Campelo Thales A, Oliveira Natália S, Souza Pedro F N, de-Oliveira Denis F G, Frota Cristiane C, Antas Paulo R Z
Programa de Pós-graduação em Patologia, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, Brazil.
Laboratory of Pharmacogenetics, Center for Drug Research and Development (NPDM), Universidade Federal do Ceará, Fortaleza, Brazil.
Hum Vaccin Immunother. 2025 Dec;21(1):2521190. doi: 10.1080/21645515.2025.2521190. Epub 2025 Jul 3.
The Bacillus Calmette-Guérin (BCG) vaccine, used against tuberculosis for a century, shows promise in protecting against viral infections through trained/innate immunity. This review maps clinical and preclinical studies on both parental (WT) and recombinant BCG (rBCG) against 17 common viruses. From 68 studies, BCG strains were found to enhance innate immune responses by reprogramming myeloid cells, leading to stronger responses to related infections. Sixteen rBCG candidates expressed viral antigens, activating CD4+ and CD8+ T cells, and stimulating antibody production specific to the viral antigens. However, challenges like genetic stability and varied efficacy among BCG strains remain. The review highlights the potential of BCG, especially rBCG, as a multivalent vaccine platform for immunization campaigns, with significant public health implications. More translational studies and clinical trials are needed to confirm these findings.
卡介苗(BCG)用于预防结核病已有一个世纪,通过训练性/固有免疫在预防病毒感染方面显示出前景。本综述梳理了关于亲本(野生型)和重组卡介苗(rBCG)针对17种常见病毒的临床和临床前研究。从68项研究中发现,卡介苗菌株通过对髓样细胞进行重编程来增强固有免疫反应,从而对相关感染产生更强的反应。16种rBCG候选疫苗表达病毒抗原,激活CD4+和CD8+ T细胞,并刺激针对病毒抗原的抗体产生。然而,卡介苗菌株存在遗传稳定性和疗效各异等挑战。该综述强调了卡介苗,尤其是rBCG作为免疫接种运动多价疫苗平台的潜力,具有重大的公共卫生意义。需要更多的转化研究和临床试验来证实这些发现。
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