Trends in Immunotherapy

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The Relationship of Vitamin D and IL-17 Levels with Disease Severity in Pediatric Tuberculosis Patients

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https://doi.org/10.54963/ti.v9i2.1115
Olivianto, E., Mustofa Aidid, & Iskandar, A. (2025). The Relationship of Vitamin D and IL-17 Levels with Disease Severity in Pediatric Tuberculosis Patients. Trends in Immunotherapy, 9(2), 60–72. https://doi.org/10.54963/ti.v9i2.1115
Volume 9 Issue 2 ( 2025)
Copyright (c) 2025 Ery Olivianto, Mustofa Aidid, Agustin Iskandar
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Authors

  • Ery Olivianto

    Department of Child Health, Faculty of Medicine, Universitas Brawijaya‑Dr. Saiful Anwar Hospital, Malang 65112, Indonesia
  • Mustofa Aidid

    Department of Clinical Pathology, Faculty of Medicine, Universitas Brawijaya‑Dr. Saiful Anwar Hospital, Malang 65112, Indonesia
  • Agustin Iskandar

    Department of Clinical Pathology, Faculty of Medicine, Universitas Brawijaya‑Dr. Saiful Anwar Hospital, Malang 65112, Indonesia

Tuberculosis (TB) remains a significant global health burden, particularly in children, where immune responses play a crucial role in disease progression. The objective of this research was to analyze the relationship of vitamin D and IL-17 levels with the severity of pediatric TB. This observational analytic study was conducted at Dr. Saiful Anwar Hospital, Malang, involving 33 pediatric patients diagnosed with TB, divided into mild (n = 8), moderate (n = 18) and severe (n = 7) groups. Severity was determined using the score developed in this study. Vitamin D levels were measured using the Cobas c501 analyzer, and IL-17 levels were measured using the Human IL-17 ELISA Kit. While Vitamin D level was significantly lower in microbiologically confirmed patients (p = 0.038), it was not significantly different among severity groups (p = 0.799). Meanwhile, IL-17 levels were significantly higher in patients with more severe respiratory distress (p = 0.01), although the difference between severity groups was not statistically significant (p = 0.966). Furthermore, there was no correlation between vitamin D levels and IL-17 levels (r = 0.178, p = 0.322). These findings indicate the need for further research to explore vitamin D supplementation as an adjunctive therapy and to evaluate IL-17 as a biomarker for disease activity.

Keywords:

Pediatric TB; Vitamin D Deficiency; Interleukin-17; TB Severity; Biomarkers; Immune Modulation

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