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The effect of MLC901 therapy on neutrophil-to-lymphocyte-ratio, platelet-to-lymphocyte-ratio, BDNF, MoCA-INA score, and Barthel-index score in traumatic brain injury patients

  • Gede Febby Pratama Kusuma ,
  • Sri Maliawan ,
  • Tjokorda Gde Bagus Mahadewa ,
  • Ni Nyoman Sri Budayanti ,
  • Tjokorda Gde Agung Senapathi ,
  • Anak Agung Ayu Putri Laksmidewi ,

Abstract

Background: An intervention is needed to prevent secondary-brain-injury (SBI) post-traumatic-brain-injury (TBI) and improved the patient’s clinical outcome. Recent pre-clinical studies found that MLC901, a phytopharmaceutical supplement, has the neuroprotective and neuroregenerative potential to prevent SBI post-TBI. This study aimed to clinically prove the neuroprotection and neuroregeneration effects of MLC901 therapy on TBI through the neutrophil-to-lymphocyte-ratio (NLR), platelet-to-lymphocyte-ratio (PLR), BDNF, MoCA-INA score and Barthel-Index (BI) score.

Methods: A randomized-control-group pretest-posttest study in TBI-patients was conducted. Patients were divided randomly into control (standard therapy) and treatment (MLC901 and standard therapy) groups. All of the patient was treated and followed prospectively. The patient’s data such as age, sex, Glasgow coma scale (GCS) score, educational status, NLR, PLR, BDNF levels, BI and MoCA-INA scores were documented and analyzed to get the results.

Results: There were no significant characteristic differences between groups before the therapy started. Combination of MLC901 and standard therapy significantly reduced the NLR levels on day-7th (4.68±2.01 vs. 9.72±6.70; p=0.003) and day-30th post-TBI (2.20±0.89 vs. 5.58±4.68; p=0.005), reduced the PLR levels on day-30th post-TBI (137.82±29.66 vs. 213.39±147.49; p=0.031), increased the BI score on day-7th (77.86±23.54 vs. 27.62±27.51; p=0.0001) and day-30th post-TBI (99.52±2.18 vs. 61.43±36.92; p=0.0001), and increased the MoCA-INA score on day-7th (21.10±7.62 vs. 6.24±8.83; p=0.0001) and day-30th post-TBI (27.24±3.13 vs. 12.57±9.40; p=0.0001) compared to the standard therapy alone. There was no significant mean difference in BDNF levels between groups although the treatment group had higher mean BDNF levels compared to the control group.

Conclusion: This study proved the benefits of MLC901 therapy as a neuroprotective agent through the anti-neuroinflammatory pathway by reducing the NLR and PLR levels in TBI patients, thus preventing the occurrence of SBI post-TBI and improving the activity of daily living and cognitive function of TBI patients.

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How to Cite

Kusuma, G. F. P., Maliawan, S., Mahadewa, T. G. B., Budayanti, N. N. S., Senapathi, T. G. A., & Laksmidewi, A. A. A. P. (2024). The effect of MLC901 therapy on neutrophil-to-lymphocyte-ratio, platelet-to-lymphocyte-ratio, BDNF, MoCA-INA score, and Barthel-index score in traumatic brain injury patients. Bali Medical Journal, 13(3), 1040–1044. https://doi.org/10.15562/bmj.v13i3.4822

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Gede Febby Pratama Kusuma
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Sri Maliawan
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Tjokorda Gde Bagus Mahadewa
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Ni Nyoman Sri Budayanti
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Tjokorda Gde Agung Senapathi
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Anak Agung Ayu Putri Laksmidewi
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