A place for neutrophils in the beneficial pathogen-agnostic effects of the BCG vaccine
2021

Neutrophils and the BCG Vaccine's Effects

publication Evidence: moderate

Author Information

Author(s): Brook Byron, Schaltz-Buchholzer Frederick, Ben-Othman Rym, Kollmann Tobias, Amenyogbe Nelly

Primary Institution: Boston Children’s Hospital

Hypothesis

Can neutrophils explain the non-specific benefits of the BCG vaccine beyond tuberculosis?

Conclusion

The study suggests that neutrophils play a crucial role in the immediate beneficial effects of the BCG vaccine, particularly in protecting newborns from sepsis.

Supporting Evidence

  • BCG vaccination reduces all-cause mortality in newborns.
  • Neutrophils are essential for the immune response to infections.
  • Emergency granulopoiesis is triggered by BCG vaccination.

Takeaway

The BCG vaccine helps babies fight infections not just from tuberculosis but also from other diseases by boosting their neutrophils, which are important immune cells.

Methodology

The study reviews existing evidence from human trials and animal models regarding the role of neutrophils in the non-specific effects of the BCG vaccine.

Limitations

The study highlights the complexity of studying neutrophil functions and the limitations of animal models in replicating human immune responses.

Digital Object Identifier (DOI)

10.1016/j.vaccine.2021.03.092

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