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Related Concept Videos

Pulmonary Tuberculosis IV01:26

Pulmonary Tuberculosis IV

Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Pulmonary Tuberculosis II01:28

Pulmonary Tuberculosis II

Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Pulmonary Tuberculosis I01:29

Pulmonary Tuberculosis I

Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Pulmonary Tuberculosis V01:28

Pulmonary Tuberculosis V

Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the progression...
Pulmonary Tuberculosis III01:31

Pulmonary Tuberculosis III

Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
Tuberculosis01:23

Tuberculosis

Tuberculosis (TB) remains a significant global health concern, primarily targeting the lungs and spreading through airborne transmission. Infection begins when aerosolized droplet nuclei, expelled by an individual with active TB, are inhaled by another person. These microscopic particles carry Mycobacterium tuberculosis, the causative agent of TB. Upon reaching the alveoli, the bacilli are engulfed by alveolar macrophages. However, due to their specialized lipid-rich cell wall, these pathogens...

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Protective Efficacy and Pulmonary Immune Response Following Subcutaneous and Intranasal BCG Administration in Mice
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Pulmonary immunization using antigen 85-B polymeric microparticles to boost tuberculosis immunity.

Dongmei Lu1, Lucila Garcia-Contreras, Pavan Muttil

  • 1Molecular Pharmaceutics, School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599-7571, USA.

The AAPS Journal
|April 28, 2010
PubMed
Summary

Pulmonary immunization with microparticles containing recombinant antigen 85B (rAg85B) boosted Bacille Calmette-Guérin (BCG) vaccination. This strategy showed potential for enhancing tuberculosis protection, particularly in previously immunized individuals.

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Area of Science:

  • Immunology
  • Vaccinology
  • Biotechnology

Background:

  • Tuberculosis (TB) remains a global health challenge, necessitating improved vaccination strategies.
  • Current vaccines, like Bacille Calmette-Guérin (BCG), offer variable protection, especially in adults.
  • Recombinant antigen 85B (rAg85B) is a key target for TB vaccine development.

Purpose of the Study:

  • To evaluate the efficacy of pulmonary immunization with rAg85B-loaded polymeric microparticles (P-rAg85B) against tuberculosis.
  • To assess P-rAg85B as a booster for BCG vaccination in guinea pigs.
  • To analyze protection through bacterial load, histopathology, and morphometric assessments.

Main Methods:

  • Recombinant antigen 85B (rAg85B) was encapsulated in poly(lactic-co-glycolic acid) microparticles (P-rAg85B).
  • Guinea pigs received single or multiple pulmonary doses of P-rAg85B, with or without prior BCG vaccination.
  • Animals were challenged with Mycobacterium tuberculosis (MTB) H37Rv, and protection was measured by CFU counts and tissue analysis.

Main Results:

  • The BCG prime-P-rAg85B aerosol boost strategy showed enhanced protection against MTB infection.
  • Reduced bacterial burden (CFU) was observed in lungs and spleens compared to controls.
  • Histopathological and morphometric analyses indicated improved tissue integrity and reduced granuloma formation with the BCG-P-rAg85B strategy.

Conclusions:

  • Pulmonary delivery of P-rAg85B microparticles effectively boosts BCG immunization against tuberculosis.
  • This heterologous prime-boost strategy shows promise for enhancing TB protection in populations with prior BCG exposure.
  • Further research is warranted to optimize immunization protocols for maximum protection against MTB infection.