour, remove retained placenta and treat postpartum bleeding. The aim of the study was to elucidate the mechanismof F. deltoidea in uterine contraction. Crude extracts from 2 different variants of F. deltoidea were used in the study; F.deltoidea var. Deltoidea (FDD) and F. deltoidea var. Angustifolia (FDA). This study was conducted ex vivo on the strips ofisolated rats uterus treated with either FDD or FDA aqueous extract with increasing concentrations ranging from 10 µg/ml until 1280 µg/ml at time intervals of 5 minutes between doses. The frequency and intensity of the uterine contractionswere monitored via Powerlab software. Maximum contractions for both extracts were identified, recorded and the uterinestrips samples at maximum contraction were selected and homogenized in order determine the role of prostaglandinF2α (PGF2α) in the mechanism of uterine contraction. Other than that, phosphorylated 42/44 (p42/44) of mitogenactivated protein kinase (MAPK) expression was also detected via immunoblotting. The results showed that the maximumcontraction induced by FDD was at the concentration of 320 µg/ml, whereas for FDA was at 960 µg/ml. Both FDD andFDA increased the intensity of uterine strips contractions and there were notable trend of increased PGF2α expression aswell. Further analysis revealed that the uterine contractions involved the MAPK pathway through the phosphorylation ofp42/44 protein. In conclusion, Ficus deltoidea of both variants have the ability to stimulate uterine contraction throughthe mechanism of MAPK pathway.
5.Assessment Of Cytotoxicity Potency Of Paclitaxel In Combination With Clinacanthus Nutans Extracts On Human Mda-Mb-231 Breast Cancer Cells
Nur Hasnieza Mohd Rosli ; Chan Kok MENG ; Fariza Juliana NORDIN ; Lek Mun LEONG ; Nur Syazwani Abdul Aziz ; Nor Fadilah RAJAB
Malaysian Journal of Health Sciences 2018;16(Special Issue (Article)):95-103
Clinacanthus nutans (C. nutans) leaf extracts have been widely used by cancer patients in Malaysia and local practiceclaims a cure to cancer. There were several studies done to determine the cytotoxicity potency of C. nutans extracts onvarious types of cells. However, there is still lacking on the knowledge regarding the combination effect of C. nutanswith anticancer drugs. Thus, the study was carried out to determine the cytotoxicity potency of C. nutans extracts andpaclitaxel (PTX) alone and, in combination on MDA-MB-231 cells. The cells were treated with 100% ethanol extract ofC. nutans (CNE) and water extract of C. nutans (CNA), PTX and combination of both extracts and PTX for 72 hours andthe cytotoxic activity was determined using SRB assay. Result showed that CNE had little cytotoxic activity, whereas CNAshowed no cytotoxic activity on MDA-MB-231 cells. For combination treatment of C. nutans extracts and PTX, only CNEshowed significant enhanced PTX-induced cytotoxicity (p < 0.05), meanwhile CNA inhibited PTX-induced cytotoxicitysignificantly (p < 0.05). As a conclusion, CNE was able to increase PTX potency to inhibit the viability of MDA-MB-231cells.
6.Prevalence of Poor Mental Health and Cognitive Status among Middle-Aged Adults and Its Predictors in Relation to Polyphenols Intake
Hanisah Rosli ; Suzana Shahar ; Normah Che Din ; Hasnah Haron ; Nor Fadilah Rajab
Malaysian Journal of Medical Sciences 2019;26(3):72-89
Background: Decline in mental health and cognitive status starts to show its sign during
middle-age and is affected by dietary factors, namely the polyphenols intake. Polyphenols have
received attention in improving health issues related to aging, including decline in mental health
and cognitive. The aim of this study is to determine the prevalence of poor mental health and
cognitive status among middle-aged adults and its predictors in relation to polyphenols intake.
Methods: Subjects’ food intakes were calculated by using dietary history questionnaire
and food frequency questionnaire for polyphenols. The subjects’ mental health and cognitive status
were measured by general health questionnaire-28 (GHQ-28) and Rey’s auditory verbal learning
test (RAVLT).
Results: More than 40% of middle-aged adults were identified as having signs of poor
mental health. A total of 67.9% of the subjects had poor cognitive status according to RAVLT
immediate recall. Hierarchical binary logistic regression indicated that fat intake was associated
with somatic symptoms for both men [adjusted odds ratio (AOR) = 1.04; P < 0.05] and women
(AOR = 1.06; P < 0.05). Intake of lignan (AOR = 1.071; P < 0.05) was associated with better RAVLT
immediate recall among women. Additionally, high cholesterol (AOR = 3.14; P < 0.05) was
associated with poor score of RAVLT delayed recall for women.
Conclusions: Early detection of poor mental health and cognitive is crucial to prevent
Alzheimer’s disease in old age.