Evidence map›Paper›PMID 34131332›Full record

ReviewNature reviews. Urology2021

100 years of Bacillus Calmette-Guérin immunotherapy: from cattle to COVID-19.

Niyati Lobo, Nathan A Brooks, Alexandre R Zlotta, Jeffrey D Cirillo, Stephen Boorjian, Peter C Black, Joshua J Meeks, Trinity J Bivalacqua, Paolo Gontero, Gary D Steinberg and 4 more

Open access · bronzeAbstract readHistorical ArticleReview
In one paragraph

Review in Nature reviews. Urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 2 pooled it
8.7field-weighted citation impact, top 1% 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

87 citing papers in PubMed, 2 syntheses or guidelines pooled it, 143 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Route of BCG administration determines success.Human vaccines & immunotherapeutics · 2026
    Review
  5. Article
  6. Article
  7. The Future of Vaccines.Vaccines · 2026
    Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Review
  18. Clinical development of therapeutic mRNA applications.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  19. Repurposing Amiodarone for Bladder Cancer Treatment.Cancer research communications · 2025
    Article
  20. Designing live bacterial therapeutics for cancer.Advanced drug delivery reviews · 2025
    Review

27 more citing papers are in PubMed but not listed here.

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

14 authors at 9 institutions in 4 countries.

Niyati LoboDepartment of Urology, MD Anderson Cancer Center, Houston, TX, USA.
Nathan A BrooksDepartment of Urology, MD Anderson Cancer Center, Houston, TX, USA.
Alexandre R ZlottaDivision of Urology, Department of Surgery, Sinai Health System, University of Toronto, Toronto, ON, Canada.
Jeffrey D CirilloDepartment of Microbial Pathogenesis and Immunology, Texas A&M Health Science Center, Bryan, TX, USA.
Stephen BoorjianDepartment of Urology, Mayo Clinic, Rochester, MN, USA.
Peter C BlackVancouver Prostate Centre, Vancouver, BC, Canada.
Joshua J MeeksNorthwestern University School of Medicine, Chicago, IL, USA.
Trinity J BivalacquaThe James Buchanan Brady Urological Institute and Department of Urology, The Johns Hopkins School of Medicine, Baltimore, MD, USA.
Paolo GonteroDivision of Urology, Molinette Hospital, University of Torino School of Medicine, Torino, Italy.
Gary D SteinbergDepartment of Urology, NYU Langone Health, New York, NY, USA.
David McConkeyJohns Hopkins Greenberg Bladder Cancer Institute, Brady Urological Institute, Johns Hopkins University, Baltimore, MD, USA.
Marko BabjukDepartment of Urology, Hospital Motol, Second Faculty of Medicine, Charles University, Prague, Czech Republic.
J Alfred WitjesDepartment of Urology, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands.
Ashish M KamatDepartment of Urology, MD Anderson Cancer Center, Houston, TX, USA. akamat@mdanderson.org.ORCID http://orcid.org/0000-0003-3546-9928
The University of Texas MD Anderson Cancer Center · USJohns Hopkins University · USCharles University · CZMayo Clinic in Arizona · USNorthwestern University · USNYU Langone Health · USRadboud University Nijmegen · NLTexas A&M Health Science Center · USUniversity Health Network · CA

Funding

SWOG Network Group Operations Center of the NCTNU10CA180888 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI PRIMO N. LARA · 2014 to 2026
$152.1M
NCI NIH HHS U10 CA180888
6 · The paper itself

Abstract

Bacillus Calmette-Guérin (BCG) is the most widely used vaccine worldwide and has been used to prevent tuberculosis for a century. BCG also stimulates an anti-tumour immune response, which urologists have harnessed for the treatment of non-muscle-invasive bladder cancer. A growing body of evidence indicates that BCG offers protection against various non-mycobacterial and viral infections. The non-specific effects of BCG occur via the induction of trained immunity and form the basis for the hypothesis that BCG vaccination could be used to protect against the severity of coronavirus disease 2019 (COVID-19). This Perspective article highlights key milestones in the 100-year history of BCG and projects its potential role in the COVID-19 pandemic.

Indexed as

COVID-19 VaccinesAdjuvants, ImmunologicAnimalsBCG VaccineCattleCOVID-19History, 19th CenturyHistory, 20th CenturyHumansImmunotherapyInfantAdjuvants, ImmunologicBCG VaccineCOVID-19 Vaccines

Identifiers

PMID34131332
PMCPMC8204595
OpenAlexW3172091771

What OpenQuestion holds

Textmetadata
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.