title: [Analysis of Koch phenomenon of Mycobacterium tuberculosis-infected guinea pigs vaccinated with recombinant tuberculosis vaccine AEC/BC02].
abstract: OBJECTIVE
  To observe the Koch phenomenon of Mycobacterium tuberculosis(MTB)-infected guinea pigs after vaccinated with killed H37Ra bacteria or tuberculosis vaccine candidate AEC/BC02.
  
  
  METHODS
  Eighteen guinea pigs were challenged subcutaneously with 5.0×10(3) CFU MTB and after 40 days were divided into 3 groups (6 per group): NS group, AEC/BC02 group and H37Ra group, which were injected intramuscularly 3 times at 1 day interval with normal saline, AEC/BC02 vaccine and killed H37Ra bacteria respectively. Three weeks after the first vaccination, all guinea pigs were sacrificed to evaluate gross pathological scores for liver, spleen and lung, bacterial loads in lung and spleen, and lung inflammation.
  
  
  RESULTS
  The gross pathological score in H37Ra group (48±26) was lower than that in NS group(62±15), but the difference was not significant (t=1.093, P=0.300). The AEC/BC02 group had a significantly lower gross pathological score (36±15) than NS group (t=2.980, P=0.014). No significant difference between H37Ra group and AEC/BC02 group was observed (t=1.009, P=0.337). The spleen bacterial load [(5.31±0.80) log10 CFU]in H37Ra group was slightly lower than that in NS group[(5.57±0.75) log10 CFU] but the difference was not significant (t=1.581, P=0.574). In AEC/BC02 group bacterial load in the spleen was (4.64±0.64) log10 CFU and significantly lower than NS group (t=2.306, P=0.044) and no significant difference between H37Ra group and AEC/BC02 group was observed (t=1.602, P=0.140). Meanwhile, the lung bacterial load in AEC/BC02 group was (3.71±1.01) log10 CFU and in H37Ra group was (3.82±1.25) log10 CFU. Compared to (4.15±0.69) log10 CFU in the NS group, no significant differences were found (t=0.881, P=0.399; t=0.566, P=0.584, respectively). For the lung inflammation, the inflamed areas in H37Ra group were significantly larger [(33.0±4.4%)] than those in both NS group [(14.8±8.4) %, t=4.719, P=0.001] and AEC/BC02 group [(14.8±8.4) %, t=3.616, P=0.005], and no significant differences were seen between AEC/BC02 group and NS group (t=1.041, P=0.322).
  
  
  CONCLUSIONS
  The lung inflammation indicated that killed H37Ra bacteria evoked an obvious Koch reaction in the MTB-infected guinea pigs, whereas AEC/BC02 vaccine showed a low risk of causing Koch phenomenon.
authors.affiliation: Division of Tuberculosis Vaccines, National Institutes for Food and Drug Control, Beijing 100050, China.
authors.forename: J B
authors.initials: JB
authors.lastname: Lu
authors.forename: B W
authors.initials: BW
authors.lastname: Cheng
authors.forename: H Q
authors.initials: HQ
authors.lastname: Deng
authors.forename: C
authors.initials: C
authors.lastname: Su
authors.forename: X B
authors.initials: XB
authors.lastname: Shen
authors.forename: W X
authors.initials: WX
authors.lastname: Du
authors.forename: L
authors.initials: L
authors.lastname: Yang
authors.forename: G Z
authors.initials: GZ
authors.lastname: Wang
authors.forename: M
authors.initials: M
authors.lastname: Xu
mesh_terms: D000818:Animals; D058491:Bacterial Load; D006168:Guinea Pigs; D008099:Liver / Q000382:microbiology; D008168:Lung / Q000382:microbiology; D009169:Mycobacterium tuberculosis; D013154:Spleen / Q000382:microbiology; D014376:Tuberculosis / Q000628:therapy*; D032581:Tuberculosis Vaccines / Q000009:adverse effects*; D014614:Vaccines, Synthetic / Q000009:adverse effects*
chemical_list: D032581:Tuberculosis Vaccines; D014614:Vaccines, Synthetic