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Growing presence of drug-resistant tuberculosis fuels need for more screening, faster testing and faster development of new combination therapies, experts say

A nationwide survey in China reveals one in 10 newly diagnosed TB patients are infected with drug-resistant strains, with over 5,000 cases annually. Experts emphasize the need for rapid testing to determine drug resistance and developing new combination therapies to combat multidrug-resistant tuberculosis.

SourceJohns Hopkins Medicine·JournalNew England Journal of Medicine·DateJun 6, 2012

Biosignatures distinguish between tuberculosis and sarcoidosis

Researchers have identified biosignatures for tuberculosis and sarcoidosis, but a single signature is insufficient to distinguish between the two diseases. A combination of markers is required to accurately diagnose a specific disease, enabling doctors to distinguish between different diseases with similar clinical appearances.

SourceMax-Planck-Gesellschaft·JournalProceedings of the National Academy of Sciences·DateMay 7, 2012

Scientists crack medieval bone code

Researchers at Michigan State University used advanced DNA testing to confirm the presence of brucellosis in skeletal remains from medieval Albania, suggesting the disease was endemic in the region since the Middle Ages. The findings provide valuable insights into the history of infectious diseases and their impact on human health.

SourceMichigan State University·JournalAmerican Journal of Physical Anthropology·DateJan 3, 2012

Discordance among commercially-available diagnostics for latent TB infection

A study found that commercially-available tests for latent TB infection have high false-positive rates in low-prevalence populations, with 77% of subjects having positive results with only one test. The findings suggest that risk stratification may increase the predictive value and reduce false positives.

SourceAmerican Thoracic Society·JournalAmerican Journal of Respiratory and Critical Care Medicine·DateDec 9, 2011

Diagnosis of tuberculosis is increased in postpartum women

A UK-wide cohort study found a significant increase in tuberculosis (TB) diagnoses among postpartum women, with a higher risk of TB in the six months following pregnancy. The study suggests that targeted screening of pregnant and post-partum women in high-risk groups may be necessary to prevent poorer outcomes.

SourceAmerican Thoracic Society·JournalAmerican Journal of Respiratory and Critical Care Medicine·DateDec 9, 2011

Vaccine targeting latent TB enters clinical testing

A new TB vaccine candidate has entered Phase I clinical trials in South Africa to assess its safety and immunogenicity in latently infected adults. The vaccine, SSI H56-IC31, has shown efficacy in pre-clinical studies and holds promise for preventing active TB disease in a vast population.

SourceAeras·DateDec 1, 2011

Vaccination with a 1-2 punch effective against TB

Researchers developed a new TB vaccine H56 that reduces clinical disease and prevents reactivation of latent infection when combined with BCG, a current but ineffective vaccine. This breakthrough could lead to improved protection against TB.

SourceJCI Journals·JournalJournal of Clinical Investigation·DateDec 1, 2011

New tuberculosis research movement needed

The TB Research Movement aims to create a framework for concrete actions to harmonize and synergize TB research efforts globally. The movement is creating a framework for more research and innovation, particularly for the poor and vulnerable populations burdened by TB.

SourcePLOS·JournalPLOS Medicine·DateNov 29, 2011

New thinking required on wildlife disease

A University of Adelaide scientist highlights the potential of freely available software tools to predict the spread of diseases in Australian wildlife and commercial stock. The team used these tools to estimate that up to 100,000 buffalo would need to be culled annually for 15 years to reduce TB prevalence near zero.

SourceUniversity of Adelaide·JournalJournal of Applied Ecology·DateNov 29, 2011

A call to bring back sanatoria to help deal with the growing threat of extensively drug-resistant tuberculosis

Extensively drug-resistant tuberculosis (XDR-TB) poses a significant threat globally, with over half a million cases of multi-drug resistant TB (MDR-TB) and 25,000 to 50,000 XDR-TB cases. Sanatoria were used to isolate patients, but their dismantling led to the current crisis. The Lancet calls for new-age sanatoria to provide state-of-...

SourceThe Lancet_DELETED·JournalThe Lancet·DateOct 25, 2011

Fast diagnostics not enough to change health outcomes

Recent research highlights that faster diagnostic tests are necessary but not sufficient to improve health outcomes for tuberculosis and HIV patients. The study emphasizes the need for thorough evaluation of diagnostics to ensure technical advancements translate into better patient care.

SourcePLOS·JournalPLOS Medicine·DateOct 25, 2011

For patients with both HIV and tuberculosis the timing of drug therapies is critical

A new study published in The New England Journal of Medicine found that the optimal time to integrate HIV treatment with TB therapy depends on a patient's immune status. Patients with advanced HIV disease who start antiretroviral treatment earlier show significant improvements in survival rates.

SourceColumbia University's Mailman School of Public Health·JournalNew England Journal of Medicine·DateOct 19, 2011

Managing child contacts of adult TB cases

A new health needs assessment framework is proposed to better manage child contacts of adult TB cases. The approach aims to reduce child mortality and the reservoir of M. tuberculosis in the community, contributing to TB elimination.

SourcePLOS·JournalPLOS Medicine·DateOct 11, 2011

JCI online early table of contents: Sept. 12, 2011

Researchers have identified the protein BVES as a suppressor of colorectal cancer progression and suggest it could be a therapeutic or preventative target. Modulating BVES expression was found to decrease cancer cell characteristics in human colon cancer cells, providing rational for targeting BVES in individuals with colorectal cancer.

SourceJCI Journals·JournalJournal of Clinical Investigation·DateSep 12, 2011