R. Yuniati, W. Riawan, D. Widasmara, I.G.N. Darmaputra, S. Arifin
Objective: To compare the distribution of CD4+ Th17 and CD25+ FOXP3 T regulatory cell (Treg) between type I reversal reaction (RR) and type II reversal reaction i.e. erythema nodosum leprosum (ENL) patient groups. Methods: A total of 50 samples, consisted of 27 samples of reversal reaction (RR) and 23 samples of ENL, were collected. Observation of CD4+ RORg-T Th17 and CD25+ FOXP3 Treg were conducted with immunohistochemistry staining technique using anti FOX-P3 and anti RORg-T. Expression of CD4+ ROR-g Th17 and CD25+ FOXP3 Treg in percentage were analyzed using T-test. Results: There is a significant difference in mean CD4+ ROR-g Th17 and IL17 cell distribution for RR patient group (14.96% and 10.72%) compared with ENL (9.12% and 4.28%). No significant difference were found between mean CD25+ FOXP3 Treg and TGF-β cell distribution in RR patient group (6.12% and 5.44%) compared with ENL group (6.16% and 5.96%). Conclusion: There is a significant increment od CD+RORg-T Th17 and IL17 in RR patients group compared with ENL patients group. however, the distribution of CD25+ FOXP3+ Treg and TGF beta in RR has no significant difference compared with ENL. © 2018 Pakistan Association of Dermatologists.
Departemen Ilmu Kesehatan Kulit Dan Kelamin, Fakultas Kedokteran Universitas Diponegoro, Semarang, Indonesia; Departemen Bikimia-Biomolekuler Fakultas, Kedokteran Universitas Brawijaya, Malang, Indonesia; Departemen Ilmu Kesehatan Kulit, Kelamin Fakultas Kedokteran Universitas Brawijaya, Malang, Indonesia; Departemen Ilmu Kesehatan Kulit, Kelamin Fakultas Kedokteran Universitas Udayana, Sanglah, Indonesia