Loading...
Please wait, while we are loading the content...
Similar Documents
Avaliação de biomarcadores para diagnóstico e monitoramento do tratamento da tuberculose pulmonar
| Content Provider | Semantic Scholar |
|---|---|
| Author | Takenami, Iukary Oliveira |
| Copyright Year | 2015 |
| Abstract | INTRODUCTION: Tuberculosis (TB), chronic infectious disease caused by Mycobacterium tuberculosis, is still a serious public health problem in the country. The characterization of protein and/or lipids antigens that induce an immune response in the host, it is an important step in the development of new diagnostic tools and monitoring TB treatment response. Among the different antigens, particularly mammalian cell entry protein 1A (Mce1A protein), and phospholipids from the cell wall of bacillus such as cardiolipin (CL), phosphatidylinositol (PI), phosphatidylcholine (PTC), phosphatidylethanolamine (PE) and sulfatide (SL), are highly immunogenic and can be used for improvement of the serodiagnosis. Therefore, the aim of the study is to evaluate the production of anti-Mce1A and anti-phospholipids as biomarkers for diagnosis and monitoring of TB treatment response. In addition, the study also aimed to evaluate the profile of cytokines and chemokines produced in vitro after stimulation with Mce1A protein in culture supernatants. PATIENTS AND METHODS: The study was conducted on the 6o Centro de Saude Rodrigo Argolo and the Instituto Brasileiro para Investigacao da Tuberculose (IBIT). The study population consisted of newly diagnosed pulmonary TB patients, their household contacts (infected by M. tuberculosis and healthy) and patients diagnosed with other lung diseases. RESULTS: Patients with TB produce a strong and consistent response to anti-Mce1A and anti-phospholipids (anti-CL, anti-PE, anti- PI and anti-PTC) than those in the control groups. Furthermore, after the beginning of the treatment, anti-Mce1A and anti-phospholipid levels were significantly decreased compared with TB patient at baseline. Culture supernatants of TB patients after stimulation with Mce1A induce a strong TNF production, which is not observed in the other evaluated cytokines and chemokines. CONCLUSION: These results suggest that anti-Mce1A and anti-phospholipids play role as potential serum biomarker in the diagnosis of pulmonary TB. Furthermore, Mce1A protein appears to play an important role in TNF production, which may contribute to the induction of necrosis by M. tuberculosis, allowing for avoidance of immune responses and facilitating the dispersion of bacillus to other uninfected cells. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://www.arca.fiocruz.br/bitstream/icict/12693/2/Iukary%20Takenami%20Avalia%C3%A7%C3%A3o%20de%20biomarcadores....2015.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
