Comparison of the change in QuantiFERON-TB Gold Plus and QuantiFERON-TB Gold In-Tube results after preventive therapy for latent tuberculosis infection
We investigated changes in the interferon-[gamma] levels before and after treatment of latent tuberculosis infection (LTBI) using QuantiFERON-TB Gold Plus (QFT-Plus) and QuantiFERON-TB Gold In-Tube (QFT-GIT) assays. The objective was to assess whether QFT-Plus could serve as a biomarker of LTBI trea...
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description | We investigated changes in the interferon-[gamma] levels before and after treatment of latent tuberculosis infection (LTBI) using QuantiFERON-TB Gold Plus (QFT-Plus) and QuantiFERON-TB Gold In-Tube (QFT-GIT) assays. The objective was to assess whether QFT-Plus could serve as a biomarker of LTBI treatment response. We prospectively enrolled 44 individuals whose baseline QFT-GIT and QFT-Plus showed positive results at a tertiary referral center in South Korea between March 2017 and March 2018. The results of the QFT-Plus assay were defined as positive if either or both of the antigen tubes (TB1 and/or TB2) were positive. After LTBI treatment, both tests were repeated. The mean age of the participants was 47.6 years. The QFT-GIT and QFT-Plus assays revealed positive results in 42/44 (95.5%) and 41/44 (93.2%) participants after LTBI treatment, showing overall agreement of 93.2%, with a Cohen's kappa value of 0.37 (fair agreement). The differences between pre- and post-LTBI treatment interferon-[gamma] levels were measured using the QFT-GIT and QFT-Plus assays. No significant differences were noted among the 3 values: the median difference in interferon-[gamma] value with QFT-GIT, QFT-Plus TB1, and QFT-Plus TB2 was 0.211 IU/mL (IQR, -0.337-3.347), 0.025 IU/mL (IQR, -0.338-1.368), and 0.180 IU/mL (IQR, -0.490-2.278), respectively (P = 0.401). The change in interferon-[gamma] levels before and after LTBI treatment measured using the QFT-Plus assay showed a similar trend to that of the QFT-GIT assay. Considering that the QFT-GIT assay is not a useful biomarker of LTBI treatment response, QFT-Plus also appears not to be useful for this purpose. |
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The objective was to assess whether QFT-Plus could serve as a biomarker of LTBI treatment response. We prospectively enrolled 44 individuals whose baseline QFT-GIT and QFT-Plus showed positive results at a tertiary referral center in South Korea between March 2017 and March 2018. The results of the QFT-Plus assay were defined as positive if either or both of the antigen tubes (TB1 and/or TB2) were positive. After LTBI treatment, both tests were repeated. The mean age of the participants was 47.6 years. The QFT-GIT and QFT-Plus assays revealed positive results in 42/44 (95.5%) and 41/44 (93.2%) participants after LTBI treatment, showing overall agreement of 93.2%, with a Cohen's kappa value of 0.37 (fair agreement). The differences between pre- and post-LTBI treatment interferon-[gamma] levels were measured using the QFT-GIT and QFT-Plus assays. No significant differences were noted among the 3 values: the median difference in interferon-[gamma] value with QFT-GIT, QFT-Plus TB1, and QFT-Plus TB2 was 0.211 IU/mL (IQR, -0.337-3.347), 0.025 IU/mL (IQR, -0.338-1.368), and 0.180 IU/mL (IQR, -0.490-2.278), respectively (P = 0.401). The change in interferon-[gamma] levels before and after LTBI treatment measured using the QFT-Plus assay showed a similar trend to that of the QFT-GIT assay. Considering that the QFT-GIT assay is not a useful biomarker of LTBI treatment response, QFT-Plus also appears not to be useful for this purpose.