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Original Article

The Potency of Nanoparticle of Pinus merkusii as


Immunostimulatory on Male Wistar Albino Rat
Sri Agus Sudjarwo, Giftania Wardani1, Koerniasari Eraiko2, Koerniasari3
Department of Pharmacology, Faculty of Veterinary Medicine, Airlangga University, 1Department of Pharmacy Biology, Faculty of Pharmacy, Hang Tuah University,
2
Department of Conservative Dentistry, Faculty of Dentistry, Airlangga University, 3Study Program of Environmental Health, Polytechnic of Health,
Surabaya, Indonesia

Abstract
Objective: Medicinal herbs are the commonly used worldwide immunomodulators in the management of various disease conditions. The aim
of this study was to evaluate the immunostimulatory activity of the nanoparticle extract of Pinus merkusii in Wistar albino rats. Materials and
Methods: It was an experimental study that was conducted on various groups of animals each with six healthy adult rats. Neutrophil adhesion
test, hemagglutinating antibody (HA) titer, delayed-type hypersensitivity (DTH) response, phagocytic activity, and cyclophosphamide-
induced myelosuppression were determined in various groups of animals. Results: The nanoparticle of extract P. merkusii at doses 500 mg/kg
BW but not at doses 125 mg/kg BW and 250 mg/kg BW induced a significant increase in percent neutrophil adhesion fibers as well as a dose-
dependent increase in antibody titer values and potentiated the DTH reaction induced by sheep red blood cells. Also, it prevented
myelosuppression in cyclophosphamide drug-treated rats and good response toward phagocytosis in carbon clearance assay. Conclusion:
From these findings, it can be concluded that nanoparticle extract of P. merkusii possesses immunostimulatory activity and has therapeutic
potential for the prevention of immune-depressed conditions.

Keywords: Immunostimulatory, nanoparticle, Pinus merkusii

INTRODUCTION immunostimulatory in traditional medicines, for the treatment


of many immunological disorders. Andrographis paniculata,
Immunomodulatory is a substance which suppresses or
Allium sativum, Cajanus indicus, Gymnema sylvestre,
stimulates the components of immune system including both
Asparagus racemosus, Piper longum Linn., Curcuma longa,
innate and adaptive the immune responses. It has been reported
Phyllanthus emblica Linn., Ocimum sanctum Linn., Tinospora
that immunomodulation of the immune response could provide
cordifolia, and Pinus radiata are among the medicinal plants
an alternative to conventional chemotherapy for a variety
claimed to possess potential immunostimulatory agent.[5,6]
of disease conditions, especially when impaired immune
responsiveness of the host’s in under conditions or when a It has been demonstrated that the medicinal properties of Pinus
selective immunosuppressant has to be induced in a situation plant were due to the phytochemicals possessed, including
like autoimmune disorders and organ transplantation.[1,2] alkaloids, polyphenols, flavonoids, lignans, triterpenes, sterols,
glycosides, triterpenoids, and saponins.[7,8] Recent research
The immunostimulation of the immune system of medicinal
activities have shown that Pinus plant is an important source
plant products has become subject to scientific investigations
of pycnogenol that contains proanthocyanidins (procyanidins).
currently worldwide and their active components provide [9-11]
Proanthocyanidins are potent, free radical scavengers,
a potential alternative to conventional immunotherapy
for a variety of immunologic diseases. In this context,
the development of medicinal plant product-based drug Address for correspondence: Prof. Sri Agus Sudjarwo, Department of
candidates as immunostimulatory has gained momentum in Pharmacology, Faculty of Veterinary Medicine, Airlangga University,
Surabaya - 60115, Indonesia.
research studies directed toward design and discovery of E-mail: ags158@yahoo.com
drugs.[3,4] Medicinal plant products have long been used as
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How to cite this article: Sudjarwo SA, Wardani G, Eraiko K,


DOI: Koerniasari. The Potency of Nanoparticle of Pinus merkusii as
10.4103/ijnpnd.ijnpnd_72_17 Immunostimulatory on Male Wistar Albino Rat. Int J Nutr Pharmacol
Neurol Dis 2018;8:10-5.

