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Gamma-Irradiated Bacille Calmette-Guérin Vaccination Does Not Modulate the Innate Immune Response during Experimental Human Endotoxemia in Adult Males
by
Kox, Matthijs
, Arts, Rob J. W.
, Hamers, Linda A. C.
, Pickkers, Peter
, Blok, Bastiaan
, Netea, Mihai G.
, Leentjens, Jenneke
in
Adult
/ BCG Vaccine - immunology
/ Clinical Study
/ Cytokines - biosynthesis
/ Cytokines - immunology
/ Double-Blind Method
/ Endotoxemia - drug therapy
/ Endotoxemia - immunology
/ Humans
/ Immune system
/ Immunity, Innate - immunology
/ Immunology
/ Leukocytes, Mononuclear - immunology
/ Lipopolysaccharides - administration & dosage
/ Lipopolysaccharides - immunology
/ Lymphocyte Activation - immunology
/ Male
/ Mortality
/ Mycobacterium bovis - immunology
/ Placebos
/ Rodents
/ Studies
/ Tuberculosis
/ Vaccination
2015
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Gamma-Irradiated Bacille Calmette-Guérin Vaccination Does Not Modulate the Innate Immune Response during Experimental Human Endotoxemia in Adult Males
by
Kox, Matthijs
, Arts, Rob J. W.
, Hamers, Linda A. C.
, Pickkers, Peter
, Blok, Bastiaan
, Netea, Mihai G.
, Leentjens, Jenneke
in
Adult
/ BCG Vaccine - immunology
/ Clinical Study
/ Cytokines - biosynthesis
/ Cytokines - immunology
/ Double-Blind Method
/ Endotoxemia - drug therapy
/ Endotoxemia - immunology
/ Humans
/ Immune system
/ Immunity, Innate - immunology
/ Immunology
/ Leukocytes, Mononuclear - immunology
/ Lipopolysaccharides - administration & dosage
/ Lipopolysaccharides - immunology
/ Lymphocyte Activation - immunology
/ Male
/ Mortality
/ Mycobacterium bovis - immunology
/ Placebos
/ Rodents
/ Studies
/ Tuberculosis
/ Vaccination
2015
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Gamma-Irradiated Bacille Calmette-Guérin Vaccination Does Not Modulate the Innate Immune Response during Experimental Human Endotoxemia in Adult Males
by
Kox, Matthijs
, Arts, Rob J. W.
, Hamers, Linda A. C.
, Pickkers, Peter
, Blok, Bastiaan
, Netea, Mihai G.
, Leentjens, Jenneke
in
Adult
/ BCG Vaccine - immunology
/ Clinical Study
/ Cytokines - biosynthesis
/ Cytokines - immunology
/ Double-Blind Method
/ Endotoxemia - drug therapy
/ Endotoxemia - immunology
/ Humans
/ Immune system
/ Immunity, Innate - immunology
/ Immunology
/ Leukocytes, Mononuclear - immunology
/ Lipopolysaccharides - administration & dosage
/ Lipopolysaccharides - immunology
/ Lymphocyte Activation - immunology
/ Male
/ Mortality
/ Mycobacterium bovis - immunology
/ Placebos
/ Rodents
/ Studies
/ Tuberculosis
/ Vaccination
2015
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Gamma-Irradiated Bacille Calmette-Guérin Vaccination Does Not Modulate the Innate Immune Response during Experimental Human Endotoxemia in Adult Males
Journal Article
Gamma-Irradiated Bacille Calmette-Guérin Vaccination Does Not Modulate the Innate Immune Response during Experimental Human Endotoxemia in Adult Males
2015
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Overview
Bacille Calmette-Guérin (BCG) vaccine exerts nonspecific immunostimulatory effects and may therefore represent a novel therapeutic option to treat sepsis-induced immunoparalysis. We investigated whether BCG vaccination modulates the systemic innate immune response in humans in vivo during experimental endotoxemia. We used inactivated gamma-irradiated BCG vaccine because of the potential risk of disseminated disease with the live vaccine in immunoparalyzed patients. In a randomized double-blind placebo-controlled study, healthy male volunteers were vaccinated with gamma-irradiated BCG (n=10) or placebo (n=10) and received 1 ng/kg lipopolysaccharide (LPS) intravenously on day 5 after vaccination to assess the in vivo immune response. Peripheral blood mononuclear cells were stimulated with various related and unrelated pathogens 5, 8 to 10, and 25 to 35 days after vaccination to assess ex vivo immune responses. BCG vaccination resulted in a scar in 90% of vaccinated subjects. LPS administration elicited a profound systemic immune response, characterized by increased levels of pro- and anti-inflammatory cytokines, hemodynamic changes, and flu-like symptoms. However, BCG modulated neither this in vivo immune response, nor ex vivo leukocyte responses at any time point. In conclusion, gamma-irradiated BCG is unlikely to represent an effective treatment option to restore immunocompetence in patients with sepsis-induced immunoparalysis. This trial is registered with NCT02085590.
Publisher
Hindawi Publishing Corporation,John Wiley & Sons, Inc,Wiley
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