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Table 1 Vector of features

From: Moving forward through the in silico modeling of tuberculosis: a further step with UISS-TB

#

Parameter name

Unit of measurement

Biological description

Values set in the simulations

1

MTB virulence

Real

The ability of a mycobacteria to cause tuberculosis, depending on its capability to reside within host cells and evade the microbicidal mechanisms of macrophages

0.5

2

Mtb sputum

CFU/mL

Mycobacterium bacilli present in sputum smear traditionally quantified by counting colony forming units

80,000

3

CD4+-Th1

cells/µL

Lineage of CD4+ effector T cell required for host defense against pathogens promoting cell-mediated immune responses

0

4

CD4+-Th2

cells/µL

Lineage of CD4+ effector T cell required for humoral immunity promoting the coordination of the immune response to extracellular pathogens

0

5

IgG

titer

The main type of antibody in blood and extracellular fluid, allowing control infection of body tissues and body protection from intracellular caused infections

0

6

TC (CD8+)

cells/µL

A type of lymphocyte that can kill foreign cells, cancer cells, and cells infected with a virus

562

7

IL-23

pg/mL

A proinflammatory cytokine involved in the induction of IL-17-producing antigen-specific CD4 + T cells (Th17) and in the control of tuberculosis. It also outlines the expression of vaccine-induced protection against tuberculosis

0

8

IL-12

pg/mL

A proinflammatory cytokine naturally produced by dendritic cells, macrophages, neutrophils in response to antigenic stimulation

0

9

IL17-A

pg/mL

A proinflammatory cytokine produced by activated T helper cells in response to their stimulation with IL-23. In tuberculosis, it represents a protective cytokine against mycobacteria

0

10

IL-2

pg/mL

A proinflammatory cytokine that stimulates the growth and replication of B lymphocytes (B cells) and T lymphocytes (T cells). It is significantly higher in active TB patients, suggesting that IL-2 represents a potential infection severity biomarker

0

11

IL-1

pg/mL

An anti-inflammatory cytokine produced by macrophages. It usually raises body temperature, spurs the production of interferon, and stimulates growth of disease-fighting cells. IL-1 receptor pathways are essential for the control of MTB infection

0

12

IL-10

pg/mL

An anti-inflammatory cytokine with multiple, pleiotropic, effects in immunoregulation and inflammation. It downregulates the expression of Th1 cytokines, MHC class II antigens, and co-stimulatory molecules on macrophages. It also enhances B cell survival, proliferation, and IgE antibody production. IL-10 has been identified as a correlate of susceptibility for tuberculosis and reactivation of TB disease

0

13

IFN1A

pg/mL

Human type I interferons (IFNs) are a large subgroup of interferon proteins that help regulate the activity of the immune system. The IFN-α proteins are produced mainly by plasmacytoid dendritic cells (pDCs). They are mainly involved in innate immunity against viral infection

0

14

IFN1B

pg/mL

Human type I interferons (IFNs) are a large subgroup of interferon proteins that help regulate the activity of the immune system. The IFN-β proteins are produced in large quantities by fibroblasts. They have antiviral activity that is involved mainly in innate immune response

0

15

IFNG

pg/mL

A proinflammatory cytokine primarily secreted by activated T cells and natural killer (NK) cells that promote macrophage activation, mediate antiviral and antibacterial immunity, enhance antigen presentation, orchestrate activation of the innate immune system, coordinate lymphocyte–endothelium interaction, regulate Th1/Th2 balance, and control cellular proliferation and apoptosis. It represents the clinical standard that establish the evidence of Mtb exposure and infection

0

16

TNF

pg/mL

N inflammatory cytokine produced chiefly by activated macrophages and many other cell types such as T helper cells, natural killer cells, neutrophils, mast cells, eosinophils, and neurons. Itplays a major role in the initial and long-term control of tuberculosis

0

17

Treg

cells/µL

T cells which have a role in regulating or suppressing other cells in the immune system. Tregs control the immune response to self and antigens and help prevent autoimmune disease

68

18

LXA4

ng/mL

A bioactive autacoid metabolite of arachidonic acid that displays both potent anti-inflammatory and pro-resolving actions. In tuberculosis disease, it owns a pro-necrotic activity against infected alveolar macrophages

0

19

PGE2

ng/mL

A lipid compounds called eicosanoids having several hormone-like effects in animals. It derives enzymatically from the fatty acid arachidonic acid. In tuberculosis disease, it owns a pro-apoptotic activity against infected alveolar macrophages

0

20

VitaminD

ng/mL

It is considered an essential micronutrient involved in several biological processes such as endocrine metabolism and immune system activity, by modulating and inhibiting its activity in different ways. Its deficiency is associated with the risk of tuberculosis infection

25.8

21

AGE

years

A risk factor that should be considered for tuberculosis incidence and prognosis

35

22

BMI

kg/m2

A key index for relating weight to height. BMI has been found correlated with both active and latent forms of tuberculosis

21

  1. Simulator input parameters that compose the vector of feature to personalize the digital patient. A biological description along with the values used to run the simulations are provided as well