Biomarkers of treatment success in fully sensitive pulmonary tuberculosis patients: a multicenter longitudinal study

Biomark Med. 2020 Oct;14(15):1439-1452. doi: 10.2217/bmm-2020-0246. Epub 2020 Nov 3.

Abstract

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.

Keywords: Toll-like receptors; biomarkers; cytokines; treatment response; tuberculosis.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Antitubercular Agents / therapeutic use
  • Biomarkers, Pharmacological / blood
  • Cohort Studies
  • Cytokines / blood
  • Female
  • Humans
  • Intracellular Signaling Peptides and Proteins / analysis
  • Intracellular Signaling Peptides and Proteins / blood
  • Longitudinal Studies
  • Lymphocyte Antigen 96 / analysis
  • Lymphocyte Antigen 96 / blood
  • Male
  • Middle Aged
  • Mycobacterium tuberculosis / pathogenicity
  • Treatment Outcome
  • Tuberculosis / drug therapy
  • Tuberculosis, Pulmonary / blood
  • Tuberculosis, Pulmonary / drug therapy*
  • Tuberculosis, Pulmonary / immunology

Substances

  • Antitubercular Agents
  • Biomarkers, Pharmacological
  • Cytokines
  • Intracellular Signaling Peptides and Proteins
  • LY96 protein, human
  • Lymphocyte Antigen 96
  • TOLLIP protein, human

Grants and funding