Host genetic background is a barrier to broadly effective vaccine–mediated protection against tuberculosis DOI Creative Commons
Rocky Lai, Diana Gong, Travis Williams

и другие.

Journal of Clinical Investigation, Год журнала: 2023, Номер 133(13)

Опубликована: Май 18, 2023

Heterogeneity in human immune responses is difficult to model standard laboratory mice. To understand how host variation affects BCG-induced immunity against Mycobacterium tuberculosis, we studied 24 unique Collaborative Cross (CC) mouse strains, which differ primarily the genes and alleles they inherit from founder strains. The CC strains were vaccinated with or without BCG, then challenged aerosolized M. tuberculosis. As BCG protects only half of tested, conclude that genetics has a major influence on tuberculosis infection, making it an important barrier vaccine-mediated protection. Importantly, efficacy dissociable inherent susceptibility TB. T cell was extensively characterized identify components associated protection stimulated by recalled after Mtb infection. Although considerable diversity observed, little impact composition cells lung Instead, variability largely shaped genetics. BCG-elicited TB correlated changes function. Thus, mice can be used define correlates vaccine strategies protect larger fraction genetically diverse individuals instead optimizing for single genotype.

Язык: Английский

In the Thick of It: Formation of the Tuberculous Granuloma and Its Effects on Host and Therapeutic Responses DOI Creative Commons
Mark R. Cronan

Frontiers in Immunology, Год журнала: 2022, Номер 13

Опубликована: Март 7, 2022

The defining pathology of tuberculosis is the granuloma, an organized structure derived from host immune cells that surrounds infecting Mycobacterium . As location much bacteria in infected host, granuloma a central point interaction between and bacterium. This review describes signals cellular reprogramming drive formation. Further, as host-bacterial interactions, shapes disease outcome by altering responses bacterial susceptibility to antibiotic treatment, discussed herein. new understanding biology signaling behind it highlights potential for host-directed therapies targeting enhance access tuberculosis-specific responses.

Язык: Английский

Процитировано

67

CD8+ lymphocytes are critical for early control of tuberculosis in macaques DOI Creative Commons
Caylin G. Winchell, Sarah K. Nyquist, Michael C. Chao

и другие.

The Journal of Experimental Medicine, Год журнала: 2023, Номер 220(12)

Опубликована: Окт. 16, 2023

The functional role of CD8+ lymphocytes in tuberculosis remains poorly understood. We depleted innate and/or adaptive macaques and showed that loss all CD8α+ cells (using anti-CD8α antibody) significantly impaired early control Mycobacterium (Mtb) infection, leading to increased granulomas, lung inflammation, bacterial burden. Analysis barcoded Mtb from infected demonstrated depletion allowed establishment lungs dissemination within lymph nodes, while only T (with anti-CD8β worsened nodes. Flow cytometry single-cell RNA sequencing revealed polyfunctional cytotoxic CD8-depleted animals were unexpectedly enriched CD4 γδ adopting incomplete signatures. Ligand-receptor analyses identified IL-15 signaling granulomas as a driver cells. These data support are required for protection against suggest responses vaccine target.

Язык: Английский

Процитировано

36

Key advances in vaccine development for tuberculosis—success and challenges DOI Creative Commons
Rocky Lai,

Abiola F. Ogunsola,

Tasfia Rakib

и другие.

npj Vaccines, Год журнала: 2023, Номер 8(1)

Опубликована: Окт. 13, 2023

Abstract Breakthrough findings in the clinical and preclinical development of tuberculosis (TB) vaccines have galvanized field suggest, for first time since bacille Calmette-Guérin (BCG), that a novel protective TB vaccine is on horizon. Here we highlight are pipeline review basis optimism both space. We describe immune signatures could act as immunological correlates protection (CoP) to facilitate comparison vaccines. Finally, discuss new animal models expected more faithfully model pathology complex responses observed human populations.

Язык: Английский

Процитировано

33

Spatial mapping reveals granuloma diversity and histopathological superstructure in human tuberculosis DOI Creative Commons
Andrew Sawyer, Ellis Patrick, Jarem Edwards

и другие.

The Journal of Experimental Medicine, Год журнала: 2023, Номер 220(6)

Опубликована: Март 15, 2023

The hallmark of tuberculosis (TB) is the formation immune cell-enriched aggregates called granulomas. While granulomas are pathologically diverse, their tissue-wide heterogeneity has not been spatially resolved at single-cell level in human tissues. By mapping individual cells every lesion across entire tissue sections, we report that addition to necrotizing granulomas, TB lung contains abundant non-necrotizing leukocyte surrounding areas tissue. These cellular lesions were more diverse composition than and could be stratified into four general classes based on spatial distribution B macrophages. structures also correlates with proximity lesions, indicating these foci distinct reactions adjacent Together, show during TB, diseased develops a histopathological superstructure comprising least different types organized as satellites

Язык: Английский

Процитировано

32

A half-century of research on tuberculosis: Successes and challenges DOI Creative Commons
Barry R. Bloom

The Journal of Experimental Medicine, Год журнала: 2023, Номер 220(9)

Опубликована: Июль 22, 2023

Great progress has been made over the past half-century, but TB remains a formidable global health problem, particularly in low- and middle-income countries. Understanding mechanisms of pathogenesis necessary sufficient conditions for protection are critical. The need inexpensive sensitive point-of-care diagnostic tests earlier detection infection disease, shorter less-toxic drug regimens drug-sensitive -resistant TB, more effective vaccine than BCG is immense. New better tools, greater support international research, collaborations, training will be required to dramatically reduce burden this devastating disease which still kills 1.6 million people annually.

