skip to main content

Correlation between TGF-β Levels and Degree of Wound Healing in Leprosy Ulcer Patients: An Observational Study at dr. Rehatta Regional Hospital Jepara

*Rizki Alfarizi  -  Department of Biomedicine, Universitas Diponegoro, Jl. Prof. Sudarto, SH, Tembalang, Semarang, Indonesia 50275, Indonesia
Renni Yuniati orcid scopus  -  Department of Dermatology and Venereology, Universitas Diponegoro, Jl. Prof. Sudarto, SH, Tembalang, Semarang, Indonesia 50275, Indonesia
Farmaditya Eka Putra Mundhofir orcid scopus  -  Department of Histology, Universitas Diponegoro, Jl. Prof. Sudarto, SH, Tembalang, Semarang, Indonesia 50275, Indonesia
Noor Wijayahadi scopus  -  Department of Pharmacology, Universitas Diponegoro, Jl. Prof. Sudarto, SH, Tembalang, Semarang, Indonesia 50275, Indonesia
Yora Nindita orcid scopus  -  , Indonesia

Citation Format:
Abstract

Background: Ulcers are one form of chronic wounds as one form of complication experienced by leprosy sufferers. In the process of healing wounds such as ulcers, TGF-β has a broad role. Several studies have stated that in chronic wound conditions there is a decrease in TGF-β levels so that the wound is increasingly difficult to heal. This study aims to determine the relationship between TGF-β serum levels and the degree of ulcer wound healing. Methods: This study is an observational analysis study with a cross-sectional design and involved 33 leprosy ulcer patients undergoing treatment at the dr. Rehatta Jepara Hospital in the period March-April 2024. Serum TGF-β levels were measured using the Enzyme-linked immunosorbent assay (ELISA) method while the degree of wound healing was assessed by scoring the Pressure Ulcer Scale for Healing (PUSH). Bivariate analysis using the Spearman Correlation Rank Test. Results: The correlation test between serum TGF-β levels and the degree of wound healing (p = 0.807) and duration of leprosy as covariate (p = 0.96) showed insignificant results. Conclusion: There is no relationship between serum TGF-β levels and the degree of wound healing and duration of leprosy. 

Fulltext View|Download
Keywords: Leprosy ulcer; Pressure Ulcer Score Healing; Transforming Growth Factor-β; wound healing.)

Article Metrics:

  1. World Health Organization. Wkly Epidemiol Rec. 2023. p. 409–30 World Health Organization Weekly Epidemiological Record
  2. Kementerian Kesehatan Republik Indonesia. Pedoman Nasional Pelayanan Kedokteran Tata Laksana Kusta. 2019. 1–57 p
  3. Mulianto N, Fiqnasyani SE. Manajemen Ulkus Plantar Lepra. Cermin Dunia Kedokteran. 2023;50(1):45–52
  4. Riyaz N, Sehgal VN. Leprosy: Trophic Skin Ulcers. Skinmed. 2017;15(1):45–51
  5. Upputuri B, Srikantam A, Mamidi RS. Comorbidities associated with non-healing of plantar ulcers in leprosy patients. PLoS Negl Trop Dis. 2020 Jun 1;14(6):1–12
  6. Liarte S, Bernabé-García Á, Nicolás FJ. Role of TGF-β in Skin Chronic Wounds: A Keratinocyte Perspective. Cells. 2020 Jan 28;9(2)
  7. Kiritsi D, Nyström A. The role of TGFβ in wound healing pathologies. Vol. 172, Mechanisms of Ageing and Development. Elsevier Ireland Ltd; 2018. p. 51–8
  8. Ramirez H, Patel SB, Pastar I. The Role of TGFβ Signaling in Wound Epithelialization. Adv Wound Care (New Rochelle). 2014 Jul;3(7):482–91
  9. Kim BC, Kim HT, Park SH, Cha JS, Yufit T, Kim SJ, et al. Fibroblasts from chronic wounds show altered TGF-β-signaling and decreased TGF-β type II receptor expression. J Cell Physiol. 2003 Jun 1;195(3):331–6
  10. Velnar T, Bailey T, Smrkolj V. The Wound Healing Process: an Overview of the Cellular and Molecular Mechanisms. J Int Med Res. 2009;37(5):1528
  11. Demidova-Rice TN, Hamblin MR, Herman IM. Acute and Impaired Wound Healing: Pathophysiology and Current Methods for Drug Delivery, Part 2: Role of Growth Factors in Normal and Pathological Wound Healing: Therapeutic Potential and Methods of Delivery. Adv Skin Wound Care. 2012 Aug;25(8):349–70
  12. Mohanty C, Sahoo SK. Curcumin and its topical formulations for wound healing applications. Vol. 22, Drug Discovery Today. Elsevier Ltd; 2017. p. 1582–92
  13. Barchitta M, Maugeri A, Favara G, San Lio RM, Evola G, Agodi A, et al. Nutrition and wound healing: An overview focusing on the beneficial effects of curcumin. Vol. 20, International Journal of Molecular Sciences. MDPI AG; 2019
  14. Hernández-Pando R, Orozco-Esteves H, Maldonado HA, Aguilar-León D, Vilchis-Landeros MM, Mata-Espinosa DA, et al. A combination of a transforming growth factor-β antagonist and an inhibitor of cyclooxygenase is an effective treatment for murine pulmonary tuberculosis. Clin Exp Immunol. 2006 May;144(2):264–72
  15. Maizels RM. The multi-faceted roles of TGF-β in regulation of immunity to infection. In: Advances in Immunology. Academic Press Inc.; 2021. p. 1–42
  16. Allen SS, Cassone L, Lasco TM, McMurray DN. Effect of Neutralizing Transforming Growth Factor β1 on the Immune Response against Mycobacterium tuberculosis in Guinea Pigs. Infect Immun. 2004 Mar;72(3):1358–63
  17. Olobo JO, Geletu M, Demissie A, Eguale T, Hiwot K, Aderaye G, et al. Circulating TNF-α, TGF-β, and IL-10 in tuberculosis patients and healthy contacts. Scand J Immunol. 2001;53(1):85–91
  18. Goulart IMB, Mineo JR, Foss NT. Production of transforming growth factor-β1 (TGF-β1) by blood monocytes from patients with different clinical forms of leprosy. Vol. 122, Clin Exp Immunol. 2000
  19. Massagué J, Sheppard D. TGF-β signaling in health and disease. Vol. 186, Cell. Elsevier B.V.; 2023. p. 4007–37

Last update:

No citation recorded.

Last update:

No citation recorded.