EBioMedicine (Dec 2021)

CD4+CCR6+ T cells dominate the BCG-induced transcriptional signature

  • Akul Singhania,
  • Paige Dubelko,
  • Rebecca Kuan,
  • William D. Chronister,
  • Kaylin Muskat,
  • Jyotirmoy Das,
  • Elizabeth J. Phillips,
  • Simon A. Mallal,
  • Grégory Seumois,
  • Pandurangan Vijayanand,
  • Alessandro Sette,
  • Maria Lerm,
  • Bjoern Peters,
  • Cecilia Lindestam Arlehamn

Journal volume & issue
Vol. 74
p. 103746

Abstract

Read online

Background: The century-old Mycobacterium bovis Bacillus Calmette-Guerin (BCG) remains the only licensed vaccine against tuberculosis (TB). Despite this, there is still a lot to learn about the immune response induced by BCG, both in terms of phenotype and specificity. Methods: We investigated immune responses in adult individuals pre and 8 months post BCG vaccination. We specifically determined changes in gene expression, cell subset composition, DNA methylome, and the TCR repertoire induced in PBMCs and CD4 memory T cells associated with antigen stimulation by either BCG or a Mycobacterium tuberculosis (Mtb)-derived peptide pool. Findings: Following BCG vaccination, we observed increased frequencies of CCR6+ CD4 T cells, which includes both Th1* (CXCR3+CCR6+) and Th17 subsets, and mucosal associated invariant T cells (MAITs). A large number of immune response genes and pathways were upregulated post BCG vaccination with similar patterns observed in both PBMCs and memory CD4 T cells, thus suggesting a substantial role for CD4 T cells in the cellular response to BCG. These upregulated genes and associated pathways were also reflected in the DNA methylome. We described both qualitative and quantitative changes in the BCG-specific TCR repertoire post vaccination, and importantly found evidence for similar TCR repertoires across different subjects. Interpretation: The immune signatures defined herein can be used to track and further characterize immune responses induced by BCG, and can serve as reference for benchmarking novel vaccination strategies.

Keywords