Infeksi Cacing Tidak Berpengaruh terhadap Kadar Transforming Growth Factor (TGF)-β dan Kejadian Dermatitis Atopik pada Anak

Authors

  • Nadiah Soleman Mukhasin Bagian Ilmu Kesehatan Kulit dan kelamin, Fakultas Kedokteran, Universitas Hasanuddin
  • Sitti Wahyuni Bagian Parasitologi, Fakultas Kedokteran, Universitas Hasanuddin
  • Faridha S Ilyas Bagian Ilmu Kesehatan Kulit dan kelamin, Fakultas Kedokteran, Universitas Hasanuddin
  • Safruddin Amin Bagian Ilmu Kesehatan Kulit dan kelamin, Fakultas Kedokteran, Universitas Hasanuddin
  • R Satriono Bagian Ilmu Kesehatan Anak, Fakultas Kedokteran, Universitas Hasanuddin
  • Farida Tabri Bagian Ilmu Kesehatan Kulit dan kelamin, Fakultas Kedokteran, Universitas Hasanuddin

DOI:

https://doi.org/10.21776/ub.jkb.2015.028.03.10

Abstract

Infeksi cacing melalui kemampuannya memacu proliferasi sel T regulator dilaporkan dapat mempengaruhi manifestasi klinik dari alergi. Selain Interleukin (IL)-10, Transforming Growth Factor (TGF)-β merupakan sitokin yang di lepaskan oleh sel T regulator. Penelitian ini bertujuan untuk melihat pengaruh infeksi cacing terhadap kejadian dermatitis atopik (DA) melalui TGF-β. Penelitian ini dilakukan di beberapa rumah sakit pendidikan Fakultas Kedokteran Universitas Hasanuddin. Dermatitis atopik (DA) didiagnosis dengan menggunakan kriteria William, ada dan beratnya infeksi cacing diperiksa dengan metode Kato Katz dan kadar TGF-β serum diukur menggunakan metode ELISA.  Sebanyak 80 anak usia 2-7 tahun berpartisipasi pada penelitian ini. Partisipan dibagi menjadi kelompok DA (30 anak) dan non-DA (50 anak). Persentasi infeksi cacing adalah 21,2% (17/80) dengan intensitas infeksi yang ringan. Infeksi cacing tidak mempengaruhi kadar TGF-β, demikian juga infeksi cacing serta kadar TGF-β tidak mempengaruhi kejadian DA. Penelitian ini menyimpulkan bahwa infeksi cacing dengan intensitas ringan tidak mempengaruhi kadar TGF-β maupun kejadian DA pada anak di Makassar.

Kata Kunci: Dermatitis atopik, infeksicacing, TGF-β

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References

Wördemann M, Diaz RJ, Heredia LM, et al. Association of Atopy, Asthma, Allergic Rhinoconjunctivitis, Atopic Dermatitis and Intestinal Helminth Infections in Cuban Children. Tropical Medicine and International Health. 2008; 13(12): 180-186.

Paller A and Mancini A. Hurwitz Clinical Pediatric Dermatology. Chicago: Elsevier Saunder; 2011; p. 37-52.

Leung D, Eichenfield L, and Boguniewicz M. Atopic Dermatitis (Atopic Eczema). In: Wolff K, Goldsmith L, Katz S, Gilchrest B, Paller A, and Leffell D (Eds). Fitzpatrick's Dermatology in General Medicine 7th ed. New York: Mc GrawHill; 2008; p. 146-158.

Departemen Kesehatan. Profil Kesehatan Republik Indonesia Tahun 2010. Jakarta: Kementrian Kesehatan RI; 2011.

Daftar Kunjungan Poliklinik Kulit dan Kelamin Rumah Sakit Pelamonia. [Tidak Diterbitkan].

Leung D, Eichenfield FL, and Boguniewicz M. Atopic Dermatitis. In: Lowell AG, Stephen IK, Barbara AG, Amy SP, and David JL (Eds). Fitzpatrick's Dermatology in General Medicine. New York: Mc GrawHill; 2012; p. 261-283.

No Author Listed. Worldwide Variation in Prevalence of Symptoms of Asthma, Allergic Rhinoconjunctivitis, and Atopic Eczema: ISAAC. The International Study of Asthma and Allergies in Childhood (ISAAC) Steering Committee. The Lancet. 1998; 351(9111): 1225-1232.

Cooper PJ, Chico ME, Rodrigues LC, et al. Reduced Risk of Atopy among School-Age Children Infected with Geohelminth Parasites in A Rural Area of the Tropics. Journal of Allergy and Clinical Immunology. 2003; 111(5): 995-1000.

