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Chinese Journal of Antituberculosis ›› 2022, Vol. 44 ›› Issue (7): 720-726.doi: 10.19982/j.issn.1000-6621.20220103

• Review Articles • Previous Articles     Next Articles

Progress and clinical application of immunological detection technology for Mycobacterium tuberculosis infection

JIA Hong-yan, DONG Jing, ZHANG Zong-de, PAN Li-ping()   

  1. Beijing Key Laboratory for Drug Resistant Tuberculosis Research/Beijing Tuberculosis and Thoracic Tumor Research Institute/Beijing Chest Hospital, Capital Medical University, Beijing 101149, China
  • Received:2022-03-31 Online:2022-07-10 Published:2022-07-06
  • Contact: PAN Li-ping E-mail:panliping2006@163.com
  • Supported by:
    National Natural Science Foundation(81902024);National Natural Science Foundation(82172279);Beijing Municipal Administration of Hospitals Ascent Plan(DFL20181601);Tongzhou Yunhe Project(YH201807);Tongzhou Yunhe Project(YH202001)

Abstract:

In the world and China, tuberculosis is still one of the infectious diseases requiring more attention to the prevention and control. Although the positive detection of Mycobacterium tuberculosis nucleic acid has been defined as one of the basis for the diagnosis of tuberculosis, there are still a large number of tuberculosis patients with negative etiology in clinic and need to rely on immunological detection technology for auxiliary diagnosis. The immunopathological response and anti-tuberculosis immune response caused by Mycobacterium tuberculosis infection are the basis for the development of immunological technologies. Various kinds of cells, cytokines, chemokines, and antibodies, etc., involved in different stages of the immune response, are all potential targets for immunological diagnosis. In recent years, a number of new immunological technologies have been developed based on these targets, including interferon-γ release assay, new tuberculin test, IP-10 test and IFN-γ/IL-2 dual release assay, offers new hopes for diagnosis of Mycobacterium tuberculosis infection and tuberculosis. In addition, some new protein biomarkers and poly-functional lymphocytes in the development process also show good potential diagnostic values. Herein, the current application status, advantages and disadvantages of immune diagnostic technologies that have been used in clinical practice are reviewed, and biomarkers and other potential targets that may be used in clinic in the future are discussed.

Key words: Mycobacterium tuberculosis, Infection, Immunity, Clinical laboratory techniques

CLC Number: