POLIMORFISME GEN TRANS MEMBRANE PROTEASE SERIN 6 (TMPRSS6) SEBAGAI FAKTOR RISIKO ANEMIA DEFISIENSI BESI PADA IBU HAMIL

Backgrounds. TMPRSS6 gene was reported to have an important role in iron homeostasis in the body. Mutations of this gene lead to changes in the structure and function of matriptase-2 enzyme resulting in increase levels of hepcidin in circulation that inhibits iron absorption in the small intestine,...

Full description

Bibliographic Details
Main Authors: , YULIANA HERI SUSELO, , dr. Ahmad Hamim Sadewa, Ph.D
Format: Thesis
Published: [Yogyakarta] : Universitas Gadjah Mada 2013
Subjects:
ETD
_version_ 1826046170344980480
author , YULIANA HERI SUSELO
, dr. Ahmad Hamim Sadewa, Ph.D
author_facet , YULIANA HERI SUSELO
, dr. Ahmad Hamim Sadewa, Ph.D
author_sort , YULIANA HERI SUSELO
collection UGM
description Backgrounds. TMPRSS6 gene was reported to have an important role in iron homeostasis in the body. Mutations of this gene lead to changes in the structure and function of matriptase-2 enzyme resulting in increase levels of hepcidin in circulation that inhibits iron absorption in the small intestine, the release of iron deposits in the liver and iron recycling in macrophages. Several polymorphisms of TMPRSS6 including single nucleotide polymorphism (SNP) rs855791 (C2207T) closely associated with iron deficiency anemia (IDA), decreased hemoglobin level and erythrocyte indices and increased serum hepcidin. This study aimed to determine the relationship of SNP rs855791 of TMPRSS6 and IDA in pregnant women in Indonesia. Methods. This study was an observational analytic case control. Sample population were pregnant women in the region of Surakarta who met inclusion and exclusion criteria. Sixty seven subjects were recruited as samples consist of 25 subjects with anemia and 42 subjects non anemia. Subjects with anemia consist of 7 subjects with IDA and 18 anemia without IDA subjects. All subjects were examined for hemoglobin and erythrocyte indices, polymorphism rs855791 detection using PCR-ARMS and sequencing, and ELISA for detection of serum hepcidin level. Chi square test and odds ratio models were used to evaluate the association between polymorphism and IDA risk. Independent t-test was used to determine the difference of Hb, erythrocyte indices and hepcidin among genotype. A p value < 0.05 considered as significant different. Results. SNP rs855791 was detected in all subjects which are both homozygous and heterozygous. Frequency of subject carrying T allele was high (IDA = 64.3% and anemia non IDA = 44.4%). In this study rs855791 was a risk factor for IDA (p = 0.208, OR =2.250, 95% CI 0.628-8.057). The mean erythrocyte indices in subjects carrying the T allele was lower than subjects carrying only C allele although not statistically significant (p>0.05). The mean serum hepcidin in subjects carrying T allele was higher than subjects carrying only C allele but not statistically significant (p>0.05). Conclusions. In this study the rs855791 polymorphism of TMPRSS6 gene is a risk factor for iron deficiency anemia. The T allele lead to increased serum hepcidin and decreased erythrocyte indices as IDA parameters.
first_indexed 2024-03-13T22:48:58Z
format Thesis
id oai:generic.eprints.org:119214
institution Universiti Gadjah Mada
last_indexed 2024-03-13T22:48:58Z
publishDate 2013
publisher [Yogyakarta] : Universitas Gadjah Mada
record_format dspace
