Chronic Immune Activation in TB/HIV Co-infection.

Riti Sharan, Allison N Bucşan, Shashank Ganatra, Mirko Paiardini, Mahesh Mohan, Smriti Mehra, Shabaana A Khader, Deepak Kaushal
Author Information
  1. Riti Sharan: Southwest National Primate Research Center, Texas Biomedical Research Institute, San Antonio, TX 78227, USA.
  2. Allison N Bucşan: Department of Microbiology and Immunology, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.
  3. Shashank Ganatra: Southwest National Primate Research Center, Texas Biomedical Research Institute, San Antonio, TX 78227, USA.
  4. Mirko Paiardini: Yerkes National Primate Research Center, Emory University School of Medicine, Atlanta, GA 30329, USA.
  5. Mahesh Mohan: Southwest National Primate Research Center, Texas Biomedical Research Institute, San Antonio, TX 78227, USA.
  6. Smriti Mehra: Tulane National Primate Research Center, Tulane University School of Medicine, Covington, LA 70433, USA.
  7. Shabaana A Khader: Department of Molecular Microbiology, Washington University in St Louis School of Medicine, St Louis, MO 63110, USA.
  8. Deepak Kaushal: Southwest National Primate Research Center, Texas Biomedical Research Institute, San Antonio, TX 78227, USA. Electronic address: dkaushal@txbiomed.org.

Abstract

HIV co-infection is the most critical risk factor for the reactivation of latent tuberculosis (TB) infection (LTBI). While CD4 T cell depletion has been considered the major cause of HIV-induced reactivation of LTBI, recent work in macaques co-infected with Mycobacterium tuberculosis (Mtb)/simian immunodeficiency virus (SIV) suggests that cytopathic effects of SIV resulting in chronic immune activation and dysregulation of T cell homeostasis correlate with reactivation of LTBI. This review builds on compelling data that the reactivation of LTBI during HIV co-infection is likely to be driven by the events of HIV replication and therefore highlights the need to have optimum translational interventions directed at reactivation due to co-infection.

Keywords

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  1. R01 AI123780/NIAID NIH HHS
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MeSH Term

Animals
CD4-Positive T-Lymphocytes
Coinfection
Disease Models, Animal
HIV Infections
Humans
Latent Tuberculosis
Lymphocyte Depletion
Macaca mulatta
Mycobacterium tuberculosis
Simian Acquired Immunodeficiency Syndrome
Simian Immunodeficiency Virus

Word Cloud

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