Ekspresi protein pada pasien tuberkulosis kanker jaringan kelenjar getah bening dan non kelenjar getah bening

DOI: https://doi.org/10.56922/pti.v6i2.3681

Authors

  • Lendawati Lendawati Poltekkes Kemenkes Tanjung Karang
  • Hasti Primadilla Krismaningrum Poltekkes Kemenkes Tanjung Karang

CD4 Immunohistochemistry Lymph Node Tissue Tuberculosis

Abstract

Background: Mycobacterium tuberculosis in patients with tuberculosis has mechanisms that induce tumor formation and contribute to the development of cancer. In more than 80% of cases, TB primarily affects the lungs and other tissues, leading to chronic inflammation. Inflammation has long been associated with the development of cancer. T lymphocytes from patients with active tuberculosis secrete high levels of vascular endothelial growth factor (VEGF). VEGF is also secreted by CD4+ T lymphocytes treated with purified tuberculin protein derivative (PPD).

Purpose: To determine protein expression in tuberculosis patients with lymph node and non-lymph node TB tissue.

Method: This experimental study employed immunohistochemistry. Data were analyzed using one-way ANOVA followed by the Tukey HSD test. Research data were statistically analyzed using the Mann–Whitney test.

Results: Non-lymph node tuberculosis exhibits a lower cellular immune response, with the H-score method providing an accurate quantitative assessment of CD4 expression.

Conclusion: CD4 protein expression based on H-score was significantly higher in lymph node tuberculosis.

Suggestion: Further research correlating CD4 expression with other specific immune biomarkers is needed to clarify the immune response profile in tuberculosis.

 

Keywords: CD4; Immunohistochemistry; Lymph Node; Tissue; Tuberculosis.

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References

Alawiyah, T. (2025). Rasio Neutrofil Limfosit (Rnl) Dan Kadar Squamous Cell Carcinoma Antigen (Scca) Serum Pada Pasien Kanker Paru (Doctoral Dissertation, Universitas Hasannuddin).

Azis, K. T. (2024). Profil Tumor Infiltrating Limfosit Pada Pasien Kanker Payudara Di RS Wahdin Sudirohusodo Makassar Tahun 2023= Profile of Tumor Infiltrating Lymphocytes in Breast Cancer Patients at Wahidin Sudirohusodo Hospital Makassar in 2023 (Doctoral dissertation, Universitas Hasanuddin).

Baykan, A. H., Sayiner, H. S., Aydin, E., Koc, M., Inan, I., & Erturk, S. M. (2022). Extrapulmonary tuberculosıs: an old but resurgent problem. Insights into Imaging, 13(1), 39.

Carabalí-Isajar, M. L., Rodríguez-Bejarano, O. H., Amado, T., Patarroyo, M. A., Izquierdo, M. A., Lutz, J. R., & Ocampo, M. (2023). Clinical manifestations and immune response to tuberculosis. World Journal of Microbiology and Biotechnology, 39(8), 206.

Ferlay, J., Colombet, M., Soerjomataram, I., Mathers, C., Parkin, D. M., Piñeros, M., & Bray, F. (2019). Estimating the global cancer incidence and mortality in 2018: GLOBOCAN sources and methods. International journal of cancer, 144(8), 1941-1953.

Ge, Z., Peppelenbosch, M. P., Sprengers, D., & Kwekkeboom, J. (2021). TIGIT, the next step towards successful combination immune checkpoint therapy in cancer. Frontiers in immunology, 12, 699895.

Ge, Z., Peppelenbosch, M. P., Sprengers, D., & Kwekkeboom, J. (2021). TIGIT, the next step towards successful combination immune checkpoint therapy in cancer. Frontiers in immunology, 12, 699895.

Gershman, E., Zer, A., Pertzov, B., Shtraichman, O., Shitenberg, D., Heching, M., & Kramer, M. (2020). Characteristics of lung cancer in idiopathic pulmonary fibrosis with single lung transplant versus non-transplanted patients: a retrospective observational study. BMJ Open Respiratory Research, 7(1).

Harlim, A. (2018). Buku ajar ilmu kesehatan kulit dan kelamin imunologi inflamasi.

Kementerian Kesehatan. Infodatin TB 2018. Diakses dari: https://www.yumpu.com/id/document/view-/62913384/-infodatin-tuberkulosis-2018

Malik, U. K. (2021). Rasio sel t sitotoksik cd8+ dan sel t regulator foxp3+ tumor-infiltrating lymphocytes (tils) pada adenokarsinoma kolorektal= ratio of cd8+ cytotoxic t cells and foxp3+ regulatory t cell tumor-infiltrating lymphocytes (tils) in colorectal adenocarcinoma (Doctoral dissertation, Universitas Hasanuddin).

McCaffrey, E. F., Donato, M., Keren, L., Chen, Z., Delmastro, A., Fitzpatrick, M. B., & Angelo, M. (2022). The immunoregulatory landscape of human tuberculosis granulomas. Nature immunology, 23(2), 318-329.

Morgan, J., Muskat, K., Tippalagama, R., Sette, A., Burel, J., & Lindestam Arlehamn, C. S. (2021). Classical CD4 T cells as the cornerstone of antimycobacterial immunity. Immunological reviews, 301(1), 10-29.

Nugroho, N. P., & Wati, F. F. (2020). Koeksistensi kanker paru dan tuberkulosis. Syifa’Med J Kedokt dan Kesehat, 11(1), 49.

Qiang, L., Wang, J., Zhang, Y., Ge, P., Chai, Q., Li, B., & Liu, C. H. (2019). Mycobacterium tuberculosis Mce2E suppresses the macrophage innate immune response and promotes epithelial cell proliferation. Cellular & molecular immunology, 16(4), 380-391.

Ramadhaniah, F., & Syarif, S. (2020). Studi Tinjauan Pustaka: Risiko Kejadian Kanker Paru pada Penderita Tuberkulosis Paru. Jurnal Epidemiologi Kesehatan Indonesia, 4(1), 5.

Rosyanti, L., & Hadi, I. (2020). Respon imunitas dan badai sitokin severe acute respiratory syndrome corona virus 2: Literatur review. Jurnal Kesehatan Madani Medika, 11(2), 176-201.

Wang, J., Ge, P., Qiang, L., Tian, F., Zhao, D., Chai, Q., & Liu, C. H. (2017). The mycobacterial phosphatase PtpA regulates the expression of host genes and promotes cell proliferation. Nature communications, 8(1), 244.

World Health Organization. (2019). Indonesia source GLOBOCAN 2018 (International Agency for Research on Cancer). hlm. 1–2. Diakses dari: http://gco.iarc.fr/.

Yusran, A. (2023). Hubungan Jumlah Leukosit, Neutrofil, Limfosit, dan Neutrofil Limfosit Rasio sebagai Biomarker Tingkat Deteksi Kuman Mycobacterium Tuberkulosis dengan Tes Cepat Molekuler= Relationship between amount of leukocytes, neutrophils, lymphocytes, and neutrophil lymphocyte ratio as a biomarker of the level germs detection by molecular rapid test in Mycobacterium Tuberculosis (Doctoral dissertation, Universitas Hasanuddin).

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Published

2026-06-27