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Cited by 297

The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.

Persisting positron emission tomography lesion activity and Mycobacterium tuberculosis mRNA after tuberculosis cure

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the Catalysis TB–Biomarker Consortium, Malherbe, Stephanus T, Shenai, Shubhada, Ronacher, Katharina, Loxton, Andre G, Dolganov, Gregory, Kriel, Magdalena, Van, Tran, Chen, Ray Y, Warwick, James, Via, Laura E, Song, Taeksun, Lee, Myungsun, Schoolnik, Gary, Tromp, Gerard, Alland, David, Barry, Clifton E, Winter, Jill, Walzl, Gerhard, Lucas, Lance, van der Spuy, Gian, Stanley, Kim, Thiart, Lani, Smith, Bronwyn, Du Plessis, Nelita, Beltran, Caroline G G, Maasdorp, Elizna, Ellmann, Annare, Choi, Hongjo, Joh, Joonsung, Dodd, Lori E, Allwood, Brian, Koegelenberg, Coenie, Vorster, Morné, Griffith-Richards, Stephanie·2016·Nature Medicine

Abstract

The absence of a gold standard to determine when antibiotics induce a sterilizing cure has confounded the development of new approaches to treat pulmonary tuberculosis (PTB). We detected positron emission tomography and computerized tomography (PET–CT) imaging response patterns consistent with active disease, along with the presence of Mycobacterium tuberculosis (MTB) mRNA in sputum and bronchoalveolar lavage samples, in a substantial proportion of adult, HIV-negative patients with PTB after a standard 6-month treatment plus 1 year follow-up, including patients with a durable cure and others who later developed recurrent disease. The presence of MTB mRNA in the context of nonresolving and intensifying lesions on PET–CT images might indicate ongoing transcription, suggesting that even apparently curative treatment for PTB may not eradicate all of the MTB bacteria in most patients. This suggests an important complementary role for the immune response in maintaining a disease-free state. Sterilizing drugs or host-directed therapies, and better treatment response markers, are probably needed for the successful development of improved and shortened PTB-treatment strategies.

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Authors
the Catalysis TB–Biomarker Consortium, Malherbe, S. T., Shenai, S., Ronacher, K., Loxton, A. G., Dolganov, G., Kriel, M., Van, T., Chen, R. Y., Warwick, J., Via, L. E., Song, T., Lee, M., Schoolnik, G., Tromp, G., Alland, D., Barry, C. E., Winter, J., Walzl, G., Lucas, L., van der Spuy, G., Stanley, K., Thiart, L., Smith, B., Du Plessis, N., Beltran, C. G. G., Maasdorp, E., Ellmann, A., Choi, H., Joh, J., Dodd, L. E., Allwood, B., Koegelenberg, C., Vorster, M., & Griffith-Richards, S.
Venue
Nature Medicine
Published
2016-09-05
Volume
22
Issue
10
Pages
1094-1100
ISSN
  • 1078-8956 (ISSN-L)
  • 1546-170X
OpenAlex
W2510407367
Cited by
297
References
2
FWCI
29.12
Type
journal article
Language
en
Open access
green

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