Palmer Mitchell V, Thacker Tyler C
Infectious Bacterial Diseases of Livestock Research Unit, National Animal Disease Center, Agricultural Research Service, United States Department of Agriculture, Ames, IA, United States.
Front Vet Sci. 2018 Oct 8;5:244. doi: 10.3389/fvets.2018.00244. eCollection 2018.
The only vaccine ever approved for human tuberculosis was developed a century ago from an isolate of derived from a tuberculous cow. Initial safety and efficacy studies of an attenuated version of this isolate were conducted in cattle and other animals. In 1921 the first human, an infant, was orally dosed with this attenuated strain that came to be known as bacillus Calmette-Guérin (BCG); named for Albert Calmette and Camille Guérin, the two French scientists that developed the strain. Since 1921, billions of people have been vaccinated with BCG making it the oldest, most widely used, and safest vaccine in use today. It is also the tuberculosis vaccine most studied for use in wildlife, including deer. While BCG vaccination of deer may not reliably prevent infection, it consistently decreases lesion severity, minimizing large, necrotic lesions, which often contain large numbers of bacilli. It is believed that decreased lesion severity correlates with decreased disease transmission; however, this hypothesis remains to be proven. Safety studies in white-tailed deer show BCG may persist in lymphoid tissues for up to 12 months; a factor to be considered in deer used for food. Beyond efficacy and safety, methods of vaccine delivery to free-ranging deer are also under investigation, both in the laboratory and in the field. The ideal delivery method is effective, efficient and safe for non-target species, including livestock. Ingestion of BCG by cattle is of special concern as such cattle may present as "false positives" using currently approved diagnostic methods, thus interfering with efforts by animal health agencies to monitor cattle for tuberculosis. An effective BCG vaccine for deer would be of value in regions where free-ranging deer represent a potential source of for livestock. Such a vaccine would also be beneficial to farmed deer where represents a serious threat to trade and productivity.
有史以来唯一被批准用于人类结核病的疫苗是在一个世纪前从一头患结核病奶牛的分离菌株研制出来的。对该分离菌株减毒株的初步安全性和有效性研究是在牛和其他动物身上进行的。1921年,第一个人,一名婴儿,口服了这种后来被称为卡介苗(BCG)的减毒株;它以研制该菌株的两位法国科学家阿尔贝·卡尔梅特和卡米耶·介兰的名字命名。自1921年以来,数十亿人接种了卡介苗,使其成为当今使用最久、使用最广泛且最安全的疫苗。它也是在野生动物(包括鹿)中研究最多的结核病疫苗。虽然给鹿接种卡介苗可能无法可靠地预防感染,但它能持续降低病变严重程度,将大的坏死性病变减到最小,这些病变通常含有大量杆菌。据信病变严重程度降低与疾病传播减少相关;然而,这一假设仍有待证实。对白尾鹿的安全性研究表明,卡介苗可能在淋巴组织中持续存在长达12个月;这是在用于食用的鹿身上需要考虑的一个因素。除了有效性和安全性,向自由放养的鹿接种疫苗的方法也在实验室和野外进行研究。理想的接种方法对包括家畜在内的非目标物种有效、高效且安全。牛摄入卡介苗特别令人担忧,因为这样的牛使用目前批准的诊断方法可能会呈现“假阳性”,从而干扰动物卫生机构监测牛结核病的工作。一种有效的鹿用卡介苗在自由放养的鹿可能成为家畜结核病潜在来源的地区将很有价值。这样的疫苗对养殖鹿也有益,因为结核病对贸易和生产力构成严重威胁。