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Characterization and dynamics of intestinal microbiota in patients with Clostridioides difficile colonization and infection 艰难梭菌定植和感染患者肠道微生物群的特征和动态变化。
IF 2.6 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-11-01 DOI: 10.1016/j.micinf.2024.105373
Yanzi Zhou , Lihua Guo , Tingting Xiao , Yunbo Chen , Tao Lv , Yuan Wang , Shuntian Zhang , Hongliu Cai , Xiaohui Chi , Xiaoyang Kong , Kai Zhou , Ping Shen , Yonghong Xiao
Gut microbiota dysbiosis increases the susceptibility to Clostridioides difficile infection (CDI). In this study, we monitored C. difficile colonization (CDC) patients from no CDC status (CDN) to CDC status (CDCp) and CDI patients from asymptomatic status before CDI (PRECDI), CDI status (ONCDI), to asymptomatic status after CDI (POSTCDI). Based on metagenomic sequencing, we aimed to investigate the interaction pattern between gut microbiota and C. difficile. There was no significant difference of microbiota diversity between CDN and CDCp. In CDCp, Bacteroidetes and short-chain fatty acid (SCFA)-producing bacteria increased, with a positive correlation between SCFA-producing bacteria and C. difficile colonization. Compared with PRECDI, ONCDI and POSTCDI showed a significant decrease in microbiota diversity, particularly in Bacteroidetes and SCFA-producing bacteria, with a positive correlation between opportunistic pathogen and C. difficile. Fatty acid metabolism, and amino acid biosynthesis were enriched in CDN, CDCp, and PRECDI, while bile secretion was enriched in ONCDI and POSTCDI. Microbiota and metabolic pathways interaction networks in CDN and CDCp were more complex, particularly pathways in fatty acid and bile acid metabolism. Increasing of Bacteroidetes and SCFA-producing bacteria, affecting amino acid and fatty acid metabolism, is associated with colonization resistance to C. difficile and inhibiting the development of CDI.
肠道微生物群失调会增加艰难梭菌感染(CDI)的易感性。在这项研究中,我们监测了艰难梭菌定植(CDC)患者从无 CDC 状态(CDN)到 CDC 状态(CDCp),以及 CDI 患者从 CDI 前无症状状态(PRECDI)、CDI 状态(ONCDI)到 CDI 后无症状状态(POSTCDI)。基于元基因组测序,我们旨在研究肠道微生物群与艰难梭菌之间的相互作用模式。CDN 和 CDCp 的微生物群多样性无明显差异。在 CDCp 中,类杆菌和短链脂肪酸(SCFA)产生菌增加,SCFA 产生菌与艰难梭菌定植呈正相关。与 PRECCDI 相比,ONCDI 和 POSTCDI 显示微生物群多样性显著下降,尤其是类杆菌和 SCFA 产菌,机会性病原体与艰难梭菌之间呈正相关。CDN、CDCp 和 PRECDI 中富含脂肪酸代谢和氨基酸生物合成,而 ONCDI 和 POSTCDI 中富含胆汁分泌。CDN 和 CDCp 中的微生物群与代谢途径相互作用网络更为复杂,尤其是脂肪酸和胆汁酸代谢途径。类杆菌和产生 SCFA 的细菌的增加会影响氨基酸和脂肪酸的代谢,这与艰难梭菌的定植抗性和抑制 CDI 的发展有关。
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引用次数: 0
Role of microRNAs in immune regulation and pathogenesis of Chlamydia trachomatis and Chlamydia muridarum infections: a rapid review 微RNA在沙眼衣原体和鼠衣原体感染的免疫调节和发病机制中的作用:快速综述。
IF 2.6 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-11-01 DOI: 10.1016/j.micinf.2024.105397
Chloe Meewes, Kanupriya Gupta, William M. Geisler
MicroRNAs in Chlamydia trachomatis (CT) and Chlamydia muridarum (CM) infections are an emerging topic of research that provide knowledge that could advance vaccine development and strategies for managing infection. This rapid review summarizes human and murine studies on miRNA expression in CT and CM infections in vivo and ex vivo.
沙眼衣原体(CT)和鼠衣原体(CM)感染中的微RNA是一个新兴的研究课题,它提供的知识可促进疫苗的开发和感染控制策略的制定。这篇快速综述总结了有关 CT 和 CM 感染中体内和体外 miRNA 表达的人类和小鼠研究。
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引用次数: 0
Integrated analysis of microbiome and host transcriptome unveils correlations between lung microbiota and host immunity in bronchoalveolar lavage fluid of pneumocystis pneumonia patients 对微生物组和宿主转录组的综合分析揭示了肺孢子菌肺炎患者支气管肺泡灌洗液中肺微生物组与宿主免疫之间的相关性。
IF 2.6 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-11-01 DOI: 10.1016/j.micinf.2024.105374
Ling Zhang , Miaotian Cai , Xin Zhang , Sitong Wang , Lijun Pang , Xue Chen , Caopei Zheng , Yuqing Sun , Ying Liang , Shan Guo , Feili Wei , Yulin Zhang

