Pediatric Tuberculosis: The Impact of "Omics" on Diagnostics Development

Int J Mol Sci. 2020 Sep 23;21(19):6979. doi: 10.3390/ijms21196979.

Abstract

Tuberculosis (TB) is a major public health concern for all ages. However, the disease presents a larger challenge in pediatric populations, partially owing to the lack of reliable diagnostic standards for the early identification of infection. Currently, there are no biomarkers that have been clinically validated for use in pediatric TB diagnosis. Identification and validation of biomarkers could provide critical information on prognosis of disease, and response to treatment. In this review, we discuss how the "omics" approach has influenced biomarker discovery and the advancement of a next generation rapid point-of-care diagnostic for TB, with special emphasis on pediatric disease. Limitations of current published studies and the barriers to their implementation into the field will be thoroughly reviewed within this article in hopes of highlighting future avenues and needs for combating the problem of pediatric tuberculosis.

Keywords: biomarkers; diagnostics; lipoarabinomannan; omics; pediatric tuberculosis.

Publication types

  • Review

MeSH terms

  • Biomarkers / metabolism
  • Child
  • Genomics*
  • Humans
  • Mycobacterium tuberculosis* / genetics
  • Mycobacterium tuberculosis* / metabolism
  • Point-of-Care Systems*
  • Tuberculosis* / diagnosis
  • Tuberculosis* / genetics
  • Tuberculosis* / metabolism

Substances

  • Biomarkers