2011
DOI: 10.1371/journal.ppat.1002378
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Early Secreted Antigen ESAT-6 of Mycobacterium tuberculosis Promotes Protective T Helper 17 Cell Responses in a Toll-Like Receptor-2-dependent Manner

Abstract: Despite its relatively poor efficacy, Bacillus Calmette-Guérin (BCG) has been used as a tuberculosis (TB) vaccine since its development in 1921. BCG induces robust T helper 1 (Th1) immune responses but, for many individuals, this is not sufficient for host resistance against Mycobacterium tuberculosis (M. tb) infection. Here we provide evidence that early secreted antigenic target protein 6 (ESAT-6), expressed by the virulent M. tb strain H37Rv but not by BCG, promotes vaccine-enhancing Th17 cell responses. Th… Show more

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Cited by 141 publications
(164 citation statements)
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References 56 publications
(98 reference statements)
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“…sis (33,38). One study suggested that the ESAT-6 expressed by the virulent M. tuberculosis H37Rv strain, but not by Mycobacterium bovis BCG, promoted immunity by enhancing Th17 cell responses (39). Activation of naive T cells by pathogen antigens presented by antigen-presenting cells in the presence of various cytokines leads to the generation of T helper cell subsets, such as Th1, Th2, and Th17.…”
Section: Discussionmentioning
confidence: 99%
“…sis (33,38). One study suggested that the ESAT-6 expressed by the virulent M. tuberculosis H37Rv strain, but not by Mycobacterium bovis BCG, promoted immunity by enhancing Th17 cell responses (39). Activation of naive T cells by pathogen antigens presented by antigen-presenting cells in the presence of various cytokines leads to the generation of T helper cell subsets, such as Th1, Th2, and Th17.…”
Section: Discussionmentioning
confidence: 99%
“…Inconsistencies in previous reports on IL-12 production in cell infection models after mycobacterial infection may be due to the use of different infection models. Silver et al (2009) Chatterjee et al, 2011). In addition, BCG stimulates significantly higher production of IL-6 than M. bovis.…”
Section: Bovis Has a Stronger Ability Than Bcg To Induce Proinflammentioning
confidence: 98%
“…BCG has lost its virulence at the price of the deletion of five DNA regions called regions of difference (RDs) covering 38 ORFs (Seki et al, 2009), of which region of difference 1 (RD1) is the most prominent. Some previous reports have demonstrated that RD1 protein ESAT-6 promotes differentiation of Th17 cells, which contributes to improved protection against M.tb challenge (Chatterjee et al, 2011). On the other hand, Majlessi et al (2005) reported that BCG complemented with RD1 (BCG : : RD1) can recover virulence in immunecompetent mice, as shown by its persistence in vivo, similar to the virulent strain H37Rv.…”
Section: Bovis Has a Stronger Ability Than Bcg To Induce Proinflammentioning
confidence: 99%
“…However, none can fully explain the ability of M. tuberculosis to maintain a latent infection in infected humans without overtly activating the innate inflammatory response. For example, the suppressive effects of ESAT-6, a well-known virulence factor, require g quantities in in vitro systems, and some studies have suggested that ESAT-6 can increase inflammatory responses (11,30,33). One limitation of these studies is a system amenable to high-level protein expression in infected cells.…”
Section: Discussionmentioning
confidence: 99%
“…The inhibition occurs following a direct binding of ESAT-6 to Toll-like receptor 2 (TLR2), which subsequently antagonizes TLR2-, TLR4-, and TLR9-mediated re-lease of inflammatory cytokines (33). However, ESAT-6 has also been reported to enhance cytokine production (11). Moreover, ESAT-6 has additional proposed functions, including a lysin and an inflammasome activator (10,17,22,30).…”
mentioning
confidence: 99%