与雌性相比,接种卡介苗的雄性129 S2小鼠对结核病的保护作用较弱。

Weaker protection against tuberculosis in BCG-vaccinated male 129 S2 mice compared to females.

作者信息

Nieuwenhuizen Natalie E, Zyla Joanna, Zedler Ulrike, Bandermann Silke, Abu Abed Ulrike, Brinkmann Volker, Kaufmann Stefan H E

机构信息

Department of Immunology, Max Planck Institute for Infection Biology, Chariteplatz 1, 10117 Berlin, Germany; Institute for Hygiene and Microbiology, Julius-Maximilians-Universität Würzburg, Josef-Schneider-Str.2, 97080 Würzburg, Germany.

Department of Data Science and Engineering Silesian University of Technology, Akademicka 16, 44-100 Gliwice, Poland.

出版信息

Vaccine. 2021 Dec 8;39(50):7253-7264. doi: 10.1016/j.vaccine.2021.09.039. Epub 2021 Sep 30.

Abstract

BCG - the only available vaccine against tuberculosis (TB) - was first given to babies 100 years ago in 1921. While it is effective against TB meningitis and disseminated TB, its efficacy against pulmonary TB is variable, notably in adults and adolescents. TB remains one of the world's leading health problems, with a higher prevalence among men. Male sex is associated with increased susceptibility to Mycobacterium tuberculosis in mice, but sex-specific responses to BCG vaccination have not been examined. In this study we vaccinated TB-susceptible 129 S2 mice with BCG and challenged with low-dose M. tuberculosis H37Rv by aerosol infection. BCG was protective against TB in both sexes, as unvaccinated mice lost weight more rapidly than vaccinated ones and suffered from worse lung pathology. However, female mice were better protected than males, showing lower lung bacterial burdens and less weight loss. Overall, vaccinated female mice had increased numbers of T cells and less myeloid cells in the lungs compared to vaccinated males. Principal component analysis of measured features revealed that mice grouped according to timepoint, sex and vaccination status. The features that had the biggest impact on grouping overall included numbers of CD8 T cells, CD8 central memory T cells and CD4 T effector cells, with neutrophil and CD11bGR-1 cell numbers having a big impact at day 29. Hierarchical clustering confirmed that the main difference in global immune response was due to mouse sex, with only a few misgrouped mice. In conclusion, we found sex-specific differences in response to M. tuberculosis H37Rv -challenge in BCG-vaccinated 129 S2 mice. This highlights the need to include both male and female mice in preclinical testing of vaccine candidates.

摘要

卡介苗(BCG)是唯一可用于预防结核病(TB)的疫苗,于100年前的1921年首次用于婴儿接种。虽然它对结核性脑膜炎和播散性结核病有效,但其对肺结核的疗效存在差异,在成人和青少年中尤为明显。结核病仍然是世界主要的健康问题之一,男性患病率更高。在小鼠中,雄性与结核分枝杆菌易感性增加有关,但尚未研究卡介苗接种的性别特异性反应。在本研究中,我们用卡介苗对易患结核病的129 S2小鼠进行接种,并通过气溶胶感染用低剂量结核分枝杆菌H37Rv进行攻击。卡介苗对两性的结核病均有保护作用,因为未接种疫苗的小鼠体重下降比接种疫苗的小鼠更快,且肺部病理状况更差。然而,雌性小鼠比雄性小鼠得到了更好的保护,表现出更低的肺部细菌载量和更少的体重减轻。总体而言,与接种疫苗的雄性小鼠相比,接种疫苗的雌性小鼠肺部T细胞数量增加,髓样细胞数量减少。对测量特征的主成分分析表明,小鼠根据时间点、性别和疫苗接种状态进行分组。对分组总体影响最大的特征包括CD8 T细胞、CD8中央记忆T细胞和CD4 T效应细胞的数量,在第29天时中性粒细胞和CD11bGR-1细胞数量有很大影响。层次聚类证实,整体免疫反应的主要差异是由于小鼠性别,只有少数小鼠分组错误。总之,我们发现在接种卡介苗的129 S2小鼠中,对结核分枝杆菌H37Rv攻击的反应存在性别特异性差异。这突出了在候选疫苗临床前测试中纳入雄性和雌性小鼠的必要性。

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