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Effect of Vitamin A supplementation on the immune response to measles vaccination
Thomas Cherian1, Sneha Varkki, P Raghupathy
1Department of Child Health, Christian Medical College, Vellore, India. cherian@who.int
Insights
Vitamin A supplementation did not enhance the immune response to measles vaccine in infants. This study found no significant difference in antibody levels between supplemented and unsupplemented children.
Area of Science:
- Immunology
- Pediatrics
- Nutritional Science
Background:
- Vitamin A is crucial for immune function.
- Previous studies suggested Vitamin A may enhance vaccine response.
- The impact of Vitamin A on measles vaccine immunogenicity in infants requires further investigation.
Purpose of the Study:
- To evaluate the effect of Vitamin A supplementation on the immune response to measles vaccination in infants aged 9-12 months.
Main Methods:
- A randomized controlled trial involving 395 infants.
- Infants received either Vitamin A supplementation or a placebo concurrently with the measles vaccine.
- Antibody response was assessed using the plaque reduction neutralization assay.
Main Results:
- No statistically significant differences in antibody response were observed between the Vitamin A supplemented and unsupplemented groups.
- The study did not find evidence of an immune-enhancing effect of Vitamin A supplementation on measles vaccine response.
- A non-significant trend showed a lower proportion of protected antibody levels in the Vitamin A group at 6 months post-vaccination.
Conclusions:
- Vitamin A supplementation does not appear to enhance the immunogenicity of the measles vaccine in 9-12 month old infants.
- Findings contrast with some previous research, highlighting the need for further studies on Vitamin A and vaccine efficacy.
- The potential for Vitamin A to negatively impact vaccine response warrants additional investigation.
Abstract:
A randomized controlled trial was conducted in 395 infants aged 9-12 months to determine the effect of Vitamin A supplementation on concurrently administered measles vaccine. Antibody response was measured using the plaque reduction neutralization assay. No statistically significant differences were demonstrated between the immune response in Vitamin A supplemented and unsupplemented children. Unlike some recent studies, we were unable to demonstrate an immune enhancing effect of Vitamin A supplementation. On the contrary, among children who were given Vitamin A, a lower, but statistically non-significant, proportion had protective antibody levels 6 months after vaccination.
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