結核菌がワクチンから逃れる遺伝的戦略を解明(TB Bacteria Play Possum to Evade Vaccines)

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2025-07-14 タフツ大学

結核菌がワクチンから逃れる遺伝的戦略を解明(TB Bacteria Play Possum to Evade Vaccines)
Tuberculosis (TB) bacteria appear in red inside a lung granuloma from a mouse infected with Mycbacterium tuberculosis, the bacterium that causes TB. Photo: Amanda Martinot

Tufts大学の研究で、結核菌が免疫の圧力を受けると成長を抑え「仮死状態」に入り、生存する戦略をとることが判明。遺伝子解析により、免疫環境下では成長関連遺伝子が抑制され、代わりに休眠維持やストレス耐性に関わる遺伝子が活性化されることが明らかになった。ワクチン回避の要因とされ、新たに潜伏中の菌を標的とする治療法や併用ワクチン戦略の可能性を示す重要な成果である。

<関連情報>

TnSeqにより結核菌がワクチン誘導免疫下で生存するための遺伝的要件が明らかになる TnSeq identifies genetic requirements of Mycobacterium tuberculosis for survival under vaccine-induced immunity

Kimra S. James,Neharika Jain,Kelly Witzl,Nico Cicchetti,Sarah M. Fortune,Thomas R. Ioerger,Amanda J. Martinot & Allison F. Carey
npj Vaccines  Published:22 May 2025
DOI:https://doi.org/10.1038/s41541-025-01150-9

Abstract

Mycobacterium tuberculosis (Mtb), the etiologic agent of tuberculosis (TB), remains a persistent global health challenge due to the lack of an effective vaccine. The only licensed TB vaccine, Bacille Calmette-Guerin (BCG), is a live attenuated strain of Mycobacterium bovis that protects young children from severe disease but fails to provide protection through adulthood. It is unclear why BCG provides incomplete protection despite inducing a robust Th1 immune response. We set out to interrogate mycobacterial determinants of vaccine escape using a functional genomics approach, TnSeq, to define bacterial genes required for survival in mice vaccinated with BCG, the live attenuated Mtb vaccine strain, ΔLprG, and in mice with Mtb immunity conferred by prior infection. We find that critical virulence genes associated with acute infection and exponential growth are less essential in hosts with adaptive immunity, including genes encoding the Esx-1 and Mce1 systems. Genetic requirements for Mtb growth in vaccinated and previously Mtb-infected hosts mirror the genetic requirements reported for bacteria under in vitro conditions that reflect aspects of the adaptive immune response. Across distinct immunization conditions, differences in genetic requirements between live attenuated vaccines and vaccination routes are observed, suggesting that different immunization strategies impose distinct bacterial stressors. Collectively, these data support the idea that Mtb requires genes that enable stress adaptation and growth arrest upon encountering the restrictive host environment induced by the adaptive immune response. We demonstrate that TnSeq can be used to understand the bacterial genetic requirements for survival in vaccinated hosts across pre-clinical live attenuated vaccines and therefore may be applied to other vaccine modalities. Understanding how Mtb survives vaccine-induced immunity has the potential to inform the development of new vaccines or adjuvant therapies.

 

低用量マウスチャレンジモデルにおける弱毒化結核菌ワクチンの予防効果 Attenuated Mycobacterium tuberculosis vaccine protection in a low-dose murine challenge model

Samuel J. Vidal ∙ Daniel Sellers ∙ Jingyou Yu ∙ … ∙ Kevin B. Urdah ∙ Amanda J. Martinot ∙ Dan H. Barouch
iScience  Published:May 28, 2023
DOI:https://doi.org/10.1016/j.isci.2023.106963

Highlights

  • ΔLprG reduces detectable infection in mice after single 1 MID50 challenge
  • ΔLprG prevents infection dissemination after single 1 MID50 challenge
  • Repeated 1 MID50 challenge facilitates correlates of ΔLprG vaccine protection

Summary

Bacillus Calmette–Guérin (BCG) remains the only approved tuberculosis (TB) vaccine despite limited efficacy. Preclinical studies of next-generation TB vaccines typically use a murine aerosol model with a supraphysiologic challenge dose. Here, we show that the protective efficacy of a live attenuated Mycobacterium tuberculosis (Mtb) vaccine ΔLprG markedly exceeds that of BCG in a low-dose murine aerosol challenge model. BCG reduced bacterial loads but did not prevent establishment or dissemination of infection in this model. In contrast, ΔLprG prevented detectable infection in 61% of mice and resulted in anatomic containment of 100% breakthrough infections to a single lung. Protection was partially abrogated in a repeated low-dose challenge model, which showed serum IL-17A, IL-6, CXCL2, CCL2, IFN-γ, and CXCL1 as correlates of protection. These data demonstrate that ΔLprG provides increased protection compared to BCG, including reduced detectable infection and anatomic containment, in a low-dose murine challenge model.

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