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Method for diagnosing tuberculosis in a urine sample

A technology for tuberculosis, pulmonary tuberculosis, applied in the field of diagnosing tuberculosis in urine samples, which can solve the problems of inability to distinguish latent TB, unvalidated biomarkers, and no commercially available point-of-care tests for diagnosing TB

Active Publication Date: 2018-09-18
UNIVERSITY OF CAPE TOWN
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

However, these biomarkers have not been validated and cannot distinguish latent TB from active TB
[0004] However, to date there are no commercially available point-of-care tests for the rapid and affordable diagnosis of TB

Method used

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  • Method for diagnosing tuberculosis in a urine sample
  • Method for diagnosing tuberculosis in a urine sample
  • Method for diagnosing tuberculosis in a urine sample

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0061] Example 1: Identification of Mycobacterium tuberculosis-derived proteins that are selectively present in urine samples from patients with active TB, latent TB infection, or non-TB disease

[0062] method

[0063] Material

[0064]Acetonitrile and formic acid were both HPLC analytical grade and were purchased from Thermo Fisher Scientific (Waltham, MA). 18.0 MΩ water was produced using the Mili-Q UV Plus water purification system. Dithiothreitol (DTT), ammonium bicarbonate and iodoacetamide (IAA) were all purchased from Sigma Aldrich (St. Louis, MO, USA). Trypsin was purchased from Promega (Madison, WI, USA).

[0065] Urine Collection and Clinical Case Definitions

[0066] Urine samples were collected from patients seen in South African clinics who were suspected of being infected with TB ( Figure 1a ). Informed consent was obtained from all participants and the study was approved by the Health Sciences Human Research Ethics Committee of the University of Cape T...

Embodiment 2

[0131] Example 2: Identification of Mycobacterium tuberculosis-derived proteomes present in patient urine samples that differentiate active TB, latent TB infection, and non-TB / non-LTBI disease

[0132] The data from Example 1 regarding the frequency at which tryptic peptides derived from individual M.tb proteins were observed in pooled and individual urine samples were collated and presented in Table 7, from which apparently no to one M.tb protein present in every sample from a given group and absent in all other samples (e.g. present in all active TB patient urine samples but not in all LTBI and non-TB / non- -absent in LTBI samples). Of note, the proteins with the highest frequencies observed in the various urine samples showed relatively poor discrimination between the three patient groups. For example, Rv0765c was observed in 4 of 5 TB samples (consisting of 2 of 2 pooled samples and 2 of 3 individual samples), but not in 3 non-TB / non-LTBI samples Also observed in 2 of . ...

Embodiment 3

[0138] Example 3: Targeted identification of proteins derived from Mycobacterium tuberculosis in patient urine samples

[0139] Sample Preparation

[0140] Urine samples were collected from 64 individual TB suspects recruited from 3 patient groups of approximately equal size: as in Example 1, the patient groups were active TB, LTBI and non-TB / non-LTBI; all patients were HIV negative of. Proteins from individual urine samples (10ml per sample) were fractionated first through 15ml filters of 50kDa molecular weight cut-off (MWCO) essentially as described in Example 1, followed by 15ml 3kDa MWCO filters followed by 0.5ml 3kDa MWCO The filtrate was concentrated by a filter. Protein (approximately 30 μg) from each sample was proteolyzed using trypsin by filter assisted sample preparation (FASP) according to literature protocol (37). Tryptic peptides were recovered for each individual sample and desalted prior to LC-MS / MS analysis. Equal amounts of peptides from each of the 64 ...

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Abstract

A method of diagnosing tuberculosis disease or infection from a urine sample of a subject is provided, wherein the urine sample is tested for the presence of at least one Mycobacterium tuberculosis-specific biomarkers selected from Rv1475c, Rv1977, Rv0014c, Rv2748c, Rv1664, Rv1 161, Rv2280, Rv2694c, Rv2490c, Rv0578c, Rv1450c, Rv1522c, Rv2737c, Rv2981 c, Rv0765c, Rv2126c, Rv1759c, Rv1464, Rv3202c, Rv0668, Rv3345c, Rv3775, Rv3736, Rv2455c, Rv3885c and Rv1235. The method can distinguish active tuberculosis disease from latent tuberculosis infection. A point-of-care diagnostic device and a kit for use in the method are also provided.

Description

technical field [0001] The present invention relates to the identification of Mycobacterium tuberculosis specific biomarkers in urine and to the use of these biomarkers in the diagnosis of active tuberculosis (TB) or latent tuberculosis infection (LTBI) using urine samples from patients Methods. Background technique [0002] Tuberculosis (TB) is a major global health problem, and to improve case detection, the WHO has endorsed the GeneXpert MTB / RIF test (1). For the TB ward, GeneXpert is a great advance for improving diagnosis; however, it was not designed with resource-poor settings in mind. For example, GeneXpert requires patients to produce sputum (which excludes many HIV-positive individuals, some HIV-negative persons, those with extrapulmonary TB, and children), and in "culture-positive, smear-negative" TB patients has about Sensitivity of 70%, suboptimal for diagnosing extrapulmonary TB, and expensive (2). Other diagnostic tests such as the Determine TB LAM antigen ...

Claims

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Application Information

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Patent Type & Authority Patents(China)
IPC IPC(8): G01N33/569
CPCG01N33/5695G01N2333/35
Inventor J·M·布莱克本B·L·扬-贾马纳K·U·J·德贺达
Owner UNIVERSITY OF CAPE TOWN