Identification of Reduced Host Transcriptomic Signatures for Tuberculosis Disease and Digital PCR-Based Validation and Quantification

Recently, host whole blood gene expression signatures have been identified for diagnosis of tuberculosis (TB). Absolute quantification of the concentrations of signature transcripts in blood have not been reported, but would facilitate diagnostic test development. To identify minimal transcript sign...

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Published inFrontiers in immunology Vol. 12; p. 637164
Main Authors Gliddon, Harriet D., Kaforou, Myrsini, Alikian, Mary, Habgood-Coote, Dominic, Zhou, Chenxi, Oni, Tolu, Anderson, Suzanne T., Brent, Andrew J., Crampin, Amelia C., Eley, Brian, Heyderman, Robert, Kern, Florian, Langford, Paul R., Ottenhoff, Tom H. M., Hibberd, Martin L., French, Neil, Wright, Victoria J., Dockrell, Hazel M., Coin, Lachlan J., Wilkinson, Robert J., Levin, Michael
Format Journal Article
LanguageEnglish
Published Switzerland Frontiers Media S.A 02.03.2021
Subjects
Online AccessGet full text
ISSN1664-3224
1664-3224
DOI10.3389/fimmu.2021.637164

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Abstract Recently, host whole blood gene expression signatures have been identified for diagnosis of tuberculosis (TB). Absolute quantification of the concentrations of signature transcripts in blood have not been reported, but would facilitate diagnostic test development. To identify minimal transcript signatures, we applied a transcript selection procedure to microarray data from African adults comprising 536 patients with TB, other diseases (OD) and latent TB (LTBI), divided into training and test sets. Signatures were further investigated using reverse transcriptase (RT)—digital PCR (dPCR). A four-transcript signature ( GBP6, TMCC1, PRDM1 , and ARG1 ) measured using RT-dPCR distinguished TB patients from those with OD (area under the curve (AUC) 93.8% (CI 95% 82.2–100%). A three-transcript signature ( FCGR1A, ZNF296, and C1QB ) differentiated TB from LTBI (AUC 97.3%, CI 95% : 93.3–100%), regardless of HIV. These signatures have been validated across platforms and across samples offering strong, quantitative support for their use as diagnostic biomarkers for TB.
AbstractList Recently, host whole blood gene expression signatures have been identified for diagnosis of tuberculosis (TB). Absolute quantification of the concentrations of signature transcripts in blood have not been reported, but would facilitate diagnostic test development. To identify minimal transcript signatures, we applied a transcript selection procedure to microarray data from African adults comprising 536 patients with TB, other diseases (OD) and latent TB (LTBI), divided into training and test sets. Signatures were further investigated using reverse transcriptase (RT)—digital PCR (dPCR). A four-transcript signature (GBP6, TMCC1, PRDM1, and ARG1) measured using RT-dPCR distinguished TB patients from those with OD (area under the curve (AUC) 93.8% (CI95% 82.2–100%). A three-transcript signature (FCGR1A, ZNF296, and C1QB) differentiated TB from LTBI (AUC 97.3%, CI95%: 93.3–100%), regardless of HIV. These signatures have been validated across platforms and across samples offering strong, quantitative support for their use as diagnostic biomarkers for TB.
Recently, host whole blood gene expression signatures have been identified for diagnosis of tuberculosis (TB). Absolute quantification of the concentrations of signature transcripts in blood have not been reported, but would facilitate diagnostic test development. To identify minimal transcript signatures, we applied a transcript selection procedure to microarray data from African adults comprising 536 patients with TB, other diseases (OD) and latent TB (LTBI), divided into training and test sets. Signatures were further investigated using reverse transcriptase (RT)-digital PCR (dPCR). A four-transcript signature (GBP6, TMCC1, PRDM1, and ARG1) measured using RT-dPCR distinguished TB patients from those with OD (area under the curve (AUC) 93.8% (CI95% 82.2-100%). A three-transcript signature (FCGR1A, ZNF296, and C1QB) differentiated TB from LTBI (AUC 97.3%, CI95%: 93.3-100%), regardless of HIV. These signatures have been validated across platforms and across samples offering strong, quantitative support for their use as diagnostic biomarkers for TB.Recently, host whole blood gene expression signatures have been identified for diagnosis of tuberculosis (TB). Absolute quantification of the concentrations of signature transcripts in blood have not been reported, but would facilitate diagnostic test development. To identify minimal transcript signatures, we applied a transcript selection procedure to microarray data from African adults comprising 536 patients with TB, other diseases (OD) and latent TB (LTBI), divided into training and test sets. Signatures were further investigated using reverse transcriptase (RT)-digital PCR (dPCR). A four-transcript signature (GBP6, TMCC1, PRDM1, and ARG1) measured using RT-dPCR distinguished TB patients from those with OD (area under the curve (AUC) 93.8% (CI95% 82.2-100%). A three-transcript signature (FCGR1A, ZNF296, and C1QB) differentiated TB from LTBI (AUC 97.3%, CI95%: 93.3-100%), regardless of HIV. These signatures have been validated across platforms and across samples offering strong, quantitative support for their use as diagnostic biomarkers for TB.
