Mycobacterium tuberculosis and SARS-CoV-2 Co-Infection: An Efficient Cell Model to Study Lung Host-Pathogen Interactions.

Mycobacterium tuberculosis and SARS-CoV-2 Co-Infection: An Efficient Cell Model to Study Lung Host-Pathogen Interactions.

Publication date: Aug 01, 2026

In less than a year, SARS-CoV-2 managed to displace Mycobacterium tuberculosis (Mtb) as the leading cause of death worldwide due to a single infectious agent. Both pathogens affect the respiratory tract, mainly the lungs. However, the impact that a possible Mtb + SARS-CoV-2 co-infection can have on the host response is still unknown. Herein we depict a rigorous system to evaluate the complex interaction between two simultaneous infections in vitro in a lung epithelial cell line (A549). Overall, the process includes eight steps: (1) Mtb culture, (2) cell maintenance, (3) preparation of viral stocks, (4) determination of infectious titers, (5) Mtb and SARS-CoV-2 co-infection, (6) determination of intracellular bacterial load, (7) SARS-CoV-2 viability test, and (8) optional UV-C validation assay for infectivity reduction. This comprehensive protocol will allow experimentalists to study the pathogenesis of co-infection in vitro and facilitate collaborative work in the literature. (c) 2026 The Author(s). Current Protocols published by Wiley Periodicals LLC. Basic Protocol: In vitro coinfection model using Mtb and SARS-CoV-2 in human lung epithelial cells.

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Concepts Keywords
Efficient A549 Cells
Mycobacterium cell model
Tuberculosis Coinfection
Viral COVID-19
Wiley COVID‐19
Epithelial Cells
host
Host-Pathogen Interactions
Humans
Lung
Mycobacterium tuberculosis
pathogens
SARS-CoV-2
Tuberculosis
tuberculosis

Semantics

Type Source Name
disease MESH tuberculosis
pathway KEGG Tuberculosis
disease MESH Co-Infection
disease MESH death
disease MESH infections
disease MESH COVID 19
drug DRUGBANK Coenzyme M
pathway REACTOME Reproduction
disease MESH dis
disease MESH latent infection
disease MESH strains
drug DRUGBANK Cefaclor
disease MESH CCL
drug DRUGBANK Trypsin
drug DRUGBANK Edetic Acid
drug DRUGBANK Phosphate ion
disease MESH PBS
drug DRUGBANK Water
disease MESH cap
drug DRUGBANK Nitrogen
disease MESH image
drug DRUGBANK Glycerin
drug DRUGBANK Oleic Acid
drug DRUGBANK Dextrose unspecified form
drug DRUGBANK Streptomycin
drug DRUGBANK Benzylpenicillin
disease MESH FBS
disease MESH bacterial infection
disease MESH face
drug DRUGBANK Angiotensin II
drug DRUGBANK Spinosad
drug DRUGBANK Ademetionine
drug DRUGBANK Dimethyl sulfoxide
drug DRUGBANK Hydroxyethyl Starch
disease MESH hes
disease MESH Latent Tuberculosis
disease MESH STAR
disease MESH malaria
pathway KEGG Malaria
disease MESH Lung Disease

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