Multiplex detection of two interacting Mycobacterium tuberculosis biomarkers on the surface of circulating extracellular vesicles, using a nanoplasmon-enhanced immunoassay, improves the diagnosis of tuberculosis in immunosuppressed children living with HIV.
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References
Dodd, P. J. et al. The global burden of tuberculosis mortality in children: a mathematical modelling study. Lancet Glob. Health 5, e898–e906 (2017). This review discusses the challenges and importance of diagnosing paediatric TB.
Njuguna, I. N. et al. Urgent versus post-stabilisation antiretroviral treatment in hospitalised HIV-infected children in Kenya (PUSH): a randomised controlled trial. Lancet HIV 5, e12–e22 (2018). This report describes the diagnostically challenging cohort of paediatric patients with TB analysed in this study.
Liu, C. et al. Quantification of circulating Mycobacterium tuberculosis antigen peptides allows rapid diagnosis of active disease and treatment monitoring. Proc. Natl Acad. Sci. USA 114, 3969–3974 (2017). This study indicates the potential of Mtb-derived serum biomarkers to diagnose TB, using a sophisticated immunoassay that is read by mass spectrometry.
Gaur, R. L. et al. LprG-Mediated Surface Expression of Lipoarabinomannan Is Essential for Virulence of Mycobacterium tuberculosis. PLoS Pathog. 10, e1004376 (2014). This article indicates how the two biomarkers used in our assay interact to mediate Mtb virulence.
Schorey, J. S., Cheng, Y. & McManus, W. R. Bacteria- and host-derived extracellular vesicles—two sides of the same coin? J. Cell Sci. 134, jcs256628 (2021). This review reports that EVs from Mtb-infected macrophages can carry Mtb-derived factors and enter the circulatory system.
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This is a summary of: Zheng, W. et al. Diagnosis of paediatric tuberculosis by optically detecting two virulence factors on extracellular vesicles in blood samples. Nat. Biomed. Eng. https://doi.org/10.1038/s41551-022-00922-1 (2022).
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Using extracellular vesicles in blood to diagnose paediatric tuberculosis. Nat. Biomed. Eng 6, 930–931 (2022). https://doi.org/10.1038/s41551-022-00933-y
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DOI: https://doi.org/10.1038/s41551-022-00933-y