Evidence map›Paper›PMID 40573937›Full record

ReviewVaccines2025

Recombinant

Joan Joseph-Munné, Milena Maya-Hoyos, Narcís Saubi, Santiago Perez, Miguel Angel Martinez Lopez, Eder Baron, Carlos Yesid Soto

Abstract readReview
In one paragraph

Review in Vaccines, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

7 authors.

Joan Joseph-MunnéMicrobiology Department, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute (VHIR), 08035 Barcelona, Spain.
Milena Maya-HoyosChemistry Department, Faculty of Sciences, Universidad Nacional de Colombia, Bogotá 111321, Colombia.ORCID 0000-0001-7752-4636
Narcís SaubiMicrobiology Department, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute (VHIR), 08035 Barcelona, Spain.ORCID 0000-0001-5493-1044
Santiago PerezMicrobiology Department, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute (VHIR), 08035 Barcelona, Spain.
Miguel Angel Martinez LopezMicrobiology Department, Hospital de Mollet, Fundació Sanitaria Mollet, 08100 Barcelona, Spain.
Eder BaronMicrobiology Department, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute (VHIR), 08035 Barcelona, Spain.ORCID 0009-0003-3671-6086
Carlos Yesid SotoChemistry Department, Faculty of Sciences, Universidad Nacional de Colombia, Bogotá 111321, Colombia.ORCID 0000-0001-8694-7489

Funding

ISCIII PI20/00217 and PI24/00576
6 · The paper itself

Abstract

During 2022, AIDS claimed a life every minute and about 9.2 million HIV-infected people were not on treatment. In addition, a person living with HIV is estimated to be 20-30 times more susceptible to developing active tuberculosis. Every year, 130,000 infants are newly infected, with vertical transmission being the main cause of pediatric HIV infection. Thus, the development of an effective, safe, and accessible vaccine for neonates and/or adults is an urgent need to prevent or control HIV infection or progression to AIDS. An effective HIV vaccine should induce long-lasting mucosal immunity, broadly neutralizing antibodies, innate immunity, and robust stimulation of CD4+ and CD8+ T-cell responses. Recombinant BCG is a promising live-attenuated bacterial vaccine vector because of its capacity to stimulate T-cell immunity. As a slow-growing microorganism, it provides prolonged low-level antigenic exposure upon infecting macrophages and APCs, potentially stimulating both effector and memory T-cell responses. BCG is considered safe and is currently administered to 80% of infants in countries where it is part of the national immunization program. Additionally, BCG offers several benefits as a live vaccine vehicle since it is cost-effective, easy to mass-produce, and heat stable. It is also well-suited for newborns, as maternal antibodies do not interfere with its efficacy. Furthermore, BCG has a strong safety profile, having been administered to over three billion people as a TB vaccine. In this review, we provide an extensive summary of the literature relating to immunogenicity studies in animal models performed since 2011. Moreover, we provide a comprehensive analysis of the key factors influencing the design of recombinant BCG as a live vaccine vehicle: (i) expression vectors; (ii) selection of HIV immunogen; (iii) promoters to regulate gene expression; (iv) BCG strain and BCG codon optimization; (v) genetic plasmid stability; (vi) influence of preexisting immunity, route, and dose immunization; and (vii) safety profile.

Indexed as

AIDSBCGHIVlive-attenuated vaccinesmycobacteriarBCG

Identifiers

PMID40573937
PMCPMC12197663

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.