Beyond the Booster Shot

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Beyond the Booster Shot
France Dernières Nouvelles,France Actualités
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For decades we’ve had evidence that some vaccines appear to build defenses against nearly anything that comes our way. Could general immune boosters become part of our regular medical routines?

The first tuberculosis vaccine was developed in 1921, by two French scientists, Albert Calmette and Camille Guérin. It was called Bacillus Calmette-Guérin, or B.C.G., and has long been one of the world’s most widely administered shots. From the beginning, its power was surprising. B.C.G. contains a bacterium similar to the one that causes TB, and engenders an immune defense specific to that disease. But, as Calmette noted in a paper in 1931, those vaccinated with B.C.G.

Aaby published his initial findings in 1984, then followed up with a fuller report in 1995, describing similar results across ten studies in Bangladesh, Benin, Burundi, Guinea-Bissau, Haiti, Senegal, and Zaire . Since then, he and others have reported that B.C.G., O.P.V., and a measles vaccine called M.V. have significantly reduced mortality from non-targeted diseases in low-income countries.

Most vaccines target what’s called the adaptive immune system: they work by aiming antibodies and T cells at specific pathogens. But we also have an innate immune system, a more indiscriminate first line of defense, which includes our skin, mucous membranes, and generalist proteins throughout the body that inhibit viral replication. Scavenger cells in this system attack foreign intruders—even ones the body has never seen before—and killer cells destroy any infected cell.

In 2020, a multinational team led by Sandrine Sarrazin and Michael H. Sieweke, of the Centre d’Immunologie de Marseille-Luminy, deepened the story, suggesting how the reprogramming might take place. If you were to stretch out all the DNA strands in your body and place them end to end, they would encircle Earth’s equator roughly two million times; they fit inside cellular nuclei by wrapping around proteins called histones, forming a tightly coiled complex called chromatin.

There is a problem, however, with all of these studies. They are “observational”—that is, based on after-the-fact data analysis. Observational studies are suggestive but not conclusive, because it’s impossible to completely rule out biassing variables, such as differences in who gets a vaccine. Researchers are now conducting placebo-controlled trials, in which they randomly administer vaccines to one group and placebos to another, then measure the outcomes.

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