Abstract
Tuberculosis (TB) also known as white plague is a major infectious disease and a global emergency. It is one of the oldest recorded human afflictions and still continues to cause widespread morbidity and mortality in children and adults worldwide, despite the extensive use of a live attenuated vaccine and several antibiotics. One third of the world's population is already infected and about 3 million people die and 8 million people develop the active disease each year. In the last decade there is a sharp rise in the cases of TB mainly due to emergence of multi-drug resistant (MTD), extensively drug-resistant (XDR) and totally drugresistant (TDR) strains of Mycobacterium Tuberculosis, which are virtually untreatable.
Keywords: Tuberculosis · Vaccines
References
- 1.World Health Organization. Multidrug and extensively drug –resistant TB (M/XDRTB): Global Report on Surveillance and Response, Geneva, Switzerland, 2010.
- 2.Stop TB Partnership. The Global Plan to Stop TB 2006–2015. WHO Press, Geneva, Switzerland 2006.
- 3.Announcement of the national tuberculosis prevention and control plan (2001–2010). State Council of the People’s Republic of China, General Office: Beijing, China,. Document No. 75, 2001.
- 4.Ali Akbar Velayati, Parissa Farnia, Mohammad Reza Masjedi Recurrence after treatment success in pulmonary multidrug-resistant tuberculosis: predication by continual PCR positivity Int J Clin Exp Med 2012; 5(3):271-272.
- 5.Gandhi NR, Nunn P, Dheda K, Multidrug resistant and extensively drug-resistant tuberculosis: a threat to global control of tuberculosis. Lancet 2010; 375: 1830– 1843.
- 6.Velayati AA, Masjedi MR, Farnia P, Emergence of new forms of totally drugresistant tuberculosis bacilli: super extensively drug-resistant tuberculosis or totally drug-resistant strains in Iran. Chest 2009;136:420-425.
- 7.Velayati AA, Farnia P, Merza MA, Zhavnerko GK, New insight into extremely drug-resistant tuberculosis: using atomic force microscopy. Eur Respir J 2010; 36:1490-1493.
- 8.Ottenhoff TH Overcoming the global crisis: ‘‘yes, we can’’, but also for TB? Eur J Immunol 2009; 39: 2014–2020.
- 9.Kaufmann SH, Hussey G, Lambert PH New vaccines for tuberculosis. Lancet 2010; 375: 2110–2119. Tuberculosis Time bomb A Global Emergency, Manzoor Ahmad Mir 81 VIEW POINT
- 10.Cooper AM Cell-mediated immune responses in tuberculosis. Annu Rev Immunol 2009; 27: 393–422.
- 11.Sutherland JS, Adetifa IM, Hill PC, Pattern and diversity of cytokine production differentiates between Mycobacterium tuberculosis infection and disease. Eur J Immunol 2009; 39: 723–
- 12.Kursar M, Koch M, Mittrucker HW, Cutting Edge: Regulatory T cells prevent efficient clearance of Mycobacterium tuberculosis. J Immunol 2007; 178: 2661– 2665.
- 13.Pym AS, Brodin P, Majlessi L, Recombinant BCG exporting ESAT-6 confers enhanced protection against tuberculosis. Nat Med 2003;9: 533–539.
- 14.Ottenhoff TH, Doherty TM, van Dissel JT, First in humans: a new molecularly defined vaccine shows excellent safety and strong induction of long-lived Mycobacterium tuberculosis-specific Th1cell like responses. Hum Vaccin 2010; 6: 1007–1015.
- 15.Shen HB, Wang C, Yang EZ , Novel recombinant BCG coexpressing Ag85B, ESAT-6 and mouse TNF-alpha induces significantly enhanced cellular immune and antibody responses in C57BL/6 mice. Microbiol Immunol 2010 ; 54: 435–
- 16.Ottenhoff TH, Doherty TM, van Dissel JT, First in humans: a new molecularly defined vaccine shows excellent safety and strong induction of long-lived Mycobacterium tuberculosis-specific Th1cell like responses. Hum Vaccin 2010; 6: 1007–1015.
- 17.Shi CH, Wang XW, Zhang H. Immune responses and protective efficacy of the gene vaccine expressing Ag85B and ESAT6 fusion protein from Mycobacterium tuberculosis. DNA Cell Biol 2008; 27: 199–207.
- 18.Wu J, Ma H, Qu Q Incorporation of immunostimulatory motifs in the transcribed region of a plasmid DNA vaccine enhances Th1 immune responses and therapeutic effect against Mycobacterium tuberculosis in mice. Vaccine 2011; 29: 7624–7630 MAJMAAH J. HEALTH SCIENCES, 2013 – Vol. 1, No. 1
- 19.Tchilian EZ, Ronan EO, de Lara C, Simultaneous immunization against tuberculosis. PLoS ONE 2011; 6: e27477.
- 20.Skeiky, Y.A. Differential immune responses and protective efficacy induced by components of a tuberculosis polyprotein vaccine, Mtb72F, delivered as naked DNA or recombinant protein. J. Immunol. 2004; 172:7618–7628.
- 21.Olsen, A.W Protective effect of a tuberculosis subunit vaccine based on a fusion of antigen 85B and ESAT-6 in the aerosol guinea pig model. Infect. Immun 2004; 72:6148–6150.
- 22.Kaufmann, S.H., Baumann, S., and Nasser Eddine. A Exploiting immunology and molecular genetics for rational vaccine design against tuberculosis. Int. J. Tuberc. Lung Dis 2006;10:1068–1079, 2006
- 23.Ottenhoff T. H. M and Kaufman S. H. E Vaccines against tuberculosis; where are we and where do we need to go? PLoS Pathog 8(5): e1002607. doi:10.1371/journal/ppat.1002607, 2012. doi:10.1371/journal/ppat.1002607
- 24.Coakley C, Bhroin E, Buonadonna P. MEPs urge EU to fight tuberculosis worldwide. European Parliament February 3 2011.
- 25.Kupferschmidt K Infectious disease. Taking a new shot at a TB vaccine. Science 2011; 334: 1488–1490. doi:10.1371/journal.pone.0027477. Tuberculosis Time bomb A Global Emergency, Manzoor Ahmad Mir 82 doi:10.1371/journal.pone.0027477