Evidence map›Paper›PMID 33210407›Full record

ReviewJournal of internal medicine2020

Is mapping the BCG vaccine-induced immune responses the key to improving the efficacy against tuberculosis?

R Kuan, K Muskat, B Peters, C S Lindestam Arlehamn

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
0.9field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 25 citations in OpenAlex.

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  2. Frontiers in immunology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

R KuanFrom the, La Jolla Institute for Immunology, La Jolla, CA, USA.
K MuskatFrom the, La Jolla Institute for Immunology, La Jolla, CA, USA.
B PetersFrom the, La Jolla Institute for Immunology, La Jolla, CA, USA.ORCID 0000-0002-8457-6693
C S Lindestam ArlehamnFrom the, La Jolla Institute for Immunology, La Jolla, CA, USA.ORCID 0000-0001-7302-8002
La Jolla Institute for Immunology · US

Funding

Large Scale T Cell Epitope Discovery: Proteome-wide characterization of T cell epitopes from Mycobacterium tuberculosis in vaccination and active infection75N93019C00067 · NIAID · LA JOLLA INSTITUTE FOR IMMUNOLOGY · PI PETERS, BJOERN · 2019 to 2023
$4.5M
NIAID NIH HHS 75N93019C00067
6 · The paper itself

Abstract

In recent years, the century-old Mycobacterium bovis Bacillus Calmette-Guérin (BCG) vaccine against tuberculosis (TB) has been re-evaluated for its capacity to stem the global tide of TB. There is increasing evidence that the efficacy of BCG can be improved by the modified administration methods and schedules. Here, we first discuss recent approaches of vaccine administration, revaccination or boosting that have been used to try to improve the efficacy of BCG against TB. We then dive deeper into studies investigating the immune correlates of protection and describe studies that have investigated BCG-specific T-cell responses and the influence of environmental exposures. These studies all highlight that there is still a lot to learn about the immune response induced by BCG, both in terms of phenotype and specificity, which has been surprisingly understudied. We argue that several critical gaps in knowledge exist and must be addressed by future research to rationally improve the efficacy of BCG, including comprehensive, proteome-wide understanding of the epitopes derived from BCG recognized by BCG-vaccinated individuals, the phenotype of responding antigen-specific T cells and how previous exposure to environmental mycobacteria affect these parameters and thus influence vaccine efficacy. The development of modern techniques allows us to answer some of these questions to better understand how BCG works in terms of both protection against TB and the immune response that it triggers.

Indexed as

AnimalsBCG VaccineDrug Administration ScheduleEpitopes, T-LymphocyteHumansImmunization, SecondaryMycobacterium bovisProteomeT-LymphocytesTuberculosisBCG VaccineEpitopes, T-LymphocyteProteomeimmunologytuberculosisvaccine

Identifiers

PMID33210407
PMCPMC9432460
OpenAlexW3099865265

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.