Coinfection of tuberculosis and COVID-19 limits the ability to in vitro respond to SARS-CoV-2
Copyright © 2021 The Author(s). Published by Elsevier Ltd.. All rights reserved..
OBJECTIVES: The interaction of COVID-19 and tuberculosis (TB) are still poor characterized. Here we evaluated the immune response specific for Micobacterium tuberculosis (Mtb) and SARS-CoV-2 using a whole-blood-based assay-platform in COVID-19 patients either with TB or latent TB infection (LTBI).
METHODS: We evaluated IFN-γ level in plasma from whole-blood stimulated with Mtb antigens in the Quantiferon-Plus format or with peptides derived from SARS-CoV-2 spike protein, Wuhan-Hu-1 isolate (CD4-S).
RESULTS: We consecutively enrolled 63 COVID-19, 10 TB-COVID-19 and 11 LTBI-COVID-19 patients. IFN-γ response to Mtb-antigens was significantly associated to TB status and therefore it was higher in TB-COVID-19 and LTBI-COVID-19 patients compared to COVID-19 patients (p ≤ 0.0007). Positive responses against CD4-S were found in 35/63 COVID-19 patients, 7/11 LTBI-COVID-19 and only 2/10 TB-COVID-19 patients. Interestingly, the responders in the TB-COVID-19 group were less compared to COVID-19 and LTBI-COVID-19 groups (p = 0.037 and 0.044, respectively). Moreover, TB-COVID-19 patients showed the lowest quantitative IFN-γ response to CD4-S compared to COVID-19-patients (p = 0.0336) and LTBI-COVID-19 patients (p = 0.0178).
CONCLUSIONS: Our data demonstrate that COVID-19 patients either TB or LTBI have a low ability to build an immune response to SARS-CoV-2 while retaining the ability to respond to Mtb-specific antigens.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2021 |
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Erschienen: |
2021 |
Enthalten in: |
Zur Gesamtaufnahme - volume:113 Suppl 1 |
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Enthalten in: |
International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases - 113 Suppl 1(2021) vom: 01. Dez., Seite S82-S87 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Petrone, Linda [VerfasserIn] |
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Links: |
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Anmerkungen: |
Date Completed 21.12.2021 Date Revised 31.05.2022 published: Print-Electronic Citation Status MEDLINE |
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doi: |
10.1016/j.ijid.2021.02.090 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM322706327 |
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245 | 1 | 0 | |a Coinfection of tuberculosis and COVID-19 limits the ability to in vitro respond to SARS-CoV-2 |
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500 | |a Date Completed 21.12.2021 | ||
500 | |a Date Revised 31.05.2022 | ||
500 | |a published: Print-Electronic | ||
500 | |a Citation Status MEDLINE | ||
520 | |a Copyright © 2021 The Author(s). Published by Elsevier Ltd.. All rights reserved. | ||
520 | |a OBJECTIVES: The interaction of COVID-19 and tuberculosis (TB) are still poor characterized. Here we evaluated the immune response specific for Micobacterium tuberculosis (Mtb) and SARS-CoV-2 using a whole-blood-based assay-platform in COVID-19 patients either with TB or latent TB infection (LTBI) | ||
520 | |a METHODS: We evaluated IFN-γ level in plasma from whole-blood stimulated with Mtb antigens in the Quantiferon-Plus format or with peptides derived from SARS-CoV-2 spike protein, Wuhan-Hu-1 isolate (CD4-S) | ||
520 | |a RESULTS: We consecutively enrolled 63 COVID-19, 10 TB-COVID-19 and 11 LTBI-COVID-19 patients. IFN-γ response to Mtb-antigens was significantly associated to TB status and therefore it was higher in TB-COVID-19 and LTBI-COVID-19 patients compared to COVID-19 patients (p ≤ 0.0007). Positive responses against CD4-S were found in 35/63 COVID-19 patients, 7/11 LTBI-COVID-19 and only 2/10 TB-COVID-19 patients. Interestingly, the responders in the TB-COVID-19 group were less compared to COVID-19 and LTBI-COVID-19 groups (p = 0.037 and 0.044, respectively). Moreover, TB-COVID-19 patients showed the lowest quantitative IFN-γ response to CD4-S compared to COVID-19-patients (p = 0.0336) and LTBI-COVID-19 patients (p = 0.0178) | ||
520 | |a CONCLUSIONS: Our data demonstrate that COVID-19 patients either TB or LTBI have a low ability to build an immune response to SARS-CoV-2 while retaining the ability to respond to Mtb-specific antigens | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a COVID-19 | |
650 | 4 | |a Co-infection | |
650 | 4 | |a IFN-gamma response | |
650 | 4 | |a M. tuberculosis | |
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650 | 7 | |a Interferon-gamma |2 NLM | |
650 | 7 | |a 82115-62-6 |2 NLM | |
700 | 1 | |a Petruccioli, Elisa |e verfasserin |4 aut | |
700 | 1 | |a Vanini, Valentina |e verfasserin |4 aut | |
700 | 1 | |a Cuzzi, Gilda |e verfasserin |4 aut | |
700 | 1 | |a Gualano, Gina |e verfasserin |4 aut | |
700 | 1 | |a Vittozzi, Pietro |e verfasserin |4 aut | |
700 | 1 | |a Nicastri, Emanuele |e verfasserin |4 aut | |
700 | 1 | |a Maffongelli, Gaetano |e verfasserin |4 aut | |
700 | 1 | |a Grifoni, Alba |e verfasserin |4 aut | |
700 | 1 | |a Sette, Alessandro |e verfasserin |4 aut | |
700 | 1 | |a Ippolito, Giuseppe |e verfasserin |4 aut | |
700 | 1 | |a Migliori, Giovanni Battista |e verfasserin |4 aut | |
700 | 1 | |a Palmieri, Fabrizio |e verfasserin |4 aut | |
700 | 1 | |a Goletti, Delia |e verfasserin |4 aut | |
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