Objective

The lung microbiota of patients with pulmonary diseases is disrupted and impacts the immunity. The microbiological and immune landscape of the lungs in patients with pneumocystis pneumonia (PCP) remains poorly understood.

Methods

Multi-omics analysis and machine learning were performed on bronchoalveolar lavage fluid to explore interaction between the lung microbiota and host immunity in PCP. Then we constructed a diagnostic model using differential genes with LASSO regression and validated by qPCR. The immune infiltration analysis was performed to explore the landscape of lung immunity in patients with PCP.

Results

Patients with PCP showed a low alpha diversity of lung microbiota, accompanied by the elevated abundance of Firmicutes, and the differential expressed genes (DEGs) analysis displayed a downregulation of MAPK signaling. The MAPK10, TGFB1, and EFNA3 indicated a potential to predict PCP (AUC = 0.86). The lung immune landscape in PCP showed the lower levels of naïve CD4+ T cells and activated dendritic cells. The correlation analysis of the MAPK signaling pathway-related DEGs and the differential microorganisms at the level of phylum showed that the Firmicutes was negatively correlated with these DEGs.

Conclusion

We profiled the characteristics of lung microbiota and immune landscape in PCP, which may contribute to elucidating the mechanism of PCP.
目的:肺部疾病患者的肺部微生物群遭到破坏并影响免疫力。人们对肺孢子菌肺炎(PCP)患者肺部的微生物和免疫状况仍然知之甚少:方法:我们对支气管肺泡灌洗液进行了多组学分析和机器学习,以探索肺孢子菌肺炎患者肺部微生物群与宿主免疫之间的相互作用。然后,我们利用 LASSO 回归法构建了一个差异基因诊断模型,并通过 qPCR 进行了验证。我们还进行了免疫浸润分析,以探索五氯苯酚患者的肺部免疫状况:结果:五氯苯酚患者的肺部微生物群的α多样性较低,伴随着真菌丰度的升高,差异表达基因(DEGs)分析显示了MAPK信号的下调。MAPK10、TGFB1和EFNA3显示出预测PCP的潜力(AUC = 0.86)。PCP 患者的肺部免疫状况显示,幼稚 CD4+ T 细胞和活化树突状细胞水平较低。MAPK信号通路相关的DEGs与不同微生物门的相关性分析表明,真菌与这些DEGs呈负相关:我们分析了五氯苯酚肺微生物群和免疫景观的特征,这可能有助于阐明五氯苯酚的发病机制。
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引用次数: 0
Macrophage-depleted young mice are beneficial in vivo models to assess the translocation of Klebsiella pneumonia from the gastrointestinal tract to the liver in the elderly 巨噬细胞耗竭的年轻小鼠是一种有益的体内模型,可用于评估肺炎克雷伯氏菌从胃肠道转移到老年人肝脏的情况。
IF 2.6 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-11-01 DOI: 10.1016/j.micinf.2024.105371
Hitoshi Tsugawa , Shogo Tsubaki , Rika Tanaka , Sho Nashimoto , Jin Imai , Juntaro Matsuzaki , Katsuto Hozumi
Pathobionts are commensal intestinal microbiota capable of causing systemic infections under specific conditions, such as environmental changes or aging. However, it is unclear how pathobionts are recognized by the intestinal mucosal immune system under physiological conditions. This study demonstrates that the gut pathobiont Klebsiella pneumoniae causes injury to the epithelium and translocates to the liver in specific pathogen-free mice treated with clodronate-liposomes that depleted macrophages. In the clodronate-liposome-treated mice, indigenous classical K. pneumoniae (cKp) with non-K1/K2 capsular serotypes were isolated from the liver, indicating that gut commensal cKp translocated from the gastrointestinal tract to the liver due to the