The serum concentration of vitamin B12 as a biomarker of therapeutic response in tuberculosis patients with and without human immunodeficiency virus (HIV) infection
International Journal of General Medicine Sep 27, 2019
Gebremicael G, Alemayehu M, Sileshi M, et al. - From a total of 262 study participants with five clinical groups ie, 57 TB patients coinfected with HIV (HIV+TB+), 87 active TB Patients (TB cases), 71 HIV infected without active and latent TB infection (HIV+TST-), 22 latent TB infection (TST+) and 25 healthy controls (TST-), micronutrients concentration level was measured. Between active TB and latent (LTBI) or healthy controls, there was a notable variation in the serum concentration levels of iron, vitamin A and vitamin B12. Six months following treatment, the serum concentration levels of vitamin A, vitamin B12 and iron in tuberculosis became indifferentiable from the levels of LTBIs and healthy control people. At the end of TB treatment, the concentration levels of iron and vitamin B12 in HIV+TB+patients were normalized to the levels noted in healthy controls (TST–) irrespective of HAART treatment. Nevertheless, in HIV+TB+patients HAART untreated at the end of TB treatment, the vitamin A concentration level was not normalized to the levels recognized in healthy controls (TST–) or HAART untreated HIV+TST–. Thus, detecting serum concentration levels of vitamin B12 and vitamin A could be used as a biomarker of the diagnostic method of active TB despite HIV-infected individuals. Furthermore, in TB-HIV-co-infected individuals, identifying the serum concentration of vitamin B12 might also be used for TB treatment responses monitoring biomarkers irrespective of HAART (in)eligibility and therapy.
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