Soybean Tempeh Extract on Improving Oxidative Stress, Angiogenic, Cardiovascular Dysfunction, And Fetal Outcome in A Rat Model of Preeclampsia
DOI:
https://doi.org/10.48048/tis.2026.11240Keywords:
Angiogenic, Cardio Vascular, Oxidative stress, Preeclampsia, Soybean Tempeh, Angiogenic, Cardio vascular, Oxidative stress, Preeclampsia, Soybean tempehAbstract
Preeclampsia is a pregnancy complication that affects multiple organs. Antioxidant approaches have been widely studied to address it, but their bioavailability is limited. This study aims to analyze effects of Soybean Tempeh Extract (STE) on improving oxidative stress, cardiovascular function, angiogenic and fetal weight in preeclamptic rats. A total of 30 Sprague Dawley pregnant rats were divided into five groups: Normal, negative control, positive control (MgSO4), Treatment 1 (STE), and Treatment 2 (STE + MgSO4). Induction of preeclampsia was carried out with L-NAME, and STE was given at a dose of 400 mg/kgBW/day. MDA, NT-proBNP, sFlt-1, Angiotensin II and urine protein levels were measured using ELISA or other biochemical methods. Examination of the labyrinthine/junction zone ratio and ventricular thickness using histology. Measurement of blood pressure and protein is measured periodically. Data were analyzed by one-way ANOVA and repeated-measure ANOVA. STE significantly reduced MDA, NT-proBNP, sFlt-1, Angiotensin II, blood pressure, proteinuria, and fetal weight (p < 0.001) and improved the labyrinthine/junction ratio in histopathology placental tissue (p < 0.001) compared to the negative control group. Heart ventricular thickness in histopathology also showed similarities to the normal group although not significant. STE improves clinical and molecular parameters in preeclamptic rats, especially in reducing oxidative, angiogenic, cardiovascular stress, and fetal weight. Soybean tempeh extract has the potential as a local food-based adjuvant therapy in efforts to improve preeclampsia.
HIGHLIGHTS
Soybean tempeh is a functional food with numerous benefits, including antioxidant and ACE inhibitor activity in hypertension. This study demonstrated the effects of tempeh extract on improving oxidative stress, angiogenic effects, and cardiovascular function in a rat model of preeclampsia.
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D Afrose, S Alfonso-Sanchez and L McClements. Targeting oxidative stress in preeclampsia. Hypertension in Pregnancy 2025; 44(1), 2445556.
W Wang, X Xie, T Yuan, Y Wang, F Zhao, Z Zhou and H Zhang. Epidemiological trends of maternal hypertensive disorders of pregnancy at the global, regional, and national levels: A population‐based study. BMC Pregnancy Childbirth 2021; 21(1), 364.
HM Lugobe, M Kayondo, CM Mceniery, JM Catov, IB Wilkinson, BJ Wylie, AJ Vaught, R Muhindo and AA Boatin. Persistent hypertension at 3 months postpartum among women with hypertensive disorders of pregnancy at a tertiary hospital in Southwestern Uganda. AJOG Glob Reports 2023; 3(1), 100163.
L Voskamp, K Verdonk, JR van Lennep, J Duvekot, SP Willemsen, AJ Danser, RP Steegers-theunissen and M Rousian. A higher blood pressure during early pregnancy in women with preeclampsia predicts chronic hypertension. Journal of Hypertension 2024; 42(1), 309-310.
Y Wu, F Kang, Y Yang, L Tao, Y Chen and X Li. The protective effect of magnesium sulfate on placental inflammation via suppressing the NF- κB pathway in a preeclampsia-like rat model. Pregnancy Hypertens 2023; 31, 4-13.
EC Celiz, MMV Julcamoro and SDV Hilario. Preeclampsia: Advances in understanding, management and prevention. SCT Proceedings in Interdisciplinary Insights and Innovations 2025; 3, 393.
F Brownfoot and DL Rolnik. Prevention of preeclampsia. Best Practice & Research Clinical Obstetrics & Gynaecology 2024; 93, 102481.
MVBD Silva, MADS Lima, LHD Farias, VMD Santos and TMD Queiroz. Isolated natural antioxidants as a new possible therapeutic alternative for the treatment of hypertension. Current Hypertension Reviews 2023; 19(1), 7-18.
