PENGARUH SUPLEMENTASI MIKRONUTRIEN DALAM MENDUKUNG SISTEM IMUN TUBUH : STUDI META ANALISIS

Authors

  • Rakhesa Izzah Taqiya Program Studi Pendidikan Biologi, Fakultas Matematika dan Ilmu Pengetahuan Alam, Universitas Negeri Jakarta
  • Ghazi Pradipta Arya Program Studi Pendidikan Biologi, Fakultas Matematika dan Ilmu Pengetahuan Alam, Universitas Negeri Jakarta
  • Vira Adistya Rachmaniar Program Studi Pendidikan Biologi, Fakultas Matematika dan Ilmu Pengetahuan Alam, Universitas Negeri Jakarta
  • Rusdi Rusdi Program Studi Pendidikan Biologi, Fakultas Matematika dan Ilmu Pengetahuan Alam, Universitas Negeri Jakarta
  • Sri Rahayu Program Studi Pendidikan Biologi, Fakultas Matematika dan Ilmu Pengetahuan Alam, Universitas Negeri Jakarta

DOI:

https://doi.org/10.31004/jkt.v5i4.36213

Keywords:

Mikronutrien, Sistem Imun, Imunomodulator, Meta-analisis

Abstract

Sistem imun tubuh manusia bersifat penting karena melindungi tubuh dari patogen dan pertumbuhan sel yang abnormal, dibutuhkan mikronutrien seperti vitamin C, vitamin D, dan Zinc untuk menunjang fungsi sistem imun tubuh. Penelitian ini memiliki tujuan untuk menganalisis dan menelaah pengaruh suplemen mikronutrien seperti vitamin C, vitamin D, dan Zinc terhadap fungsi sistem imun tubuh. Waktu dilakukannya penelitian adalah bulan Oktober. Metode yang digunakan adalah meta analisis yaitu menggabungkan hasil dari beberapa studi independen yang membahas topik penelitian yang sama atau setidaknya relevan terhadap topik penelitian ini. Pencarian artikel dilakukan melalui situs pencarian artikel seperti google scholar, PubMed, Science Direct, dan sebagainya dengan kata kunci “Sistem Imun”, “Mikronutrien”, Vitamin C”, Vitamin D”, dan “Zinc”. Data yang digunakan adalah data sekunder dari sumber literatur yang dipublikasikan pada tahun 2020 - 2024. Jumlah artikel yang dikumpulkan sebanyak 6 artikel yang terdiri dari bahasa inggris dan bahasa indonesia, artikel disaring berdasarkan kesesuaiannya dengan topik penelitian, metode, hasil, dan manfaat. Hasil analisis keenam literatur menunjukkan bahwa suplementasi vitamin C dapat meningkatkan fungsi imun pada lansia dan mengurangi risiko kematian serta meningkatkan status dukungan oksigen. Suplementasi vitamin D berpengaruh terhadap lama waktu rawat inap, kebutuhan oksigen, penurunan status penanda inflamasi, dan memberikan efek imunomodulator. Suplementasi zinc dapat mencegah perburukan Immunodeficiency syndrome dan meningkatkan respons antibodi tubuh. Suplementasi mikronutrien (vitamin C, vitamin D, dan zinc) kepada beberapa populasi pasien dengan penyakit yang berbeda, memberikan pengaruh positif terhadap fungsi sistem imun dengan meningkatkan sistem kekebalan tubuh bawaan dan adaptif.

References

Ao, T., Kikuta, J., & Ishii, M. (2021). The Effects of Vitamin D on Immune System and Inflammatory Diseases. Biomolecules, 11(11), 1624.

Azizah, A., Taslim, N. A., Bamahry, A., & Virani, D. (2020). Peranan Zink Dan Vitamin D Terhadap Pencegahan Terjadinya Immune Reconstitution Inflammatory Syndrome (Iris). IJCNP (Indonesian Journal Of Clinical Nutrition Physician), 3(1), 19-28.

Calder, P. C. (2020). Nutrition, immunity and COVID-19. BMJ nutrition, prevention & health, 3(1), 74.

Calder, P. C., Carr, A. C., Gombart, A. F., & Eggersdorfer, M. (2020). Optimal Nutritional Status for a Well-Functioning Immune System Is an Important Factor to Protect against Viral Infections. Nutrients, 12(4), 1181.

Carr, A. C., & Gombart, A. F. (2022). Multi-Level Immune Support by Vitamins C and D during the SARS-CoV-2 Pandemic. Nutrients, 14(3), 689.

Carr, A. C., & Maggini, S. (2017). Vitamin C and Immune Function. Nutrients, 9(11), 1211.