depletion of intestinal macrophages. Oral inoculation of isolated cKp to clodronate-liposome-treated mice significantly reduced the survival rates compared to that of non-treated mice. Our findings demonstrate that intestinal mucosal macrophages play a pivotal role in sensing commensal cKp and suppressing their translocation to the liver. This study demonstrates that clodronate-liposome-treated mouse models are effective for screening and evaluating drugs that prevent the translocation of cKp to the liver, providing new insights into the development of preventive protocols against K. pneumoniae infection.
病原微生物是一种肠道共生微生物群,能够在特定条件下(如环境变化或老化)引起全身感染。然而,目前还不清楚在生理条件下肠道粘膜免疫系统如何识别病原菌。本研究证明,肠道致病菌肺炎克雷伯氏菌会对上皮细胞造成损伤,并在使用克洛膦酸脂质体(耗尽巨噬细胞)处理的特定无病原体小鼠体内转移到肝脏。在氯屈膦酸脂质体处理过的小鼠中,从肝脏中分离出了非 K1/K2 胶囊血清型的本地经典肺炎克氏菌(cKp),这表明肠道共生的 cKp 由于肠道巨噬细胞的耗竭而从胃肠道转移到了肝脏。将分离出的 cKp 口服接种到氯屈膦酸脂质体处理的小鼠体内,与未处理的小鼠相比,存活率明显降低。我们的研究结果表明,肠粘膜巨噬细胞在感知共生 cKp 并抑制其向肝脏转移方面发挥着关键作用。这项研究表明,氯屈膦酸脂质体处理的小鼠模型能有效筛选和评估阻止 cKp 转位至肝脏的药物,为开发肺炎克氏菌感染的预防方案提供了新的思路。
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引用次数: 0
Characterization of Acinetobacter baumannii at a tertiary hospital in Guangzhou: a genomic and clinical study 广州某三甲医院鲍曼不动杆菌的特征:基因组和临床研究。
IF 2.6 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-11-01 DOI: 10.1016/j.micinf.2024.105380
Heng Heng , Ling Yang , Zhiwei Zheng , Chen Yang , Xuemei Yang , Wenxing Zhao , Ruanyang Sun , Kaichao Chen , Lianwei Ye , Jun Li , Edward Wai-Chi Chan , Sheng Chen
Acinetobacter baumannii (AB) infections have become a global public health concern due to the continued increase in the incidence of infection and the rate of resistance to carbapenems. This study aimed to investigate the genomic features of AB strains recovered from a tertiary hospital and assess the clinical implications of the findings. A total of 217 AB strains were collected between 2016 and 2018 at a tertiary hospital in Guangzhou, with 183 (84.33%) being carbapenem-resistant AB (CRAB), with the main mechanism being the carriage of the blaOXA-23 gene. The overall mortality rate of patients caused by such strains was 15.21% (n = 33). Artificial lung ventilation and the use of meropenem were mortality risk factors in AB-infected patients, while KL2 AB infection was negatively associated. Core genome multilocus sequence typing and clustering analysis were performed on the integrated AB genome collection from the NCBI database and this study to illustrate the population structure among China. The results revealed diverse core genome profiles (n = 17) among AB strains from China, and strains from this single hospital exhibited most of the core genome profiles (n = 13), suggesting genetic variability within the hospital and transmission across the country. These findings show that the high transmission potential of the CRAB strains and meropenem usage that confers a selective advantage of CRAB clinically are two major factors that pose significant challenges to the effective clinical management of AB infections. Understanding the genetic features and transmission patterns of clinical AB strains is crucial for the effective control of infections caused by this pathogen.
