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Published on: February 22, 2019
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
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.
Abstract:
Many efforts are currently made to prepare combined vaccines against most infectious pathogens, that may be administered early in life to protect infants against infectious diseases as early as possible. However, little is known about the general immune modulation induced by early vaccination. Here, we have analyzed the cytokine secretion profiles of two groups of 6-month-old infants having received as primary immunization either a whole-cell (Pw) or an acellular (Pa) pertussis vaccine in a tetravalent formulation of pertussis-tetanus-diphtheria-poliomyelitis vaccines. Both groups of infants secreted IFN-gamma in response to the Bordetella pertussis antigens filamentous haemagglutinin and pertussis toxin, and this response was correlated with antigen-specific IL-12p70 secretion, indicating that both pertussis vaccines induced Th1 cytokines. However, Pa recipients also developed a strong Th2-type cytokine response to the B. pertussis antigens, as noted previously. In addition, they induced Th2-type cytokines to the co-administrated antigen tetanus toxoïd, as well as to the food antigen beta-lactoglobulin. Furthermore, the general cytokine profile of the Pa recipients was strongly Th2-skewed at 6 months, as indicated by the cytokines induced by the mitogen phytohaemagglutinin. These data demonstrate that the cytokine profile of 6-month-old infants is influenced by the type of formulation of the pertussis vaccine they received at 2, 3 and 4 months of life. Large prospective studies would be warranted to evaluate the possible long-term consequences of this early modulation of the cytokine responses in infants.
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