creators_name: Gowthaman, Uthaman creators_name: Mushtaq, Khurram creators_name: Tan, Amabel C creators_name: Rai, Pradeep K creators_name: Jackson, David C creators_name: Agrewala, Javed N type: article datestamp: 2016-01-28 07:21:48 lastmod: 2016-01-28 07:21:48 metadata_visibility: show title: Challenges and solutions for a rational vaccine design for TB-endemic regions. ispublished: pub subjects: QR180 keywords: TB; T cell memory; Endemic areas; Vaccine; BCG note: Copyright of this article belongs to Informa UK. abstract: Vaccines have been successful for global eradication or control of dreaded diseases such as smallpox, diphtheria, tetanus, yellow fever, whooping cough, polio, and measles. Unfortunately, this success has not been achieved for controlling tuberculosis (TB) worldwide. Bacillus Calmette Guérin (BCG) is the only available vaccine against TB. Paradoxically, BCG has deciphered success in the Western world but has failed in TB-endemic areas. In this article, we highlight and discuss the aspects of immunity responsible for controlling Mycobacterium tuberculosis infection and factors responsible for the failure of BCG in TB-endemic countries. In addition, we also suggest strategies that contribute toward the development of successful vaccine in protecting populations where BCG has failed. date: 2015 date_type: published publication: Critical reviews in microbiology volume: 41 number: 3 publisher: Informa UK Ltd pagerange: 389-98 refereed: TRUE issn: 1549-7828 official_url: http://www.tandfonline.com/doi/pdf/10.3109/1040841X.2013.859125 citation: Gowthaman, Uthaman and Mushtaq, Khurram and Tan, Amabel C and Rai, Pradeep K and Jackson, David C and Agrewala, Javed N (2015) Challenges and solutions for a rational vaccine design for TB-endemic regions. Critical reviews in microbiology, 41 (3). pp. 389-98. ISSN 1549-7828