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High Procalcitonin, C-Reactive Protein, and α-1 Acid Glycoprotein Levels in Whole Blood Samples Could Help Rapid Discrimination of Active Tuberculosis from Latent Tuberculosis Infection and Healthy Individuals

Tuberculosis (TB) management is important for prompt discrimination of latent TB infection (LTBI) from active TB and proper treatment. Whole blood Interferon-gamma (IFN-γ) release assay (IGRA) is used to diagnose LTBI based on the secretion of IFN-γ by T-cells in the whole blood by using a specific...

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Autores principales: Kang, Yun-Jeong, Park, Heechul, Park, Sung-Bae, Lee, Jiyoung, Hyun, Hyanglan, Jung, Minju, Lee, Eun Ju, Je, Min-A, Kim, Jungho, Lee, Yong Sung, Kim, Sunghyun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9611162/
https://www.ncbi.nlm.nih.gov/pubmed/36296203
http://dx.doi.org/10.3390/microorganisms10101928
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author Kang, Yun-Jeong
Park, Heechul
Park, Sung-Bae
Lee, Jiyoung
Hyun, Hyanglan
Jung, Minju
Lee, Eun Ju
Je, Min-A
Kim, Jungho
Lee, Yong Sung
Kim, Sunghyun
author_facet Kang, Yun-Jeong
Park, Heechul
Park, Sung-Bae
Lee, Jiyoung
Hyun, Hyanglan
Jung, Minju
Lee, Eun Ju
Je, Min-A
Kim, Jungho
Lee, Yong Sung
Kim, Sunghyun
author_sort Kang, Yun-Jeong
collection PubMed
description Tuberculosis (TB) management is important for prompt discrimination of latent TB infection (LTBI) from active TB and proper treatment. Whole blood Interferon-gamma (IFN-γ) release assay (IGRA) is used to diagnose LTBI based on the secretion of IFN-γ by T-cells in the whole blood by using a specific antigen of Mycobacterium tuberculosis. However, the ability of IGRA to distinguish active TB from LTBI is considerably limited. Distinguishing active TB from LTBI is necessary to identify indicators that can be used to effectively manage TB and develop diagnostic methods. In the present study, we used a Luminex multiplex bead array (a bead-based antibody–antigen sandwich method). The whole blood level of acute phase proteins (APPs), such as endoglin (ENG), procalcitonin (PCT), C-reactive protein (CRP), and α1-acid glycoprotein (AGP), in active TB, LTBI, and healthy individuals were analyzed and quantified. The APP test results for the serum and whole blood samples showed that the levels of PCT, CRP, and AGP were significantly increased (p < 0.0500; area under curve = 0.955) in active TB. The level of these markers in the whole blood of active TB, LTBI, and healthy individuals could provide data for effective diagnosis and treatment of TB.
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spelling pubmed-96111622022-10-28 High Procalcitonin, C-Reactive Protein, and α-1 Acid Glycoprotein Levels in Whole Blood Samples Could Help Rapid Discrimination of Active Tuberculosis from Latent Tuberculosis Infection and Healthy Individuals Kang, Yun-Jeong Park, Heechul Park, Sung-Bae Lee, Jiyoung Hyun, Hyanglan Jung, Minju Lee, Eun Ju Je, Min-A Kim, Jungho Lee, Yong Sung Kim, Sunghyun Microorganisms Article Tuberculosis (TB) management is important for prompt discrimination of latent TB infection (LTBI) from active TB and proper treatment. Whole blood Interferon-gamma (IFN-γ) release assay (IGRA) is used to diagnose LTBI based on the secretion of IFN-γ by T-cells in the whole blood by using a specific antigen of Mycobacterium tuberculosis. However, the ability of IGRA to distinguish active TB from LTBI is considerably limited. Distinguishing active TB from LTBI is necessary to identify indicators that can be used to effectively manage TB and develop diagnostic methods. In the present study, we used a Luminex multiplex bead array (a bead-based antibody–antigen sandwich method). The whole blood level of acute phase proteins (APPs), such as endoglin (ENG), procalcitonin (PCT), C-reactive protein (CRP), and α1-acid glycoprotein (AGP), in active TB, LTBI, and healthy individuals were analyzed and quantified. The APP test results for the serum and whole blood samples showed that the levels of PCT, CRP, and AGP were significantly increased (p < 0.0500; area under curve = 0.955) in active TB. The level of these markers in the whole blood of active TB, LTBI, and healthy individuals could provide data for effective diagnosis and treatment of TB. MDPI 2022-09-28 /pmc/articles/PMC9611162/ /pubmed/36296203 http://dx.doi.org/10.3390/microorganisms10101928 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kang, Yun-Jeong
Park, Heechul
Park, Sung-Bae
Lee, Jiyoung
Hyun, Hyanglan
Jung, Minju
Lee, Eun Ju
Je, Min-A
Kim, Jungho
Lee, Yong Sung
Kim, Sunghyun
High Procalcitonin, C-Reactive Protein, and α-1 Acid Glycoprotein Levels in Whole Blood Samples Could Help Rapid Discrimination of Active Tuberculosis from Latent Tuberculosis Infection and Healthy Individuals
title High Procalcitonin, C-Reactive Protein, and α-1 Acid Glycoprotein Levels in Whole Blood Samples Could Help Rapid Discrimination of Active Tuberculosis from Latent Tuberculosis Infection and Healthy Individuals
title_full High Procalcitonin, C-Reactive Protein, and α-1 Acid Glycoprotein Levels in Whole Blood Samples Could Help Rapid Discrimination of Active Tuberculosis from Latent Tuberculosis Infection and Healthy Individuals
title_fullStr High Procalcitonin, C-Reactive Protein, and α-1 Acid Glycoprotein Levels in Whole Blood Samples Could Help Rapid Discrimination of Active Tuberculosis from Latent Tuberculosis Infection and Healthy Individuals
title_full_unstemmed High Procalcitonin, C-Reactive Protein, and α-1 Acid Glycoprotein Levels in Whole Blood Samples Could Help Rapid Discrimination of Active Tuberculosis from Latent Tuberculosis Infection and Healthy Individuals
title_short High Procalcitonin, C-Reactive Protein, and α-1 Acid Glycoprotein Levels in Whole Blood Samples Could Help Rapid Discrimination of Active Tuberculosis from Latent Tuberculosis Infection and Healthy Individuals
title_sort high procalcitonin, c-reactive protein, and α-1 acid glycoprotein levels in whole blood samples could help rapid discrimination of active tuberculosis from latent tuberculosis infection and healthy individuals
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9611162/
https://www.ncbi.nlm.nih.gov/pubmed/36296203
http://dx.doi.org/10.3390/microorganisms10101928
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