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About:
The SENIEUR protocol and the efficacy of hepatitis B vaccination in healthy elderly persons by age, gender, and vaccine route
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An Entity of Type :
schema:ScholarlyArticle
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covidontheweb.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
The SENIEUR protocol and the efficacy of hepatitis B vaccination in healthy elderly persons by age, gender, and vaccine route
Creator
Chrisley, Lisa
Deming, Meagan
Barnes, Robin
Blackwelder, William
Edelman, Robert
Handwerger, Barry
Heuser, Mark
Pasetti, Marcela
Siddiqui, Khan
Sztein, Marcelo
Toapanta, Franklin
Wasserman, Steven
source
PMC
abstract
BACKGROUND: Reduced response to hepatitis B vaccines is associated with aging, confounding and comorbid conditions, as well as inadvertent subcutaneous (SC) inoculation. We hypothesized that the antibody and T cell-mediated immune responses (T-CMI) of elderly adults to a vaccine intended for intramuscular (IM) administration would be attenuated when deposited into SC fat, independent of confounding conditions. RESULTS: Fifty-two healthy, community dwelling elderly adults (65–82 years), seronegative for HBV, were enrolled in the SENIEUR protocol as a strictly healthy population. These seniors were randomized to receive a licensed alum-adjuvanted recombinant HBV vaccine either SC or IM, with the inoculum site verified by imaging. The response rates, defined as hepatitis B surface antibodies (HBsAb) ≥10 IU/L, were significantly lower in the elderly than in young adults, a group of 12, healthy, 21–34-year-old volunteers. Moreover, elderly participants who received the vaccine IM were significantly more likely to be responders than those immunized SC (54% versus 16%, p = 0.008). The low seroconversion rate in the IM group progressively declined with increasing age, and responders had significantly lower HBsAb titers and limited isotype responses. Moreover, T-CMI (proliferation and cytokine production) were significantly reduced in both percentage of responders and intensity of the response for both Th1 and Th2 subsets in the elderly. CONCLUSIONS: Our data demonstrate the blunted immunogenicity of SC inoculation as measured by peak titers and response rates. Further, the qualitative and quantitative deficits in B- and T-CMI responses to primary alum adjuvanted protein antigens persisted even in strictly healthy elderly populations with verified IM placement compared to younger populations. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, NCT04162223. Registered 14 November 2019. Retrospectively registered.
has issue date
2020-04-28
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bibo:doi
10.1186/s12979-020-00179-9
bibo:pmid
32355503
has license
cc-by
sha1sum (hex)
58524a1db06419f1109cbe4768eb3f2c424ebf89
schema:url
https://doi.org/10.1186/s12979-020-00179-9
resource representing a document's title
The SENIEUR protocol and the efficacy of hepatitis B vaccination in healthy elderly persons by age, gender, and vaccine route
has PubMed Central identifier
PMC7187507
has PubMed identifier
32355503
schema:publication
Immun Ageing
resource representing a document's body
covid:58524a1db06419f1109cbe4768eb3f2c424ebf89#body_text
is
schema:about
of
named entity 'intramuscular'
named entity 'vaccine'
named entity 'confounding'
named entity 'route'
named entity 'vaccine'
named entity 'vaccination'
covid:arg/58524a1db06419f1109cbe4768eb3f2c424ebf89
named entity 'subcutaneous'
named entity 'protocol'
named entity 'comorbid conditions'
named entity 'subcutaneous'
named entity 'vaccine'
named entity 'inoculation'
named entity 'fat'
named entity 'immune responses'
named entity 'elderly persons'
named entity 'conditions'
named entity 'Pixels'
named entity 'time lapse'
named entity '8 women'
named entity 'DEXA'
named entity 'symptom'
named entity 'confounders'
named entity 'PBMC'
named entity 'HBV'
named entity 'estrogen'
named entity 'vaccine'
named entity 'correlation'
named entity 'positive controls'
named entity 'Deltoid muscle'
named entity 'mAs'
named entity 'inoculum'
named entity 'comorbidities'
named entity 'cytokine'
named entity 'peripheral blood mononuclear cells'
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named entity 'IL-2'
named entity 'lymph nodes'
named entity 'vaccination'
named entity 'IL-4'
named entity 'vaccine'
named entity 'liqueur'
named entity '5.2'
named entity 'deltoid muscle'
named entity 'vaccine'
named entity 'cytokines'
named entity 'Abbott Laboratories'
named entity 'influenza vaccination'
named entity 'IFN-γ'
named entity 'covariate'
named entity 'immune dysfunction'
named entity 'image viewer'
named entity 'CBA'
named entity '7.2'
named entity 'Merck'
named entity 'immunization'
named entity 'PBMC'
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named entity 'cholesterol'
named entity 'Vitamin'
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named entity 'PBS'
named entity 'IgG2'
named entity 'HIV'
named entity 'vaccine'
named entity 'hepatitis'
named entity '1, 2'
named entity 'deltoid muscle'
named entity 'antibody response'
named entity 'intramuscular fat'
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