Ethnicity-tailored novel set of ESAT-6 peptides for differentiating active and latent tuberculosis - 07/11/13
Summary |
Differentiation between active and latent TB is a diagnostic challenge in TB-endemic regions. The commercially available IFN-γ-release assays are unsuitable for achieving this discrimination. We, therefore, screened ESAT-6 and CFP-10 proteins through population coverage analysis to identify minimal sets of peptides that can discriminate between these two forms of TB in a North Indian population. Comparing the diagnostic performance of a set of 2 ESAT-6 peptides (positions: 16–36; 59–79) to that of the QuantiFERON®-TB Gold IT (QFTGIT) assay, we observed significant difference in IFN-γ and TNF-α levels between patients (n = 15) and their age- and sex-matched healthy household contacts (n = 15). While the mean (±SD) IFNγ titer was 241.8 (±219.24) IU/ml for patients, the same in controls was 564.2 (±334.82) IU/ml (p = 0.039). Similarly the TNFα response was significantly higher in patients, compared to controls (796.47 ± 175.21 IU/ml vs. 481.81 ± 378.72 IU/ml; p = 0.047). IL-4 response to these peptides was non- discriminatory between the two groups. The QFTGIT Assay, however, elicited no significant difference in IFN-γ, TNF-α or IL-4 levels. Hence we conclude that IFN-γ or TNF-α response to these ESAT-6 peptides has the potential to differentiate between active and latent TB in our population.
Le texte complet de cet article est disponible en PDF.Keywords : ESAT-6, Peptides, Active tuberculosis, Latent tuberculosis, Immunodiagnosis
Abbreviations : ATB, CFP-10, ESAT-6, HHC, IEDB, IU, Mtb, OPD, PHA, PPD, QFTGIT, SD, SPSS, TST
Plan
Vol 93 - N° 6
P. 618-624 - novembre 2013 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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