2015
DOI: 10.1155/2015/261864
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Gamma-Irradiated Bacille Calmette-Guérin Vaccination Does Not Modulate the Innate Immune Response during Experimental Human Endotoxemia in Adult Males

Abstract: Bacille Calmette-Guérin (BCG) vaccine exerts nonspecific immunostimulatory effects and may therefore represent a novel therapeutic option to treat sepsis-induced immunoparalysis. We investigated whether BCG vaccination modulates the systemic innate immune response in humans in vivo during experimental endotoxemia. We used inactivated gamma-irradiated BCG vaccine because of the potential risk of disseminated disease with the live vaccine in immunoparalyzed patients. In a randomized double-blind placebo-controll… Show more

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Cited by 9 publications
(7 citation statements)
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“…In humans, c-irradiated BCG was studied as an alternative agonist to stimulate innate training both in vitro and in vivo. 38,39 An in vivo c-irradiated BCG vaccination in humans failed to alter cytokine expression when PBMCs were stimulated ex vivo with various agonists, 38 in contrast to previous studies with lvBCG. 3,40 In vitro c-irradiated BCG induces trained immunity but to a lesser degree than lvBCG; Arts et al 39 theorize that the reduced state of innate training with c-irradiated BCG compared to lvBCG may be due to changes to the immunostimulatory component of BCG (i.e., muramyl dipeptide) or that intracellular replication of live bacterium is necessary to induce trained immunity.…”
Section: Discussionmentioning
confidence: 94%
“…In humans, c-irradiated BCG was studied as an alternative agonist to stimulate innate training both in vitro and in vivo. 38,39 An in vivo c-irradiated BCG vaccination in humans failed to alter cytokine expression when PBMCs were stimulated ex vivo with various agonists, 38 in contrast to previous studies with lvBCG. 3,40 In vitro c-irradiated BCG induces trained immunity but to a lesser degree than lvBCG; Arts et al 39 theorize that the reduced state of innate training with c-irradiated BCG compared to lvBCG may be due to changes to the immunostimulatory component of BCG (i.e., muramyl dipeptide) or that intracellular replication of live bacterium is necessary to induce trained immunity.…”
Section: Discussionmentioning
confidence: 94%
“…Moreover, in an experimental sepsis study in human volunteers, immunization with gamma-irradiated BCG 5 days prior to i.v. administration of LPS did not ameliorate the endotoxemia-induced immunoparesis, measured as a decrease in ex vivo cytokine responses (28).…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, the in vivo source of IFN-g remained elusive. Because only a subset of neutrophils express PD-L1, both in humans and mice [14,16], it is unlikely that systemic IFN-g production is responsible, also because systemic IFN-g levels during human endotoxemia remain very low [17,18]. In the present study, we sought to identify the source of IFNg production and its role in the generation of PD-L1 + -suppressive neutrophils.…”
Section: Introductionmentioning
confidence: 99%