Immunometabolic Signatures Predict Risk of Progression to Active Tuberculosis and Disease Outcome

There remains a pressing need for biomarkers that can predict who will progress to active tuberculosis (TB) after exposure to Mycobacterium tuberculosis (MTB) bacterium. By analyzing cohorts of household contacts of TB index cases (HHCs) and a stringent non-human primate (NHP) challenge model, we ev...

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Main Authors: Fergal J. Duffy, January Weiner, Scott Hansen, David L. Tabb, Sara Suliman, Ethan Thompson, Jeroen Maertzdorf, Smitha Shankar, Gerard Tromp, Shreemanta Parida, Drew Dover, Michael K. Axthelm, Jayne S. Sutherland, Hazel M. Dockrell, Tom H. M. Ottenhoff, Thomas J. Scriba, Louis J. Picker, Gerhard Walzl, Stefan H. E. Kaufmann, Daniel E. Zak, The GC6-74 Consortium, S. H. E. Kaufmann, S. K. Parida, R. Golinski, J. Maertzdorf, J. Weiner, M. Jacobson, G. McEwen, G. Walzl, G. F. Black, G. van der Spuy, K. Stanley, M. Kriel, N. Du Plessis, N. Nene, A. G. Loxton, N. N. Chegou, S. Suliman, T. Scriba, M. Fisher, H. Mahomed, J. Hughes, K. Downing, A. Penn-Nicholson, H. Mulenga, B. Abel, M. Bowmaker, B. Kagina, W. Kwong, C. W. Hanekom, T. H. M. Ottenhoff, M. R. Klein, M. C. Haks, K. L. Franken, A. Geluk, K. E. van Meijgaarden, S. A. Joosten, D. van Baarle, F. Miedema, W. H. Boom, B. Thiel, J. Sadoff, D. Sizemore, S. Ramachandran, L. Barker, M. Brennan, F. Weichold, S. Muller, L. Geiter, G. Schoolnik, G. Dolganov, T. Van, H. Mayanja-Kizza, M. Joloba, S. Zalwango, M. Nsereko, B. Okwera, H. Kisingo, H. M. Dockrell, S. Smith, P. Gorak-Stolinska, Y.-G. Hur, M. Lalor, J.-S. Lee, A. C. Crampin, N. French, B. Ngwira, A. B. Smith, K. Watkins, L. Ambrose, F. Simukonda, H. Mvula, F. Chilongo, J. Saul, K. Branson, D. Kassa, A. Abebe, T. Mesele, B. Tegbaru, R. Howe, A. Mihret, A. Aseffa, Y. Bekele, R. Iwnetu, M. Tafesse, L. Yamuah, M. Ota, J. Sutherland, P. Hill, R. Adegbola, T. Corrah, M. Antonio, T. Togun, I. Adetifa, S. Donkor, P. Andersen, I. Rosenkrands, M. Doherty, K. Weldingh
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-03-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fimmu.2019.00527/full
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author Fergal J. Duffy
January Weiner
Scott Hansen
David L. Tabb
Sara Suliman
Ethan Thompson
Jeroen Maertzdorf
Smitha Shankar
Gerard Tromp
Shreemanta Parida
Shreemanta Parida
Drew Dover
Michael K. Axthelm
Jayne S. Sutherland
Hazel M. Dockrell
Tom H. M. Ottenhoff
Thomas J. Scriba
Louis J. Picker
Gerhard Walzl
Stefan H. E. Kaufmann
Daniel E. Zak
The GC6-74 Consortium
S. H. E. Kaufmann
S. K. Parida
R. Golinski
J. Maertzdorf
J. Weiner
M. Jacobson
G. McEwen
G. Walzl
G. F. Black
G. van der Spuy
K. Stanley
M. Kriel
N. Du Plessis
N. Nene
A. G. Loxton
N. N. Chegou
S. Suliman
T. Scriba
M. Fisher
H. Mahomed
J. Hughes
K. Downing
A. Penn-Nicholson
H. Mulenga
B. Abel
M. Bowmaker
B. Kagina
W. Kwong
C. W. Hanekom
T. H. M. Ottenhoff
M. R. Klein
M. C. Haks
K. L. Franken
A. Geluk
K. E. van Meijgaarden
S. A. Joosten
D. van Baarle
F. Miedema
W. H. Boom
B. Thiel
J. Sadoff
D. Sizemore
S. Ramachandran
L. Barker
M. Brennan
F. Weichold
S. Muller
L. Geiter
G. Schoolnik
G. Dolganov
T. Van
H. Mayanja-Kizza
M. Joloba
S. Zalwango
M. Nsereko
B. Okwera
H. Kisingo
H. M. Dockrell
S. Smith
P. Gorak-Stolinska
Y.-G. Hur
M. Lalor
J.-S. Lee
A. C. Crampin
N. French
B. Ngwira
A. B. Smith
K. Watkins
L. Ambrose
F. Simukonda
H. Mvula
F. Chilongo
J. Saul
K. Branson
D. Kassa
A. Abebe
T. Mesele
B. Tegbaru
R. Howe
A. Mihret
A. Aseffa
Y. Bekele
R. Iwnetu
M. Tafesse
L. Yamuah
M. Ota
J. Sutherland
P. Hill
R. Adegbola
T. Corrah
M. Antonio
T. Togun
I. Adetifa
S. Donkor
P. Andersen
I. Rosenkrands
