1. A randomized clinical trial of the impact of melatonin on influenza vaccine: Outcomes from the melatonin and vaccine response immunity and chronobiology study (MAVRICS)
- Author
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Rachel U. Lee, Nora L. Watson, Gena L. Glickman, Lindsey White, Sandra D. Isidean, Chad K. Porter, Monique Hollis-Perry, Samuel R. Walther, Santina Maiolatesi, Martha Sedegah, Harini Ganeshan, Jun Huang, David A. Boulifard, Daniel Ewing, Appavu K. Sundaram, Elizabeth M. Harrison, Katherine DeTizio, Maria Belmonte, Arnel Belmonte, Sandra Inoue, Alexandra Easterling, Elizabeth S. Cooper, and Janine Danko
- Subjects
Vaccine immunogenicity ,influenza vaccine ,melatonin ,vaccine adjuvant ,humoral immunity ,cellular immunity ,Immunologic diseases. Allergy ,RC581-607 ,Therapeutics. Pharmacology ,RM1-950 - Abstract
Vaccine immunogenicity is affected by a variety of factors. Melatonin has been reported to affect immune responses to vaccines and infection. This was a randomized open-label trial – in which adults scheduled to receive the influenza vaccine were randomized to 5 mg melatonin or control to evaluate the effect of post-vaccination melatonin on humoral (hemagglutination-inhibition assays, HAI) and cellular (FluoroSpot) vaccine-specific cytokine responses 14–21 days post-vaccination. A total of 108 participants (melatonin treatment group: 53; control group: 55) completed the study. The groups were similar in baseline characteristics, including sleep as measured by the Pittsburgh Sleep Quality Index. Seroconversion rates or geometric mean fold rises (GMFR) in HAI titers did not vary by treatment group. There were also no statistically significant differences between pre- and post-vaccination levels of interferon gamma (IFN-γ) or granzyme B (GzB) by treatment; however, there was a significantly higher fold rise in the double secretor (IFN-γ + GzB) peripheral blood mononuclear cells for influenza vaccine in subjects taking daily melatonin (GMFR 1.7; 95% CI 1.3, 2.3) compared to those who did not (GMFR 0.9; 95% CI 0.7, 1.1) (p
- Published
- 2024
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