由于感染率和对碳青霉烯类抗生素的耐药率持续上升,鲍曼不动杆菌(AB)感染已成为全球关注的公共卫生问题。本研究旨在调查从一家三级医院回收的鲍曼不动杆菌菌株的基因组特征,并评估调查结果的临床意义。2016年至2018年期间,广州某三甲医院共收集到217株AB菌株,其中183株(84.33%)为耐碳青霉烯类AB(CRAB),主要机制为携带blaOXA-23基因。由此类菌株引起的患者总死亡率为 15.21%(33 人)。人工肺通气和使用美罗培南是AB感染患者的死亡风险因素,而KL2 AB感染与之呈负相关。本研究对来自 NCBI 数据库和本研究的综合 AB 基因组进行了核心基因组多焦点序列分型和聚类分析,以说明中国的种群结构。结果显示,来自中国的AB菌株具有不同的核心基因组图谱(n=17),而来自该单一医院的菌株表现出大多数核心基因组图谱(n=13),这表明医院内部存在遗传变异,并在全国范围内传播。这些研究结果表明,CRAB菌株的高传播潜力和美罗培南的使用在临床上赋予了CRAB选择性优势,这两个主要因素对AB感染的有效临床管理构成了重大挑战。了解临床 AB 菌株的遗传特征和传播模式对于有效控制该病原体引起的感染至关重要。
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引用次数: 0
Biomolecular condensates with liquid properties formed during viral infections 病毒感染过程中形成的具有液体特性的生物分子凝聚物。
IF 2.6 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-11-01 DOI: 10.1016/j.micinf.2024.105402
Damien Glon, Benjamin Léonardon, Ariane Guillemot, Aurélie Albertini, Cécile Lagaudrière-Gesbert, Yves Gaudin
During a viral infection, several membraneless compartments with liquid properties are formed. They can be of viral origin concentrating viral proteins and nucleic acids, and harboring essential stages of the viral cycle, or of cellular origin containing components involved in innate immunity. This is a paradigm shift in our understanding of viral replication and the interaction between viruses and innate cellular immunity.
在病毒感染过程中,会形成几个具有液体特性的无膜区。它们可能来自病毒,集中了病毒蛋白质和核酸,并包含病毒循环的重要阶段;也可能来自细胞,包含参与先天免疫的成分。这是我们对病毒复制以及病毒与先天性细胞免疫之间相互作用的认识的一次范式转变。
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引用次数: 0
Polymicrobial consortia in the pathogenesis of biofilm vaginosis visualized by FISH. Historic review outlining the basic principles of the polymicrobial infection theory 通过 FISH 观察生物膜阴道病发病机制中的多微生物联合体。概述多微生物感染理论基本原理的历史性回顾。
IF 2.6 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-11-01 DOI: 10.1016/j.micinf.2024.105403
Alexander Swidsinski , Rudolf Amann , Alexander Guschin , Sonja Swidsinski , Vera Loening-Baucke , Werner Mendling , Jack D. Sobel , Ronald F. Lamont , Mario Vaneechoutte , Pedro Vieira Baptista , Catriona S. Bradshaw , Igor Yu Kogan , Аlevtina M. Savicheva , Oleg V. Mitrokhin , Nadezhda W. Swidsinski , Gennadiy T. Sukhikh , Tatjana V. Priputnevich , Inna A. Apolikhina , Yvonne Dörffel
The manuscript disputes the exclusive mono-infectious way of thinking, which presumes that for every infection only one pathogen is responsible and sufficient, when infectious vectors, close contact and reduced immunity meet. In situations involving heavily colonized anatomical sites such an approach often ends in insoluble contradictions. Upon critical reflection and evaluation of 20 years research on spatial organization of vaginal microbiota it is apparent, that in some situations, pathogens may act and operate in permanent, structurally organized consortia, whereas its individual components may be innocuous and innocent, failing to express any pathogenic effect. In these cases, consortia are the true pathogens responsible for many infectious conditions, which usually remain unrecognized as long as improperly diagnosed.
