IgG Antibody to Pneumococcal Capsular Polysaccharide in Human Immunodeficiency Virus-Infected Subjects: Persistence of Antibody in Responders, Revaccination in Nonresponders, and Relationship of Immunoglobulin Allotype to Response

Human immunodeficiency virus (HIV)-infected persons are less likely than are noninfected persons to respond to vaccination with pneumococcal polysaccharides (PPS). Among those who respond, however, similar IgG levels may be achieved. HIV-infected men immunized with pneumococcal vaccine were classifi...

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Veröffentlicht in:The Journal of infectious diseases 1996-06, Vol.173 (6), p.1347-1353
Hauptverfasser: Rodriguez-Barradas, Maria C., Groover, Jean E., Lacke, Christine E., Gump, Dieter W., Lahart, Christopher J., Pandey, Janardan P., Musher, Daniel M.
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container_end_page 1353
container_issue 6
container_start_page 1347
container_title The Journal of infectious diseases
container_volume 173
creator Rodriguez-Barradas, Maria C.
Groover, Jean E.
Lacke, Christine E.
Gump, Dieter W.
Lahart, Christopher J.
Pandey, Janardan P.
Musher, Daniel M.
description Human immunodeficiency virus (HIV)-infected persons are less likely than are noninfected persons to respond to vaccination with pneumococcal polysaccharides (PPS). Among those who respond, however, similar IgG levels may be achieved. HIV-infected men immunized with pneumococcal vaccine were classified as high- or low-level responders (IgG ⩾1 µ/mL for ⩾3 of 5 PPS [high] or for ⩽1 PPS [low]). One and 2 years after immunization, geometric mean IgG levels and the percentages of subjects with IgG levels ⩾1 µg/mL were similar for HIV-infected and for healthy high-level responders (controls) for all PPS except for serotype 8. Among HIV-infected low-level responders, revaccination with a double dose of pneumococcal vaccine did not stimulate IgG responses. Responsiveness of HIV-infected white patients was significantly associated with the Km(1)-negative allotype. These findings support current general recommended guidelines for administering pneumococcal vaccine to HIV-infected persons. Nonresponders will not benefit from revaccination.
doi_str_mv 10.1093/infdis/173.6.1347
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Among those who respond, however, similar IgG levels may be achieved. HIV-infected men immunized with pneumococcal vaccine were classified as high- or low-level responders (IgG ⩾1 µ/mL for ⩾3 of 5 PPS [high] or for ⩽1 PPS [low]). One and 2 years after immunization, geometric mean IgG levels and the percentages of subjects with IgG levels ⩾1 µg/mL were similar for HIV-infected and for healthy high-level responders (controls) for all PPS except for serotype 8. Among HIV-infected low-level responders, revaccination with a double dose of pneumococcal vaccine did not stimulate IgG responses. Responsiveness of HIV-infected white patients was significantly associated with the Km(1)-negative allotype. These findings support current general recommended guidelines for administering pneumococcal vaccine to HIV-infected persons. Nonresponders will not benefit from revaccination.</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>8648206</pmid><doi>10.1093/infdis/173.6.1347</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; JSTOR Archive Collection A-Z Listing; Oxford University Press Journals All Titles (1996-Current)
subjects Adult
AIDS
AIDS/HIV
Antibodies
Antibodies, Bacterial - blood
Antigens, Bacterial
Bacterial Capsules - immunology
Bacterial Vaccines - administration & dosage
Bacterial Vaccines - immunology
Biological and medical sciences
Dosage
HIV
HIV Infections - immunology
human immunodeficiency virus
Humans
Immunization
Immunization Schedule
Immunization, Secondary
Immunodeficiencies
Immunodeficiencies. Immunoglobulinopathies
Immunoglobulin allotypes
Immunoglobulin Allotypes - blood
Immunoglobulin G - blood
Immunopathology
Major Articles
Male
Medical sciences
Middle Aged
Pneumococcal Infections - prevention & control
Pneumococcal vaccine
Pneumococcal Vaccines
Polysaccharides
Streptococcus pneumoniae
Streptococcus pneumoniae - immunology
Transponders
Vaccination
title IgG Antibody to Pneumococcal Capsular Polysaccharide in Human Immunodeficiency Virus-Infected Subjects: Persistence of Antibody in Responders, Revaccination in Nonresponders, and Relationship of Immunoglobulin Allotype to Response
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