Publications by authors named "Awanti Sambarey"

Tuberculosis (TB) afflicted 10.6 million people in 2021, and its global burden is increasing due to multidrug-resistant TB (MDR-TB) and extensively resistant TB (XDR-TB). Here, we analyze multi-domain information from 5,060 TB patients spanning 10 countries with high burden of MDR-TB from the NIAID TB Portals database to determine predictors of TB treatment outcome.

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Tuberculosis (TB) afflicts over 10 million people every year and its global burden is projected to increase dramatically due to multidrug-resistant TB (MDR-TB). The Covid-19 pandemic has resulted in reduced access to TB diagnosis and treatment, reversing decades of progress in disease management globally. It is thus crucial to analyze real-world multi-domain information from patient health records to determine personalized predictors of TB treatment outcome and drug resistance.

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Tuberculosis (TB) is the deadliest infectious disease worldwide. The design of new treatments for TB is hindered by the large number of candidate drugs, drug combinations, dosing choices, and complex pharmaco-kinetics/dynamics (PK/PD). Here we study the interplay of these factors in designing combination therapies by linking a machine-learning model, INDIGO-MTB, which predicts in vitro drug interactions using drug transcriptomics, with a multi-scale model of drug PK/PD and pathogen-immune interactions called GranSim.

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Article Synopsis
  • * High-throughput studies have identified several genes linked to tuberculosis, but integrating this data is challenging due to differences in study methods, patient backgrounds, and infection severity.
  • * This study utilized a meta-analysis of host blood transcriptome data within a protein-protein interaction network, revealing a specific response network for tuberculosis, with 380 key genes, and demonstrating its usefulness for identifying common molecular responses to the infection.
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Efficient diagnosis of tuberculosis (TB) is met with multiple challenges, calling for a shift of focus from pathogen-centric diagnostics towards identification of host-based multi-marker signatures. Transcriptomics offer a list of differentially expressed genes, but cannot by itself identify the most influential contributors to the disease phenotype. Here, we describe a computational pipeline that adopts an unbiased approach to identify a biomarker signature.

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Article Synopsis
  • - The study focused on understanding how the host immune response, specifically serum levels of certain cytokines, can differentiate between tuberculosis (TB) patients and healthy individuals.
  • - Serum samples were analyzed for levels of key cytokines (like IL-6, IL-15, and IFN-γ) using ELISA, revealing significant differences in their concentrations between the groups.
  • - Findings suggest that monitoring changes in cytokine levels could improve TB diagnostics and treatment, highlighting the importance of the immune response in TB pathogenesis.
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Background: Ultraviolet radiations (UV) serve as an environmental stress for human skin, and result in melanogenesis, with the pigment melanin having protective effects against UV induced damage. This involves a dynamic and complex regulation of various biological processes that results in the expression of melanin in the outer most layers of the epidermis, where it can exert its protective effect. A comprehensive understanding of the underlying cross talk among different signalling molecules and cell types is only possible through a systems perspective.

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Mycobacterium tuberculosis owes its high pathogenic potential to its ability to evade host immune responses and thrive inside the macrophage. The outcome of infection is largely determined by the cellular response comprising a multitude of molecular events. The complexity and inter-relatedness in the processes makes it essential to adopt systems approaches to study them.

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