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BCG vaccinations drive epigenetic changes to the human T cell receptor: Restored expression in type 1 diabetes.


ABSTRACT: The BCG (Bacille Calmette-Guérin) vaccine, introduced 100 years ago for tuberculosis prevention, has emerging therapeutic off-target benefits for autoimmunity. In randomized controlled trials, BCG vaccinations were shown to gradually improve two autoimmune conditions, type 1 diabetes (T1D) and multiple sclerosis. Here, we investigate the mechanisms behind the autoimmune benefits and test the hypothesis that this microbe synergy could be due to an impact on the host T cell receptor (TCR) and TCR signal strength. We show a quantitative TCR defect in T1D subjects consisting of a marked reduction in receptor density on T cells due to hypermethylation of TCR-related genes. BCG corrects this defect gradually over 3 years by demethylating hypermethylated sites on members of the TCR gene family. The TCR sequence is not modified through recombination, ruling out a qualitative defect. These findings support an underlying density defect in the TCR affecting TCR signal strength in T1D.

SUBMITTER: Takahashi H 

PROVIDER: S-EPMC9668301 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature

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BCG vaccinations drive epigenetic changes to the human T cell receptor: Restored expression in type 1 diabetes.

Takahashi Hiroyuki H   Kühtreiber Willem M WM   Keefe Ryan C RC   Lee Amanda H AH   Aristarkhova Anna A   Dias Hans F HF   Ng Nathan N   Nelson Kacie J KJ   Bien Stephanie S   Scheffey Danielle D   Faustman Denise L DL   Faustman Denise L DL  

Science advances 20221116 46


The BCG (Bacille Calmette-Guérin) vaccine, introduced 100 years ago for tuberculosis prevention, has emerging therapeutic off-target benefits for autoimmunity. In randomized controlled trials, BCG vaccinations were shown to gradually improve two autoimmune conditions, type 1 diabetes (T1D) and multiple sclerosis. Here, we investigate the mechanisms behind the autoimmune benefits and test the hypothesis that this microbe synergy could be due to an impact on the host T cell receptor (TCR) and TCR  ...[more]

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