IgG responses after booster vaccination with different pertussis vaccines in Dutch children 4 years of age: Effect of vaccine antigen content

Abstract Since whooping cough is reemerging in the Netherlands from 1996 onwards, several changes in the national immunization program have been implemented regarding the pertussis vaccinations. The aim of this study is to investigate IgG responses in whole cell (wP) and acellular (aP) pertussis vac...

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Veröffentlicht in:Vaccine 2009-11, Vol.27 (47), p.6530-6536
Hauptverfasser: Hendrikx, Lotte H, Berbers, Guy A.M, Veenhoven, Reinier H, Sanders, Elisabeth A.M, Buisman, Anne-Marie
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container_end_page 6536
container_issue 47
container_start_page 6530
container_title Vaccine
container_volume 27
creator Hendrikx, Lotte H
Berbers, Guy A.M
Veenhoven, Reinier H
Sanders, Elisabeth A.M
Buisman, Anne-Marie
description Abstract Since whooping cough is reemerging in the Netherlands from 1996 onwards, several changes in the national immunization program have been implemented regarding the pertussis vaccinations. The aim of this study is to investigate IgG responses in whole cell (wP) and acellular (aP) pertussis vaccine primed children following revaccination with different pertussis booster vaccines at 4 years of age. IgG levels to pertussis toxin (Pt), filamentous heamagglutin (FHA), pertactin (Prn) and fimbriae type 2 and 3 (Fim2/3) and avidities of Pt and Prn antibodies were measured using a multiplex immunoassay. Before and after the booster we found significantly higher IgG levels to Pt, FHA and Prn in aP compared to wP primed children. In all children a booster vaccination with a pertussis vaccine containing a high antigen dose ( Infanrix ™) induced higher IgG responses compared to a low antigen dose containing vaccine ( Triaxis ™). Avidities of Pt- and Prn-antibodies before and after booster vaccination were significantly higher in aP than in wP primed children. This study shows that a booster vaccine with high pertussis antigen concentrations induces higher antibody levels than a low antigen containing vaccine. In children primed with the Dutch DTwP-IPV-Hib vaccine we suggest to administer a booster vaccine containing high pertussis antigens to optimize IgG responses. The pertussis vaccination history has to be taken into account in decisions on changes in pertussis vaccination policy.
doi_str_mv 10.1016/j.vaccine.2009.08.052
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The aim of this study is to investigate IgG responses in whole cell (wP) and acellular (aP) pertussis vaccine primed children following revaccination with different pertussis booster vaccines at 4 years of age. IgG levels to pertussis toxin (Pt), filamentous heamagglutin (FHA), pertactin (Prn) and fimbriae type 2 and 3 (Fim2/3) and avidities of Pt and Prn antibodies were measured using a multiplex immunoassay. Before and after the booster we found significantly higher IgG levels to Pt, FHA and Prn in aP compared to wP primed children. In all children a booster vaccination with a pertussis vaccine containing a high antigen dose ( Infanrix ™) induced higher IgG responses compared to a low antigen dose containing vaccine ( Triaxis ™). Avidities of Pt- and Prn-antibodies before and after booster vaccination were significantly higher in aP than in wP primed children. This study shows that a booster vaccine with high pertussis antigen concentrations induces higher antibody levels than a low antigen containing vaccine. In children primed with the Dutch DTwP-IPV-Hib vaccine we suggest to administer a booster vaccine containing high pertussis antigens to optimize IgG responses. 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subjects Age
Allergy and Immunology
Antibodies
Antibodies, Bacterial - blood
Antibody Affinity
Antigens
Applied microbiology
Bacterial diseases
Biological and medical sciences
Booster response
Bordetella pertussis - immunology
Child, Preschool
Children & youth
Confidence intervals
Diphtheria-Tetanus-acellular Pertussis Vaccines - immunology
Ent and stomatologic bacterial diseases
Fundamental and applied biological sciences. Psychology
Human bacterial diseases
Humans
Immunization
Immunization, Secondary
Immunoassay
Immunoglobulin G - blood
Infectious diseases
Medical sciences
Microbiology
Netherlands
Pertussis Vaccine - immunology
Pertussis vaccines
Studies
Toxins
Vaccines
Vaccines, antisera, therapeutical immunoglobulins and monoclonal antibodies (general aspects)
Whooping cough
Whooping Cough - immunology
Whooping Cough - prevention & control
title IgG responses after booster vaccination with different pertussis vaccines in Dutch children 4 years of age: Effect of vaccine antigen content
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