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Kadar imunoglobulin A sekretori pada penderita tonsilitis kronik sebelum dan setelah tonsilektomi Indo Sakka; Raden Sedjawidada; Linda Kodrat; Sutji Pratiwi Rahardjo
Oto Rhino Laryngologica Indonesiana Vol 41, No 1 (2011): Volume 41, No. 1 January - June 2011
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (333.18 KB) | DOI: 10.32637/orli.v41i1.61

Abstract

Background: Infection of the tonsils is a fairly common problem in the population. The complaints among others are pain while swallowing, fever, otitis media, until obstructive sleep apnea. Until now tonsillectomy procedure is still a controversy. For those against it, tonsillectomy is considered decreasing the body’s defense mechanism. Purpose: The goal of the research is to analyze the secretory immunoglobulin A level on the chronic tonsillitis patients before and after tonsillectomy.Method: The research was conducted as a comparative analytic study among the chronic tonsillitis patients before  and after tonsillectomy. Result: The result of this study reveals that the level of secretory Ig A in healthy  subjects were 5358.2200 + 1071.23 ng/ml, in chronic tonsillitis patients before tonsillectomy were 7539.6563 + 2293.07 ng/ml, and after tonsillectomy were 5946.4375 + 2133.13 ng/ml. Conclusion:  The level of s-IgA in chronic tonsillitis prior to tonsillectomy was high and 4 weeks post operation the level of s-IgA decreased, close to the level of normal subjects. Keywords: secretory immunoglobulin A, chronic tonsillitis, tonsillectomy Abstrak :  Latar belakang: Infeksi pada tonsil merupakan masalah yang cukup sering dijumpai. Keluhan yang ditimbulkan berupa nyeri menelan, demam, otitis media, sampai obstructive sleep apnea. Sampai saat ini tonsilektomi masih menimbulkan kontroversi. Bagi yang kontra, tonsilektomi dianggap dapat menurunkan sistem pertahanan tubuh. Tujuan: Mengetahui kadar Imunoglobulin A sekretori (s-IgA) pada penderita tonsilitis kronik sebelum dan setelah tonsilektomi. Metode: Analitik komparatif yang dilakukan pada penderita tonsillitis kronik sebelum dan setelah tonsilektomi. Hasil:Kadar s-IgA individu sehat adalah 5358.2200 + 1071.23 ng/ml, s-IgA penderita tonsilitis kronik sebelum tonsilektomi adalah 7539.6563 + 2293.07 ng/ml, sedangkan s-IgA penderita tonsilitis kronik setelah tonsilektomi adalah 5946.4375 + 2133.13 ng/ml. Kesimpulan: s-IgA penderita tonsilitis kronik sebelum tonsilektomi kadarnya tinggi. Empat minggu setelah operasi, kadar s-IgA turun mendekati kadar s-IgA individu normal. Kata kunci: imunoglobulin A sekretori, tonsillitis kronik, tonsilektomi
The Role of HLA-A2 Expression, CYP2E1 Gene Polymorphisms, and Nitrosamine Levels of Nasopharyngeal Carcinoma Patients in Makassar Nani Iriani Djufri; Irawan Yusuf; Sutji Pratiwi Rahardjo; Abdul Qadar Punagi
INTERNATIONAL JOURNAL OF NASOPHARYNGEAL CARCINOMA Vol. 2 No. 03 (2020): International Journal of Nasopharyngeal Carcinoma
Publisher : TALENTA PUBLISHER

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijnpc.v2i03.4401

Abstract

Introduction: Nasopharyngeal carcinoma is caused by several factors such as infections of Epstein Barr Virus (EBV), it has also been exaggerated by the genetic factors such as, HLA-A2, and environmental factors such as nitrosamines and the presence of polymorphisms of CYP2E1 gene that activates nitrosamines as pro oncogenes. Objective: To analyse the relationship between HLA-A2 expression, gene polymorphisms of CYP2E1 and nitrosamine levels in patients with nasopharyngeal carcinoma in Makassar. Methods: This research is analytic observational with cross-sectional design. Examination of HLA-A2 expression with immunohistochemical methods was conducted, along with genotyping CYP2E1 gene with Polymerase Chain Reaction (PCR) and Restriction Fragment Length Polymorphism (RLFP), and levels of nitrosamines with LCMS (Liquid Chromatography-Mass Spectrometry). There are 70 samples with NPC, with clinical stadium according to AJCC 2010.  Data were also analyzed with SPSS 20 statistical tests and chi-square. Results: There is no significant result found within the expression of HLA-A2 with a clinical stage of Nasopharyngeal Carcinoma (P =0.554). Therefore, there is no significant correlation between the CYP2E1 gene polymorphism with the clinical stage of Nasopharyngeal Carcinoma (P=0.088). Furthermore, there is no significant correlation found between the levels of nitrosamines with clinical stage (P=0.079) and there was no significant relationship between CYP2E1 gene polymorphism and levels of nitrosamines with clinical stage. Moreover, there was no significant relation between the expression of HLA-A2, CYP2E1 gene polymorphism and levels of nitrosamines with a history of smoking. Conclusion: There was no statistically significant correlation between the expression of HLA-A2, CYP2E1 gene polymorphism and levels of nitrosamines to the clinical stage of Nasopharyngeal Carcinoma. However, if the CT genotype and levels of nitrosamines were detected in the samples obtained, then they have an increased progression of 7.2 times greater compared to patients who only had the CT genotype or only detectable levels of nitrosamines.