Effective humoral immunity against diphtheria and tetanus in patients with systemic lupus erythematosus or myasthenia gravis

► Diphtheria-antitoxin IgG levels do not differ between controls and SLE patients. ► Tetanus-antitoxoid IgG levels do not differ between controls and SLE or MG patients. ► Severity of SLE or MG does not influence the vaccine-induced immune response. ► First study on humoral immunity against diphther...

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Veröffentlicht in:Molecular immunology 2013-07, Vol.54 (3-4), p.453-456
Hauptverfasser: Csuka, Dorottya, Czirják, László, Hóbor, Renáta, Illes, Zsolt, Bánáti, Miklós, Rajczy, Katalin, Tordai, Attila, Füst, George
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container_end_page 456
container_issue 3-4
container_start_page 453
container_title Molecular immunology
container_volume 54
creator Csuka, Dorottya
Czirják, László
Hóbor, Renáta
Illes, Zsolt
Bánáti, Miklós
Rajczy, Katalin
Tordai, Attila
Füst, George
description ► Diphtheria-antitoxin IgG levels do not differ between controls and SLE patients. ► Tetanus-antitoxoid IgG levels do not differ between controls and SLE or MG patients. ► Severity of SLE or MG does not influence the vaccine-induced immune response. ► First study on humoral immunity against diphtheria and tetanus in MG patients. Controversy exists about the effectiveness of vaccine-induced immune response in patients with immunoregulatory disorders. Our aim was to determine the antibody titers to diphtheria and tetanus in patients with either of two autoimmune diseases. 279 patients with SLE (205 females, aged 45.0±13.8 years), 158 patients with myasthenia gravis (MG) (101 females, aged 55±18.7 years) and 208 healthy subjects (122 females, aged 48±14.6 years) were enrolled. Serum concentrations of diphtheria-antitoxin-IgG (A-DIPHTH) and tetanus-antitoxoid-IgG (A-TET) were determined with ELISA. Equal proportions of healthy subjects, as well as patients with SLE or MG exhibited proper antibody responses and immune protection against diphtheria and tetanus. In all three test groups, serum concentration of A-DIPHTH decreased significantly (p60-years-old) subjects. There were no significant differences among the groups in the age-related changes of A-TET and A-DIPHTH except that in
doi_str_mv 10.1016/j.molimm.2013.01.012
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Controversy exists about the effectiveness of vaccine-induced immune response in patients with immunoregulatory disorders. Our aim was to determine the antibody titers to diphtheria and tetanus in patients with either of two autoimmune diseases. 279 patients with SLE (205 females, aged 45.0±13.8 years), 158 patients with myasthenia gravis (MG) (101 females, aged 55±18.7 years) and 208 healthy subjects (122 females, aged 48±14.6 years) were enrolled. Serum concentrations of diphtheria-antitoxin-IgG (A-DIPHTH) and tetanus-antitoxoid-IgG (A-TET) were determined with ELISA. Equal proportions of healthy subjects, as well as patients with SLE or MG exhibited proper antibody responses and immune protection against diphtheria and tetanus. In all three test groups, serum concentration of A-DIPHTH decreased significantly (p&lt;0.001) with age throughout the study population, while titers of A-TET dropped only in the elderly (&gt;60-years-old) subjects. There were no significant differences among the groups in the age-related changes of A-TET and A-DIPHTH except that in &lt;40-years-old subjects, A-DIPHTH level was significantly (p=0.029) lower in SLE patients than in controls. 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Controversy exists about the effectiveness of vaccine-induced immune response in patients with immunoregulatory disorders. Our aim was to determine the antibody titers to diphtheria and tetanus in patients with either of two autoimmune diseases. 279 patients with SLE (205 females, aged 45.0±13.8 years), 158 patients with myasthenia gravis (MG) (101 females, aged 55±18.7 years) and 208 healthy subjects (122 females, aged 48±14.6 years) were enrolled. Serum concentrations of diphtheria-antitoxin-IgG (A-DIPHTH) and tetanus-antitoxoid-IgG (A-TET) were determined with ELISA. Equal proportions of healthy subjects, as well as patients with SLE or MG exhibited proper antibody responses and immune protection against diphtheria and tetanus. In all three test groups, serum concentration of A-DIPHTH decreased significantly (p&lt;0.001) with age throughout the study population, while titers of A-TET dropped only in the elderly (&gt;60-years-old) subjects. There were no significant differences among the groups in the age-related changes of A-TET and A-DIPHTH except that in &lt;40-years-old subjects, A-DIPHTH level was significantly (p=0.029) lower in SLE patients than in controls. 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Controversy exists about the effectiveness of vaccine-induced immune response in patients with immunoregulatory disorders. Our aim was to determine the antibody titers to diphtheria and tetanus in patients with either of two autoimmune diseases. 279 patients with SLE (205 females, aged 45.0±13.8 years), 158 patients with myasthenia gravis (MG) (101 females, aged 55±18.7 years) and 208 healthy subjects (122 females, aged 48±14.6 years) were enrolled. Serum concentrations of diphtheria-antitoxin-IgG (A-DIPHTH) and tetanus-antitoxoid-IgG (A-TET) were determined with ELISA. Equal proportions of healthy subjects, as well as patients with SLE or MG exhibited proper antibody responses and immune protection against diphtheria and tetanus. In all three test groups, serum concentration of A-DIPHTH decreased significantly (p&lt;0.001) with age throughout the study population, while titers of A-TET dropped only in the elderly (&gt;60-years-old) subjects. There were no significant differences among the groups in the age-related changes of A-TET and A-DIPHTH except that in &lt;40-years-old subjects, A-DIPHTH level was significantly (p=0.029) lower in SLE patients than in controls. Our findings suggest that the level of vaccine-induced immunity against diphtheria and tetanus infections in patients with SLE or MG is comparable to the healthy population.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>23454161</pmid><doi>10.1016/j.molimm.2013.01.012</doi><tpages>4</tpages></addata></record>
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ispartof Molecular immunology, 2013-07, Vol.54 (3-4), p.453-456
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subjects Adult
Aged
Antibodies, Bacterial - immunology
Antibody Formation - immunology
Case-Control Studies
Diphtheria
Diphtheria - complications
Diphtheria - immunology
Diphtheria Antitoxin - immunology
Diphtheria Toxoid - immunology
Diphtheria-Tetanus-Pertussis Vaccine - administration & dosage
Diphtheria-Tetanus-Pertussis Vaccine - immunology
Female
Humans
Immunity, Humoral - immunology
Immunoglobulin G - immunology
Lupus Erythematosus, Systemic - immunology
Lupus Erythematosus, Systemic - microbiology
Male
Middle Aged
Myasthenia gravis
Myasthenia Gravis - immunology
Myasthenia Gravis - microbiology
Systemic lupus erythematosus
Tetanus
Tetanus - complications
Tetanus - immunology
Tetanus Toxoid - immunology
Vaccine-induced immune response
title Effective humoral immunity against diphtheria and tetanus in patients with systemic lupus erythematosus or myasthenia gravis
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