Preliminary results in the immunodiagnosis of tuberculosis in children based on T cell responses to ESAT-6 and PPD antigens

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Abstract

The aim of this work was to study the difference in interferon gamma (IFN-γ) production by T lymphocytes after early secretory antigen target 6 (ESAT-6) or purified protein derivate (PPD) stimulation in whole blood culture supernatants from children with suspected tuberculosis (TB) disease (n = 21), latent TB infection (n = 16) and negative controls (NC) (n = 22) from an endemic area in Brazil. The concentration of IFN-γ (pg/ml) was measured by enzyme linked immunosorbent assay and the differences in the IFN-γ levels for each group were compared and evaluated using an unpaired Student's t-test; p values < 0.05 were considered significant. Measurement of IFN-γ levels after ESAT-6 stimulation raised the possibility of early diagnosis in the latent TB group (p = 0.0030). Nevertheless, the same group showed similar responses to the NC group (p > 0.05) after PPD stimulation. The IFN-γ assay using ESAT-6 as an antigenic stimulus has the potential to be used as a tool for the immunodiagnosis of early TB in children.

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Van-Lume, D. S. M., De Souza, J. R., Melo, W. G., Melo, V. L., Cabral, M. M. L., Rego, J. C., … Montenegro, S. M. L. (2008). Preliminary results in the immunodiagnosis of tuberculosis in children based on T cell responses to ESAT-6 and PPD antigens. Memorias Do Instituto Oswaldo Cruz, 103(4), 401–404. https://doi.org/10.1590/S0074-02762008000400015

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