Beyond the Clinic: The Activation of Diverse Cellular and Humoral Factors Shapes the Immunological Status of Patients with Active Tuberculosis

<i>Mycobacterium tuberculosis</i> (<i>Mtb</i>), the etiologic agent of tuberculosis (TB), has killed nearly one billion people in the last two centuries. Nowadays, TB remains a major global health problem, ranking among the thirteen leading causes of death worldwide. Human TB...

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Main Authors: Nancy Liliana Tateosian, María Paula Morelli, Joaquín Miguel Pellegrini, Verónica Edith García
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/5/5033
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author Nancy Liliana Tateosian
María Paula Morelli
Joaquín Miguel Pellegrini
Verónica Edith García
author_facet Nancy Liliana Tateosian
María Paula Morelli
Joaquín Miguel Pellegrini
Verónica Edith García
author_sort Nancy Liliana Tateosian
collection DOAJ
description <i>Mycobacterium tuberculosis</i> (<i>Mtb</i>), the etiologic agent of tuberculosis (TB), has killed nearly one billion people in the last two centuries. Nowadays, TB remains a major global health problem, ranking among the thirteen leading causes of death worldwide. Human TB infection spans different levels of stages: incipient, subclinical, latent and active TB, all of them with varying symptoms, microbiological characteristics, immune responses and pathologies profiles. After infection, <i>Mtb</i> interacts with diverse cells of both innate and adaptive immune compartments, playing a crucial role in the modulation and development of the pathology. Underlying TB clinical manifestations, individual immunological profiles can be identified in patients with active TB according to the strength of their immune responses to Mtb infection, defining diverse endotypes. Those different endotypes are regulated by a complex interaction of the patient’s cellular metabolism, genetic background, epigenetics, and gene transcriptional regulation. Here, we review immunological categorizations of TB patients based on the activation of different cellular populations (both myeloid and lymphocytic subsets) and humoral mediators (such as cytokines and lipid mediators). The analysis of the participating factors that operate during active <i>Mtb</i> infection shaping the immunological status or immune endotypes of TB patients could contribute to the development of Host Directed Therapy.
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spelling doaj.art-951857ca61094f21913e69af08a7bf952023-11-17T07:56:49ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-03-01245503310.3390/ijms24055033Beyond the Clinic: The Activation of Diverse Cellular and Humoral Factors Shapes the Immunological Status of Patients with Active TuberculosisNancy Liliana Tateosian0María Paula Morelli1Joaquín Miguel Pellegrini2Verónica Edith García3Departamento de Química Biológica, Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires, Intendente Güiraldes 2160, Pabellón II, 4°piso, Ciudad Universitaria, Buenos Aires C1428EGA, ArgentinaDepartamento de Química Biológica, Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires, Intendente Güiraldes 2160, Pabellón II, 4°piso, Ciudad Universitaria, Buenos Aires C1428EGA, ArgentinaCentre d’Immunologie de Marseille Luminy, INSERM, CNRS, Aix-Marseille Université, Parc Scientifique et Technologique de Luminy, Case 906, CEDEX 09, 13288 Marseille, FranceDepartamento de Química Biológica, Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires, Intendente Güiraldes 2160, Pabellón II, 4°piso, Ciudad Universitaria, Buenos Aires C1428EGA, Argentina<i>Mycobacterium tuberculosis</i> (<i>Mtb</i>), the etiologic agent of tuberculosis (TB), has killed nearly one billion people in the last two centuries. Nowadays, TB remains a major global health problem, ranking among the thirteen leading causes of death worldwide. Human TB infection spans different levels of stages: incipient, subclinical, latent and active TB, all of them with varying symptoms, microbiological characteristics, immune responses and pathologies profiles. After infection, <i>Mtb</i> interacts with diverse cells of both innate and adaptive immune compartments, playing a crucial role in the modulation and development of the pathology. Underlying TB clinical manifestations, individual immunological profiles can be identified in patients with active TB according to the strength of their immune responses to Mtb infection, defining diverse endotypes. Those different endotypes are regulated by a complex interaction of the patient’s cellular metabolism, genetic background, epigenetics, and gene transcriptional regulation. Here, we review immunological categorizations of TB patients based on the activation of different cellular populations (both myeloid and lymphocytic subsets) and humoral mediators (such as cytokines and lipid mediators). The analysis of the participating factors that operate during active <i>Mtb</i> infection shaping the immunological status or immune endotypes of TB patients could contribute to the development of Host Directed Therapy.https://www.mdpi.com/1422-0067/24/5/5033tuberculosisinfectionimmunologyendotype
spellingShingle Nancy Liliana Tateosian
María Paula Morelli
Joaquín Miguel Pellegrini
Verónica Edith García
Beyond the Clinic: The Activation of Diverse Cellular and Humoral Factors Shapes the Immunological Status of Patients with Active Tuberculosis
International Journal of Molecular Sciences
tuberculosis
infection
immunology
endotype
title Beyond the Clinic: The Activation of Diverse Cellular and Humoral Factors Shapes the Immunological Status of Patients with Active Tuberculosis
title_full Beyond the Clinic: The Activation of Diverse Cellular and Humoral Factors Shapes the Immunological Status of Patients with Active Tuberculosis
title_fullStr Beyond the Clinic: The Activation of Diverse Cellular and Humoral Factors Shapes the Immunological Status of Patients with Active Tuberculosis
title_full_unstemmed Beyond the Clinic: The Activation of Diverse Cellular and Humoral Factors Shapes the Immunological Status of Patients with Active Tuberculosis
title_short Beyond the Clinic: The Activation of Diverse Cellular and Humoral Factors Shapes the Immunological Status of Patients with Active Tuberculosis
title_sort beyond the clinic the activation of diverse cellular and humoral factors shapes the immunological status of patients with active tuberculosis
topic tuberculosis
infection
immunology
endotype
url https://www.mdpi.com/1422-0067/24/5/5033
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