M. Doherty
K. Weldingh
spellingShingle Fergal J. Duffy
January Weiner
Scott Hansen
David L. Tabb
Sara Suliman
Ethan Thompson
Jeroen Maertzdorf
Smitha Shankar
Gerard Tromp
Shreemanta Parida
Shreemanta Parida
Drew Dover
Michael K. Axthelm
Jayne S. Sutherland
Hazel M. Dockrell
Tom H. M. Ottenhoff
Thomas J. Scriba
Louis J. Picker
Gerhard Walzl
Stefan H. E. Kaufmann
Daniel E. Zak
The GC6-74 Consortium
S. H. E. Kaufmann
S. K. Parida
R. Golinski
J. Maertzdorf
J. Weiner
M. Jacobson
G. McEwen
G. Walzl
G. F. Black
G. van der Spuy
K. Stanley
M. Kriel
N. Du Plessis
N. Nene
A. G. Loxton
N. N. Chegou
S. Suliman
T. Scriba
M. Fisher
H. Mahomed
J. Hughes
K. Downing
A. Penn-Nicholson
H. Mulenga
B. Abel
M. Bowmaker
B. Kagina
W. Kwong
C. W. Hanekom
T. H. M. Ottenhoff
M. R. Klein
M. C. Haks
K. L. Franken
A. Geluk
K. E. van Meijgaarden
S. A. Joosten
D. van Baarle
F. Miedema
W. H. Boom
B. Thiel
J. Sadoff
D. Sizemore
S. Ramachandran
L. Barker
M. Brennan
F. Weichold
S. Muller
L. Geiter
G. Schoolnik
G. Dolganov
T. Van
H. Mayanja-Kizza
M. Joloba
S. Zalwango
M. Nsereko
B. Okwera
H. Kisingo
H. M. Dockrell
S. Smith
P. Gorak-Stolinska
Y.-G. Hur
M. Lalor
J.-S. Lee
A. C. Crampin
N. French
B. Ngwira
A. B. Smith
K. Watkins
L. Ambrose
F. Simukonda
H. Mvula
F. Chilongo
J. Saul
K. Branson
D. Kassa
A. Abebe
T. Mesele
B. Tegbaru
R. Howe
A. Mihret
A. Aseffa
Y. Bekele
R. Iwnetu
M. Tafesse
L. Yamuah
M. Ota
J. Sutherland
P. Hill
R. Adegbola
T. Corrah
M. Antonio
T. Togun
I. Adetifa
S. Donkor
P. Andersen
I. Rosenkrands
M. Doherty
K. Weldingh
Immunometabolic Signatures Predict Risk of Progression to Active Tuberculosis and Disease Outcome
Frontiers in Immunology
rhesus macaque
household contact
biomarker
transcriptomics
metabolomics
tuberculosis
author_facet Fergal J. Duffy
January Weiner
Scott Hansen
David L. Tabb
Sara Suliman
Ethan Thompson
Jeroen Maertzdorf
Smitha Shankar
Gerard Tromp
Shreemanta Parida
Shreemanta Parida
Drew Dover
Michael K. Axthelm
Jayne S. Sutherland
Hazel M. Dockrell
Tom H. M. Ottenhoff
Thomas J. Scriba
Louis J. Picker
Gerhard Walzl
Stefan H. E. Kaufmann
Daniel E. Zak
The GC6-74 Consortium
S. H. E. Kaufmann
S. K. Parida
R. Golinski
J. Maertzdorf
J. Weiner
M. Jacobson
G. McEwen
G. Walzl
G. F. Black
G. van der Spuy
K. Stanley
M. Kriel
N. Du Plessis
N. Nene
A. G. Loxton
N. N. Chegou
S. Suliman
T. Scriba
M. Fisher
H. Mahomed
J. Hughes
K. Downing
A. Penn-Nicholson
H. Mulenga
B. Abel
M. Bowmaker
B. Kagina
W. Kwong
C. W. Hanekom
T. H. M. Ottenhoff
M. R. Klein
M. C. Haks
K. L. Franken
A. Geluk
K. E. van Meijgaarden
S. A. Joosten
D. van Baarle
F. Miedema
W. H. Boom
B. Thiel
J. Sadoff
D. Sizemore
S. Ramachandran
L. Barker
M. Brennan
F. Weichold
S. Muller
L. Geiter
G. Schoolnik
G. Dolganov
T. Van
H. Mayanja-Kizza
M. Joloba
S. Zalwango
M. Nsereko
B. Okwera
H. Kisingo
H. M. Dockrell
S. Smith
P. Gorak-Stolinska
Y.-G. Hur
M. Lalor
J.-S. Lee
A. C. Crampin
N. French
B. Ngwira
A. B. Smith
K. Watkins
L. Ambrose
F. Simukonda
H. Mvula
F. Chilongo
J. Saul
K. Branson
D. Kassa
A. Abebe
T. Mesele
B. Tegbaru
R. Howe
A. Mihret
A. Aseffa
Y. Bekele
R. Iwnetu
M. Tafesse
L. Yamuah
M. Ota
J. Sutherland
P. Hill
R. Adegbola
T. Corrah
M. Antonio
T. Togun
I. Adetifa
S. Donkor
P. Andersen
I. Rosenkrands
M. Doherty
K. Weldingh
author_sort Fergal J. Duffy
title Immunometabolic Signatures Predict Risk of Progression to Active Tuberculosis and Disease Outcome
title_short Immunometabolic Signatures Predict Risk of Progression to Active Tuberculosis and Disease Outcome
title_full Immunometabolic Signatures Predict Risk of Progression to Active Tuberculosis and Disease Outcome
title_fullStr Immunometabolic Signatures Predict Risk of Progression to Active Tuberculosis and Disease Outcome
