Beyond Tuberculosis: The Surprising Immunological Benefits of the Bacillus Calmette–Guérin (BCG) Vaccine in Infectious, Auto-Immune, and Inflammatory Diseases
Pathogens,
Год журнала:
2025,
Номер
14(2), С. 196 - 196
Опубликована: Фев. 15, 2025
The
Bacillus
Calmette-Guérin
(BCG)
vaccine,
best
known
for
its
role
in
preventing
tuberculosis,
has
recently
garnered
attention
broader
immunomodulatory
effects.
By
inducing
trained
immunity,
BCG
reprograms
innate
immune
cells,
enhancing
their
responses
to
various
pathogens.
This
process,
driven
by
epigenetic
and
metabolic
reprogramming,
suggests
that
may
have
therapeutic
potential
far
beyond
tuberculosis.
Emerging
evidence
points
benefits
conditions
such
as
autoimmune
diseases,
cancer,
viral
infections.
Furthermore,
modulating
activity,
been
proposed
reduce
chronic
inflammation
promote
tolerance.
review
delves
into
the
multifaceted
of
BCG,
highlighting
a
versatile
tool
managing
wide
range
diseases.
Язык: Английский
Trained immunity-based mucosal immunotherapies for the prevention of respiratory infections
Trends in Immunology,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 1, 2025
The
devastating
impact
of
respiratory
infections
demonstrates
the
critical
need
for
novel
prophylactic
vaccines.
In
this
opinion
article,
we
advocate
bacterial
immunotherapies
as
a
complementary
tool
in
our
fight
against
infections.
These
can
activate
wide
spectrum
immunological
mechanisms,
with
trained
immunity
(TI)
being
particularly
significant.
This
phenomenon
has
led
to
concept
immunity-based
vaccines
(TIbVs),
which
represent
approach
vaccinology.
We
discuss
examples
TIbVs,
including
tuberculosis
vaccine
Bacille
Calmette-Guérin
(BCG)
and
polybacterial
immunotherapy
MV130.
From
viewpoint,
illustrating
mode
action
clinical
evidence
supports
proposal
that
TIbVs
should
be
considered
next-generation
confer
protection
range
Язык: Английский
Host–Pathogen Interaction Interface: Promising Candidate Targets for Vaccine-Induced Protective and Memory Immune Responses
Vaccines,
Год журнала:
2025,
Номер
13(4), С. 418 - 418
Опубликована: Апрель 16, 2025
Vaccine
formulations
are
a
successful
strategy
against
pathogen
transmission
because
vaccine
candidates
induce
effective
and
long-lasting
memory
immune
responses
(B
CD4+
T
cells)
at
systemic
mucosal
sites.
Extracellular
vesicles
of
lipoproteins,
bioactive
compounds
from
plants
invertebrates
(sponges)
encapsulated
in
liposomes,
glycoproteins
can
target
these
The
developed
mimic
microbial
pathogens
way
that
successfully
links
the
innate
adaptive
responses.
In
addition,
vaccines
plus
adjuvants
promote
maintain
an
inflammatory
response.
this
review,
we
aimed
to
identify
host–pathogen
interface
as
rich
source
candidate
targets
for
vaccine-induced
protective
Язык: Английский
Implications of vaccine non-specific effects on licensure of new vaccines
Vaccine,
Год журнала:
2024,
Номер
42(5), С. 1013 - 1021
Опубликована: Янв. 21, 2024
Язык: Английский
Modulation of Human Macrophages by Plasma from COVID-19 Patients Following BCG Vaccination: BATTLE Trial
International Journal of General Medicine,
Год журнала:
2024,
Номер
Volume 17, С. 3107 - 3117
Опубликована: Июль 1, 2024
To
analyze
the
interfering
effect
of
plasma
from
COVID-19
convalescent
adults
vaccinated
or
not
with
intradermal
Bacillus
Calmette-Guérin
(BCG)
on
human
macrophages.
Язык: Английский
Exploring BCG vaccination as a novel approach to prevent recurrent herpes labialis
EClinicalMedicine,
Год журнала:
2023,
Номер
65, С. 102279 - 102279
Опубликована: Окт. 17, 2023
According
to
WHO,
approximately
3.7
billion
individuals
under
the
age
of
50
years
(67%)
carry
herpes
simplex
virus
type
1
(HSV-1),
primary
cause
labialis.1WHO
Herpes
virus.https://www.who.int/news-room/fact-sheets/detail/herpes-simplex-virusDate
accessed:
August
25,
2023Google
Scholar
Although
medication
can
alleviate
symptoms,
it
cannot
cure
infection
and
recurrence
may
occur.
