Serum IgE levels of tuberculosis patients in a tropical setup with high prevalence of HIV and intestinal parasitoses

Clinical and Experimental Immunology
A KassuF Ota

Abstract

Tuberculosis remains a major health problem worldwide in the era of HIV/AIDS. Co-infection with intestinal parasites has been suggested to worsen the outcome of infection by polarizing the immune response towards Th2. This study investigated serum IgE levels of 241 tuberculosis patients and compared the IgE profiles in the tuberculosis patients either with or without intestinal helminthic infection and/or HIV infection. The serum levels of IgE in tuberculosis patients before initiation of antimycobacterial chemotherapy were found to be 1722 +/- 1290 IU/ml (Mean +/- SD) in HIV seronegatives and 2366 +/- 1849 IU/ml in HIV seropositives. Further, the IgE level was significantly higher in patients coinfected with intestinal helminthes and HIV compared to those infected with helminthes or without coinfection (P < 0.05). Anti-tuberculosis chemotherapy significantly reduced serum IgE levels in HIV seronegative tuberculosis patients (P < 0.05). These findings might indicate an active role of therapy in shifting the immune response towards Th1 which is crucial for prognosis in tuberculosis patients.

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Citations

Apr 25, 2007·AIDS Research and Human Retroviruses·Afework KassuWataru Sugiura
Jun 3, 2014·Parasites & Vectors·Andargachew MuluDaniel Elias
May 9, 2012·Archives of Medical Research·Zaida AraujoJacobus Henry de Waard
Jul 19, 2015·Journal of Translational Medicine·Andargachew MuluSisay Yifru
Nov 23, 2017·BMC Pulmonary Medicine·Richard KwizeraDavid W Denning
Dec 13, 2005·European Journal of Clinical Nutrition·A KassuF Ota

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