PRMM Alves, MBT Fragoso, MCS Tenorio, NB Bueno, MOF Goulart and ACM Oliveira. The role played by oral antioxidant therapies in preventing and treating preeclampsia: An updated meta-analysis. Nutrition, Metabolism and Cardiovascular Diseases 2023; 33(7), 1277-1292.
M Samtiya, RE Aluko, AK Puniya and T Dhewa. Enhancing micronutrients bioavailability through fermentation of plant-based foods: A concise review. Fermentation 2021; 7(2), 63.
W Liu, S Yu, Y Han, L Chen, J An, H Li and X Liu. Systematic sequence characterization of enzymatic-derived soybean peptides for precision enhancement of anti-inflammatory properties. Food Bioscience 2024; 60, 104292.
KZ Ghanem, MZ Mahran, MM Ramadan, HZ Ghanem, M Fadel and MH Mahmoud. A comparative study on flavour components and therapeutic properties of unfermented and fermented defatted soybean meal extract. Scientific Reports 2020; 10, 5998.
H Elhalis, XH Chin and Y Chow. Soybean fermentation: Microbial ecology and starter culture technology. Critical Reviews in Food Science and Nutrition 2024; 64(21), 7648-7670.
IA Harahap, J Suliburska, AC Karaca, E Capanoglu and T Esatbeyoglu. Esatbeyoglu, fermented soy products: A review of bioactives for health from fermentation to functionality. Comprehensive Reviews in Food Science and Food Safety 2025; 24(1), 70080.
SQ Teoh, NL Chin, CW Chong, AM Ripen, S How and JJL Lim. A review on health benefits and processing of tempeh with outlines on its functional microbes. Future Foods 2024; 9, 100330.
R Surya, N Amalia, WB Gunawan, NA Taslim, M Ghafoor, N Mayulu, H Hardinsyah, RA Syahputra, F Kartawidjajaputra, G Rizzo, RR Tjandrawinata, D Subali, R Kurniawan and F Nurkolis. Tempe as superior functional antioxidant food: From biomechanism to future development of soybean-based functional food. Pharmacia 2024; 71, 1-7.
CA Waker, MR Kaufman and TL Brown. Current state of preeclampsia mouse models: Approaches, relevance and standardization. Frontiers in Physiology 2021; 12, 681632.
WI Aslina, LCD Mestika, T Nurseta and E Norahmawati. Effect of soybean extract on sFlt-1 LEVELS in huvecs cultures induced by preeclampsia plasma. Medical Laboratory Technology Journal 2023; 9(2), 122-132.
BA Bakrania, EM George and JP Granger. Animal models used for investigating pathophysiology of preeclampsia and identifying therapeutic targets. American Journal of Obstetrics & Gynecology 2022; 226(2), 973-987.
S Ramdin, S Baijnath, T Naicker and Nalini Govender. The clinical value of rodent models in understanding preeclampsia development and progression. Current Hypertension Reports 2023; 25(6), 77-89.
M Astawan. Functional Foods: The benefits of food for body health. IPB Press, West Java, Indonesia, 2020.
N Khikmah and AS Haloho. Antibacterial test of Rhizopus sp. from tempe inoculum against Vibrio cholerae. Sciscitatio 2021; 2(2), 82-89.
S Zeng, Z Liu, J Yin, S Li, M Jiang, H Yang and Y Long. Improvement in clinical features of L-NAME-Induced preeclampsia-like rats through reduced SERPINA5 expression. Biomolecules 2023; 13(12), 1792.
CH Gergye, Y Zhao, RH Moore and VK Lee. A Comparison of ketamine or etomidate combined with xylazine for intraperitoneal anesthesia in four mouse strains. Journal of the American Association for Laboratory Animal Science 2020; 59(5), 519-530.
CliniSciences. Bioassay technology laboratory. CliniSciences, Nanterre, France, 2010.
Merck Millipore. Merck offers chemicals for applications in laboratories and industry. Merck Millipore, Darmstadt, Germany, 2025.
