Immune Netw.  2018 Jun;18(3):e22. 10.4110/in.2018.18.e22.

Epidemiologic Evidence of and Potential Mechanisms by Which Second-Hand Smoke Causes Predisposition to Latent and Active Tuberculosis

Affiliations
  • 1Department of Medicine, Denver Veterans Affairs Medical Center, University of Colorado Anschutz Medical Center, Denver, CO 80045, USA. chane@njhealth.org
  • 2Department of Medicine and Office of Academic Affairs, National Jewish Health, Denver, CO 80206, USA.
  • 3Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado Anschutz Medical Campus, Denver, CO 80045, USA.
  • 4Department of Microbiology, Immunology, and Pathology, Mycobacteria Research Laboratories, Colorado State University, Fort Collins, CO 80523, USA.

Abstract

Many studies have linked cigarette smoke (CS) exposure and tuberculosis (TB) infection and disease although much fewer have studied second-hand smoke (SHS) exposure. Our goal is to review the epidemiologic link between SHS and TB as well as to summarize the effects SHS and direct CS on various immune cells relevant for TB. PubMed searches were performed using the key words "tuberculosis" with "cigarette,""tobacco," or "second-hand smoke." The bibliography of relevant papers were examined for additional relevant publications. Relatively few studies associate SHS exposure with TB infection and active disease. Both SHS and direct CS can alter various components of host immunity resulting in increased vulnerability to TB. While the epidemiologic link of these 2 health maladies is robust, more definitive, mechanistic studies are required to prove that SHS and direct CS actually cause increased susceptibility to TB.

Keyword

Tobacco smoke pollution; Cigarette smoking; Mycobacterium tuberculosis; Latent tuberculous infection

MeSH Terms

Mycobacterium tuberculosis
Smoke*
Smoking
Tobacco Products
Tobacco Smoke Pollution
Tuberculosis*
Smoke
Tobacco Smoke Pollution
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