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BCG vaccination elicits protection against M. tuberculosis infection mediated by two phases of T cell immunity
Abiola F. Ogunsola, Rocky Lai, Kelly Cavallo, Anthony V. Tran, Gillian L. Beamer, Samuel M. Behar
Abiola F. Ogunsola, Rocky Lai, Kelly Cavallo, Anthony V. Tran, Gillian L. Beamer, Samuel M. Behar
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Research Article Immunology Infectious disease Inflammation

BCG vaccination elicits protection against M. tuberculosis infection mediated by two phases of T cell immunity

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Abstract

Vaccine development for tuberculosis (TB) is a global priority. Our studies using Collaborative Cross (CC) mice show that genetic diversity influences the efficacy of BCG, the most widely used TB vaccine. BCG vaccination of CC042 mice reduced their lung bacillary burden and increased their survival following low-dose aerosol Mycobacterium tuberculosis infection (MTBI), despite impaired T cell trafficking due to a defective Itgal gene. BCG vaccination conferred early bacillary control that appeared to be independent of B cell or T cell recall responses following MTBI. In contrast, long-term survival of BCG-vaccinated CC042 mice after MTBI required T cells. Thus, CC042 mice reveal two phases of immunity induced by BCG: an early phase mediated by innate immunity or innate-like T cells and a later phase mediated by conventional memory CD4+ and/or CD8+ T cells. Although measurement of vaccine-induced protection 30 days after MTBI is a standard measure of vaccine efficacy in the TB model, this time point might be independent of memory T cells in CC042 mice. Our results suggest that vaccine-elicited innate/innate-like responses could have a larger role in protection than previously considered. The concordance between lung CFU, pathology, and survival makes CC042 mice useful for mechanistic studies on vaccine-induced immunity.

Authors

Abiola F. Ogunsola, Rocky Lai, Kelly Cavallo, Anthony V. Tran, Gillian L. Beamer, Samuel M. Behar

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Figure 8

Long-term survival of BCG-vaccinated CC042 mice challenged with Mtb requires T cells.

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Long-term survival of BCG-vaccinated CC042 mice challenged with Mtb requ...
(A) Experimental scheme. CC042 mice were vaccinated or not vaccinated with BCG in the flank and rested for 9 weeks. Then, half of the BCG-vaccinated mice were treated with a combination of anti-CD4 and -CD8α depleting antibodies for 3 weeks. Then all mice were infected for 4 weeks with Mtb Erdman. (B) Unvaccinated (n = 27), BCG-vaccinated (n = 30), and BCG-vaccinated plus CD4 + CD8α–depleted (n = 9) mice were monitored until they reached a predetermined humane endpoint and were euthanized. Data are pooled from 3 experiments. The difference between non-vaccinated and BCG-vaccinated CC042 mice reached statistical significance based on the Mantel-Cox log-rank test (P < 0.0001). The difference between non-vaccinated and BCG-vaccinated and treated CC042 mice reached statistical significance based on the Mantel-Cox log-rank test (P = 0.0005). (C–E) Representative images of lung pathology at the time of death from an unvaccinated CC042 mouse (C), a BCG-vaccinated CC042 mouse (D), and a BCG-vaccinated and T cell–depleted CC042 mouse (E). Green and black boxes denote areas of higher magnification within the same image. Scale bars: 600 μm (top images), 70 μm (left magnified images), and 60 μm (right magnified images). (F and G) Automated image analysis of histopathological tissue. Three to 5 lung lobes were analyzed per mouse for a total of 19 (unvaccinated), 27 (BCG), 34 (BCG + T depletion), and 12 (B6) lobes. To account for variability in the tissue sections, the analysis was normalized to the granuloma area. Comparisons between different groups were analyzed using a non-parametric 1-way ANOVA (Kruskal-Wallis). (F) Total number of lymphocytes in the lesions (left); number of lymphocytes in cuff regions (middle); and density of lymphocytes per cuff (right). (G) Total number of granuloma macrophages. (H) Total number of neutrophils in the lesions (left); percentage of the granuloma area occupied by neutrophil infiltrates (middle); and number of plasma cells.

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