Tuberculosis contacts but not patients have higher gamma interferon responses to ESAT-6 than do community controls in The Gambia.

J Vekemans; C Lienhardt; JS Sillah; JG Wheeler; GP Lahai; MT Doherty; T Corrah; P Andersen; KP McAdam; A Marchant; (2001) Tuberculosis contacts but not patients have higher gamma interferon responses to ESAT-6 than do community controls in The Gambia. Infection and immunity, 69 (10). pp. 6554-6557. ISSN 0019-9567 DOI: 10.1128/IAI.69.10.6554-6557.2001
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The Mycobacterium tuberculosis antigen ESAT-6 has been proposed for tuberculosis immunodiagnosis. In The Gambia, 30% of community controls produced gamma interferon (IFN-gamma) in response to ESAT-6. Increased proportions of responders and intensities of responses were found in household contacts. Responses that were initially low in tuberculosis patients increased after treatment. An ESAT-6 IFN-gamma assay will be of limited use in the diagnosis of tuberculosis in countries where tuberculosis is endemic. Its role in contact tracing should be evaluated further.

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