Antibody responses to Bordetella pertussis and other childhood vaccines in infants born to mothers who received pertussis vaccine in pregnancy- a prospective, observational cohort study from the UK
File(s)Rice_et_al-2019-Clinical_&_Experimental_Immunology.pdf (401.7 KB)
Published version
Author(s)
Type
Journal Article
Abstract
The maternal Tdap (tetanus, diphtheria and acellular pertussis) vaccination program in the UK has successfully reduced cases of pertussis in young infants. In addition to prevention of pertussis cases, it is also important to investigate persistence of maternal antibody during infancy and possible interference of maternal antibodies with infant responses to vaccines. We recruited mother‐infant pairs from vaccinated and unvaccinated pregnancies and measured concentrations of IgG against pertussis toxin (PTx), filamentous hemagglutinin (FHA), pertactin (Prn), diphtheria toxin (DTx), tetanus toxoid (TTx) Haemophilus influenzae type b (Hib) and Streptococcus pneumoniae in mothers and infants at birth, and in infants at 7 weeks and at 5 months. 31 mother‐infant pairs were tested. Tdap‐vaccinated women had significantly higher antibody against Tdap antigens, compared to unvaccinated women (DTx p=0.01; PTx, FHA, Prn and TTx p<0.001). All antibodies were actively transferred to the infants (transfer ratio >1) with higher transfer of DTx (P=0.04) and TTx (P=0.02) antibody in Tdap‐vaccinated pregnancies compared to unvaccinated. Infants from Tdap‐vaccinated pregnancies had significantly elevated antibodies to all antigens at birth (p<0.001) and at 7 weeks (FHA, Prn, TTx p<0.001; DTx p=0.01; PTx p=0.004) compared to infants from unvaccinated pregnancies. Infants from Tdap‐vaccinated and unvaccinated pregnancies had comparable antibody concentrations following primary pertussis immunization (PTx p=0.77; FHA p=0.58; Prn p=0.60; DTx p=0.09; TTx p=0.88). These results support maternal immunisation as a method of protecting vulnerable infants during their first weeks of life.
Date Issued
2019-06-24
Date Acceptance
2019-02-07
ISSN
1365-2249
Publisher
Wiley
Start Page
1
End Page
10
Journal / Book Title
Clinical and Experimental Immunology
Volume
197
Issue
1
Copyright Statement
© 2019 The Authors. Clinical & Experimental Immunology published by John Wiley & Sons Ltd on behalf of British Society for Immunology
This is an open access article under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
This is an open access article under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Source Database
manual-entry
Sponsor
Medical Research Council
Medical Research Council (MRC)
NIHR Imperial BRC
NIHR Imperial BRC
Identifier
https://onlinelibrary.wiley.com/doi/full/10.1111/cei.13275
Grant Number
IMPRINT
MC_PC_17221
P72781
Subjects
Science & Technology
Life Sciences & Biomedicine
Immunology
antibodies
human
reproductive immunology
vaccination
MATERNAL IMMUNIZATION
TDAP IMMUNIZATION
IMMUNE-RESPONSES
DIPHTHERIA
PROTECTION
TETANUS
SAFETY
WOMEN
IMMUNOGENICITY
BIRTH
antibodies
human
reproductive immunology
vaccination
Immunology
1107 Immunology
Publication Status
Published
Date Publish Online
2019-02-13