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All Journal International Journal of Public Health Science (IJPHS) BALI MEDICAL JOURNAL (BMJ) journal of internal medicine INDONESIAN JOURNAL OF BIOMEDICAL SCIENCES E-Jurnal Medika Udayana Media Kesehatan Masyarakat Indonesia Universa Medicina Paediatrica Indonesiana CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL Public Health and Preventive Medicine Archive Journal of Global Pharma Technology Biomedika
Ketut Tuti Parwati Merati
Department Of Internal Medicine Faculty Of Medicine University Udayana/RSUP Sanglah
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Journal : Journal of Global Pharma Technology

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Inverse Correlation between Combination of Antiretroviral Therapy with the level of Serum Interleukin-6, Ferritin, and Hepcidin in HIV Patients with Anemia Chronic Disease I Ketut Agus Somia; Ketut Tuti Parwati Merati; I Made Bakta; Ida Bagus Putra Manuaba; Wayan Putu Sutirta Yasa; I Dewa Made Sukrama; Ketut Suryana; Rudi Wisaksana
Journal of Global Pharma Technology .
Publisher : Journal of Global Pharma Technology

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Abstract

Background: The purpose of this study was to determine whether the cARV therapy correlates with the serum level of IL-6, ferritin, and hepcidin in HIV infected patients with ACD.Methods: A cross-sectional study conducted in HIV patients with ACD, aged 15-65 years with exclusion criteria such as chronic renal disease, chronic liver disease, treated for anemia in the last 3 months, taking iron supplements in the last 3 months, history of blood transfusion in the last 1 year, suffering from acute infection, tuberculosis infection, malignancy, hepatitis C virus infection, acute hypersensitivity reaction and pregnancy. Blood specimen examined by high sensitivity human IL-6 In vitro ELISA, DRG Hepcidin- 25 ELISA, serum ferritin by agglutination method and CD4 cell count by flow cytometry. Results: A total of 86 HIV patients with ACD consist of 42 subjects with experienced cARV and 44 subjects with naive cARV. There are several differences between cARV naïve and experienced cARV including: Hb (g/dl) [ 10.8 ( 9.88 – 11.75) Vs. 11.60 (11.00 – 12.34) p: 0.058 ], serum iron (mg/dl) [ 50.00 (31 – 66.8) Vs. 71.40 (56.00 – 108.00) p: 0.121 ), serum ferritin (ug/dl) [ 630 ( 194 – 1101) Vs. 195.40 (128.25 – 589.47) p: 0.008 ], IL-6 (pg/mL) [7.20 (3.88 – 10.76) Vs. 4.03 (1.69 – 8.49) p: 0.009), serum hepcidin (ng/mL) [45.54 (16.74 – 95.31) Vs. 23.35 (6.58 – 49.99) p: 0.007] , CD4 cell count (cell/uL) [31.5 (14.25 – 90.75) Vs. 307 (168.5 – 458.75) p : < 0.001)] There is a significant inverse correlation between the cARV therapy with level of serum IL-6 ( r: - 0. 285, p: 0.008), ferritin (r: - 0.321, p: 0.007) and hepcidin (r: - 0.293, p: 0.006). While there was a significant positive correlation between the cARV therapy with CD4 cell count (r: 0.676, p: 0.001). There was no correlation between the cARV therapy with serum iron levels ( r: 0.176, p: 0.121).Conclusion: There is an inverse correlation between the cARV therapy with serum level of IL-6, ferritin, and hepcidin in HIV patients with ACD.  Keywords: cARV, ACD, IL-6, Ferritin, Hepcidin.
Co-Authors Abdul Azis Abdul Azis Agus Eka Darwinata Anak Agung Ayu Yuli Gayatri Artha Camellia Astiti, Cok Istri Sri Dharma Bagus Ngurah Putu Arhana Brad Otto Claire Ryan Cok Istri Sri Dharma Astiti Cokorda Agung Wahyu Purnamasidhi Dewa Gde Agung Budiyasa Dewa Nyoman Wirawan Dewa Nyoman Wirawan, Dewa Nyoman Dian, Ni Made Dewi Diksha, I Gusti Ngurah Ariestha Satya Dyah Kanya Wati Elizabeth Haryanti Gayatri, Anak Agung Ayu Yuli Gusni Rahma Handayani, Putu Novi Haruko Akatsu Haryadi Haryadi - I Dewa Made Sukrama I Gde Raka Widiana I Gusti Ayu Agung Elis Indira I Gusti Ngurah Kade Mahardika I K. Suata I Ketut Agus Somia I Made Bakta I Made Susila Utama I Nyoman Sutarsa I Wayan Gede Artawan Eka Putra I Wayan Gede Artawan Eka Putra, I Wayan Gede Artawan Eka I Wayan Putu Sutirta Yasa Ida Bagus Nyoman Putra Dwija Ida Bagus Putra Manuaba Irwanto Irwanto Junior, Darren Ketut Dewi Kumara Wati Ketut Espana Giri Ketut Espana Giri Ketut Ridana Wibawa Ketut Suryana Komang Agus Trisna Amijaya, Komang Agus Trisna Kumbara, Cokorde Istri Yuliandari Krisnawardani Made Yogi Oktavian Prasetia Made Yogi Oktavian Prasetia, Made Yogi Oktavian Mahardani, Putu Nandika Tungga Yudanti N. Sri Budiyanti Ni Made Dewi Dian Sukmawati Ni Made Sri Nopiyani Ni Wayan Sri Rahayuni Ni Wayan Winarti Nittaya Phanuphak, Nittaya Plamularsih Swandari Rahayuni, Ni Wayan Sri Rudi Wisaksana Saktivi Harkitasari, Saktivi Sawitri, Anak Agung Sagung Semadhi, Putu Gitanjani Mahadewi Shannon Turnbul Siahaan, Katrin Wilentina Stefanie Juergens Suteja, Richard Christian Utama, I Made Susila Utarini, Gusti Ayu Eka Yundari, Yundari