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Prominently Increased of Mannose Binding Lectin (MBL) and Myeloperoxidase (MPO) Levels in Severe Valve Regurgitation and Heart Failure of Rheumatic Heart Disease Rachmania Putri; Renny Suwarniaty; Loeki Enggar Fitri; Susanto Nugroho; Mohammad Saifur Rahman
Journal of Tropical Life Science Vol. 7 No. 2 (2017)
Publisher : Journal of Tropical Life Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jtls.07.02.04

Abstract

Rheumatic heart disease (RHD) is mediated by an abnormal immunological response following a Streptococcus pyogenes infection that induces a disturbance of oxidants and antioxidants balances. Mannose-binding lectin (MBL) binds to N-acetylglucosamine, a molecule present on the Streptococcus cell wall and human heart valves. There is a disturbance of oxidant and antioxidant balance in rheumatic disease. Myeloperoxidase (MPO) is a marker of oxidative stress and inflammation. This study was aimed to determine the correlation of MBL and MPO levels and severity of valvular regurgitation and heart failure (HF) in RHD patients. A case-control study was conduct using human peripheral blood samples from 32 children aged 6 to 14 years old. The subjects were divided into two groups: 16 RHD patients included in the case group and 16 healthy children as a control group. The level of MBL and MPO was investigated using ELISA method. There were significant differences on MBL and MPO level between patient and control group. The level of MBL and MPO were significantly increased in RHD group, especially on severe valvular regurgitation. There was a strong correlation between MBL and MPO levels and the severity of valvular regurgitation (r = 0.94 and r = 0.88). The least significant diff-erence (LSD) analysis showed that significant difference occurs in the severe heart failure group. Our research revealed that the MBL and MPO levels in pediatric RHD patients were significantly higher than in healthy children. The MBL and MPO levels were significantly correlated with the severity of valvular regurgitation and heart failure.
The Correlation of Regulatory T (TReg) and Vitamin D3 in Pediatric Nephrotic Syndrome Yunika Nurtyas; Krisni Subandiyah; Loeki Enggar Fitri
Journal of Tropical Life Science Vol. 8 No. 1 (2018)
Publisher : Journal of Tropical Life Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jtls.08.01.08

Abstract

Nephrotic syndrome (NS) is an autoimmune disease that correlates to the imbalance of regulatory T cells (TReg). This study was aimed to investigate the effect of vitamin D as adjuvant therapy of TReg population in pediatric nephrotic syndrome. This study was designed randomized clinical trial, double blind, with pre- and post-test control groups involving 15 subjects newly diagnosed with NS. Subjects were divided into 2 groups, namely K1 for group treated with prednisone+vitamin D and K2 group for prednisone treatment only. The population of TReg in peripheral blood mononuclear cells (PBMC) was analyzed using flowcytometry. Vitamin D serum level was measured through ELISA method. Results showed that there was a significant elevation of TReg (independent t-test, p = 0.010) in K1 group, which was higher than in K2 group. The Pearson test in the K1 group showed that vitamin D level was positively correlated with TReg (p = 0.039, r = 0.779).
Sensitivity and Specificity of Nested PCR for Diagnosing Malaria: Cases in Several Areas of Indonesia Samsul Arifin; Loeki Enggar Fitri; Hidayat Sujuti; Bagus Hermansyah; Agustina Tri Endharti; Niniek Burhan; Didi Candradikusuma; Erma Sulistyaningsih; Josef Sem Berth Tuda; Umar Zein
Journal of Tropical Life Science Vol. 8 No. 2 (2018)
Publisher : Journal of Tropical Life Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jtls.08.02.11

Abstract

Indonesia is still included in high endemic area of malaria infection. Early detection as well as appropriate and quick treatment is needed to be able to prevent and treat malaria in Indonesia. Laboratory examination using a microscopic method is still used as the gold standard to diagnose malaria cases. However, the morphology similarity of some Plasmodium species and the number of parasites that can be seen under microscopy causes malaria diagnosis become difficult if only relying on microscopy diagnostic method. The purpose of this study is to analyze the sensitivity and specificity of nested PCR compared to microscopic examination in diagnosing malaria cases. A cross-sectional study has been carried out in some areas of Indonesia and the microscopic analysis as well as nest PCR was done in Laboratory of Parasitology and Laboratory of Central Biomedical Faculty of Medicine, Universitas Brawijaya, Malang East Java Indonesia. A total of 149 blood samples from patients with clinical symptoms of malaria had been obtained from Sumatra, Sulawesi and East Java during December 2011 to December 2013. From 149 sample, 81.9% samples were diagnosed malaria positive by microscopy examination, whereas the PCR results showed that 90.6% of samples were positive. Nested PCR sensitivity is 97.5%, and microscopy 88.2%. Nested PCR specificity is 40.7%, whereas microscopy 78.5%. PPV and NPV for nested PCR are 88,2% and 78.5% respectively, and for microscopy are 97.5% and 40.7% respectively. Nested PCR has a higher sensitivity than microscopy in diagnosing malaria and is able to detect mixed infection better than microscopic examination. However, it is statistically less specific than microscopy examination.
Difference of Vitamin D and Interleukin-6 Levels in Children with Steroid- Resistant, Steroid-Sensitive and Idiopathic Nephrotic Syndrome Krisni Subandiyah; Hervin Febrina Ghofar; Loeki Enggar Fitri
Journal of Tropical Life Science Vol. 9 No. 2 (2019)
Publisher : Journal of Tropical Life Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jtls.09.02.07

