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Indian journal of medical microbiology · 2026

Inflammatory Biomarkers (IL-6, IL-10, IL-17, TNF-α) in TB patients attending a tertiary care hospital in Bhubaneswar, Odisha : a cross - sectional study.

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Hussain Tahziba, Dhir Sanjeeb, Pati Silpa, Israt Nasreen, Mohapatra Sai Pravin, Dash Gurudutta, Pati Sanghamitra

Аннотация

BACKGROUND: Tuberculosis exhibits a complicated immune-pathogenesis that involves pro-inflammatory cytokines which modulate the host's immune responses. Cytokines like IL-6, IL-10, IL-17 and TNF-α are crucial in managing inflammation, immune protection and the progression of the disease that affect diagnostic and treatment responses.

AIM: In this study, the levels of cytokines IL-6, IL-10, IL-17 and TNF-α in the serum samples of pulmonary TB patients were estimated and their diagnostic significance was assessed and correlated with socio-demographic profile.

METHODS: Sera samples were collected from pulmonary TB patients attending a government hospital in Bhubaneswar, Odisha. Levels of IL-6, IL-10, IL-17 and TNF-α were quantified using commercial ELISA kits and cytokine concentrations were determined.

RESULTS: In this study, we found the levels of IL-6, IL-10 and IL-17 to be significantly lower in the serum samples of TB positive patients as compared to the healthy controls. The majority of subjects had comparatively low TNF-α levels, while some had significantly higher quantities. IL-6, IL-10 and IL-17 concentrations were lesser in TB patients. This implies that during active TB infection, IL-6 may be downregulated. IL-10 expression may be useful as an immunological marker for diagnosis of disease and monitoring of immune status. Reduced IL-17 expression is a hallmark of active TB and could be a helpful biomarker for diagnosis.

CONCLUSION: The cytokine profiling shows that these changes could provide valuable insights into the host immune response, help in development of diagnostic biomarkers and personalized therapeutic approaches in management of TB.