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All Journal Respiratory Science
Utomo, Ahmad Rusdan H
Unknown Affiliation
Health Professions Medicine & Pharmacology

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The Impact of Klotho Gene Polymorphisms on Chronic Obstructive Pulmonary Disease (COPD): A Systematic Review Lindra, Derallah A; Purwaningsih, Endang; Utomo, Ahmad Rusdan H; Yunus, Faisal; Harahap, Makrup E
Respiratory Science Vol. 5 No. 2 (2025): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v5i2.165

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is linked to persistent inflammation, repetitive strain, and the accelerated aging of the lungs. The Klotho gene is an anti-aging protein that protects cells from inflammation and alveolar damage in COPD patients. At least 10 mutations in the Klotho gene and single nucleotide polymorphisms (SNPs) have been identified in humans. However, the influence of these polymorphisms is not fully understood in COPD patients. This article aims to determine the influence of Klotho gene polymorphisms on COPD patients. Method: This study employs a systematic review by analyzing secondary data from scientific research articles. Data search using the Google Scholar database. Done using the terms: Polymorphism, COPD, and Alpha Klotho gene. Results: Four studies were selected for systematic review. Three studies indicate that Klotho gene polymorphisms can cause alveolar destruction, accelerating emphysema occurrence. There is a relationship between Klotho gene polymorphisms and BMI but not with disease severity parameters. Conclusion: This review indicates that Klotho gene polymorphisms may accelerate emphysema development in COPD patients. There is a relationship between klotho gene polymorphisms and BMI but not with disease severity parameters.
Evaluation of Mortality Risk Factors of COVID-19 in Jakarta Tertiary Hospital During Peak of Second Wave and Predictive Utility of Community RT-PCR Low CT Values Putra, Andika Chandra; Burhan, Erlina; Aufa, Akhdan; Bur, Rika; Pangestu, Hendri; Bahri, Syukrini; Souvriyanti, Elsye; Muchtiar, Mulyadi; Erlina, Andi; Aditama, Tjandra Yoga; Yuliwulandari, Rika; Kusuma, Indra; Suciati, Yulia; Rifqatussaadah, Rifqatussaadah; Jalal, Fasli; Gusnanto, Arief; Utomo, Ahmad Rusdan H
Respiratory Science Vol. 4 No. 2 (2024): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v4i2.133

Abstract

Background: The Delta variant of SARS-CoV-2 led to a surge in COVID-19 cases in Indonesia. This study aimed to assess the demographic profile and mortality rates of hospitalized COVID-19 patients in YARSI referral hospital, Jakarta, comparing pre-Delta and Delta wave periods. The study also investigated whether low CT values in RT-PCR tests indicated heightened viral transmission before the Delta wave surge. Method: A retrospective analysis was conducted on 1,457 COVID-19 patients hospitalized at YARSI (January-August 2021) and 25,279 RT-PCR test results from walk-in patients (April-August 17, 2021). Differences were evaluated using Chi-square or Fisher’s Exact Tests while binary logistic regression was used to assess mortality risk factors. Results: There were increased proportions of pregnant women, patients aged 20-29 and those with coronary artery disease during the Delta wave. This period also showed a significant increase in mortality rates, with the highest seen in patients >60 years old or those with multiple comorbidities. Notably, most of the deceased patients (131 of 139) were unvaccinated. Analysis of RT-PCR data showed rising percentages of positive results with low CT values (below 21 or 15) from April to June. Conclusion: The Delta wave saw a higher risk of hospitalization among young individuals and pregnant women, despite their low mortality risk. The unvaccinated and those with multiple comorbidities faced higher mortality risks. Increases in RT-PCR positivity with low CT values preceded the July COVID-19 case surge.
Co-Authors Aufa, Akhdan Bahri, Syukrini Elsye Souvriyanti, Elsye Endang Purwaningsih Erlina Burhan Erlina, Andi Faisal Yunus Fasli Jalal Gusnanto, Arief Harahap, Makrup E Indra Kusuma Lindra, Derallah A Muchtiar, Mulyadi Pangestu, Hendri Putra, Andika Chandra Rifqatussaadah, Rifqatussaadah Rika Bur Rika Yuliwulandari, Rika Tjandra Yoga Aditama Yulia Suciati