Loss of Lipid Virulence Factors Reduces the Efficacy of the BCG Vaccine

Sci Rep. 2016 Jun 30:6:29076. doi: 10.1038/srep29076.

Abstract

Bacille Calmette-Guérin (BCG), an attenuated strain of Mycobacterium bovis, is the only vaccine available for tuberculosis (TB) control. BCG comprises a number of substrains that exhibit genetic and biochemical differences. Whether and how these differences affect BCG efficacy remain unknown. Compared to other BCG strains, BCG-Japan, -Moreau, and -Glaxo are defective in the production of phthiocerol dimycocerosates (PDIMs) and phenolic glycolipids (PGLs), two lipid virulence factors. To determine if the loss of PDIMs/PGLs affects BCG efficacy, we constructed a PDIM/PGL-deficient strain of BCG-Pasteur by deleting fadD28, and compared virulence, immunogenicity, and protective efficacy in animal models. SCID mouse infection experiments showed that ∆fadD28 was more attenuated than wild type (WT). The ∆fadD28 and WT strains induced equivalent levels of antigen specific IFN-γ by CD4(+) and CD8(+) T cells; however, ∆fadD28 was less effective against Mycobacterium tuberculosis challenge in both BALB/c mice and guinea pigs. These results indicate that the loss of PIDMs/PGLs reduces the virulence and protective efficacy of BCG. Since the loss of PDIMs/PGLs occurs naturally in a subset of BCG strains, it also suggests that these strains may have been over-attenuated, which compromises their effectiveness. Our finding has important implications for current BCG programs and future vaccine development.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • BCG Vaccine / administration & dosage
  • BCG Vaccine / genetics*
  • BCG Vaccine / immunology
  • CD8-Positive T-Lymphocytes / drug effects
  • CD8-Positive T-Lymphocytes / immunology
  • Carbon-Sulfur Ligases / genetics*
  • Carbon-Sulfur Ligases / immunology
  • Glycolipids / genetics*
  • Glycolipids / immunology
  • Guinea Pigs
  • Humans
  • Japan
  • Lipids / genetics*
  • Lipids / immunology
  • Mice
  • Mice, Inbred BALB C
  • Mycobacterium tuberculosis / drug effects
  • Mycobacterium tuberculosis / pathogenicity
  • Tuberculosis / genetics*
  • Tuberculosis / immunology
  • Tuberculosis / prevention & control
  • Virulence Factors / genetics
  • Virulence Factors / immunology

Substances

  • BCG Vaccine
  • Glycolipids
  • Lipids
  • Virulence Factors
  • phthiocerol dimycocerosate
  • Carbon-Sulfur Ligases
  • FadD28 protein, Mycobacterium tuberculosis

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