The structure of such consortia can be unraveled using ribosomal fluorescence in situ hybridization (FISH). FISH methodology, that not only offers an ex vivo opportunity to recognize bacterial species, but provides unique physical insight into their specific role in the pathogenesis of polymicrobial infections. Ribosomal FISH technique applied to both, women with bacterial vaginosis (BV) and their male partners, has added significantly to our understanding of the pathogenesis of this condition and contributed to appreciating the mechanisms of polymicrobial, community-based infection, potentially leading to therapeutic advances.
该手稿对单一感染的思维方式提出了质疑,这种思维方式假定,当感染载体、密切接触和免疫力下降同时存在时,只有一种病原体对每一种感染负责并足以造成感染。在涉及大量定植的解剖部位时,这种方法往往会导致无法解决的矛盾。经过对 20 年来有关阴道微生物群空间组织的研究进行批判性思考和评估后发现,在某些情况下,病原体可能会在永久性、结构性组织的菌群中活动,而菌群中的单个成分可能是无害和无辜的,不会产生任何致病作用。在这种情况下,联合体是导致许多感染性疾病的真正病原体,而这些疾病通常由于诊断不当而一直未被发现。利用核糖体荧光原位杂交(FISH)技术,可以揭示这类联合体的结构。核糖体荧光原位杂交(FISH)方法不仅能在体外识别细菌种类,还能通过独特的物理方法了解细菌在多微生物感染发病机制中的具体作用。将核糖体 FISH 技术应用于患有细菌性阴道病(BV)的女性及其男性伴侣,大大加深了我们对这种病症发病机制的了解,并有助于认识多微生物群感染的机制,从而有可能推动治疗方法的进步。
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引用次数: 0
Bordetella pertussis outer membrane vesicles impair neutrophil bactericidal activity 百日咳杆菌外膜囊泡损害中性粒细胞的杀菌活性。
IF 2.6 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-11-01 DOI: 10.1016/j.micinf.2024.105375
Jimena Alvarez Hayes , Bruno Blancá , Juan Pablo Gorgojo, Carlos Baroli, Mariela del Carmen Carrica, Maria Eugenia Rodriguez
Neutrophils constitute the primary defense against bacterial infections, yet certain pathogens express virulence factors that enable them to subvert neutrophils-mediated killing. Outer membrane vesicles (OMVs) have emerged as a secretory system through which bacteria deliver virulence factors to host cells. OMVs from Bordetella pertussis, the etiological agent of whooping cough, are loaded with most of bacterial virulence factors, including CyaA, which plays a key role in B. pertussis evasion of neutrophils bactericidal activity. In our study, we investigated the role of B. pertussis OMVs in bacterial interaction with neutrophils. We observed that interaction of OMVs with neutrophils led to a decrease in the expression of cell surface CR3 and FcγRs, an effect dependent on the CyaA toxin delivered by these vesicles. This decreased receptor expression led to reduced bacterial uptake by neutrophils, irrespective of the presence of opsonic antibodies. Moreover, CyaA delivered by OMVs hindered intracellular bactericidal trafficking, promoting bacterial intracellular survival. When both bacteria and OMVs were opsonized, competition between opsonized OMVs and B. pertussis for FcγRs on neutrophils led to a significant decrease in bacterial uptake. Overall, our findings suggest that B. pertussis OMVs promote bacterial survival to the encounter with neutrophils in both naïve and immunized individuals.
