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Vaccination during pregnancy and modulation of IgG response to pertussis vaccines in infants: The impact of different vaccine formulations
The IgG response following infant diphtheria-tetanus-acellular pertussis (DTaP) immunization is influenced by the formulation of the infant and/or the adult vaccine (Tdap) given during pregnancy. DTaP vaccines containing either 3 (DTaP3) or 5 (DTaP5) pertussis antigens are commonly used. By conducti...
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Published in: | Vaccine 2024-04, Vol.42 (9), p.2138-2143 |
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creator | Brousseau, Nicholas Angers-Goulet, Marie-Elen Bastien, Robin Ye, Lingyun Sadarangani, Manish Halperin, Scott A. |
description | The IgG response following infant diphtheria-tetanus-acellular pertussis (DTaP) immunization is influenced by the formulation of the infant and/or the adult vaccine (Tdap) given during pregnancy. DTaP vaccines containing either 3 (DTaP3) or 5 (DTaP5) pertussis antigens are commonly used. By conducting a secondary analysis of a large randomized controlled trial, we compared IgG levels against pertussis vaccine antigens in children of Td- and Tdap5-vaccinated mothers, after stratifying by infant vaccine formulation. After immunization with a primary series of DTaP5, but not DTaP3, IgG GMCs against pertussis antigens were significantly lower in infants of Tdap-immunized mothers compared with infants of Td-vaccinated mothers (pertussis toxin: GMC = 52.3[Tdap5] vs 83.5[Td], p |
doi_str_mv | 10.1016/j.vaccine.2024.03.015 |
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DTaP vaccines containing either 3 (DTaP3) or 5 (DTaP5) pertussis antigens are commonly used. By conducting a secondary analysis of a large randomized controlled trial, we compared IgG levels against pertussis vaccine antigens in children of Td- and Tdap5-vaccinated mothers, after stratifying by infant vaccine formulation. After immunization with a primary series of DTaP5, but not DTaP3, IgG GMCs against pertussis antigens were significantly lower in infants of Tdap-immunized mothers compared with infants of Td-vaccinated mothers (pertussis toxin: GMC = 52.3[Tdap5] vs 83.5[Td], p < 0.001). Before and after the DTaP booster dose, IgG GMCs were similar in infants of Tdap- and Td-immunized mothers specifically when infants received the DTaP3 vaccine. The combination of the TdaP5 vaccine for mothers and the DTaP3 vaccine for children could attenuate Tdap-associated immunomodulation.</description><identifier>ISSN: 0264-410X</identifier><identifier>EISSN: 1873-2518</identifier><identifier>DOI: 10.1016/j.vaccine.2024.03.015</identifier><identifier>PMID: 38461048</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>adults ; Age ; Antigens ; Babies ; Diphtheria ; Enzymes ; Immunization ; Immunoglobulin G ; Immunomodulation ; Infants ; Interference ; Mothers ; Pertussis ; Pertussis toxin ; Pregnancy ; randomized clinical trials ; Secondary analysis ; Tetanus ; Toxins ; Vaccination ; Vaccines ; Whooping cough</subject><ispartof>Vaccine, 2024-04, Vol.42 (9), p.2138-2143</ispartof><rights>2024</rights><rights>Copyright © 2024. Published by Elsevier Ltd.</rights><rights>Copyright Elsevier Limited Apr 2, 2024</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c426t-d677a86db3b093f85cb8029682426604405b24b2c6138346ff7cbf8d83d8cfbd3</citedby><cites>FETCH-LOGICAL-c426t-d677a86db3b093f85cb8029682426604405b24b2c6138346ff7cbf8d83d8cfbd3</cites><orcidid>0000-0001-6042-3177</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38461048$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brousseau, Nicholas</creatorcontrib><creatorcontrib>Angers-Goulet, Marie-Elen</creatorcontrib><creatorcontrib>Bastien, Robin</creatorcontrib><creatorcontrib>Ye, Lingyun</creatorcontrib><creatorcontrib>Sadarangani, Manish</creatorcontrib><creatorcontrib>Halperin, Scott A.</creatorcontrib><title>Vaccination during pregnancy and modulation of IgG response to pertussis vaccines in infants: The impact of different vaccine formulations</title><title>Vaccine</title><addtitle>Vaccine</addtitle><description>The IgG response following infant diphtheria-tetanus-acellular pertussis (DTaP) immunization is influenced by the formulation of the infant and/or the adult vaccine (Tdap) given during pregnancy. DTaP vaccines containing either 3 (DTaP3) or 5 (DTaP5) pertussis antigens are commonly used. By conducting a secondary analysis of a large randomized controlled trial, we compared IgG levels against pertussis vaccine antigens in children of Td- and Tdap5-vaccinated mothers, after stratifying by infant vaccine formulation. After immunization with a primary series of DTaP5, but not DTaP3, IgG GMCs against pertussis antigens were significantly lower in infants of Tdap-immunized mothers compared with infants of Td-vaccinated mothers (pertussis toxin: GMC = 52.3[Tdap5] vs 83.5[Td], p < 0.001). Before and after the DTaP booster dose, IgG GMCs were similar in infants of Tdap- and Td-immunized mothers specifically when infants received the DTaP3 vaccine. The combination of the TdaP5 vaccine for mothers and the DTaP3 vaccine for children could attenuate Tdap-associated immunomodulation.</description><subject>adults</subject><subject>Age</subject><subject>Antigens</subject><subject>Babies</subject><subject>Diphtheria</subject><subject>Enzymes</subject><subject>Immunization</subject><subject>Immunoglobulin G</subject><subject>Immunomodulation</subject><subject>Infants</subject><subject>Interference</subject><subject>Mothers</subject><subject>Pertussis</subject><subject>Pertussis toxin</subject><subject>Pregnancy</subject><subject>randomized clinical trials</subject><subject>Secondary analysis</subject><subject>Tetanus</subject><subject>Toxins</subject><subject>Vaccination</subject><subject>Vaccines</subject><subject>Whooping 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DTaP vaccines containing either 3 (DTaP3) or 5 (DTaP5) pertussis antigens are commonly used. By conducting a secondary analysis of a large randomized controlled trial, we compared IgG levels against pertussis vaccine antigens in children of Td- and Tdap5-vaccinated mothers, after stratifying by infant vaccine formulation. After immunization with a primary series of DTaP5, but not DTaP3, IgG GMCs against pertussis antigens were significantly lower in infants of Tdap-immunized mothers compared with infants of Td-vaccinated mothers (pertussis toxin: GMC = 52.3[Tdap5] vs 83.5[Td], p < 0.001). Before and after the DTaP booster dose, IgG GMCs were similar in infants of Tdap- and Td-immunized mothers specifically when infants received the DTaP3 vaccine. 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subjects | adults Age Antigens Babies Diphtheria Enzymes Immunization Immunoglobulin G Immunomodulation Infants Interference Mothers Pertussis Pertussis toxin Pregnancy randomized clinical trials Secondary analysis Tetanus Toxins Vaccination Vaccines Whooping cough |
title | Vaccination during pregnancy and modulation of IgG response to pertussis vaccines in infants: The impact of different vaccine formulations |
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