Recently, host whole blood gene expression signatures have been identified for diagnosis of tuberculosis (TB). Absolute quantification of the concentrations of signature transcripts in blood have not been reported, but would facilitate diagnostic test development. To identify minimal transcript signatures, we applied a transcript selection procedure to microarray data from African adults comprising 536 patients with TB, other diseases (OD) and latent TB (LTBI), divided into training and test sets. Signatures were further investigated using reverse transcriptase (RT)-digital PCR (dPCR). A four-transcript signature ( , and ) measured using RT-dPCR distinguished TB patients from those with OD (area under the curve (AUC) 93.8% (CI 82.2-100%). A three-transcript signature ( ) differentiated TB from LTBI (AUC 97.3%, CI : 93.3-100%), regardless of HIV. These signatures have been validated across platforms and across samples offering strong, quantitative support for their use as diagnostic biomarkers for TB.
Recently, host whole blood gene expression signatures have been identified for diagnosis of tuberculosis (TB). Absolute quantification of the concentrations of signature transcripts in blood have not been reported, but would facilitate diagnostic test development. To identify minimal transcript signatures, we applied a transcript selection procedure to microarray data from African adults comprising 536 patients with TB, other diseases (OD) and latent TB (LTBI), divided into training and test sets. Signatures were further investigated using reverse transcriptase (RT)—digital PCR (dPCR). A four-transcript signature ( GBP6, TMCC1, PRDM1 , and ARG1 ) measured using RT-dPCR distinguished TB patients from those with OD (area under the curve (AUC) 93.8% (CI 95% 82.2–100%). A three-transcript signature ( FCGR1A, ZNF296, and C1QB ) differentiated TB from LTBI (AUC 97.3%, CI 95% : 93.3–100%), regardless of HIV. These signatures have been validated across platforms and across samples offering strong, quantitative support for their use as diagnostic biomarkers for TB.
Author Crampin, Amelia C.
Hibberd, Martin L.
Wilkinson, Robert J.
Eley, Brian
Dockrell, Hazel M.
Ottenhoff, Tom H. M.
Kaforou, Myrsini
Langford, Paul R.
Coin, Lachlan J.
French, Neil
Oni, Tolu
Gliddon, Harriet D.
Habgood-Coote, Dominic
Brent, Andrew J.
Levin, Michael
Zhou, Chenxi
Wright, Victoria J.
Kern, Florian
Alikian, Mary
Anderson, Suzanne T.
Heyderman, Robert
AuthorAffiliation 23 Department of Immunology and Infection, and Tuberculosis (TB) Centre, London School of Hygiene and Tropical Medicine , London , United Kingdom
25 Department of Medicine, Imperial College London , London , United Kingdom
9 Nuffield Department of Medicine, University of Oxford , Oxford , United Kingdom
20 Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine , London , United Kingdom
1 Section of Paediatrics, Department of Infectious Disease, Faculty of Medicine, Imperial College London , London , United Kingdom
6 School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town , Cape Town , South Africa
16 Division of Infection and Immunity, Faculty of Medical Sciences, University College London , London , United Kingdom
24 The Francis Crick Institute , London , United Kingdom
26 Wellcome Centre for Infectious Diseases Research in Africa, Institute of Infectious Diseases and Molecular Medicine, University of Cape Town , Ca
AuthorAffiliation_xml – name: 6 School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town , Cape Town , South Africa
– name: 24 The Francis Crick Institute , London , United Kingdom
– name: 5 Institute for Molecular Bioscience, University of Queensland , Brisbane, QLD , Australia
– name: 4 Centre for Haematology, Faculty of Medicine, Imperial College London , London , United Kingdom
– name: 26 Wellcome Centre for Infectious Diseases Research in Africa, Institute of Infectious Diseases and Molecular Medicine, University of Cape Town , Cape Town , South Africa
– name: 18 Brighton and Sussex University Hospitals National Health Service (NHS) Trust , Brighton , United Kingdom
– name: 17 Brighton and Sussex Medical School, University of Sussex , Brighton , United Kingdom
– name: 19 Department of Infectious Diseases, Leiden University Medical Center , Leiden , Netherlands
– name: 10 Oxford University Hospitals National Health Service (NHS) Foundation Trust , Oxford , United Kingdom