10 © 2018 International Journal of Nutrition, Pharmacology, Neurological Diseases | Published by Wolters Kluwer - Medknow
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Sudjarwo, et al.: The potency of nanoparticle of Pinus merkusii as immunostimulatory

antibacterial agents, exhibit vasodilatory, antiallergic, anti- stirring at room temperature in drop wise using 10 ml
inflammatory, cardioprotective, immune-stimulating, antiviral, syringe needle into P. merkusii extract and chitosan
and estrogenic activities.[12,13] solution. The pH of the solution was adjusted by adding
0.1 M NaOH solution to the chitosan P. merkusii complex and
In recent years, synthesis of nanoparticles is an interesting
stirred for 2 h on a magnetic stirrer. Chitosan P. merkusii
issue of the nanoscience and nanobiotechnology. There is a
complex was centrifuged at 12,000 rpm for another 30 min
growing attention to biosynthesis the nanoparticles using
and decanted.[16,17] The supernatant was kept and dried in an
herbal. Among these organisms, plants seem to be the best
oven at 40°C overnight for onward usage.
candidate, and they are suitable for large-scale biosynthesis
of nanoparticles. Nanoparticles produced by plants are
more stable, and the rate of synthesis is faster than that Sheep red blood cells preparation
in the case of other organisms. Moreover, the nanoparticles Fresh blood was collected from a sheep sacrificed in the local
vary greatly in shape and size in comparison with slaughter house. Sheep red blood cells (SRBCs) were washed
those produced by other organisms.[14,15] Pinus plant three times in large volumes of pyrogen free 0.9% normal
nanoparticles have drawn the attention of researchers saline and adjusted to a concentration of 0.5 × 109 cells/ml for
because of their suitable applications in the fields of immunization and challenge.[18]
material science and medicine.[12] The objective of the
present study was to evaluate the immunostimulatory Neutrophil adhesion test
activity of the nanoparticle extract of Pinus merkusii in Joshua et al.’s[19] method was employed for neutrophil
Wistar albino rats. adhesion test. Rats of the control group were given 10 ml/
kg normal saline, whereas treatment groups were pre-treated
MATERIALS AND METHODS with different concentrations of nanoparticle extract of P.
merkusii (125; 250 and 500 mg/kg), peroral for 14 days,
Experimental animals
respectively. On day 14 of nanoparticle extract of P.
Male Wistar albino rat weighing approximately 200–250 g merkusii treatment, blood samples were collected by
(2.5–3 months) were obtained from Gadjah Mada University, puncturing retro-orbital plexus into heparinized vials and
Yogyakarta, Indonesia for experimental purpose. They were analyzed for total leukocyte cell (TLC) and differential
housed in plastic cages in an air-conditioned room with a leukocyte cell (DLC) counts. After initial counts, blood
temperature maintained at 26 ± 2°C and 12 h alternates light samples were incubated with nylon fibers for 15 min at
and dark cycles. The rats were given ad libitum with tap water 37°C. The incubated blood samples were again analyzed
and fed with standard commercial rat chow. This study was by TLC and DLC, respectively, to give the neutrophil
reviewed by the Ethical Clearance Committee for preclinical index of blood samples. The percent neutrophil adhesion
research, Institute of Tropical Disease, Airlangga University was calculated by the following formula:
and obtained ethical clearance under No. 93/ITD/5/2017.
NIu−NIt
Neutrophil adhesion ð%Þ ¼  100;
Preparation of ethanol extract of P. merkusii NIu
Plant material and extract preparation of P. merkusii leaf were where NIu is the neutrophil index of untreated blood samples,
collected from Surabaya, Indonesia. P. merkusii leaf and NIt is the neutrophil index of treated blood samples.
materials were cleaned with running tap water and
chopped into pieces. They were dried under shade at Hemagglutinating antibody titer
ambient temperature for 5 days, and the air-dried Joshua et al.[19] described the procedure for hemagglutinating
P. merkusii were then ground to powder for extraction. antibody (HA) titer. The rats of all groups were immunized by
The powdered P. merkusii (1 kg) was macerated with injecting 0.1 ml of an SRBCs suspension containing 0.5 × 109
ethanol (5 L) for a week at 37°C. The supernatant was cells intraperitoneally on day 0. The rats, which were divided
then collected and filtered through Whatman No. 1 filter into control group were given 10 ml/kg normal saline,
paper in a Buchner funnel under vacuum. The filtrate was whereas treatment groups were pre-treated with different
concentrated by evaporation with a vacuum rotary evaporator concentrations of nanoparticle extract of P. merkusii (125;
at 45°C. The extract was dried at reduced pressure, stored at 250 and 500 mg/kg), peroral for 7 days, respectively. Blood
0–4°C, and used for the experimentation. samples were collected from the heart of each rat for
serum preparation on the 7th day. The blood samples were
Preparation of P. merkusii extract nanoparticle centrifuged, and serum was obtained. Antibody levels
P. merkusii extract nanoparticles were prepared by ionic were determined by the hemagglutination technique. Equal
gelation of chitosan and sodium tripolyphosphate (TPP) volumes of individual serum samples of each group were
anions. One gram of P. merkusii extract was dissolved in pooled. Twofold serial dilutions of pooled serum samples
50 ml Tween 80 solutions and added 100 ml chitosan in made in 25 ml volume of normal saline in microtitration
glacial acetic acid (0.25% v/v). Three hundred and fifty plates were added to 25 ml of 1% suspension of SRBCs in
milliliters of 0.84% w/v TPP was added under magnetic saline. After mixing, the plates were incubated at 37°C for 1 h

