MYCOBACTERIUM TUBERCULOSIS BIOLOGICAL PROPERTIES AND CHARACTERISTICS OF THE INFLAMMATORY REACTION IN PATIENTS WITH INFILTRATIVE PULMONARY TUBERCULOSIS

Host-pathogen relations were analyzed on basis of the results of examinations of 42 patients with newly diagnosed, previously untreated infiltrative pulmonary tuberculosis (IPT) with regard for the biological characteristics of Mycobacterium tuberculosis (MBT) and the biomarkers of the inflammatory...

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Main Authors: O. T. Titarenko, M. E. Dyakova, O. A. Manicheva, D. S. Esmedlyaeva, M. Z. Dogonadze, N. P. Alexeyeva, T. L. Perova, N. N. Melnikova
Format: Article
Language:Russian
Published: Sankt-Peterburg : NIIÈM imeni Pastera 2014-08-01
Series:Инфекция и иммунитет
Subjects:
Online Access:https://www.iimmun.ru/iimm/article/view/180
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author O. T. Titarenko
M. E. Dyakova
O. A. Manicheva
D. S. Esmedlyaeva
M. Z. Dogonadze
N. P. Alexeyeva
T. L. Perova
N. N. Melnikova
author_facet O. T. Titarenko
M. E. Dyakova
O. A. Manicheva
D. S. Esmedlyaeva
M. Z. Dogonadze
N. P. Alexeyeva
T. L. Perova
N. N. Melnikova
author_sort O. T. Titarenko
collection DOAJ
description Host-pathogen relations were analyzed on basis of the results of examinations of 42 patients with newly diagnosed, previously untreated infiltrative pulmonary tuberculosis (IPT) with regard for the biological characteristics of Mycobacterium tuberculosis (MBT) and the biomarkers of the inflammatory reaction — the acute phase proteins (APPs). The genotypes of MBT (Beijing and the others) and the efficacy of threeonth antituberculosis therapy were used as the grouping factors. Genotype Beijing MBT patients were significantly often characterised by multiple drug resistant, had widespread pulmonary damage and association of MBT cytoxicity with the effect of therapy. The patients with the best postreatment effect had initial (pretreatment) APPs levels in the range of the referent ones. These conclusions were confirmed by analysis of the correlation pleads of the characteristics of the “host-pathogen” system and their discriminant analysis with regard for MBT genotypes and results of antituberculosis three-month therapy. It was shown that the constellation of four host’s APP characteristics (haptoglobin, ceruloplasmin, elastase and adenoaminase activities) has above 90% prognostic efficacy of treatment in spite of MBT genotype. It is suggested that in IPT patients the first component of the “host-pathogen” system reflecting the reaction of the patient’s organism to the MBT induced inflammatory process is more prognostically important.
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spelling doaj.art-a8623bd2d7fb4c5aab9462d1d62047af2023-01-02T00:08:17ZrusSankt-Peterburg : NIIÈM imeni PasteraИнфекция и иммунитет2220-76192313-73982014-08-014322122810.15789/2220-7619-2014-3-221-228180MYCOBACTERIUM TUBERCULOSIS BIOLOGICAL PROPERTIES AND CHARACTERISTICS OF THE INFLAMMATORY REACTION IN PATIENTS WITH INFILTRATIVE PULMONARY TUBERCULOSISO. T. Titarenko0M. E. Dyakova1O. A. Manicheva2D. S. Esmedlyaeva3M. Z. Dogonadze4N. P. Alexeyeva5T. L. Perova6N. N. Melnikova7St. Petersburg Research Institute of Phthisiopulmonology, St. PetersburgSt. Petersburg Research Institute of Phthisiopulmonology, St. PetersburgSt. Petersburg Research Institute of Phthisiopulmonology, St. PetersburgSt. Petersburg Research Institute of Phthisiopulmonology, St. PetersburgSt. Petersburg Research Institute of Phthisiopulmonology, St. PetersburgSt. Petersburg Research Institute of Phthisiopulmonology, St. PetersburgSt. Petersburg Research Institute of Phthisiopulmonology, St. PetersburgSt. Petersburg Research Institute of Phthisiopulmonology, St. PetersburgHost-pathogen relations were analyzed on basis of the results of examinations of 42 patients with newly diagnosed, previously untreated infiltrative pulmonary tuberculosis (IPT) with regard for the biological characteristics of Mycobacterium tuberculosis (MBT) and the biomarkers of the inflammatory reaction — the acute phase proteins (APPs). The genotypes of MBT (Beijing and the others) and the efficacy of threeonth antituberculosis therapy were used as the grouping factors. Genotype Beijing MBT patients were significantly often characterised by multiple drug resistant, had widespread pulmonary damage and association of MBT cytoxicity with the effect of therapy. The patients with the best postreatment effect had initial (pretreatment) APPs levels in the range of the referent ones. These conclusions were confirmed by analysis of the correlation pleads of the characteristics of the “host-pathogen” system and their discriminant analysis with regard for MBT genotypes and results of antituberculosis three-month therapy. It was shown that the constellation of four host’s APP characteristics (haptoglobin, ceruloplasmin, elastase and adenoaminase activities) has above 90% prognostic efficacy of treatment in spite of MBT genotype. It is suggested that in IPT patients the first component of the “host-pathogen” system reflecting the reaction of the patient’s organism to the MBT induced inflammatory process is more prognostically important.https://www.iimmun.ru/iimm/article/view/180tuberculosisacute phase proteinsgenotypevirulence
spellingShingle O. T. Titarenko
M. E. Dyakova
O. A. Manicheva
D. S. Esmedlyaeva
M. Z. Dogonadze
N. P. Alexeyeva
T. L. Perova
N. N. Melnikova
MYCOBACTERIUM TUBERCULOSIS BIOLOGICAL PROPERTIES AND CHARACTERISTICS OF THE INFLAMMATORY REACTION IN PATIENTS WITH INFILTRATIVE PULMONARY TUBERCULOSIS
Инфекция и иммунитет
tuberculosis
acute phase proteins
genotype
virulence
title MYCOBACTERIUM TUBERCULOSIS BIOLOGICAL PROPERTIES AND CHARACTERISTICS OF THE INFLAMMATORY REACTION IN PATIENTS WITH INFILTRATIVE PULMONARY TUBERCULOSIS
title_full MYCOBACTERIUM TUBERCULOSIS BIOLOGICAL PROPERTIES AND CHARACTERISTICS OF THE INFLAMMATORY REACTION IN PATIENTS WITH INFILTRATIVE PULMONARY TUBERCULOSIS
title_fullStr MYCOBACTERIUM TUBERCULOSIS BIOLOGICAL PROPERTIES AND CHARACTERISTICS OF THE INFLAMMATORY REACTION IN PATIENTS WITH INFILTRATIVE PULMONARY TUBERCULOSIS
title_full_unstemmed MYCOBACTERIUM TUBERCULOSIS BIOLOGICAL PROPERTIES AND CHARACTERISTICS OF THE INFLAMMATORY REACTION IN PATIENTS WITH INFILTRATIVE PULMONARY TUBERCULOSIS
title_short MYCOBACTERIUM TUBERCULOSIS BIOLOGICAL PROPERTIES AND CHARACTERISTICS OF THE INFLAMMATORY REACTION IN PATIENTS WITH INFILTRATIVE PULMONARY TUBERCULOSIS
title_sort mycobacterium tuberculosis biological properties and characteristics of the inflammatory reaction in patients with infiltrative pulmonary tuberculosis
topic tuberculosis
acute phase proteins
genotype
virulence
url https://www.iimmun.ru/iimm/article/view/180
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