Higher plasma interleukin - 6 levels are associated with lung cavitation in drug-resistant tuberculosis

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DOI

https://doi.org/10.1186/s12865-023-00563-2

Langue de publication
Anglais
Date
2023-08-31
Type
Article
Auteur(s)
  • Maseko, Thando Glory
  • Ngubane, Slindile
  • Letsoalo, Marothi
  • Rambaran, Santhuri
  • Archary, Derseree
  • Samsunder, Natasha
  • Perumal, Rubeshan
  • Chinappa, Surie
  • Padayatchi, Nesri
  • Naidoo, Kogieleum
  • Sivro, Aida
Éditeur
Springer Nature

Résumé

BACKGROUND: Lung cavitation is associated with heightened TB transmission and poor treatment outcomes. This study aimed to determine the relationship between systemic inflammation and lung cavitation in drug-resistant TB patients with and without HIV co-infection. METHODS: Plasma samples were obtained from 128 participants from the CAPRISA 020 Individualized M(X)drug-resistant TB Treatment Strategy Study (InDEX) prior to treatment initiation. Lung cavitation was present in 61 of the 128 drug-resistant TB patients with 93 being co-infected with HIV. The plasma cytokine and chemokine levels were measured using the 27-Plex Human Cytokine immunoassay. Modified Poisson regression models were used to determine the association between plasma cytokine/chemokine expression and lung cavitation in individuals with drug-resistant TB. RESULTS: Higher Interleukin-6 plasma levels (adjusted risk ratio [aRR] 1.405, 95% confidence interval [CI] 1.079-1.829, p = 0.011) were associated with a higher risk of lung cavitation in the multivariable model adjusting for age, sex, body mass index, HIV status, smoking and previous history of TB. Smoking was associated with an increased risk of lung cavitation (aRR 1.784, 95% CI 1.167-2.729, p = 0.008). An HIV positive status and a higher body mass index, were associated with reduced risk of lung cavitation (aRR 0.537, 95% CI 0.371-0.775, p = 0.001 and aRR 0.927, 95% CI 0.874-0.983, p = 0.012 respectively). CONCLUSION: High plasma interleukin-6 levels are associated with an increased risk of cavitary TB highlighting the role of interleukin-6 in the immunopathology of drug-resistant TB.

Sujet

  • Santé

Mots-clés

  • Tuberculosis,
  • HIV,
  • MDR,
  • XDR,
  • Biomarker,
  • Lung cavitation,
  • Inflammation

Droits

Creative Commons Attribution 4.0 International (CC BY 4.0)

Évalué par les pairs

Yes

Niveau de libre accès

Or

Identifiants

PubMed ID
37653422
ISSN
1471-2172
Autre
PMC10472663

Article

Titre de la revue
BMC Immunology
Volume de la revue
24
Numéro de revue
1
Numéro de l'élément
26

Référence(s)

Maseko, T. G., Ngubane, S., Letsoalo, M., Rambaran, S., Archary, D., Samsunder, N., Perumal, R., Chinappa, S., Padayatchi, N., Naidoo, K., & Sivro, A. (2023). Higher plasma interleukin - 6 levels are associated with lung cavitation in drug-resistant tuberculosis. BMC immunology, 24(1), 26. https://doi.org/10.1186/s12865-023-00563-2

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Communicable diseases

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