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Sudjarwo, et al.: The potency of nanoparticle of Pinus merkusii as immunostimulatory

and the value of antibody titer was assigned to the highest control; positive control and treatment groups, each group
serum dilution showing visible hemagglutination. containing six rats. The negative control group received a
saline solution. The positive control group was administered
Delayed-type hypersensitivity response with only cyclophosphamide at the dose of 30 mg/kg,
The delayed-type hypersensitivity (DTH) response was i.p. while treatment group rats received cyclophosphamide
determined using the method of Allen.[16] The rats of all and varied concentrations of nanoparticle extract of P.
the groups were immunized by injecting 0.1 ml of a SRBCs merkusii (125; 250 and 500 mg/kg, p.o.). The nanoparticle
suspension containing 0.5 × 109 cells intraperitoneally on extract of P. merkusii was given daily for 10 days and
day 0. The rats, which were divided into control group cyclophosphamide was injected with cyclophosphamide on
were given 10 ml/kg normal saline, whereas treatment the 8th, 9th and 10th day, 1 h after the administration of the
groups were pre-treated with different concentrations of respective treatment. Blood samples were collected on the
nanoparticle extract of P. merkusii (125; 250 and 500 mg/ 11th day of the experiment and analyzed for hematological
kg), peroral for 8 days, respectively. On the 7th day of parameters.
immunization, all the rats were challenged with 0.5 × 109
cells in the left hind foot pad. The right footpad was injected Statistical analyses
with the same volume of normal saline, which served as the Data analyses were performed using the Statistical
control for nonspecific swelling. Increase in footpad Package for the Social Sciences version 12.0 software
thickness was measured 24 h after the challenge.[20] for Windows (SPSS Inc., South Wacker Drive, Chicago,
Illinois, USA). All data were expressed as means ±
Phagocytic response (carbon clearance method) standard deviation (SD) values. The analysis of variance
The method was described by Singh et al.[21] The rats, which test was used to test for differences between the groups.
were divided into control group were given 10 ml/kg normal Duncan’s multiple range test was used to analyze
saline, whereas treatment groups were pre-treated with differences between the mean values and differences
different concentrations of nanoparticle extract of were considered statistically significant at P < 0.05.
P. merkusii (125; 250 and 500 mg/kg), peroral for 7 days,
respectively. On the 7th day, immediate after the last dose RESULTS
administered to all the rats of each group control as well as Effect of nanoparticle extract of P. merkusii on
treated received an intravenous injection of carbon suspension neutrophil adhesion
(1:50 dilution of Indian ink, Hi-Media Laboratories Pvt. Ltd.,
Incubation of neutrophils with nylon fibers produced a decrease
Mumbai, India) in a dose of 1 ml/200 g body weight. Blood was
in the neutrophil counts due to adhesion of neutrophils to the
withdrawn from the retro orbital venous plexus before injection
fibers. Effect of nanoparticle extract of P. merkusii on
(0 min) and 15 min after injection of the carbon suspension, and
neutrophil activation by the neutrophil adhesion test is
50 ml of blood was lysed with 4 ml of 0.1% sodium carbonate
shown in [Table 1]. The neutrophil adhesion in control
solution (Na2CO3). The optical density was measured
group rats was 5.74 ± 1.72. The nanoparticle extract of P.
spectrophotometrically at 650 nm wavelength.
merkusii showed a significant increase in neutrophil
The results were expressed as a phagocytic index: adhesion at a dose of 500 mg/kg BW, but not at doses of
125 and 250 mg/kg, when the data were compared with
K ¼ ðln OD12 min Þ−ðln OD0 min Þ=ðt15 min −t0 min Þ; control group rats, suggesting possible immunostimulant
where OD12 min and OD0 min are the optical densities at time action of the nanoparticle extract of P. merkusii [Table 1].
t15 min and t0 min, respectively.
Effect of nanoparticle extract of P. merkusii on
Cyclophosphamide-induced myelosuppression humoral immunity parameters
The method described by Bin-Hafeez et al.[22] was employed The hemagglutination antibody titer was used to assess
for cyclophosphamide-induced myelosuppression. Albino humoral immune response. The humoral antibody titer
rats were divided into five groups designated as a negative value of control group was found to be 31.13 ± 3.85.

