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Concurrent infection with Mycobacterium tuberculosis confers robust protection against secondary infection in macaques

For many pathogens, including most targets of effective vaccines, infection elicits an immune response that confers significant protection against reinfection. There has been significant debate as to whether natural Mycobacterium tuberculosis (Mtb) infection confers protection against reinfection. H...

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Bibliographic Details
Published in:PLoS pathogens 2018-10, Vol.14 (10), p.e1007305-e1007305
Main Authors: Cadena, Anthony M, Hopkins, Forrest F, Maiello, Pauline, Carey, Allison F, Wong, Eileen A, Martin, Constance J, Gideon, Hannah P, DiFazio, Robert M, Andersen, Peter, Lin, Philana Ling, Fortune, Sarah M, Flynn, JoAnne L
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Language:English
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Summary:For many pathogens, including most targets of effective vaccines, infection elicits an immune response that confers significant protection against reinfection. There has been significant debate as to whether natural Mycobacterium tuberculosis (Mtb) infection confers protection against reinfection. Here we experimentally assessed the protection conferred by concurrent Mtb infection in macaques, a robust experimental model of human tuberculosis (TB), using a combination of serial imaging and Mtb challenge strains differentiated by DNA identifiers. Strikingly, ongoing Mtb infection provided complete protection against establishment of secondary infection in over half of the macaques and allowed near sterilizing bacterial control for those in which a secondary infection was established. By contrast, boosted BCG vaccination reduced granuloma inflammation but had no impact on early granuloma bacterial burden. These findings are evidence of highly effective concomitant mycobacterial immunity in the lung, which may inform TB vaccine design and development.
ISSN:1553-7374
1553-7366
1553-7374
DOI:10.1371/journal.ppat.1007305