PMID- 22795795 OWN - NLM STAT- MEDLINE DCOM- 20130401 LR - 20120827 IS - 1873-281X (Electronic) IS - 1472-9792 (Linking) VI - 92 IP - 5 DP - 2012 Sep TI - AIDS associated tuberculosis: a catastrophic collision to evade the host immune system. PG - 384-7 LID - 10.1016/j.tube.2012.05.006 [doi] AB - Human immunodeficiency virus (HIV) is a causative agent of AIDS while Mycobacterium tuberculosis causes human tuberculosis, independently. HIV and M. tuberculosis co-infection is an intriguing immunopathological phenomenon. The effect is not simply an additive but far more than that. This review gives an account of how various host and pathogen specific factors interplay to make this co-infection one of the worst co-infection, rightly named as medical "double jeopardy". We have attempted to recount some of the immune mechanisms how both these pathogens disturb the balance of host immune system resulting into defects in the host phagocytic response, leading to apoptosis and chemokine dysregulation. The HIV provides protected shelter to the M. tuberculosis and M. tuberculosis provides conducive atmosphere through the interplay of various chemokines. We also touch upon the treatment associated complications like Immune reconstitution inflammatory syndrome (IRIS) these patients face. CI - Copyright (c) 2012 Elsevier Ltd. All rights reserved. FAU - Munawwar, Arshi AU - Munawwar A AD - Division of Clinical Microbiology, All India Institute of Medical Sciences, New Delhi 110029, India. FAU - Singh, Sarman AU - Singh S LA - eng PT - Journal Article PT - Review DEP - 20120712 PL - Scotland TA - Tuberculosis (Edinb) JT - Tuberculosis (Edinburgh, Scotland) JID - 100971555 SB - IM MH - AIDS-Related Opportunistic Infections/drug therapy/*immunology/physiopathology MH - Acquired Immunodeficiency Syndrome/drug therapy/*immunology/physiopathology MH - Coinfection MH - Disease Progression MH - Drug Resistance, Multiple, Bacterial/*immunology MH - Female MH - Host-Pathogen Interactions MH - Humans MH - Immune Reconstitution Inflammatory Syndrome/chemically induced/*immunology/physiopathology MH - Immunity, Cellular MH - Male MH - Mycobacterium tuberculosis/*pathogenicity MH - Tuberculosis/drug therapy/*immunology/physiopathology EDAT- 2012/07/17 06:00 MHDA- 2013/04/02 06:00 CRDT- 2012/07/17 06:00 PHST- 2011/07/18 00:00 [received] PHST- 2012/03/04 00:00 [revised] PHST- 2012/05/11 00:00 [accepted] PHST- 2012/07/17 06:00 [entrez] PHST- 2012/07/17 06:00 [pubmed] PHST- 2013/04/02 06:00 [medline] AID - S1472-9792(12)00085-6 [pii] AID - 10.1016/j.tube.2012.05.006 [doi] PST - ppublish SO - Tuberculosis (Edinb). 2012 Sep;92(5):384-7. doi: 10.1016/j.tube.2012.05.006. Epub 2012 Jul 12.