REDUCTION OF TUMOR NECROSIS FACTOR-ALPHA AND INTERFERON-GAMMA CONCENTRATION ON TUBERCULOSIS WITH DIABETES MELLITUS AS A MARKER IN DECREASE IMMUNE SYSTEM

NELLY MARISSA; NUR RAMADHAN; SARI HANUM; MARLINDA; EKA FITRIA; ABIDAH NUR

doi:10.22159/ajpcr.2019.v12i11.35424

Authors

NELLY MARISSA Balai Penelitian dan Pengembangan Kesehatan Aceh, Aceh Besar, Indonesia.
NUR RAMADHAN Balai Penelitian dan Pengembangan Kesehatan Aceh, Aceh Besar, Indonesia.
SARI HANUM Balai Penelitian dan Pengembangan Kesehatan Aceh, Aceh Besar, Indonesia.
MARLINDA Balai Penelitian dan Pengembangan Kesehatan Aceh, Aceh Besar, Indonesia.
EKA FITRIA Balai Penelitian dan Pengembangan Kesehatan Aceh, Aceh Besar, Indonesia.
ABIDAH NUR Balai Penelitian dan Pengembangan Kesehatan Aceh, Aceh Besar, Indonesia.

DOI:

https://doi.org/10.22159/ajpcr.2019.v12i11.35424

Keywords:

Tuberculosis, Diabetes mellitus, Tumor necrosis factor-alpha, Interferon-gamma

Abstract

Objective: This study aimed to determine the decreased immune response of tuberculosis (TB) with diabetes mellitus (DM) patients.

Methods: A total of 105 TB patients who were undergoing treatment at health centers and hospitals in Banda Aceh and Aceh Besar were included in this study. Data collection was carried out by interviewed to obtained demographic and respondent categories based on the diagnosis. Measurements of height and weight were also conducted to obtain body mass index data. 5 mL peripheral blood was taken from each respondent group into a TB with DM (TB+DM) and TB without DM (TB-DM). The blood tested usage tumor necrosis factor-alpha (TNF-α) level using enzyme-linked immunosorbent assay and interferon-gamma (IFN-γ) using IFN-γ release assay.

Results: The average concentration of both TNF-α and IFN-γ was higher in TB-DM group (TNF-a 5.2 pg/mL; IFN-g 1.5 IU/mL) than in TB+DM group (TNF-a 2.06 pg/mL; IFN-g 2.86 IU/mL). There were significant differences in TNF-α between the two groups but no significant differences in IFN-γ protein concentration.

Conclusion: The immune response of TB patients with DM symptoms was markedly reduced by the decreased expression of TNF-α and IFN-γ.

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