A real-world study on the changing characteristics of measles antibodies in premature infants in China

ABSTRACTThe waning of maternal antibodies may cause infants to lose protection against measles before receiving measles-containing vaccine (MCV). The aim of this study is to investigate the changing characteristics and influencing factors of measles antibodies in preterm infants (PT), and to provide...

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Main Authors: Mingyan Li, Weiwei Zhang, Shuangshuang Zheng, Junxia Guo, Hanqing He, Yongjun Ma, Yan Huang, Yan Feng, Chai Ji
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/21645515.2024.2338505
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author Mingyan Li
Weiwei Zhang
Shuangshuang Zheng
Junxia Guo
Hanqing He
Yongjun Ma
Yan Huang
Yan Feng
Chai Ji
author_facet Mingyan Li
Weiwei Zhang
Shuangshuang Zheng
Junxia Guo
Hanqing He
Yongjun Ma
Yan Huang
Yan Feng
Chai Ji
author_sort Mingyan Li
collection DOAJ
description ABSTRACTThe waning of maternal antibodies may cause infants to lose protection against measles before receiving measles-containing vaccine (MCV). The aim of this study is to investigate the changing characteristics and influencing factors of measles antibodies in preterm infants (PT), and to provide scientific basis for optimizing MCV vaccination strategy of the target population. Blood samples were collected from PT and full-term infants (FT) at the chronological age (CA) of 3, 6, and 12 months. Measles antibodies were quantitatively detected by enzyme-linked immunosorbent assay. Demographic and vaccination information were both collected. Kruskal–Wallis rank sum test was used to compare the measles antibodies among different gestation age (GA) groups, and multiple linear regression was performed to identify the correlative factors for the antibodies. Measles antibodies of PT decreased significantly with age increasing before MCV vaccination. The positive rates of antibodies of PT were 10.80% and 3.30% at the age of 3 and 6 months, respectively (p < .001). At 12 months, the measles antibodies and seropositive rate in the infants who received MCV vaccination increased sharply (p < .001). Regression analyzes showed that the younger the GA or the older the age, the lower the antibodies at 3 months(p < .001,p = .018); while the lower measles antibody levels at 3 months and older age predicted the lower antibodies at 6 months(p < .001, p = .029). PT were susceptible to measles due to the low level of maternally derived antibodies before MCV vaccination. More efforts should be considered to protect the vulnerable population during their early postnatal life.
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spelling doaj.art-a352e49b764543d6a766b4e7c088b0ee2024-04-11T01:01:11ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2024-12-0120110.1080/21645515.2024.2338505A real-world study on the changing characteristics of measles antibodies in premature infants in ChinaMingyan Li0Weiwei Zhang1Shuangshuang Zheng2Junxia Guo3Hanqing He4Yongjun Ma5Yan Huang6Yan Feng7Chai Ji8Department of Child Health Care, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, ChinaDepartment of Child Health Care, Maternal and Child Health Hospital of Changxing, Huzhou, ChinaDepartment of Child Health Care, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, ChinaDepartment of Child Health Care, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, ChinaDepartment of Immunization Program, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, ChinaDepartment of Pediatrics, Maternal and Child Healthcare Hospital Department of Shangyu, Shaoxing, ChinaDepartment of Immunization Program, Center for Disease Control and Prevention of Shangyu, Shaoxing, ChinaDepartment of Immunization Program, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, ChinaDepartment of Child Health Care, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, ChinaABSTRACTThe waning of maternal antibodies may cause infants to lose protection against measles before receiving measles-containing vaccine (MCV). The aim of this study is to investigate the changing characteristics and influencing factors of measles antibodies in preterm infants (PT), and to provide scientific basis for optimizing MCV vaccination strategy of the target population. Blood samples were collected from PT and full-term infants (FT) at the chronological age (CA) of 3, 6, and 12 months. Measles antibodies were quantitatively detected by enzyme-linked immunosorbent assay. Demographic and vaccination information were both collected. Kruskal–Wallis rank sum test was used to compare the measles antibodies among different gestation age (GA) groups, and multiple linear regression was performed to identify the correlative factors for the antibodies. Measles antibodies of PT decreased significantly with age increasing before MCV vaccination. The positive rates of antibodies of PT were 10.80% and 3.30% at the age of 3 and 6 months, respectively (p < .001). At 12 months, the measles antibodies and seropositive rate in the infants who received MCV vaccination increased sharply (p < .001). Regression analyzes showed that the younger the GA or the older the age, the lower the antibodies at 3 months(p < .001,p = .018); while the lower measles antibody levels at 3 months and older age predicted the lower antibodies at 6 months(p < .001, p = .029). PT were susceptible to measles due to the low level of maternally derived antibodies before MCV vaccination. More efforts should be considered to protect the vulnerable population during their early postnatal life.https://www.tandfonline.com/doi/10.1080/21645515.2024.2338505Measlesmeasles antibodypreterm infantscorrelative factorsmeasles-containing vaccine
spellingShingle Mingyan Li
Weiwei Zhang
Shuangshuang Zheng
Junxia Guo
Hanqing He
Yongjun Ma
Yan Huang
Yan Feng
Chai Ji
A real-world study on the changing characteristics of measles antibodies in premature infants in China
Human Vaccines & Immunotherapeutics
Measles
measles antibody
preterm infants
correlative factors
measles-containing vaccine
title A real-world study on the changing characteristics of measles antibodies in premature infants in China
title_full A real-world study on the changing characteristics of measles antibodies in premature infants in China
title_fullStr A real-world study on the changing characteristics of measles antibodies in premature infants in China
title_full_unstemmed A real-world study on the changing characteristics of measles antibodies in premature infants in China
title_short A real-world study on the changing characteristics of measles antibodies in premature infants in China
title_sort real world study on the changing characteristics of measles antibodies in premature infants in china
topic Measles
measles antibody
preterm infants
correlative factors
measles-containing vaccine
url https://www.tandfonline.com/doi/10.1080/21645515.2024.2338505
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