The Journal of Society Medicine (JSOCMED)
Vol. 2 No. 2 (2023): February

Diagnosis of Tuberculosis infection in HIV: A Review

Wahyudi, Hendra (Unknown)



Article Info

Publish Date
28 Feb 2023

Abstract

The high prevalence and increasing incidence of HIV has adversely affected the control of several endemic diseases, including tuberculosis (TB). In HIV there is a progressive decrease in CD4 T cells which is associated with progressive damage to immunity, in the form of a severe decrease in digestive tract lymphoid cells, erythrocyte apoptosis, increased permeability of the digestive tract and finally massive CD4 T cell destruction. HIV will attempt to enter target cells (dendrite cells, macrophage cells), which are cells capable of expressing CD4 T cell receptors and express chemokine coreceptors (CCR5 or CXCR4) on the surface of CD4 T cells. HIV utilises CXCR4 to destroy CD4 T cells at acute onset, resulting in a decrease in CD4 T cell numbers. The condition of decreased CD4 T cell count in HIV will also be aggravated by the presence of TB co-infection. CD4 T cells contribute to controlling Mycobacterium tuberculosis. The adaptation of Mycobacterium tuberculosis in HIV patients can also weaken the cytokine immunity of interfor-γ, interleukin-10 patients in HIV infection. HIV-1 induces a decrease in CD4+ levels and the development of active tuberculosis. This review summarizes that Mycobacterium tuberculosis has an important component, Lipoarabinomannan (LAM), which has a broad ability to inhibit the influence of immunoregulators, thereby suppressing the proliferation of T lymphocytes, inhibiting macrophage activation and neutralising the influence of free radicals. Decreased immune status and nutritional status due to Mycobacterium tuberculosis can accelerate the course of HIV infection towards AIDS.

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Journal Info

Abbrev

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Publisher

Subject

Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience

Description

The Journal of Society Medicine (JSOCMED) | ISSN (e): 2964-5565 is a leading voice in the Indonesia and internationally for medicine and healthcare. Published continuously, JSOCMED features scholarly comment and clinical research. JSOCMED is editorially independent from and its The Editor-in-Chief ...