tetano
Editor, Senior Moderator
J Infect Dis. 2015 Mar 4. pii: jiv138. [Epub ahead of print]
[h=1]Pregnancy Does Not Attenuate the Antibody or Plasmablast Response to Inactivated Influenza Vaccine.[/h] Kay AW[SUP]1[/SUP], Bayless NL[SUP]2[/SUP], Fukuyama J[SUP]3[/SUP], Aziz N[SUP]4[/SUP], Dekker CL[SUP]1[/SUP], Mackey S[SUP]1[/SUP], Swan GE[SUP]5[/SUP], Davis MM[SUP]6[/SUP], Blish CA[SUP]7[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Inactivated influenza vaccine (IIV) is recommended during pregnancy to prevent influenza infection and its complications in pregnant women and their infants. However, the extent to which pregnancy modifies the antibody response to vaccination remains unclear, and prior studies have focused primarily on hemagglutinin inhibition (HI) titers. A more comprehensive understanding of how pregnancy modifies the humoral immune response to influenza vaccination will aid in maximizing vaccine efficacy.
[h=4]METHODS:[/h] Healthy pregnant women and control women were studied prior to, 7 days after and 28 days after vaccination with IIV. HI titers, microneutralization (MN) titers and the frequency of circulating plasmablasts were evaluated in pregnant vs. control women.
[h=4]RESULTS:[/h] Pregnant women and control women mount similarly robust serologic immune responses to IIV, with no significant differences for any influenza strain in post-vaccination geometric mean HI or MN titers. HI and MN titers correlate, though MN titers demonstrate more robust changes pre- vs. post-vaccination. The induction of circulating plasmablasts is increased in pregnant women vs. controls (median fold-change 2.60 vs. 1.49 [Interquartile Range 0.94-7.53 vs. 0.63-2.67]; p=0.03).
[h=4]CONCLUSION:[/h] Pregnant women do not have impaired humoral immune responses to IIV and may have increased circulating plasmablast production compared to control women.
? The Author 2015. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.
PMID: 25740957 [PubMed - as supplied by publisher]
[h=1]Pregnancy Does Not Attenuate the Antibody or Plasmablast Response to Inactivated Influenza Vaccine.[/h] Kay AW[SUP]1[/SUP], Bayless NL[SUP]2[/SUP], Fukuyama J[SUP]3[/SUP], Aziz N[SUP]4[/SUP], Dekker CL[SUP]1[/SUP], Mackey S[SUP]1[/SUP], Swan GE[SUP]5[/SUP], Davis MM[SUP]6[/SUP], Blish CA[SUP]7[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Inactivated influenza vaccine (IIV) is recommended during pregnancy to prevent influenza infection and its complications in pregnant women and their infants. However, the extent to which pregnancy modifies the antibody response to vaccination remains unclear, and prior studies have focused primarily on hemagglutinin inhibition (HI) titers. A more comprehensive understanding of how pregnancy modifies the humoral immune response to influenza vaccination will aid in maximizing vaccine efficacy.
[h=4]METHODS:[/h] Healthy pregnant women and control women were studied prior to, 7 days after and 28 days after vaccination with IIV. HI titers, microneutralization (MN) titers and the frequency of circulating plasmablasts were evaluated in pregnant vs. control women.
[h=4]RESULTS:[/h] Pregnant women and control women mount similarly robust serologic immune responses to IIV, with no significant differences for any influenza strain in post-vaccination geometric mean HI or MN titers. HI and MN titers correlate, though MN titers demonstrate more robust changes pre- vs. post-vaccination. The induction of circulating plasmablasts is increased in pregnant women vs. controls (median fold-change 2.60 vs. 1.49 [Interquartile Range 0.94-7.53 vs. 0.63-2.67]; p=0.03).
[h=4]CONCLUSION:[/h] Pregnant women do not have impaired humoral immune responses to IIV and may have increased circulating plasmablast production compared to control women.
? The Author 2015. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.
PMID: 25740957 [PubMed - as supplied by publisher]