Sustained elevated levels of C-reactive protein and ferritin in pulmonary tuberculosis patients remaining culture positive upon treatment initiation

Detalhes bibliográficos
Autor(a) principal: Miranda, Pryscila
Data de Publicação: 2017
Outros Autores: Santana, Leonardo Gil, Oliveira, Marina G., Mesquita, Eliene Denites Duarte, Silva, Elisangela Costa da, Rauwerdink, Anneloek, Cobelens, Frank, Oliveira, Martha Maria de, Andrade, Bruno de Bezerril, Kritski, Afrânio Lineu
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/25418
Resumo: CNPq (produtividade em pesquisa) and FAPERJ (Cientistas do Nosso Estado). LG-S received scientific initiation fellowship from Fundacão de Amparo à Pesquisa da Bahia (FAPESB) and Fundacão Oswaldo Cruz (FIOCRUZ).
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spelling Miranda, PryscilaSantana, Leonardo GilOliveira, Marina G.Mesquita, Eliene Denites DuarteSilva, Elisangela Costa daRauwerdink, AnneloekCobelens, FrankOliveira, Martha Maria deAndrade, Bruno de BezerrilKritski, Afrânio Lineu2018-03-20T13:53:35Z2018-03-20T13:53:35Z2017MIRANDA, P. et al. Sustained elevated levels of C-reactive protein and ferritin in pulmonary tuberculosis patients remaining culture positive upon treatment initiation. Plos One, v. 12, n. 4, p. 1-12, 2017.1932-6203https://www.arca.fiocruz.br/handle/icict/2541810.1371/journal.pone.0175278CNPq (produtividade em pesquisa) and FAPERJ (Cientistas do Nosso Estado). LG-S received scientific initiation fellowship from Fundacão de Amparo à Pesquisa da Bahia (FAPESB) and Fundacão Oswaldo Cruz (FIOCRUZ).Federal University of Rio de Janeiro. Medical School. Tuberculosis Academic Program. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Fundação Jose Silveira. Network Sponsoring Translational and Epidemiological Research Initiative. Salvador, BA, Brazil / Faculdade de Tecnologia e Ciências. Curso de Medicina. Salvador, BA, Brazil.Federal University of Rio de Janeiro. Medical School. Tuberculosis Academic Program. Rio de Janeiro, RJ, Brazil.Ary Parreira Institute. State Secretary of Health of Rio de Janeiro. Rio de Janeiro, RJ, Brazil.State University of North Fluminense Darcy Ribeiro. Recognize the Biology Laboratory, Center of Bioscience and Biotechnology. Rio de Janeiro, RJ, Brazil / Rede Brasileira de Pesquisas em Tuberculose. Rio de Janeiro, RJ, Brazil.Amsterdam Institute for Global Health and Development. Academic Medical Centre. Amsterdam, The Netherlands.Amsterdam Institute for Global Health and Development. Academic Medical Centre. Amsterdam, The Netherlands.Rede Brasileira de Pesquisas em Tuberculose. Rio de Janeiro, RJ, Brazil / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brazil / Fundação Oswaldo Cruz. Centro de Desenvolvimento Tecnológico em Saúde. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Fundação Jose Silveira. Network Sponsoring Translational and Epidemiological Research Initiative. Salvador, BA, Brasil / Faculdade de Tecnologia e Ciências. Curso de Medicina. Salvador, BA, Brasil / Rede Brasileira de Pesquisas em Tuberculose. Rio de Janeiro, RJ, Brazil / Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil / Universidade Salvador. Laureate International Universities. Salvador, BA, Brazil.Federal University of Rio de Janeiro. Medical School. Tuberculosis Academic Program. Rio de Janeiro, RJ, Brazil / Rede Brasileira de Pesquisas em Tuberculose. Rio de Janeiro, RJ, Brazil.Clinical trials that evaluate new anti-tubercular drugs and treatment regimens take years to complete due to the slow clearance of Mycobacterium tuberculosis infection and the lack of early biomarkers that predict treatment outcomes. Host Inflammation markers have been associated with tuberculosis (TB) pathogenesis. In the present study, we tested if circulating levels of C-reactive protein (CRP) and ferritin reflect mycobacterial loads and inflammation in pulmonary TB (PTB) patients undergoing anti-tuberculous therapy (ATT). Methods Prospective measurements of CRP and ferritin, used as readouts of systemic inflammation, were performed in cryopreserved serum samples from 165 Brazilian patients with active PTB initiating ATT. Associations between levels of these laboratory parameters with mycobacterial loads in sputum as well as with sputum conversion at day 60 of ATT were tested. Results: Circulating levels of both ferritin and CRP gradually decreased over time on ATT. At pretreatment, concentrations of these parameters were unable to distinguish patients with positive from those with negative acid-fast bacilli (AFB) in sputum cultures. However, patients who remained with positive cultures at day 60 of ATT exhibited heightened levels of