title_full_unstemmed Immunometabolic Signatures Predict Risk of Progression to Active Tuberculosis and Disease Outcome
title_sort immunometabolic signatures predict risk of progression to active tuberculosis and disease outcome
publisher Frontiers Media S.A.
series Frontiers in Immunology
issn 1664-3224
publishDate 2019-03-01
description There remains a pressing need for biomarkers that can predict who will progress to active tuberculosis (TB) after exposure to Mycobacterium tuberculosis (MTB) bacterium. By analyzing cohorts of household contacts of TB index cases (HHCs) and a stringent non-human primate (NHP) challenge model, we evaluated whether integration of blood transcriptional profiling with serum metabolomic profiling can provide new understanding of disease processes and enable improved prediction of TB progression. Compared to either alone, the combined application of pre-existing transcriptome- and metabolome-based signatures more accurately predicted TB progression in the HHC cohorts and more accurately predicted disease severity in the NHPs. Pathway and data-driven correlation analyses of the integrated transcriptional and metabolomic datasets further identified novel immunometabolomic signatures significantly associated with TB progression in HHCs and NHPs, implicating cortisol, tryptophan, glutathione, and tRNA acylation networks. These results demonstrate the power of multi-omics analysis to provide new insights into complex disease processes.
topic rhesus macaque
household contact
biomarker
transcriptomics
metabolomics
tuberculosis
url https://www.frontiersin.org/article/10.3389/fimmu.2019.00527/full
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spelling doaj-1eba36dc045c44aa95b786e37918a63e2020-11-24T22:00:50ZengFrontiers Media S.A.Frontiers in Immunology1664-32242019-03-011010.3389/fimmu.2019.00527438472Immunometabolic Signatures Predict Risk of Progression to Active Tuberculosis and Disease OutcomeFergal J. Duffy0January Weiner1Scott Hansen2David L. Tabb3Sara Suliman4Ethan Thompson5Jeroen Maertzdorf6Smitha Shankar7Gerard Tromp8Shreemanta Parida9Shreemanta Parida10Drew Dover11Michael K. Axthelm12Jayne S. Sutherland13Hazel M. Dockrell14Tom H. M. Ottenhoff15Thomas J. Scriba16Louis J. Picker17Gerhard Walzl18Stefan H. E. Kaufmann19Daniel E. Zak20The GC6-74 ConsortiumS. H. E. KaufmannS. K. ParidaR. GolinskiJ. MaertzdorfJ. WeinerM. JacobsonG. McEwenG. WalzlG. F. BlackG. van der SpuyK. StanleyM. KrielN. Du PlessisN. NeneA. G. LoxtonN. N. ChegouS. SulimanT. ScribaM. FisherH. MahomedJ. HughesK. DowningA. Penn-NicholsonH. MulengaB. AbelM. BowmakerB. KaginaW. KwongC. W. HanekomT. H. M. OttenhoffM. R. KleinM. C. HaksK. L. FrankenA. GelukK. E. van MeijgaardenS. A. JoostenD. van BaarleF. MiedemaW. H. BoomB. ThielJ. SadoffD. SizemoreS. RamachandranL. BarkerM. BrennanF. WeicholdS. MullerL. GeiterG. SchoolnikG. DolganovT. VanH. Mayanja-KizzaM. JolobaS. ZalwangoM. NserekoB. OkweraH. KisingoH. M. DockrellS. SmithP. Gorak-StolinskaY.-G. HurM. LalorJ.-S. LeeA. C. CrampinN. FrenchB. NgwiraA. B. SmithK. WatkinsL. AmbroseF. SimukondaH. MvulaF. ChilongoJ. SaulK. BransonD. KassaA. AbebeT. MeseleB. TegbaruR. HoweA. MihretA. AseffaY. BekeleR. IwnetuM. TafesseL. YamuahM. OtaJ. SutherlandP. HillR. AdegbolaT. CorrahM. AntonioT. TogunI. AdetifaS. DonkorP. AndersenI. RosenkrandsM. DohertyK. WeldinghCenter for Global Infectious Disease Research, Seattle Childrens Research Institute, Seattle, WA, United StatesMax Planck Institute for Infection Biology, Berlin, GermanyOregon Health and Science University, Portland, OR, United StatesDivision of Molecular Biology and Human Genetics, Department of Biomedical Sciences, SAMRC-SHIP South African Tuberculosis Bioinformatics