中性粒细胞是抵御细菌感染的主要防御系统,然而某些病原体表达的毒力因子却能使它们抵御中性粒细胞介导的杀灭作用。外膜囊泡 (OMV) 已成为细菌向宿主细胞传递毒力因子的一种分泌系统。百日咳病原体百日咳杆菌的外膜囊泡富含大多数细菌毒力因子,其中包括在百日咳杆菌逃避中性粒细胞杀菌活动中发挥关键作用的 CyaA。在我们的研究中,我们调查了百日咳杆菌 OMVs 在细菌与中性粒细胞相互作用中的作用。我们观察到,OMVs 与中性粒细胞的相互作用导致细胞表面 CR3 和 FcγRs 的表达减少,这种效应依赖于这些囊泡传递的 CyaA 毒素。这种受体表达的降低导致中性粒细胞对细菌的摄取减少,而与蛋白抗体的存在无关。此外,OMVs 释放的 CyaA 会阻碍细胞内的杀菌运输,促进细菌在细胞内存活。当细菌和 OMV 都被蛋白化时,蛋白化的 OMV 与百日咳杆菌竞争中性粒细胞上的 FcγRs 会导致细菌摄取量显著下降。总之,我们的研究结果表明,百日咳杆菌 OMV 可促进细菌在与中性粒细胞相遇时的存活,无论是在未接种疫苗的个体中还是在已接种疫苗的个体中。
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引用次数: 0
C1q modulation of antibody-dependent enhancement of dengue virus infection in human myeloid cell lines is dependent on cell type and antibody specificity C1q 对抗体依赖性增强人类髓系细胞登革病毒感染的调节作用取决于细胞类型和抗体特异性。
IF 2.6 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-11-01 DOI: 10.1016/j.micinf.2024.105378
Alana B. Byrne , Florencia A. Bonnin , Eduardo L. López , Fernando P. Polack , Laura B. Talarico
Antibody-dependent enhancement (ADE) of dengue virus (DENV) infection is one of the mechanisms contributing to increased severity during heterotypic, secondary infection. The complement protein C1q has been shown to reduce the magnitude of ADE in vitro. Therefore, we investigated the mechanisms of C1q modulation of ADE, focusing on processes of viral entry.
Using a model of ADE of DENV-1 infection in human myeloid cell lines in the presence of monoclonal antibodies, 4G2 and 2H2, we found that C1q produced nearly a 40-fold reduction of ADE of DENV-1 in K562 cells, but had no effect in U937 cells. In K562 cells, C1q reduced adsorption of DENV-1/4G2 and exerted a dual inhibitory effect on adsorption and internalization of DENV-1/2H2. Distinct endocytic pathways in the presence of antibody corresponded to conditions where C1q produced a differential action. Also, C1q did not affect the intrinsic cell response mediated by FcγR in human myeloid cells.
The modulation of ADE of DENV-1 by C1q is dependent on the FcγR expressed on immune cells and the specificity of the antibody comprising the immune complex. Understanding protective and pathogenic mechanisms in the humoral response to DENV infections is crucial for the successful design of antivirals and vaccines.
登革病毒(DENV)感染的抗体依赖性增强(ADE)是导致异型继发感染严重程度增加的机制之一。体外研究表明,补体蛋白 C1q 可降低 ADE 的幅度。因此,我们研究了 C1q 调节 ADE 的机制,重点是病毒的进入过程。在单克隆抗体4G2和2H2存在的情况下,我们利用人类髓系细胞系中DENV-1感染的ADE模型发现,C1q能使K562细胞中DENV-1的ADE降低近40倍,但对U937细胞没有影响。在K562细胞中,C1q减少了DENV-1/4G2的吸附,并对DENV-1/2H2的吸附和内化产生了双重抑制作用。在抗体存在的情况下,不同的内吞途径对应于C1q产生不同作用的条件。此外,C1q 并不影响人类髓系细胞中由 FcγR 介导的内在细胞反应。C1q 对 DENV-1 ADE 的调节作用取决于免疫细胞上表达的 FcγR 和免疫复合物中抗体的特异性。了解对 DENV 感染的体液反应中的保护和致病机制对于成功设计抗病毒药物和疫苗至关重要。
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引用次数: 0
Effect of tuberculosis-specific antigen stimulation on the diagnostic accuracy of interferon-γ inducible protein-10 in distinguishing active and latent tuberculosis infection: a meta-analysis 结核特异性抗原刺激对干扰素-γ诱导蛋白-10区分活动性和潜伏性结核感染诊断准确性的影响:荟萃分析。
IF 2.6 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-11-01 DOI: 10.1016/j.micinf.2024.105396
Muhammad Iqhrammullah , Rika Yusnaini , Shakira Amirah , Intan Chaharunia Mulya , Ghina Tsurayya , Muhammad Alif Naufal , Sukmawan Fajar Santosa , Harapan Harapan , Baidillah Zulkifli

