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Review Article
Origin and Development of RUTI, a New Therapeutic Vaccine Against Mycobacterium tuberculosis Infection
P.J. Cardonaa,b,
Corresponding author
pcardona@ns.hugtip.scs.es

Correspondence: Dr. P.J. Cardona. Unitat de Tuberculosi Experimental. Servei de Microbiologia. Hospital Universitari Germans Trias i Pujol. Ctra. del Canyet, s/n. 08916 Badalona. Barcelona. España
, I. Amata,b
a Unitat de Tuberculosi Experimental, Servei de Microbiologia, Fundació Institut per a la Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Barcelona, Spain
b Universitat Autònoma de Barcelona, Barcelona, Spain
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            0 => "Latent bacilli"
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            2 => "Mycobacterium tuberculosis"
            3 => "Koch phenomenon"
            4 => "Foamy macrophages"
            5 => "Experimental models"
            6 => "Tolerance"
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            0 => "Bacilos latentes"
            1 => "Inmunoterapia"
            2 => "Mycobacterium tuberculosis"
            3 => "Fen&#243;meno de Koch"
            4 => "Macr&#243;fagos foamy"
            5 => "Modelos experimentales"
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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">This article reviews the pathophysiology of the latent form of <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> along with its natural history and progression in infected tissues&#46; The proposed hypotheses regarding the relationship between <span class="elsevierStyleItalic">M tuberculosis</span> and the associated immune response&#44; the cause of granuloma necrosis&#44; the tolerance of a certain concentration of the bacillus in host tissues&#44; the constant turnover of cells in the lung&#44; and the effect of chemotherapy form the basis for the design of the therapeutic vaccine RUTI against latent <span class="elsevierStyleItalic">M tuberculosis</span> infection&#46; This vaccine is generated from detoxified <span class="elsevierStyleItalic">M tuberculosis</span> cell fragments that facilitate a balanced T helper &#40;Th&#41; 1&#47;Th2&#47;Th3 response to a wide range of antigens along with intense antibody production&#46; Treatment with RUTI following chemotherapy has been demonstrated to be effective in experimental models in mice and guinea pigs and does not exhibit toxicity&#46;</p>"
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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">En este art&#237;culo se revisan la fisiopatolog&#237;a de la forma la-tente de <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span>&#44; su naturaleza y su evo-luci&#243;n en los tejidos infectados&#46; Las hip&#243;tesis planteadas en-tre la relaci&#243;n de este bacilo con la respuesta inmunitaria generada&#44; el origen de la necrosis intragranulomatosa&#44; la to-lerancia hacia cierta concentraci&#243;n bacilar en los tejidos del hospedador&#44; el constante recambio celular en los pulmona-res y el efecto inducido por el tratamiento quimioter&#225;pico permiten conocer las bases para el dise&#241;o de la vacuna terap&#233;utica RUTI contra la infecci&#243;n latente por <span class="elsevierStyleItalic">M&#46; tuberculosis&#46;</span> Se trata de una vacuna generada a partir de fragmentos ce-lulares de <span class="elsevierStyleItalic">M&#46; tuberculosis</span> biotransformados que permiten generar una respuesta equilibrada de tipo Th1&#47;Th2&#47;Th3 ante un amplio abanico de ant&#237;genos&#44; adem&#225;s de una intensa producci&#243;n de anticuerpos&#46; El tratamiento con RUTI&#44; posterior a la quimioterapia&#44; ya ha demostrado su eficacia en mo-delos experimentales en ratones y cobayas&#44; sin generar nin-guna respuesta t&#243;xica&#46;</p>"
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        "nota" => "<p class="elsevierStyleNotepara">This work was supported by grants FIS 01&#47;0644 and 01&#47;3104 from the Spanish Ministry of Health&#44; and by a grant from the Spanish Society of Pulmonology and Thoracic Surgery &#40;SEPAR&#41; 2003&#46;</p>"
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ISSN: 15792129
Original language: English
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