1. A recombinant selective drug-resistant M. bovis BCG enhances the bactericidal activity of a second-line anti-tuberculosis regimen.
- Author
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Chiwala G, Liu Z, Mugweru JN, Wang B, Khan SA, Bate PNN, Yusuf B, Hameed HMA, Fang C, Tan Y, Guan P, Hu J, Tan S, Liu J, Zhong N, and Zhang T
- Subjects
- Amikacin pharmacology, Amikacin therapeutic use, Animals, Antigens, Bacterial biosynthesis, Antigens, Bacterial genetics, Antigens, Bacterial immunology, Antitubercular Agents therapeutic use, BCG Vaccine biosynthesis, BCG Vaccine genetics, BCG Vaccine therapeutic use, Disease Models, Animal, Levofloxacin pharmacology, Levofloxacin therapeutic use, Mice, Inbred BALB C, Mice, SCID, Mycobacterium bovis chemistry, Mycobacterium bovis drug effects, Mycobacterium tuberculosis pathogenicity, Plasmids, Prothionamide pharmacology, Prothionamide therapeutic use, Pyrazinamide pharmacology, Pyrazinamide therapeutic use, Tuberculosis, Pulmonary drug therapy, Tuberculosis, Pulmonary pathology, Vaccines, Synthetic biosynthesis, Vaccines, Synthetic genetics, Vaccines, Synthetic therapeutic use, Virulence, Mice, Antitubercular Agents pharmacology, BCG Vaccine immunology, Drug Resistance, Bacterial genetics, Mycobacterium bovis genetics, Mycobacterium tuberculosis drug effects, Tuberculosis, Pulmonary prevention & control, Vaccines, Synthetic immunology
- Abstract
Drug-resistant tuberculosis (DR-TB) poses a new threat to global health; to improve the treatment outcome, therapeutic vaccines are considered the best chemotherapy adjuvants. Unfortunately, there is no therapeutic vaccine approved against DR-TB. Our study assessed the therapeutic efficacy of a recombinant drug-resistant BCG (RdrBCG) vaccine in DR-TB. We constructed the RdrBCG overexpressing Ag85B and Rv2628 by selecting drug-resistant BCG strains and transformed them with plasmid pEBCG or pIBCG to create RdrBCG-E and RdrBCG-I respectively. Following successful stability testing, we tested the vaccine's safety in severe combined immune deficient (SCID) mice that lack both T and B lymphocytes plus immunoglobulins. Finally, we evaluated the RdrBCG's therapeutic efficacy in BALB/c mice infected with rifampin-resistant M. tuberculosis and treated with a second-line anti-TB regimen. We obtained M. bovis strains which were resistant to several second-line drugs and M. tuberculosis resistant to rifampin. Notably, the exogenously inserted genes were lost in RdrBCG-E but remained stable in the RdrBCG-I both in vitro and in vivo. When administered adjunct to a second-line anti-TB regimen in a murine model of DR-TB, the RdrBCG-I lowered lung M. tuberculosis burden by 1 log
10 . Furthermore, vaccination with RdrBCG-I adjunct to chemotherapy minimized lung tissue pathology in mice. Most importantly, the RdrBCG-I showed almost the same virulence as its parent BCG Tice strain in SCID mice. Our findings suggested that the RdrBCG-I was stable, safe and effective as a therapeutic vaccine. Hence, the "recombinant" plus "drug-resistant" BCG strategy could be a useful concept for developing therapeutic vaccines against DR-TB., (Copyright © 2021 The Authors. Published by Elsevier Masson SAS.. All rights reserved.)- Published
- 2021
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