Table 1: Effect of administration of nanoparticle extract of Pinus merkusii on neutrophil adhesion


Group Neutrophil index Neutrophil adhesion (%)
UB FTB
Control 331.27 ± 23.35 312.14 ± 19.52 5.74 ± 1.72
Pinus merkusii 125 mg/kg 359.16 ± 27.98 328.23 ± 26.43 8.63 ± 2.43
Pinus merkusii 250 mg/kg 377.53 ± 31.27 336.42 ± 23.78 10.8 ± 3.85
Pinus merkusii 500 mg/kg 458.13 ± 36.62 374.19 ± 32.62 18.3 ± 2.27*
UB = untreated blood, FTB = fiber treated blood. Values are mean ± SD, n = 6. *P < 0.05 significant.

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Sudjarwo, et al.: The potency of nanoparticle of Pinus merkusii as immunostimulatory

Administration of nanoparticle extract of P. merkusii doses


Table 2: Effect of administration of nanoparticle extract of
500 mg/kg but not at doses of 125 and 250 mg/kg produced a
Pinus merkusii on hemagglutination titer
significant increase in hemagglutination antibody titer, when
the data were compared with control group rats, as an Group Hemagglutination titer
evidence from hemagglutination after incubation of serum Control 31.13 ± 3.85
with SRBCs [Table 2]. Nanoparticle extract of Pinus 35.21 ± 4.27
merkusii 125 mg/kg BW
Effect of nanoparticle extract of P. merkusii on cell Nanoparticle extract of Pinus 38.23 ± 4.69
merkusii 250 mg/kg BW
mediated immunity parameters
Nanoparticle extract of Pinus 58.75 ± 6.31*
The cell-mediated immune response of nanoparticle merkusii 500 mg/kg BW
extract of P. merkusii was assessed by DTH reaction, that Values are mean ± SD, n = 6. *P < 0.05 significant.
is, foot pad reaction. As shown in Table 3, the nanoparticle
extract of P. merkusii produced a significant, dose-
dependent manner increase in DTH reactivity in rats. The
Table 3: Effect of administration of nanoparticle extract of
nanoparticle extract of P. merkusii at doses 500 mg/kg BW
Pinus merkusii on delayed-type hypersensitivity
but not at dose 125 and 250 g/kg significantly increased the
DTH reactivity as compared to the control. Increase in DTH Group Delayed-type
reaction in rats in response to cell-dependent antigen hypersensitivity 24 h (mm)
revealed the stimulatory effect of nanoparticle extract of Control 0.17 ± 0.05
P. merkusii on T cells [Table 3]. Nanoparticle extract of Pinus 0.21 ± 0.07
merkusii 125 mg/kg BW
Nanoparticle extract of Pinus 0.32 ± 0.09
Effect of nanoparticle extract of P. merkusii on merkusii 250 mg/kg BW
phagocytic response Nanoparticle extract of Pinus 0.78 ± 0.71*
The faster removal of carbon particles has been correlated with merkusii 500 mg/kg BW
the enhanced phagocytic activity. The phagocytic activity of the Values are mean ± SD, n = 6. *P < 0.05 significant.
reticular-endothelial system was measured by the removal of
carbon particles from the blood circulation. The phagocytic
index of the control group was 4.18 ± 0.67 [Table 4]. Oral Table 4: Effect of administration of nanoparticle extract of
administration of nanoparticle extract of P. merkusii a dose- Pinus merkusii on phagocytic index
related increase in the clearance rate of carbon by the cells of the Group Phagocytic index
reticuloendothelial system. The nanoparticle extract of P.
Control 4.18 ± 0.67
merkusii showed significant increase in the phagocytic index Nanoparticle extract of Pinus 4.86 ± 0.91
at doses of 500 mg/kg but not at doses of 125 and 250 mg/kg, merkusii 125 mg/kg BW
when the data were compared with control group rats, Nanoparticle extract of Pinus 5.23 ± 0.89
suggesting phagocytic activity of the nanoparticle extract of merkusii 250 mg/kg BW
P. merkusii. Nanoparticle extract of Pinus 8.75 ± 0.71*
merkusii 500 mg/kg BW
Values are mean ± SD, n = 6. *P < 0.05 significant.
Effect of nanoparticle extract of P. merkusii on
cyclophosphamide-induced myelosuppression
Cyclophosphamide at the dose of 30 mg/kg, i.p. caused DISCUSSION
a significant reduction in the hemoglobin, red blood The immune system is the vital defense against noninfectious
cells (RBCs); white blood cells (WBCs), and platelets count. and infectious diseases. A strong immune system comprises
Combined treatment of cyclophosphamide and the nanoparticle elements that are in balance with one another; if this balance is
extract of P. merkusii a dose-dependent manner result disturbed, our immune system will be incapable to protect the
in a restoration of bone marrow activity as compared body against harmful substances.[2,3] Immunomodulation
with cyclophosphamide treatment alone. Significant using medicinal plants can provide a substitute to conven-
reduction in WBC count was observed in rats treated with tional immunotherapy for a range of diseases, especially
cyclophosphamide alone (positive control) as compared to the when host defense mechanism has to be activated under the
negative control. The nanoparticle extract of P. merkusii at conditions of impaired immune response. There are several
doses 500 mg/kg BB significant increased the levels of diseases where immunostimulant drugs are needed to overcome
hemoglobin, RBCs, WBCs and platelets count as compared the immunosuppression induced by drugs or environmental
to the positive control treated with cyclophosphamide, and it factors. There is a strong necessity of the drugs that can enhance
was observed that nanoparticle extract of P. merkusii at the the immune system to combat the immunosuppressive
doses of 125, 250 and 500 mg/kg, respectively, restored the consequences caused by stress, chronic diseases, and
levels of WBC back to normal [Table 5]. conditions of impaired immune responsiveness. Recently,

