» Articles » PMID: 37662901

Initial Immune Response After Exposure to or to SARS-COV-2: Similarities and Differences

Overview
Journal Front Immunol
Date 2023 Sep 4
PMID 37662901
Authors
Affiliations
Soon will be listed here.
Abstract

Tuberculosis (TB), caused by (Mtb) and Coronavirus disease-2019 (COVID-19), whose etiologic agent is severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), are currently the two deadliest infectious diseases in humans, which together have caused about more than 11 million deaths worldwide in the past 3 years. TB and COVID-19 share several aspects including the droplet- and aerosol-borne transmissibility, the lungs as primary target, some symptoms, and diagnostic tools. However, these two infectious diseases differ in other aspects as their incubation period, immune cells involved, persistence and the immunopathological response. In this review, we highlight the similarities and differences between TB and COVID-19 focusing on the innate and adaptive immune response induced after the exposure to Mtb and SARS-CoV-2 and the pathological pathways linking the two infections. Moreover, we provide a brief overview of the immune response in case of TB-COVID-19 co-infection highlighting the similarities and differences of each individual infection. A comprehensive understanding of the immune response involved in TB and COVID-19 is of utmost importance for the design of effective therapeutic strategies and vaccines for both diseases.

Citing Articles

Impact of Severity of COVID-19 in TB Disease Patients: Experience from an Italian Infectious Disease Referral Hospital.

Di Bari V, Cerva C, Libertone R, Carli S, Musso M, Goletti D Infect Dis Rep. 2025; 17(1).

PMID: 39997463 PMC: 11855733. DOI: 10.3390/idr17010011.


Management of tuberculosis risk, screening and preventive therapy in patients with chronic autoimmune arthritis undergoing biotechnological and targeted immunosuppressive agents.

Picchianti-Diamanti A, Aiello A, De Lorenzo C, Migliori G, Goletti D Front Immunol. 2025; 16:1494283.

PMID: 39963138 PMC: 11830708. DOI: 10.3389/fimmu.2025.1494283.


Trends in tuberculosis mortality among older adults in China, 2004-2021: a Joinpoint regression and age-period-cohort analysis.

Zhang M, Wang X, Xiao Y, Wang Q, Huang F, Ren X Front Public Health. 2025; 12():1500539.

PMID: 39835304 PMC: 11743160. DOI: 10.3389/fpubh.2024.1500539.


Interaction between type 2 diabetes and past COVID-19 on active tuberculosis.

Calles-Cabanillas L, Aguillon-Duran G, Ayala D, Caso J, Garza M, Joya-Ayala M BMC Infect Dis. 2024; 24(1):1383.

PMID: 39633274 PMC: 11616277. DOI: 10.1186/s12879-024-10244-z.


Immunomodulatory effects of cysteamine and its potential use as a host-directed therapy for tuberculosis.

Najafi-Fard S, Farroni C, Petrone L, Altera A, Salmi A, Vanini V Front Immunol. 2024; 15:1411827.

PMID: 39530101 PMC: 11550979. DOI: 10.3389/fimmu.2024.1411827.


References
1.
Rajah M, Bernier A, Buchrieser J, Schwartz O . The Mechanism and Consequences of SARS-CoV-2 Spike-Mediated Fusion and Syncytia Formation. J Mol Biol. 2021; 434(6):167280. PMC: 8485708. DOI: 10.1016/j.jmb.2021.167280. View

2.
Petrone L, Tortorella C, Aiello A, Farroni C, Ruggieri S, Castilletti C . Humoral and Cellular Response to Spike of Delta SARS-CoV-2 Variant in Vaccinated Patients With Multiple Sclerosis. Front Neurol. 2022; 13:881988. PMC: 9194677. DOI: 10.3389/fneur.2022.881988. View

3.
Reiley W, Calayag M, Wittmer S, Huntington J, Pearl J, Fountain J . ESAT-6-specific CD4 T cell responses to aerosol Mycobacterium tuberculosis infection are initiated in the mediastinal lymph nodes. Proc Natl Acad Sci U S A. 2008; 105(31):10961-6. PMC: 2504808. DOI: 10.1073/pnas.0801496105. View

4.
Khan N, Vidyarthi A, Amir M, Mushtaq K, Agrewala J . T-cell exhaustion in tuberculosis: pitfalls and prospects. Crit Rev Microbiol. 2016; 43(2):133-141. DOI: 10.1080/1040841X.2016.1185603. View

5.
du Bruyn E, Stek C, Daroowala R, Said-Hartley Q, Hsiao M, Schafer G . Effects of tuberculosis and/or HIV-1 infection on COVID-19 presentation and immune response in Africa. Nat Commun. 2023; 14(1):188. PMC: 9836341. DOI: 10.1038/s41467-022-35689-1. View