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New Approaches to TB Vaccination
Zhou Xing, MD, PhD, Mangalakumari Jeyanathan, PhD, Fiona Smaill, MD CHEST Volume 146, Issue 3, Pages (September 2014) DOI: /chest Copyright © 2014 The American College of Chest Physicians Terms and Conditions
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figure 1 –Global TB vaccine pipeline. The vaccine candidates (protein based, viral vectored, and mycobacterial organism based) currently undergoing various phases of clinical evaluation are shown. CHEST , DOI: ( /chest ) Copyright © 2014 The American College of Chest Physicians Terms and Conditions
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figure 2 Geographical distribution of protective T cells determined by route of TB vaccination. A, T cells activated by parenteral vaccination with Bacille Calmette-Guérin or viral-based vaccines populate the lung interstitium via the pulmonary circulation, where they become long-lived memory T cells. Because of the lack of chemotactic signals in the lung and the lack of expression of mucosal-homing molecules, such antigen-specific T cells do not enter the airway lumen in naive state or in the early stage of Mycobacterium tuberculosis infection. B, T cells activated by respiratory mucosal vaccination populate both the lung interstitium and the airway lumen via the pulmonary circulation, where they become long-lived memory T cells. Such T cells express mucosal-homing receptors CCR1, CCR6, and CCR8 and αEβ7 (CD103) and α4β1 (VLA4) integrins. αEβ7 integrin binds to the E cadherin expressed on the basal-lateral surface of the airway epithelium. Circulating T cells that express the respiratory mucosal homing signatures following parenteral or respiratory mucosal vaccination are potential biomarkers used as a protective correlate. DC = dendritic cell; MΦ = macrophage. CHEST , DOI: ( /chest ) Copyright © 2014 The American College of Chest Physicians Terms and Conditions
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