Article Review: Development of a new type of TB vaccine as a replacement for the BCG vaccine
DOI:
10.29303/jbt.v25i4a.10884Published:
2025-12-06Downloads
Abstract
Tuberculosis (TB) remains a significant global public health threat. The existing BCG vaccine has limited effectiveness, particularly in preventing pulmonary TB in adults. This study aims to review the recent developments in the creation of new TB vaccines as alternatives to BCG. This research employs a systematic review method by collecting articles from the Google Scholar database. Inclusion criteria included articles published between 2014-2024 that are relevant to the development of new TB vaccines. Data analysis was conducted descriptively to identify potential vaccine candidates. Several new TB vaccine candidates have shown promising results, including TAT-Ag85B, MTBVAC, rBCG-LTAK63, and subunit vaccines such as Ag85A and LT70. These vaccines demonstrated increased immune responses and better protection compared to BCG in preclinical trials. Innovative approaches like the use of nanocarriers and prime-boost strategies also show potential in enhancing vaccine efficacy. The development of new TB vaccines indicates significant progress with several potential candidates that could replace or complement the BCG vaccine. However, further research is needed to evaluate the efficacy and safety of these vaccines in clinical trials in humans before they can be widely implemented.
Keywords:
BCG New vaccine development Tuberculosis Subunit vaccines Vaccine alternativesReferences
Carvalho Dos Santos, C., Rodriguez, D., Kanno Issamu, A., Cezar De Cerqueira Leite, L., & Pereira Nascimento, I. (2020). Recombinant BCG expressing the LTAK63 adjuvant induces increased early and long-term immune responses against Mycobacteria. Human Vaccines & Immunotherapeutics, 16(3), 673–683. https://doi.org/10.1080/21645515.2019.1669414
Dockrell, H. M., & Smith, S. G. (2017). What have we learnt about BCG vaccination in the last 20 years? Frontiers in Immunology, 8(SEP), 1–10. https://doi.org/10.3389/fimmu.2017.01134
Dong, H., Jing, W., Yingru, X., Wenyang, W., Ru, C., Shengfa, N., Congjing, X., Jingjing, D., Wan, W., Jiang, H., & Rongbo, Z. (2015). Enhanced anti-tuberculosis immunity by a TAT-Ag85B protein vaccine in a murine tuberculosis model. Pathogens and Global Health, 109(8), 363–368. https://doi.org/10.1080/20477724.2015.1111658
Fransiska, M., & Hartati, E. (2019). Faktor Resiko Kejadian Tuberculosis. Jurnal Kesehatan, 10(3), 252–260. http://dx.doi.org/10.35739/jk.v10i3.459
Liu, X., Peng, J., Hu, L., Luo, Y., Niu, H., Bai, C., Wang, Q., Li, F., Yu, H., Wang, B., Chen, H., Guo, M., & Zhu, B. (2016). A multistage mycobacterium tuberculosis subunit vaccine LT70 including latency antigen Rv2626c induces long-term protection against tuberculosis. Human Vaccines and Immunotherapeutics, 12(7), 1670–1677. https://doi.org/10.1080/21645515.2016.1141159
Pabreja, S., Garg, T., Rath, G., & Goyal, A. K. (2016). Mucosal vaccination against tuberculosis using Ag85A-loaded immunostimulating complexes. Artificial Cells, Nanomedicine, and Biotechnology, 44(2), 532–539. https://doi.org/10.3109/21691401.2014.966195
Pambudi, S., Widayanti, T., & Stephanie, N. (2020). EKPRESI ANTIGEN Ag85B DARI Mycobacterium tuberculosis PADA GALUR SEL MAMALIA. Jurnal Bioteknologi & Biosains Indonesia (JBBI), 7(1), 86–95. https://doi.org/10.29122/jbbi.v7i1.3840
Pérez, I., Uranga, S., Sayes, F., Frigui, W., Samper, S., Arbués, A., Aguiló, N., Brosch, R., Martín, C., & Gonzalo-Asensio, J. (2020). Live attenuated TB vaccines representing the three modern Mycobacterium tuberculosis lineages reveal that the Euro–American genetic background confers optimal vaccine potential. EBioMedicine, 55, 1–10. https://doi.org/10.1016/j.ebiom.2020.102761
Prabowo, S. A., Painter, H., Zelmer, A., Smith, S. G., Seifert, K., Amat, M., Cardona, P. J., & Fletcher, H. A. (2019). RUTI vaccination enhances inhibition of mycobacterial growth ex vivo and induces a shift of monocyte phenotype in mice. Frontiers in Immunology, 10(APR), 1–10. https://doi.org/10.3389/fimmu.2019.00894
Putri, T. R., Hilmi, I. L., & Salman, S. (2023). Review Artikel : Hubungan Pemberian Imunisasi Bcg Terhadap Penyakit Tuberkulosis Pada Anak. Journal of Pharmaceutical and Sciences, 6(1), 237–242. https://doi.org/10.36490/journal-jps.com.v6i1.16
Saidah, I., Istiani, H. G., & Shifa, N. A. (2023). Hubungan Riwayat Asi Eksklusif Dan Usia Pemberian Imunisasi Bcg Dengan Kejadian Tbc Pada Anak Di Rsud Khidmat Sehat Afiat Kota Depok Tahun 2022. Jurnal Masyarakat Sehat Indonesia, 2(02), 44–49. https://doi.org/10.70304/jmsi.v2i02.33
Sathkumara, H. D., Pai, S., De Jesús Aceves-Sánchez, M., Ketheesan, N., Flores-Valdez, M. A., & Kupz, A. (2019). BCG vaccination prevents reactivation of latent lymphatic murine tuberculosis independently of CD4+ T cells. Frontiers in Immunology, 10(MAR), 1–11. https://doi.org/10.3389/fimmu.2019.00532
Sethi, G., Varghese, R. P., Lakra, A. K., Nayak, S. S., Krishna, R., & Hwang, J. H. (2024). Immunoinformatics and structural aided approach to develop multi-epitope based subunit vaccine against Mycobacterium tuberculosis. Scientific Reports, 14(1), 1–17. https://doi.org/10.1038/s41598-024-66858-5
Tanner, R., Villarreal-Ramos, B., Vordermeier, H. M., & McShane, H. (2019). The humoral immune response to BCG vaccination. Frontiers in Immunology, 10(JUN), 5–7. https://doi.org/10.3389/fimmu.2019.01317
Wang, L., Kang, J., & Jiang, H. (2024). Intranasal Immunization with a Recombinant Adenovirus Encoding Multi-Stage Antigens of Mycobacterium tuberculosis Preferentially Elicited CD8+ T Cell Immunity and Conferred a Superior Protection in the Lungs of Mice than Bacillus Calmette–Guerin. Vaccines, 12(9), 1022. https://doi.org/10.3390/vaccines12091022
Wang, R., Fan, X., Xu, D., Li, M., Zhao, X., Cao, B., Qian, C., Yu, J., Fang, D., Gu, Y., Wan, K., & Liu, H. (2023). Comparison of the Immunogenicity and Efficacy of rBCG-EPCP009, BCG Prime-EPCP009 Booster, and EPCP009 Protein Regimens as Tuberculosis Vaccine Candidates. Vaccines, 11(12). https://doi.org/10.3390/vaccines11121738
Wulanda, A. F., & Delilah, S. (2013). Efektivitas Imunisasi BCG terhadap Kejadian Tuberkulosis Anak di Kabupaten Bangka. Jurnal Kesehatan Poltekkes Kemenkes RI Pangkalpinang, 9(1), 37–41. https://doi.org/10.32922/jkp.v9i1.333
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