Dynamics of the Antibody Response After a Third Dose of Measles-Mumps-Rubella Vaccine Indicate a Slower Decline

Patricia Kaaijk1, M Alina Nicolaie1, Debbie van Rooijen1

  • 1Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.

Abstract

Insights

A third dose of the measles-mumps-rubella vaccine (MMR3) boosts immunity and slows antibody decline compared to two doses (MMR2). This suggests MMR3 offers extended seroprotection against measles, mumps, and rubella.

Area of Science:

  • Immunology
  • Vaccinology
  • Public Health

Background:

  • Breakthrough measles and mumps infections raise concerns about vaccine-induced immunity duration.
  • The measles-mumps-rubella vaccine (MMR3) is being investigated as a way to enhance long-term protection.

Purpose of the Study:

  • To compare antibody levels and decay rates after two doses (MMR2) versus three doses (MMR3) of the measles-mumps-rubella vaccine.
  • To assess the impact of MMR3 on seroprotection against measles, mumps, and rubella.

Main Methods:

  • Compared IgG antibody levels in 9-year-old children (MMR2) and young adults (18-25 years, MMR3).
  • Analyzed blood samples for measles, mumps, and rubella antibody titers.
  • Assessed antibody decay rates over time.

Main Results:

  • MMR3 demonstrated antibody boosting for all three vaccine components (measles, mumps, rubella).
  • MMR3 showed significantly lower antibody decay rates compared to MMR2.
  • The most prominent antibody decline differences were observed for mumps and rubella components.

Conclusions:

  • The findings suggest that MMR3 provides enhanced and potentially longer-lasting seroprotection.
  • A third MMR dose may improve the durability of vaccine-induced immunity against measles, mumps, and rubella.