PMID- 31307161 OWN - NLM STAT- MEDLINE DCOM- 20200106 LR - 20200106 IS - 1433-6510 (Print) IS - 1433-6510 (Linking) VI - 65 IP - 7 DP - 2019 Jul 1 TI - Evaluation of the Diagnostic Efficacy of Monocyte Parameters and MCP-1 to Distinguishing Active Tuberculosis from Latent Tuberculosis. LID - 10.7754/Clin.Lab.2018.181115 [doi] AB - BACKGROUND: It is important to distinguish those with active Mycobacterium tuberculosis infection (ATB) from latent tuberculosis infection (LTBI) for monitoring and treating the disease. Monocytes play an important role and may undergo morphological changes against active TB infection. The aim of this study is to investigate the clinical usefulness of the monocyte morphometric parameters and monocyte chemoattractant protein-1 (MCP-1) to distinguish active tuberculosis (ATB) from latent tuberculosis infection (LTBI) and healthy controls (HC). METHODS: Peripheral blood was collected from 97 ATB patients, 113 LTBI patients, and 101 healthy controls. The monocyte morphometric parameters were obtained using a UniCel Coulter DxH800 system. MCP-1 level was determined by enzyme-linked immunosorbent assay method. Cutoff values were established based on receiver operator characteristic (ROC) curve analysis. RESULTS: Mean monocyte volume with its standard deviation, mean monocyte conductivity, and MCP-1 were significantly increased in ATB compared with LTBI and HC. ROC curve analyses showed that simultaneous measurements of mean monocyte volume with its standard deviation, mean monocyte conductivity and MCP-1 achieved good sensitivity and specificity (93.8% and 93.1%), which may be clinically useful. CONCLUSIONS: The findings using monocyte morphometric parameters and MCP-1 to distinguish ATB from LTBI with high sensitivity and specificity may be a potential parameter for clinical. FAU - Sun, Tingting AU - Sun T FAU - Wu, Bin AU - Wu B FAU - Wang, Jing AU - Wang J FAU - Yuan, Tao AU - Yuan T FAU - Huang, Hengliu AU - Huang H FAU - Xu, Dongsheng AU - Xu D FAU - Shaoli AU - Shaoli FAU - Deng AU - Deng LA - eng PT - Journal Article PL - Germany TA - Clin Lab JT - Clinical laboratory JID - 9705611 RN - 0 (Chemokine CCL2) SB - IM MH - Adult MH - Aged MH - Chemokine CCL2/*blood MH - Diagnosis, Differential MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Latent Tuberculosis/blood/*diagnosis/microbiology MH - Male MH - Middle Aged MH - Monocytes/cytology/*metabolism MH - Mycobacterium tuberculosis/physiology MH - ROC Curve MH - Retrospective Studies MH - Tuberculosis/blood/diagnosis/microbiology EDAT- 2019/07/17 06:00 MHDA- 2020/01/07 06:00 CRDT- 2019/07/17 06:00 PHST- 2019/07/17 06:00 [entrez] PHST- 2019/07/17 06:00 [pubmed] PHST- 2020/01/07 06:00 [medline] AID - 10.7754/Clin.Lab.2018.181115 [doi] PST - ppublish SO - Clin Lab. 2019 Jul 1;65(7). doi: 10.7754/Clin.Lab.2018.181115.