Recombinant BCG to Enhance Its Immunomodulatory Activities

The bacillus Calmette–Guérin (BCG) is an attenuated <i>Mycobacterium bovis</i> derivative that has been widely used as a live vaccine against tuberculosis for a century. In addition to its use as a tuberculosis vaccine, BCG has also been found to have utility in the prevention or treatme...

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Main Authors: Magdalena Kowalewicz-Kulbat, Camille Locht
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/10/5/827
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author Magdalena Kowalewicz-Kulbat
Camille Locht
author_facet Magdalena Kowalewicz-Kulbat
Camille Locht
author_sort Magdalena Kowalewicz-Kulbat
collection DOAJ
description The bacillus Calmette–Guérin (BCG) is an attenuated <i>Mycobacterium bovis</i> derivative that has been widely used as a live vaccine against tuberculosis for a century. In addition to its use as a tuberculosis vaccine, BCG has also been found to have utility in the prevention or treatment of unrelated diseases, including cancer. However, the protective and therapeutic efficacy of BCG against tuberculosis and other diseases is not perfect. For three decades, it has been possible to genetically modify BCG in an attempt to improve its efficacy. Various immune-modulatory molecules have been produced in recombinant BCG strains and tested for protection against tuberculosis or treatment of several cancers or inflammatory diseases. These molecules include cytokines, bacterial toxins or toxin fragments, as well as other protein and non-protein immune-modulatory molecules. The deletion of genes responsible for the immune-suppressive properties of BCG has also been explored for their effect on BCG-induced innate and adaptive immune responses. Most studies limited their investigations to the description of T cell immune responses that were modified by the genetic modifications of BCG. Some studies also reported improved protection by recombinant BCG against tuberculosis or enhanced therapeutic efficacy against various cancer forms or allergies. However, so far, these investigations have been limited to mouse models, and the prophylactic or therapeutic potential of recombinant BCG strains has not yet been illustrated in other species, including humans, with the exception of a genetically modified BCG strain that is now in late-stage clinical development as a vaccine against tuberculosis. In this review, we provide an overview of the different molecular engineering strategies adopted over the last three decades in order to enhance the immune-modulatory potential of BCG.
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spelling doaj.art-469b632663174d03acd08c831eae3d8e2023-11-23T13:27:55ZengMDPI AGVaccines2076-393X2022-05-0110582710.3390/vaccines10050827Recombinant BCG to Enhance Its Immunomodulatory ActivitiesMagdalena Kowalewicz-Kulbat0Camille Locht1Department of Immunology and Infectious Biology, Institute of Microbiology, Biotechnology and Immunology, Faculty of Biology and Environmental Protection, University of Lodz, 90-237 Lodz, PolandDepartment of Immunology and Infectious Biology, Institute of Microbiology, Biotechnology and Immunology, Faculty of Biology and Environmental Protection, University of Lodz, 90-237 Lodz, PolandThe bacillus Calmette–Guérin (BCG) is an attenuated <i>Mycobacterium bovis</i> derivative that has been widely used as a live vaccine against tuberculosis for a century. In addition to its use as a tuberculosis vaccine, BCG has also been found to have utility in the prevention or treatment of unrelated diseases, including cancer. However, the protective and therapeutic efficacy of BCG against tuberculosis and other diseases is not perfect. For three decades, it has been possible to genetically modify BCG in an attempt to improve its efficacy. Various immune-modulatory molecules have been produced in recombinant BCG strains and tested for protection against tuberculosis or treatment of several cancers or inflammatory diseases. These molecules include cytokines, bacterial toxins or toxin fragments, as well as other protein and non-protein immune-modulatory molecules. The deletion of genes responsible for the immune-suppressive properties of BCG has also been explored for their effect on BCG-induced innate and adaptive immune responses. Most studies limited their investigations to the description of T cell immune responses that were modified by the genetic modifications of BCG. Some studies also reported improved protection by recombinant BCG against tuberculosis or enhanced therapeutic efficacy against various cancer forms or allergies. However, so far, these investigations have been limited to mouse models, and the prophylactic or therapeutic potential of recombinant BCG strains has not yet been illustrated in other species, including humans, with the exception of a genetically modified BCG strain that is now in late-stage clinical development as a vaccine against tuberculosis. In this review, we provide an overview of the different molecular engineering strategies adopted over the last three decades in order to enhance the immune-modulatory potential of BCG.https://www.mdpi.com/2076-393X/10/5/827rBCGcytokinestuberculosisbacterial toxinsnon-tuberculosis diseases
spellingShingle Magdalena Kowalewicz-Kulbat
Camille Locht
Recombinant BCG to Enhance Its Immunomodulatory Activities
Vaccines
rBCG
cytokines
tuberculosis
bacterial toxins
non-tuberculosis diseases
title Recombinant BCG to Enhance Its Immunomodulatory Activities
title_full Recombinant BCG to Enhance Its Immunomodulatory Activities
title_fullStr Recombinant BCG to Enhance Its Immunomodulatory Activities
title_full_unstemmed Recombinant BCG to Enhance Its Immunomodulatory Activities
title_short Recombinant BCG to Enhance Its Immunomodulatory Activities
title_sort recombinant bcg to enhance its immunomodulatory activities
topic rBCG
cytokines
tuberculosis
bacterial toxins
non-tuberculosis diseases
url https://www.mdpi.com/2076-393X/10/5/827
work_keys_str_mv AT magdalenakowalewiczkulbat recombinantbcgtoenhanceitsimmunomodulatoryactivities
AT camillelocht recombinantbcgtoenhanceitsimmunomodulatoryactivities