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Table 5: Effect of nanoparticle extract of Pinus merkusii on cyclophosphamide-induced myelosuppression


The haematological parameter Groups
Control Cyclophosphamide 30 mg/kg 125 mg/kg Pinus merkusii 250 mg/kg 500 mg/kg
RBC (×106/ml) 8.1 ± 0.9 5.1 ± 1.1 6.5 ± 1.1 6.9 ± 1.3 7.9 ± 0.8*
Hb (g/dl) 14.7 ± 1.5 8.7 ± 1.3 7.6 ± 2.1 8.4 ± 1.4 13.3 ± 1.8*
PCV (%) 58.3 ± 7.3 41.3 ± 5.6 45.2 ± 6.5 51.3 ± 8.2 56.9 ± 5.6*
WBC (×103/ml) 7.6 ± 1.1 4.6 ± 1.2 5.1 ± 0.9 6.5 ± 1.3 6.9 ± 0.8*
MCV (fl) 63.5 ± 7.3 48.5 ± 4.2 51.5 ± 6.4 55.5 ± 9.1 61.7 ± 5.9*
MCHC (g/dl) 37.6 ± 4.8 21.6 ± 5.1 24.6 ± 3.9 29.8 ± 5.1 34.1 ± 4.8*
Lymphocyte (%) 67.6 ± 9.3 46.6 ± 7.3 51.5 ± 7.8 56.6 ± 8.9 63.2 ± 8.1*
Monocyte (%) 3.7 ± 0.5 1.9 ± 0.7 3.1 ± 0.6 2.9 ± 0.8 3.5 ± 0.6*
Neutrophils (%) 1.3 ± 0.3 0.9 ± 0.4 1.1 ± 0.5 0.8 ± 0.7 1.2 ± 0.5*
Values are expressed as mean ± SD. The data represent the average from six rats. *Significant difference between the Pinus merkusii groups and the control
group (P < 0.05).

