Diagnosing Tuberculosis Infection: From the Host to the Pathogen

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Authors: Delia Goletti, Alessandra Aiello, Shruthi Chandran, Adrian R. Martineau
Cited by: 2
References: 124

Abstract

) without clinical, microbiological, or radiological signs of TB disease. Individuals with TBI have a lifelong risk of reactivation, leading to TB disease in 5%-10% of cases during a lifetime. Current diagnostic tools, including interferon-γ release assays and skin tests, are endorsed by the World Health Organization (WHO) for identifying TBI and guiding preventive therapy. This paper outlines existing diagnostic methods for TBI and explores emerging experimental approaches, focused on detecting circulating bacillary components-such as DNA, mycobacterial proteins, peptides, lipoglycans, and lipoprotein antigens. The development of diagnostic tools that target bacillary elements directly-rather than relying solely on antigen-specific immune responses-could help overcome key limitations of current immunodiagnostic assays, thus offering viable alternatives or complementary solutions. However, these new experimental assays are still under research and not yet validated for clinical use.

Fields of Study & Subjects

Tuberculosis Research and Epidemiology Infectious Diseases and Tuberculosis Diagnosis and treatment of tuberculosis

Publication details

Journal / source
Cold Spring Harbor Perspectives in Medicine
Publisher
Cold Spring Harbor Laboratory
Volume
16
Issue
6
Pages
a041955–a041955
Publication date
20 January 2026
Language
EN
Document type
Preprint