肺结核与COVID-19共感染机制及免疫相互作用

Co-infection mechanisms and immune interaction of pulmonary tuberculosis and COVID-19

  • 摘要: 新型冠状病毒肺炎(COVID-19)和肺结核(TB)作为呼吸道传染病,直到今天的大流行仍然是全球公共卫生的巨大问题。尽管两者在传播途径、免疫病理机制及流行病学特征上存在显著差异,但其共感染病例的临床复杂性、叠加免疫损伤及治疗矛盾性日益凸显。因此,有效的治疗途径和发现新的潜在治疗靶点至关重要。本文对TB和COVID-19共感染潜在化合物及分子机制进行重点综述,同时分析共感染的相互作用,并讨论其共感染的公共卫生策略,为减轻共同疫情对卫生系统的影响提供循证建议。

     

    Abstract: As the infectious diseases, coronavirus disease 2019 (COVID-19) and tuberculosis (TB) remain tremendous problems of public health around the globe till the current pandemic. Although there are significant differences in transmission routes, immunopathological mechanisms and epidemiological characteristics between the two, the clinical complexity, superimposed immune injury and treatment contradiction of co-infected cases are increasingly prominent. Therefore, effective therapeutic approaches and the discovery of new potential therapeutic targets are extremely important. The review focuses on the potential compound and molecular mechanisms of the coinfections of TB and COVID-19, the interaction of the coinfections and public health strategies for the coinfections so as to offer evidence-based advice for reducing the impact of common epidemic on health system.

     

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