The
Bacillus
Calmette-Guérin
(BCG)
vaccine
is
only
approved
attenuated
for
tuberculosis
prevention.
Research
suggests
that
BCG
vaccination
induces
three
types
non-specific
immune
responses:
trained
immunity,
heterologous
anti-inflammatory
effects.2Parmar
K.
Siddiqui
A.
Nugent
calmette-guerin
nonspecific
immunity.Am
J
Med
Sci.
2021;
361:
683-689https://doi.org/10.1016/j.amjms.2021.03.003Summary
Full
Text
PDF
PubMed
Scopus
(12)
Google
Scholar,3Gong
W.
Mao
Y.
Li
Qi
Vaccination:
a
potential
tool
against
COVID-19
COVID-19-like
Black
Swan
incidents.Int
Immunopharm.
2022;
108108870https://doi.org/10.1016/j.intimp.2022.108870Crossref
(10)
These
responses
have
been
used
prevent
treat
range
diseases,
including
HSV-1,
human
papillomavirus,
COVID-193Gong
Scholar,
4Pittet
L.F.
Curtis
N.
Does
bacillus
recurrences?
A
systematic
review.Rev
Virol.
31:
1-9https://doi.org/10.1002/rmv.2151Crossref
5Du
J.
Su
Wang
R.
et
al.Research
progress
on
specific
effects
possibility
protection
COVID-19.Front
Immunol.
2023;
141118378https://doi.org/10.3389/fimmu.2023.1118378Crossref
(2)
6Blok
B.A.
Arts
R.J.W.
van
Crevel
al.Differential
induced
by
vi
polysaccharide
typhoid
fever
vaccination:
an
explorative
randomized
trial.Eur
Clin
Microbiol
Infect
Dis.
2020;
39:
1177-1184https://doi.org/10.1007/s10096-020-03813-yCrossref
(Fig.
1).
In
eClinicalMedicine,
Laure
F
Pittet
colleagues
published
their
phase
3
clinical
trial
was
conducted
across
multiple
countries
assess
impact
recurrent
labialis.7Pittet
Moore
C.L.
McDonald
E.
al.Bacillus
labialis:
nested
randomised
controlled
trial.eClinicalMedicine.
64102203https://doi.org/10.1016/j.eclinm.2023.102203Summary
(0)
84
patients
with
frequent
episodes
labialis
were
enrolled
randomly
assigned
either
group
(n
=
38)
or
control
46).
results
demonstrated
that,
over
1-year
follow-up
period,
experienced
reduced
duration,
frequency,
severity,
quality
life
related
than
did
group.
Furthermore,
in
BCG-immunised
individuals,
time
first
extended
1.55
months
compared
(p
0.02),
indicating
benefits
0.003).
Subgroup
analysis
revealed
primarily
observed
male
participants.
2020
review
also
78%
adult
genital
labialis,
37%
experiencing
long-term
remission
reduction
outbreak
frequency
severity
41%.4Pittet
these
differ
from
1985
observational
M
Douglas
colleagues—which
found
not
significantly
reduce
rate
prolong
recurrence8Douglas
J.M.
Vontver
L.A.
Stamm
W.E.
al.Ineffectiveness
toxicity
prevention
herpes.Antimicrob
Agents
Chemother.
1985;
27:
203-206https://doi.org/10.1128/aac.27.2.203Crossref
Scholar—discrepancies
be
attributed
variations
sample
size,
types,
dosage,
administration
methods,
immunological
status
genetic
backgrounds
recipients.
cautious
interpretation
necessary,
limitations
are
acknowledged
study
authors
manuscript.
Firstly,
had
relatively
small
38
receiving
46
non-vaccinated
Secondly,
participants'
during
period
taken
into
consideration.
If
participants
compromised
system
study,
recipients
regained
antiviral
leading
reactivation
latent
viruses
subsequent
labialis.
Therefore,
recommended
quantity
cells
function
before
after
vaccination.
