Abstract
We investigated the immunogenicity, seroprotection rates and persistence of immune memory in young children at high risk of pneumococcal disease in Papua New Guinea (PNG). Children were primed with 10-valent (PCV10) or 13-valent pneumococcal conjugate vaccines (PCV13) at 1, 2 and 3 months of age and randomized at 9 months to receive PPV (PCV10/PPV-vaccinated, n = 51; PCV13/PPV-vaccinated, n = 52) or no PPV (PCV10/PPV-naive, n = 57; PCV13/PPV-naive, n = 48). All children received a micro-dose of PPV at 23 months of age to study the capacity to respond to a pneumococcal challenge. PPV vaccination resulted in significantly increased IgG responses (1.4 to 10.5-fold change) at 10 months of age for all PPV-serotypes tested. Both PPV-vaccinated and PPV-naive children responded to the 23-month challenge and post-challenge seroprotection rates (IgG ≥ 0.35 µg/mL) were similar in the two groups (80–100% for 12 of 14 tested vaccine serotypes). These findings show that PPV is immunogenic in 9-month-old children at high risk of pneumococcal infections and does not affect the capacity to produce protective immune responses. Priming with currently available PCVs followed by a PPV booster in later infancy could offer improved protection to young children at high risk of severe pneumococcal infections caused by a broad range of serotypes.
| Original language | English |
|---|---|
| Article number | 17 |
| Journal | Vaccines |
| Volume | 7 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 4 Feb 2019 |
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Immunogenicity and immune memory after a pneumococcal polysaccharide vaccine booster in a high-risk population primed with 10-valent or 13-valent pneumococcal conjugate vaccine : A randomized controlled trial in Papua New Guinean children. / van den Biggelaar, Anita H.J.; Pomat, William S.; Masiria, Geraldine; Wana, Sandra; Nivio, Birunu; Francis, Jacinta; Ford, Rebecca; Passey, Megan; Kirkham, Lea Ann; Jacoby, Peter; Lehmann, Deborah; Richmond, Peter.
In: Vaccines, Vol. 7, No. 1, 17, 04.02.2019.Research output: Contribution to journal › Article
TY - JOUR
T1 - Immunogenicity and immune memory after a pneumococcal polysaccharide vaccine booster in a high-risk population primed with 10-valent or 13-valent pneumococcal conjugate vaccine
T2 - A randomized controlled trial in Papua New Guinean children
AU - van den Biggelaar, Anita H.J.
AU - Pomat, William S.
AU - Masiria, Geraldine
AU - Wana, Sandra
AU - Nivio, Birunu
AU - Francis, Jacinta
AU - Ford, Rebecca
AU - Passey, Megan
AU - Kirkham, Lea Ann
AU - Jacoby, Peter
AU - Lehmann, Deborah
AU - Richmond, Peter
PY - 2019/2/4
Y1 - 2019/2/4
N2 - We investigated the immunogenicity, seroprotection rates and persistence of immune memory in young children at high risk of pneumococcal disease in Papua New Guinea (PNG). Children were primed with 10-valent (PCV10) or 13-valent pneumococcal conjugate vaccines (PCV13) at 1, 2 and 3 months of age and randomized at 9 months to receive PPV (PCV10/PPV-vaccinated, n = 51; PCV13/PPV-vaccinated, n = 52) or no PPV (PCV10/PPV-naive, n = 57; PCV13/PPV-naive, n = 48). All children received a micro-dose of PPV at 23 months of age to study the capacity to respond to a pneumococcal challenge. PPV vaccination resulted in significantly increased IgG responses (1.4 to 10.5-fold change) at 10 months of age for all PPV-serotypes tested. Both PPV-vaccinated and PPV-naive children responded to the 23-month challenge and post-challenge seroprotection rates (IgG ≥ 0.35 µg/mL) were similar in the two groups (80–100% for 12 of 14 tested vaccine serotypes). These findings show that PPV is immunogenic in 9-month-old children at high risk of pneumococcal infections and does not affect the capacity to produce protective immune responses. Priming with currently available PCVs followed by a PPV booster in later infancy could offer improved protection to young children at high risk of severe pneumococcal infections caused by a broad range of serotypes.
AB - We investigated the immunogenicity, seroprotection rates and persistence of immune memory in young children at high risk of pneumococcal disease in Papua New Guinea (PNG). Children were primed with 10-valent (PCV10) or 13-valent pneumococcal conjugate vaccines (PCV13) at 1, 2 and 3 months of age and randomized at 9 months to receive PPV (PCV10/PPV-vaccinated, n = 51; PCV13/PPV-vaccinated, n = 52) or no PPV (PCV10/PPV-naive, n = 57; PCV13/PPV-naive, n = 48). All children received a micro-dose of PPV at 23 months of age to study the capacity to respond to a pneumococcal challenge. PPV vaccination resulted in significantly increased IgG responses (1.4 to 10.5-fold change) at 10 months of age for all PPV-serotypes tested. Both PPV-vaccinated and PPV-naive children responded to the 23-month challenge and post-challenge seroprotection rates (IgG ≥ 0.35 µg/mL) were similar in the two groups (80–100% for 12 of 14 tested vaccine serotypes). These findings show that PPV is immunogenic in 9-month-old children at high risk of pneumococcal infections and does not affect the capacity to produce protective immune responses. Priming with currently available PCVs followed by a PPV booster in later infancy could offer improved protection to young children at high risk of severe pneumococcal infections caused by a broad range of serotypes.
KW - Antibodies
KW - Immune memory
KW - Papua New Guinea
KW - Pneumococcal conjugate vaccine
KW - Pneumococcal polysaccharide vaccine
KW - S. pneumoniae
UR - http://www.scopus.com/inward/record.url?scp=85062272081&partnerID=8YFLogxK
U2 - 10.3390/vaccines7010017
DO - 10.3390/vaccines7010017
M3 - Article
VL - 7
JO - Vaccines
JF - Vaccines
SN - 2076-393X
IS - 1
M1 - 17
ER -