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Optimisation and application of a T-cell antigen-specific activation assay as diagnostic and treatment-monitoring tool for tuberculosis - PubMed

a day ago
  • #biomarker
  • #tuberculosis
  • #diagnostic tool
  • TB-TASA (T-cell antigen-specific activation assay) is evaluated as a diagnostic and treatment-monitoring tool for tuberculosis (TB).
  • Higher TB-TASA scores were observed in TB patients compared to interferon-γ release assay positive (IGRA+) controls.
  • A TB-TASA positivity threshold of 10% HLA-DR+ mycobacteria-specific T-cells was established with sensitivity and specificity >90% and >70%, respectively.
  • In a clinical trial, higher TB-TASA scores at treatment completion were linked to relapse or treatment failure (ROC AUC of 0.89).
  • TB-TASA was reliably measured in capillary blood via fingerprick, achieving an ROC AUC of 0.96 with 95% sensitivity and 69% specificity.
  • The study supports TB-TASA as a potential tool for diagnosing TB and monitoring treatment responses.