Journal article
Elevated hepcidin at HIV diagnosis is associated with incident tuberculosis in a retrospective cohort study.
- Abstract:
- Hepcidin inhibits ferroportin-mediated iron efflux, leading to intracellular macrophage iron retention, possibly favoring Mycobacterium tuberculosis iron acquisition and tuberculosis (TB) pathogenesis. Plasma hepcidin was measured at human immunodeficiency virus (HIV) diagnosis in a retrospective HIV-prevalent, antiretroviral-naïve African cohort to investigate the association with incident pulmonary and/or extra-pulmonary TB. One hundred ninety-six participants were followed between 5 August 1992 and 1 June 2002, with 32 incident TB cases identified. Greater hepcidin was associated with significantly increased likelihood of TB after a median time to TB of 6 months. Elucidation of iron-related causal mechanisms and time-sensitive biomarkers that identify individual changes in TB risk are needed.
- Publication status:
- Published
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- Publisher copy:
- 10.5588/ijtld.14.0143
Authors
- Publisher:
- International Union against Tubercul. and Lung Dis.
- Journal:
- international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease More from this journal
- Volume:
- 18
- Issue:
- 11
- Pages:
- 1337-1339
- Publication date:
- 2014-11-01
- DOI:
- EISSN:
-
1815-7920
- ISSN:
-
1027-3719
- Language:
-
English
- Keywords:
- Pubs id:
-
pubs:487229
- UUID:
-
uuid:cd807e11-643f-4d84-aba8-19a7720385bb
- Local pid:
-
pubs:487229
- Source identifiers:
-
487229
- Deposit date:
-
2014-10-22
- ARK identifier:
Terms of use
- Copyright date:
- 2014
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