Abstract
            Introduction: Recent studies have reported that breast cancer may affect the physiology of  other organs, including oxidative stress in the liver. On the other hand, some agents such as  white turmeric (Curcuma longa) and Meniran (Phyllanthus niruri) seem to maintain redox  stability and immunomodulation. Both of them are combined into Cheral potion. This study  was aimed to investigate the Cheral efficacy in modulating oxidative stress based on Nuclear  factor erythroid 2-related factor 2 (Nrf2), HEME OXIGenase (HO), and superoxide dismutase  (SOD) levels as well as pro-inflammatory cytokines under breast cancer condition in vivo.  
  Methods: Nrf2, HO, and SOD from hepatocytes, and tumor necrosis factor-α (TNF-α) and  interferon-γ (IFN-γ) from splenocytes were measured by flow cytometry after 14 days of  Cheral administration.  
  Results: The results showed that mice model for breast cancer underwent oxidative stress  denoted by high levels of HO, and SOD accompanied by increased levels of TNF-α and  IFN-γ in the cancer group compared to normal healthy group (P<0.05). In contrast, Cheral  treatment was able to modulate redox balance by declining levels of HO, SOD, TNF-α, and  IFN-γ, but not Nrf2, compared to cancer group (P<0.05).  
  Conclusion: The results showed that breast cancer could alter the host’s physiology, including  liver oxidative stress. The levels of TNF-α and IFN-γ might contribute to regulation of redox  balance in the liver. However, Cheral has potency as an alternative therapeutic agent to reduce  oxidative stress in the liver under breast cancer condition.