Abstract

Idiopathic nephrotic syndrome (INS) is the most prevalent autoimmune glomerular disease in children and its pathogenesis is correlated with high level of interleukin 6 (IL-6) and low level of vitamin D. This study was aimed to investigate the difference of vitamin D and IL-6 level in steroid resistant nephrotic syndrome (SRNS), steroid sensitive (SSNS), and idiopathic nephrotic syndrome (INS). This research was designed as cross sectional involving 45 subjects which then divided into 3 groups as follows: SRNS, SSNS, and INS. A level of serum 25 (OH)D was measured by Enzyme-linked Immuno Assay Method then categorized as sufficiency, insufficiency, and deficiency. Level of IL-6 serum was measured by ELISA method. Results showed that IL-6 level was significantly different among three groups, in which SRNS had the highest value (ANOVA, p < 0.05). Further analysis demonstrated that IL-6 level correlated with steroid resistance (Spearman correlation test, p = 0.000, r = 0.692). Vitamin D status was significantly different among three groups (Chi square, p = 0.03) and associated with steroid resistance (Spearman correlation test, p = 0.000, r = 0.568). Moreover, IL-6 level associated with 25 (OH) D level in SRNS group (Pearson correlation test, p = 0.020, r = 0.591) but not in the SSNS and INS group. We conclude that IL-6 levels were significantly higher in SRNS group as compared to other groups. Otherwise, vitamin D status were significantly lower in SRNS compared with other groups. An IL-6 level was negatively correlated with vitamin D status in patients with NS, specifically in SRNS group.
Ovitrap Index and Transovarial Transmission Rate of Dengue Virus of Male and Female Aedes aegypti Mosquitoes in Makassar, South Sulawesi, Indonesia Isnadiyah Juhdi; Loeki Enggar Fitri; Lilik Zuhriyah; Andi Arahmadani Arasy
Journal of Tropical Life Science Vol. 9 No. 1 (2019)
Publisher : Journal of Tropical Life Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jtls.09.01.13