K Sonoda, K Ohtake, H Uchida, J Ito, M Uchida, H Natsume, H Tamada and J Kobayashi. Dietary nitrite supplementation attenuates cardiac remodeling in L-NAME-induced hypertensive rats. Nitric Oxide 2017; 67, 1-9.
EB Taylor and EM George. Animal models of preeclampsia: Mechanistic insights and promising therapeutics. Endocrinology 2022; 93(8), 096.
R Surya, A Romulo and Y Suryani. Tempeh extract reduces cellular ROS levels and upregulates the expression of antioxidant enzymes. Food Research 2021; 5(3), 121-128.
SXH Mthembu, SE Mazibuko-Mbeje, S Silvestri, P Orlando, BB Nkambule, CJF Muller, L Tiano and PV Dludla. Dietary supplements as modulators of the Nrf2 pathway to enhance intracellular antioxidant responses and protect against dyslipidemia-associated cardiovascular complications. Food Reviews International 2025; 41(5), 1440-1468.
ES Pangkahila, KY Saspriyana, C Amanda and W Septiani. The effect of Magnesium Sulfate (MgSO4) administration on nitric oxide and prostacyclin levels in preeclampsia. Andalas Obstetrics and Gynecology Journal 2025; 9(1), 1-15.
S Rana, SD Burke and SA Karumanchi. Imbalances in circulating angiogenic factors in the pathophysiology of preeclampsia and related disorders. American Journal of Obstetrics and Gynecology 2022; 226(2), 1019-1034.
A Sakowicz, M Bralewska, M Rybak-Krzyszkowska, M Grzesiak and T Pietrucha. New ideas for the prevention and treatment of preeclampsia and their molecular inspirations. International Journal of Molecular Sciences 2023; 24(15), 12100.
AF Khairani, UA Lantika, J Ramadhanti, MH Bashari, WA Shalannandia, TP Wikayani, A Achadiyani and MA Ritonga. Soyghurt potentially controls the level of sFlt1 and PLGF in preeclampsia maternal serum- induced placental trophoblast cell in vitro. Journal of Experimental Pharmacology 2024; 16, 111-122.
A Velegrakis, E Kouvidi, P Fragkiadaki and S Sifakis. Predictive value of the sFlt ‑ 1 / PlGF ratio in women with suspected preeclampsia: An update (Review). International Journal of Molecular Medicine 2023; 52(4), 89.
WI Aslina, LCD Mestika, T Nurseta, E Norahmawati and DS Wardani. Effect of soybean ethanol extract (Glycine max.) on NF-kB and plgf levels in huvecs cultures induced by preeclampsia plasma. Obstetrics and Gynaecology Forum 2023; 33(2), 14-19.
LB James‐Allan, T Powell and T Jansson. Placental Nutrient Transport. Elsevier BV, Amsterdam, Netherlands, 2024.
BV Natale, P Mehta, P Vu, C Schweitzer, K Gustin, R Kotadia and DRC Natale. Reduced Uteroplacental Perfusion Pressure (RUPP) causes altered trophoblast differentiation and pericyte reduction in the mouse placenta labyrinth. Scientific Reports 2018; 8(1), 17162.
OE Anciferova, TI Lokteva, OV Severinova, AV Jurakova and SL Kuznecov. Results of the morphological research of structural organization of the rat placenta at the late pregnancy. Journal of Volgograd State Medical University 2019; 72(4), 33-36.
GK Subbaraj, YS Kumar and L Kulanthaivel. Antiangiogenic role of natural flavonoids and their molecular mechanism: An update. The Egyptian Journal of Internal Medicine 2021; 33, 29.
ND Alwis, NK Binder, S Beard, YT Mangwiro, E Kadife, JS Cuffe, E Keenan, BR Fato, TJ Kaitu'u-Lino, FC Brownfoot, SA Marshall and NJ Hannan. The L-NAME mouse model of preeclampsia and impact to long-term maternal cardiovascular health. Life Science Alliance 2022; 5(12), 202201517.
EH Nah, SY Kim, S Cho, S Kim and HI Cho. Plasma NT-proBNP levels associated with cardiac structural abnormalities in asymptomatic health examinees with preserved ejection fraction: A retrospective cross-sectional study. BMJ Open 2019; 9(4), 026030.
