Protective Anti-HBs Antibodies and Response to a Booster Dose in Medical Students Vaccinated at Childhood

The immune system in humans is regulated by the circadian rhythm. Published studies have reported that the time of vaccination is associated with the immune response to vaccine for some pathogens. Our study aimed to evaluate the association between time of dose administration of challenge HBV vaccin...

Full description

Bibliographic Details
Main Authors: Luca Coppeta, Cristiana Ferrari, Greta Verno, Giuseppina Somma, Marco Trabucco Aurilio, Luca Di Giampaolo, Michele Treglia, Andrea Magrini, Antonio Pietroiusti, Stefano Rizza
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/11/8/1326
_version_ 1797583085283311616
author Luca Coppeta
Cristiana Ferrari
Greta Verno
Giuseppina Somma
Marco Trabucco Aurilio
Luca Di Giampaolo
Michele Treglia
Andrea Magrini
Antonio Pietroiusti
Stefano Rizza
author_facet Luca Coppeta
Cristiana Ferrari
Greta Verno
Giuseppina Somma
Marco Trabucco Aurilio
Luca Di Giampaolo
Michele Treglia
Andrea Magrini
Antonio Pietroiusti
Stefano Rizza
author_sort Luca Coppeta
collection DOAJ
description The immune system in humans is regulated by the circadian rhythm. Published studies have reported that the time of vaccination is associated with the immune response to vaccine for some pathogens. Our study aimed to evaluate the association between time of dose administration of challenge HBV vaccine and seroconversion for anti-HBs in medical students vaccinated at birth who were found to be unprotected at pre-training screening. Humoral protection for HBV was assessed in 885 medical students vaccinated during childhood. In total, 359 (41.0%) of them showed anti-HBs titer < 10 UI/mL and received a challenge dose of HBV vaccine followed by post-vaccination screening 30–60 days later. The challenge dose elicited a protective immune response (anti-HBs IgG titer > 10 UI/mL) in 295 (83.8%) individuals. Seroconversion was significantly associated with female gender and time of vaccination after controlling for age group and nationality at logistic regression analysis. Students who received the booster dose in the morning had a higher response rate than those who received the vaccine in the afternoon (OR 1.93; 95% C.I. 1.047–3.56: <i>p</i> < 0.05). This finding suggests that morning administration of the HBV booster may result in a better immune response in susceptible individuals.
first_indexed 2024-03-10T23:31:50Z
format Article
id doaj.art-9ddf7bb5e90244e48a0ab19515dd8d3c
institution Directory Open Access Journal
issn 2076-393X
language English
last_indexed 2024-03-10T23:31:50Z
publishDate 2023-08-01
publisher MDPI AG
record_format Article
series Vaccines
spelling doaj.art-9ddf7bb5e90244e48a0ab19515dd8d3c2023-11-19T03:17:32ZengMDPI AGVaccines2076-393X2023-08-01118132610.3390/vaccines11081326Protective Anti-HBs Antibodies and Response to a Booster Dose in Medical Students Vaccinated at ChildhoodLuca Coppeta0Cristiana Ferrari1Greta Verno2Giuseppina Somma3Marco Trabucco Aurilio4Luca Di Giampaolo5Michele Treglia6Andrea Magrini7Antonio Pietroiusti8Stefano Rizza9Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, ItalyDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, ItalyDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, ItalyDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, ItalyDepartment of Medicine and Health Sciences “V. Tiberio”, University of Molise, 86100 Campobasso, ItalyDepartment of Occupational Medicine, University of Chieti “G. D’Annunzio”, 66100 Chieti, ItalyDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, ItalyDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, ItalyDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, ItalyFaculty of Medicine, University “Nostra Signora