2020
DOI: 10.3390/cells9092109
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Lessons from Bacillus Calmette-Guérin: Harnessing Trained Immunity for Vaccine Development

Abstract: Vaccine design traditionally focuses on inducing adaptive immune responses against a sole target pathogen. Considering that many microbes evade innate immune mechanisms to initiate infection, and in light of the discovery of epigenetically mediated innate immune training, the paradigm of vaccine design has the potential to change. The Bacillus Calmette-Guérin (BCG) vaccine induces some level of protection against Mycobacterium tuberculosis (Mtb) while stimulating trained immunity that correlates with lower mor… Show more

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Cited by 18 publications
(12 citation statements)
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References 83 publications
(110 reference statements)
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“…24 Importantly, molecular mechanisms underlying these long-term responses have been, at least partly, elucidated in the last two decades, 9,[25][26][27] increasing the possibility of improving, for example, vaccination strategies. 28,29 However, these studies have been only focused on analyzing the response of innate immune cells to pathogenic microbes, such as Candida albicans or Mycobacterium tuberculosis, almost exclusively using microbe-derived PAMPs or dead microbial cells. 11 Unfortunately, no attention has been paid to the role of this phenomenon in the interaction of the host with the myriads of beneficial microbial species inhabiting the human body, even though a huge plasticity of innate immune memory in response to diverse stimuli has been previously reported.…”
Section: Discussionmentioning
confidence: 99%
“…24 Importantly, molecular mechanisms underlying these long-term responses have been, at least partly, elucidated in the last two decades, 9,[25][26][27] increasing the possibility of improving, for example, vaccination strategies. 28,29 However, these studies have been only focused on analyzing the response of innate immune cells to pathogenic microbes, such as Candida albicans or Mycobacterium tuberculosis, almost exclusively using microbe-derived PAMPs or dead microbial cells. 11 Unfortunately, no attention has been paid to the role of this phenomenon in the interaction of the host with the myriads of beneficial microbial species inhabiting the human body, even though a huge plasticity of innate immune memory in response to diverse stimuli has been previously reported.…”
Section: Discussionmentioning
confidence: 99%
“…A number of lines of evidence have indicated that childhood vaccination with some live-attenuated vaccines, such as the tuberculosis vaccine, bacilli Calmette-Guerin (BCG), smallpox and polio vaccines, can induce beneficial, nonspecific, heterologous vaccine effects against unrelated pathogens by eliciting innate cell-mediated immune responses (Nascimento et al, 2020;Pasco and Anguita, 2020). These innate cell-based heterologous effects are referred to as trained immunity.…”
Section: Heterologous Vaccine Effects Of Licensed Bacterial and Viral...mentioning
confidence: 99%
“…Altogether, harnessing the TIbV concept has been suggested as a crucial step in future vaccine development and implementation, because a wide range of clinical applications may benefit to some extent from their use [150].…”
Section: The Potential Clinical Applications Of Tibvs In the Context ...mentioning
confidence: 99%