iScience (Nov 2024)

Transcriptional profile of Mycobacterium tuberculosis infection in people living with HIV

  • Burcu Tepekule,
  • Lisa Jörimann,
  • Corinne D. Schenkel,
  • Lennart Opitz,
  • Jasmin Tschumi,
  • Rebekka Wolfensberger,
  • Kathrin Neumann,
  • Katharina Kusejko,
  • Marius Zeeb,
  • Lucas Boeck,
  • Marisa Kälin,
  • Julia Notter,
  • Hansjakob Furrer,
  • Matthias Hoffmann,
  • Hans H. Hirsch,
  • Alexandra Calmy,
  • Matthias Cavassini,
  • Niklaus D. Labhardt,
  • Enos Bernasconi,
  • Gabriela Oesch,
  • Karin J. Metzner,
  • Dominique L. Braun,
  • Huldrych F. Günthard,
  • Roger D. Kouyos,
  • Fergal Duffy,
  • Johannes Nemeth

Journal volume & issue
Vol. 27, no. 11
p. 111228

Abstract

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Summary: In people with HIV-1 (PWH), Mycobacterium tuberculosis (MTB) infection poses a significant threat. While active tuberculosis (TB) accelerates immunodeficiency, the interaction between MTB and HIV-1 during asymptomatic phases remains unclear. Analysis of peripheral blood mononuclear cells (PBMC) transcriptomic profiles in PWH, with and without controlled viral loads, revealed distinct clustering in MTB-infected individuals. Functional annotation identified alterations in IL-6, TNF, and KRAS pathways. Notably, MTB-related genes displayed an inverse correlation with HIV-1 viremia, at both individual and signature score levels. These findings suggest that MTB infection in PWH induces a shift in immune system activation, inversely related to HIV-1 viral load. These results may explain the observed enhanced antiretroviral control in MTB-infected PWH. This study highlights the complex interplay between MTB and HIV-1, emphasizing the importance of understanding their interaction for managing co-infections in this population.

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