S100A12 is up-regulated in pulmonary tuberculosis and predicts the extent of alveolar infiltration on chest radiography: an observational study

Sci Rep. 2016 Aug 19;6:31798. doi: 10.1038/srep31798.


Pulmonary tuberculosis (PTB) results in lung functional impairment and there are no surrogate markers to monitor the extent of lung involvement. We investigated the clinical significance of S100A12 and soluble receptor for advanced glycation end-products (sRAGE) for predicting the extent of lung involvement. We performed an observational study in India with 119 newly diagnosed, treatment naïve, sputum smear positive, HIV-negative PTB patients and 163 healthy controls. All patients were followed-up for six months. Sociodemographic variables and the serum levels of S100A12, sRAGE, esRAGE, HMGB-1, TNF-α, IFN-γ and CRP were measured. Lung involvement in PTB patients was assessed by chest radiography. Compared with healthy controls, PTB patients had increased serum concentrations of S100A12 while sRAGE was decreased. S100A12 was an independent predictor of disease occurrence (OR 1.873, 95%CI 1.212-2.891, p = 0.004). Under DOTS therapy, S100A12 decreased significantly after 4 months whereas CRP significantly decreased after 2 months (p < 0.0001). Importantly, although CRP was also an independent predictor of disease occurrence, only S100A12 was a significant predictor of lung alveolar infiltration (OR 2.60, 95%CI 1.35-5.00, p = 0.004). These results suggest that S100A12 has the potential to assess the extent of alveolar infiltration in PTB.

Publication types

  • Clinical Trial
  • Observational Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Antigens, Neoplasm / blood
  • Cytokines / blood
  • Female
  • HMGB1 Protein / blood
  • Humans
  • Male
  • Mitogen-Activated Protein Kinases / blood
  • Pulmonary Alveoli* / diagnostic imaging
  • Pulmonary Alveoli* / metabolism
  • Pulmonary Embolism* / blood
  • Pulmonary Embolism* / diagnostic imaging
  • S100A12 Protein / blood*
  • Tomography, X-Ray Computed*
  • Up-Regulation*


  • Antigens, Neoplasm
  • Cytokines
  • HMGB1 Protein
  • HMGB1 protein, human
  • S100A12 Protein
  • S100A12 protein, human
  • MOK protein, human
  • Mitogen-Activated Protein Kinases