Bacillus Calmette–Guérin (BCG) is the only available vaccine against tuberculosis. As well as being an effective vaccine against tuberculosis, BCG also provides off-target protection against various pathogens. Here, we report a mechanism for BCG-mediated cross-protection against influenza A virus (IAV), which requires a dialogue between the innate and adaptive immune memory systems.
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References
Kaufmann, E. et al. BCG educates hematopoietic stem cells to generate protective innate immunity against tuberculosis. Cell 172, 176–190.e119 (2018). This paper demonstrates BCG as a potent inducer of trained immunity via epigenetic reprogramming of hematopoietic stem cells, generating robust protection against Mtb.
Darrah, P. A. et al. Prevention of tuberculosis in macaques after intravenous BCG immunization. Nature 577, 95–102 (2020). This paper shows systemic BCG vaccination in human primates as a robust tool against Mtb and reports near-sterilizing immunity.
Darrah, P. A. et al. Airway T cells are a correlate of i.v. Bacille Calmette-Guerin-mediated protection against tuberculosis in rhesus macaques. Cell Host Microbe 31, 962–977.e968 (2023). This paper links the robust protection conferred by BCG-IV against Mtb in non-human primates to IFNγ-producing airway T cells.
Gerlach, C. et al. The chemokine receptor CX3CR1 defines three antigen-experienced CD8 T cell subsets with distinct roles in immune surveillance and homeostasis. Immunity 45, 1270–1284 (2016). This paper describes using the expression of the fractalkine receptor (CX3CR1) to distinguish between three subsets of memory T cells, with CX3CR1hi T cells being effector memory T cells.
Yao, Y. et al. Induction of autonomous memory alveolar macrophages requires T cell help and is critical to trained immunity. Cell 175, 1634–1650.e1617 (2018). This paper highlights the IFNγ and alveolar macrophage axis in trained immunity.
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This is a summary of: Tran, K. A. et al. BCG immunization induces CX3CR1hi effector memory T cells to provide cross-protection via IFN-γ-mediated trained immunity. Nat. Immunol. https://doi.org/10.1038/s41590-023-01739-z (2024).
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A mechanism for BCG vaccine cross-protection against pulmonary viral infections. Nat Immunol 25, 403–404 (2024). https://doi.org/10.1038/s41590-024-01775-3
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DOI: https://doi.org/10.1038/s41590-024-01775-3