Non-communicable diseases, such as cardiovascular diseases or kidney dysfunctions, tend to have expensive and unavailable treatments. This fact, coupled with the rising trend of such diseases, means that priority should be given towards preventive measures. One such measure is the administration of antioxidants to counter the increasing inflammatory markers, such as TNF-α, in the pathogenesis of chronic non-communicable diseases. However, the usage of synthetic antioxidants chronically may incur side effects and expensive. Indonesia is home to diverse sorts of vegetations as an agricultural power, such as Acalypha indica L. (AI). AI has been used empirically by cultures across the globe and is found to have antioxidant properties. This study was conducted on aged Sprague-Dawley rats. Rats were divided into four groups, the negative control (placebo), positive control using 6 IU vitamin E, treatment group using 250 mg/kg of body weight (mg/kg BW) AI extract, and control using young rats. The rats were then terminated after 28 days, and the major organs, kidneys, and hearts were examined using ELISA to look for TNF-α concentration. Data collected were analyzed using Saphiro-Wilk test and one-way ANOVA. AI administration yielded a decrease of TNF-α in both the kidneys (0.95 ± 0.76 pg/mg in the treatment group vs. 1.37 ± 0.41 pg/mg in the negative control) and hearts (15.43 pg/mg ± 2.33 in the treatment group vs. 16.50 ± 1.33 pg/mg in the negative control), of aged SD rats, albeit insignificantly. A relatively short time of treatment in this study could be attributed to the insignificant decrease in kidney and cardiac tissue. Nevertheless, this finding of decreased TNF-α suggests a potential anti-inflammatory and antiaging effect of AI. Further research suggestions on the investigation of AI are using longer time of treatment and other test subjects.

1.
Kementerian Kesehatan Republik Indonesia
.
Analisis lansia di Indonesia.
Jakarta
:
2017
.
2.
Kim
I.H.
,
Xu
J.
,
Liu
X.
,
Koyama
Y.
,
Ma
H-Y.
,
Diggle
K.
, et al. 
Aging increases the susceptibility of hepatic inflammation, liver fibrosis and aging in response to high-fat diet in mice
.
Age
2016
;
38
:
291
302
. .
3.
Kementerian Kesehatan Republik Indonesia
.
Riset kesehatan dasar 2018.
Jakarta
:
Badan Penelitian dan Pengembangan Kesehatan
;
2018
.
4.
Bridges
C.C.
,
Zalups
R.K.
The aging kidney and the nephrotoxic effects of mercury
.
J Toxicol Environ Health B Crit Rev
2017
;
20
:
55
80
. .
5.
Obas
V.
,
Vasan
R.S.
The aging heart
.
Clin Sci Lond Engl 1979
2018
;
132
:
1367
82
. .
6.
Kementerian Kesehatan Republik Indonesia
.
Situasi penyakit ginjal kronis.
Jakarta
:
Pusdatin
;
2017
.
7.
Mallappallil
M.
,
Friedman
E.A.
,
Delano
B.G.
,
McFarlane
S.I.
,
Salifu
M.O.
Chronic kidney disease in the elderly: evaluation and management
.
Clin Pract Lond Engl
2014
;
11
:
525
35
. .
8.
Jakovljevic
D.G.
Physical activity and cardiovascular aging: Physiological and molecular insights
.
Exp Gerontol
2018
;
109
:
67
74
. .
9.
Gheorghe
A.
,
Griffiths
U.
,
Murphy
A.
,
Legido-Quigley
H.
,
Lamptey
P.
,
Perel
P.
The economic burden of cardiovascular disease and hypertension in low- and middle-income countries: a systematic review
.
BMC Public Health
2018
;
18
:
975
. .
10.
Cabello-Verrugio
C.
,
Vilos
C.
,
Rodrigues-Diez
R.
,
Estrada
L.
Oxidative Stress in Disease and Aging: Mechanisms and Therapies 2018
.
Oxid Med Cell Longev 2018
;
2018
. .
11.
Rahal
A.
,
Kumar
A.
,
Singh
V.
,
Yadav
B.
,
Tiwari
R.
,
Chakraborty
S.
, et al. 
Oxidative Stress, Prooxidants, and Antioxidants: The Interplay
.
BioMed Res Int 2014
;
2014
:
1
19
. .
12.
Fülöp
T.
,
Larbi
A.
,
Witkowski
J.M.
Human Inflammaging
.
Gerontology
2019
:
1
10
. .
13.
Valentijn
F.A.
,
Falke
L.L.
,
Nguyen
T.Q.
,
Goldschmeding
R.
Cellular senescence in the aging and diseased kidney
.
J Cell Commun Signal
2018
;
12
:
69
82
. .
14.
Krata
N.
,
Zagożdżon
R.
,
Foroncewicz
B.
,
Mucha
K.
Oxidative Stress in Kidney Diseases: The Cause or the Consequence?
Arch Immunol Ther Exp (Warsz)
2018
;
66
:
211
20
. .
15.
Schumacher
S.M.
,
Naga
Prasad
S.V.
Tumor Necrosis Factor-α in Heart Failure: An updated review
.
Curr Cardiol Rep
2018
;
20
:
117
. .
16.
Diotallevi
M.