AHS Kumar. A brief report on utility of N-terminal pro-B-type Natriuretic Peptide (NT-proBNP) in screening patients at risk of atrial fibrillation and stroke. BEMS Reports 2023; 9(2), 36-39.
IA Kozlov, LA Krichevskiy and VY Rybakov. Increased NT-proBNP levels and cardiac ventricular function during aortic valve replacement (pilot study). Вестник Анестезиологии и Реаниматологии 2023; 20(4), 6-18.
MA Bachnas, AH Asaduddin, AS Ali, AF Indarta, SY Anshari, RP Febrinasari and V Widyaningsih. A systematic review of NT-proBNP as prognostic biomarker for preeclampsia complications. Journal of Maternal and Child Health 2024; 9(2), 186-200.
Z Wang, Z Wang, B Zhao and M Dong. Freeze-Dried tempeh powder ameliorates protein malnutrition in mice. Food Science 2024; 45(20), 180-187.
A Muawanah, SY Chalid, F Hatiningsih, S Nurbayti and ZZ Zunaedi. Angiotensin Converting Enzyme (ACE) inhibitory activity and extract protein profiles of mung beans (Vigna radiata L.) tempeh which fermented by Rhizopus sp. IOP Conference Series: Earth and Environmental Science 2022; 995, 012048.
MA Maranduca, A Clim, AC Pinzariu, C Statescu, RA Sascau, DM Tanase, DN Serban, DC Branisteanu, DE Branisteanu, B Huzum and IL Serban. Role of arterial hypertension and angiotensin II in chronic kidney disease (Review). Experimental and Therapeutic Medicine 2023; 25(4), 153.
A Ajoolabady, D Pratico and J Ren. Angiotensin II: Role in oxidative stress, endothelial dysfunction, and diseases. Molecular and Cellular Endocrinology 2024; 592, 112309.
R Indrati, MT Handayani, NA Rahayu and SA Pebrianti. Effect of legume varieties and fermentation time of tempe using usar inoculum on the inhibitory activity of angiotensin I-converting enzyme. Biodiversitas 2021; 22(12), 5262-5267.
M Astawan, T Wresdiyati, Subarna and K Asyaifullah. Calcium bioavailability of tempe and boiled soybean flours and its effect on osfemurs in experimental rats. Journal of Nutritional Science and Vitaminology 2020; 66, 314-319.
EW Jeong, SY Park, YS Yang, YJ Baek, DM Yun, HJ Kim, GW Go and HG Lee. Black soybean and adzuki bean extracts lower blood pressure by modulating the renin-angiotensin system in spontaneously hypertensive rats. Foods 2021; 10(7), 1571.
L Xue, R Yin, K Howell and P Zhang. Activity and bioavailability of food protein-derived angiotensin-I-converting enzyme-inhibitory peptides. Comprehensive Reviews in Food Science and Food Safety 2021; 20(2), 1150-1187.
TA Mauliasyam, S Budijanto and AB Sitanggang. Maillard reaction products between whey powder and water-soluble tempeh protein extract: Membrane-based fractionation. Annals of the University Dunarea de Jos of Galati 2023; 47(1), 64-78.
I Admati, N Skarbianskis, H Hochgerner, O Ophir, Z Weiner, S Yagel, I Solt and A Zeisel. Two distinct molecular faces of preeclampsia revealed by single-cell transcriptomics. Med 2023; 4(10), 687-709.
A Svigkou, V Katsi, VG Kordalis and K Tsioufis. The Molecular Basis of the Augmented Cardiovascular Risk in Offspring of Mothers with Hypertensive Disorders of Pregnancy. International Journal of Molecular Sciences 2024; 25(10), 5455.
B Xing, X Dai, G Gao, L Liu and Y Zhang. Magnesium sulfate improves blood flow of uterine, umbilical, and fetal middle cerebral arteries in women with severe preeclampsia at 30-34 gestational weeks. Hypertension in Pregnancy 2024; 43(1), 2404459.
M Wanjari, S Late, S Umate, M Choudhary, P Munjewar, T Lohakare, R Sharma, S Singh, J Gawai, V Taksande, D Mendhe and A Meghe. Role of magnesium sulfate in pregnancy: A comprehensive review of benefits and risks. Multidisciplinary Reviews 2024; 7(11), 2024094.
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