Initiative (SATBBI), Center for Bioinformatics and Computational Biology, DST/NRF Centre of Excellence for Biomedical Tuberculosis Research, South African Medical Research Council Centre for Tuberculosis Research, Stellenbosch University, Stellenbosch, South AfricaDepartment of Pathology, South African Tuberculosis Vaccine Initiative, Institute of Infectious Disease and Molecular Medicine & Division of Immunology, University of Cape Town, Cape Town, South AfricaCenter for Infectious Disease Research, Seattle, WA, United StatesMax Planck Institute for Infection Biology, Berlin, GermanyCenter for Infectious Disease Research, Seattle, WA, United StatesDivision of Molecular Biology and Human Genetics, Department of Biomedical Sciences, SAMRC-SHIP South African Tuberculosis Bioinformatics Initiative (SATBBI), Center for Bioinformatics and Computational Biology, DST/NRF Centre of Excellence for Biomedical Tuberculosis Research, South African Medical Research Council Centre for Tuberculosis Research, Stellenbosch University, Stellenbosch, South AfricaMax Planck Institute for Infection Biology, Berlin, GermanyTranslational Medicine & Global Health Consulting, Berlin, GermanyCenter for Global Infectious Disease Research, Seattle Childrens Research Institute, Seattle, WA, United StatesOregon Health and Science University, Portland, OR, United StatesVaccines & Immunity Theme, Medical Research Council Unit, Fajara, GambiaDepartment of Immunology and Infection, London School of Hygiene and Tropical Medicine, London, United Kingdom0Department of Infectious Diseases, Leiden University Medical Center, Leiden, NetherlandsDepartment of Pathology, South African Tuberculosis Vaccine Initiative, Institute of Infectious Disease and Molecular Medicine & Division of Immunology, University of Cape Town, Cape Town, South AfricaOregon Health and Science University, Portland, OR, United StatesDivision of Molecular Biology and Human Genetics, Department of Biomedical Sciences, SAMRC-SHIP South African Tuberculosis Bioinformatics Initiative (SATBBI), Center for Bioinformatics and Computational Biology, DST/NRF Centre of Excellence for Biomedical Tuberculosis Research, South African Medical Research Council Centre for Tuberculosis Research, Stellenbosch University, Stellenbosch, South AfricaMax Planck Institute for Infection Biology, Berlin, GermanyCenter for Infectious Disease Research, Seattle, WA, United StatesThere remains a pressing need for biomarkers that can predict who will progress to active tuberculosis (TB) after exposure to Mycobacterium tuberculosis (MTB) bacterium. By analyzing cohorts of household contacts of TB index cases (HHCs) and a stringent non-human primate (NHP) challenge model, we evaluated whether integration of blood transcriptional profiling with serum metabolomic profiling can provide new understanding of disease processes and enable improved prediction of TB progression. Compared to either alone, the combined application of pre-existing transcriptome- and metabolome-based signatures more accurately predicted TB progression in the HHC cohorts and more accurately predicted disease severity in the NHPs. Pathway and data-driven correlation analyses of the integrated transcriptional and metabolomic datasets further identified novel immunometabolomic signatures significantly associated with TB progression in HHCs and NHPs, implicating cortisol, tryptophan, glutathione, and tRNA acylation networks. These results demonstrate the power of multi-omics analysis to provide new insights into complex disease processes.https://www.frontiersin.org/article/10.3389/fimmu.2019.00527/fullrhesus macaquehousehold contactbiomarkertranscriptomicsmetabolomicstuberculosis