Response to Rv2628 latency antigen associates with cured tuberculosis and remote infection
Open Access
- 19 November 2009
- journal article
- Published by European Respiratory Society (ERS) in European Respiratory Journal
- Vol. 36 (1), 135-142
- https://doi.org/10.1183/09031936.00140009
Abstract
Interferon-γ release assays based on region of difference 1 antigens have improved diagnosis of latent tuberculosis infection (LTBI). However, these tests cannot discriminate between recently acquired infection (higher risk of progression to active tuberculosis) and remote LTBI. The objective of the present study was to evaluate the T-cell interferon-γ responses to Mycobacteriumtuberculosis DosR-regulon-encoded antigens (latency antigens) compared with QuantiFERON TB-Gold In-Tube (QFT-GIT) in subjects at different stages of tuberculosis. A total of 16 individuals with remote LTBI and 23 with recent infection were studied; 15 controls unexposed to M. tuberculosis and 50 patients with active tuberculosis and 45 with cured tuberculosis were also analysed. The results indicated that subjects with remote LTBI showed significantly higher whole-blood interferon-γ responses to M. tuberculosis latency antigen Rv2628 than did individuals with recent infection, active tuberculosis and controls (pM. tuberculosis latency antigen Rv2628 may associate with immune-mediated protection against tuberculosis. In contact-tracing investigations, these preliminary data may differentiate recent (positive QFT-GIT results without responses to Rv2628) from remote infection (positive to both tests).Keywords
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