# High resolution plasma metabolomics to identify biomarkers of tuberculosis

> **NIH NIH K23** · EMORY UNIVERSITY · 2023 · $145,656

## Abstract

PROJECT SUMMARY/ABSTRACT
Tuberculosis (TB) is an enormous global public health problem and the leading cause of death due to an
infectious disease worldwide. A lack of known biomarkers and biologic pathways associated with progression
to active TB disease represents a major barrier to the development of point-of-care assays which are urgently
needed to effectively diagnose TB at the primary care level, especially in resource-limited countries. With the
support of this K23 award, Jeffrey Collins, MD, MPH, MSc, will explore whether high-resolution metabolomics
can be used to identify novel metabolic signatures associated with active TB disease and latent TB infection
(LTBI) with a high risk of progression to active TB. He will leverage unique clinical cohorts enrolled by the
NIAID-funded TB Research Unit (TBRU; U19 AI111211) to determine whether host and Mycobacterium
tuberculosis (Mtb) metabolites detected in plasma can be developed as biomarkers of active TB disease (Aim
1), whether changes in host metabolism can identify persons with LTBI at high risk of progression (Aim 2), and
whether Mtb-associated metabolites are detectable in the urine of persons with active TB disease (Aim 3).
This study seeks to identify novel molecular signatures of active TB and high-risk LTBI with potential for
translation into improved diagnostic assays. This research strategy will facilitate a 5-year career development
and training plan that will enable Dr. Collins to build on his background in statistical computing and clinical
epidemiology and gain critical mentored research training. To achieve independence as a clinical investigator
with a unique niche using systems biology to identify novel molecular signatures associated with TB disease
and gain new insights into disease pathophysiology, Dr. Collins requires further training in: 1) conducting
prospective international clinical research studies; 2) metabolomics and biomarker development; and 3) data
science and bioinformatics with a focus on systems biology. To achieve these training aims, Dr. Collins has
assembled a multidisciplinary mentorship team that includes lead mentor Dr. Henry Blumberg, an expert in
international clinical and translational TB research (and TBRU PI) and co-lead mentor Dr. Dean Jones, an
internationally recognized expert in metabolomics. His co-mentors are Dr. Shuzhao Li, an expert in using
systems biology to describe the host response to infectious pathogens, Dr. Russell Kempker, an investigator
with expertise in evaluation of TB diagnostics, and Dr. Thomas Ziegler, a renowned expert in regulation of host
metabolism. Emory University provides an exceptional intellectual and collaborative environment for this
research. By leveraging the extensive study infrastructure of the TBRU in Abbis Ababa, Ethiopia and unique
expertise in high-resolution metabolomics and systems biology available at Emory University, Dr. Collins will
be well positioned to carry out the proposed study aims and trainin...

## Key facts

- **NIH application ID:** 10690476
- **Project number:** 5K23AI144040-05
- **Recipient organization:** EMORY UNIVERSITY
- **Principal Investigator:** Jeffrey M Collins
- **Activity code:** K23 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2023
- **Award amount:** $145,656
- **Award type:** 5
- **Project period:** 2019-09-01 → 2025-11-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10690476

## Citation

> US National Institutes of Health, RePORTER application 10690476, High resolution plasma metabolomics to identify biomarkers of tuberculosis (5K23AI144040-05). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/10690476. Licensed CC0.

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