del Buon Consiglio”, Tirana 1000, AlbaniaThe immune system in humans is regulated by the circadian rhythm. Published studies have reported that the time of vaccination is associated with the immune response to vaccine for some pathogens. Our study aimed to evaluate the association between time of dose administration of challenge HBV vaccine and seroconversion for anti-HBs in medical students vaccinated at birth who were found to be unprotected at pre-training screening. Humoral protection for HBV was assessed in 885 medical students vaccinated during childhood. In total, 359 (41.0%) of them showed anti-HBs titer < 10 UI/mL and received a challenge dose of HBV vaccine followed by post-vaccination screening 30–60 days later. The challenge dose elicited a protective immune response (anti-HBs IgG titer > 10 UI/mL) in 295 (83.8%) individuals. Seroconversion was significantly associated with female gender and time of vaccination after controlling for age group and nationality at logistic regression analysis. Students who received the booster dose in the morning had a higher response rate than those who received the vaccine in the afternoon (OR 1.93; 95% C.I. 1.047–3.56: <i>p</i> < 0.05). This finding suggests that morning administration of the HBV booster may result in a better immune response in susceptible individuals.https://www.mdpi.com/2076-393X/11/8/1326HBVvaccinationbooster dosemedical studentscircadian rhythmimmunological memory
spellingShingle Luca Coppeta
Cristiana Ferrari
Greta Verno
Giuseppina Somma
Marco Trabucco Aurilio
Luca Di Giampaolo
Michele Treglia
Andrea Magrini
Antonio Pietroiusti
Stefano Rizza
Protective Anti-HBs Antibodies and Response to a Booster Dose in Medical Students Vaccinated at Childhood
Vaccines
HBV
vaccination
booster dose
medical students
circadian rhythm
immunological memory
title Protective Anti-HBs Antibodies and Response to a Booster Dose in Medical Students Vaccinated at Childhood
title_full Protective Anti-HBs Antibodies and Response to a Booster Dose in Medical Students Vaccinated at Childhood
title_fullStr Protective Anti-HBs Antibodies and Response to a Booster Dose in Medical Students Vaccinated at Childhood
title_full_unstemmed Protective Anti-HBs Antibodies and Response to a Booster Dose in Medical Students Vaccinated at Childhood
title_short Protective Anti-HBs Antibodies and Response to a Booster Dose in Medical Students Vaccinated at Childhood
title_sort protective anti hbs antibodies and response to a booster dose in medical students vaccinated at childhood
topic HBV
vaccination
booster dose
medical students
circadian rhythm
immunological memory
url https://www.mdpi.com/2076-393X/11/8/1326
work_keys_str_mv AT lucacoppeta protectiveantihbsantibodiesandresponsetoaboosterdoseinmedicalstudentsvaccinatedatchildhood
AT cristianaferrari protectiveantihbsantibodiesandresponsetoaboosterdoseinmedicalstudentsvaccinatedatchildhood
AT gretaverno protectiveantihbsantibodiesandresponsetoaboosterdoseinmedicalstudentsvaccinatedatchildhood
AT giuseppinasomma protectiveantihbsantibodiesandresponsetoaboosterdoseinmedicalstudentsvaccinatedatchildhood
AT marcotrabuccoaurilio protectiveantihbsantibodiesandresponsetoaboosterdoseinmedicalstudentsvaccinatedatchildhood
AT lucadigiampaolo protectiveantihbsantibodiesandresponsetoaboosterdoseinmedicalstudentsvaccinatedatchildhood
AT micheletreglia protectiveantihbsantibodiesandresponsetoaboosterdoseinmedicalstudentsvaccinatedatchildhood
AT andreamagrini protectiveantihbsantibodiesandresponsetoaboosterdoseinmedicalstudentsvaccinatedatchildhood
AT antoniopietroiusti protectiveantihbsantibodiesandresponsetoaboosterdoseinmedicalstudentsvaccinatedatchildhood
AT stefanorizza protectiveantihbsantibodiesandresponsetoaboosterdoseinmedicalstudentsvaccinatedatchildhood