2021
DOI: 10.1016/j.ebiom.2021.103746
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CD4+CCR6+ T cells dominate the BCG-induced transcriptional signature

Abstract: Background The century-old Mycobacterium bovis Bacillus Calmette-Guerin (BCG) remains the only licensed vaccine against tuberculosis (TB). Despite this, there is still a lot to learn about the immune response induced by BCG, both in terms of phenotype and specificity. Methods We investigated immune responses in adult individuals pre and 8 months post BCG vaccination. We specifically determined changes in gene expression, cell subset compositio… Show more

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Cited by 14 publications
(7 citation statements)
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“…A limitation of this pilot study is the lack of validation of the DNAm findings on a transcriptional level. Since epigenetic alterations do not necessarily affect basal transcription levels, such studies need to address the transcriptome comparing epigenetically naïve and rewired samples with and without the exposure to a relevant stimulus [ 60 , 61 ]. Only then, when the need for an activation of defense systems seems apparent can differences be detected at the transcriptome level.…”
Section: Discussionmentioning
confidence: 99%
“…A limitation of this pilot study is the lack of validation of the DNAm findings on a transcriptional level. Since epigenetic alterations do not necessarily affect basal transcription levels, such studies need to address the transcriptome comparing epigenetically naïve and rewired samples with and without the exposure to a relevant stimulus [ 60 , 61 ]. Only then, when the need for an activation of defense systems seems apparent can differences be detected at the transcriptome level.…”
Section: Discussionmentioning
confidence: 99%
“…The Th1* subset contains the majority of Mtb- and NTM-specific T-cells ( 49 , 51 , 52 ), and a lower frequency of this subset could lead to a lack of Mycobacteria-specific responses, as observed in the MACDZ individuals. This hypothesis is strengthened by the previous observation that IGRA+ individuals have an increased frequency of the Th1* subset compared to IGRA- controls ( 49 ) and that this subset mediates BCG-induced CD4 T-cell responses and is increased following vaccination ( 57 ). The underlying cause for the lower frequency of Th1* and Th1 subsets in MACDZ remains to be determined, but could also predispose these individuals to this unusual infection through a failed anti-mycobacterial immune response.…”
Section: Discussionmentioning
confidence: 91%
“…CD4 + T cells play a critical role in the control of Mycobacterium tuberculosis ( M.tb ) infection 7 , and vaccination with BCG induces antigen-reactive CD4 + T cells in non-human primates 8 and in humans 9 , 10 . Recent efforts to describe M.tb -reactive CD4 + T cells have focused on Th1 and Th17-type cells 11 , as well as a subpopulation of CXCR3 + CCR6 + helper T cells (termed Th1* cells) that are more abundant among TB-sensitized individuals 12 and increase after BCG vaccination of BCG-naïve adults 13 . However, much remains to be learned about these phenotypic and functional subsets of T cells that are induced or boosted by BCG.…”
Section: Introductionmentioning
confidence: 99%