4.8 Review

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

Related references

Note: Only part of the references are listed.
Review Immunology

The T cell immune response against SARS-CoV-2

Paul Moss

Summary: T cell immunity plays a central role in controlling SARS-CoV-2 infection, with early responses correlating with protection. T cell memory provides broad recognition of viral proteins, limiting the impact of viral variants and offering protection against severe disease. Current COVID-19 vaccines elicit robust T cell responses, contributing to the prevention of hospitalization or death. Therefore, the importance of T cell immunity may have been underestimated.

NATURE IMMUNOLOGY (2022)

Article Public, Environmental & Occupational Health

Implications of SARS-CoV-2 infection on the clinical, hematological, and inflammatory parameters in COVID-19 patients: A retrospective cross-sectional study

Laila A. Damiati et al.

Summary: This study examined the differential regulation of clinical, hematologic, and inflammatory biomarkers in COVID-19 patients of different age groups. Laboratory parameters such as GGT, creatinine, BUN, CRP, procalcitonin, ferritin, and D-dimer were found to be differentially regulated, potentially serving as clinical predictors of disease severity in the population. Age was identified as an important factor influencing the severity of COVID-19.

JOURNAL OF INFECTION AND PUBLIC HEALTH (2022)

Article Immunology

Early Differences in Cytokine Production by Severity of Coronavirus Disease 2019

Lidya Handayani Tjan et al.

Summary: Research has shown that patients with asymptomatic or mild COVID-19 have significantly higher levels of serum cytokines during the acute phase of infection, indicating the key roles of these cytokines in the pathogenesis of asymptomatic or mild COVID-19.

JOURNAL OF INFECTIOUS DISEASES (2021)

Article Oncology

Lymphopenia as a Biological Predictor of Outcomes in COVID-19 Patients: A Nationwide Cohort Study

Jongmin Lee et al.

Summary: This study from a Korean nationwide cohort suggests that lymphopenia and its severity levels can serve as reliable predictive factors for COVID-19 clinical outcomes, including mortality, need for intensive care, and oxygen requirements. Lymphopenia at the initial presentation of COVID-19 is associated with poor prognosis, and the intensity of lymphopenia is independently associated with higher COVID-19 mortality.

CANCERS (2021)

Review Respiratory System

Tuberculosis and COVID-19 interaction: A review of biological, clinical and public health effects

D. Visca et al.

Summary: This review aims to report the available evidence on the interaction between tuberculosis (TB) and COVID-19, discussing their differences and similarities, immunological features, diagnostics, epidemiological and clinical characteristics, as well as public health implications. The shared dysregulation of immune responses in COVID-19 and TB poses a dual risk, and further evidence is needed to determine the impact of COVID-19 on active TB disease. Ongoing studies are expected to provide additional evidence on the potential risks and interactions between the two diseases.

PULMONOLOGY (2021)

Article Infectious Diseases

Coinfection of tuberculosis and COVID-19 limits the ability to in vitro respond to SARS-CoV-2

Linda Petrone et al.

Summary: The study revealed that COVID-19 patients with TB or LTBI have a diminished immune response to SARS-CoV-2 but retain the ability to respond to Mtb-specific antigens.

INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES (2021)

Review Medicine, Research & Experimental

The knowns and unknowns of latent Mycobacterium tuberculosis infection

W. Henry Boom et al.

Summary: Humans have been suffering from Mycobacterium tuberculosis (Mtb) infection for thousands of years. While most infected individuals remain asymptomatic, some can clear the infection. Successful control of Mtb infection requires the involvement of various immune mechanisms due to Mtb's ability to evade the immune system.

JOURNAL OF CLINICAL INVESTIGATION (2021)

Review Multidisciplinary Sciences

Active pulmonary tuberculosis and coronavirus disease 2019: A systematic review and meta-analysis

Ashutosh Nath Aggarwal et al.

Summary: Active pulmonary tuberculosis is relatively common among COVID-19 patients and increases the risk of severe COVID-19 and COVID-19-related mortality.

