Dose-dependent antibody response to influenza H1N1 vaccine component in elderly nursing home patients

被引:21
作者
Remarque, EJ
de Jong, JMA
van der Klis, RJ
Masurel, N
Lighthart, GJ
机构
[1] Leiden Univ, Med Ctr, Sect Gerontol, Dept Gen Internal Med, NL-2300 RC Leiden, Netherlands
[2] Dutch Council Resp Viruses Particular Influenza, Rotterdam, Netherlands
关键词
influenza; immunogenicity; dose response; elderly;
D O I
10.1016/S0531-5565(98)00060-6
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 [法学]; 0303 [社会学]; 100203 [老年医学];
摘要
The effects of an increased antigen dose on HI, IgG, IgA, and IgM antibody responses to influenza A/Taiwan/1/86 (H1N1) were investigated in 92 elderly nursing-home residents (mean age 81 years) and 104 young subjects (mean age 20 years). At a standard 10-mu g dose, HI and IgG titer rises were lower in the elderly. HI titers did not improve at higher vaccine dosages. By contrast, influenza-specific IgG and IgA antibody responses were dose dependent in elderly subjects, but not in young. In the young subjects, IgM antibody responses were dose dependent. The improved antibody responses in the elderly as observed in IgG and IgA were not reflected in the HI response. Therefore, the evaluation of antibody production by HI only may lead to an underestimate of the immune response in elderly people. (C) 1999 Elsevier Science Inc. All rights reserved.
引用
收藏
页码:109 / 115
页数:7
相关论文
共 21 条
[1]
ANTIBODY INDUCTION BY INFLUENZA VACCINES IN THE ELDERLY - A REVIEW OF THE LITERATURE [J].
BEYER, WEP ;
PALACHE, AM ;
BALJET, M ;
MASUREL, N .
VACCINE, 1989, 7 (05) :385-394
[2]
DEBRIOKM OA, IN PRESS J INFECT DI
[3]
DEBRUIJN IA, UNPUB NEUTRALIZING C
[4]
COMPARISON OF HUMORAL IMMUNE-RESPONSES TO TRIVALENT INFLUENZA SPLIT VACCINE IN YOUNG, MIDDLE-AGED AND ELDERLY PEOPLE [J].
GLATHE, H ;
BIGL, S ;
GROSCHE, A .
VACCINE, 1993, 11 (07) :702-705
[5]
IMMUNE-RESPONSE TO TRIVALENT INACTIVATED INFLUENZA VACCINE IN YOUNG AND ELDERLY SUBJECTS [J].
IORIO, AM ;
RIVOSECCHI, P ;
ZEI, T ;
NERI, M ;
MERLETTI, L .
VACCINE, 1989, 7 (04) :341-344
[6]
ANTIBODY-RESPONSE TO IMMUNIZATION WITH INFLUENZA A-USSR-77 (H1N1) VIRUS IN YOUNG INDIVIDUALS PRIMED OR UNPRIMED FOR A-NEW-JERSEY-76 (H1N1) VIRUS [J].
MASUREL, N ;
OPHOF, P ;
DEJONG, P .
JOURNAL OF HYGIENE, 1981, 87 (02) :201-209
[7]
ANTIBODY-RESPONSE TO WHOLE-VIRUS AND SPLIT-VIRUS INFLUENZA VACCINES IN SUCCESSFUL AGING [J].
MCELHANEY, JE ;
MENEILLY, GS ;
LECHELT, KE ;
BEATTIE, BL ;
BLEACKLEY, RC .
VACCINE, 1993, 11 (10) :1055-1060
[8]
Palatini P, 1993, High Blood Press Cardiovasc Prev, V2, P11
[9]
VACCINE-INDUCED ANTIBODIES TO HETEROLOGOUS INFLUENZA-A H1N1 VIRUSES - EFFECTS OF AGING AND ORIGINAL ANTIGENIC SIN [J].
POWERS, DC ;
BELSHE, RB .
JOURNAL OF INFECTIOUS DISEASES, 1994, 169 (05) :1125-1129
[10]
EFFECT OF AGE ON CYTOTOXIC LYMPHOCYTE-T MEMORY AS WELL AS SERUM AND LOCAL ANTIBODY-RESPONSES ELICITED BY INACTIVATED INFLUENZA-VIRUS VACCINE [J].
POWERS, DC ;
BELSHE, RB .
JOURNAL OF INFECTIOUS DISEASES, 1993, 167 (03) :584-592