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Review
. 2022 Nov:124 Suppl 1:S69-S74.
doi: 10.1016/j.ijid.2022.03.012. Epub 2022 Mar 14.

Blue Skies research is essential for ending the Tuberculosis pandemic and advancing a personalized medicine approach for holistic management of Respiratory Tract infections

Affiliations
Review

Blue Skies research is essential for ending the Tuberculosis pandemic and advancing a personalized medicine approach for holistic management of Respiratory Tract infections

Francine Ntoumi et al. Int J Infect Dis. 2022 Nov.

Abstract

Objectives: Investments into 'Blue Skies' fundamental TB research in low- and middle-income countries (LMICs) have not been forthcoming. We highlight why blue skies research will be essential for achieving global TB control and eradicating TB.

Methods: We review the historical background to early TB discovery research and give examples of where investments into basic science and fundamental 'blue skies research' are delivering novel data and approaches to advance diagnosis, management and holistic care for patients with active and latent TB infection.

Findings: The COVID-19 pandemic has shown that making available adequate funding for priority investments into 'Blue skies research' to delineate scientific understanding of a new infectious diseases threat to global health security can lead to rapid development and rollout of new diagnostic platforms, treatments, and vaccines. Several advances in new TB diagnostics, new treatments and vaccine development are underpinned by basic science research.

Conclusions: Blue Skies research is required to pave the way for a personalized medicine approach for management of TB and other Respiratory Tract Infections and preventing long-term functional disability. Transfer of skills and resources by wealthier nations is required to empower researchers in LMICs countries to engage in and lead Blue Skies research.

Keywords: Research; Tuberculosis; basic science; blue skies research; fundamental.

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Conflict of interest statement

Declaration of Competing Interest All authors have an interest in TB. All authors declare no conflicts of interest.

References

    1. Allwood BW, Byrne A, Meghji J, Rachow A, van der Zalm MM, Schoch OD. Post-Tuberculosis Lung Disease: Clinical Review of an Under-Recognised Global Challenge. Respiration. 2021;100(8):751–763. doi: 10.1159/000512531. Epub 2021 Jan 5. PMID: 33401266. - DOI - PubMed
    1. Brazier B, McShane H. Towards new TB vaccines. Semin Immunopathol. 2020;42(3):315–331. doi: 10.1007/s00281-020-00794-0. JunEpub 2020 Mar 18. PMID: 32189035PMCID: PMC7223498. - DOI - PMC - PubMed
    1. Campbell MC, Tishkoff SA. African genetic diversity: implications for human demographic history, modern human origins, and complex disease mapping. Annu Rev Genomics Hum Genet. 2008;9:403–433. doi: 10.1146/annurev.genom.9.081307.164258. PMID: 18593304PMCID: PMC2953791. - DOI - PMC - PubMed
    1. Chaisson RE, Harrington M. How research can help control tuberculosis. Int J Tuberc Lung Dis. 2009;13(5):558–568. MayPMID: 19383187. - PubMed
    1. Cox H, Goig GA, Salaam-Dreyer Z, Dippenaar A, Reuter A, Mohr-Holland E, Daniels J, et al. Whole genome sequencing has the potential to improve treatment for rifampicin-resistant tuberculosis in high burden settings: a retrospective cohort study. J Clin Microbiol. 2022 doi: 10.1128/jcm.02362-21. Feb 16:jcm0236221Epub ahead of print. PMID: 35170980. - DOI - PMC - PubMed