Dynamics of the Antibody Response After a Third Dose of Measles-Mumps-Rubella Vaccine Indicate a Slower Decline Compared With a Second Dose
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Updated: Nov 27, 2025

Dynamic Monitoring of Seroconversion using a Multianalyte Immunobead Assay for Covid-19
Published on: February 16, 2022
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.
Background:
Breakthrough infections of measles and mumps have raised concerns about the duration of vaccine-induced immunity, which might be improved by a third dose of measles-mumps-rubella vaccine (MMR3).
Methods:
Here we compared (IgG) antibody levels against measles, mumps, and rubella in blood samples of 9-year-old children and young adults (18-25 years) following MMR2 and MMR3, respectively.
Results:
We found that, in addition to antibody boosting for all 3 vaccine components, MMR3 resulted in lower antibody decay rates than MMR2; the declines were most prominent for mumps and rubella.
Conclusions:
This study suggests that MMR3 provides long-lasting seroprotection against measles, mumps, and rubella.
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.
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