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TB relapse due to low weight gain after initial treatment

A study found that TB patients underweight at diagnosis who gain less than 5% weight during the first two months of treatment have a significantly increased risk of disease relapse. This association holds even among those with abnormal chest x-rays and positive sputum cultures after 2 months of anti-tuberculosis treatment.

SourceAmerican Thoracic Society·JournalAmerican Journal of Respiratory and Critical Care Medicine·DateAug 1, 2006

New, shorter TB treatments could advance TB control

A new study suggests that shorter TB treatment courses of just 2 months could reduce new cases and deaths by 13% and 19% respectively. This would free up resources to improve detection efforts and potentially lead to greater impact on TB control. Implementing such treatments earlier than planned in 2012 could yield even more benefits.

SourcePLOS·JournalPLOS Medicine·DateJul 31, 2006

Shorter tuberculosis therapies could lead to substantial reductions in cases and deaths

A new study found that shorter tuberculosis therapies could produce dramatic benefits at the population level by reducing transmission and improving patient outcomes. The research suggests that a two-month regimen could double or triple current rates of decline in new cases and deaths, leading to total reductions of up to 40%.

JCI table of contents, June 1, 2006

Researchers investigate the effects of hypoglycemia on insulin therapy in type 1 diabetes and discover a potential solution using urocortin I. Urocortin I suppresses the counterregulatory response to low blood sugar, impairing glucose-sensing neurons in the brain.

SourceJCI Journals·JournalJournal of Clinical Investigation·DateJun 1, 2006

BCG vaccination is highly cost-effective

The BCG vaccine is highly cost-effective in preventing severe childhood tuberculosis, with an estimated cost of US$200 per year of healthy life gained. The largest impact was found in southeast Asia, Africa, and the western Pacific region, where TB infection rates and BCG coverage are highest.

SourceThe Lancet_DELETED·JournalThe Lancet·DateApr 6, 2006

Families can help cure tuberculosis

A randomized trial in Nepal found that community-DOTS and family member DOTS were effective in meeting international TB control targets. The study suggests that these strategies can be used in other challenging regions where direct observation by health workers is not feasible.

SourceThe Lancet_DELETED·JournalThe Lancet·DateMar 16, 2006

Update on tuberculosis -- 2005

The worldwide state of tuberculosis epidemiology, diagnosis, and treatment is examined through research results published in 2005. TB remains a top cause of HIV-related mortality in sub-Saharan Africa, with high incidence rates among gold miners and those with recent M. tuberculosis infection.

SourceAmerican Thoracic Society·JournalAmerican Journal of Respiratory and Critical Care Medicine·DateMar 1, 2006

Gene increases risk of tuberculosis

A recent scientific study found that a specific gene variation on chromosome 17 is associated with an increased risk of developing active tuberculosis. The MCP-1 protein, which attracts immune cells to sites of infection, was found to play a crucial role in the early immune response to TB-causing bacteria.

SourceJournal of Experimental Medicine·JournalJournal of Experimental Medicine·DateDec 12, 2005

How does Mycobacterium tuberculosis infect the lung?

Researchers found that macrophages from TB patients have high levels of DC-SIGN, a protein that helps Mycobacterium tuberculosis infect lung cells. Infection with TB causes nearby uninfected cells to also express DC-SIGN, making them more susceptible to infection.

SourcePLOS·JournalPLOS Medicine·DateNov 14, 2005

American Thoracic Society journal news tips for November 2005 (first issue)

A new study identifies genetic susceptibility as a significant risk factor for pulmonary fibrosis. The condition, which can be triggered by smoking and other factors, causes inflammation and scarring in the lungs. Researchers also explored a more accurate blood test to detect latent tuberculosis infection.

SourceAmerican Thoracic Society·JournalAmerican Journal of Respiratory and Critical Care Medicine·DateNov 1, 2005

BCG vaccine effect against tuberculosis infection and disease

Researchers investigated risk factors for TB infection in 979 children from Istanbul, Turkey. They found that the absence of a BCG scar was a strong, independent risk factor for infection, while its presence reduced the risk by 24%. The study suggests that BCG vaccination also protects against TB infection, opening new avenues for deve...

SourceThe Lancet_DELETED·JournalThe Lancet·DateOct 12, 2005

Transmission of tuberculosis is linked to historical patterns of human migration

A study suggests that the evolutionary history of tuberculosis is linked to historical patterns of human migration. The researchers found that the genetic signatures of over 300 strains of Mycobacterium tuberculosis reflect the dispersal and evolution of the pathogen according to human migration patterns, with a strong gender bias obse...

SourceCold Spring Harbor Laboratory·JournalGenome Research·DateSep 26, 2005

JCI table of contents September 1, 2005

A new BCG vaccine strain protects against tuberculosis with high efficacy, while a novel TWEAK pathway induces liver cell proliferation in response to injury. These findings may lead to specific therapies for liver diseases and improved TB protection.

SourceJCI Journals·JournalJournal of Clinical Investigation·DateAug 18, 2005