PMID- 22198298 OWN - NLM STAT- MEDLINE DCOM- 20120904 LR - 20220331 IS - 1878-5832 (Electronic) IS - 1359-6446 (Print) IS - 1359-6446 (Linking) VI - 17 IP - 9-10 DP - 2012 May TI - Understanding latent tuberculosis: the key to improved diagnostic and novel treatment strategies. PG - 514-21 LID - 10.1016/j.drudis.2011.12.013 [doi] AB - Treatment of latent tuberculosis (LTBI) is a vital component of tuberculosis (TB) elimination but is not efficiently implemented with currently available diagnostics and therapeutics. The tuberculin skin test and interferon-gamma release assays can inform that infection has occurred, but do not prove that it persists. Treatment of LTBI with isoniazid targets actively replicating bacilli but not non-replicating populations, prolonging treatment duration. Developing more predictive diagnostic tests and treatments of shorter duration requires a greater understanding of the biology of LTBI, from both host and bacillary perspectives. In this article, we discuss the basis of current diagnosis and treatment of LTBI and review recent developments in understanding the biology of latency that might enable future improved diagnostic and treatment strategies. CI - Copyright (c) 2012 Elsevier Ltd. All rights reserved. FAU - Esmail, Hanif AU - Esmail H AD - Clinical Infectious Diseases Research Initiative, Institute of Infectious Diseases and Molecular Medicine, University of Cape Town, Observatory 7925, South Africa. h.esmail@imperial.ac.uk FAU - Barry, Clifton E 3rd AU - Barry CE 3rd FAU - Wilkinson, Robert J AU - Wilkinson RJ LA - eng GR - R01 HL075845/HL/NHLBI NIH HHS/United States GR - 090170/WT_/Wellcome Trust/United Kingdom GR - 37822/WT_/Wellcome Trust/United Kingdom GR - 088316/Wellcome Trust/United Kingdom GR - 084323/Wellcome Trust/United Kingdom GR - MC_U117588499/MRC_/Medical Research Council/United Kingdom GR - ZIA AI001067-04/Intramural NIH HHS/United States GR - Wellcome Trust/United Kingdom GR - U117588499(88499)/MRC_/Medical Research Council/United Kingdom PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, N.I.H., Intramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20111220 PL - England TA - Drug Discov Today JT - Drug discovery today JID - 9604391 RN - 0 (Antitubercular Agents) RN - 0 (Tuberculosis Vaccines) SB - IM MH - Animals MH - Antitubercular Agents/therapeutic use MH - Humans MH - Interferon-gamma Release Tests MH - Latent Tuberculosis/*diagnosis/*therapy MH - Tuberculin Test MH - Tuberculosis Vaccines/therapeutic use PMC - PMC3443737 MID - NIHMS349316 EDAT- 2011/12/27 06:00 MHDA- 2012/09/05 06:00 PMCR- 2013/05/01 CRDT- 2011/12/27 06:00 PHST- 2011/08/31 00:00 [received] PHST- 2011/12/04 00:00 [revised] PHST- 2011/12/13 00:00 [accepted] PHST- 2011/12/27 06:00 [entrez] PHST- 2011/12/27 06:00 [pubmed] PHST- 2012/09/05 06:00 [medline] PHST- 2013/05/01 00:00 [pmc-release] AID - S1359-6446(11)00440-5 [pii] AID - 10.1016/j.drudis.2011.12.013 [doi] PST - ppublish SO - Drug Discov Today. 2012 May;17(9-10):514-21. doi: 10.1016/j.drudis.2011.12.013. Epub 2011 Dec 20.