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Host-response-based gene signatures for tuberculosis diagnosis: A systematic comparison of 16 signatures

PLoS Medicine May 06, 2019

Warsinske H, et al. - Via searching PubMed, Gene Expression Omnibus (GEO), and ArrayExpress in June 2018, researchers compared published gene signatures for the diagnosis of active tuberculosis (ATB) across a wide range of publicly available datasets of gene expression, and assessed their performance against World Health Organization (WHO)/Foundation for Innovative New Diagnostics (FIND) target product profiles (TPPs). They identified and compared 16 gene signatures for ATB diagnosis with other clinical conditions. Investigators found that two of the proposed gene signatures met WHO criteria for a triage test based on non-sputum across heterogeneous culture-confirmed datasets. Importantly, in its diagnostic accuracy, only one of these two signatures had a low false-positive rate and no heterogeneity, suggesting that it is generalizable across diverse populations of patients. The study findings strongly suggested that ATB host-response diagnostics have the potential to help achieve the WHO goal of ending TB by 2035 and should be considered for clinical implementation.
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