Poor correlation between BCG vaccination-induced T cell responses and protection against tuberculosis

HW Mittrücker, U Steinhoff, A Köhler… - Proceedings of the …, 2007 - National Acad Sciences
HW Mittrücker, U Steinhoff, A Köhler, M Krause, D Lazar, P Mex, D Miekley, SHE Kaufmann
Proceedings of the National Academy of Sciences, 2007National Acad Sciences
Mycobacterium bovis bacille Calmette–Guérin (BCG) is the most widely used live bacterial
vaccine. However, limited information is available correlating route and dose of vaccination
and induction of specific T cell responses with protection against tuberculosis. We compared
efficacy of oral and systemic vaccination and correlated vaccine-induced T cell responses
with protection in experimental tuberculosis of mice. After oral and systemic vaccination, we
observed profound differences in persistence and dissemination of BCG and frequencies …
Mycobacterium bovis bacille Calmette–Guérin (BCG) is the most widely used live bacterial vaccine. However, limited information is available correlating route and dose of vaccination and induction of specific T cell responses with protection against tuberculosis. We compared efficacy of oral and systemic vaccination and correlated vaccine-induced T cell responses with protection in experimental tuberculosis of mice. After oral and systemic vaccination, we observed profound differences in persistence and dissemination of BCG and frequencies and location of specific IFN-γ-secreting CD4+ and CD8+ T cells. Yet, both vaccination routes caused comparable levels of protection against aerosol challenge with Mycobacterium tuberculosis. Protection correlated best with rapid accumulation of specific CD8+ T cells in infected tissues of challenged mice. In contrast, specific IFN-γ production by CD4+ T cells reflected the load of M. tuberculosis rather than the strength of protection. Our data question the measurement of IFN-γ secretion by CD4+ T cells and emphasize the need for new biomarkers for evaluation of tuberculosis vaccine efficacies.
National Acad Sciences