Long-Term Immunogenicity upon Pertussis Booster Vaccination in Young Adults and Children in Relation to Priming Vaccinations in Infancy

Booster vaccinations for pertussis are advised in many countries during childhood or adulthood. In a phase IV longitudinal interventional study, we assessed long-term immunity following an extra pertussis booster vaccination in children and adults. Children (9 years of age) were primed in infancy wi...

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Main Authors: Pauline Versteegen, Axel A. Bonačić Marinović, Pieter G. M. van Gageldonk, Saskia van der Lee, Lotte H. Hendrikx, Elisabeth A. M. Sanders, Guy A. M. Berbers, Anne-Marie Buisman
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/10/5/693
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author Pauline Versteegen
Axel A. Bonačić Marinović
Pieter G. M. van Gageldonk
Saskia van der Lee
Lotte H. Hendrikx
Elisabeth A. M. Sanders
Guy A. M. Berbers
Anne-Marie Buisman
author_facet Pauline Versteegen
Axel A. Bonačić Marinović
Pieter G. M. van Gageldonk
Saskia van der Lee
Lotte H. Hendrikx
Elisabeth A. M. Sanders
Guy A. M. Berbers
Anne-Marie Buisman
author_sort Pauline Versteegen
collection DOAJ
description Booster vaccinations for pertussis are advised in many countries during childhood or adulthood. In a phase IV longitudinal interventional study, we assessed long-term immunity following an extra pertussis booster vaccination in children and adults. Children (9 years of age) were primed in infancy with either the Dutch whole cell pertussis (wP) vaccine (<i>n</i> = 49) or acellular pertussis (aP) vaccines (<i>n</i> = 59), and all children received a preschool aP booster. Adults (25–29 years, <i>n</i> = 86) were wP-primed in infancy and did not receive a preschool booster. All were followed-up for approximately 6 years. After the additional booster, antibody responses to pertussis were more heterogeneous but generally higher in adults compared with children, and additional modelling showed that antibody concentrations remained higher for at least a decade. Serologic parameters indicative of recent pertussis infection were more often found in aP-primed children (12%) compared with wP-primed individuals (2%) (<i>p</i> = 0.052). This suggests that the aP booster vaccination in aP-primed children offers less long-term protection against pertussis infection and consequently against transmission. Together, these data show that aP priming in combination with aP boosting may not be sufficient to prevent circulation and transmission, while wP-primed adults may benefit from enhanced long-lasting immunity.
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spelling doaj.art-32ce92dc62c0403bbfc7ec9f0025313a2023-11-23T13:25:39ZengMDPI AGVaccines2076-393X2022-04-0110569310.3390/vaccines10050693Long-Term Immunogenicity upon Pertussis Booster Vaccination in Young Adults and Children in Relation to Priming Vaccinations in InfancyPauline Versteegen0Axel A. Bonačić Marinović1Pieter G. M. van Gageldonk2Saskia van der Lee3Lotte H. Hendrikx4Elisabeth A. M. Sanders5Guy A. M. Berbers6Anne-Marie Buisman7National Institute for Public Health and the Environment, Centre for Infectious Disease Control, P.O. Box 1, 3720 BA Bilthoven, The NetherlandsNational Institute for Public Health and the Environment, Centre for Infectious Disease Control, P.O. Box 1, 3720 BA Bilthoven, The NetherlandsNational Institute for Public Health and the Environment, Centre for Infectious Disease Control, P.O. Box 1, 3720 BA Bilthoven, The NetherlandsNational Institute for Public Health and the Environment, Centre for Infectious Disease Control, P.O. Box 1, 3720 BA Bilthoven, The NetherlandsDepartment of Paediatrics, Bovenij Hospital, P.O. Box 37610, 1030 BD Amsterdam, The NetherlandsNational Institute for Public Health and the Environment, Centre for Infectious Disease Control, P.O. Box 1, 3720 BA Bilthoven, The NetherlandsNational Institute for Public Health and the Environment, Centre for Infectious Disease Control, P.O. Box 1, 3720 BA Bilthoven, The NetherlandsNational Institute for Public Health and the Environment, Centre for Infectious Disease Control, P.O. Box 1, 3720 BA Bilthoven, The NetherlandsBooster vaccinations for pertussis are advised in many countries during childhood or adulthood. In a phase IV longitudinal interventional study, we assessed long-term immunity following an extra pertussis booster vaccination in children and adults. Children (9 years of age) were primed in infancy with either the Dutch whole cell pertussis (wP) vaccine (<i>n</i> = 49) or acellular pertussis (aP) vaccines (<i>n</i> = 59), and all children received a preschool aP booster. Adults (25–29 years, <i>n</i> = 86) were wP-primed in infancy and did not receive a preschool booster. All were followed-up for approximately 6 years. After the additional booster, antibody responses to pertussis were more heterogeneous but generally higher in adults compared with children, and additional modelling showed that antibody concentrations remained higher for at least a decade. Serologic parameters indicative of recent pertussis infection were more often found in aP-primed children (12%) compared with wP-primed individuals (2%) (<i>p</i> = 0.052). This suggests that the aP booster vaccination in aP-primed children offers less long-term protection against pertussis infection and consequently against transmission. Together, these data show that aP priming in combination with aP boosting may not be sufficient to prevent circulation and transmission, while wP-primed adults may benefit from enhanced long-lasting immunity.https://www.mdpi.com/2076-393X/10/5/693pertussisvaccinationserologyinfectionhuman studies
spellingShingle Pauline Versteegen
Axel A. Bonačić Marinović
Pieter G. M. van Gageldonk
Saskia van der Lee
Lotte H. Hendrikx
Elisabeth A. M. Sanders
Guy A. M. Berbers
Anne-Marie Buisman
Long-Term Immunogenicity upon Pertussis Booster Vaccination in Young Adults and Children in Relation to Priming Vaccinations in Infancy
Vaccines
pertussis
vaccination
serology
infection
human studies
title Long-Term Immunogenicity upon Pertussis Booster Vaccination in Young Adults and Children in Relation to Priming Vaccinations in Infancy
title_full Long-Term Immunogenicity upon Pertussis Booster Vaccination in Young Adults and Children in Relation to Priming Vaccinations in Infancy
title_fullStr Long-Term Immunogenicity upon Pertussis Booster Vaccination in Young Adults and Children in Relation to Priming Vaccinations in Infancy
title_full_unstemmed Long-Term Immunogenicity upon Pertussis Booster Vaccination in Young Adults and Children in Relation to Priming Vaccinations in Infancy
title_short Long-Term Immunogenicity upon Pertussis Booster Vaccination in Young Adults and Children in Relation to Priming Vaccinations in Infancy
title_sort long term immunogenicity upon pertussis booster vaccination in young adults and children in relation to priming vaccinations in infancy
topic pertussis
vaccination
serology
infection
human studies
url https://www.mdpi.com/2076-393X/10/5/693
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