Lung IL-17A-Producing CD4<sup>+</sup> T Cells Correlate with Protection after Intrapulmonary Vaccination with Differentially Adjuvanted Tuberculosis Vaccines

Tuberculosis (TB), caused by <i>Mycobacterium tuberculosis</i>, results in approximately 1.6 million deaths annually. BCG is the only TB vaccine currently in use and offers only variable protection; however, the development of more effective vaccines is hindered by a lack of defined corr...

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Bibliographic Details
Main Authors: Erica L. Stewart, Claudio Counoupas, Diana H. Quan, Trixie Wang, Nikolai Petrovsky, Warwick J. Britton, James A. Triccas
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Vaccines
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Online Access:https://www.mdpi.com/2076-393X/12/2/128
Description
Summary:Tuberculosis (TB), caused by <i>Mycobacterium tuberculosis</i>, results in approximately 1.6 million deaths annually. BCG is the only TB vaccine currently in use and offers only variable protection; however, the development of more effective vaccines is hindered by a lack of defined correlates of protection (CoP) against <i>M. tuberculosis</i>. Pulmonary vaccine delivery is a promising strategy since it may promote lung-resident immune memory that can respond rapidly to respiratory infection. In this study, CysVac2, a subunit protein previously shown to be protective against <i>M. tuberculosis</i> in mouse models, was combined with either Advax<sup>®</sup> adjuvant or a mixture of alum plus MPLA and administered intratracheally into mice. Peripheral immune responses were tracked longitudinally, and lung-local immune responses were measured after challenge. Both readouts were then correlated with protection after <i>M. tuberculosis</i> infection. Although considered essential for the control of mycobacteria, induction of IFN-γ-expressing CD4<sup>+</sup> T cells in the blood or lungs did not correlate with protection. Instead, CD4<sup>+</sup> T cells in the lungs expressing IL-17A correlated with reduced bacterial burden. This study identified pulmonary IL-17A-expressing CD4<sup>+</sup> T cells as a CoP against <i>M. tuberculosis</i> and suggests that mucosal immune profiles should be explored for novel CoP.
ISSN:2076-393X