ABSTRACT: to investigate the serum levels of TNF-α, IL-8, VEGF in Helicobacter pylori infection, and their association with the degrees of gastritis histopathology. Methods: a cross-sectional study was done on 80 consecutive gastritis patients admitted to endoscopy units at Adam Malik General Hospital and Permata Bunda Hospital, Medan, Indonesia from July-December 2014. The Rapid Urease test was used for the diagnosis of H. pylori infection. The severity of chronic inﬂammation, neutrophil infltration, atrophy, and intestinal metaplasia were assessed. Serum samples were obtained to determine circulating TNF-α, IL-8, and VEGF. Univariate and bivariate analysis (chi square, fsher’s exact, and mann-whitney test) were done using SPSS version-22. Results: there were 41.25% of 80 patients infected with Helicobacter pylori. Serum TNF-α and VEGF levels in the infected group were signifcantly higher compared to H. pylori negative, but there were no signifcant differences between serum levels of IL-8 in H. pylori positive and negative. There were signifcant associations between serum level of TNF-α and IL-8 with degree of chronic inﬂammation, and also between serum level of IL-8 and degree of neutrophil infltration. There were signifcant associations between serum level of VEGF and degree of atrophy, and also between serum level of VEGF and degree of intestinal metaplasia. Conclusion: High levels of TNF-α were associated with severe degree of chronic inﬂammation, high levels of IL-8 associated with severe degree of chronic inﬂammation and neutrophil infltration, and high levels of VEGF associated with severe degree of premalignant gastric lesion.
Key words: cytokine, neoangiogenesis, Helicobacter pylori, atrophic gastritis, intestinal metaplasia
Author: Gontar A. Siregar, Sahat Halim, Ricky R. Sitepu
Journal Code: jpkedokterangg150251