Язык: Английский

Процитировано

29

Initial immune response after exposure to Mycobacterium tuberculosis or to SARS-COV-2: similarities and differences DOI Creative Commons
Alessandra Aiello, Saeid Najafi Fard, Delia Goletti

и другие.

Frontiers in Immunology, Год журнала: 2023, Номер 14

Опубликована: Авг. 17, 2023

Tuberculosis (TB), caused by Mycobacterium tuberculosis (Mtb) and Coronavirus disease-2019 (COVID-19), whose etiologic agent is severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), are currently the two deadliest infectious diseases in humans, which together have about more than 11 million deaths worldwide past 3 years. TB COVID-19 share several aspects including droplet- aerosol-borne transmissibility, lungs as primary target, some symptoms, diagnostic tools. However, these differ other their incubation period, immune cells involved, persistence immunopathological response. In this review, we highlight similarities differences between focusing on innate adaptive response induced after exposure to Mtb SARS-CoV-2 pathological pathways linking infections. Moreover, provide a brief overview of case TB-COVID-19 co-infection highlighting each individual infection. A comprehensive understanding involved utmost importance for design effective therapeutic strategies vaccines both diseases.

Язык: Английский

Процитировано

25

Intravenous Bacille Calmette–Guérin vaccination protects simian immunodeficiency virus-infected macaques from tuberculosis DOI Creative Commons
Erica C. Larson, Amy Ellis, Mark A. Rodgers

и другие.

Nature Microbiology, Год журнала: 2023, Номер 8(11), С. 2080 - 2092

Опубликована: Окт. 9, 2023

Abstract Tuberculosis, caused by Mycobacterium tuberculosis (Mtb), is the most common cause of death in people living with human immunodeficiency virus (HIV). Intra-dermal Bacille Calmette–Guérin (BCG) delivery only licensed vaccine against tuberculosis; however, it offers little protection from pulmonary adults and contraindicated HIV. Intravenous BCG confers Mtb infection rhesus macaques; we hypothesized that might prevent simian (SIV)-infected macaques, a model for HIV infection. Here intravenous BCG-elicited robust airway T cell influx elevated plasma antibody titres both SIV-infected naive animals. Following challenge, all 7 vaccinated SIV-naive 9 out 12 animals were protected, without any culturable bacteria detected tissues. Peripheral blood mononuclear responses post-challenge indicated early clearance animals, regardless SIV These data support immunogenic efficacious

Язык: Английский

Процитировано

25

Th17.1 cell driven sarcoidosis-like inflammation after anti-BCMA CAR T cells in multiple myeloma DOI Creative Commons
Alexander M. Leipold, Rudolf A. Werner,

Johannes Düll

и другие.

Leukemia, Год журнала: 2023, Номер 37(3), С. 650 - 658

Опубликована: Янв. 31, 2023

Pseudo-progression and flare-up phenomena constitute a novel diagnostic challenge in the follow-up of patients treated with immune-oncology drugs. We present case study on pulmonary after Idecabtagen Vicleucel (Ide-cel), BCMA targeting CAR T-cell therapy, used single-cell RNA-seq (scRNA-seq) to identify Th17.1 driven autoimmune mechanism as biological underpinning this phenomenon. By integrating datasets various lung pathological conditions, we revealed transcriptomic similarities between post T lesions sarcoidosis. Furthermore, explored noninvasive PET based approach showed that tracers binding CXCR4 complement FDG imaging setting, allowing discrimination immune-mediated changes true relapse treatment. In conclusion, our highlights phenomenon T, which may be misinterpreted disease relapse, multiple scRNA-seq could help dilemma.

Язык: Английский

Процитировано

24

Early innate cell interactions with Mycobacterium tuberculosis in protection and pathology of tuberculosis DOI Creative Commons

Poornima Sankar,

Bibhuti B. Mishra

Frontiers in Immunology, Год журнала: 2023, Номер 14

Опубликована: Окт. 27, 2023

Tuberculosis (TB) remains a significant global health challenge, claiming the lives of up to 1.5 million individuals annually. TB is caused by human pathogen

Язык: Английский

Процитировано

24

Metabolically active neutrophils represent a permissive niche for Mycobacterium tuberculosis DOI
J. Tucker Andrews, Zijing Zhang, Gauri Prasad

и другие.

Mucosal Immunology, Год журнала: 2024, Номер 17(5), С. 825 - 842

Опубликована: Июнь 5, 2024

Язык: Английский

Процитировано

15