PLOS ONE (2021)

Review Immunology

The BCG Vaccine for COVID-19: First Verdict and Future Directions

Maria Gonzalez-Perez et al.

Summary: Despite the rapid development of SARS-CoV-2 vaccines, widespread vaccination will take time, making BCG a potential interim solution in mitigating the pandemic impact in some countries; the cross-protective effects of BCG vaccine and its mechanism of trained immunity provide potential applications in respiratory infectious diseases and ongoing SARS-CoV-2 clinical trials.

FRONTIERS IN IMMUNOLOGY (2021)

Article Cell Biology

Effect of BCG Revaccination on Occupationally Exposed Medical Personnel Vaccinated against SARS-CoV-2

Espiridion Ramos-Martinez et al.

Summary: The production of specific neutralizing antibodies by individuals plays a crucial role in reducing severe COVID-19 cases, and revaccination with BCG was found to have a positive impact on the response to the SARS-CoV-2 vaccine, leading to increased neutralizing antibody titers and serum cytokine concentrations.

CELLS (2021)

Review Immunology

Cellular Immune Response to COVID-19 and Potential Immune Modulators

Xi Zhou et al.

Summary: The severity of COVID-19 is mainly related to host factors, especially cellular immune responses in patients. Treatment recommendations are tailored based on the dynamics of immune responses, including administering appropriate medications at different stages.

FRONTIERS IN IMMUNOLOGY (2021)

Review Infectious Diseases

BCG Vaccine-Induced Trained Immunity and COVID-19: Protective or Bystander?

Gopala Koneru et al.

Summary: Studies suggest that BCG may induce trained immunity to provide some protection against SARS-CoV-2. Repurposing the well-characterized BCG during the COVID-19 pandemic could offer some degree of protection to the population.

INFECTION AND DRUG RESISTANCE (2021)

Article Infectious Diseases

Latent tuberculosis co-infection is associated with heightened levels of humoral, cytokine and acute phase responses in seropositive SARS-CoV-2 infection

Anuradha Rajamanickam et al.

Summary: Individuals with LTBI who are seropositive for SARS-CoV-2 infection exhibit heightened levels of humoral, cytokine, and acute phase responses compared to LTBI-negative individuals. LTBI is associated with modulation of antibody and cytokine responses as well as systemic inflammation in individuals seropositive for SARS-CoV-2 infection.

JOURNAL OF INFECTION (2021)

Article Immunology

Lymphocyte-Related Immunological Indicators for Stratifying Mycobacterium tuberculosis Infection

Ying Luo et al.

Summary: This study established an immunodiagnostic model based on lymphocyte-related indicators to differentiate between active tuberculosis, latent tuberculosis infection, and healthy controls. The model showed high sensitivity and specificity in distinguishing active tuberculosis from latent infection and healthy controls.

FRONTIERS IN IMMUNOLOGY (2021)

Article Genetics & Heredity

Th2/Th1 Cytokine Imbalance Is Associated With Higher COVID-19 Risk Mortality

Ana B. Pavel et al.

Summary: A major component of COVID-19 severe respiratory syndrome is the patient's immune response to the SARS-CoV-2 virus and the consequential multi-organ inflammatory response. Several studies suggested a potential role of CD4(+) T cells in COVID-19 severe respiratory syndrome. Th2/Th1 imbalance may affect patient outcomes in COVID-19, particularly in asthmatic patients.

FRONTIERS IN GENETICS (2021)

Review Medicine, General & Internal

COVID-19 and Tuberculosis Coinfection: An Overview of Case Reports/Case Series and Meta-Analysis

Wan-mei Song et al.

Summary: COVID-TB cases predominantly affect males, with non-survivors being older and more likely to have comorbidities such as hypertension and symptoms of dyspnea. Most patients received anti-TB therapy, and there are certain predictors of worse prognosis among COVID-TB cases. The study suggests that COVID-TB patients are more likely to suffer severe disease or death compared to COVID-19 patients.

FRONTIERS IN MEDICINE (2021)

Article Medicine, General & Internal

Impact of Latent Tuberculosis on Severity and Outcomes in Admitted COVID-19 Patients

Manu Madan et al.

