Exploratory urinary metabolomics of type 1 leprosy reactions
| Autor: | Pratibha Thapa, Annemieke Geluk, Karin Dijkman, Saraswoti Khadge, Chhatra B. Kunwar, Oleg A. Mayboroda, Rico J. E. Derks, Susan J. F. van den Eeden, Deanna A. Hagge, Anouk van Hooij |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male 0301 basic medicine Microbiology (medical) medicine.medical_specialty Adolescent Urinary system 030231 tropical medicine Urine lcsh:Infectious and parasitic diseases Cohort Studies 03 medical and health sciences 0302 clinical medicine Leprosy Internal medicine Reactions medicine Metabolome Humans Metabolomics lcsh:RC109-216 Prospective Studies Prospective cohort study Diagnostics Mycobacterium leprae Aged Aged 80 and over biology business.industry General Medicine Middle Aged medicine.disease biology.organism_classification 030104 developmental biology Infectious Diseases Infectious disease (medical specialty) Immunology Female business Biomarkers Cohort study |
| Zdroj: | International Journal of Infectious Diseases, Vol 45, Iss C, Pp 46-52 (2016) |
| ISSN: | 1201-9712 |
| DOI: | 10.1016/j.ijid.2016.02.012 |
| Popis: | Summary Background Leprosy is an infectious disease caused by Mycobacterium leprae that affects the skin and nerves. Although curable with multidrug therapy, leprosy is complicated by acute inflammatory episodes called reactions, which are the major causes of irreversible neuropathy in leprosy that occur before, during, and even after treatment. Early diagnosis and prompt treatment of reactions reduces the risk of permanent disability. Methods This exploratory study investigated whether urinary metabolic profiles could be identified that correlate with early signs of reversal reactions (RR). A prospective cohort of leprosy patients with and without reactions and endemic controls was recruited in Nepal. Urine-derived metabolic profiles were measured longitudinally. Thus, a conventional area of biomarker identification for leprosy was extended to non-invasive urine testing. Results It was found that the urinary metabolome could be used to discriminate endemic controls from untreated patients with mycobacterial disease. Moreover, metabolic signatures in the urine of patients developing RR were clearly different before RR onset compared to those at RR diagnosis. Conclusions This study indicates that urinary metabolic profiles are promising host biomarkers for the detection of intra-individual changes during acute inflammation in leprosy and could contribute to early treatment and prevention of tissue damage. |
| Databáze: | OpenAIRE |
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