2020
DOI: 10.1111/cmi.13261
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Trained immunity and host‐pathogen interactions

Abstract: Infectious diseases are a leading cause of death worldwide with over 8 million fatalities accounted for in 2016. Solicitation of host immune defenses by vaccination is the treatment of choice to prevent these infections. It has long been thought that vaccine immunity was solely mediated by the adaptive immune system. However, over the past decade, numerous studies have shown that innate immune cells can also retain memory of these encounters. This process, called innate immune memory, is mediated by metabolic … Show more

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Cited by 22 publications
(25 citation statements)
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“…In addition to the adaptive immune response, there are some data suggesting that trained innate immunity might also have a role in protection against COVID-19. 88,89 Multiple clinical trials (eg, NCT04327206, NCT04328441, NCT04414267, and NCT04417335) are examining whether unrelated vac cines, such as the measles, mumps, and rubella vaccine and the Bacillus Calmette-Guérin vaccine, can elicit trained innate immunity and confer protection against COVID-19. It is crucial that research focuses on understanding the genetic drivers of infection and vaccineinduced humoral and cellular immunity to SARS-CoV-2, defining detailed targets of humoral and cellular immune responses at the epitope level, characterising the B-cell receptor and T-cell receptor repertoire elicited by infection or vaccination, and establishing the long-term durability, and maintenance, of protective immunity after infection or vaccination.…”
Section: Discussionmentioning
confidence: 99%
“…In addition to the adaptive immune response, there are some data suggesting that trained innate immunity might also have a role in protection against COVID-19. 88,89 Multiple clinical trials (eg, NCT04327206, NCT04328441, NCT04414267, and NCT04417335) are examining whether unrelated vac cines, such as the measles, mumps, and rubella vaccine and the Bacillus Calmette-Guérin vaccine, can elicit trained innate immunity and confer protection against COVID-19. It is crucial that research focuses on understanding the genetic drivers of infection and vaccineinduced humoral and cellular immunity to SARS-CoV-2, defining detailed targets of humoral and cellular immune responses at the epitope level, characterising the B-cell receptor and T-cell receptor repertoire elicited by infection or vaccination, and establishing the long-term durability, and maintenance, of protective immunity after infection or vaccination.…”
Section: Discussionmentioning
confidence: 99%
“…MBL2 encodes a mannose-binding protein C that binds to mannose, activating the lectin complement pathway; TMPRSS2 cleaves the spike protein and ensures viral internalization [ 35 ], while the CD27 receptor is required for the generation and long-term maintenance of T-cell immunity. There are some data suggesting that trained innate immunity might also have a role in the protection against COVID-19 [ 36 , 37 ]. Several clinical trials are investigating whether unrelated vaccines, such as the measles, mumps, rubella vaccine, and the BCG vaccine can provoke trained innate immunity and improve protection against COVID-19 [ 38 ].…”
Section: Immune Response To Sars-cov-2mentioning
confidence: 99%
“…β-glucan can induce a long-term reprogramming in monocytes and macrophages, resulting in an enhanced pro-inflammatory function [ 2 ]. Integration of the transcriptome and metabolome of β-glucan-trained monocytes and macrophages revealed an upregulation of several major metabolic pathways, such as glucose metabolism, glutaminolysis, and the GSH synthesis pathway [ 8 , 9 ].…”
Section: Resultsmentioning
confidence: 99%
“…Trained immunity, the non-specific memory of the innate immune system, has been reported in plants, invertebrates, and mammals [ 1 ]. Innate immune cells challenged in vitro with microbial components such as β-glucan of the Candida albicans ( C. albicans ) cell wall or the Bacillus Calmette-Guérin (BCG) vaccine and restimulated with the same or different microbial insult a week after training, resulting in an increased capacity to produce cytokines in the trained cells compared with the non-trained cells [ 2 ]. Additionally, when mice were trained in vivo with β-glucan, BCG, or a low-dose of C. albicans , they showed lower mortality after lethal C. albicans reinfections [ 3 ].…”
Section: Introductionmentioning
confidence: 99%