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Biomark Med ; 14(15): 1439-1452, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-33140661

RESUMO

Aim: Novel biomarkers that are able to accurately monitor tuberculosis (TB) treatment effectiveness are needed to adjust therapy and identify a need for a regimen change. Materials & methods: In our study, conducted on a cohort comprising 100 pulmonary TB patients, we analyzed the role of plasma cytokines and Toll-like receptors expression as biomarkers of treatment response. Results: Changes in toll-interacting protein (TOLLIP) and lymphocyte antigen 96 (LY96) gene expression as well as nine cytokine levels over the first 2 months were significantly associated with successful treatment outcome. Successful treatment was associated with higher serum concentration of Toll-like receptor-2. Conclusion: Our results suggest that differential expression of specific effector molecules and dynamics of selected cytokines may help to identify those responding to TB treatment early.


Assuntos
Tuberculose Pulmonar/tratamento farmacológico , Adulto , Antituberculosos/uso terapêutico , Biomarcadores Farmacológicos/sangue , Estudos de Coortes , Citocinas/sangue , Feminino , Humanos , Peptídeos e Proteínas de Sinalização Intracelular/análise , Peptídeos e Proteínas de Sinalização Intracelular/sangue , Estudos Longitudinais , Antígeno 96 de Linfócito/análise , Antígeno 96 de Linfócito/sangue , Masculino , Pessoa de Meia-Idade , Mycobacterium tuberculosis/patogenicidade , Resultado do Tratamento , Tuberculose/tratamento farmacológico , Tuberculose Pulmonar/sangue , Tuberculose Pulmonar/imunologia
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