Chi, H., Pepper, M., & Thomas, P. G. (2024). Principles and therapeutic applications of adaptive immunity. Cell, 187(9), 2052–2078.

De la Fuente, M., Sánchez, C., Vallejo, C., Díaz-Del Cerro, E., Arnalich, F., & Hernanz, Á. (2020). Vitamin C and vitamin C plus E improve the immune function in the elderly. Experimental gerontology, 142, 111118.

Entrenas Castillo, M., Entrenas Costa, L. M., Vaquero Barrios, J. M., Alcalá Díaz, J. F., López Miranda, J., Bouillon, R., & Quesada Gomez, J. M. (2020). "Effect of calcifediol treatment and best available therapy versus best available therapy on intensive care unit admission and mortality among patients hospitalized for COVID-19: A pilot randomized clinical study". The Journal of steroid biochemistry and molecular biology, 203, 105751.

Gammoh, N. Z., & Rink, L. (2017). Zinc in infection and inflammation. Nutrients, 9(6), 624.

Gao, D., Xu, M., Wang, G., Lv, J., Ma, X., Guo, Y., Zhang, D., Yang, H., Jiang, W., Deng, F., Xia, G., Lu, Z., Lv, L., & Gong, S. (2021). The efficiency and safety of high-dose vitamin C in patients with COVID-19: a retrospective cohort study. Aging, 13(5), 7020–7034.

Gasmi, A., Tippairote, T., Mujawdiya, P. K., Peana, M., Menzel, A., Dadar, M., ... & Bjørklund, G. (2020). Micronutrients as immunomodulatory tools for COVID-19 management. Clinical Immunology, 220, 108545.

Gombart, A. F., Pierre, A., & Maggini, S. (2020). A Review of Micronutrients and the Immune System-Working in Harmony to Reduce the Risk of Infection. Nutrients, 12(1), 236.

Hong, J. M., Kim, J. H., Kang, J. S., Lee, W. J., & Hwang, Y. I. (2016). Vitamin C is taken up by human T cells via sodium-dependent vitamin C transporter 2 (SVCT2) and exerts inhibitory effects on the activation of these cells in vitro. Anatomy & cell biology, 49(2), 88–98.

Jodar, E., Campusano, C., de Jongh, R. T., & Holick, M. F. (2023). Calcifediol: a review of its pharmacological characteristics and clinical use in correcting vitamin D deficiency. European journal of nutrition, 62(4), 1579–1597.

Jovic, T. H., Ali, S. R., Ibrahim, N., Jessop, Z. M., Tarassoli, S. P., Dobbs, T. D., ... & Whitaker, I. S. (2020). Could vitamins help in the fight against COVID-19?. Nutrients, 12(9), 2550.

Kewcharoenwong, C., Sein, M. M., Nithichanon, A., Khongmee, A., Wessells, K. R., Hinnouho, G. M., Barffour, M. A., Kounnavong, S., Hess, S. Y., Stephensen, C. B., & Lertmemongkolchai, G. (2022). Daily preventive zinc supplementation increases the antibody response against pathogenic Escherichia coli in children with zinc insufficiency: a randomised controlled trial. Scientific reports, 12(1), 16084.

Kim, W. Y., Jo, E. J., Eom, J. S., Mok, J., Kim, M. H., Kim, K. U., Park, H. K., Lee, M. K., & Lee, K. (2018). Combined vitamin C, hydrocortisone, and thiamine therapy for patients with severe pneumonia who were admitted to the intensive care unit: Propensity score-based analysis of a before-after cohort study. Journal of critical care, 47, 211–218.

Loucera, C., Peña-Chilet, M., Esteban-Medina, M., Muñoyerro-Muñiz, D., Villegas, R., Lopez-Miranda, J., ... & Quesada Gomez, J. M. (2021). Real world evidence of calcifediol or vitamin D prescription and mortality rate of COVID-19 in a retrospective cohort of hospitalized Andalusian patients. Scientific reports, 11(1), 23380.

Maares, M., & Haase, H. (2016). Zinc and immunity: An essential interrelation. Archives of biochemistry and biophysics, 611, 58-65.

Maggini, S., Maldonado, P., Cardim, P., Fernandez Newball, C., & Sota Latino, E. (2017). Vitamins C, D and zinc: synergistic roles in immune function and infections. Vitam Miner, 6(167), 2376-1318.

Marreiro, D. D. N., Cruz, K. J. C., Morais, J. B. S., Beserra, J. B., Severo, J. S., & De Oliveira, A. R. S. (2017). Zinc and oxidative stress: current mechanisms. Antioxidants, 6(2), 24.

