Immune responses in COVID-19 and tuberculosis coinfection: A scoping review

Background and aimPatients with COVID-19 and tuberculosis coinfection are at an increased risk of severe disease and death. We therefore sought to evaluate the current evidence which assessed the immune response in COVID-19 and tuberculosis coinfectionMethodsWe searched Pubmed/MEDLINE, EMBASE, Scopu...

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Main Authors: Kevin Flores-Lovon, Brando Ortiz-Saavedra, Luis A. Cueva-Chicaña, Shalom Aperrigue-Lira, Elizbet S. Montes-Madariaga, David R. Soriano-Moreno, Brett Bell, Rodney Macedo
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.992743/full
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author Kevin Flores-Lovon
Kevin Flores-Lovon
Brando Ortiz-Saavedra
Brando Ortiz-Saavedra
Luis A. Cueva-Chicaña
Luis A. Cueva-Chicaña
Shalom Aperrigue-Lira
Shalom Aperrigue-Lira
Elizbet S. Montes-Madariaga
Elizbet S. Montes-Madariaga
David R. Soriano-Moreno
Brett Bell
Rodney Macedo
Rodney Macedo
author_facet Kevin Flores-Lovon
Kevin Flores-Lovon
Brando Ortiz-Saavedra
Brando Ortiz-Saavedra
Luis A. Cueva-Chicaña
Luis A. Cueva-Chicaña
Shalom Aperrigue-Lira
Shalom Aperrigue-Lira
Elizbet S. Montes-Madariaga
Elizbet S. Montes-Madariaga
David R. Soriano-Moreno
Brett Bell
Rodney Macedo
Rodney Macedo
author_sort Kevin Flores-Lovon
collection DOAJ
description Background and aimPatients with COVID-19 and tuberculosis coinfection are at an increased risk of severe disease and death. We therefore sought to evaluate the current evidence which assessed the immune response in COVID-19 and tuberculosis coinfectionMethodsWe searched Pubmed/MEDLINE, EMBASE, Scopus, and Web of Science to identify articles published between 2020 and 2021. We included observational studies evaluating the immune response in patients with tuberculosis and COVID-19 compared to patients with COVID-19 alone.ResultsFour cross-sectional studies (372 participants) were identified. In patients with asymptomatic COVID-19 and latent tuberculosis (LTBI), increased cytokines, chemokines, growth factors and humoral responses were found. In addition, patients with symptomatic COVID-19 and LTBI had higher leukocytes counts and less inflammation. Regarding patients with COVID-19 and active tuberculosis (aTB), they exhibited decreased total lymphocyte counts, CD4 T cells specific against SARS-CoV-2 and responsiveness to SARS-CoV-2 antigens compared to patients with only COVID-19.ConclusionAlthough the evidence is limited, an apparent positive immunomodulation is observed in patients with COVID-19 and LTBI. On the other hand, patients with COVID-19 and aTB present a dysregulated immune response. Longitudinal studies are needed to confirm these findings and expand knowledge.
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spelling doaj.art-7a8aac84f5ae481e81ac825bb95b04722022-12-22T01:38:08ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-08-011310.3389/fimmu.2022.992743992743Immune responses in COVID-19 and tuberculosis coinfection: A scoping reviewKevin Flores-Lovon0Kevin Flores-Lovon1Brando Ortiz-Saavedra2Brando Ortiz-Saavedra3Luis A. Cueva-Chicaña4Luis A. Cueva-Chicaña5Shalom Aperrigue-Lira6Shalom Aperrigue-Lira7Elizbet S. Montes-Madariaga8Elizbet S. Montes-Madariaga9David R. Soriano-Moreno10Brett Bell11Rodney Macedo12Rodney Macedo13Universidad Nacional de San Agustín de Arequipa, Arequipa, PeruGrupo de Investigación en Inmunología – GII, UNSA, Arequipa, PeruUniversidad Nacional de San Agustín de Arequipa, Arequipa, PeruGrupo de Investigación en Inmunología – GII, UNSA, Arequipa, PeruUniversidad Nacional de San Agustín de Arequipa, Arequipa, PeruGrupo de Investigación en Inmunología – GII, UNSA, Arequipa, PeruUniversidad Nacional de San Agustín de Arequipa, Arequipa, PeruGrupo de Investigación en Inmunología – GII, UNSA, Arequipa, PeruUniversidad Nacional de San Agustín de Arequipa, Arequipa, PeruGrupo de Investigación en Inmunología – GII, UNSA, Arequipa, PeruUnidad de Investigación Clínica y Epidemiológica, Universidad Peruana Unión, Lima, PeruDepartment of Radiation Oncology, Albert Einstein College of Medicine, Bronx, NY, United StatesGrupo de Investigación en Inmunología – GII, UNSA, Arequipa, PeruDepartment of Radiation Oncology, Albert Einstein College of Medicine, Bronx, NY, United StatesBackground and aimPatients with COVID-19 and tuberculosis coinfection are at an increased risk of severe disease and death. We therefore sought to evaluate the current evidence which assessed the immune response in COVID-19 and tuberculosis coinfectionMethodsWe searched Pubmed/MEDLINE, EMBASE, Scopus, and Web of Science to identify articles published between 2020 and 2021. We included observational studies evaluating the immune response in patients with tuberculosis and COVID-19 compared to patients with COVID-19 alone.ResultsFour cross-sectional studies (372 participants) were identified. In patients with asymptomatic COVID-19 and latent tuberculosis (LTBI), increased cytokines, chemokines, growth factors and humoral responses were found. In addition, patients with symptomatic COVID-19 and LTBI had higher leukocytes counts and less inflammation. Regarding patients with COVID-19 and active tuberculosis (aTB), they exhibited decreased total lymphocyte counts, CD4 T cells specific against SARS-CoV-2 and responsiveness to SARS-CoV-2 antigens compared to patients with only COVID-19.ConclusionAlthough the evidence is limited, an apparent positive immunomodulation is observed in patients with COVID-19 and LTBI. On the other hand, patients with COVID-19 and aTB present a dysregulated immune response. Longitudinal studies are needed to confirm these findings and expand knowledge.https://www.frontiersin.org/articles/10.3389/fimmu.2022.992743/fullCOVID-19SARS-CoV-2tuberculosisMycobacterium tuberculosiscoinfectionimmunity
spellingShingle Kevin Flores-Lovon
Kevin Flores-Lovon
Brando Ortiz-Saavedra
Brando Ortiz-Saavedra
Luis A. Cueva-Chicaña
Luis A. Cueva-Chicaña
Shalom Aperrigue-Lira
Shalom Aperrigue-Lira
Elizbet S. Montes-Madariaga
Elizbet S. Montes-Madariaga
David R. Soriano-Moreno
Brett Bell
Rodney Macedo
Rodney Macedo
Immune responses in COVID-19 and tuberculosis coinfection: A scoping review
Frontiers in Immunology
COVID-19
SARS-CoV-2
tuberculosis
Mycobacterium tuberculosis
coinfection
immunity
title Immune responses in COVID-19 and tuberculosis coinfection: A scoping review
title_full Immune responses in COVID-19 and tuberculosis coinfection: A scoping review
title_fullStr Immune responses in COVID-19 and tuberculosis coinfection: A scoping review
title_full_unstemmed Immune responses in COVID-19 and tuberculosis coinfection: A scoping review
title_short Immune responses in COVID-19 and tuberculosis coinfection: A scoping review
title_sort immune responses in covid 19 and tuberculosis coinfection a scoping review
topic COVID-19
SARS-CoV-2
tuberculosis
Mycobacterium tuberculosis
coinfection
immunity
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.992743/full
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