Tuberculosis and lung damage: from epidemiology to pathophysiology. (28th February 2018)

• Record Type: Journal Article
• Authors: Ravimohan, Shruthi; Kornfeld, Hardy; Weissman, Drew; Bisson, Gregory P.
• Is Part Of: European respiratory review. Volume 27:Number 147(2018)
• Publication Date: 2018-02-28
• Subjects: Respiratory organs -- Diseases -- Periodicals; Respiratory Tract Diseases; Respiratory organs -- Diseases; Respiratory organs -- Diseases -- Treatment; Electronic journals; Periodical; Periodicals; Periodicals; 616.2
• DOI: 10.1183/16000617.0077-2017
• Languages: English
• ISSNs: 0905-9180

Abstract

A past history of pulmonary tuberculosis (TB) is a risk factor for long-term respiratory impairment. Post-TB lung dysfunction often goes unrecognised, despite its relatively high prevalence and its association with reduced quality of life. Importantly, specific host and pathogen factors causing lung impairment remain unclear. Host immune responses probably play a dominant role in lung damage, as excessive inflammation and elevated expression of lung matrix-degrading proteases are common during TB. Variability in host genes that modulate these immune responses may determine the severity of lung impairment, but this hypothesis remains largely untested. In this review, we provide an overview of the epidemiological literature on post-TB lung impairment and link it to data on the pathogenesis of lung injury from the perspective of dysregulated immune responses and immunogenetics. Host factors driving lung injury in TB likely contribute to variable patterns of pulmonary impairment after TB http://ow.ly/a3of30hBsxB