Variasi Genetik Gen CD40 Daerah 5’-UTR dan Karakteristik Pasien: Hubungannya dengan Risiko Kambuh Penyakit Graves

Trisia Lusiana Amir, Dwi Anita Suryandari, Fatimah Eliana, Luluk Yunaini

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More than 50% patients graves' disease (GD) can relapse after remission period. This can be influenced by treatment, gender, age of diagnosis and genetic. One of the genes that regulate immune response is CD40 gene, which is found on the surface of Lymphocyte B. The aim of this research was to determine genetic variation at 5'-UTR of CD40 gene and the role of age and gender that influence the risk for relapse. This study was conducted in Dr Cipto Mangunkusumo Hospital from August to December 2014. This study was a case-control study comparing 30 relapse patients and 30 non-relapse patients after treatment with anti-thyroid drug was terminated. Genetic variation was analyzed with PCR-RFLP and clinical characteristic by medical record. In this research, we found that both genotype and alleles 5'-UTR of CD40 gene variation have no association with risk for relapse (p>0.05), but age of diagnosis was considered significant with risk for relapse (p=0.001). In conclusion, genetic variation in 5'-UTR CD40 gene is not risk for relapse but age of diagnosis may be a risk for relapse in GD patients.
Original languageIndonesian
JournaleJournal Kedokteran Indonesia
Issue number3
Publication statusPublished - Dec 2016

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