THE EFFECT OF A MULTI-EPITOPE COVID-19 VACCINE WITH CHITOSAN ON THE CARDIAC HISTOPATHOLOGY OF BALB/C MICE

  • Sayu Putu Yuni Paryati Department of Microbiology, Faculty of Medicine, Jenderal Achmad Yani University, Cimahi, West Java, Indonesia
  • Endah Hamidah Abbas Department of Anatomical Pathology, Faculty of Medicine, Jenderal Achmad Yani University, Cimahi, West Java, Indonesia
  • Wahyu Rizky Wibowo Medical Education Study Program, Faculty of Medicine, Jenderal Achmad Yani University, Cimahi, West Java, Indonesia

Abstract

The multi-epitope COVID-19 vaccine contains epitopes designed to induce an immune response, using SARS-CoV-2 as the model antigen. This study examined its effects on the cardiac histopathology of male BALB/c mice. A total of 25 mice were divided into five groups: a negative control that received no treatment (K), a 500 µg multi-epitope COVID-19 vaccine evaluated on day 7 after the second dose (P1), a 500 µg multi-epitope COVID-19 vaccine evaluated on day 14 after the second dose (P2), a 500 µg multi-epitope COVID-19 vaccine formulated with chitosan and evaluated on day 7 after the second dose (P3), and a 500 µg multi-epitope COVID-19 vaccine formulated with chitosan and evaluated on day 14 after the second dose (P4). Myocardial tissue was examined microscopically for inflammatory cell infiltration, degeneration, and necrosis. The study used a completely randomized design with a post-test-only control group. Based on the Dallas criteria, no myocarditis was identified, with or without necrosis, as all groups showed no inflammatory cell infiltration. However, vacuolar and fatty degeneration were observed in both the negative control and the treatment groups (P1, P2, P3, P4), which were likely unrelated to the administration of the multi-epitope COVID-19 vaccine, with or without chitosan adjuvant. These findings indicate that the vaccine induces an immune response without causing hyperactivation or hypersensitivity, so the response remains limited and controlled.


 


Keywords: cardiac histopathology, cardiomyocyte degeneration, chitosan adjuvant, COVID-19, multi-epitope vaccine


DOI : 10.35990/mk.v9n1.p23-34

Author Biographies

Sayu Putu Yuni Paryati, Department of Microbiology, Faculty of Medicine, Jenderal Achmad Yani University, Cimahi, West Java, Indonesia

Department of Microbiology, Faculty of Medicine, Jenderal Achmad Yani University, Cimahi, West Java, Indonesia

Endah Hamidah Abbas, Department of Anatomical Pathology, Faculty of Medicine, Jenderal Achmad Yani University, Cimahi, West Java, Indonesia

Department of Anatomical Pathology, Faculty of Medicine, Jenderal Achmad Yani University, Cimahi, West Java, Indonesia

Wahyu Rizky Wibowo, Medical Education Study Program, Faculty of Medicine, Jenderal Achmad Yani University, Cimahi, West Java, Indonesia

Medical Education Study Program, Faculty of Medicine, Jenderal Achmad Yani University, Cimahi, West Java, Indonesia

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Published
2026-03-30
How to Cite
PARYATI, Sayu Putu Yuni; ABBAS, Endah Hamidah; WIBOWO, Wahyu Rizky. THE EFFECT OF A MULTI-EPITOPE COVID-19 VACCINE WITH CHITOSAN ON THE CARDIAC HISTOPATHOLOGY OF BALB/C MICE. Medika Kartika : Jurnal Kedokteran dan Kesehatan, [S.l.], v. 9, n. 1, p. 23-34, mar. 2026. ISSN 2655-6537. Available at: <http://medikakartika.unjani.ac.id/medikakartika/index.php/mk/article/view/1245>. Date accessed: 13 apr. 2026.