The Institute of Clinical Research and Translational Medicine, Gansu Provincial Hospital, China.
Mediators Inflamm. 2019 Jun 12;2019:8616154. doi: 10.1155/2019/8616154. eCollection 2019.
BCG, the only registered vaccine against (TB) infection, has been questioned for its protective efficacy for decades. Although lots of efforts were made to improve the BCG antigenicity, few studies were devoted to understand the role of host factors in the variability of the BCG protection. Using the IL-10KO mice and pulmonary tuberculosis infection model, we have addressed the role of IL-10 in the BCG vaccination efficacy. The data showed that IL-10-deficient dendritic cells (DCs) could promote the immune responses through upregulation of the surface costimulatory molecule expression and play an orchestra role through activating CD4T cell. IL-10-deficient mice had higher IFN , TNF , and IL-6 production after BCG vaccination, which was consistent with the higher proportion of IFN CD3, IFN CD4, and IFN CD8 T cells in the spleen. Particularly, the BCG-vaccinated IL-10KO mice showed less inflammation after TB challenge compared to WT mice, which was supported by the promoted Th1 and Tc, as well as the downregulated Treg responses in IL-10 deficiency. In a conclusion, we demonstrated the negative relationship between Th1/Tc responses with IL-10 production. IL-10 deficiency restored the type 1 immune response through DC activation, which provided better protection against TB infection. Hence, our study offers the first experimental evidence that, contrary to the modulation of BCG, host immunity plays a critical role in the BCG protective efficacy against TB.
BCG 是唯一注册用于预防(TB)感染的疫苗,但其保护效力已受到质疑数十年。尽管人们做出了许多努力来提高 BCG 的抗原性,但很少有研究致力于了解宿主因素在 BCG 保护作用中的变异性中的作用。我们使用 IL-10KO 小鼠和肺结核感染模型,研究了 IL-10 在 BCG 疫苗接种效果中的作用。数据表明,IL-10 缺陷型树突状细胞(DC)可通过上调表面共刺激分子的表达来促进免疫反应,并通过激活 CD4T 细胞发挥协调作用。BCG 接种后,IL-10 缺陷型小鼠产生更高水平的 IFNγ、TNF 和 IL-6,这与脾中 IFNγ CD3+、IFNγ CD4+和 IFNγ CD8+T 细胞的比例更高一致。特别是,与 WT 小鼠相比,BCG 接种的 IL-10KO 小鼠在 TB 挑战后炎症反应较少,这得到了 Th1 和 Tc 的促进以及 IL-10 缺乏时 Treg 反应的下调的支持。总之,我们证明了 Th1/Tc 反应与 IL-10 产生之间的负相关关系。IL-10 缺乏通过 DC 激活恢复了 1 型免疫反应,为预防 TB 感染提供了更好的保护。因此,我们的研究提供了第一个实验证据,表明与 BCG 的调节相反,宿主免疫在 BCG 预防 TB 感染的保护效力中起着关键作用。