these inflammatory markers compared to those with negative cultures at that time point. Conclusions: CRP and Ferritin levels in serum may be useful to identify patients with positive cultures at day 60 of ATT.engPublic Library of ScienceTuberculose PulmonarProteína C-reativaFerritinasHumanosAgentes antituberculososTuberculosis PulmonaryC-Reactive ProteinFerritinsHumansAntitubercular AgentsSustained elevated levels of C-reactive protein and ferritin in pulmonary tuberculosis patients remaining culture positive upon treatment initiationinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/25418/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALMiranda P Sustained elevated levels of C-reactive protein....pdfMiranda P Sustained elevated levels of C-reactive 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dc.title.pt_BR.fl_str_mv Sustained elevated levels of C-reactive protein and ferritin in pulmonary tuberculosis patients remaining culture positive upon treatment initiation
title Sustained elevated levels of C-reactive protein and ferritin in pulmonary tuberculosis patients remaining culture positive upon treatment initiation
spellingShingle Sustained elevated levels of C-reactive protein and ferritin in pulmonary tuberculosis patients remaining culture positive upon treatment initiation
Miranda, Pryscila
Tuberculose Pulmonar
Proteína C-reativa
Ferritinas
Humanos
Agentes antituberculosos
Tuberculosis Pulmonary
C-Reactive Protein
Ferritins
Humans
Antitubercular Agents
title_short Sustained elevated levels of C-reactive protein and ferritin in pulmonary tuberculosis patients remaining culture positive upon treatment initiation
title_full Sustained elevated levels of C-reactive protein and ferritin in pulmonary tuberculosis patients remaining culture positive upon treatment initiation
title_fullStr Sustained elevated levels of C-reactive protein and ferritin in pulmonary tuberculosis patients remaining culture positive upon treatment initiation
title_full_unstemmed Sustained elevated levels of C-reactive protein and ferritin in pulmonary tuberculosis patients remaining culture positive upon treatment initiation
title_sort Sustained elevated levels of C-reactive protein and ferritin in pulmonary tuberculosis patients remaining culture positive upon treatment initiation
author Miranda, Pryscila
author_facet Miranda, Pryscila
Santana, Leonardo Gil
Oliveira, Marina G.
Mesquita, Eliene Denites Duarte
Silva, Elisangela Costa da
Rauwerdink, Anneloek
Cobelens, Frank
Oliveira, Martha Maria de
Andrade, Bruno de Bezerril
Kritski, Afrânio Lineu
author_role author
author2 Santana, Leonardo Gil
Oliveira, Marina G.
Mesquita, Eliene Denites Duarte
Silva, Elisangela Costa da
Rauwerdink, Anneloek
Cobelens, Frank
Oliveira, Martha Maria de
Andrade, Bruno de Bezerril
Kritski, Afrânio Lineu
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Miranda, Pryscila
Santana, Leonardo Gil
Oliveira, Marina G.
Mesquita, Eliene Denites Duarte
Silva, Elisangela Costa da
Rauwerdink, Anneloek
Cobelens, Frank
Oliveira, Martha Maria de
Andrade, Bruno de Bezerril
Kritski, Afrânio Lineu
dc.subject.other.pt_BR.fl_str_mv Tuberculose Pulmonar
Proteína C-reativa
Ferritinas
Humanos
Agentes antituberculosos
topic Tuberculose Pulmonar
Proteína C-reativa
Ferritinas
Humanos
Agentes antituberculosos
Tuberculosis Pulmonary
C-Reactive Protein
Ferritins
Humans
Antitubercular Agents
dc.subject.en.pt_BR.fl_str_mv Tuberculosis Pulmonary
C-Reactive Protein
Ferritins
Humans
Antitubercular Agents
description CNPq (produtividade em pesquisa) and FAPERJ (Cientistas do Nosso Estado). LG-S received scientific initiation fellowship from Fundacão de Amparo à Pesquisa da Bahia (FAPESB) and Fundacão Oswaldo Cruz (FIOCRUZ).
publishDate 2017
dc.date.issued.fl_str_mv 2017
dc.date.accessioned.fl_str_mv 2018-03-20T13:53:35Z
dc.date.available.fl_str_mv 2018-03-20T13:53:35Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv MIRANDA, P. et al. Sustained elevated levels of C-reactive protein and ferritin in pulmonary tuberculosis patients remaining culture positive upon treatment initiation. Plos One, v. 12, n. 4, p. 1-12, 2017.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/25418
dc.identifier.issn.pt_BR.fl_str_mv 1932-6203
dc.identifier.doi.none.fl_str_mv 10.1371/journal.pone.0175278
identifier_str_mv MIRANDA, P. et al. Sustained elevated levels of C-reactive protein and ferritin in pulmonary tuberculosis patients remaining culture positive upon treatment initiation. Plos One, v. 12, n. 4, p. 1-12, 2017.
1932-6203
10.1371/journal.pone.0175278
url https://www.arca.fiocruz.br/handle/icict/25418
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