Oral delivery of live Mycobacterium bovis BCG in a lipid matrix invokes cell-mediated immune (CMI) responses in mice and consequent protection against pulmonary challenge with virulent mycobacteria. To investigate the influence of prior BCG sensitization on oral vaccine efficacy, we assessed CMI responses and BCG colonization of the alimentary tract lymphatics 5 months after oral vaccination, in both previously naive mice and in mice that had been sensitized to BCG by injection 6 months previously. CMI responses did not differ significantly between mice that received subcutaneous BCG followed by oral BCG and those that received either injected or oral BCG alone. In vivo BCG colonization was predominant in the mesenteric lymph nodes after oral vaccination; this colonizing ability was not influenced by prior BCG sensitization. From this murine model study, we conclude that although prior parenteral-route BCG sensitization does not detrimentally affect BCG colonization after oral vaccination, there is no significant immune-boosting effect of the oral vaccine either. Keywords: BCG; g-interferon; oral vaccine; tuberculosis; sensitization Live Mycobacterium bovis BCG remains the front-line tuberculosis vaccine, although recent clinical and pre-clinical trials have highlighted the potential for development of sub-unit vaccines. 1 BCG is typically administered through a parenteral route when used as a human vaccine, however there is renewed interest in the use of orally administered BCG as a booster vaccination to pre-existing BCGinduced immunity. 2 In addition, orally delivered BCG has recently gained attention as a potential veterinary vaccine against virulent M. bovis, both for livestock vaccination 3,4 and for the control of bovine tuberculosis in wildlife disease reservoirs. 5,6 Our previous research has described an edible lipid formulation matrix for BCG, which enables the vaccine to be delivered orally and provides subsequent protection against virulent M. bovis or M. tuberculosis pulmonary challenge. 3,4,[7][8][9][10][11] Central to this protection is the establishment and long-term replication of BCG in the alimentary tract lymphatics of the vaccinee, 12,13 which is signified by the induction of a systemic-level cell-mediated immune (CMI) response, most noticeably involving strong mycobacterial antigen-driven g-interferon production. 14,15 Although there appears to be little correlation between BCG load and the magnitude of g-interferon responses, IFN-g induction is nevertheless correlated with the presence of intra-lymphatic BCG per se, 13 and moreover abrogation of intralymphatic BCG has been reported to diminish this response. 16 For a live mycobacterial vaccine to be effective, it must remain immunogenic and protective even in the presence of prior mycobacterial exposure. Several recent studies have indicated that prior exposure to environmental mycobacteria can compromise the immunogenicity and protective efficacy of a de novo BCG vaccination. [17][18][19] Moreover, if BCG is to be used effectively as a b...