\nIn 2023, Pulendran’s team published a study in mice elucidating the mechanism. Like other vaccines, the tuberculosis vaccine induced both an innate and adaptive immune response in the mice, but unusually, the innate response was sustained for several months. The researchers discovered that T cells recruited to the lungs as part of the adaptive response were sending signals to the innate immune cells to keep them active.
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All of this even prompted tabloid headlines lumping China and Iran together as an "axis of upheaval" alongside North Korea and Russia. All four do want to challenge the US-led world order, but in truth their relationship was transactional.