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Factors associated with humoral immune response to pandemic A/H1N1(v) 2009 influenza vaccine in cystic fibrosis

Identifieur interne : 000455 ( France/Analysis ); précédent : 000454; suivant : 000456

Factors associated with humoral immune response to pandemic A/H1N1(v) 2009 influenza vaccine in cystic fibrosis

Auteurs : O. Launay [France] ; P. Y. Boelle [France] ; A. Krivine [France] ; D. Grenet [France] ; V. Boussaud [France] ; N. Remus [France] ; H. Corvol [France] ; F. Chedevergne [France] ; D. Hubert [France] ; I. Sermet-Gaudelus [France]

Source :

RBID : Pascal:14-0190727

Descripteurs français

English descriptors

Abstract

Influenza vaccination is recommended in cystic fibrosis patients. The objective of this study was to assess the immunogenicity of vaccination against 2009 pandemic A/H1N1 influenza and to study the factors associated with the immune response in patients with cystic fibrosis. 122 patients with cystic fibrosis were enrolled in a prospective study and received 1 dose of 2009/H1N1v adjuvanted vaccine, or for children <2 years and lung-transplanted patients, two doses of non-adjuvanted 2009/H1N1v vaccine administered 21 days apart. Hemagglutination inhibition antibodies were assessed before and 21 days after vaccination and at least 6 months after vaccination. After vaccination, 85% of the patients had an influenza antibody titer ≥1:40 and 69% seroconverted. 13% of the transplanted patients seroconverted compared with 72% of the non-transplanted patients. In this latter group, non-adjuvanted vaccine and low body mass index were independently associated with lower response to vaccination. 86% of the non-transplanted patients with normal BMI and receiving adjuvanted vaccine seroconverted. Persistence of seroprotection 10 months after vaccination was found in 50% of the patients. In patients with cystic fibrosis, malnutrition and receipt of non-adjuvanted vaccine were associated with lower immune response to pandemic influenza vaccination. Our data also suggest a potential defect in the immune response to influenza vaccination of patients with cystic fibrosis and raise the question of whether a different immunization strategy is needed.


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Pascal:14-0190727

Le document en format XML

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<front>
<div type="abstract" xml:lang="en">Influenza vaccination is recommended in cystic fibrosis patients. The objective of this study was to assess the immunogenicity of vaccination against 2009 pandemic A/H1N1 influenza and to study the factors associated with the immune response in patients with cystic fibrosis. 122 patients with cystic fibrosis were enrolled in a prospective study and received 1 dose of 2009/H1N1v adjuvanted vaccine, or for children <2 years and lung-transplanted patients, two doses of non-adjuvanted 2009/H1N1v vaccine administered 21 days apart. Hemagglutination inhibition antibodies were assessed before and 21 days after vaccination and at least 6 months after vaccination. After vaccination, 85% of the patients had an influenza antibody titer ