A multi-center, prospective cohort study of whole blood gene expression in the tuberculosis-diabetes interaction

Diabetes mellitus (DM) increases tuberculosis (TB) severity. We compared blood gene expression in adults with pulmonary TB, with or without diabetes mellitus (DM) from sites in Brazil and India. RNA sequencing (RNAseq) performed at baseline and during TB treatment. Publicly available baseline RNAseq...

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Published in:Scientific reports Vol. 13; no. 1; p. 7769
Main Authors: Queiroz, Artur T. L., Vinhaes, Caian L., Fukutani, Eduardo R., Gupte, Akshay N., Kumar, Nathella Pavan, Fukutani, Kiyoshi F., Arriaga, María B., Sterling, Timothy R., Babu, Subash, Gaikwad, Sanjay, Karyakarte, Rajesh, Mave, Vidya, Paradhkar, Mandar, Viswanathan, Vijay, Gupta, Amita, Andrade, Bruno B., Kornfeld, Hardy
Format: Journal Article
Language:English
Published: London Nature Publishing Group UK 12-05-2023
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Abstract Diabetes mellitus (DM) increases tuberculosis (TB) severity. We compared blood gene expression in adults with pulmonary TB, with or without diabetes mellitus (DM) from sites in Brazil and India. RNA sequencing (RNAseq) performed at baseline and during TB treatment. Publicly available baseline RNAseq data from South Africa and Romania reported by the TANDEM Consortium were also analyzed. Across the sites, differentially expressed genes varied for each condition (DM, TB, and TBDM) and no pattern classified any one group across all sites. A concise signature of TB disease was identified but this was expressed equally in TB and TBDM. Pathway enrichment analysis failed to distinguish TB from TBDM, although there was a trend for greater neutrophil and innate immune pathway activation in TBDM participants. Pathways associated with insulin resistance, metabolic dysfunction, diabetic complications, and chromosomal instability were positively correlated with glycohemoglobin. The immune response to pulmonary TB as reflected by whole blood gene expression is substantially similar with or without comorbid DM. Gene expression pathways associated with the microvascular and macrovascular complications of DM are upregulated during TB, supporting a syndemic interaction between these coprevalent diseases.
AbstractList Diabetes mellitus (DM) increases tuberculosis (TB) severity. We compared blood gene expression in adults with pulmonary TB, with or without diabetes mellitus (DM) from sites in Brazil and India. RNA sequencing (RNAseq) performed at baseline and during TB treatment. Publicly available baseline RNAseq data from South Africa and Romania reported by the TANDEM Consortium were also analyzed. Across the sites, differentially expressed genes varied for each condition (DM, TB, and TBDM) and no pattern classified any one group across all sites. A concise signature of TB disease was identified but this was expressed equally in TB and TBDM. Pathway enrichment analysis failed to distinguish TB from TBDM, although there was a trend for greater neutrophil and innate immune pathway activation in TBDM participants. Pathways associated with insulin resistance, metabolic dysfunction, diabetic complications, and chromosomal instability were positively correlated with glycohemoglobin. The immune response to pulmonary TB as reflected by whole blood gene expression is substantially similar with or without comorbid DM. Gene expression pathways associated with the microvascular and macrovascular complications of DM are upregulated during TB, supporting a syndemic interaction between these coprevalent diseases.
Abstract Diabetes mellitus (DM) increases tuberculosis (TB) severity. We compared blood gene expression in adults with pulmonary TB, with or without diabetes mellitus (DM) from sites in Brazil and India. RNA sequencing (RNAseq) performed at baseline and during TB treatment. Publicly available baseline RNAseq data from South Africa and Romania reported by the TANDEM Consortium were also analyzed. Across the sites, differentially expressed genes varied for each condition (DM, TB, and TBDM) and no pattern classified any one group across all sites. A concise signature of TB disease was identified but this was expressed equally in TB and TBDM. Pathway enrichment analysis failed to distinguish TB from TBDM, although there was a trend for greater neutrophil and innate immune pathway activation in TBDM participants. Pathways associated with insulin resistance, metabolic dysfunction, diabetic complications, and chromosomal instability were positively correlated with glycohemoglobin. The immune response to pulmonary TB as reflected by whole blood gene expression is substantially similar with or without comorbid DM. Gene expression pathways associated with the microvascular and macrovascular complications of DM are upregulated during TB, supporting a syndemic interaction between these coprevalent diseases.
ArticleNumber 7769
Author Fukutani, Kiyoshi F.
Viswanathan, Vijay
Gupte, Akshay N.
Queiroz, Artur T. L.
Paradhkar, Mandar
Babu, Subash
Sterling, Timothy R.
Vinhaes, Caian L.
Karyakarte, Rajesh
Arriaga, María B.
Gaikwad, Sanjay
Gupta, Amita
Andrade, Bruno B.
Fukutani, Eduardo R.
Mave, Vidya
Kornfeld, Hardy
Kumar, Nathella Pavan
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  surname: Arriaga
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CitedBy_id crossref_primary_10_1016_j_isci_2024_109135
crossref_primary_10_1016_j_isci_2023_108662
crossref_primary_10_3389_fimmu_2023_1210372
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Snippet Diabetes mellitus (DM) increases tuberculosis (TB) severity. We compared blood gene expression in adults with pulmonary TB, with or without diabetes mellitus...
Abstract Diabetes mellitus (DM) increases tuberculosis (TB) severity. We compared blood gene expression in adults with pulmonary TB, with or without diabetes...
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SubjectTerms 631/250/254
631/250/255
631/250/256
692/308
692/4017
692/53
Adult
Blood
Cohort analysis
Diabetes
Diabetes mellitus
Diabetes Mellitus - genetics
Diabetes Mellitus - metabolism
Gene Expression
Genomic instability
Humanities and Social Sciences
Humans
Immune response
Insulin resistance
Leukocytes (neutrophilic)
Microvasculature
multidisciplinary
Prospective Studies
Science
Science (multidisciplinary)
Tuberculosis
Tuberculosis - complications
Tuberculosis - genetics
Tuberculosis, Pulmonary - complications
Tuberculosis, Pulmonary - genetics
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Title A multi-center, prospective cohort study of whole blood gene expression in the tuberculosis-diabetes interaction
URI https://link.springer.com/article/10.1038/s41598-023-34847-9
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