TY - JOUR
T1 - The search for a tuberculosis vaccine
T2 - An elusive quest?
AU - Nagelkerke, Nico J.D.
AU - De Vlas, Sake J.
AU - Mahendradhata, Yodi
AU - Ottenhoff, Tom H.M.
AU - Borgdorff, Martien
PY - 2006/1
Y1 - 2006/1
N2 - The precise mechanisms of protective immunity and pathogenesis of tuberculosis (TB) are poorly understood. Yet, many efforts are underway to develop new, more effective vaccines against Mycobacterium tuberculosis. This development appears to be predicated upon the assumption that natural acquired immunity to TB exists. In this paper we review the evidence for such immunity, explore the hypothesis that disease progression is due to some, often transient, immunological dysfunction, and discuss its relevance for vaccine development. Several mechanisms for such an immune dysfunction are proposed, including the recently suggested involvement of viral co-infections. Developing vaccines for such co-infections may be a new challenge for TB control.
AB - The precise mechanisms of protective immunity and pathogenesis of tuberculosis (TB) are poorly understood. Yet, many efforts are underway to develop new, more effective vaccines against Mycobacterium tuberculosis. This development appears to be predicated upon the assumption that natural acquired immunity to TB exists. In this paper we review the evidence for such immunity, explore the hypothesis that disease progression is due to some, often transient, immunological dysfunction, and discuss its relevance for vaccine development. Several mechanisms for such an immune dysfunction are proposed, including the recently suggested involvement of viral co-infections. Developing vaccines for such co-infections may be a new challenge for TB control.
KW - Coinfections
KW - Immunity
KW - Tuberculosis
KW - Vaccines
UR - http://www.scopus.com/inward/record.url?scp=29144505259&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=29144505259&partnerID=8YFLogxK
U2 - 10.1016/j.tube.2005.06.001
DO - 10.1016/j.tube.2005.06.001
M3 - Article
C2 - 16253559
AN - SCOPUS:29144505259
SN - 1472-9792
VL - 86
SP - 41
EP - 46
JO - Bulletin of the International Union against Tuberculosis
JF - Bulletin of the International Union against Tuberculosis
IS - 1
ER -