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表达白细胞介素-12的重组卡介苗作为过敏性哮喘的一种新型免疫调节策略:机遇与挑战

Recombinant BCG Expressing IL-12 as A Novel Immunomodulatory Strategy for Allergic Asthma: Opportunities and Challenges.

作者信息

Campos-Povea Romina, González-Madrid Enrique, Troncoso-Bravo Tays, Peñaloza Hernán F, González Pablo A, Bueno Susan M, Kalergis Alexis M

机构信息

Millennium Institute On Immunology and Immunotherapy, Facultad de Ciencias Biológicas, Pontificia Universidad Católica de Chile, Av. Libertador Bernardo O´Higgins 340, E-8330025, Santiago, Chile.

Departamento de Laboratorios Clínicos, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

出版信息

Clin Rev Allergy Immunol. 2025 Jun 7;68(1):54. doi: 10.1007/s12016-025-09066-x.


DOI:10.1007/s12016-025-09066-x
PMID:40483388
Abstract

Allergic asthma is a chronic respiratory disorder driven by a T helper type 2 (Th2)-mediated immune response that involves eosinophils and mast cell recruitment to affected tissues, eliciting inflammatory cytokines and IgE production. Typical symptoms in more severe cases include wheezing, shortness of breath, chest tightness, persistent coughing, excessive mucus production, and airway hyperresponsiveness. Current therapies, which focus on suppressing the immune system, mitigate the symptoms but are generally insufficient to address the disease. Mycobacterium bovis bacillus Calmette-Guérin (BCG) platform, initially developed as an attenuated vaccine for tuberculosis (TB), induces a potent T helper type 1 (Th1) polarized immune response, making it a promising candidate for treating Th2-dominant conditions, such as allergic asthma, ultimately alleviating the symptoms. BCG can be genetically modified to express antigens of other pathogens or immunogenic proteins, such as IL-12p70. In this review, we examine the potential of BCG as a novel therapeutic platform for allergic asthma, focusing on its ability to modulate the immune response via IL-12.

摘要

过敏性哮喘是一种慢性呼吸系统疾病,由2型辅助性T细胞(Th2)介导的免疫反应驱动,该反应涉及嗜酸性粒细胞和肥大细胞募集到受影响的组织,引发炎性细胞因子和IgE的产生。在更严重的病例中,典型症状包括喘息、呼吸急促、胸闷、持续性咳嗽、黏液分泌过多和气道高反应性。目前的治疗方法侧重于抑制免疫系统,可缓解症状,但通常不足以治愈该疾病。卡介苗(BCG)最初是作为一种减毒结核病疫苗开发的,可诱导强大的1型辅助性T细胞(Th1)极化免疫反应,使其成为治疗以Th2为主的疾病(如过敏性哮喘)的有希望的候选药物,最终缓解症状。卡介苗可以进行基因改造,以表达其他病原体的抗原或免疫原性蛋白,如IL-12p70。在这篇综述中,我们研究了卡介苗作为过敏性哮喘新型治疗平台的潜力,重点关注其通过IL-12调节免疫反应的能力。

相似文献

[1]
Recombinant BCG Expressing IL-12 as A Novel Immunomodulatory Strategy for Allergic Asthma: Opportunities and Challenges.

Clin Rev Allergy Immunol. 2025-6-7

[2]
Protective effects of combined Mycobacterium bovis BCG and interleukin-12 vaccination on airway inflammation in a murine model of allergic asthma.

Clin Invest Med. 2010-6-1

[3]
Recombinant Mycobacterium bovis BCG.

Vaccine. 2009-11-5

[4]
Suppression of allergic airway inflammation in a mouse model by Der p2 recombined BCG.

Immunology. 2008-12-22

[5]
Immunogenicity and protective efficacy conferred by a novel recombinant Mycobacterium bovis bacillus Calmette-Guérin strain expressing interleukin-12p70 of human cytokine and Ag85A of Mycobacterium tuberculosis fusion protein.

Scand J Immunol. 2013-12

[6]
Extended freeze-dried Mycobacterium bovis Bacillus Calmette-Guérin induces the release of interleukin-12 but not tumour necrosis factor-alpha by alveolar macrophages, both in vitro and in vivo.

Clin Exp Allergy. 2003-3

[7]
Enhancement of Th1 lung immunity induced by recombinant Mycobacterium bovis Bacillus Calmette-Guerin attenuates airway allergic disease.

Am J Respir Cell Mol Biol. 2009-10-5

[8]
Recombinant BCG as a vaccine vehicle to protect against tuberculosis.

Bioeng Bugs. 2010

[9]
Heterologous Boost Following Reduces the Late Persistent, Rather Than the Early Stage of Intranasal Tuberculosis Challenge Infection.

Front Immunol. 2018-10-30

[10]
BCG for the prevention and treatment of allergic asthma.

Vaccine. 2021-12-8

本文引用的文献

[1]
Trained immunity-based mucosal immunotherapies for the prevention of respiratory infections.

Trends Immunol. 2025-4

[2]
Monoclonal antibodies: From magic bullet to precision weapon.

Mol Biomed. 2024-10-11

[3]
Trained immunity-based vaccines for infections and allergic diseases.

J Allergy Clin Immunol. 2024-11

[4]
BCG immunization induced KLRG1+ NK cells show memory-like responses to mycobacterial and HIV antigens.

Cell Immunol. 2024

[5]
IL-12 minicircle delivery via extracellular vesicles as immunotherapy for bladder cancer.

Cell Prolif. 2025-1

[6]
Therapeutic monoclonal antibodies in allergy: Targeting IgE, cytokine, and alarmin pathways.

Immunol Rev. 2024-11

[7]
Partial long-term clinical improvement after a BCG challenge in systemic lupus erythematosus-prone mice.

Autoimmunity. 2024-12

[8]
The Wiser Strategy of Using Beta-Agonists in Asthma: Mechanisms and Rationales.

Allergy Asthma Immunol Res. 2024-5

[9]
A murine model of peanut-allergic asthma.

Front Allergy. 2024-4-25

[10]
Natural killer T cells in allergic asthma: implications for the development of novel immunotherapeutical strategies.

Front Immunol. 2024

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