“…“Old friends” fall into three main categories: (1) microorganisms associated with “old infections” that were common in human evolutionary past (helminths, Salmonella , Helicobacter pylori [ 12 , 13 ]); (2) microorganisms that were part of the human microbiota (gut, airway, skin, genitourinary, oropharyngeal; [ 14 , 15 , 16 , 17 ]); and (3) harmless microorganisms from the natural environment in water, air, and soil with which humans inevitably had regular contact (reviewed in [ 18 , 19 ]). Two such microorganisms attracting attention for their immunoregulatory effects are Mycobacterium vaccae National Collection of Type Cultures 11659 ( M. vaccae NCTC 11659) and Mycobacterium vaccae American Type Culture Collection 15483 Typestrain ( M. vaccae ATCC 15483 T ) [ 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 ]. In the current article, we aim to provide a narrative review of the research history of these two immunoregulatory mycobacteria in a chronological way, starting with the first observational studies on their promising effects as tuberculosis (TB) vaccines up to the most recent studies indicating that these “old friends” have stress-protective effects and promote stress resilience.…”