Luo Xiaomei,Xiong Yuxia,Cao Jun,Wang Yanni,Yang Gangyi,Li Ling,Liao Yong.Diagnostic value of whole blood gamma interferon-inducible protein 10 release assay in active pulmonary tuberculosis[J].J Amry Med Univ (J Third Mil Med Univ),2013,35(19):2092-2094.
Luo Xiaomei,Xiong Yuxia,Cao Jun,Wang Yanni,Yang Gangyi,Li Ling,Liao Yong.Diagnostic value of whole blood gamma interferon-inducible protein 10 release assay in active pulmonary tuberculosis[J].J Amry Med Univ (J Third Mil Med Univ),2013,35(19):2092-2094.DOI:
Objective To determine the clinical value of interferon-inducible protein 10 (IP-10) in auxiliary diagnosis of active tuberculosis. Methods The level of non-specific IP-10 was evaluated in the plasma of 66 active tuberculosis patients
40 non-pulmonary tuberculous patients and 40 healthy controls
and the level of s
pecific IP-10 was detected in the whole blood after stimulated by purified mycobacterium tuberculosis-specific antigen ESAT6 and culture filtrate protein 10 (CFP10). Then the receiver operating characteristic (ROC) curve was drawn to determine the diagnostic value of non-specific IP-10 and specific IP-10 to detect active tuberculosis. Results The non-specific IP-10 level of the active tuberculosis group (139.6±124.2 pg/mL) was obviously higher than that of the healthy control group (33.5±17.7 pg/mL
P
0.05)
but had no difference with that of the non-tuberculous pulmonary disease group (88.1±73.3 pg/mL
P0.05). After stimulated by the ESAT6 and CFP10
the specific IP-10 level of active tuberculosis group (146.0±167.1 pg/mL) was significantly higher than that of non-tuberculous pulmonary disease group (26.6±9.7 pg/mL
P
0.01) and that of the healthy control group (24.2±9.7 pg/mL
P
0.01). After ROC analysis
the threshold of the specific IP-10 for diagnosis of tuberculosis was 41.1 pg/mL and its sensitivity and specificity were 70.8% and 91.8% respectively. The area under curve (AUC) of the specific IP-10 was 0.905
which was obviously higher than that of non-specific IP-10 (0.747
P
0.01). Conclusion The gamma interferon-inducible protein 10 release assay can be used as auxiliary diagnostic method for active tuberculosis. The diagnostic value of the specific IP-10 is better than that of non-specific IP-10.