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The responses of multiple cytokines following incubation of whole blood from TB patients, latently infected individuals and controls with the TB antigens ESAT-6, CFP-10 and TB7.7

Authors
 S. Y. Kim  ;  M. S. Park  ;  Y. S. Kim  ;  S. K. Kim  ;  J. Chang  ;  H. J. Lee  ;  S.-N. Cho  ;  Y. A. Kang 
Citation
 Scandinavian Journal of Immunology, Vol.76(6) : 580-586, 2012 
Journal Title
 Scandinavian Journal of Immunology 
ISSN
 0300-9475 
Issue Date
2012
Abstract
The development of clinically relevant biomarkers is important for diagnosing latent tuberculosis infection (LTBI) and active tuberculosis (TB) and predicting their prognoses. This study examined whether the responses of multiple cytokines can be used as a biomarker to distinguish the TB infection status and mycobacterial load. We analysed the responses of multiple cytokines (IFN-γ, IL-2, IL-10, IL-13, IL-17 and TNF-α) in the supernatant from the QuantiFERON-TB Gold In-Tube assay following stimulation of whole blood from the TB group (n = 32), LTBI group (n = 19) and healthy controls (n = 30) with TB antigens (ESAT-6, CFP-10 and TB7.7). The median responses of IFN-γ, IL-2, IL-10 and IL-13 were higher in the LTBI and active TB groups than in the non-TB control group (IFN-γ, P < 0.001; IL-2, P < 0.001; IL-10, P = 0.012; IL-13, P < 0.001). The median IL-2/IFN-γ ratio of the LTBI group was higher than that of the active TB group (P = 0.014) and differed significantly between patients with LTBI, patients with smear-negative TB and patients with smear-positive TB (P = 0.027). This difference was especially evident between the patients with LTBI and patients with smear-positive TB (P = 0.047). In conclusion, IFN-γ, IL-2, IL-10 and IL-13 can serve as biomarkers for distinguishing TB infection. In addition, the IL-2/IFN-γ ratio appears to be a biomarker for diagnosing LTBI and may be useful as a prognostic factor and for evaluating treatment responses.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/91823
DOI
10.1111/j.1365-3083.2012.02776.x
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Microbiology (미생물학교실)
Yonsei Authors
강영애(Kang, Young Ae) ; 김세규(Kim, Se Kyu) ; 김송이(Kim, Song Yee) ; 김영삼(Kim, Young Sam) ; 박무석(Park, Moo Suk) ; 장준(Chang, Joon) ; 조상래(Cho, Sang Nae)
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Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1365-3083.2012.02776.x/abstract
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