Immunobiology of Mycobacterium tuberculosis and Its Implication in Vaccine Design

A special issue of Vaccines (ISSN 2076-393X). This special issue belongs to the section "Vaccines against Tropical and other Infectious Diseases".

Deadline for manuscript submissions: 1 November 2025 | Viewed by 2416

Special Issue Editors


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Guest Editor
Department of Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, NY 10461, USA
Interests: immune protection against Mycobacterium tuberculosis; autophagy; antigen presentation; CD4 helper T cells; immune evasion; vaccines against emergent viral pathogens; regulation of antibody-mediated killing

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Guest Editor
Department of Microbiology and Immunology, Department of Medicine, Albert Einstein College of Medicine, Bronx, NY 10461, USA
Interests: Mycobacterium tuberculosis; cell-mediated immunity; CD1d-restricted NKT cells; antigen presentation; immune evasion; vaccines

Special Issue Information

Dear Colleagues,

Tuberculosis (TB) has been a disease in humans since the earliest days of civilization, and it remains a leading cause of mortality due to microbial infection worldwide. The Bacillus Calmette–Guérin (BCG) strain of Mycobacterium bovis, developed a century ago, is the only approved TB vaccine currently in use. BCG protects against meningitis and the disseminated forms of TB in children but is ineffective against adult pulmonary TB, the contagious form that is responsible for infecting almost 2 billion people throughout the world and resulting in more than 1 million deaths annually. Enormous efforts have been implemented through the years to develop an efficacious TB vaccine, and we urgently need to achieve this goal. Understanding the immunobiology of TB is a crucial part of the effort of developing vaccines to control and eliminate the global TB pandemic. In recent years, there has been substantial progress in the field of TB research towards understanding the immune response to BCG vaccination or Mycobacterium tuberculosis (Mtb) infections. Relatively recent studies of note include human clinical trials on BCG re-vaccination, administration of BCG through the intravenous injection routes in non-human primates, insights into trafficking of mycobacterium-specific immune cells, adjuvant formulations for subunit vaccines, discovery of new antigens and epitopes for T and B cells, and development of vaccines composed of attenuated, dormant, or persistent forms of Mtb. All these efforts contribute to new insights that may eventually help identify the long sought after immune correlates of protection against Mtb.

The aim of this Special Issue is to bring together reviews, commentaries, and research articles in the areas of TB immunity that can help drive better vaccine design and vaccination approaches to control or eradicate Mtb. We invite authors to submit work that they view as relevant to these goals, including, but not limited to, the following topics:

  1. Intravenous BCG and other nontraditional routes of vaccine administration.
  2. Newly recognized TB antigens, including subdominant and cryptic antigens or antigenic decoys.
  3. Adjuvant formulations.
  4. Eradicating dormant and persistent forms of Mtb.
  5. Prime-boost vaccination with attenuated Mtb or BCG strains.
  6. Mycobacterium-specific T and B cell responses.

We look forward to receiving your contributions to inspire the TB research community to help eradicate this deadly disease.

Dr. Tony W. Ng
Prof. Dr. Steven A. Porcelli
Guest Editors

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Keywords

  • Mycobacterium tuberculosis
  • polyfunctional T cells
  • antibodies
  • trained immunity
  • vaccination routes
  • non-human primates
  • persisters
  • auxotrophs
  • adjuvants

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Published Papers (2 papers)

