Antibody persistence after serogroup C meningococcal conjugate vaccine in children with sickle cell disease

Abstract Background A decline of protective antibody titers after MCC vaccine has been demonstrated in healthy children, this may be an issue of concern for risk groups. The aim of this study was to evaluate the persistence of bactericidal antibodies after MCC vaccine in sickle cell disease (SCD) pa...

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Veröffentlicht in:Vaccine 2016-08, Vol.34 (36), p.4327-4334
Hauptverfasser: Souza, Alessandra R, Maruyama, Claudia M, Sáfadi, Marco Aurélio P, Lopes, Marta H, Azevedo, Raymundo S, Findlow, Helen, Bai, Xilian, Borrow, Ray, Weckx, Lily Y
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container_end_page 4334
container_issue 36
container_start_page 4327
container_title Vaccine
container_volume 34
creator Souza, Alessandra R
Maruyama, Claudia M
Sáfadi, Marco Aurélio P
Lopes, Marta H
Azevedo, Raymundo S
Findlow, Helen
Bai, Xilian
Borrow, Ray
Weckx, Lily Y
description Abstract Background A decline of protective antibody titers after MCC vaccine has been demonstrated in healthy children, this may be an issue of concern for risk groups. The aim of this study was to evaluate the persistence of bactericidal antibodies after MCC vaccine in sickle cell disease (SCD) patients. The type of vaccine used and booster response were also analyzed. Methods SCD patients ( n = 141) previously immunized with MCC vaccines had blood drawn 2–8 years after the last priming dose. They were distributed according to age at primary immunization into groups:
doi_str_mv 10.1016/j.vaccine.2016.06.072
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The aim of this study was to evaluate the persistence of bactericidal antibodies after MCC vaccine in sickle cell disease (SCD) patients. The type of vaccine used and booster response were also analyzed. Methods SCD patients ( n = 141) previously immunized with MCC vaccines had blood drawn 2–8 years after the last priming dose. They were distributed according to age at primary immunization into groups: &lt;2 years and 2–13 years and evaluated by years since vaccination (2–3, 4–5 and 6–8). Serum bactericidal antibodies with baby rabbit complement (rSBA) and serogroup C-specific IgG concentrations were measured. The correlate of protection was rSBA titer ⩾8. Subjects with rSBA &lt;8 received a booster dose and antibody levels re-evaluated after 4–6 weeks. Results For children primed under 2 years of age rSBA titer ⩾8 was demonstrated in 53.3%, 21.7% and 35.0%, 2–3, 4–5, 6–8 years, respectively, after vaccination, compared with 70.0%, 45.0% and 53.5%, respectively, for individuals primed at ages 2–13 years. rSBA median titers and IgG median levels were higher in the older group. Six to eight years after vaccination the percentage of patients with rSBA titers ⩾8 was significantly higher in the group primed with MCC-TT (78.5%) compared with those primed with MCC-CRM197 [Menjugate® (33.3%) or Meningitec® (35.7%)] ( p = 0.033). After a booster, 98% achieved rSBA titer ⩾8. Conclusion Immunity to meningococcal serogroup C in SCD children declines rapidly after vaccination and is dependent on the age at priming. Booster doses are needed to maintain protection in SCD patients. Persistence of antibodies seems to be longer in individuals primed with MCC-TT vaccine comparing to those immunized with MCC-CRM197.</description><identifier>ISSN: 0264-410X</identifier><identifier>EISSN: 1873-2518</identifier><identifier>DOI: 10.1016/j.vaccine.2016.06.072</identifier><identifier>PMID: 27395566</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adolescent ; Age ; Allergy and Immunology ; Anemia, Sickle Cell - immunology ; Antibodies, Bacterial - blood ; Child ; Child, Preschool ; Conjugate vaccines ; Female ; Humans ; Immunization ; Immunization, Secondary ; Laboratories ; Male ; Meningococcal infections ; Meningococcal Infections - epidemiology ; Meningococcal Infections - immunology ; Meningococcal Infections - prevention &amp; control ; Meningococcal vaccines ; Meningococcal Vaccines - immunology ; Neisseria meningitidis ; Neisseria meningitidis, Serogroup C - immunology ; Serum Bactericidal Antibody Assay ; Sickle cell disease ; Streptococcus infections ; Time Factors ; Vaccines ; Vaccines, Conjugate - immunology</subject><ispartof>Vaccine, 2016-08, Vol.34 (36), p.4327-4334</ispartof><rights>Elsevier Ltd</rights><rights>2016 Elsevier Ltd</rights><rights>Copyright © 2016 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Limited Aug 5, 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c481t-478c3b2b3c53b3731063d998ae09e236f80347265853de8ea78a56d9381b8efc3</citedby><cites>FETCH-LOGICAL-c481t-478c3b2b3c53b3731063d998ae09e236f80347265853de8ea78a56d9381b8efc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1807954447?