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Clinical Immunology and Multiplex Biomarkers of Human Tuberculosis
Author(s) -
Gerhard Walzl,
Mariëlle C. Haks,
Simone A. Joosten,
Léanie Kleynhans,
Katharina Ronacher,
Tom H. M. Ottenhoff
Publication year - 2014
Publication title -
cold spring harbor perspectives in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.853
H-Index - 105
eISSN - 2472-5412
pISSN - 2157-1422
DOI - 10.1101/cshperspect.a018515
Subject(s) - tuberculosis , immunology , multiplex , context (archaeology) , medicine , disease , immune system , mycobacterium tuberculosis , computational biology , bioinformatics , biology , pathology , paleontology
The discovery of tuberculosis (TB) biomarkers is an important goal in current TB research, because the availability of such markers would have significant impact on TB prevention and treatment. Correlates of protection would greatly facilitate vaccine development and evaluation, whereas correlates of TB disease risk would facilitate early diagnosis and help installing early or preventive treatment. Currently, no such markers are available. This review describes several strategies that are currently being pursued to identify TB biomarkers and places these in a clinical context. The approaches discussed include both targeted and untargeted hypothesis-free strategies. Among the first are the measurements of specific biomarkers in antigen-stimulated peripheral blood, in serum or plasma, and detailed immune cell phenotyping. Among the latter are proteomic, genomic, and transcriptomic (mRNA, miRNA) approaches. Recent and promising developments are described.

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