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Immune Biomarkers for Diagnosis and Treatment Monitoring of Tuberculosis : Current Developments and Future Prospects

Yong, Yean K. (author)
Xiamen Univ Malaysia, Malaysia
Tan, Hong Y. (author)
Xiamen Univ Malaysia, Malaysia; Xiamen Univ Malaysia, Malaysia
Saeidi, Alireza (author)
Emory Vaccine Ctr, GA USA
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Wong, Won F. (author)
Univ Malaya, Malaysia
Vignesh, Ramachandran (author)
Xiamen Univ Malaysia, Malaysia
Velu, Vijayakumar (author)
Emory Vaccine Ctr, GA USA
Eri, Rajaraman (author)
Univ Tasmania, Australia
Larsson, Marie (author)
Linköpings universitet,Avdelningen för hematopoes och utvecklingsbiologi,Medicinska fakulteten
Shankar, Esaki M. (author)
CUTN, India
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 (creator_code:org_t)
2019-12-18
2019
English.
In: Frontiers in Microbiology. - : Frontiers Media S.A.. - 1664-302X. ; 10
  • Research review (peer-reviewed)
Abstract Subject headings
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  • Tuberculosis (TB) treatment monitoring is paramount to clinical decision-making and the host biomarkers appears to play a significant role. The currently available diagnostic technology for TB detection is inadequate. Although GeneXpert detects total DNA present in the sample regardless live or dead bacilli present in clinical samples, all the commercial tests available thus far have low sensitivity. Humoral responses against Mycobacterium tuberculosis (Mtb) antigens are generally low, which precludes the use of serological tests for TB diagnosis, prognosis, and treatment monitoring. Mtb-specific CD4(+) T cells correlate with Mtb antigen/bacilli burden and hence might serve as good biomarkers for monitoring treatment progress. Omics-based techniques are capable of providing a more holistic picture for disease mechanisms and are more accurate in predicting TB disease outcomes. The current review aims to discuss some of the recent advances on TB biomarkers, particularly host biomarkers that have the potential to diagnose and differentiate active TB and LTBI as well as their use in disease prognosis and treatment monitoring.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Medicinska och farmaceutiska grundvetenskaper -- Mikrobiologi inom det medicinska området (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Basic Medicine -- Microbiology in the medical area (hsv//eng)

Keyword

biomarkers; diagnostics; treatment monitoring; tuberculosis; HIV

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