Can what have we learnt about BCG vaccination in the last 20 years help us to design a better tuberculosis vaccine?


Journal

Vaccine
ISSN: 1873-2518
Titre abrégé: Vaccine
Pays: Netherlands
ID NLM: 8406899

Informations de publication

Date de publication:
08 03 2022
Historique:
received: 07 09 2020
revised: 20 01 2021
accepted: 27 01 2021
pubmed: 16 2 2021
medline: 11 3 2022
entrez: 15 2 2021
Statut: ppublish

Résumé

The BCG vaccine will, in 2021, have been in use for 100 years. Much remains to be understood, including the reasons for its variable efficacy against pulmonary tuberculosis in adults. This review will discuss what has been learnt about the BCG vaccine in the last two decades, and whether this new information can be exploited to improve its efficacy, by enhancing its ability to induce either antigen-specific and/or non-specific effects. Many factors affect both the immunogenicity of BCG and its protective efficacy, highlighting the challenges of working with a live vaccine in man, but new insights may enable us to exploit better what BCG can do.

Identifiants

pubmed: 33583672
pii: S0264-410X(21)00109-2
doi: 10.1016/j.vaccine.2021.01.068
pmc: PMC8899334
pii:
doi:

Substances chimiques

BCG Vaccine 0
Tuberculosis Vaccines 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1525-1533

Subventions

Organisme : Medical Research Council
ID : MR/R005850/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/N013638/1
Pays : United Kingdom
Organisme : Biotechnology and Biological Sciences Research Council
Pays : United Kingdom

Informations de copyright

Copyright © 2021. Published by Elsevier Ltd.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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Auteurs

Hazel M Dockrell (HM)

Department of Infection Biology, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, UK. Electronic address: hazel.dockrell@lshtm.ac.uk.

Egle Butkeviciute (E)

Department of Infection Biology, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, UK.

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