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