Biomarker tests of progression from tuberculosis infection to disease: a systematic review

No biomarker-based test to predict TB progression is currently ready for clinical implementation. Standardised methodologies, larger validation studies and improved reporting transparency are necessary to advance TB diagnostics and improve early detection efforts. Future research should prioritise refining tests for TB progression by improving their predictive accuracy, identifying appropriate target populations and evaluating their cost-effectiveness and feasibility for integration into TB prevention programmes, particularly in high-burden settings.

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Publication Details

Journal
European Respiratory Review
Published
2026-01-01
DOI
https://doi.org/10.1183/16000617.0151-2025
Primary Topic
Tuberculosis Research and Epidemiology
Type
article
Field-Weighted Citation Impact
0.00
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article

Biomarker tests of progression from tuberculosis infection to disease: a systematic review

Emily MacLean, Kylie Tingley, Giorgia Sulis, Nawal Maredia et al.
European Respiratory Review
Tuberculosis Research and Epidemiology
article

Biomarker tests of progression from tuberculosis infection to disease: a systematic review

Emily MacLean, Kylie Tingley, Giorgia Sulis, Nawal Maredia, Rajalakshmi Ravikumar, Gonzalo Alvarez, Alberto Matteelli, Angela Li, Becky Skidmore
article en

Abstract

No biomarker-based test to predict TB progression is currently ready for clinical implementation. Standardised methodologies, larger validation studies and improved reporting transparency are necessary to advance TB diagnostics and improve early detection efforts. Future research should prioritise refining tests for TB progression by improving their predictive accuracy, identifying appropriate target populations and evaluating their cost-effectiveness and feasibility for integration into TB prevention programmes, particularly in high-burden settings.

European Respiratory ReviewVol. 35(179)
The University of Sydney (AU), University of Ottawa (CA), Ottawa Hospital (CA), Taronga Conservation Society Australia (AU), Oldham Council (GB), National Health and Medical Research Council (AU), Ottawa Hospital Research Institute (CA), University of Brescia (IT)
Openalex Percentile: Top 11%
Tuberculosis Research and Epidemiology
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Biomarker tests of progression from tuberculosis infection to disease: a systematic review — Emily MacLean, Kylie Tingley, et al. · European Respiratory Review (2026) | TGRS Research Map | TGRS