Thirdly,
despite
authors'
presentation
history,
(TB)
tuberculin
skin
test
(TST)
obtained
through
questioning
Table
Pittet,
L.F′
study,7Pittet
screened
Mycobacterium
(MTB)
using
TST
interferon
gamma
release
assay
(IGRA)
methods.
This
lack
screening
obscured
MTB
at
enrollment.
For
example,
1992
investigate
effectiveness
single
intradermal
injection
Tine
test-negative
excluded
factors
such
as
(LTBI)
reinoculation
BCG.9Hippmann
G.
Wekkeli
M.
Rosenkranz
A.R.
Jarisch
Götz
[Nonspecific
stimulation
recidivans.
Follow-up
5
10
vaccination].Wien
Klin
Wochenschr.
1992;
104:
200-204PubMed
109
virus,
who
tested
negative
test,
received
vaccine,
own
condition
serving
control.
Following
vaccination,
all
remained
free
minimum
4–6
months.
During
follow-up,
21
(19%)
(9%)
experience
outbreaks
6
years.9Hippmann
findings
suggest
enrollment
trials
evaluating
protective
effect
useful
improving
accuracy
results.
We
strongly
advise
any
aiming
immunoprotective
should
rigorously
screen
method
low
TB
prevalence
areas
IGRA
high
areas.
It
important
note
other
non-tuberculous
mycobacterial
infections
elicit
similar
BCG,
potentially
influencing
evaluation
treatment
efficacy.10Gong
Liu
Xue
Zhuang
L.
Two
issues
noted
when
designing
evaluate
141207212https://doi.org/10.3389/fimmu.2023.1207212Crossref
Nonetheless,
unique
innovative
contribution
literature.
between
sexes
suggested
increased
risk
cold
sore
occurrence
following
vaccination.7Pittet
imply
BCG-induced
enhance
body's
response,
but
they
exacerbate
existing
inflammatory
immune-related
diseases.
utilising
disease
treatment,
population's
state
underlying
diseases
considered.
Well-designed
studies
necessary
avoid
adverse
meticulous
conducted,
maximising
beneficial
various
BCG.
WPG
JLD
conceptualised
this
work.
LZ
analysed
data.
responsible
writing
work,
revisions
XQW.
XQW
acquired
funding.
All
reviewed
final
has
research
funding
National
Key
Development
Program
China
(grant
No.
2022YFA1303503),
payments
made
her
institution.
Eighth
Medical
Center
PLA
General
Hospital
number
MS202211002),
his
XQW,
WPG,
currently
serve
executive
members
Chinese
Antituberculosis
Association
without
payments.
work
funded
2022YFA1303503)
MS202211002).
funders
involved
capacity
regards
data
collection,
analysis,
interpretation,
design,
patient
recruitment,
aspect
crucial
study.
impeded
accessing
willingly
assume
responsibility
its
submission
publication.
trialBCG-Denmark
particularly
males
recurrences,
increase
sore.
Full-Text
Open
Access
Язык: Английский
Bacille-Calmette-Guerin modulates human macrophage and dendritic cell response to SARS-CoV-2 S-glycoprotein
Infectious Medicine,
Год журнала:
2023,
Номер
2(3), С. 241 - 245
Опубликована: Сен. 1, 2023
Given
that
epidemiological
evidence
suggests
a
potential
protective
role
for
Bacille-Calmette-Guerin
against
COVID-19,
we
aimed
to
explore
whether
pre-exposure
of
human
monocyte-derived
macrophages
and
dendritic
cells
BCG
could
modulate
their
response
SARS-CoV-2
S-glycoprotein.Dual
THP-1
containing
2
reporter
plasmids
transcription
factors
NF-κB,
IRF
were
differentiated
into
over
3
days
using
phorbol
12-myristate
13-acetate,
or
6
commercial
monocyte-dencritic
cell
differentiation
media
matured
with
recombinant
tumor
necrosis
factor-α.
Cells
exposed
24
h
then
stimulated
S-glycoprotein
hours.Pre-exposure
DCs
increased
NF-kb
activation
in
the
S-glycoprotein.Our
results
showed
both
types
exhibited
an
increase
inflammatory
upon
stimulation
S-glycoprotein.
BCG-induced
trained
immunity
may
be
important
tool
reducing
susceptibility
infection
severity
COVID-19.
Our
findings
help
design
future
BCG-based
therapeutic
approaches
treatment
diseases
caused
by
viral
infections.
Язык: Английский