A human model of Buruli ulcer: The case for controlled human infection and considerations for selecting a Mycobacterium ulcerans challenge strain

PLoS Negl Trop Dis. 2023 Jun 29;17(6):e0011394. doi: 10.1371/journal.pntd.0011394. eCollection 2023 Jun.

Abstract

Critical knowledge gaps regarding infection with Mycobacterium ulcerans, the cause of Buruli ulcer (BU), have impeded development of new therapeutic approaches and vaccines for prevention of this neglected tropical disease. Here, we review the current understanding of host-pathogen interactions and correlates of immune protection to explore the case for establishing a controlled human infection model of M. ulcerans infection. We also summarise the overarching safety considerations and present a rationale for selecting a suitable challenge strain.

Publication types

  • Review

MeSH terms

  • Buruli Ulcer* / prevention & control
  • Host-Pathogen Interactions
  • Humans
  • Knowledge
  • Mycobacterium ulcerans*
  • Neglected Diseases

Grants and funding

SM is supported by a Postgraduate Scholarship from the National Health and Medical Research Council (NHMRC) of Australia (GNT1191368), JO is supported by an NHMRC EL1 Investigator grant (GNT2009548); JM is supported by an NHMRC L3 Investigator grant (GNT2016396). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.