Sleeping Beauty and the Story of the Bacille Calmette-Guérin Vaccine

ABSTRACT Mycobacterium bovis BCG is the only available vaccine for protection against tuberculosis (TB). While BCG protects children from severe disease, it has little impact on pulmonary disease in adults. A recombinant BCG vaccine BCG ΔureC::hly (strain VPM1002) is in advanced clinical trials and...

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Autor principal: Helen A. Fletcher
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Lenguaje:EN
Publicado: American Society for Microbiology 2016
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spelling oai:doaj.org-article:d4d0396db66440578efc05f4568f56602021-11-15T15:50:19ZSleeping Beauty and the Story of the Bacille Calmette-Guérin Vaccine10.1128/mBio.01370-162150-7511https://doaj.org/article/d4d0396db66440578efc05f4568f56602016-09-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mBio.01370-16https://doaj.org/toc/2150-7511ABSTRACT Mycobacterium bovis BCG is the only available vaccine for protection against tuberculosis (TB). While BCG protects children from severe disease, it has little impact on pulmonary disease in adults. A recombinant BCG vaccine BCG ΔureC::hly (strain VPM1002) is in advanced clinical trials and shows promise for improved vaccine safety but little change in efficacy in animal models. A second-generation recombinant BCG vaccine with an additional deletion of the nuoG gene (BCG ΔureC::hly ΔnuoG) shows improved efficacy in a mouse model compared to that of VPM1002. BCG was first used in humans in 1921 and, like Sleeping Beauty pricked by the spinning wheel, we have slept for 100 years, showing a reluctance to invest in clinical development or in biomanufacturing capacity for TB vaccines. The advance of recombinant BCGs should awaken us from our sleep and call us to invest in new-generation TB vaccines and to protect the biomanufacture of our current BCG vaccine.Helen A. FletcherAmerican Society for MicrobiologyarticleMicrobiologyQR1-502ENmBio, Vol 7, Iss 4 (2016)
institution DOAJ
collection DOAJ
language EN
topic Microbiology
QR1-502
spellingShingle Microbiology
QR1-502
Helen A. Fletcher
Sleeping Beauty and the Story of the Bacille Calmette-Guérin Vaccine
description ABSTRACT Mycobacterium bovis BCG is the only available vaccine for protection against tuberculosis (TB). While BCG protects children from severe disease, it has little impact on pulmonary disease in adults. A recombinant BCG vaccine BCG ΔureC::hly (strain VPM1002) is in advanced clinical trials and shows promise for improved vaccine safety but little change in efficacy in animal models. A second-generation recombinant BCG vaccine with an additional deletion of the nuoG gene (BCG ΔureC::hly ΔnuoG) shows improved efficacy in a mouse model compared to that of VPM1002. BCG was first used in humans in 1921 and, like Sleeping Beauty pricked by the spinning wheel, we have slept for 100 years, showing a reluctance to invest in clinical development or in biomanufacturing capacity for TB vaccines. The advance of recombinant BCGs should awaken us from our sleep and call us to invest in new-generation TB vaccines and to protect the biomanufacture of our current BCG vaccine.
format article
author Helen A. Fletcher
author_facet Helen A. Fletcher
author_sort Helen A. Fletcher
title Sleeping Beauty and the Story of the Bacille Calmette-Guérin Vaccine
title_short Sleeping Beauty and the Story of the Bacille Calmette-Guérin Vaccine
title_full Sleeping Beauty and the Story of the Bacille Calmette-Guérin Vaccine
title_fullStr Sleeping Beauty and the Story of the Bacille Calmette-Guérin Vaccine
title_full_unstemmed Sleeping Beauty and the Story of the Bacille Calmette-Guérin Vaccine
title_sort sleeping beauty and the story of the bacille calmette-guérin vaccine
publisher American Society for Microbiology
publishDate 2016
url https://doaj.org/article/d4d0396db66440578efc05f4568f5660
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