1. A pilot metabolomics study of tuberculosis immune reconstitution inflammatory syndrome
- Author
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Sebabrata Mahapatra, Kristofor J. Webb, Reem Almubarak, Samantha Bokatzian, John T. Belisle, Diane V. Havlir, Anne F Luetkemeyer, Michelle A. Kendall, Laura Hovind, Barbara Graham, Carlos A.M. Silva, Marisa Harton, Laura V. Ashton, and Mary Ann De Groote
- Subjects
Male ,0301 basic medicine ,Human immunodeficiency virus (HIV) ,HIV Infections ,Pilot Projects ,urologic and male genital diseases ,Bioinformatics ,medicine.disease_cause ,chemistry.chemical_compound ,0302 clinical medicine ,Immune Reconstitution Inflammatory Syndrome ,Tandem Mass Spectrometry ,Medicine ,030212 general & internal medicine ,Chromatography ,Liquid ,Pulmonary ,General Medicine ,female genital diseases and pregnancy complications ,3. Good health ,AIDS ,Infectious Diseases ,Medical Microbiology ,Public Health and Health Services ,HIV/AIDS ,Female ,Arachidonic acid ,Infection ,Adult ,Microbiology (medical) ,Tuberculosis ,Biosignature features ,Anti-HIV Agents ,Clinical Trials and Supportive Activities ,030106 microbiology ,Microbiology ,Article ,lcsh:Infectious and parasitic diseases ,03 medical and health sciences ,Rare Diseases ,Metabolomics ,Acquired immunodeficiency syndrome (AIDS) ,Immune reconstitution inflammatory syndrome ,Clinical Research ,Humans ,lcsh:RC109-216 ,cardiovascular diseases ,Tuberculosis, Pulmonary ,urogenital system ,business.industry ,fungi ,IRIS ,medicine.disease ,Sphingolipid ,Clinical trial ,Emerging Infectious Diseases ,Good Health and Well Being ,chemistry ,business ,Chromatography, Liquid - Abstract
Background: Diagnosis of paradoxical tuberculosis-associated immune reconstitution inflammatory syndrome (TB-IRIS) is challenging and new tools are needed for early diagnosis as well as to understand the biochemical events that underlie the pathology in TB-IRIS. Methods: Plasma samples were obtained from participants from a randomized HIV/TB treatment strategy study (AIDS Clinical Trials Group [ACTG] A5221) with (n = 26) and without TB-IRIS (n = 22) for an untargeted metabolomics pilot study by liquid-chromatography mass spectrometry. The metabolic profile of these participants was compared at the study entry and as close to the diagnosis of TB-IRIS as possible (TB-IRIS window). Molecular features with p
- Published
- 2019
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