Cytokine and antibody profiles in 1-year-old children vaccinated with either acellular or whole-cell pertussis vaccine during infancy

V Dirix, V Verscheure, T Goetghebuer, M Hainaut… - Vaccine, 2009 - Elsevier
V Dirix, V Verscheure, T Goetghebuer, M Hainaut, AS Debrie, C Locht, F Mascart
Vaccine, 2009Elsevier
Two different types of pertussis vaccines are currently available to protect children against
whooping cough, the first-generation whole-cell (Pw) vaccines and the more recent acellular
(Pa) vaccines. Both types provide good protection, yet induce different types of immune
responses in 6-month-old infants, with a strong Th1 response induced by Pw vaccines
compared to a mixed Th1/Th2 response and a delay in non-specific IFN-γ secretions after
the administration of Pa vaccines. We show here that at 13 months of age, most Pw-or Pa …
Two different types of pertussis vaccines are currently available to protect children against whooping cough, the first-generation whole-cell (Pw) vaccines and the more recent acellular (Pa) vaccines. Both types provide good protection, yet induce different types of immune responses in 6-month-old infants, with a strong Th1 response induced by Pw vaccines compared to a mixed Th1/Th2 response and a delay in non-specific IFN-γ secretions after the administration of Pa vaccines. We show here that at 13 months of age, most Pw- or Pa-vaccinated children display Bordetella pertussis-specific T-cell responses, in addition to significant antibody levels, although a higher Th2/Th1 cytokine ratio remained in Pa recipients compared to Pw recipients. In contrast, the proportion of children with tetanus toxin-specific T-cell responses was lower in Pa than in Pw vaccine recipients, although most children had protective anti-tetanus toxin IgG levels. In addition, the global Th2 bias observed in 6-month-old infants vaccinated with a Pa vaccine was normalized at 13 months.
Elsevier