Abstract

BackgroundAlthough the Bacillus Calmette-Guérin (BCG) vaccine against tuberculosis (TB) has been available for more than 75 years, one third of the world's population is still infected with Mycobacterium tuberculosis and approximately 2 million people die of TB every year. To reduce this immense TB burden, a clearer understanding of the functional genes underlying the action of BCG and the development of new vaccines are urgently needed.Methods and FindingsComparative genomic analysis of 19 M. tuberculosis complex strains showed that BCG strains underwent repeated human manipulation, had higher region of deletion rates than those of natural M. tuberculosis strains, and lost several essential components such as T-cell epitopes. A total of 188 BCG strain T-cell epitopes were lost to various degrees. The non-virulent BCG Tokyo strain, which has the largest number of T-cell epitopes (359), lost 124. Here we propose that BCG strain protection variability results from different epitopes. This study is the first to present BCG as a model organism for genetics research. BCG strains have a very well-documented history and now detailed genome information. Genome comparison revealed the selection process of BCG strains under human manipulation (1908–1966).ConclusionsOur results revealed the cause of BCG vaccine strain protection variability at the genome level and supported the hypothesis that the restoration of lost BCG Tokyo epitopes is a useful future vaccine development strategy. Furthermore, these detailed BCG vaccine genome investigation results will be useful in microbial genetics, microbial engineering and other research fields.

Highlights

  • Mycobacterium tuberculosis is the world’s leading cause of the infectious disease tuberculosis (TB) and have an enormous global impact [1]

  • Our results revealed the cause of Bacillus Calmette-Guerin (BCG) vaccine strain protection variability at the genome level and supported the hypothesis that the restoration of lost BCG Tokyo epitopes is a useful future vaccine development strategy

  • These detailed BCG vaccine genome investigation results will be useful in microbial genetics, microbial engineering and other research fields

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Summary

Introduction

Mycobacterium tuberculosis is the world’s leading cause of the infectious disease tuberculosis (TB) and have an enormous global impact [1]. The original BCG strain has produced many descendant strains that have been distributed and used in many countries and regions around the world These strains are named based on the country or corresponding site, e.g., BCG Tokyo, Pasteur, Russia. The Bacillus Calmette-Guerin (BCG) vaccine against tuberculosis (TB) has been available for more than 75 years, one third of the world’s population is still infected with Mycobacterium tuberculosis and approximately 2 million people die of TB every year. To reduce this immense TB burden, a clearer understanding of the functional genes underlying the action of BCG and the development of new vaccines are urgently needed

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