Assessment of metabolic (Adiponectin, Leptin) and inflammatory markers (TNF-α, hs-CRP & IFN-γ) in Pulmonary Tuberculosis: Prospective Study
Journal Title: International Journal of Clinical Biochemistry and Research - Year 2017, Vol 4, Issue 3
Abstract
Introduction: Tuberculosis (TB) remains one of the world’s deadliest communicable diseases. In 2013, an estimated 9.0 million people developed TB and 1.5 million died from the disease. TB is slowly declining each year and it is estimated that 37 million lives were saved between 2000 and 2013 through effective diagnosis and treatment. Objectives: The present study enrolled Pulmonary TB subjects with the objectives to estimate the levels of serum Adiponectin, Leptin, Tumour Necrosis Factor (TNF-α), high sensitivity-C Reactive Protein (hs-CRP) & Interferon- γ (IFN-γ) and to find correlation between Adiponectin, Leptin, Adiponectin/Leptin ratio, TNF-α, hs-CRP & IFN-γ in patients before and after treatment. Materials and Method: The study involved all the patients who were newly diagnosed as pulmonary tuberculosis in the OPD of Pulmonary Medicine of SGT Hospital. Venous blood samples of 50 patients of TB were collected before and after treatment with Anti TB drugs to estimate the levels of Adiponectin, Leptin, hs-CRP, INF–γ and TNF-α by commercially available kits in the Laboratory of Department of Biochemistry. Results: The levels of Adiponectin were higher in subjects diagnosed as new case sputum positive Pulmonary TB whereas the levels of Leptin and BMI measurements were low. Inflammatory markers like TNF-α, hs-CRP & IFN-γ were high in subjects before treatment and decreased after 6 months of Anti-Tubercular Treatment under DOTS Category 1. Conclusion: Adiponectin, Leptin, TNF-α, hs-CRP & IFN-γ can be labeled as potential biomarkers in the pathogenesis of Tuberculosis.
Authors and Affiliations
Neeraj Indora, Kapil Sharma, Busi Karunanand, DPS Sudan, Ashok Kumar Shah
Dyslipidemia correlating with reduced glomerular filtration rate in apparently healthy individuals
There are many studies relating the renal dysfunction with dyslipidemia. This study intended to assess the correlation of estimated glomerular filtration rate (eGFR) with the lipid levels in apparently healthy individual...
Status of vitamin D levels in hypothyroid patients and its associations with TSH, T3 and T4 in north Indian population of Meerut, a cross sectional study
Introduction: Vitamin D deficiency has been identified as a risk factor for several autoimmune diseases, cancers, atherosclerosis, etc. Its deficiency has also been shown to be associated with hypothyroidism with inconcl...
Investigating pre and post-operative blood gases and serum electrolyte in patients undergoing coronary artery bypass surgery (CABG)
Background: Arterial blood gas analysis is a common investigation exercised in emergency room and ICU. In post-operative CABG patients, acid base alterations is the commonest problem encountered. Thus, constant check on...
Relation between serum electrolytes & serum creatinine levels in diabetes mellitus
Aim: Diabetes mellitus with altered renal function is associated with the disturbed pattern in serum electrolytes. There arises a need to evaluate the serum electrolytes in diabetic patients according to the stage of the...
Insight into the exocrine pancreatic function (serum amylase and lipase) in type 2 diabetes mellitus
Introduction Insulin has its effect on the basal and stimulatory secretion of exocrine pancreatic enzymes In this context this study has been done to understand the relationship between the exocrine and endocrine entitie...