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THE EFFECT OF HALOTHANE INHALATIONAL ANAESTHETICS ON LIVER CELLS(Experimental Study of Halothane Toxic Effect in BALB C Mice) - Diponegoro University | Institutional Repository (UNDIP-IR)

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26

CHAPTER 3

THEORITICAL FRAMEWORK, CONCEPTUAL FRAMEWORK AND HYPOTHESIS

3.1Theoretical Framework

Figure 2. Theoretical Framework of the study Hepatotoxic metabolites

(bromide and fluoride ions, other volatil metabolites)

Liver cells damage (nucleus changes: enlarge,

karyorhexis, karyolysis)

Altered liver antigens Specific

antibody

Liver cells necrosis Moderate / Severe Liver cells

necrosis

Liver protein Increasing

Trifluroacetyl-acid production Induction of

Cytochrom P450 (2A6 and 3A4)

Genotypic and phenotypic variability

in metabolism, cytoprotection and

immune response Halothane

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27 3.2 Conceptual Framework

Independent Variable Dependent Variable

Figure 3. Conceptual Framework of the study

3.3 Hypothesis

3.3.1 There is an association between the time of halothane exposure with severity of liver cells nucleus changes

3.3.2 Halothane exposure can induce changes of cytochrome P450 in the liver

Cytochrome P450 2E1 changes

Halothane

Gambar

Figure 2. Theoretical Framework of the study
Figure 3. Conceptual Framework of the study

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