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0234700</identifier><identifier>PMID: 32544206</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Antigens ; Antitubercular agents ; Assaying ; Biology and Life Sciences ; Biomarkers ; Critical care ; Drug therapy ; Gold ; Infections ; Interferon ; Interferon gamma release tests ; Laboratories ; Lymphocytes ; Medical schools ; Medicine ; Medicine and Health Sciences ; Peptides ; Prognosis ; Tuberculosis ; Tubes ; γ-Interferon</subject><ispartof>PloS one, 2020-06, Vol.15 (6), p.e0234700-e0234700</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Kim et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 Kim et al 2020 Kim et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c669t-83d4396b6258b4f360f6dfe88727bc56060af3e663266e8af07f94f9eb22e7a3</citedby><cites>FETCH-LOGICAL-c669t-83d4396b6258b4f360f6dfe88727bc56060af3e663266e8af07f94f9eb22e7a3</cites><orcidid>0000-0002-5783-6795 ; 0000-0001-6653-816X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297367/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297367/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,865,886,2103,2929,23868,27926,27927,53793,53795</link.rule.ids></links><search><contributor>Wilkinson, Katalin Andrea</contributor><creatorcontrib>Kim, Ock-Hwa</creatorcontrib><creatorcontrib>Jo, Kyung-Wook</creatorcontrib><creatorcontrib>Park, Shinhee</creatorcontrib><creatorcontrib>Jo, Yong-Ha</creatorcontrib><creatorcontrib>Kim, Mi-Na</creatorcontrib><creatorcontrib>Sung, Heungsup</creatorcontrib><creatorcontrib>Shim, Tae Sun</creatorcontrib><creatorcontrib>Caylà, Joan A</creatorcontrib><creatorcontrib>Wilkinson, Katalin Andrea</creatorcontrib><title>Comparison of the change in QuantiFERON-TB Gold Plus and QuantiFERON-TB Gold In-Tube results after preventive therapy for latent tuberculosis infection</title><title>PloS one</title><description>We investigated changes in the interferon-[gamma] levels before and after treatment of latent tuberculosis infection (LTBI) using QuantiFERON-TB Gold Plus (QFT-Plus) and QuantiFERON-TB Gold In-Tube (QFT-GIT) assays. The objective was to assess whether QFT-Plus could serve as a biomarker of LTBI treatment response. We prospectively enrolled 44 individuals whose baseline QFT-GIT and QFT-Plus showed positive results at a tertiary referral center in South Korea between March 2017 and March 2018. The results of the QFT-Plus assay were defined as positive if either or both of the antigen tubes (TB1 and/or TB2) were positive. After LTBI treatment, both tests were repeated. The mean age of the participants was 47.6 years. The QFT-GIT and QFT-Plus assays revealed positive results in 42/44 (95.5%) and 41/44 (93.2%) participants after LTBI treatment, showing overall agreement of 93.2%, with a Cohen's kappa value of 0.37 (fair agreement). The differences between pre- and post-LTBI treatment interferon-[gamma] levels were measured using the QFT-GIT and QFT-Plus assays. No significant differences were noted among the 3 values: the median difference in interferon-[gamma] value with QFT-GIT, QFT-Plus TB1, and QFT-Plus TB2 was 0.211 IU/mL (IQR, -0.337-3.347), 0.025 IU/mL (IQR, -0.338-1.368), and 0.180 IU/mL (IQR, -0.490-2.278), respectively (P = 0.401). The change in interferon-[gamma] levels before and after LTBI treatment measured using the QFT-Plus assay showed a similar trend to that of the QFT-GIT assay. Considering that the QFT-GIT assay is not a useful biomarker of LTBI treatment response, QFT-Plus also appears not to be useful for this purpose.</description><subject>Antigens</subject><subject>Antitubercular agents</subject><subject>Assaying</subject><subject>Biology and Life Sciences</subject><subject>Biomarkers</subject><subject>Critical care</subject><subject>Drug therapy</subject><subject>Gold</subject><subject>Infections</subject><subject>Interferon</subject><subject>Interferon gamma release tests</subject><subject>Laboratories</subject><subject>Lymphocytes</subject><subject>Medical schools</subject><subject>Medicine</subject><subject>Medicine and Health 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of the change in QuantiFERON-TB Gold Plus and QuantiFERON-TB Gold In-Tube results after preventive therapy for latent tuberculosis infection</title><author>Kim, Ock-Hwa ; Jo, Kyung-Wook ; Park, Shinhee ; Jo, Yong-Ha ; Kim, Mi-Na ; Sung, Heungsup ; Shim, Tae Sun ; Caylà, Joan A ; Wilkinson, Katalin Andrea</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c669t-83d4396b6258b4f360f6dfe88727bc56060af3e663266e8af07f94f9eb22e7a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Antigens</topic><topic>Antitubercular agents</topic><topic>Assaying</topic><topic>Biology