,
Checconi
P.
,
Palamara
A.T.
,
Celestino
I.
,
Coppo
L.
,
Holmgren
A.
, et al. 
Glutathione Fine-Tunes the Innate Immune Response toward Antiviral Pathways in a Macrophage Cell Line Independently of Its Antioxidant Properties
.
Front Immunol
2017
;
8
. .
17.
Sadowska-Bartosz
I.
,
Bartosz
G.
Effect of antioxidants supplementation on aging and longevity
.
BioMed Res Int 2014
;
2014
. .
18.
Xu
D-P.
,
Li
Y.
,
Meng
X.
,
Zhou
T.
,
Zhou
Y.
,
Zheng
J.
, et al. 
Natural Antioxidants in Foods and Medicinal Plants: Extraction, Assessment and Resources
.
Int J Mol Sci
2017
;
18
. .
19.
Zahidin
N.S.
,
Saidin
S.
,
Zulkifli
R.M.
,
Muhamad
I.I.
,
Ya’akob
H.
,
Nur
H.
A review of Acalypha indica L. (Euphorbiaceae) as traditional medicinal plant and its therapeutic potential
.
J Ethnopharmacol
2017
;
207
:
146
73
. .
20.
Mouli
K.C.
,
Vijaya
T.
,
Dattatreya Rao
S.
Effectiveness of flavonoid-rich leaf extract of Acalypha indica in reversing experimental myocardial ischemia: biochemical and histopathological evidence
.
Zhong Xi Yi Jie He Xue Bao
2012
;
10
:
784
92
. .
21.
Nathanael
M.
,
Hakim
R.W.
,
Farida
S.
,
Purwaningsih
E.H.
,
Krisnamurti
D.G.B.
Reduction of blood IL-6 level on aged Sprague-Dawley rats treated with Acalypha indica Linn ethanolic extract
.
AIP Conf Proc
2019
;
2092
:
030014
. .
22.
Tangney
C.
,
Rasmussen
H.E.
Polyphenols, Inflammation, and Cardiovascular Disease
.
Curr Atheroscler Rep
2013
;
15
:
324
. .
23.
Sengupta
P.
The Laboratory Rat: Relating Its Age With Human’s
.
Int J Prev Med
2013
;
4
:
624
30
.
24.
Japranata
V.V.
,
Purwaningsih
E.H.
,
Hakim
R.W.
,
Dwijayanti
A.
,
Krisnamurti
D.G.B.
The reduction effect of blood interleukin-6 concentration on aged Sprague-Dawley rats after Centella asiatica ethanolic extract administration
.
AIP Conf Proc
2019
;
2092
:
030013
. .
25.
Murugan
P.
,
Ramprasath
T.
, S. S.
Cardioprotective role of Acalypha indica extract on Isoproterenol induced myocardial infarction in rats
.
J Pharm Res
2011
;
4
:
2129
32
.
26.
Putri
A.N.M.
,
Hakim
R.W.
,
Purwaningsih
E.H.
,
Krisnamurti
D.G.B.
Kidney protective effect of acalypha indica linn. root extract in high-fructose and high-cholesterol diet-fed rats
.
J Phys Conf Ser
2019
;
1246
:
012041
. .
27.
Milan-Mattos
J.C.
,
Anibal
F.F.
,
Perseguini
N.M.
,
Minatel
V.
,
Rehder-Santos
P.
,
Castro
C.A.
, et al. 
Effects of natural aging and gender on pro-inflammatory markers
.
Braz J Med Biol Res
2019
;
52
. .
28.
Sathya
M.
,
Kokilavani
R.
,
Teepa
K.S.A.
,
Balakrishnan
A.
Biopotency of Acalypha indica Linn on Membrane Bound ATPases and Marker Enzymes urolithic Rats
.
Anc Sci Life
2011
;
31
:
3
9
.
29.
Ravi
S.
,
Shanmugam
B.
,
Subbaiah
G.V.
,
Prasad
S.H.
,
Reddy
K.S.
Identification of food preservative, stress relief compounds by GC–MS and HR-LC/Q-TOF/MS; evaluation of antioxidant activity of Acalypha indica leaves methanolic extract (in vitro) and polyphenolic fraction (in vivo
).
J Food Sci Technol
2017
;
54
:
1585
96
. .
30.
Priya
C.L.
,
Bhaskara Rao
K.V.
Postprandial Antihyperglycemic And Antioxidant Activities of Acalypha indica Linn Stem Extract: An In-vivo Study
.
Pharmacogn Mag
2016
;
12
:
S475
81
. .
31.
Hussin
F.
,
Eshkoor
S.A.
,
Rahmat
A.
,
Othman
F.
,
Akim
A.
The centella asiatica juice effects on DNA damage, apoptosis and gene expression in hepatocellular carcinoma (HCC
).
BMC Complement Altern Med
2014
;
14
:
32
. .
32.
Zhao
Y.
,
Shu
P.
,
Zhang
Y.
,
Lin
L.
,
Zhou
H.
,
Xu
Z.
, et al. 
Effect of Centella asiatica on Oxidative Stress and Lipid Metabolism in Hyperlipidemic Animal Models
.
Oxid Med Cell Longev
2014
;
2014
:
e154295
. .
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