Penelitian menunjukkan bahwa fraksi plasma odd chain fatty acid/OCFA (Heptadekanoat/Margaric acid/C17) berbanding terbalik terhadap kejadian penyakit DM tipe 2, resistensi insulin serta kejadian sindrom metabolik.Asam lemak ini merupakan penanda untuk konsumsi dairy fat dan serat makanan, selain itu juga mempunyai peranan metabolik yang penting.Stephanie et al.dalam penelitiannya menemukan bahwa asam lemak heptadekanoat dapat memperbaiki kondisi sindrom metabolik dan mengemukakan hipotesis bahwa menjauhnya manusia dari diet dengan kandungan asam lemak heptadekanoat (termasuk lemak dalam susu) dapat menjadi kontributor meningkatnya kondisi inflamatif serta rendahnya kandungan plasma asam lemak heptadekanoat dalam populasi. Asam lemak heptadekanoat terlibat dalam regulasi metabolismeshort chain,medium chain dan very long chain fatty acid yang lain. Asam lemak ini dapat diubah menjadi propionyl-CoA yang dapat digunakan sebagai penyedia substrat untuk masuk ke dalam siklus asam sitrat melalui jalur succinyl-CoA (reaksi anaplerotik), dengan demikian dapat memperbaiki metabolisme energi mitokondria. Seiring dengan penuaan/aging dan stres metabolik oksidatif fungsi mitokondria mengalami penurunan sehingga ketersediaan senyawa antara anaplerotik untuk siklus asam sitrat dapat membantu optimalisasi mitokondria.
Cutaneous adverse drug reactions (CADR) are an unfavorable condition caused by drugs manifesting on the skin. Exanthemata's drug eruption is the most common manifestation. The symptoms are itchy rash and burning sensation at the lesion and can occur along with fever and pain. The most common types of drugs inducing CADR are antibiotics, non-steroidal, anti-inflammatory drugs (NSAID), and anticonvulsants. A 48-year-old woman with complaints of itching on the chest followed by both arms and legs. Complaints arose 8 days after surgical excision of the craniometrical tumors when the patient was treated with polypharmacy medications. The description of the lesions is regional, multiple, well-defined maculopapular lesions with erythema, crusts, and excoriation. The working diagnosis is exanthemata's drug eruption with ceftriaxone, paracetamol, and phenytoin as the suspected causative drugs. No history of drug allergy was known before. Polypharmacy can cause difficulty in making clinical decisions for discontinuing the suspected drugs and cause patient's comorbidity left untreated. Therefore, it is important to identify the type of drugs and drug interaction causing cutaneous adverse drug reactions and minimize the use of polypharmacy therapy if possible.
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