Basophils and TNF-α in Farmers Infected and Not Infected by STH in Sumberagung Hamlet, Gurah Sub-District and Janti Hamlet, Papar District, Kediri Regency, East Java Elfred Rinaldo Kasimo
Department of Health Analyst, Faculty of Health Science, Universitas Kadiri, Kediri, East Java, Indonesia
Abstract
Soil Transmitted Helminths (STH) is a worm of the intestinal nematode that is transmitted to humans through soil contaminated with feces. In STH infection, CD4 cells differentiate four types of T-helper cells, namely Th1, Th2, Th17, and Treg. Th2 cells secrete cytokines in the form of IL-4, IL-5, IL-9, and IL-13 which activate various mucosal epithelial cells, eosinophils, basophils, IgE production, mast cells, and goblet hyperplasia cells. Basophil cells and mast cells activated by IgE through crosslinked-high-affinity Fc receptors (FcRs) from IgE on the cell surface cause secretion from inflammatory mediators in the form of TNF-α, TGF-β, IL-1, IL-6, and mediators performed in the form of histamine and heparin which increase smooth-muscle-cell motility, so that it stimulates entry into the intestine and increases secretion by goblet-cells which will expose the worms out of the body. This type of research uses a case control. The total subjects were 40 farmers, consisting of 20 people infected with STH and 20 people not infected with STH in Sumberagung Hamlet, Gurah Sub-District and Janti Hamlet, Papar District, Kediri Regency. The results of this study showed no difference in the number of basophils in farmers infected and not infected with STH with a value of p=0.418 or p>0.05. There are differences in TNF-α levels in farmers infected and not infected with STH with a value of p=0.019 or p<0.05. TNF-α levels in farmers infected with STH are lower than those that are not infected because infections occur repeatedly and continuously that form immunotolerant
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