Abstract

The incidence rate (IR) of dengue hemorrhagic fever (DHF) in Indonesia has increased in recent years and still causes a health problem. Makassar, as one of the big cities in Indonesia, is also experiencing of DHF cases. According to the Health Office of Makassar City, DHF cases during 2014 – 2016 has increased from 139 to 250 cases. The defense mechanism of dengue virus in transovarial transmission from female mosquitoes to eggs is estimated to be one of the factors that increase the rate of DHF. In addition, the circulation of the Aedes aegypti mosquitoes can also affect the increase of the rate. This study aims are to identify ovitrap index and to find out how much the vertical transmission of dengue virus by measuring the minimum infection rate (MIR) and the distribution of four dengue virus serotype in Ae. aegypti mosquitoes in the city of Makassar, South Sulawesi, as well as their association with the incidence rate (IR) in the area. This observational research uses ecological study with cross-sectional approach. The samples of the study are male and female mosquitoes from Ae.aegypti eggs obtained from the installation of ovitrap  in 30 urban villages in Makassar. Dengue virus identification was performed using a reverse transcriptase polymerase chain reaction (RT-PCR). These results showed that the ovitrap index (IO) was in the range of 0 - 66.7%. The average value of the ovitrap index outside the house (44.44%) was greater than inside house (37.22%). The results of identification of dengue virus using RT-PCR showed negative results as indicated by the non-formation of a band on 75 pools male and 78 pools female Ae. aegypti mosquitoes after electrophoresis. The results of this study indicated that the Ae. aegypti mosquito in Makassar City showed a tendency to lay eggs outside the house due to the habit of the people who put rain water shelters outside the house which could become breeding place for Ae. aegypti mosquitoes. This study also showed that there was no transovarial transmission of DENV found in male and female Ae. aegypti mosquitoes in Makassar City during November 2017 until January 2018.
Co-Authors A.A. Ketut Agung Cahyawan W AA Sudharmawan, AA Adilah Ulfiati Adilah Ulfiati, Adilah Agustin Iskandar Agustina Tri Endharti Agustina Tri Endharti Ahmad Fauziansyah Ahmad Fauziansyah Zian Ajeng Maharani Putri Alfian Wika Cahyono Ali Rahmanto Anak Agung Gede Sugianthara Andi Arahmadani Arasy Anik Widijanti Arasy, Andi Arahmadani Ardhian Wardana Ardhian Wardana, Ardhian Ariel, Dio Giovanni Arif Setyawan, Sang Aji Arifin, Mochammad Samsul Astutik Pudjirahaju Bagus Hermansyah BR. Sijabat, Melda Fio Flora Bramantyo Aji Wicaksono Bramantyo Aji Wicaksono, Bramantyo Aji Brigitta Ida RV Corebima Burhan, Niniek Cahyono, Alfian Wika Chairul A. Nidom Chairul A. Nidom Dalhar, Mochamad Damayanti, Ria Dara Dasawulansari Syamsuri Desy Andari Dewi Indiastari Didi Candradikusuma Didi Candradikusuma Dio Giovanni Ariel Dorta Simamora Edi Widjajanto Elviliana, Elviliana Erma Sulistyaningsih Erwan, Nabila Erina Eviana Norahmawati Firdiani Nur Afifah, Firdiani Nur Fitria Febriliani Putri Fitriana Nugraheni Fitriana Nugraheni, Fitriana Ghofar, Hervin Febrina Handono Kalim Hayu Sukowati Nopitasari Heri Kristianto Heri Suroso, Heri Herpan Syafii Harahap Hervin Febrina Ghofar Hidayat Sujuti Husnul Asariati Husnul Asariati I Ketut Gede Muliartha Ihwan Ihwan Ika Setyo Rini Irene Ratridewi Isnadiyah Juhdi Joko Agus Gunawan Josef Sem Berth Tuda Juhdi, Isnadiyah Kana Mardhiyyah Kartika Senjarini Karyono Mintaroem Karyono Mintaroem Karyono Mintaroem Khadafi Indrawan Khairiyadi Khairiyadi Krisni Subandiyah Krisni Subandiyah Krisni Subandiyah Krsni Subandiyah Kusworini Handono Laksmi Karunia Tanuwijaya Laksmi Karunia Tanuwijaya Lilik Maslachah Lilik Zuhriyah M. Fahrul Arifin Mardhiyyah, Kana Mario B. Nara Melda Fio Flora BR. Sijabat Merici, Angela Mochammad Dalhar Moh Mirza Nuryady Moh Mirza Nuryady, Moh Mirza Mohammad Saifur Rahman Mulyohadi Ali Muti'ah, Roihatul Nabila Erina Erwan Nafi’ah, Riris Waladatun Namira, Anggi Alya Nashi Widodo Natalia Erica Jahja Nicole Berens-Riha Nicole Berens-Riha, Nicole Niniek Budiarti B Niniek Burhan Noer Aini Nopitasari, Hayu Sukowati Nugraha, Rivo Yudhinata Brian Nur Fahma Pradiptasari Nur Fahma Pradiptasari, Nur Fahma Nur Hidayat Nur Permatasari Nurdiana Nurdiana Nurdiana Nurdiana Nurtyas, Yunika pertiwi, resti anggun Poedji Hastutiek Pratama, Andhika Putra Agus Putri, Ajeng Maharani Putri, Fitria Febriliani Putri, Rachmania Rachmania Putri Rahma, Zainabur Rahmad Rahmad Rahman, Mohammad Saifur Renny Suwarniaty Renny Suwarniaty, Renny Rifa'i, Muhaimin Rivo Yudhinata Brian Nugraha Rizky Amalia Rohma, Novita Ainur Sabrina Sunyoto, Nimas Mayang Saiful Akhyar Lubis Sakunda Anggarini, Sakunda Samsul Arifin Siti Candra Windu Baktiyani Siti Candra Windu Baktiyani Soebaktiningsih Soebaktiningsih Soemarko Soemarko Sri Hayati, Yati Sri Murwani Sri Poeranto, Sri Sri Suhartini Sri Winarsih Subekti, Indah Fitriana Sudjari Sudjari Sugeng Setyo Utomo Sugeng Setyo Utomo, Sugeng Setyo Sujarot Dwi Sasmito sujarot dwi sasmito, sujarot dwi Sumarno . Sumarno Sumarno Susanto Nugroho Susanto Nugroho Sutiman B. Sumitro Swastomo, Rahadi Syarkiah Syarkiah Teguh Wahju Sardjono Teguh Wahju Sardjono Teguh Wahju Sardjono Thomas Loescher Thomas Loescher, Thomas Tikto Wahyono Tinny Endang Endang H Tinny Endang Hernowati Tinny Endang Hernowati Tuda, Josef Sem Berth Umar Zein Verry Asfirizal Vonny Mariany Deckert Wahyono, Tikto Wongso Suhendro Yoes Prijatna Dachlan Yuanita Mulyastuti Yuliyanik yuliyanik Yunika Nurtyas Yunita Armiyanti Zainabur Rahma Zakiyah Zulaifa Zakiyah Zulaifa, Zakiyah