PMID- 36090983 OWN - NLM STAT- MEDLINE DCOM- 20220913 LR - 20220915 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 13 DP - 2022 TI - Immune responses in COVID-19 and tuberculosis coinfection: A scoping review. PG - 992743 LID - 10.3389/fimmu.2022.992743 [doi] LID - 992743 AB - BACKGROUND AND AIM: Patients 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 coinfection. METHODS: We 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. RESULTS: Four 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. CONCLUSION: Although 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. CI - Copyright (c) 2022 Flores-Lovon, Ortiz-Saavedra, Cueva-Chicana, Aperrigue-Lira, Montes-Madariaga, Soriano-Moreno, Bell and Macedo. FAU - Flores-Lovon, Kevin AU - Flores-Lovon K AD - Universidad Nacional de San Agustin de Arequipa, Arequipa, Peru. AD - Grupo de Investigacion en Inmunologia - GII, UNSA, Arequipa, Peru. FAU - Ortiz-Saavedra, Brando AU - Ortiz-Saavedra B AD - Universidad Nacional de San Agustin de Arequipa, Arequipa, Peru. AD - Grupo de Investigacion en Inmunologia - GII, UNSA, Arequipa, Peru. FAU - Cueva-Chicana, Luis A AU - Cueva-Chicana LA AD - Universidad Nacional de San Agustin de Arequipa, Arequipa, Peru. AD - Grupo de Investigacion en Inmunologia - GII, UNSA, Arequipa, Peru. FAU - Aperrigue-Lira, Shalom AU - Aperrigue-Lira S AD - Universidad Nacional de San Agustin de Arequipa, Arequipa, Peru. AD - Grupo de Investigacion en Inmunologia - GII, UNSA, Arequipa, Peru. FAU - Montes-Madariaga, Elizbet S AU - Montes-Madariaga ES AD - Universidad Nacional de San Agustin de Arequipa, Arequipa, Peru. AD - Grupo de Investigacion en Inmunologia - GII, UNSA, Arequipa, Peru. FAU - Soriano-Moreno, David R AU - Soriano-Moreno DR AD - Unidad de Investigacion Clinica y Epidemiologica, Universidad Peruana Union, Lima, Peru. FAU - Bell, Brett AU - Bell B AD - Department of Radiation Oncology, Albert Einstein College of Medicine, Bronx, NY, United States. FAU - Macedo, Rodney AU - Macedo R AD - Grupo de Investigacion en Inmunologia - GII, UNSA, Arequipa, Peru. AD - Department of Radiation Oncology, Albert Einstein College of Medicine, Bronx, NY, United States. LA - eng GR - R01 CA257509/CA/NCI NIH HHS/United States PT - Research Support, N.I.H., Extramural PT - Systematic Review DEP - 20220826 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 SB - IM MH - *COVID-19 MH - *Coinfection MH - Cross-Sectional Studies MH - Humans MH - Immunity MH - *Latent Tuberculosis MH - SARS-CoV-2 MH - *Tuberculosis PMC - PMC9459402 OTO - NOTNLM OT - COVID-19 OT - Mycobacterium tuberculosis OT - SARS-CoV-2 OT - coinfection OT - immunity OT - tuberculosis COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/09/13 06:00 MHDA- 2022/09/14 06:00 PMCR- 2022/08/26 CRDT- 2022/09/12 03:53 PHST- 2022/07/13 00:00 [received] PHST- 2022/08/08 00:00 [accepted] PHST- 2022/09/12 03:53 [entrez] PHST- 2022/09/13 06:00 [pubmed] PHST- 2022/09/14 06:00 [medline] PHST- 2022/08/26 00:00 [pmc-release] AID - 10.3389/fimmu.2022.992743 [doi] PST - epublish SO - Front Immunol. 2022 Aug 26;13:992743. doi: 10.3389/fimmu.2022.992743. eCollection 2022.