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Research

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21 pages, 4951 KiB  
Article
Evaluation of Immunogenicity of Mycobacterium tuberculosis ag85ab DNA Vaccine Delivered by Pulmonary Administration
by Haimei Zhao, Zhen Zhang, Yong Xue, Nan Wang, Yinping Liu, Xihui Ma, Lan Wang, Xiaoou Wang, Danyang Zhang, Junxian Zhang, Xueqiong Wu and Yan Liang
Vaccines 2025, 13(5), 442; https://doi.org/10.3390/vaccines13050442 - 23 Apr 2025
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Abstract
Background: Tuberculosis (TB) is a respiratory infectious disease, and the current TB vaccine has low local lung protection. We aim to optimize immune pathways to improve the immunogenicity of vaccines. Methods: In the immunogenicity study, 50 BALB/c mice were randomly divided into the [...] Read more.
Background: Tuberculosis (TB) is a respiratory infectious disease, and the current TB vaccine has low local lung protection. We aim to optimize immune pathways to improve the immunogenicity of vaccines. Methods: In the immunogenicity study, 50 BALB/c mice were randomly divided into the following: (1) phosphate buffered saline (PBS)+intramuscular injection combined with electroporation (EP) group (100 μL), (2) pVAX1+EP group (50 μg/100 μL), (3) ag85ab+EP group (50 μg/100 μL), (4) pVAX1+pulmonary delivery (PD) group (50 μg/50 μL), and (5) ag85ab+PD group (50 μg/50 μL). Immunization was given once every 2 weeks for a total of three times. The number of IFN-γ-secreting lung and spleen lymphocytes was determined by enzyme-linked immunospot assay (ELISPOT). The levels of Th1, Th2, and Th17 cytokines in the culture supernatants of lung and spleen lymphocytes were detected with the Luminex method. The proportion of FoxP3 regulatory T cells in splenocytes was determined by flow cytometry. The levels of IgG-, IgG1-, and IgG2a-specific antibodies in plasma and IgA antibody in bronchoalveolar lavage fluid (BALF) were determined by enzyme-linked immunosorbent assay (ELISA). Results: The PD and EP routes of Mycobacterium tuberculosis (M. tb) ag85ab DNA vaccine can effectively induce the responses of IFN-γ-secreting lung and spleen lymphocytes, and induce dominant Th1 and Th17 cell immune responses. The PD route can induce earlier, greater numbers and stronger responses of pulmonary effector T cells, with higher levels of the specific antibody IgA detected in BALF. High levels of the specific antibodies IgG, IgG1, and IgG2α were detected in the plasma of mice immunized by the EP route. Conclusions: The PD route of DNA vaccines can more effectively stimulate the body to produce strong cellular and mucosal immunity than the EP route, especially local cellular immunity in the lungs, which can provide early protection for the lungs. It can significantly improve the immunogenicity of the ag85ab DNA vaccine, suggesting a feasible and effective approach to DNA immunization. Full article
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Review

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17 pages, 1189 KiB  
Review
Challenges of Multidrug-Resistant Tuberculosis Meningitis: Current Treatments and the Role of Glutathione as an Adjunct Therapy
by Mohammad J. Nasiri, Kabir Lutfy and Vishwanath Venketaraman
Vaccines 2024, 12(12), 1397; https://doi.org/10.3390/vaccines12121397 - 12 Dec 2024
Cited by 3 | Viewed by 1529
Abstract
Multidrug-resistant tuberculosis (MDR-TB) poses a significant global health threat, especially when it involves the central nervous system (CNS). Tuberculous meningitis (TBM), a severe manifestation of TB, is linked to high mortality rates and long-term neurological complications, further exacerbated by drug resistance and immune [...] Read more.
Multidrug-resistant tuberculosis (MDR-TB) poses a significant global health threat, especially when it involves the central nervous system (CNS). Tuberculous meningitis (TBM), a severe manifestation of TB, is linked to high mortality rates and long-term neurological complications, further exacerbated by drug resistance and immune evasion mechanisms employed by Mycobacterium tuberculosis (Mtb). Although pulmonary TB remains the primary focus of research, MDR-TBM introduces unique challenges in diagnosis, treatment, and patient outcomes. The effectiveness of current treatments is frequently compromised by poor CNS penetration of anti-TB drugs and the necessity for prolonged therapy, which often involves considerable toxicity. This review explores the potential of cytokine-based adjunct immunotherapies for MDR-TBM, addressing the challenges of balancing pro-inflammatory and anti-inflammatory signals within the CNS. A central focus is the prospective role of glutathione, not only in reducing oxidative stress but also in enhancing host immune defenses against Mtb’s immune evasion strategies. Furthermore, the development of vaccines aimed at upregulating glutathione synthesis in macrophages represents a promising strategy to bolster the immune response and improve treatment outcomes. By integrating glutathione and innovative vaccine approaches into MDR-TBM management, this review proposes a comprehensive strategy that targets Mtb directly while supporting immune modulation, with the potential to enhance patient outcomes and reduce treatment related adverse effects. We underscore the urgent need for further research into adjunctive therapies and immunomodulatory strategies to more effectively combat MDR-TBM. Full article
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