Altered Systemic Adipokine Levels in Pulmonary Tuberculosis and Changes following Treatment

Kadar Moideen National Institutes of Health—International Center for Excellence in Research, Chennai, India;
National Institute for Research in Tuberculosis, Chennai, India;

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Nathella Pavan Kumar National Institutes of Health—International Center for Excellence in Research, Chennai, India;
National Institute for Research in Tuberculosis, Chennai, India;

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Dina Nair National Institute for Research in Tuberculosis, Chennai, India;

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Vaithilingam V. Banurekha National Institute for Research in Tuberculosis, Chennai, India;

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Subash Babu National Institutes of Health—International Center for Excellence in Research, Chennai, India;
Laboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland

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Pulmonary tuberculosis (PTB) is associated with modulation of levels of adipokines, specifically adiponectin and leptin, but the effect of standard antituberculosis treatment (ATT) on the systemic levels of adiponectin, resistin, and leptin has not been well explored. To identify the association of adipokines with PTB and their relationship with disease severity and bacterial burden, we measured the levels of adiponectin, resistin, and leptin in PTB individuals and compared them with latent tuberculosis (LTB) and healthy control (HC) individuals. Pulmonary tuberculosis was characterized by diminished circulating levels of adiponectin and leptin and heightened circulating levels of resistin in comparison to that in LTB and HC individuals. However, PTB with bilateral or cavitary disease did not exhibit any increased systemic levels of these adipokines in comparison with those with unilateral or non-cavitary disease, respectively. In addition, none of the adipokines exhibited a positive correlation with bacterial burdens, but adiponectin alone exhibited a negative correlation with body mass index in PTB individuals. Finally, on successful completion of ATT, PTB individuals exhibited significantly increased levels of adiponectin and leptin and significantly decreased levels of resistin. Therefore, our data identify an important association of systemic adipokine levels with PTB disease and its alteration following ATT.

Author Notes

Address correspondence to Subash Babu, National Institutes of Health-National Institute for Research in Tuberculosis-International Center for Excellence in Research, National Institute for Research in Tuberculosis, Chetpet, Chennai 600031, India. E-mail: sbabu@niaid.nih.gov

Financial support: This work was funded by the Division of Intramural Research, NIAID, NIH.

Authors’ addresses: Kadar Moideen, Nathella Pavan Kumar, and Subash Babu, National Institutes of Health-National Institute for Research in Tuberculosis-International Center for Excellence in Research, International Center for Excellence in Research, Chennai, India, E-mails: kadar.m@nirt.res.in, pavankumarn@nirt.res.in, and sbabu@niaid.nih.gov. Dina Nair and Vaithilingam V. Banurekha, National Institute for Research in Tuberculosis, Clinical Research, Chennai, India, E-mails: dinanair@nirt.res.in and banurekha@nirt.res.in.

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