Heme oxygenase-1 and neopterin plasma/serum levels and their role in diagnosing active and latent TB among HIV/TB co-infected patients: a cross sectional study.
Heme oxygenase-1 and neopterin plasma/serum levels and their role in diagnosing active and latent TB among HIV/TB co-infected patients: a cross sectional study.
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DOI：
10.1186/s12879-021-06370-7
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发表时间：
2021-07-27
影响因子：
3.7
通讯作者：
Joloba ML
中科院分区：
文献类型：
--
作者：
Uwimaana E;Bagaya BS;Castelnuovo B;Kateete DP;Godwin A;Kiwanuka N;Whalen CC;Joloba ML
Tuberculosis (TB) diagnosis in the context of HIV co-infection remains challenging. Heme oxygenase 1 (HO-1) and neopterin have been validated as potential biomarkers for TB diagnosis. Latent TB infection (LTBI) is diagnosed using tuberculin skin test (TST) and interferon gamma release assays (T-Spot and QuantiFERON TB gold tests, respectively). However, these tests have shown challenges and yet diagnosing LTBI is important for the overall control of TB. This study was conducted to determine the levels of H0–1 and neopterin, and their role in the diagnosis of TB among individuals enrolled in the Community Health and Social Network of Tuberculosis (COHSONET) study and the Kampala TB Drug Resistance Survey (KDRS). This was a nested cross-sectional study. Plasma and serum samples collected from 140 patients at Mulago National Referral Hospital, Kampala Uganda were used. M.tb culture was performed on sputum to confirm active TB(ATB) and QuantiFERON TB gold test to confirm latent TB infection (LTBI). ELISAs were performed to determine the levels of HO-1 and neopterin. Data analysis was done using t-test and Receiver Operating Characteristic curves to determine the diagnostic accuracy. HO-1 levels among active tuberculosis (ATB)/HIV-infected patients and LTBI/HIV-infected patients were 10.7 ng/ml (IQR: 7.3–12.7 ng/ml) and 7.5 ng/ml (IQR: 5.4–14.1 ng/ml) respectively. Neopterin levels among ATB/HIV-positive patients and LTBI/HIV-positive patients were 11.7 ng/ml (IQR: 5.2.4 ng/ml) and 8.8 ng/ml (IQR: 2.4–19.8 ng/ml), respectively. HO-1 showed a sensitivity of 58.57% and a specificity of 67.14% with area under the curve (AUC) of 0.57 when used to discriminate between ATB and LTB. Neopterin showed an AUC of 0.62 with a sensitivity of 57.14% and a specificity of 60.0% when used to distinguish ATB from LTB. There was no in significant difference in HO-1 concentration levels of ATB individuals compared to LTB individuals. There was a significant difference in neopterin concentrations levels of ATB individuals compared to latently infected individuals. Findings from this study, show that HO-1 and neopterin have poor ability to distinguish between ATB and LTB. The online version contains supplementary material available at 10.1186/s12879-021-06370-7.
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影响因子：
3.7
作者：
Lukoye D;Cobelens FG;Ezati N;Kirimunda S;Adatu FE;Lule JK;Nuwaha F;Joloba ML
通讯作者：
Joloba ML
影响因子：
3.7
作者：
Santin M;Muñoz L;Rigau D
通讯作者：
Rigau D
影响因子：
3.7
作者：
Kizza, Florence N.;List, Justin;Sekandi, Juliet N.
通讯作者：
Sekandi, Juliet N.
DOI：
10.15585/mmwr.mm6611a2
发表时间：
2017-03-24
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Schmit KM;Wansaula Z;Pratt R;Price SF;Langer AJ
通讯作者：
Langer AJ
影响因子：
9.3
作者：
Lawn SD;Kerkhoff AD;Burton R;Schutz C;Boulle A;Vogt M;Gupta-Wright A;Nicol MP;Meintjes G
通讯作者：
Meintjes G