BCG vaccination induces different cytokine profiles following infant BCG vaccination in the UK and Malawi

Lalor, M. K. et al. (2011) BCG vaccination induces different cytokine profiles following infant BCG vaccination in the UK and Malawi. Journal of Infectious Diseases, 204(7), pp. 1075-1085. (doi: 10.1093/infdis/jir515) (PMID:21881123) (PMCID:PMC3164434)

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Background. BCG vaccination of infants is thought to provide good protection in all settings. This study investigated whether Malawian infants made weaker responses across a cytokine panel after BCG vaccination, compared with UK infants. Methods. Diluted whole-blood samples were cultured with Mycobacterium tuberculosis purified protein derivative for 6 days from BCG-vaccinated infants 3 months (n = 40 Malawi, 28 UK) and 12 months (n = 34 Malawi, 26 UK) after vaccination, and also from UK unvaccinated infants (n = 9 at 3 months, n = 10 at 12 months). Forty-two cytokines were measured in supernatants using a multiplex bead array assay. Principal component analysis was used to summarize the overall patterns in cytokine responses. Results. We found differences in median responses in 27 of the 42 cytokines: 7 higher in the UK and 20 higher in Malawi. The cytokines with higher responses in the UK were all T helper 1 related. The cytokines with higher responses in Malawi included innate proinflammatory cytokines, regulatory cytokines, interleukin 17, T helper 2 cytokines, chemokines, and growth factors. Principal component analysis separated the BCG-vaccinated infants from Malawi from the UK vaccinated infants and from the unvaccinated infants. Conclusions. Malawian infants make cytokine responses following BCG vaccination, but the cytokine profile is different from that in the UK. The different biosignatures following BCG vaccination in the 2 settings may indicate variability in the protective efficacy of infant BCG vaccination.

Item Type:Articles
Additional Information:This work was funded by the Wellcome Trust (063558/Z/01/B) and by the Bill & Melinda Gates Foundation through the Grand Challenges in Global Health Initiative (37772). N. M. was funded by a Wellcome Trust fellowship (WT083495MA).
Glasgow Author(s) Enlighten ID:Crampin, Professor Mia
Authors: Lalor, M. K., Floyd, S., Gorak-Stolinska, P., Ben-Smith, A., Weir, R. E., Smith, S. G., Newport, M. J., Blitz, R., Mvula, H., Branson, K., McGrath, N., Crampin, A. C., Fine, P. E., and Dockrell, H. M.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Public Health
Journal Name:Journal of Infectious Diseases
Publisher:Oxford University Press
ISSN (Online):1537-6613
Copyright Holders:Copyright © 2011 The Authors
First Published:First published in Journal of Infectious Diseases 204:1075-1085
Publisher Policy:Reproduced under a Creative Commons License

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