Summary: Limited data is available on the relationship between COVID-19 and latent tuberculosis infection (LTBI). This study found that COVID-19 patients with LTBI tend to have milder disease, higher lymphocyte and monocyte counts, lower neutrophil-lymphocyte ratio, and lesser radiologic involvement compared to those without LTBI. Further research using larger studies and interferon release assays is needed to confirm these findings.

CUREUS JOURNAL OF MEDICAL SCIENCE (2021)

Article Multidisciplinary Sciences

Risk assessment of latent tuberculosis infection through a multiplexed cytokine biosensor assay and machine learning feature selection

Heather M. Robison et al.

Summary: Multiparameter diagnostic approach utilizing standardized cytokine biomarkers may enhance risk stratification and management of latent tuberculosis infection.

SCIENTIFIC REPORTS (2021)

Review Biochemistry & Molecular Biology

The signal pathways and treatment of cytokine storm in COVID-19

Lan Yang et al.

Summary: The COVID-19 pandemic is a global crisis with devastating effects, where immunopathology plays a crucial role in disease progression, particularly the cytokine storm which has a significant impact on prognosis. Understanding and targeting the pathways involved in cytokine storm could lead to more effective treatment strategies for COVID-19.

SIGNAL TRANSDUCTION AND TARGETED THERAPY (2021)

Article Medicine, Research & Experimental

Relationship of SARS-CoV-2-specific CD4 response to COVID-19 severity and impact of HIV-1 and tuberculosis coinfection

Catherine Riou et al.

Summary: This study found that the attributes of SARS-CoV-2-specific CD4(+) T cells were associated with the severity of COVID-19, with severe cases showing poor polyfunctional potential, reduced proliferation capacity, and enhanced HLA-DR expression. HIV-1 and TB coinfection can alter the SARS-CoV-2 T cell response, with HIV-1 causing CD4(+) T cell depletion and active TB leading to decreased polyfunctional capacity of SARS-CoV-2-specific CD4(+) T cells in COVID-19 patients. Moreover, COVID-19 patients displayed a reduced frequency of Mycobacterium tuberculosis-specific CD4(+) T cells, which may affect TB disease progression.

JOURNAL OF CLINICAL INVESTIGATION (2021)

Review Biochemistry & Molecular Biology

SARS-CoV-2 infection: The role of cytokines in COVID-19 disease

Victor J. Costela-Ruiz et al.

CYTOKINE & GROWTH FACTOR REVIEWS (2020)

Review Pediatrics

Immune Response to Mycobacterium tuberculosis: A Narrative Review

Maurizio de Martino et al.

FRONTIERS IN PEDIATRICS (2019)

Article Immunology

Rethinking IL-6 and CRP: Why they are more than inflammatory biomarkers, and why it matters

Marco Del Giudice et al.

BRAIN BEHAVIOR AND IMMUNITY (2018)

Article Medicine, General & Internal

PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation

Andrea C. Tricco et al.

ANNALS OF INTERNAL MEDICINE (2018)

Article Microbiology

Regulation of Immunity to Tuberculosis

Susanna Brighenti et al.

MICROBIOLOGY SPECTRUM (2016)

Article Medicine, Research & Experimental

Biomarkers on patient T cells diagnose active tuberculosis and monitor treatment response

Toidi Adekambi et al.

JOURNAL OF CLINICAL INVESTIGATION (2015)

Article Health Care Sciences & Services

Guidance for conducting systematic scoping reviews

Micah D. J. Peters et al.

INTERNATIONAL JOURNAL OF EVIDENCE-BASED HEALTHCARE (2015)

Review Immunology

The Immune Response in Tuberculosis

Anne O'Garra et al.

ANNUAL REVIEW OF IMMUNOLOGY, VOL 31 (2013)

Article Immunology

Local Immune Responses in Human Tuberculosis: Learning From the Site of Infection

Susanna Brighenti et al.

JOURNAL OF INFECTIOUS DISEASES (2012)

Article Microbiology

Trained Immunity: A Memory for Innate Host Defense

Mihai G. Netea et al.

CELL HOST & MICROBE (2011)