Could a Simple Mouth Swab Revolutionize Tuberculosis Screening?

Synopsis
Key Takeaways
- Tongue swab testing could revolutionize TB screening.
- The new method may greatly enhance detection in low-resource areas.
- CRISPR technology offers rapid results, potentially within an hour.
- Marked improvement in detection rates compared to traditional methods.
- Significant implications for populations unable to produce sputum.
New Delhi, Sep 17 (NationPress) A recent study suggests that tuberculosis screening could soon be performed using a straightforward tongue swab, moving away from the traditional sputum testing.
Researchers from Tulane University in the US have revealed that this innovative approach, utilizing an advanced CRISPR-based technology, could facilitate easier, community-driven screenings for tuberculosis, known as one of the most lethal infectious diseases.
According to lead author Zhen Huang, an assistant professor at Tulane's School of Medicine, creating an effective tuberculosis tongue swab test could significantly improve testing capabilities in low-resource areas.
"Tongue swabs are painless, simple to collect, and do not necessitate trained medical personnel," Huang stated. "This innovation paves the way for extensive screening initiatives."
Current testing methods for TB depend on sputum, which is mucus obtained from the lungs and lower respiratory tract.
However, collecting sputum is challenging and impractical in around 25% of symptomatic cases and nearly 90% of asymptomatic cases—resulting in approximately 4 million undiagnosed tuberculosis cases each year.
The study, published in Nature Communications, aimed to bridge this gap by enhancing a previously established CRISPR-based assay to detect TB in samples with minimal bacterial presence, such as stool, spinal fluid, and tongue swabs.
The newly developed CRISPR technique, termed ActCRISPR-TB, significantly improved the amplification and detection of genetic signals from TB bacteria DNA, offering a fast, efficient method that can yield results in under an hour.
Clinical evaluations demonstrated a marked improvement in TB detection using tongue swabs compared to conventional methods (74% versus 56%).
Moreover, the test exhibited high sensitivity for detecting TB in respiratory (93%), pediatric stool (83%), and adult spinal fluid samples (93%).
This research represents a critical advancement, particularly for children, HIV patients, and individuals with extrapulmonary TB, who often struggle to provide sputum samples, thus enhancing diagnostic effectiveness across various sample types.