Effects of Malnutrition on Children's Immunity to Bacterial Antigens in Northern Senegal

被引:11
作者
Gaayeb, Lobna [1 ,2 ]
Sarr, Jean B. [2 ]
Cames, Cecile [3 ]
Pincon, Claire [4 ]
Hanon, Jean-Baptiste [1 ]
Ndiath, Mamadou O. [5 ]
Seck, Modou [2 ]
Herbert, Fabien [1 ]
Sagna, Andre B. [2 ]
Schacht, Anne-Marie [1 ]
Remoue, Franck [6 ]
Riveau, Gilles [1 ,2 ]
Hermann, Emmanuel [1 ]
机构
[1] Univ Lille Nord France, CNRS, INSERM, U1019,UMR8204,Inst Pasteur Lille,CIIL, Lille, France
[2] Ctr Rech Biomed Espoir Sante EPLS, St Louis, Senegal
[3] Ctr Hosp Univ Fann, Inst Rech Dev, Ctr Reg Rech & Format Prise Charge Clin, UMI Trans6Hmi 233, Dakar, Senegal
[4] Univ Lille Nord France, Fac Pharm, Dept Biostat, Lille, France
[5] UCAD, Inst Rech Dev Hann, Inst Rech Dev, UMR 198,URMITE, Dakar, Senegal
[6] Univ Montpellier 1 & 2, Inst Rech Dev 224, Inst Rech Dev, UMR MIVEGEC,CNRS5290,CREC, Cotonou, Benin
关键词
ENVIRONMENTAL DETERMINANTS; POSTNATAL ENVIRONMENTS; ANTIBODY-RESPONSES; BIRTH-WEIGHT; EARLY-LIFE; VACCINATION; TETANUS; GAMBIA; INFECTION; INFANTS;
D O I
10.4269/ajtmh.12-0657
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
To evaluate immunity to vaccine-preventable diseases according to nutritional status, a longitudinal study was conducted in Senegalese children ages 1-9 years old. A linear regression analysis predicted that weight for age was positively associated with immunoglobulin G (IgG) response to tetanus toxoid in children born during the rainy season or at the beginning of the dry season. A relationship between village, time of visits, and levels of antibodies to tetanus showed that environmental factors played a role in modulating humoral immunity to tetanus vaccine over time. Moreover, a whole-blood stimulation assay highlighted that the production of interferon-gamma (IFN-gamma) in response to tetanus toxoid was compromised in stunted children. However, the absence of cytokine modulation in response to Mycobacterium tuberculosis-purified protein derivatives and phytohemagglutinin suggests that the overall ability to produce IFN-gamma was preserved in stunted children. Therefore, these results show that nutritional status can specifically alter the efficacy of long-lasting immunity to tetanus.
引用
收藏
页码:566 / 573
页数:8
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