Background

Identifying active tuberculosis (ATB) from latent tuberculosis infection (LTBI) persists as a challenge, and interferon-γ inducible protein-10 (IP-10) has been employed as the solution. To further improve its diagnostic performance, the sample can be stimulated with TB specific antigen (TBAg).

Aim

To perform meta-analysis on diagnostic accuracy of unstimulated and TBAg-stimulated IP-10 in differentiating ATB from LTBI.

Methods

Systematic search was performed on five major scientific databases as of 29 November 2023. Observational studies reporting diagnostic values of unstimulated or TBAg-stimulated IP-10 in identifying ATB from LTBI were included. Meta-analysis was carried out using two-level mixed-effect logistic regression model.

Results

Twenty-five studies recruiting 2301 patients (1137 ATB versus 1164 LTBI) were included in the quantitative analysis. The pooled sensitivity and specifity of IP-10 were 72% (95%CI: 0.59–0.82) and 78% (95%CI: 0.63–0.88), respectively. As for TBAg-stimulated IP-10, the sensitivity and specifity were 82% (95%CI: 0.76–0.87) and 85% (95%CI: 0.73–0.92), respectively. The senstivity was reduced signiticantly (p < 0.01) when the patients with human immunodeficiency virus infection were included, except after the TBAg stimulation.

Conclusion

Stimulating IP-10 with TBAg could improve the diagnostic accuracy in differentiating ATB from LTBI.
背景:将活动性肺结核(ATB)与潜伏性肺结核感染(LTBI)相鉴别一直是个难题,干扰素-γ诱导蛋白-10(IP-10)已被用作解决方案。为了进一步提高其诊断性能,样本可以用结核特异性抗原(TBAg)刺激。目的:对未刺激和TBAg刺激的IP-10在区分ATB和LTBI方面的诊断准确性进行荟萃分析:方法:截至 2023 年 11 月 29 日,在五个主要科学数据库中进行了系统检索。方法:截至 2023 年 11 月 29 日,在五个主要科学数据库中进行了系统检索,纳入了报告非刺激或 TBAg 刺激的 IP-10 在鉴别 ATB 和 LTBI 方面诊断价值的观察性研究。采用两级混合效应逻辑回归模型进行了 Meta 分析:定量分析共纳入了 25 项研究,招募了 2301 名患者(1137 名 ATB 与 1164 名 LTBI)。IP-10的集合敏感性和特异性分别为72%(95%CI:0.59-0.82)和78%(95%CI:0.63-0.88)。至于 TBAg 刺激的 IP-10,其敏感性和特异性分别为 82% (95%CI: 0.76-0.87) 和 85% (95%CI: 0.73-0.92)。敏感性明显降低(pCI):用 TBAg 刺激 IP-10 可提高鉴别 ATB 和 LTBI 的诊断准确性。
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引用次数: 0
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Microbes and Infection
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