Soil transmitted helminth infections are not associated with compromised antibody responses to previously administered measles and tetanus vaccines among HIV-1 infected, ART naïve Kenyan adults

In many regions of sub-Saharan Africa, both HIV and helminth infections are prevalent. HIV-1 (human immunodeficiency virus type 1) and helminth infections can both compromise immune responses in humans. To determine whether the presence of helminth infection or the treatment of helminth infection al...

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Main Authors: Helen L. Storey, Benson Singa, Jackie Naulikha, Helen Horton, Barbra A. Richardson, Grace John-Stewart, Judd L. Walson
Format: Article
Language:English
Published: Elsevier 2017-02-01
Series:Parasite Epidemiology and Control
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S240567311630037X
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author Helen L. Storey
Benson Singa
Jackie Naulikha
Helen Horton
Barbra A. Richardson
Grace John-Stewart
Judd L. Walson
author_facet Helen L. Storey
Benson Singa
Jackie Naulikha
Helen Horton
Barbra A. Richardson
Grace John-Stewart
Judd L. Walson
author_sort Helen L. Storey
collection DOAJ
description In many regions of sub-Saharan Africa, both HIV and helminth infections are prevalent. HIV-1 (human immunodeficiency virus type 1) and helminth infections can both compromise immune responses in humans. To determine whether the presence of helminth infection or the treatment of helminth infection alters unstimulated vaccine responses among HIV-1 infected individuals, we conducted two nested serologic studies. Blood samples were collected for HIV disease monitoring and vaccine-specific serologic assays, while stool was evaluated by direct microscopy methods. We compared antibody responses to measles and tetanus vaccines in helminth-infected (Ascaris, Trichuris, hookworm and/or Schistosoma mansoni) and uninfected adults 18 years and older (n = 100). We also compared measles and tetanus antibody responses in Ascaris only-infected adults receiving 400 mg albendazole daily for 3 days (n = 16) vs. placebo (n = 19) in a separate study. In both cohorts, over 70% of participants had measles and tetanus responses above the protective threshold. Prevalence of measles responses were similar between helminth-infected and uninfected individuals (82%, 95% CI: 71–93% vs 72%, 95% CI: 59–85%), as well as log10 tetanus antibody levels (−0.133 IU/mL vs −0.190 IU/mL, p > 0.05), and did not differ by helminth species. In the Ascaris-infected cohort, changes in measles responses and tetanus responses did not differ between those who received anthelminthic vs. placebo (p > 0.05 for both). In these studies, neither helminth infection, nor deworming, appeared to affect previously administered vaccine responsiveness in HIV-1 infected, ART naïve, adults in Kenya.
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spelling doaj.art-068ff98543af4939be93fffa089f0e5a2022-12-22T01:15:21ZengElsevierParasite Epidemiology and Control2405-67312017-02-0121132010.1016/j.parepi.2016.12.003Soil transmitted helminth infections are not associated with compromised antibody responses to previously administered measles and tetanus vaccines among HIV-1 infected, ART naïve Kenyan adultsHelen L. Storey0Benson Singa1Jackie Naulikha2Helen Horton3Barbra A. Richardson4Grace John-Stewart5Judd L. Walson6Department of Epidemiology, University of Washington, 325 9th Ave, Seattle, WA 98104, USAKenya Medical Research Institute, Mbagathi Rd, Nairobi, KenyaKenya Medical Research Institute, Mbagathi Rd, Nairobi, KenyaSeattle Biomedical Research Institute, 307 Westlake Ave N #500, Seattle, WA, USADepartment of Biostatistics, University of Washington, 325 9th Ave, Seattle, WA 98104, USADepartment of Epidemiology, University of Washington, 325 9th Ave, Seattle, WA 98104, USADepartment of Epidemiology, University of Washington, 325 9th Ave, Seattle, WA 98104, USAIn many regions of sub-Saharan Africa, both HIV and helminth infections are prevalent. HIV-1 (human immunodeficiency virus type 1) and helminth infections can both compromise immune responses in humans. To determine whether the presence of helminth infection or the treatment of helminth infection alters unstimulated vaccine responses among HIV-1 infected individuals, we conducted two nested serologic studies. Blood samples were collected for HIV disease monitoring and vaccine-specific serologic assays, while stool was evaluated by direct microscopy methods. We compared antibody responses to measles and tetanus vaccines in helminth-infected (Ascaris, Trichuris, hookworm and/or Schistosoma mansoni) and uninfected adults 18 years and older (n = 100). We also compared measles and tetanus antibody responses in Ascaris only-infected adults receiving 400 mg albendazole daily for 3 days (n = 16) vs. placebo (n = 19) in a separate study. In both cohorts, over 70% of participants had measles and tetanus responses above the protective threshold. Prevalence of measles responses were similar between helminth-infected and uninfected individuals (82%, 95% CI: 71–93% vs 72%, 95% CI: 59–85%), as well as log10 tetanus antibody levels (−0.133 IU/mL vs −0.190 IU/mL, p > 0.05), and did not differ by helminth species. In the Ascaris-infected cohort, changes in measles responses and tetanus responses did not differ between those who received anthelminthic vs. placebo (p > 0.05 for both). In these studies, neither helminth infection, nor deworming, appeared to affect previously administered vaccine responsiveness in HIV-1 infected, ART naïve, adults in Kenya.http://www.sciencedirect.com/science/article/pii/S240567311630037XSoil-transmitted helminthHIVImmunizationVaccine preventable diseaseCo-infection
spellingShingle Helen L. Storey
Benson Singa
Jackie Naulikha
Helen Horton
Barbra A. Richardson
Grace John-Stewart
Judd L. Walson
Soil transmitted helminth infections are not associated with compromised antibody responses to previously administered measles and tetanus vaccines among HIV-1 infected, ART naïve Kenyan adults
Parasite Epidemiology and Control
Soil-transmitted helminth
HIV
Immunization
Vaccine preventable disease
Co-infection
title Soil transmitted helminth infections are not associated with compromised antibody responses to previously administered measles and tetanus vaccines among HIV-1 infected, ART naïve Kenyan adults
title_full Soil transmitted helminth infections are not associated with compromised antibody responses to previously administered measles and tetanus vaccines among HIV-1 infected, ART naïve Kenyan adults
title_fullStr Soil transmitted helminth infections are not associated with compromised antibody responses to previously administered measles and tetanus vaccines among HIV-1 infected, ART naïve Kenyan adults
title_full_unstemmed Soil transmitted helminth infections are not associated with compromised antibody responses to previously administered measles and tetanus vaccines among HIV-1 infected, ART naïve Kenyan adults
title_short Soil transmitted helminth infections are not associated with compromised antibody responses to previously administered measles and tetanus vaccines among HIV-1 infected, ART naïve Kenyan adults
title_sort soil transmitted helminth infections are not associated with compromised antibody responses to previously administered measles and tetanus vaccines among hiv 1 infected art naive kenyan adults
topic Soil-transmitted helminth
HIV
Immunization
Vaccine preventable disease
Co-infection
url http://www.sciencedirect.com/science/article/pii/S240567311630037X
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