Medeiros M Jr., Figueiredo JP, Almeida MC, et al. Schistosoma Mansoni Infection is Associated with a Reduced Course of Asthma. Journal of Allergy and Clinical Immunology. 2003; 111(5): 947-951.

Shield JM, Scrimgeour EM, and Vaterlaws AL. Intestinal Helminths in an Adult Hospital Population in the Eastern Highlands of Papua New Guinea: Relationship with Anemia, Eosinophilia, and Asthma. Papua and New Guinea Medical Journal. 1980; 23(4): 157-164.

Yazdanbakhsh M, van den BA, and Maizels RM. Th2 Responses Without Atopy: Immunoregulation in Chronic Helminth Infections and Reduced Allergic Disease. Trends in Immunology. 2001; 22(7): 372-377.

Groux H and Powrie F. Regulatory T Cells And Inflammatory Bowel Disease. Immunology Today. 1999; 20(10): 442-445.

Iwashiro M, Messer RJ, Peterson KE, Stromnes IM, Sugie T, and Hasenkrug KJ. Immunosuppression by CD41 Regulatory T Cells Induced by Chronic Retroviral Infection. Proceeding of the National Academy of Sciences of the United Statesof America. 2001; 98(16): 9226–9230.

Kullberg MC, Jankovic D, Gorelick PL, et al. Bacteria-Triggered CD4+ T Regulatory Cells Suppress Helicobacter Hepaticus-Induced Colitis. Journal of Experimental Medicine. 2002; 196(4): 505-515.

McGuirk P, McCann C, and Mills KHG. Pathogen-Specific T Regulatory 1 Cells Induced in the Respiratory Tract by a Bacterial Molecule that Stimulates Interleukin 10 Production by Dendritic Cells: A Novel Strategy for Evasion of Protective T Helper Type 1 Responses by Bordetella Pertussis. Journal of Experimental Medicine. 2002; 195(2): 221-231.

Hisaeda H, Maekawa Y, Iwakawa D, et al. Escape of Malaria Parasites from Host Immunity Requires CD4+CD25+ Regulatory T Cells. Nature Medicine. 2004; 10(1): 29-30.

Schopf LR, Hoffmann KF, Cheever AW, Urban JF Jr, and Wynn TA. IL-10 is Critical for Host Resistance and Survival During Gastrointestinal Helminth Infection. The Journal of Immunology. 2002; 168(5): 2383-2392.

Departemen Kesehatan. Pedoman Pengendalian Cacingan. Jakarta: Kementerian Kesehatan RI; 2006.

Wahyuni S. Helminth Infections, Allergic Disorders and Immune Responses: Studies in Indonesia. Leiden University, Netherlands. 2006.

Friedmann P, Holden C, and Ardern-Jones MR. Atopic Dermatitis. In: Burns T, Breathnach S, Cox N, and Griffiths C (Ed). Rook's Textbook of Dermatology 8th ed. Oxford: Wiley Blackwell.; 2010; p. 24.1-24.34.

World Health Organization, Parasitic Diseases Programme. Diagnostic Techniques for Intestinal Parasitic Infections (IPI) Applicable to Primary Health Care (PHC) Services. Geneva, Switzerland: World Health Organization; 1985.

Van Riet E, Hartger F, and Yazdanbakhsh M. Chronic Helminth Infections Induce Immunomodulation: Consequences and Mechanisms. Immunobiology. 2007; 212(6): 475-490.

Cooper PJ. Can Intestinal Helminth Infections (Geohelminths) Affect the Development and Expression of Asthma and Allergic Disease? Clinical and Experimental Immunology. 2002; 128(3): 398-404.

Smits H, Hartgers F, and Yazdanbakhsh M. Helminth Infections: Protection from Atopic Disorders. Current Allergy and Asthma Reports. 2005; 5(1): 42-50.

Flohr C. Dirt, Worms, and Atopic Dermatitis. British Journal of Dermatology. 2003; 148(5): 871-877.

Selassie FG, Steven RH, Cullinan P, et al. Total and Specific Ige (House Dust Mite and Intestinal Helminths) in Asthmatics and Controls from Gondar, Ethiopia. Clinical & Experimental Allergy. 2000;30(3): 356-358.

Davey G, Venna A, Belete H, Berhane Y, and Britton J. Wheeze, Allergic Sensitization and Geohelminth Infection in Butajira, Ethiopia. Clinical & Experimental Allergy. 2005; 35(3): 301-307.

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Published

2015-02-13

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Research Article