Persistent expression of activation markers on Mycobacterium tuberculosis-specific CD4 T cells in smear negative TB patients.

<h4>Background</h4>T cell activation (HLA-DR, CD-38), proliferation (KI-67), and functional (IFN-γ, TNF-α) markers have recently been shown to be useful in predicting and monitoring anti-TB responses in smear positive TB, but previous research did not characterize the activation and prol...

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Main Authors: Ahmed Esmael, Adane Mihret, Tamrat Abebe, Daniel Mussa, Sebsibe Neway, Joel Ernst, Jyothi Rengarajan, Liya Wassie, Rawleigh Howe
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0271234&type=printable
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author Ahmed Esmael
Adane Mihret
Tamrat Abebe
Daniel Mussa
Sebsibe Neway
Joel Ernst
Jyothi Rengarajan
Liya Wassie
Rawleigh Howe
author_facet Ahmed Esmael
Adane Mihret
Tamrat Abebe
Daniel Mussa
Sebsibe Neway
Joel Ernst
Jyothi Rengarajan
Liya Wassie
Rawleigh Howe
author_sort Ahmed Esmael
collection DOAJ
description <h4>Background</h4>T cell activation (HLA-DR, CD-38), proliferation (KI-67), and functional (IFN-γ, TNF-α) markers have recently been shown to be useful in predicting and monitoring anti-TB responses in smear positive TB, but previous research did not characterize the activation and proliferation profiles after therapy of smear negative TB.<h4>Methodology</h4>In this study, we used polychromatic flow cytometry to assess selected PPD-specific T cell markers using fresh PBMC of smear negative and positive pulmonary tuberculosis (PTB) patients, recruited from health facilities in Addis Ababa.<h4>Result</h4>Levels of activation (HLA-DR, CD38) and proliferation (Ki-67) among total unstimulated CD4 T cells decreased significantly after therapy, particularly at month 6. Similarly, levels of PPD-specific T cell activation markers (HLA-DR, CD-38) were significantly lower in smear positive PTB patients following treatment, whereas a consistent decline in these markers was less apparent among smear negative PTB patients at the sixth month.<h4>Conclusion</h4>After six months of standard anti-TB therapy, persistent levels of activation of HLA-DR and CD-38 from PPD specific CD4+T cells in this study could indicate that those markers have little value in monitoring and predicting anti-TB treatment response in smear negative pulmonary TB patients in Ethiopian context.
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spelling doaj.art-eab09cb456114c10b6b0b93a2b8087d92025-03-06T05:31:32ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01178e027123410.1371/journal.pone.0271234Persistent expression of activation markers on Mycobacterium tuberculosis-specific CD4 T cells in smear negative TB patients.Ahmed EsmaelAdane MihretTamrat AbebeDaniel MussaSebsibe NewayJoel ErnstJyothi RengarajanLiya WassieRawleigh Howe<h4>Background</h4>T cell activation (HLA-DR, CD-38), proliferation (KI-67), and functional (IFN-γ, TNF-α) markers have recently been shown to be useful in predicting and monitoring anti-TB responses in smear positive TB, but previous research did not characterize the activation and proliferation profiles after therapy of smear negative TB.<h4>Methodology</h4>In this study, we used polychromatic flow cytometry to assess selected PPD-specific T cell markers using fresh PBMC of smear negative and positive pulmonary tuberculosis (PTB) patients, recruited from health facilities in Addis Ababa.<h4>Result</h4>Levels of activation (HLA-DR, CD38) and proliferation (Ki-67) among total unstimulated CD4 T cells decreased significantly after therapy, particularly at month 6. Similarly, levels of PPD-specific T cell activation markers (HLA-DR, CD-38) were significantly lower in smear positive PTB patients following treatment, whereas a consistent decline in these markers was less apparent among smear negative PTB patients at the sixth month.<h4>Conclusion</h4>After six months of standard anti-TB therapy, persistent levels of activation of HLA-DR and CD-38 from PPD specific CD4+T cells in this study could indicate that those markers have little value in monitoring and predicting anti-TB treatment response in smear negative pulmonary TB patients in Ethiopian context.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0271234&type=printable
spellingShingle Ahmed Esmael
Adane Mihret
Tamrat Abebe
Daniel Mussa
Sebsibe Neway
Joel Ernst
Jyothi Rengarajan
Liya Wassie
Rawleigh Howe
Persistent expression of activation markers on Mycobacterium tuberculosis-specific CD4 T cells in smear negative TB patients.
PLoS ONE
title Persistent expression of activation markers on Mycobacterium tuberculosis-specific CD4 T cells in smear negative TB patients.
title_full Persistent expression of activation markers on Mycobacterium tuberculosis-specific CD4 T cells in smear negative TB patients.
title_fullStr Persistent expression of activation markers on Mycobacterium tuberculosis-specific CD4 T cells in smear negative TB patients.
title_full_unstemmed Persistent expression of activation markers on Mycobacterium tuberculosis-specific CD4 T cells in smear negative TB patients.
title_short Persistent expression of activation markers on Mycobacterium tuberculosis-specific CD4 T cells in smear negative TB patients.
title_sort persistent expression of activation markers on mycobacterium tuberculosis specific cd4 t cells in smear negative tb patients
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0271234&type=printable
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