bims-traimu Biomed News
on Trained immunity
Issue of 2023–03–05
four papers selected by
Yantong Wan, Southern Medical University



  1. J Allergy Clin Immunol. 2023 Mar 01. pii: S0091-6749(23)00283-X. [Epub ahead of print]
      
    Keywords:  asthma; epigenetic; hygiene hypothesis; infection; innate immunity; trained immunity
    DOI:  https://doi.org/10.1016/j.jaci.2023.02.023
  2. J Nanobiotechnology. 2023 Mar 02. 21(1): 74
      Innate immune cells are critical in antitumor immune surveillance and the development of antitumor adaptive cellular immunity. Trained innate immune cells demonstrate immune memory-like characteristics, producing more vigorous immune responses to secondary homologous or heterologous stimuli. This study aimed to investigate whether inducing trained immunity is beneficial when using a tumor vaccine to promote antitumor adaptive immune responses. A biphasic delivery system was developed with the trained immunity inducer Muramyl Dipeptide (MDP) and specific tumor antigen human papillomavirus (HPV) E7 peptide encapsulated by poly(lactide-co-glycolide)-acid(PLGA) nanoparticles (NPs), and the NPs along with another trained immunity agonist, β-glucan, were further embedded in a sodium alginate hydrogel. The nanovaccine formulation demonstrated a depot effect for E7 at the injection site and targeted delivery to the lymph nodes and dendritic cells (DCs). The antigen uptake and maturation of DCs were significantly promoted. A trained immunity phenotype, characterized by increased production of IL-1β, IL-6, and TNF-α, was induced in vitro and in vivo in response to secondary homologous or heterologous stimulation. Furthermore, prior innate immune training enhanced the antigen-specific INF-γ-expressing immune cell response elicited by subsequent stimulation with the nanovaccine. Immunization with the nanovaccine completely inhibited the growth of TC-1 tumors and even abolished established tumors in mice. Mechanistically, the inclusion of β-glucan and MDP significantly enhanced the responses of tumor-specific effector adaptive immune cells. The results strongly suggest that the controlled release and targeted delivery of an antigen and trained immunity inducers with an NP/hydrogel biphasic system can elicit robust adaptive immunity, which provides a promising tumor vaccination strategy.
    Keywords:  MDP; Nanovaccine; Trained immunity; Tumor; β-glucan
    DOI:  https://doi.org/10.1186/s12951-023-01832-3
  3. Int J Infect Dis. 2023 Feb 23. pii: S1201-9712(23)00065-6. [Epub ahead of print]
       INTRODUCTION: Bacillus Calmette-Guérin (BCG) vaccine was considered as a tool against SARS-CoV-2 based on the concept of trained immunity, which could be useful against emerging pathogens.
    METHODS: A multicenter double-blinded randomized clinical trial recruited health care workers (HCW) in Brazil. The incidence rates of COVID-19, clinical manifestations, absenteeism, and adverse events among HCW receiving BCG vaccine (Moreau or Moscow strains) or placebo were compared. BCG vaccine-mediated immune response before and after implementing specific vaccines for COVID-19 (CoronaVac® or CovishieldTM) was analyzed. Cox proportional hazard and linear mixed effect modelling were used.
    RESULTS: 264 volunteers were included for analysis (BCG=134 and placebo=130). Placebo group presented a COVID-19 cumulative incidence of 0.75% versus 0.52% of BCG. Moreau strain also presented a higher incidence rate (1.60% x 0.22%). BCG did not show a protective hazard ratio against COVID-19. In addition, the log(IgG) level against SARS-CoV-2 presented a higher increase in the BCG group, whether or not participants had COVID-19, but also without statistical significance.
    CONCLUSION: Our results suggest a BCG's tendency of protection against SARS-CoV-2 and higher IgG levels when compared to placebo. The clinical trial was registered at https://clinicaltrials.gov/ (NCT04659941).
    Keywords:  BCG; COVID-19; Vaccine
    DOI:  https://doi.org/10.1016/j.ijid.2023.02.014
  4. Int J Infect Dis. 2023 Feb 24. pii: S1201-9712(23)00069-3. [Epub ahead of print]
       INTRODUCTION: The Bacille Calmette-Guérin (BCG) vaccine is usually administered at birth to protect against severe forms of tuberculosis in children. BCG also confers some protection against other infections, possibly mediated by innate immune training. We investigated whether newborn BCG vaccination modulates myeloid and natural killer (NK) cell responses to mycobacteria.
    METHODS: BCG vaccination was either administered at birth or delayed to 6 or 10 weeks of age in 130 South African infants. Whole blood was stimulated with BCG and CD4 T, myeloid and NK cell responses measured by flow cytometry; levels of secreted cytokines were measured by multiplex bead array.
    RESULTS: Newborn BCG vaccination was associated with significantly higher frequencies of BCG-reactive, cytokine-expressing CD4+ T cells and IFNγ-expressing NK cells, compared with unvaccinated infants, but no differences in cytokine-expressing CD33+ myeloid cells were observed. Induction of BCG-reactive IFNγ-expressing NK cells was not associated with markers of NK cell maturation, differentiation or cytokine receptor expression. BCG-reactive NK cell responses correlated directly with levels of secreted IL-2 and IFNγ and the innate pro-inflammatory cytokines IL-6, IL-1β and TNF in BCG vaccinated infants only.
    CONCLUSION: We showed that BCG-reactive IFNγ-expressing NK cells are strongly induced by BCG vaccination in infants and are likely amplified through by-stander cytokines.
    Keywords:  BCG vaccination; NK cells; infant; myeloid cells; tuberculosis
    DOI:  https://doi.org/10.1016/j.ijid.2023.02.018