Blood transcriptomics reveal the evolution and resolution of the immune response in tuberculosisMore about Open Access at the Crick
Authors listOlivier Tabone Raman Verma Akul Singhania Probir Chakravarty William Branchett Christine Graham Jo Lee Tran Trang Frederic Reynier Philippe Leissner Karine Kaiser Marc Rodrigue Gerrit Woltmann Pranabashis Haldar Anne O'Garra
Blood transcriptomics have revealed major characteristics of the immune response in active TB, but the signature early after infection is unknown. In a unique clinically and temporally well-defined cohort of household contacts of active TB patients that progressed to TB, we define minimal changes in gene expression in incipient TB increasing in subclinical and clinical TB. While increasing with time, changes in gene expression were highest at 30 d before diagnosis, with heterogeneity in the response in household TB contacts and in a published cohort of TB progressors as they progressed to TB, at a bulk cohort level and in individual progressors. Blood signatures from patients before and during anti-TB treatment robustly monitored the treatment response distinguishing early and late responders. Blood transcriptomics thus reveal the evolution and resolution of the immune response in TB, which may help in clinical management of the disease.
Journal Journal of Experimental Medicine
Issue number 10