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994,64384,64386,64388,72240</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27395566$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Souza, Alessandra R</creatorcontrib><creatorcontrib>Maruyama, Claudia M</creatorcontrib><creatorcontrib>Sáfadi, Marco Aurélio P</creatorcontrib><creatorcontrib>Lopes, Marta H</creatorcontrib><creatorcontrib>Azevedo, Raymundo S</creatorcontrib><creatorcontrib>Findlow, Helen</creatorcontrib><creatorcontrib>Bai, Xilian</creatorcontrib><creatorcontrib>Borrow, Ray</creatorcontrib><creatorcontrib>Weckx, Lily Y</creatorcontrib><title>Antibody persistence after serogroup C meningococcal conjugate vaccine in children with sickle cell disease</title><title>Vaccine</title><addtitle>Vaccine</addtitle><description>Abstract Background A decline of protective antibody titers after MCC vaccine has been demonstrated in healthy children, this may be an issue of concern for risk groups. The aim of this study was to evaluate the persistence of bactericidal antibodies after MCC vaccine in sickle cell disease (SCD) patients. The type of vaccine used and booster response were also analyzed. Methods SCD patients ( n = 141) previously immunized with MCC vaccines had blood drawn 2–8 years after the last priming dose. They were distributed according to age at primary immunization into groups: &lt;2 years and 2–13 years and evaluated by years since vaccination (2–3, 4–5 and 6–8). Serum bactericidal antibodies with baby rabbit complement (rSBA) and serogroup C-specific IgG concentrations were measured. The correlate of protection was rSBA titer ⩾8. Subjects with rSBA &lt;8 received a booster dose and antibody levels re-evaluated after 4–6 weeks. Results For children primed under 2 years of age rSBA titer ⩾8 was demonstrated in 53.3%, 21.7% and 35.0%, 2–3, 4–5, 6–8 years, respectively, after vaccination, compared with 70.0%, 45.0% and 53.5%, respectively, for individuals primed at ages 2–13 years. rSBA median titers and IgG median levels were higher in the older group. Six to eight years after vaccination the percentage of patients with rSBA titers ⩾8 was significantly higher in the group primed with MCC-TT (78.5%) compared with those primed with MCC-CRM197 [Menjugate® (33.3%) or Meningitec® (35.7%)] ( p = 0.033). After a booster, 98% achieved rSBA titer ⩾8. Conclusion Immunity to meningococcal serogroup C in SCD children declines rapidly after vaccination and is dependent on the age at priming. Booster doses are needed to maintain protection in SCD patients. Persistence of antibodies seems to be longer in individuals primed with MCC-TT vaccine comparing to those immunized with MCC-CRM197.</description><subject>Adolescent</subject><subject>Age</subject><subject>Allergy and Immunology</subject><subject>Anemia, Sickle Cell - immunology</subject><subject>Antibodies, Bacterial - blood</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Conjugate vaccines</subject><subject>Female</subject><subject>Humans</subject><subject>Immunization</subject><subject>Immunization, Secondary</subject><subject>Laboratories</subject><subject>Male</subject><subject>Meningococcal infections</subject><subject>Meningococcal Infections - epidemiology</subject><subject>Meningococcal Infections - immunology</subject><subject>Meningococcal Infections - prevention &amp; control</subject><subject>Meningococcal vaccines</subject><subject>Meningococcal Vaccines - immunology</subject><subject>Neisseria meningitidis</subject><subject>Neisseria meningitidis, Serogroup C - immunology</subject><subject>Serum Bactericidal Antibody Assay</subject><subject>Sickle cell disease</subject><subject>Streptococcus infections</subject><subject>Time Factors</subject><subject>Vaccines</subject><subject>Vaccines, Conjugate - immunology</subject><issn>0264-410X</issn><issn>1873-2518</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkk2LFDEQhhtR3HH1JygBL3vpMd9JX5Rl8AsWPKjgLaTT1bPp6UnGpHtl_r1pZ1TYi0JBEXiqUvW-VVXPCV4TTOSrYX1nnfMB1rQ817iEog-qFdGK1VQQ_bBaYSp5zQn-dlE9yXnAGAtGmsfVBVWsEULKVbW7DpNvY3dEB0jZ5wmCA2T7CRLKkOI2xfmANmgPwYdtdNE5OyIXwzBv7QToPATyAblbP3YJAvrhp1uUvduNgByMI-p8BpvhafWot2OGZ-d8WX199_bL5kN98-n9x831Te24JlPNlXaspS1zgrVMMYIl65pGW8ANUCZ7jRlXVAotWAcarNJWyK5hmrQaescuq6tT30OK32fIk9n7vAxiA8Q5G6IJ0ZoXKf4DxQprjiUp6Mt76BDnFMoiv6hGcM5VocSJcinmnKA3h-T3Nh0NwWYxzgzmrJlZjDO4hKKl7sW5-9zuoftT9dupArw5AVCUu_OQTHZ-MavzCdxkuuj_-cXrex3c6IMvfu7gCPnvNiZTg83n5XqW4yGSYcEbxX4CkULAtA</recordid><startdate>20160805</startdate><enddate>20160805</enddate><creator>Souza, Alessandra R</creator><creator>Maruyama, Claudia M</creator><creator>Sáfadi, Marco Aurélio P</creator><creator>Lopes, Marta H</creator><creator>Azevedo, Raymundo S</creator><creator>Findlow, Helen</creator><creator>Bai, Xilian</creator><creator>Borrow, Ray</creator><creator>Weckx, Lily