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. 2023 May 6;13(1):7404.
doi: 10.1038/s41598-023-34530-z.

Plasma chemokines CXCL10 and CXCL9 as potential diagnostic markers of drug-sensitive and drug-resistant tuberculosis

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Plasma chemokines CXCL10 and CXCL9 as potential diagnostic markers of drug-sensitive and drug-resistant tuberculosis

Pavithra Sampath et al. Sci Rep. .

Abstract

Tuberculosis (TB) diagnosis still remains to be a challenge with the currently used immune based diagnostic methods particularly Interferon Gamma Release Assay due to the sensitivity issues and their inability in differentiating stages of TB infection. Immune markers are valuable sources for understanding disease biology and are easily accessible. Chemokines, the stimulant, and the shaper of host immune responses are the vital hub for disease mediated dysregulation and their varied levels in TB disease are considered as an important marker to define the disease status. Hence, we wanted to examine the levels of chemokines among the individuals with drug-resistant, drug-sensitive, and latent TB compared to healthy individuals. Our results demonstrated that the differential levels of chemokines between the study groups and revealed that CXCL10 and CXCL9 as potential markers of drug-resistant and drug-sensitive TB with better stage discriminating abilities.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
Altered chemokine profile among DS-TB and DR-TB groups compared to HC or LTB groups. Statistical differences were analysed by Dunn test corrected for multiple comparisons using Bonferroni test and significant p values < 0.05 were mentioned in the graphs.
Figure 2
Figure 2
Heatmaps representing the measured chemokines and their hierarchical clustering across the TB disease spectrum by log 2 conversion and HC group mean normalization.
Figure 3
Figure 3
ROC curves of significant chemokines with AUC > 0.8 showing the diagnostic efficiency between the study groups, (a) HC vs LTB, (b) LTB vs DS-TB, (c) DS-TB vs DR-TB, (d) HC vs DS-TB, (e) HC vs DR-TB and (f) LTB vs DR-TB.
Figure 4
Figure 4
Random-forest analysis plot (A) and principal component analysis plot (B) of top 3 chemokines across the study groups (HC vs LTB vs DS-TB vs DR-TB).
Figure 5
Figure 5
Sub-group comparisons of top 3 chemokines by random-forest analysis (A1 HC vs LTB, A2 HC vs DS-TB, A3 HC vs DR-TB, A4 LTB vs DS-TB, A5 LTB vs DR-TB and A6 DS-TB vs DR-TB) and principal component analysis (B1 HC vs LTB, B2 HC vs DS-TB, B3 HC vs DR-TB, B4 LTB vs DS-TB, B5 LTB vs DR-TB and B6 DS-TB vs DR-TB).
Figure 6
Figure 6
Correlation matrix using spearman rank correlation between the measured chemokines of the study groups, (a) DR-TB, (b) DS-TB, (c) LTB and (d) HC.

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