Vaccine against MAC?

Posted by Armando @bolso1, Nov 19, 2020

Does anybody know about a vaccine against MAC? I found the paper ["Protection against Mycobacterium avium by DNA Vaccines Expressing Mycobacterial Antigens as Fusion Proteins with Green Fluorescent Protein" (INFECTION AND IMMUNITY, Aug. 1999, Vol. 67, No. 8 p. 4243–4250)] that claimed to be "...first report of successful DNA vaccination against M. avium", but nothing else.

Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.

@lorifilipek

@bolso1 Unfortunately, the BCG vaccine is much less effective on older adults: "There's no evidence the BCG vaccine works for people over the age of 35." https://www.nhs.uk/conditions/vaccinations/when-is-bcg-tb-vaccine-needed/ and https://www.cdc.gov/tb/publications/factsheets/prevention/bcg.htm

Btw, if you'll notice from Terri's (@windwalker) comments above on various likely places one is exposed to MAC, the members of this forum have been doing lots of research on various aspects of MAC and bronchiectasis over the years. Terri alerted us (and many doctors) to the efficacy of nebulizing with 7% saline to help kill off MAC. @windwalker can give you links to the articles she's given us on that topic.

Jump to this post

I don't think that the 7% saline is used to kill MAC, but rather to help with the bronchiectasis (https://erj.ersjournals.com/content/54/1/1802143.short).

REPLY
@bolso1

I don't think that the 7% saline is used to kill MAC, but rather to help with the bronchiectasis (https://erj.ersjournals.com/content/54/1/1802143.short).

Jump to this post

@bolso1 It's good for both bronchiectasis and MAC. Please see table 2 in this paper: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4850692/

REPLY
@bolso1

Yes, the BCG vaccine has variable efficacy on TB, but we need to know more about its efficacy on NTM. Thank you!

Jump to this post

@bolso1 The thing with BCG and TB is ( and I’m sure you know this) is that it is used in third world countries especially China and is a live virus unlike in the US. It can cause positive TB skin tests which it does in two of my six Chinese children. They were given Isoniazid for nine months to confirm no active disease even though their lungs were clear. You are probably correct about the saline and bronchiectasis only as MAC loves water. That is something I have questions about. At this point I just want something to cure us all! irene5

REPLY
@irene5

@bolso1 The thing with BCG and TB is ( and I’m sure you know this) is that it is used in third world countries especially China and is a live virus unlike in the US. It can cause positive TB skin tests which it does in two of my six Chinese children. They were given Isoniazid for nine months to confirm no active disease even though their lungs were clear. You are probably correct about the saline and bronchiectasis only as MAC loves water. That is something I have questions about. At this point I just want something to cure us all! irene5

Jump to this post

Thank you! The BCG (Bacillus Calmette–Guérin) is a live (although weakened) bacteria, not virus, though.

REPLY
@bolso1

I don't think that the 7% saline is used to kill MAC, but rather to help with the bronchiectasis (https://erj.ersjournals.com/content/54/1/1802143.short).

Jump to this post

Bolso, Excellent article. I understand it to say Hypertonic saline may not kill the NTM but certainly keep it under control which is a wonderful thing for patients who can not tolerate the antibiotics. But only good in certain situations.
To quote the authors "Since hypertonic saline (HS) inhalation is safe and has shown a clinical effect in bronchiectasis patients we have included HS inhalation in our local NTM treatment protocol. In clinical practice, we advise patients with nodular-bronchiectatic disease to start with HS inhalation two times daily as the only therapy for the first 3 months. When patients tolerate HS and when there are no clinical signs of disease deterioration, we continue HS as the only treatment with close observation of possible disease progression"
I have been using 7% saline for about a year now with excellent results. It is a part of my daily airway clearance. A big thanks to all the members here who have promoted this therapy.
I believe that while the NTM/MAC is being kept under control by the HS, the body's immune system may kick in and actually kill the bacteria, a good reason to have a healthy lifestyle. Just my opinion, I can not cite any studies.

REPLY

Well people, here's our hope for the future! Science is finally beginning to acknowledge the water-borne aspect of MAC/NTM/Pseudomonas and other organisms. https://www.cnn.com/2020/12/16/health/waterborne-diseases-cdc-study-wellness/index.html
With this attention, we could be on our way to recognition of these bio-film supported bacteria, and perhaps a way to break down the biofilm so they can be easily washed away, and not lurk everywhere. Airborne transmission through dust we can more easily manage on our own with masks, filters, etc.
Sue

REPLY
@sueinmn

Well people, here's our hope for the future! Science is finally beginning to acknowledge the water-borne aspect of MAC/NTM/Pseudomonas and other organisms. https://www.cnn.com/2020/12/16/health/waterborne-diseases-cdc-study-wellness/index.html
With this attention, we could be on our way to recognition of these bio-film supported bacteria, and perhaps a way to break down the biofilm so they can be easily washed away, and not lurk everywhere. Airborne transmission through dust we can more easily manage on our own with masks, filters, etc.
Sue

Jump to this post

@sueinmn that is an excellent article. “And then came the dawn with a clap of thunder and a bolt of lightning!” Tis about time! Thank you. irene5

REPLY

Haven’t heard of any but would be a help

REPLY
@sueinmn

Well people, here's our hope for the future! Science is finally beginning to acknowledge the water-borne aspect of MAC/NTM/Pseudomonas and other organisms. https://www.cnn.com/2020/12/16/health/waterborne-diseases-cdc-study-wellness/index.html
With this attention, we could be on our way to recognition of these bio-film supported bacteria, and perhaps a way to break down the biofilm so they can be easily washed away, and not lurk everywhere. Airborne transmission through dust we can more easily manage on our own with masks, filters, etc.
Sue

Jump to this post

Thank you for your posting @sueinmn.
It is indeed perplexing that biofilms have not received the attention that they deserve, considering that it is estimated (Lazar, V. 2011. Quorum sensing in biofilms - How to destroy the bacterial citadels or their cohesion/power? Anaerobe 17 280-285) that they are involved in around 60% of all infections and characterized by moderate intensity symptoms, chronic evolution and resistance to antibiotics.
Mainstream medicine follows mostly a brute force approach to infection management: if it's difficult then double or triple the dose and apply for longer! Fortunately, there are other approached being developed such as bacteriophages and enzymes, that could - hopefully - in the near future compliment antibiotics.

REPLY
@bolso1

Thank you for your posting @sueinmn.
It is indeed perplexing that biofilms have not received the attention that they deserve, considering that it is estimated (Lazar, V. 2011. Quorum sensing in biofilms - How to destroy the bacterial citadels or their cohesion/power? Anaerobe 17 280-285) that they are involved in around 60% of all infections and characterized by moderate intensity symptoms, chronic evolution and resistance to antibiotics.
Mainstream medicine follows mostly a brute force approach to infection management: if it's difficult then double or triple the dose and apply for longer! Fortunately, there are other approached being developed such as bacteriophages and enzymes, that could - hopefully - in the near future compliment antibiotics.

Jump to this post

Most perplexing to me is that no one has engineered a replacement for the boiler/water/riser systems almost universally used in taller buildings (apartments & dorms, offices & hotels, hospitals) and ships. These have been proven wells of infection - usually listeria (Legionaires') is the first identified culprit, with MRSA and Pseudomonas aur in hospitals as well. After Covid, as places that sat vacant for a year or more come back on line, growing biofilm and bacteria in their systems, are we going to be in for a mini-epidemic of these infections?
Sue

REPLY
Please sign in or register to post a reply.