Serum level of IL-1ra was associated with the treatment of latent tuberculosis infection in a Chinese population.


Journal

BMC infectious diseases
ISSN: 1471-2334
Titre abrégé: BMC Infect Dis
Pays: England
ID NLM: 100968551

Informations de publication

Date de publication:
08 May 2020
Historique:
received: 11 03 2020
accepted: 21 04 2020
entrez: 10 5 2020
pubmed: 10 5 2020
medline: 11 7 2020
Statut: epublish

Résumé

Dynamically changed levels of serum cytokines might predict the development of active TB from latent tuberculosis infection (LTBI) and monitor preventive treatment effectiveness. The aim of the study was to identify potential serum cytokines associated with LTBI treatment which might predict active disease development in a Chinese population. Based on a randomized controlled trial aiming to explore short-course regimens for LTBI treatment, the dynamic changes of serum cytokines determined by bead-based multiplex assays were investigated for the participants who developed active TB during follow-up and age and gender matched controls stayed healthy. Totally, 21 patients diagnosed with active tuberculosis (TB) during the 2-year follow-up (12 from treated groups and 9 from untreated controls) and 42 age and gender matched healthy controls (24 from treated groups and 18 from untreated controls) were included in the study. Before treatment, serum IL-1ra was statistically higher among those who developed active disease during follow-up as compared with those stayed healthy. As for treated participants, the levels of IL-1ra were significantly lower after treatment in comparison with those before treatment both in active TB group (p = 0.002) and non-TB group (p = 0.009). For untreated participants, the levels of IL-1ra were not statistically different between different time points both in active TB group (p = 0.078) and non-TB group (p = 0.265). Our results suggested that declined serum level of IL-1ra was associated with LTBI treatment. Further studies are needed to verify whether it could be used to evaluate LTBI treatment and to predict active disease development.

Sections du résumé

BACKGROUND BACKGROUND
Dynamically changed levels of serum cytokines might predict the development of active TB from latent tuberculosis infection (LTBI) and monitor preventive treatment effectiveness. The aim of the study was to identify potential serum cytokines associated with LTBI treatment which might predict active disease development in a Chinese population.
METHODS METHODS
Based on a randomized controlled trial aiming to explore short-course regimens for LTBI treatment, the dynamic changes of serum cytokines determined by bead-based multiplex assays were investigated for the participants who developed active TB during follow-up and age and gender matched controls stayed healthy.
RESULTS RESULTS
Totally, 21 patients diagnosed with active tuberculosis (TB) during the 2-year follow-up (12 from treated groups and 9 from untreated controls) and 42 age and gender matched healthy controls (24 from treated groups and 18 from untreated controls) were included in the study. Before treatment, serum IL-1ra was statistically higher among those who developed active disease during follow-up as compared with those stayed healthy. As for treated participants, the levels of IL-1ra were significantly lower after treatment in comparison with those before treatment both in active TB group (p = 0.002) and non-TB group (p = 0.009). For untreated participants, the levels of IL-1ra were not statistically different between different time points both in active TB group (p = 0.078) and non-TB group (p = 0.265).
CONCLUSION CONCLUSIONS
Our results suggested that declined serum level of IL-1ra was associated with LTBI treatment. Further studies are needed to verify whether it could be used to evaluate LTBI treatment and to predict active disease development.

Identifiants

pubmed: 32384874
doi: 10.1186/s12879-020-05047-x
pii: 10.1186/s12879-020-05047-x
pmc: PMC7206663
doi:

Substances chimiques

Biomarkers 0
Cytokines 0
IL1RN protein, human 0
Interleukin 1 Receptor Antagonist Protein 0

Types de publication

Journal Article Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

330

Subventions

Organisme : Program for National Natural Science Foundation of China
ID : 81702052

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Auteurs

Haoran Zhang (H)

NHC Key Laboratory of Systems Biology of Pathogens, Institute of Pathogen Biology, and Center for Tuberculosis Research, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 9 Dong Dan San Tiao, Dongcheng District, Beijing, 100730, China.

Xuefang Cao (X)

NHC Key Laboratory of Systems Biology of Pathogens, Institute of Pathogen Biology, and Center for Tuberculosis Research, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 9 Dong Dan San Tiao, Dongcheng District, Beijing, 100730, China.

Henan Xin (H)

NHC Key Laboratory of Systems Biology of Pathogens, Institute of Pathogen Biology, and Center for Tuberculosis Research, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 9 Dong Dan San Tiao, Dongcheng District, Beijing, 100730, China.

Jianmin Liu (J)

The Sixth People's Hospital of Zhengzhou, Zhengzhou, 450061, China.

Shouguo Pan (S)

The Center for Disease Prevention and Control of Zhongmu County, Zhengzhou, 451470, China.

Ling Guan (L)

The Sixth People's Hospital of Zhengzhou, Zhengzhou, 450061, China.

Fei Shen (F)

The Sixth People's Hospital of Zhengzhou, Zhengzhou, 450061, China.

Zisen Liu (Z)

The Center for Disease Prevention and Control of Zhongmu County, Zhengzhou, 451470, China.

Dakuan Wang (D)

The Center for Disease Prevention and Control of Zhongmu County, Zhengzhou, 451470, China.

Xueling Guan (X)

The Sixth People's Hospital of Zhengzhou, Zhengzhou, 450061, China.

Jiaoxia Yan (J)

The Center for Disease Prevention and Control of Zhongmu County, Zhengzhou, 451470, China.

Boxuan Feng (B)

NHC Key Laboratory of Systems Biology of Pathogens, Institute of Pathogen Biology, and Center for Tuberculosis Research, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 9 Dong Dan San Tiao, Dongcheng District, Beijing, 100730, China.

Na Li (N)

Gastroenterology Department, PLA Rocket Force Characteristic Medical Center, Beijing, 100088, China.

Qi Jin (Q)

NHC Key Laboratory of Systems Biology of Pathogens, Institute of Pathogen Biology, and Center for Tuberculosis Research, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 9 Dong Dan San Tiao, Dongcheng District, Beijing, 100730, China.

Lei Gao (L)

NHC Key Laboratory of Systems Biology of Pathogens, Institute of Pathogen Biology, and Center for Tuberculosis Research, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 9 Dong Dan San Tiao, Dongcheng District, Beijing, 100730, China. gaolei@ipbcams.ac.cn.

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Classifications MeSH