Cerebrospinal fluid neopterin as marker of the meningo-encephalitic stage of Trypanosoma brucei gambiense sleeping sickness

脑脊液新蝶呤作为布氏冈比亚锥虫昏睡病脑膜脑炎期的标志物

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作者:Natalia Tiberti, Alexandre Hainard, Veerle Lejon, Bertrand Courtioux, Enock Matovu, John Charles Enyaru, Xavier Robin, Natacha Turck, Krister Kristensson, Dieudonné Mumba Ngoyi, Gedeão M L Vatunga, Sanjeev Krishna, Philippe Büscher, Sylvie Bisser, Joseph Mathu Ndung'u, Jean-Charles Sanchez

Background

Sleeping sickness, or human African trypanosomiasis (HAT), is a protozoan disease that affects rural communities in sub-Saharan Africa. Determination of the disease stage, essential for correct treatment, represents a key issue in the management of patients. In the present study we evaluated the potential of CXCL10, CXCL13, ICAM-1, VCAM-1, MMP-9, B2MG, neopterin and IgM to complement current

Conclusions

This study has demonstrated that neopterin is an excellent biomarker for staging T. b. gambiense HAT patients. A rapid diagnostic test for detecting this metabolite in CSF could help in more accurate stage determination.

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