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通过异源保护释放卡介苗疫苗在调节病毒免疫方面的潜力:一项范围综述。

Unleashing the power of the BCG vaccine in modulating viral immunity through heterologous protection: A scoping review.

作者信息

Campelo Thales A, Oliveira Natália S, Souza Pedro F N, de-Oliveira Denis F G, Frota Cristiane C, Antas Paulo R Z

机构信息

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.

出版信息

Hum Vaccin Immunother. 2025 Dec;21(1):2521190. doi: 10.1080/21645515.2025.2521190. Epub 2025 Jul 3.


DOI:10.1080/21645515.2025.2521190
PMID:40610004
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12233832/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc9/12233832/7aa3ed8d53a0/KHVI_A_2521190_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc9/12233832/76f072121f9a/KHVI_A_2521190_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc9/12233832/499404ad66e4/KHVI_A_2521190_UF0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc9/12233832/7aa3ed8d53a0/KHVI_A_2521190_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc9/12233832/76f072121f9a/KHVI_A_2521190_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc9/12233832/499404ad66e4/KHVI_A_2521190_UF0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc9/12233832/7aa3ed8d53a0/KHVI_A_2521190_F0002_OC.jpg

相似文献

[1]
Unleashing the power of the BCG vaccine in modulating viral immunity through heterologous protection: A scoping review.

Hum Vaccin Immunother. 2025-12

[2]
Systematic review and meta-analysis of the current evidence on the duration of protection by bacillus Calmette-Guérin vaccination against tuberculosis.

Health Technol Assess. 2013-9

[3]
Trained Innate Immunity.

Adv Exp Med Biol. 2025

[4]
Association of BCG, DTP, and measles containing vaccines with childhood mortality: systematic review.

BMJ. 2016-10-13

[5]
A live attenuated BCG vaccine overexpressing multistage antigens Ag85B and HspX provides superior protection against Mycobacterium tuberculosis infection.

Appl Microbiol Biotechnol. 2015-9-12

[6]
Non-specific immunological effects of selected routine childhood immunisations: systematic review.

BMJ. 2016-10-13

[7]
Humoral and cellular immune response to a single dose of a novel bivalent recombinant adenovirus-vector vaccine against West Nile virus and chikungunya virus in mice.

Virol J. 2025-7-25

[8]
Long-term DNA methylation changes mediate heterologous cytokine responses after BCG vaccination.

Genome Biol. 2025-7-9

[9]
Intravesical bacillus Calmette-Guerin versus mitomycin C for Ta and T1 bladder cancer.

Cochrane Database Syst Rev. 2003

[10]
BCG Revaccination for the Prevention of Infection.

N Engl J Med. 2025-5-8

本文引用的文献

[1]
BCG Revaccination for the Prevention of Infection.

N Engl J Med. 2025-5-8

[2]
Beyond Tuberculosis: The Surprising Immunological Benefits of the Bacillus Calmette-Guérin (BCG) Vaccine in Infectious, Auto-Immune, and Inflammatory Diseases.

Pathogens. 2025-2-15

[3]
Effect of Bacille Calmette-Guérin vaccination on immune responses to SARS-CoV-2 and COVID-19 vaccination.

Clin Transl Immunology. 2025-1-25

[4]
Tuberculosis vaccines and therapeutic drug: challenges and future directions.

Mol Biomed. 2025-1-22

[5]
A viral vaccine design harnessing prior BCG immunization confers protection against Ebola virus.

Front Immunol. 2024

[6]
Neuropathological lesions in intravenous BCG-stimulated K18-hACE2 mice challenged with SARS-CoV-2.

Vet Res. 2024-5-31

[7]
Bacille Calmette-Guérin vaccination to prevent febrile and respiratory illness in adults (BRACE): secondary outcomes of a randomised controlled phase 3 trial.

EClinicalMedicine. 2024-5-13

[8]
BCG activation of trained immunity is associated with induction of cross reactive COVID-19 antibodies in a BCG vaccinated population.

PLoS One. 2024

[9]
The hidden threat of subclinical tuberculosis.

Lancet Infect Dis. 2024-7

[10]
Recombinant BCG vaccine expressing multistage antigens of provides long-term immunity against tuberculosis in BALB/c mice.

Hum Vaccin Immunother. 2024-12-31

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