Balseiro Ana, Thomas Jobin, Gortázar Christian, Risalde María A
Departamento de Sanidad Animal, Facultad de Veterinaria, Universidad de León, 24071 León, Spain.
Departamento de Sanidad Animal, Instituto de Ganadería de Montaña (CSIC-Universidad de León), Finca Marzanas, Grulleros, 24346 León, Spain.
Pathogens. 2020 Jun 15;9(6):472. doi: 10.3390/pathogens9060472.
Vaccination with Bacillus Calmette-Guérin (BCG) constituted a major advance in the prevention of human tuberculosis (TB) in the beginning of the past century. BCG has also a clear potential for use in animals and, in particular, in the main domestic species subjected to TB control programs, cattle. Nowadays, the use of BCG vaccination against TB in cattle is not permitted by European Union legislation because BCG can induce a cellular immune response producing diagnostic interference in the eradication programs based on tuberculin single and comparative intradermal tests imposed worldwide. In this review we recall the history of TB vaccination as well as different vaccine trials and the response to vaccination in both domestic and wild animals. Promising potential inactivated vaccines are also reviewed. Research studies are mainly focused to improve vaccine efficacy, and at the same time to ensure its easy administration, safety and stability in the environment. Great challenges remain, particularly in terms of vaccine candidates and also in the acceptance of vaccination. Vaccination should be included in a strategic plan for integrated control of TB under a "one health" perspective, which also includes other measures such as improved biosafety on farms to avoid or decrease contact between domestic and wild animals or control of wildlife reservoirs to avoid overabundance that may favor infection maintenance.
在上世纪初,接种卡介苗(BCG)是预防人类结核病(TB)的一项重大进展。卡介苗在动物尤其是在实施结核病防控计划的主要家养动物牛身上也具有明显的应用潜力。如今,欧盟立法不允许在牛身上使用卡介苗预防结核病,因为卡介苗可诱导细胞免疫反应,在全球范围内基于结核菌素单次和比较皮内试验的根除计划中产生诊断干扰。在这篇综述中,我们回顾了结核病疫苗接种的历史以及不同的疫苗试验,以及家养动物和野生动物对疫苗接种的反应。还对有前景的灭活疫苗进行了综述。研究主要集中在提高疫苗效力,同时确保其易于施用、安全性和在环境中的稳定性。仍然存在巨大挑战,特别是在候选疫苗方面以及疫苗接种的接受度方面。应从“同一个健康”的角度将疫苗接种纳入结核病综合防控战略计划,该计划还包括其他措施,如改善农场生物安全以避免或减少家养动物与野生动物之间的接触,或控制野生动物宿主以避免数量过多而可能有利于感染的维持。