Levels of Interferon-Gamma Increase after Treatment for Latent Tuberculosis Infection in a High-Transmission Setting

Objectives. We investigated IFN-γ levels before and after a six month course of isoniazid among individuals with latent tuberculosis infection (LTBI) in a high-transmission setting. Design. A total of 26 household contacts of pulmonary tuberculosis patients who were positive for LTBI by tuberculin s...

Full description

Saved in:
Bibliographic Details
Main Authors: Iukary Takenami, Brook Finkmoore, Almério Machado, Krisztina Emodi, Lee W. Riley, Sérgio Arruda
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Pulmonary Medicine
Online Access:http://dx.doi.org/10.1155/2012/757152
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832552791629889536
author Iukary Takenami
Brook Finkmoore
Almério Machado
Krisztina Emodi
Lee W. Riley
Sérgio Arruda
author_facet Iukary Takenami
Brook Finkmoore
Almério Machado
Krisztina Emodi
Lee W. Riley
Sérgio Arruda
author_sort Iukary Takenami
collection DOAJ
description Objectives. We investigated IFN-γ levels before and after a six month course of isoniazid among individuals with latent tuberculosis infection (LTBI) in a high-transmission setting. Design. A total of 26 household contacts of pulmonary tuberculosis patients who were positive for LTBI by tuberculin skin test completed six months of treatment and submitted a blood sample for a follow-up examination. The IFN-γ response to Mycobacterium tuberculosis-specific antigens was measured, and the results before and after the completion of LTBI treatment were compared. Results. Of the 26 study participants, 25 (96%) showed an IFN-γ level higher than their baseline level before treatment (P≤0.001). Only one individual had a decreased IFN-γ level after treatment but remained positive for LTBI. Conclusion. In a high-transmission setting, the IFN-γ level has increased after LTBI treatment. Further studies must be undertaken to understand if this elevation is transient.
format Article
id doaj-art-939a02726ebd4727a1ec2cec2734a091
institution Kabale University
issn 2090-1836
2090-1844
language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series Pulmonary Medicine
spelling doaj-art-939a02726ebd4727a1ec2cec2734a0912025-02-03T05:57:49ZengWileyPulmonary Medicine2090-18362090-18442012-01-01201210.1155/2012/757152757152Levels of Interferon-Gamma Increase after Treatment for Latent Tuberculosis Infection in a High-Transmission SettingIukary Takenami0Brook Finkmoore1Almério Machado2Krisztina Emodi3Lee W. Riley4Sérgio Arruda5Advanced Laboratory of Public Health, Oswaldo Cruz Foundation, Gonçalo Moniz Research Center, Salvador, Bahia 40296 710, BrazilDivision of Infectious Diseases & Vaccinology, School of Public Health, University of California, Berkeley, CA 94720, USABahia School of Medicine and Public Health, Salvador, Bahia 40290 000, BrazilDivision of Infectious Diseases & Vaccinology, School of Public Health, University of California, Berkeley, CA 94720, USADivision of Infectious Diseases & Vaccinology, School of Public Health, University of California, Berkeley, CA 94720, USAAdvanced Laboratory of Public Health, Oswaldo Cruz Foundation, Gonçalo Moniz Research Center, Salvador, Bahia 40296 710, BrazilObjectives. We investigated IFN-γ levels before and after a six month course of isoniazid among individuals with latent tuberculosis infection (LTBI) in a high-transmission setting. Design. A total of 26 household contacts of pulmonary tuberculosis patients who were positive for LTBI by tuberculin skin test completed six months of treatment and submitted a blood sample for a follow-up examination. The IFN-γ response to Mycobacterium tuberculosis-specific antigens was measured, and the results before and after the completion of LTBI treatment were compared. Results. Of the 26 study participants, 25 (96%) showed an IFN-γ level higher than their baseline level before treatment (P≤0.001). Only one individual had a decreased IFN-γ level after treatment but remained positive for LTBI. Conclusion. In a high-transmission setting, the IFN-γ level has increased after LTBI treatment. Further studies must be undertaken to understand if this elevation is transient.http://dx.doi.org/10.1155/2012/757152
spellingShingle Iukary Takenami
Brook Finkmoore
Almério Machado
Krisztina Emodi
Lee W. Riley
Sérgio Arruda
Levels of Interferon-Gamma Increase after Treatment for Latent Tuberculosis Infection in a High-Transmission Setting
Pulmonary Medicine
title Levels of Interferon-Gamma Increase after Treatment for Latent Tuberculosis Infection in a High-Transmission Setting
title_full Levels of Interferon-Gamma Increase after Treatment for Latent Tuberculosis Infection in a High-Transmission Setting
title_fullStr Levels of Interferon-Gamma Increase after Treatment for Latent Tuberculosis Infection in a High-Transmission Setting
title_full_unstemmed Levels of Interferon-Gamma Increase after Treatment for Latent Tuberculosis Infection in a High-Transmission Setting
title_short Levels of Interferon-Gamma Increase after Treatment for Latent Tuberculosis Infection in a High-Transmission Setting
title_sort levels of interferon gamma increase after treatment for latent tuberculosis infection in a high transmission setting
url http://dx.doi.org/10.1155/2012/757152
work_keys_str_mv AT iukarytakenami levelsofinterferongammaincreaseaftertreatmentforlatenttuberculosisinfectioninahightransmissionsetting
AT brookfinkmoore levelsofinterferongammaincreaseaftertreatmentforlatenttuberculosisinfectioninahightransmissionsetting
AT almeriomachado levelsofinterferongammaincreaseaftertreatmentforlatenttuberculosisinfectioninahightransmissionsetting
AT krisztinaemodi levelsofinterferongammaincreaseaftertreatmentforlatenttuberculosisinfectioninahightransmissionsetting
AT leewriley levelsofinterferongammaincreaseaftertreatmentforlatenttuberculosisinfectioninahightransmissionsetting
AT sergioarruda levelsofinterferongammaincreaseaftertreatmentforlatenttuberculosisinfectioninahightransmissionsetting