1. Quantity and quality of antibodies after acellular versus whole cell pertussis vaccines in infants born to mothers who received Tdap during pregnancy: a randomised trial
- Author
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Wanlapakorn, N., Maertens, K., Peunpa, J., TRAN, Mai Phuong Thao, HENS, Niel, Van Damme, P., Thiriard, A., Raze, D., Locht, C., Poovorawan, Y., Leuridan, E., HENS, Niel, Poovorawan, Y., Thiriard, A., Leuridan, E., Wanlapakorn, N., Peunpa, J., TRAN, Mai Phuong Thao, Van Damme, P., Maertens, K., Raze, D., and Locht, C.
- Subjects
pertussis ,pregnancy ,maternal immunization ,functionality ,humoral immune response - Abstract
Background The blunting effect of maternal pertussis immunization during pregnancy on infant antibody responses induced by whole cell pertussis (wP) vaccination is not well-defined. Methods This randomized controlled trial (NCT02408926) followed term infants born to mothers vaccinated with tetanus-diphtheria-acellular pertussis (Tdap)-vaccine during pregnancy in Thailand. Infants received either acellular pertussis (aP)- or wP-containing vaccine at 2, 4, 6 and 18 months of age. A comparison group comprised wP-vaccinated children born to mothers not vaccinated during pregnancy. Antibodies against pertussis toxin (PT), filamentous haemagglutinin (FHA) and pertactin (PRN) were evaluated using commercial enzyme-linked immunosorbent assays (ELISA). Functionality of antibodies against B. pertussis was measured using B. pertussis growth inhibition assay (BGIA). Results After maternal Tdap vaccination, 158 infants vaccinated with aP-containing vaccines possessed higher antibody levels (p < 0.001) against all tested B. pertussis antigens post-priming compared to 157 infants receiving wP-containing vaccines. At one-month post-booster, only anti-FHA and anti-PRN antibodies were still significantly higher (p < 0.001) in the aP group. Significantly higher anti-PT and anti-FHA (p < 0.001), but not anti-PRN IgG, were observed among 69 wP-vaccinated infants born to control mothers compared to wP-vaccinated infants of Tdap-vaccinated mothers after primary and booster vaccination. The antibody functionality was higher in all wP vaccinated infants at all times. Conclusions Maternal Tdap vaccination inhibited more pertussis-specific responses in wP vaccinated infants compared to aP vaccinated infants, and the control group of unvaccinated women had highest pertussis-specific responses, persisting until after the booster dose. Antibody functionality was better in the wP groups. Thrasher Research Fund Award (EWAT 12348) Thailand Research Fund (TRF) (IRG5780015) NSTDA Center of Excellence in Clinical Virology (GCE 58-014-30-004) National Vaccine Institute Department of Pediatrics, Faculty of Medicine, Chulalongkorn University Region Auvergne-Rhone-Alpes Region Bourgogne-Franche-Comte Region Hauts-de-France Region Nouvelle-Aquitaine Institut National de la Sante et de la Recherche Medicale (Inserm) FWO (FWO 12R5719N) European Research Council under the European Union's Horizon 2020 research and innovation program (682540-TransMID) Ratchadaphiseksomphot Endowment Fund
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- 2020