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Innate and adaptive host responses and their genetic control in tuberculosis : studies in Indonesia, a highly TB endemic setting

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Sahiratmadja, E. K. (2007, November 27). Innate and adaptive host responses and their genetic control in tuberculosis : studies in Indonesia, a highly TB endemic setting.

Retrieved from https://hdl.handle.net/1887/12469

Version: Corrected Publisher’s Version

License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden

Downloaded from: https://hdl.handle.net/1887/12469

Note: To cite this publication please use the final published version (if applicable).

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Innate and Adaptive Host Responses

and Their Genetic Control in Tuberculosis:

Studies in Indonesia,

a Highly TB Endemic Setting

Edhyana Kusumastuti Sahiratmadja

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Innate and Adaptive Host Responses

and Their Genetic Control in Tuberculosis:

Studies in Indonesia,

a Highly TB Endemic Setting

PROEFSCHRIFT

ter verkrijging van

de graad van Doctor aan de Universiteit Leiden

op gezag van Rector Magnificus prof.mr. P.F. van der Heijden, volgens besluit van het College voor Promoties

te verdedigen op dinsdag 27 November 2007 klokke 15.00 uur

door

Edhyana Kusumastuti Sahiratmadja

geboren 11 Mei 1966 te Jakarta, Indonesië

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Overige leden:

Prof. dr. C. Melief Prof. dr. P.S. Hiemstra

Prof. dr. W. van Eden (Universiteit Utrecht)

Prof. dr. T. van der Poll ( Universiteit van Amsterdam)

ISBN: 978-90-812055-1-1

Cover: Transmission of Mycobacterium Tuberculosis:

Who’s susceptible to TB?

Cover design and lay out:

Ekky NS and Felicia Sahiratmadja Printed by Kyara Production

The study described in this thesis is part of a scientific collaboration between the Netherlands and Indonesia and was financially supported by a grant of the Koninklijke Nederlandse Academie van Wetenschappen (KNAW, the Royal Netherlands Academy of Arts and Sciences, project no. 99-MED-01) and partly by the Scientific Research for the Tropic (WOTRO, PRIOR-project).

Publication of this thesis was partly financially supported by:

KNCV Tuberculosis Foundation, Den Haag, The Netherlands U-cy Tech BV, Utrecht, The Netherlands

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To my family:

my parents,

my husband and my princesses

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Innate and adaptive host responses

and their genetic control in tuberculosis:

studies in Indonesia, a highly TB endemic setting

Chapter 1 ...9

Introduction and outline of the thesis Chapter 2 ...61

Dynamic changes in pro- and anti-inflammatory cytokine profiles and gamma interferon receptor signaling integrity correlate with tuberculosis disease activity and response to curative treatment Chapter 3...91

Plasma granulysin levels and cellular interferon-γ production correlate with curative host responses in tuberculosis, while plasma interferon-γ levels correlate with tuberculosis disease activity in adults Chapter 4...113

Association of polymorphisms in IL-12 / IFN-γ pathway genes with susceptibility to pulmonary tuberculosis in Indonesia Chapter 5...133

Analysis of genes in innate immune pathways finds novel associations with pulmonary tuberculosis risk in Indonesia Chapter 6...159

Iron deficiency and NRAMP1 polymorphisms (INT4, D543N and 3'UTR) do not contribute to severity of anaemia in tuberculosis in the Indonesian population Chapter 7...177

The effect of type 2 diabetes mellitus on the presentation and treatment response of pulmonary tuberculosis Summary and General Discussion ....195

Samenvatting (Summary in Dutch) ...205

CurriculumVitae ...215

List of publications...216

List of abbreviations ...218

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