Martineau, A. R., Jolliffe, D. A., Hooper, R. L., Greenberg, L., Aloia, J. F., Bergman, P., Dubnov-Raz, G., Esposito, S., Ganmaa, D., Ginde, A. A., Goodall, E. C., Grant, C. C., Griffiths, C. J., Janssens, W., Laaksi, I., Manaseki-Holland, S., Mauger, D., Murdoch, D. R., Neale, R., Rees, J. R., … Camargo, C. A., Jr (2017). Vitamin D supplementation to prevent acute respiratory tract infections: systematic review and meta-analysis of individual participant data. BMJ (Clinical research ed.), 356, i6583.

Mousavi, S., Bereswill, S., & Heimesaat, M. M. (2019). Immunomodulatory and Antimicrobial Effects of Vitamin C. European journal of microbiology & immunology, 9(3), 73–79.

Ohaegbulam, K. C., Swalih, M., Patel, P., Smith, M. A., & Perrin, R. (2020). Vitamin D Supplementation in COVID-19 Patients: A Clinical Case Series. American journal of therapeutics, 27(5), e485–e490.

Ohashi, W., & Fukada, T. (2019). Contribution of zinc and zinc transporters in the pathogenesis of inflammatory bowel diseases. Journal of immunology research, 2019(1), 8396878.

Pecora, F., Persico, F., Argentiero, A., Neglia, C., & Esposito, S. (2020). The role of micronutrients in support of the immune response against viral infections. Nutrients, 12(10), 3198.

Prasad, A. S. (2008). Zinc: Mechanism of Host Defense. Journal Of Nutrition, 138(5), 1453-1456.

Prodyanatasari, A. (2023). Pemberdayaan Masyarakat Desa Blimbing dalam Pembuatan Jasimun (Jamu Sistem Imun) sebagai Upaya Peningkatan Imunitas di Masa Pandemi. Jurnal Pengabdian Masyarakat (Jupemas), 4(2).

Poon, M. M. L., & Farber, D. L. (2020). The Whole Body as the System in Systems Immunology. iScience, 23(9), 101509.

Sadowska-Bartosz, I. & Bartosz, G. (2014). Effect of antioxidants supplementation on aging and longevity. Biomed Research International, 2014(404680).

Sánchez-Zuno, G. A., González-Estevez, G., Matuz-Flores, M. G., Macedo-Ojeda, G., Hernández-Bello, J., Mora-Mora, J. C., Pérez-Guerrero, E. E., García-Chagollán, M., Vega-Magaña, N., Turrubiates-Hernández, F. J., Machado-Sulbaran, A. C., & Muñoz-Valle, J. F. (2021). Vitamin D Levels in COVID-19 Outpatients from Western Mexico: Clinical Correlation and Effect of Its Supplementation. Journal of clinical medicine, 10(11), 2378.

Sandstead, H. H., Prasad, A. S., Penland, J. G., Beck, F. W., Kaplan, J., Egger, N. G., ... & Zavaleta, A. N. (2008). Zinc deficiency in Mexican American children: influence of zinc and other micronutrients on T cells, cytokines, and antiinflammatory plasma proteins. The American journal of clinical nutrition, 88(4), 1067-1073.

Sîrbe, C., Rednic, S., Grama, A., & Pop, T. L. (2022). An Update on the Effects of Vitamin D on the Immune System and Autoimmune Diseases. International journal of molecular sciences, 23(17), 9784.

Siddiqui, M., Manansala, J. S., Abdulrahman, H. A., Nasrallah, G. K., Smatti, M. K., Younes, N., ... & Yassine, H. M. (2020). Immune modulatory effects of vitamin D on viral infections. Nutrients, 12(9), 2879.

Subagio, A. P., & Damayanty, A. E. (2021). Hubungan konsumsi suplemen mikronutrien terhadap kejadian Infeksi Saluran Pernafasan Akut (ISPA) pada mahasiswa Kedokteran Universitas Muhammadiyah Sumatera Utara. Jurnal Ilmiah Maksitek, 6(2), 59-66.

Ünsal, Y. A., Gül, Ö. Ö., Cander, S., Ersoy, C., Aydemir, E., Ate?, C., ... & Ertürk, E. (2021). Retrospective analysis of vitamin D status on ?nflammatory markers and course of the disease in patients with COVID-19 infection. Journal of Endocrinological Investigation, 1-7.

Wang, R., Lan, C., Benlagha, K., Camara, N. O. S., Miller, H., Kubo, M., Heegaard, S., Lee, P., Yang, L., Forsman, H., Li, X., Zhai, Z., & Liu, C. (2024). The interaction of innate immune and adaptive immune system. MedComm, 5(10), e714.

Wessels, I., Maywald, M., & Rink, L. (2017). Zinc as a Gatekeeper of Immune Function. Nutrients, 9(12), 1286.

Downloads

Published

2024-12-20