0086) according to Student’s t-test. No statistically significant difference was found between the LTBI and CN groups, Selleck INCB024360 with high levels of IFN-γ in both. However, the ROC curve analysis for the CN and LTBI, TB disease and CN, TB
(latent infection + disease) and CN did not show any statistically significant difference (P > 0.05), suggesting that tests based on PPD have poor specificity compared to ESAT-6 tests. The PPD in vitro is thus not very useful for the identification of children with TB, those vaccinated with BCG or those who have had contact with environmental mycobacteria, which concurs with the data reported by Brock et al. [41]. Briefly, we suggest that an immunodiagnostic test based on the ESAT-6 antigen may be most appropriate for the diagnosis of childhood TB, both latent infection and TB disease, because it exhibits relatively high sensitivity and high specificity, especially in children that live in areas where TB is endemic. Furthermore, this test does not display cross-reactivity with BCG vaccination or most environmental mycobacteria, which may be a useful auxiliary tool for the diagnosis of TB in children, when associated with epidemiological data and clinical findings. check details The test merits further evaluation using a larger sample. We are grateful to Victor L. Melo (UFPE, Recife-PE) for
assistance in collecting the blood samples and applying the epidemiological questionnaire, to Gilvan Mariano for helping to prepare the tables and figure, to Wlademir G. Melo (CPqAM-FIOCRUZ, Recife-PE) for preparing the medium used for blood cultures and to the PDTIS (Programa de Desenvolvimento Tecnológico de Insumos em Saúde) /FIOCRUZ and CAPES for financial support. Daniele
S. de Moraes Van-Lume, MSc, was responsible for conducting the preparation and culture of blood cells and ELISA technique execution and participating actively in the review of the literature, the discussion of the results and in the writing of the scientific paper. Joelma Rodrigues de Souza, MSc, carried out the standardization of the kinetic curve and conducted the antigen stimulation of the blood cell cultures. Drª Marta M. L. Cabral, Joakim R. Barros and Drª Carnitine palmitoyltransferase II Haiana C. Schindler were responsible for the selection of patients and negative control enrolled in this research. Drª Maria Helena Saad contributed to discussion of the article and was responsible for ESAT-6 antigen donation by the Oswaldo Cruz Institute – FIOCRUZ. Dr. Valdir Balbino carried out a statistical analysis of the results obtained in this study. Dr. Frederico Guilherme Coutinho Abath (in memoriam) and Drª Silvia Maria Lucena Montenegro were the researchers responsible for designing the project and discussing the results of this study. “
“Patients with hereditary angioedema (HAE) tend to produce autoantibodies and have a propensity to develop immunoregulatory disorders.