Modulation of the infant immune responses by the first pertussis vaccine administrations

F Mascart1, M Hainaut, A Peltier

  • 1Laboratory of Vaccinology and Mucosal Immunity, Erasme Hosp, Route de Lennik, 1070 Brussels, Belgium. fmascart@ulb.ac.be

Vaccine
|November 23, 2006
PubMed

Insights

Infant pertussis vaccination type influences immune responses. Acellular pertussis vaccines skew infant cytokine profiles towards Th2, potentially impacting long-term immunity and requiring further study.

Area of Science:

  • Immunology
  • Vaccinology
  • Pediatrics

Background:

  • Infant vaccination aims for early protection against infectious diseases.
  • The immune modulation effects of early childhood vaccinations are not fully understood.
  • Pertussis vaccines are crucial components of infant immunization schedules.

Purpose of the Study:

  • To analyze and compare the cytokine secretion profiles in infants immunized with whole-cell (Pw) versus acellular (Pa) pertussis vaccines.
  • To investigate the impact of different pertussis vaccine formulations on early infant immune responses.
  • To assess Th1 and Th2 cytokine induction following primary immunization in infants.

Main Methods:

  • Analysis of cytokine secretion profiles in 6-month-old infants.
  • Two infant groups received either whole-cell (Pw) or acellular (Pa) pertussis vaccines in a tetravalent formulation (pertussis-tetanus-diphtheria-poliomyelitis).
  • Cytokine responses were measured against Bordetella pertussis antigens, tetanus toxoid, and beta-lactoglobulin, as well as phytohaemagglutinin stimulation.

Main Results:

  • Both Pw and Pa vaccines induced Th1 cytokines (IFN-gamma, IL-12p70) in response to pertussis antigens.
  • Infants receiving the Pa vaccine exhibited a strong Th2 cytokine response to pertussis antigens and tetanus toxoid.
  • Pa recipients showed a general Th2-skewed cytokine profile, including responses to a food antigen (beta-lactoglobulin) and mitogen stimulation.

Conclusions:

  • The formulation of the pertussis vaccine administered early in life influences the cytokine profile of 6-month-old infants.
  • Acellular pertussis vaccines appear to induce a more pronounced Th2-skewed immune response compared to whole-cell vaccines.
  • Further large prospective studies are needed to determine the long-term consequences of this early immune modulation by infant vaccines.

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