2021
DOI: 10.1111/imr.12963
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Classical CD4 T cells as the cornerstone of antimycobacterial immunity

Abstract: The goal of the End TB Strategy is to reduce TB deaths by 90% and TB incidence of new cases per year by 80% by year 2030, compared with 2015. 1 The ambitious goal of a fast deceleration of disease incidence could be achieved by a multipronged approach including increases in access to TB medical care, addressing socioeconomic factors, as well as research and technological breakthroughs especially in diagnostics, therapeutics, and vaccines. Despite significant worldwide control efforts over the last 20 years, th… Show more

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Cited by 41 publications
(30 citation statements)
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References 213 publications
(581 reference statements)
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“…Our results reaffirm the critical role of T cells, particularly CD4 T cells, in mediating antimycobacterial immunity 37 , both in the context of Mtb infection and vaccination 20,38-40 . The response at the mRNA level observed from post-BCG CD4 memory T cells was very similar to those in post-BCG PBMCs, suggesting that the majority of the BCG-induced gene expression changes observed in PBMCs are driven primarily by CD4 memory T cells upon BCG vaccination.…”
Section: Discussionsupporting
confidence: 78%
“…Our results reaffirm the critical role of T cells, particularly CD4 T cells, in mediating antimycobacterial immunity 37 , both in the context of Mtb infection and vaccination 20,38-40 . The response at the mRNA level observed from post-BCG CD4 memory T cells was very similar to those in post-BCG PBMCs, suggesting that the majority of the BCG-induced gene expression changes observed in PBMCs are driven primarily by CD4 memory T cells upon BCG vaccination.…”
Section: Discussionsupporting
confidence: 78%
“…Our results reaffirm the critical role of T cells, particularly CD4 T cells, in mediating antimycobacterial immunity [57] , both in the context of Mtb infection and vaccination [ 20 , [58] , [59] , [60] ]. The response at the mRNA level observed from post-BCG CD4 memory T cells was very similar to those in post-BCG PBMCs, suggesting that the majority of the BCG-induced gene expression changes observed in PBMCs are driven primarily by CD4 memory T cells upon BCG vaccination.…”
Section: Discussionsupporting
confidence: 78%
“…As Th2-type cytokines, especially IL-5, have been implicated in the induction of vaccine-associated disease enhancement [ 34 , 35 ], it is necessary to confirm that our SARS-CoV-2 vaccine candidate does not induce adverse immunity. An antigen delivery platform, such as the one described here, which would primarily induce T cell immunity in the absence of antibody generation, might be a valuable vaccination strategy against pathogens such as Mycobacterium tuberculosis , where T cell response (especially IFN-γ production by CD4 + T cells) is the only protective response needed [ 36 ]. In addition, such a vaccine platform carrying a foreign antigen could be used in a combination or as a boost for vaccines with a negligent or absent T cell response induction.…”
Section: Discussionmentioning
confidence: 99%