Influence of prior meningococcal C polysaccharide vaccination on the response and generation of memory after meningococcal C conjugate vaccination inyoung children
R. Borrow et al., Influence of prior meningococcal C polysaccharide vaccination on the response and generation of memory after meningococcal C conjugate vaccination inyoung children, J INFEC DIS, 184(3), 2001, pp. 377-380
To determine whether the immunological hyporesponsiveness induced by mening
ococcal AC polysaccharide (MACP) vaccines can be overcome by meningococcal
C conjugate (MCC) vaccine in young children, serum bactericidal antibody (S
BA) serogroup C-specific IgG and IgG avidity indices were measured in young
children who received MACP vaccine, followed 7 months later by MCC vaccine
, and their responses were compared with those in age-matched MACP-naive co
ntrol children, who received a single dose of MCC vaccine. For children <1
year of age at MACP vaccination, the SBA geometric mean titer (GMT) after M
CC vaccination was lower (P = .022) and proportions with SBA titers <8 (P =
.0083)or <128 ( P = .0091) were higher than those in the control children.
For older children, there was no difference in the SBA GMTs between the st
udy and control groups (P > .5) or in the proportion with SBA titers <8 (P
= 1.00) or <128 (P = .98). No increase in avidity occurred after MACP vacci
nation, whereas avidity increased significantly 1 month after MCC vaccinati
on, with a further increase at 6 months, which indicates that the induction
of immunological memory was not impaired.