Tuberculosis contacts but not patients have higher gamma interferon responses to ESAT-6 than do community controls in The Gambia
- PMID: 11553606
- PMCID: PMC98797
- DOI: 10.1128/IAI.69.10.6554-6557.2001
Tuberculosis contacts but not patients have higher gamma interferon responses to ESAT-6 than do community controls in The Gambia
Abstract
The Mycobacterium tuberculosis antigen ESAT-6 has been proposed for tuberculosis immunodiagnosis. In The Gambia, 30% of community controls produced gamma interferon (IFN-gamma) in response to ESAT-6. Increased proportions of responders and intensities of responses were found in household contacts. Responses that were initially low in tuberculosis patients increased after treatment. An ESAT-6 IFN-gamma assay will be of limited use in the diagnosis of tuberculosis in countries where tuberculosis is endemic. Its role in contact tracing should be evaluated further.
Figures
References
-
- Andersen P, Munk M E, Pollock J M, Doherty T M. Review: specific immune-based diagnosis of tuberculosis. Lancet. 2000;356:1099–1104. - PubMed
-
- Demissie A, Ravn P, Olobo J, Doherty T M, Lein D, Amoudy H A, Mustafa A S, Jensen A K, Holm A, Rosenkrands I, Oftung F, Olobo J, von Reyn F, Andersen P. T-cell recognition of Mycobacterium tuberculosis culture filtrate fractions in tuberculosis patients and household contacts. Infect Immun. 1999;67:5967–5971. - PMC - PubMed
-
- Fine P. Variation in protection by BCG: implications of and for heterologous immunity. Lancet. 1995;346:1339–1345. - PubMed
-
- Hirsch C, Toossi Z, Othieno C, Johnson J L, Schwander S K, Robertson S, Wallis R S, Edmonds K, Okwera A, Mugerwa R, Peters P, Ellner J J. Depressed T-cell interferon-γ responses in pulmonary tuberculosis: analysis of underlying mechanisms and modulation with therapy. J Infect Dis. 1999;180:2069–2073. - PubMed
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources
