Bacillus Calmette-Guérin (BCG) is the most widely used vaccine worldwide and has been used to prevent tuberculosis for a century. BCG also stimulates an anti-tumour immune response, which urologists have harnessed for the treatment of non-muscle-invasive bladder cancer. A growing body of evidence indicates that BCG offers protection against various non-mycobacterial and viral infections. The non-specific effects of BCG occur via the induction of trained immunity and form the basis for the hypothesis that BCG vaccination could be used to protect against the severity of coronavirus disease 2019 (COVID-19). This Perspective article highlights key milestones in the 100-year history of BCG and projects its potential role in the COVID-19 pandemic.

• MeSH
• adjuvancia imunologická dějiny   MeSH
• BCG vakcína dějiny   MeSH
• COVID-19 prevence a kontrola   MeSH
• dějiny 19. století MeSH
• dějiny 20. století MeSH
• imunoterapie dějiny   MeSH
• kojenec MeSH
• lidé MeSH
• skot MeSH
• vakcíny proti COVID-19 * MeSH
• zvířata MeSH
• Check Tag
• dějiny 19. století MeSH
• dějiny 20. století MeSH
• kojenec MeSH
• lidé MeSH
• skot MeSH
• zvířata MeSH
• Publikační typ
• časopisecké články MeSH
• historické články MeSH
• přehledy MeSH
• Názvy látek
• adjuvancia imunologická MeSH
• BCG vakcína MeSH
• vakcíny proti COVID-19 * MeSH

The concept of trained immunity has become one of the most interesting and potentially commercially and clinically relevant ideas of current immunology. Trained immunity is realized by the epigenetic reprogramming of non-immunocompetent cells, primarily monocytes/macrophages and natural killer (NK) cells, and is less specific than adaptive immunity; therefore, it may cross-protect against other infectious agents. It remains possible, however, that some of the observed changes are simply caused by increased levels of immune reactions resulting from supplementation with immunomodulators, such as glucan. In addition, the question of whether we can talk about trained immunity in cells with a life span of only few days is still unresolved.

• Klíčová slova
• NK cells, basophils, glucan, macrophages, trained immunity,
• MeSH
• adaptivní imunita * MeSH
• beta-glukany metabolismus   MeSH
• buněčná imunita MeSH
• buňky NK imunologie   metabolismus   MeSH
• homeostáza imunologie   MeSH
• leukocyty imunologie   metabolismus   MeSH
• lidé MeSH
• lymfocyty imunologie   metabolismus   MeSH
• makrofágy imunologie   metabolismus   MeSH
• monocyty imunologie   metabolismus   MeSH
• náchylnost k nemoci MeSH
• přirozená imunita * MeSH
• zvířata MeSH
• Check Tag
• lidé MeSH
• zvířata MeSH
• Publikační typ
• časopisecké články MeSH
• přehledy MeSH
• Názvy látek
• beta-glukany MeSH