The invention discloses a
plasma exosome marker of
tuberculosis (TB) and application of the
plasma exosome marker, and belongs to the field of biomedical diagnosis, the
plasma exosome marker comprises hsa-miR-451a, hsa-miR-1908-5p and hsa-miR-1268b, the expression of hsa-miR-451a in the plasma exosome of an active TB patient is up-regulated, and the expression of the hsa-miR-451a and the expression of the hsa-miR-451a and the expression of the hsa-miR-1908-5p are down-regulated. The expression levels of the markers are detected by using a droplet digital PCR technology, and a
multinomial logistic regression diagnosis model is constructed based on a detection result. Experiments prove that when the three miRNA combinations are used for distinguishing
active tuberculosis from
healthy control (HC), the area (AUC) under a working characteristic curve of a subject reaches 0.970; when
latent tuberculosis infection (LTBI) is distinguished from a
healthy control, AUC is 0.971; and when the secondary miRNA combination of the hsa-miR-451a and the hsa-miR-1268b is used for distinguishing the
asymptomatic tuberculosis (aTB) from the
healthy control, the AUC is 0.880. The TB early diagnosis accuracy is remarkably improved, the non-invasive
advantage is achieved, wide application prospects are achieved in the aspects of preparation of diagnostic reagents and kits,
clinical diagnosis,
disease monitoring and the like, and global
tuberculosis prevention and control work is powerfully promoted.