Antibody persistence ten years after first and second doses of 23-valent pneumococcal polysaccharide vaccine, and immunogenicity and safety of second and third doses in older adults

被引:66
作者
Musher, Daniel M. [1 ,2 ]
Manoff, Susan B. [3 ]
McFetridge, Richard D. [3 ]
Liss, Charles [3 ]
Marchese, Rocio D. [3 ]
Raab, Jennifer [4 ]
Rueda, Adriana M. [1 ,2 ]
Walker, Monica L. [3 ]
Hoover, Patricia A. [3 ]
机构
[1] Michael E DeBakey VA Med Ctr, Houston, TX 77030 USA
[2] Baylor Coll Med, Houston, TX 77030 USA
[3] Merck Res Labs, N Wales, PA USA
[4] PPD Vaccines & Biol, Wayne, PA USA
来源
HUMAN VACCINES | 2011年 / 7卷 / 09期
关键词
pneumococcal polysaccharide vaccine; revaccination; immunogenicity; antibody persistence; PNEUMOVAX (TM) 23; ELDERLY PERSONS; SERUM TREATMENT; CAPSULAR POLYSACCHARIDE; REVACCINATION; PNEUMONIA; INFLUENZA; CONJUGATE; RESPONSES; AGE;
D O I
10.4161/hv.7.9.15996
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
In a study of older adults, first and second doses of 23-valent pneumococcal polysaccharide vaccine (PN23) induced IgG increases for all 8 vaccine serotypes tested. Participants (n = 143, mean age 76 y) were re-enrolled to study antibody levels after 10 y, and safety and immunogenicity of another PN23 dose. Ten years after first or second doses, mean IgG concentrations exceeded vaccine-naive levels for 7 of 8 serotypes tested. Second and third doses administered at this time were generally well tolerated and were immunogenic, inducing similar postvaccination levels. Provided that sufficient time is allowed to elapse after each dose, immunogenicity is preserved after multiple PN23 doses without evidence of a lower than expected immune response (i.e., without hyporesponsiveness).
引用
收藏
页码:919 / 928
页数:10
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