Memórias do Instituto Oswaldo Cruz
Print version ISSN 0074-0276
VAN-LUME, Daniele SM et al. Preliminary results in the immunodiagnosis of tuberculosis in children based on T cell responses to ESAT-6 and PPD antigens. Mem. Inst. Oswaldo Cruz [online]. 2008, vol.103, n.4, pp. 401-404. ISSN 0074-0276. http://dx.doi.org/10.1590/S0074-02762008000400015.
The aim of this work was to study the difference in interferon gamma (IFN-g) production by T lymphocytes after early secretory antigen target 6 (ESAT-6) or purified protein derivate (PPD) stimulation in whole blood culture supernatants from children with suspected tuberculosis (TB) disease (n = 21), latent TB infection (n = 16) and negative controls (NC) (n = 22) from an endemic area in Brazil. The concentration of IFN-g (pg/ml) was measured by enzyme linked immunosorbent assay and the differences in the IFN-g levels for each group were compared and evaluated using an unpaired Student's t-test; p values < 0.05 were considered significant. Measurement of IFN-g levels after ESAT-6 stimulation raised the possibility of early diagnosis in the latent TB group (p = 0.0030). Nevertheless, the same group showed similar responses to the NC group (p > 0.05) after PPD stimulation. The IFN-g assay using ESAT-6 as an antigenic stimulus has the potential to be used as a tool for the immunodiagnosis of early TB in children.
Keywords : tuberculosis in children; immunodiagnosis; ELISA; ESAT-6; PPD.