Evidence map›Paper›PMID 39912921›Full record

ArticleThe Journal of experimental medicine2025

Intravenous BCG-mediated protection against tuberculosis requires CD4+ T cells and CD8α+ lymphocytes.

Andrew W Simonson, Joseph J Zeppa, Allison N Bucsan, Michael C Chao, Supriya Pokkali, Forrest Hopkins, Michael R Chase, Andrew J Vickers, Matthew S Sutton, Caylin G Winchell and 22 more

Abstract read
In one paragraph

Article in The Journal of experimental medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
–field-weighted citation impact
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

33 citing papers in PubMed.

  1. Route of BCG administration determines success.Human vaccines & immunotherapeutics · 2026
    Review
  2. Article
  3. Article
  4. Review
  5. HowVaccines · 2026
    Review
  6. Journal of bacteriology · 2026
    Review
  7. Review
  8. Immunodominant Tuberculosis Antigens Recognized by Human CD4Cold Spring Harbor perspectives in medicine · 2026
    Article
  9. Review
  10. Article
  11. Article
  12. CD8Nature communications · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

32 authors.

Andrew W Simonson *Department of Microbiology and Molecular Genetics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0003-4789-3873
Joseph J Zeppa *Department of Microbiology and Molecular Genetics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0003-1136-4793
Allison N Bucsan *Vaccine Research Center, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH) , Bethesda, MD, USA.ORCID 0000-0002-0568-1701
Michael C ChaoRagon Institute of MGH, MIT, and Harvard , Cambridge, MA, USA.ORCID 0000-0003-3158-7337
Supriya PokkaliVaccine Research Center, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH) , Bethesda, MD, USA.ORCID 0000-0002-6209-1679
Forrest HopkinsRagon Institute of MGH, MIT, and Harvard , Cambridge, MA, USA.ORCID 0000-0002-3801-4673
Michael R ChaseRagon Institute of MGH, MIT, and Harvard , Cambridge, MA, USA.ORCID 0000-0002-9789-0542
Andrew J VickersRagon Institute of MGH, MIT, and Harvard , Cambridge, MA, USA.ORCID 0009-0006-9495-528X
Matthew S SuttonVaccine Research Center, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH) , Bethesda, MD, USA.ORCID 0009-0002-4133-3293
Caylin G WinchellDepartment of Microbiology and Molecular Genetics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0003-0873-9080
Amy J MyersDepartment of Microbiology and Molecular Genetics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0009-0001-6132-2519
Cassaundra L AmeelDepartment of Microbiology and Molecular Genetics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0009-0000-0330-1587
Ryan J KellyDepartment of Microbiology and Molecular Genetics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0009-0008-7055-4689
Ben KrouseDepartment of Microbiology and Molecular Genetics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0003-0526-3689
Luke E HoodDepartment of Microbiology and Molecular Genetics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0009-0006-9633-7290
Jiaxiang LiDepartment of Microbiology and Molecular Genetics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0009-0003-8059-2287
Chelsea C LehmanVaccine Research Center, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH) , Bethesda, MD, USA.ORCID 0009-0008-9687-8921
Megha KamathVaccine Research Center, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH) , Bethesda, MD, USA.ORCID 0000-0001-5047-5387
Jaime TomkoDepartment of Microbiology and Molecular Genetics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0002-9308-4957
Mark A RodgersDepartment of Microbiology and Molecular Genetics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0001-9800-3362
Rachel DonlanDepartment of Microbiology and Molecular Genetics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0009-0003-1903-231X
Harris ChishtiDepartment of Microbiology and Molecular Genetics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0009-0009-0880-0532
H Jacob BorishDepartment of Microbiology and Molecular Genetics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0002-9220-673X
Edwin KleinDivision of Animal Laboratory Resources, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0009-0002-4328-5344
Charles A ScangaDepartment of Microbiology and Molecular Genetics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0003-3654-5603
Sarah M FortuneRagon Institute of MGH, MIT, and Harvard , Cambridge, MA, USA.ORCID 0000-0001-7565-9975
Philana Ling LinCenter for Vaccine Research, University of Pittsburgh School of Medicine , Pittsburgh, PA, USA.ORCID 0000-0001-5169-3714
Pauline MaielloDepartment of Microbiology and Molecular Genetics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0002-5188-8420
Mario Roederer *Vaccine Research Center, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH) , Bethesda, MD, USA.ORCID 0000-0001-7448-7040
Patricia A Darrah *Vaccine Research Center, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH) , Bethesda, MD, USA.ORCID 0000-0002-0035-2802
Robert A Seder *Vaccine Research Center, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH) , Bethesda, MD, USA.ORCID 0000-0003-3133-0849
JoAnne L Flynn *Department of Microbiology and Molecular Genetics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0001-7874-8981

Funding

IMMUNE MECHANISMS OF PROTECTION AGAINST MYCOBACTERIUM TUBERCULOSIS CENTER (IMPAC-TB)75N93019C00071 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI FORTUNE, SARAH · 2019 to 2025
$57.3M
Practices CoreUC7AI180311 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI William Paul Duprex · 2023 to 2026
$13.2M
Autoimmunity and Immunopathology Training ProgramT32AI089443 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SHLOMCHIK, MARK J · 2010 to 2024
$6.6M
Resource CoreP40OD028116 · OD · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI Diogo Magnani · 2020 to 2026
$5.9M
Immunology of Infectious DiseaseT32AI060525 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JoAnne L. Flynn · 2005 to 2026
$5.3M
Bill and Melinda Gates Foundation INV-020435National Institute of Allergy and Infectious DiseasesNIAID NIH HHS 75N93019C00071NIAID NIH HHS T32 AI060525NIAID NIH HHS T32 AI089443NIAID NIH HHS UC7 AI180311NIH HHS P40 OD028116NIH HHS UC7AI18031Nonhuman Primate Reagent Resource ORIP P40 OD028116
6 · The paper itself

Abstract

Tuberculosis (TB) is a major health burden worldwide despite widespread intradermal (ID) BCG vaccination in newborns. We previously demonstrated that changing the BCG route and dose from 5 × 105 CFUs ID to 5 × 107 CFUs i.v. resulted in prevention of Mycobacterium tuberculosis (Mtb) infection and TB disease in highly susceptible nonhuman primates. Identifying immune mechanisms protection following i.v. BCG will facilitate development of more effective vaccines against TB. Here, we depleted lymphocyte subsets prior to and during Mtb challenge in i.v. BCG-vaccinated macaques to identify those necessary for protection. Depletion of adaptive CD4 T cells, but not adaptive CD8αβ T cells, resulted in loss of protection with increased Mtb burdens and dissemination, indicating that CD4 T cells are critical to i.v. BCG-mediated protection. Depletion of unconventional CD8α-expressing lymphocytes (NK cells, innate T cells, and CD4+CD8α+ double-positive T cells) abrogated protection in most i.v. BCG-immunized macaques, supporting further investigation into which of these cell subsets contribute to protection after vaccination.

Indexed as

BCG VaccineCD4-Positive T-LymphocytesCD8 AntigensCD8-Positive T-LymphocytesTuberculosisAnimalsMacaca mulattaMycobacterium tuberculosisBCG VaccineCD8 Antigens

Identifiers

PMID39912921
PMCPMC11801270

What OpenQuestion holds

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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.