Ovarian cancer is one of the major health problems in gynecology worldwide. Globocan 2012 data shows that ovarian cancer occurs in 239.000 cases, and is placed fourth as the most malignancy occurred in Indonesia. So far, cisplatin is the most effective therapeutic agent, but the high dosage of administration often caused side effects. A new alternative therapy to overcome the problems by using withaferin-A and nanoparticle PEGylated liposome. WFA has the potential effect to reduce cisplatin resistance but has low bioavailability thus, it needs to be encapsulated. This review's goal is to depict the potency of withaferin-A, cisplatin, and PEGylated liposome combination as a therapeutic agent to treat ovarian cancer. The combination of Cisplatin-Withaferin PEGylated Liposome is constructed by the modified thin lipid film hydration method then administered orally. This combination suppresses 70-80% of the ovarian cancer cell growth in vivo and inhibits NGFR from binding to TRKA, prevents cell migration as much as 50%. Nano-Cisferin-Liposome, inhibits migration of ovarian cancer cell significantly through β-catenin signaling through ALDH1 that disturb the spheroid formation, and increase apoptosis event as much 70-80% by increasing ROS production up to 2,5 times. Thus, Nano-Cisferin-Liposome (NCL) has potential as a therapeutic agent for treating ovarian cancer. AbstrakKanker ovarium merupakan masalah kesehatan ginekologi wanita di dunia. Data Global Burden Cancer (Globocan) tahun 2012 menunjukkan kanker ovarium terjadi sebanyak 239.000 kasus, dan menempati urutan ke-empat di Indonesia. Hingga kini, Cisplatin merupakan agen terapi andalan untuk kanker ovarium namun sering menimbulkan efek samping dalam dosis tinggi. Terapi alternatif dapat menjadi solusi untuk mengatasi masalah tersebut dengan memanfaatkan withaferin A (WFA) serta nanopartikel PEGylated liposome. WFA sangat potensial untuk mengurangi resistensi Cisplatin, tetapi memiliki bioavailabilitas rendah sehingga perlu dienkapsulasi. Tujuan tinjauan ini yaitu untuk menggambarkan potensi kombinasi withaferin A, cisplatin, dan PEGylated liposome sebagai pengobatan untuk kanker ovarium. Tinjauan pustaka ini dilakukan dengan menggunakan kata: "kanker ovarium, Withaferin A, Cisplatin dan PEGylated liposome" sebagai kata kunci pada mesin pencarian. Kombinasi Cisplastin-Withaferin dan nanopartikel PEGylated Liposom dilakukan dengan metode thin lipid film hydration yang termodifikasi kemudian diberikan melalui jalur oral. Kombinasi Cisplastin-Withaferin ini dapat menekan pertumbuhan kanker ovarium sebesar 70-80% secara in vivo, menghambat NGFR berikatan dengan TRKA sehingga mencegah terjadinya migrasi sel sebesar 50%, menghambat migrasi sel kanker secara signifikan melalui jalur persinyalan β-catenin oleh ALDH1, meningkatkan apoptosis sebesar 70-80% melalui peningkatan produksi ROS hingga 2,5 kali lipat, serta mampu mengeliminasi CSC. Karena itu, kombinasi ini merupakan salah satu terapi potensial dalam penatalaksanaan kanker ovarium. Kata kunci: Cisplatin; kanker ova...
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