medicinal plants and their products have been commonly foreign grafts, tumor immunity, and DTH reactions.[2,3]
used as immunomodulatory.[5] Though medicinal plants Therefore, an increase in DTH reaction in rats in response
have been investigated for diverse pharmacologic activities, to T cell-dependent antigen revealed the stimulatory effect of
the immunostimulatory potential of P. merkusii still remains nanoparticle extract of P. merkusii on T cells. In the present
unknown. study, nanoparticle extract of P. merkusii showed an overall
stimulatory effect on the immune functions in rats.
The results obtained in the present study indicate that Stimulatory effects were observed on both humoral and
nanoparticle extract of P. merkusii is a potent immuno- cellular immunity. In DHT test, the nanoparticle extract of
stimulant, stimulating both specific and nonspecific P. merkusii showed an increase response in all doses, but this
immune mechanisms. Neutrophils are an important increase was significant only in dose 500 mg/kg. This activity
component of the innate immune system, with the main could be due to the presence of pycnogenol that contains
role in the clearance of extra­cellular pathogens. Both proanthocyanidins which augment the humoral response, by
localization and neutralization of microorganisms are stimulating the macrophages and B lymphocytes subsets
functions of neutrophil that are regulated by specific involved in antibody synthesis. The mechanism behind this
inflammatory mediators released from the site of infection. elevated DTH during the CMI responses could be due to
The neutrophil, an end cell unable to divide and with limited sensitized T-lymphocytes. When challenged by the antigen,
capacity for protein synthesis is, nevertheless, capable they are converted to lymphoblast and secrete a variety of
of a wide range of responses, in particular chemotaxis, molecules including proinflammatory lymphokines, affecting
phagocytosis, exocytosis and both intracellular and more scavengers cells to the site of reaction.[3] An increase in
extracellular killing.[18] In the present study, nanoparticle DTH response indicates a stimulatory effect of the plant
extract of P. merkusii evoked a significant increase in which has occurred on the lymphocytes and accessory cell
percent neutrophils. This may potentially help in types required for the expression of this reaction.[4]
increasing immunity of body against microbial infections.
Phagocytosis is the process by which certain body cells,
The augmentation of the humoral immune response to SRBCs collectively known as phagocytes, ingests and removes
by nanoparticle extract of P. merkusii, as evidenced by an microorganisms, malignant cells, inorganic particles and
increase in the antibody titer in rats indicated the enhanced tissue debris.[7] Nanoparticle extract of P. merkusii
responsiveness of T and B lymphocyte subsets, involved in appeared to enhance the phagocytic function by exhibiting
the antibody synthesis. The high values of HA titer obtained a dose-related increase in the clearance rate of carbon by the
in the case of nanoparticle extract of P. merkusii have cells of the reticulo endothelium system.
indicated that immunostimulation was achieved through
The administration of nanoparticle extract of P. merkusii
humoral immunity. B lymphocytes and plasma cells
significantly controls the total WBC count, RBCs count,
function in the humoral immunity component of the
and hemoglobin and platelets count and also restored the
adaptive immune system by secreting antibodies such as
myelosuppressive effects induced by cyclophosphamide. The
IgG and IgM are the major immunoglobulins which are
results of the present study indicate that the nanoparticle
involved in the complement activation, opsonization,
extract of P. merkusii can stimulate the bone marrow activity.
neutralization of foreign bodies.[18]
The bone marrow a sensitive target particularly to cytotoxic
Cell-mediated immunity (CMI) involves effectors drugs such as cyclophosphamide. In fact, bone marrow is the
mechanisms performed by T lymphocytes and their organ most affected during any immunosuppression therapy
products (lymphokines). CMI responses are critical to with this cyclophosphamide. Loss of stem cells and the
defense against infectious microorganisms, infection of inability of the bone marrow to regenerate new blood cells

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Sudjarwo, et al.: The potency of nanoparticle of Pinus merkusii as immunostimulatory

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of Indonesia. Grant No.: 004/Sp2H/LT/DRPM/IV/2017, values of natural plant products. Trends Med Res 2012;7:34-42.
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Financial support and sponsorship 16. Atun S, Handayani S. Synthesis of nanoparticles produced by
ethanol extract of Boesenbergia rotunda rhizome loaded with
Nil. chitosan and alginic acid and its biological activity test.
Pharmacogn J 2017;9:142-7.
Conflicts of interest 17. Syaefudin, Juniarti A, Rosiyana L, Setyani A, Khodijah S.
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International Journal of Nutrition, Pharmacology, Neurological Diseases ¦ Volume 8 ¦ Issue 1 ¦ January-March 2018 15

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