BibTex format
@article{Branchett:2026:10.1038/s41590-026-02544-0,
author = {Branchett, WJ and Kim, J-W and Shields, J and Chakravarty, P and Lee, J and Novsarka, I and Slawinski, H and Wilkinson, KA and Wilkinson, RJ and Kamil, A and Verma, R and Haldar, P and OGarra, A},
doi = {10.1038/s41590-026-02544-0},
journal = {Nature Immunology},
title = {Airway immune signatures of protection and disease progression in recent human tuberculosis household contacts},
url = {http://dx.doi.org/10.1038/s41590-026-02544-0},
year = {2026}
}
RIS format (EndNote, RefMan)
TY - JOUR
AB - <jats:title>Abstract</jats:title> <jats:p> The local immune factors dictating whether individuals who have been infected with <jats:italic>Mycobacterium tuberculosis</jats:italic> remain healthy or progress to active tuberculosis (TB) have not been defined. Here we interrogated the airway immune response at single-cell resolution in bronchoalveolar lavage from positron emission and computed tomography-characterized recent TB household contacts, who either controlled the infection or progressed to TB disease, as well as of patients with active TB at diagnosis. Single-cell RNA sequencing revealed type I IFN-dependent and IFN-independent neutrophil signatures in bronchoalveolar lavage from patients with active TB and TB progressors. We report an inverse relationship between airway neutrophils and T cells, with T cells showing signatures of exhaustion, cytotoxicity and cell death in progressors and patients with active TB with a neutrophil-dominated airway profile. Conversely, we identified T cell signatures of protection in nonprogressor contacts dominated by genes related to regulation, quiescence and a stem-like profile. Our findings from early human airway responses in TB contacts reveal genes, pathways and cell states that may dictate infection outcome and inform strategies for developing effective host-directed therapies and vaccines. </jats:p>
AU - Branchett,WJ
AU - Kim,J-W
AU - Shields,J
AU - Chakravarty,P
AU - Lee,J
AU - Novsarka,I
AU - Slawinski,H
AU - Wilkinson,KA
AU - Wilkinson,RJ
AU - Kamil,A
AU - Verma,R
AU - Haldar,P
AU - OGarra,A
DO - 10.1038/s41590-026-02544-0
PY - 2026///
SN - 1529-2908
TI - Airway immune signatures of protection and disease progression in recent human tuberculosis household contacts
T2 - Nature Immunology
UR - http://dx.doi.org/10.1038/s41590-026-02544-0
UR - https://doi.org/10.1038/s41590-026-02544-0
ER -