spelling oai:generic.eprints.org:1192142016-03-04T08:44:40Z https://repository.ugm.ac.id/119214/ POLIMORFISME GEN TRANS MEMBRANE PROTEASE SERIN 6 (TMPRSS6) SEBAGAI FAKTOR RISIKO ANEMIA DEFISIENSI BESI PADA IBU HAMIL , YULIANA HERI SUSELO , dr. Ahmad Hamim Sadewa, Ph.D ETD Backgrounds. TMPRSS6 gene was reported to have an important role in iron homeostasis in the body. Mutations of this gene lead to changes in the structure and function of matriptase-2 enzyme resulting in increase levels of hepcidin in circulation that inhibits iron absorption in the small intestine, the release of iron deposits in the liver and iron recycling in macrophages. Several polymorphisms of TMPRSS6 including single nucleotide polymorphism (SNP) rs855791 (C2207T) closely associated with iron deficiency anemia (IDA), decreased hemoglobin level and erythrocyte indices and increased serum hepcidin. This study aimed to determine the relationship of SNP rs855791 of TMPRSS6 and IDA in pregnant women in Indonesia. Methods. This study was an observational analytic case control. Sample population were pregnant women in the region of Surakarta who met inclusion and exclusion criteria. Sixty seven subjects were recruited as samples consist of 25 subjects with anemia and 42 subjects non anemia. Subjects with anemia consist of 7 subjects with IDA and 18 anemia without IDA subjects. All subjects were examined for hemoglobin and erythrocyte indices, polymorphism rs855791 detection using PCR-ARMS and sequencing, and ELISA for detection of serum hepcidin level. Chi square test and odds ratio models were used to evaluate the association between polymorphism and IDA risk. Independent t-test was used to determine the difference of Hb, erythrocyte indices and hepcidin among genotype. A p value < 0.05 considered as significant different. Results. SNP rs855791 was detected in all subjects which are both homozygous and heterozygous. Frequency of subject carrying T allele was high (IDA = 64.3% and anemia non IDA = 44.4%). In this study rs855791 was a risk factor for IDA (p = 0.208, OR =2.250, 95% CI 0.628-8.057). The mean erythrocyte indices in subjects carrying the T allele was lower than subjects carrying only C allele although not statistically significant (p>0.05). The mean serum hepcidin in subjects carrying T allele was higher than subjects carrying only C allele but not statistically significant (p>0.05). Conclusions. In this study the rs855791 polymorphism of TMPRSS6 gene is a risk factor for iron deficiency anemia. The T allele lead to increased serum hepcidin and decreased erythrocyte indices as IDA parameters. [Yogyakarta] : Universitas Gadjah Mada 2013 Thesis NonPeerReviewed , YULIANA HERI SUSELO and , dr. Ahmad Hamim Sadewa, Ph.D (2013) POLIMORFISME GEN TRANS MEMBRANE PROTEASE SERIN 6 (TMPRSS6) SEBAGAI FAKTOR RISIKO ANEMIA DEFISIENSI BESI PADA IBU HAMIL. UNSPECIFIED thesis, UNSPECIFIED. http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=59210
spellingShingle ETD
, YULIANA HERI SUSELO
, dr. Ahmad Hamim Sadewa, Ph.D
POLIMORFISME GEN TRANS MEMBRANE PROTEASE SERIN 6 (TMPRSS6) SEBAGAI FAKTOR RISIKO ANEMIA DEFISIENSI BESI PADA IBU HAMIL
title POLIMORFISME GEN TRANS MEMBRANE PROTEASE SERIN 6 (TMPRSS6) SEBAGAI FAKTOR RISIKO ANEMIA DEFISIENSI BESI PADA IBU HAMIL
title_full POLIMORFISME GEN TRANS MEMBRANE PROTEASE SERIN 6 (TMPRSS6) SEBAGAI FAKTOR RISIKO ANEMIA DEFISIENSI BESI PADA IBU HAMIL
title_fullStr POLIMORFISME GEN TRANS MEMBRANE PROTEASE SERIN 6 (TMPRSS6) SEBAGAI FAKTOR RISIKO ANEMIA DEFISIENSI BESI PADA IBU HAMIL
title_full_unstemmed POLIMORFISME GEN TRANS MEMBRANE PROTEASE SERIN 6 (TMPRSS6) SEBAGAI FAKTOR RISIKO ANEMIA DEFISIENSI BESI PADA IBU HAMIL
title_short POLIMORFISME GEN TRANS MEMBRANE PROTEASE SERIN 6 (TMPRSS6) SEBAGAI FAKTOR RISIKO ANEMIA DEFISIENSI BESI PADA IBU HAMIL
title_sort polimorfisme gen trans membrane protease serin 6 tmprss6 sebagai faktor risiko anemia defisiensi besi pada ibu hamil
topic ETD
work_keys_str_mv AT yulianaherisuselo polimorfismegentransmembraneproteaseserin6tmprss6sebagaifaktorrisikoanemiadefisiensibesipadaibuhamil
AT drahmadhamimsadewaphd polimorfismegentransmembraneproteaseserin6tmprss6sebagaifaktorrisikoanemiadefisiensibesipadaibuhamil