and Life Sciences</topic><topic>Biomarkers</topic><topic>Critical care</topic><topic>Drug therapy</topic><topic>Gold</topic><topic>Infections</topic><topic>Interferon</topic><topic>Interferon gamma release tests</topic><topic>Laboratories</topic><topic>Lymphocytes</topic><topic>Medical 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Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Ock-Hwa</au><au>Jo, Kyung-Wook</au><au>Park, Shinhee</au><au>Jo, Yong-Ha</au><au>Kim, Mi-Na</au><au>Sung, Heungsup</au><au>Shim, Tae Sun</au><au>Caylà, Joan A</au><au>Wilkinson, Katalin Andrea</au><au>Wilkinson, Katalin Andrea</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of the change in QuantiFERON-TB Gold Plus and QuantiFERON-TB Gold In-Tube results after preventive therapy for latent tuberculosis infection</atitle><jtitle>PloS one</jtitle><date>2020-06-16</date><risdate>2020</risdate><volume>15</volume><issue>6</issue><spage>e0234700</spage><epage>e0234700</epage><pages>e0234700-e0234700</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>We investigated changes in the interferon-[gamma] levels before and after treatment of latent tuberculosis infection (LTBI) using QuantiFERON-TB Gold Plus (QFT-Plus) and QuantiFERON-TB Gold In-Tube (QFT-GIT) assays. The objective was to assess whether QFT-Plus could serve as a biomarker of LTBI treatment response. We prospectively enrolled 44 individuals whose baseline QFT-GIT and QFT-Plus showed positive results at a tertiary referral center in South Korea between March 2017 and March 2018. The results of the QFT-Plus assay were defined as positive if either or both of the antigen tubes (TB1 and/or TB2) were positive. After LTBI treatment, both tests were repeated. The mean age of the participants was 47.6 years. The QFT-GIT and QFT-Plus assays revealed positive results in 42/44 (95.5%) and 41/44 (93.2%) participants after LTBI treatment, showing overall agreement of 93.2%, with a Cohen's kappa value of 0.37 (fair agreement). The differences between pre- and post-LTBI treatment interferon-[gamma] levels were measured using the QFT-GIT and QFT-Plus assays. No significant differences were noted among the 3 values: the median difference in interferon-[gamma] value with QFT-GIT, QFT-Plus TB1, and QFT-Plus TB2 was 0.211 IU/mL (IQR, -0.337-3.347), 0.025 IU/mL (IQR, -0.338-1.368), and 0.180 IU/mL (IQR, -0.490-2.278), respectively (P = 0.401). The change in interferon-[gamma] levels before and after LTBI treatment measured using the QFT-Plus assay showed a similar trend to that of the QFT-GIT assay. Considering that the QFT-GIT assay is not a useful biomarker of LTBI treatment response, QFT-Plus also appears not to be useful for this purpose.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>32544206</pmid><doi>10.1371/journal.pone.0234700</doi><orcidid>https://orcid.org/0000-0002-5783-6795</orcidid><orcidid>https://orcid.org/0000-0001-6653-816X</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Antigens Antitubercular agents Assaying Biology and Life Sciences Biomarkers Critical care Drug therapy Gold Infections Interferon Interferon gamma release tests Laboratories Lymphocytes Medical schools Medicine Medicine and Health Sciences Peptides Prognosis Tuberculosis Tubes γ-Interferon |
title | Comparison of the change in QuantiFERON-TB Gold Plus and QuantiFERON-TB Gold In-Tube results after preventive therapy for latent tuberculosis infection |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-18T06%3A18%3A50IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Comparison%20of%20the%20change%20in%20QuantiFERON-TB%20Gold%20Plus%20and%20QuantiFERON-TB%20Gold%20In-Tube%20results%20after%20preventive%20therapy%20for%20latent%20tuberculosis%20infection&rft.jtitle=PloS%20one&rft.au=Kim,%20Ock-Hwa&rft.date=2020-06-16&rft.volume=15&rft.issue=6&rft.spage=e0234700&rft.epage=e0234700&rft.pages=e0234700-e0234700&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0234700&rft_dat=%3Cgale_plos_%3EA626791080%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2413948481&rft_id=info:pmid/32544206&rft_galeid=A626791080&rft_doaj_id=oai_doaj_org_article_2bd91a949d37488e86617d3303a4b45d&rfr_iscdi=true |