A US study suggests that previously discounted immune cells could be
harnessed to help produce a vaccine for tuberculosis (TB).
Researchers at the Beth Israel Deaconess Medical Center say that gamma
delta T cells may be able to remember harmful bacteria - then launch a
powerful attack if they return.
However, their experiments on macaque monkeys may not be an accurate
guide to what happens when humans get TB, says a British expert.
Scientists are keen to develop a new TB vaccine - there are continuing
fears that the BCG jab, given to most British schoolchildren, is becoming
less effective at preventing illness.
Trials of new versions, some using fragments of the TB bacterium
itself, are underway.
However, the latest US study suggests that a vaccine which harnesses
the newly-discovered qualities of gamma delta T-cells might be possible.
Memory cells
Broadly, the immune system works in two ways - the innate and the
acquired systems.
The innate is the first line of defence, attacking harmful bacteria
within hours of infection.
Gamma delta cells are generally considered to be part of this response.
The body then learns about the bacteria, and stores the information in
the "acquired immune system", so that if infection happens for a second
time with the same bacterium, the body will be able to attack and destroy
it before it causes illness.
The research team looked at monkeys that had been infected but had
overcome BCG, a bacterium closely related to TB.
They were then reinoculated with BCG - and the response of their gamma
delta T cells measured.
Growth in numbers
Four to six days after the second BCG injection, there was a marked
expansion in the gamma delta T cells in the blood of the monkeys.
This, say the researchers, means that these cells play a role in the
"memory" part of the immune system.
Professor Norman Letvin, from Beth Israel Deaconess Medical Center,
said: "This study, for the first time, shows that this population of gamma
delta T-cells straddles the boundaries between innate and more mature
immunity.
"This shows that these lymphocytes actually have the ability to develop
memory. it could change how we approach the development of a vaccine to
fight TB."
However, Professor Simon Carding, an expert in immunology from Leeds
University, said that other studies, in both animals and humans, had
failed to produce a similar effect.
He said: "I can't see this influencing the strategy we use to look for
new vaccines for TB."
The paper was published in the journal Science.