– name: 23 Department of Immunology and Infection, and Tuberculosis (TB) Centre, London School of Hygiene and Tropical Medicine , London , United Kingdom
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– name: 7 Brighton and Sussex Medical School , Brighton , United Kingdom
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– name: 16 Division of Infection and Immunity, Faculty of Medical Sciences, University College London , London , United Kingdom
– name: 9 Nuffield Department of Medicine, University of Oxford , Oxford , United Kingdom
– name: 3 Imperial Molecular Pathology, Imperial Healthcare Trust, Hammersmith Hospital , London , United Kingdom
– name: 11 Malawi Epidemiology and Intervention Research Unit , Chilumba , Malawi
– name: 13 Karonga Prevention Study , Chilumba , Malawi
– name: 14 Paediatric Infectious Diseases Unit, Red Cross War Memorial Children's Hospital , Cape Town , South Africa
– name: 22 Centre for Global Vaccine Research, Institute of Infection & Global Health, University of Liverpool , Liverpool , United Kingdom
– name: 25 Department of Medicine, Imperial College London , London , United Kingdom
– name: 21 Tropical and Infectious Disease Unit, Royal Liverpool and Broadgreen University Hospitals National Health Service (NHS) Trust , Liverpool , United Kingdom
– name: 8 Brighton and Malawi Liverpool Wellcome Trust Unit , Blantyre , Malawi
– name: 20 Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine , London , United Kingdom
– name: 12 London School of Hygiene & Tropical Medicine , London , United Kingdom
– name: 15 Department of Paediatrics and Child Health, University of Cape Town , Cape Town , South Africa
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ContentType Journal Article
Copyright Copyright © 2021 Gliddon, Kaforou, Alikian, Habgood-Coote, Zhou, Oni, Anderson, Brent, Crampin, Eley, Heyderman, Kern, Langford, Ottenhoff, Hibberd, French, Wright, Dockrell, Coin, Wilkinson and Levin.
Copyright © 2021 Gliddon, Kaforou, Alikian, Habgood-Coote, Zhou, Oni, Anderson, Brent, Crampin, Eley, Heyderman, Kern, Langford, Ottenhoff, Hibberd, French, Wright, Dockrell, Coin, Wilkinson and Levin. 2021 Gliddon, Kaforou, Alikian, Habgood-Coote, Zhou, Oni, Anderson, Brent, Crampin, Eley, Heyderman, Kern, Langford, Ottenhoff, Hibberd, French, Wright, Dockrell, Coin, Wilkinson and Levin
Copyright_xml – notice: Copyright © 2021 Gliddon, Kaforou, Alikian, Habgood-Coote, Zhou, Oni, Anderson, Brent, Crampin, Eley, Heyderman, Kern, Langford, Ottenhoff, Hibberd, French, Wright, Dockrell, Coin, Wilkinson and Levin.
– notice: Copyright © 2021 Gliddon, Kaforou, Alikian, Habgood-Coote, Zhou, Oni, Anderson, Brent, Crampin, Eley, Heyderman, Kern, Langford, Ottenhoff, Hibberd, French, Wright, Dockrell, Coin, Wilkinson and Levin. 2021 Gliddon, Kaforou, Alikian, Habgood-Coote, Zhou, Oni, Anderson, Brent, Crampin, Eley, Heyderman, Kern, Langford, Ottenhoff, Hibberd, French, Wright, Dockrell, Coin, Wilkinson and Levin
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Keywords transcriptomics
dPCR
biomarkers
gene expression
signatures
tuberculosis
Language English
License Copyright © 2021 Gliddon, Kaforou, Alikian, Habgood-Coote, Zhou, Oni, Anderson, Brent, Crampin, Eley, Heyderman, Kern, Langford, Ottenhoff, Hibberd, French, Wright, Dockrell, Coin, Wilkinson and Levin.
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This article was submitted to Microbial Immunology, a section of the journal Frontiers in Immunology
Reviewed by: Simon C. Mendelsohn, South African Tuberculosis Vaccine Initiative SATVI, South Africa; Jiezuan Yang, Zhejiang University, China
These authors have contributed equally to this work
Edited by: Malcolm Scott Duthie, HDT Biotech Corporation, United States
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Snippet Recently, host whole blood gene expression signatures have been identified for diagnosis of tuberculosis (TB). Absolute quantification of the concentrations of...
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SubjectTerms biomarkers
dPCR
gene expression
Immunology
signatures
transcriptomics
tuberculosis
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Title Identification of Reduced Host Transcriptomic Signatures for Tuberculosis Disease and Digital PCR-Based Validation and Quantification
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