Y</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7T2</scope><scope>7T5</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7N</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>7U2</scope></search><sort><creationdate>20160805</creationdate><title>Antibody persistence after serogroup C meningococcal conjugate vaccine in children with sickle cell disease</title><author>Souza, Alessandra R ; Maruyama, Claudia M ; Sáfadi, Marco Aurélio P ; Lopes, Marta H ; Azevedo, Raymundo S ; Findlow, Helen ; Bai, Xilian ; Borrow, Ray ; Weckx, Lily Y</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c481t-478c3b2b3c53b3731063d998ae09e236f80347265853de8ea78a56d9381b8efc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Age</topic><topic>Allergy and Immunology</topic><topic>Anemia, Sickle Cell - immunology</topic><topic>Antibodies, Bacterial - blood</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Conjugate vaccines</topic><topic>Female</topic><topic>Humans</topic><topic>Immunization</topic><topic>Immunization, Secondary</topic><topic>Laboratories</topic><topic>Male</topic><topic>Meningococcal infections</topic><topic>Meningococcal Infections - epidemiology</topic><topic>Meningococcal Infections - immunology</topic><topic>Meningococcal Infections - prevention &amp; control</topic><topic>Meningococcal vaccines</topic><topic>Meningococcal Vaccines - immunology</topic><topic>Neisseria meningitidis</topic><topic>Neisseria meningitidis, Serogroup C - immunology</topic><topic>Serum Bactericidal Antibody Assay</topic><topic>Sickle cell disease</topic><topic>Streptococcus infections</topic><topic>Time Factors</topic><topic>Vaccines</topic><topic>Vaccines, Conjugate - immunology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Souza, Alessandra R</creatorcontrib><creatorcontrib>Maruyama, Claudia M</creatorcontrib><creatorcontrib>Sáfadi, Marco Aurélio P</creatorcontrib><creatorcontrib>Lopes, Marta H</creatorcontrib><creatorcontrib>Azevedo, Raymundo S</creatorcontrib><creatorcontrib>Findlow, Helen</creatorcontrib><creatorcontrib>Bai, Xilian</creatorcontrib><creatorcontrib>Borrow, Ray</creatorcontrib><creatorcontrib>Weckx, Lily Y</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing &amp; 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The aim of this study was to evaluate the persistence of bactericidal antibodies after MCC vaccine in sickle cell disease (SCD) patients. The type of vaccine used and booster response were also analyzed. Methods SCD patients ( n = 141) previously immunized with MCC vaccines had blood drawn 2–8 years after the last priming dose. They were distributed according to age at primary immunization into groups: &lt;2 years and 2–13 years and evaluated by years since vaccination (2–3, 4–5 and 6–8). Serum bactericidal antibodies with baby rabbit complement (rSBA) and serogroup C-specific IgG concentrations were measured. The correlate of protection was rSBA titer ⩾8. Subjects with rSBA &lt;8 received a booster dose and antibody levels re-evaluated after 4–6 weeks. Results For children primed under 2 years of age rSBA titer ⩾8 was demonstrated in 53.3%, 21.7% and 35.0%, 2–3, 4–5, 6–8 years, respectively, after vaccination, compared with 70.0%, 45.0% and 53.5%, respectively, for individuals primed at ages 2–13 years. rSBA median titers and IgG median levels were higher in the older group. Six to eight years after vaccination the percentage of patients with rSBA titers ⩾8 was significantly higher in the group primed with MCC-TT (78.5%) compared with those primed with MCC-CRM197 [Menjugate® (33.3%) or Meningitec® (35.7%)] ( p = 0.033). After a booster, 98% achieved rSBA titer ⩾8. Conclusion Immunity to meningococcal serogroup C in SCD children declines rapidly after vaccination and is dependent on the age at priming. Booster doses are needed to maintain protection in SCD patients. Persistence of antibodies seems to be longer in individuals primed with MCC-TT vaccine comparing to those immunized with MCC-CRM197.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>27395566</pmid><doi>10.1016/j.vaccine.2016.06.072</doi><tpages>8</tpages></addata></record>
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subjects Adolescent
Age
Allergy and Immunology
Anemia, Sickle Cell - immunology
Antibodies, Bacterial - blood
Child
Child, Preschool
Conjugate vaccines
Female
Humans
Immunization
Immunization, Secondary
Laboratories
Male
Meningococcal infections
Meningococcal Infections - epidemiology
Meningococcal Infections - immunology
Meningococcal Infections - prevention & control
Meningococcal vaccines
Meningococcal Vaccines - immunology
Neisseria meningitidis
Neisseria meningitidis, Serogroup C - immunology
Serum Bactericidal Antibody Assay
Sickle cell disease
Streptococcus infections
Time Factors
Vaccines
Vaccines, Conjugate - immunology
title Antibody persistence after serogroup C meningococcal conjugate vaccine in children with sickle cell disease
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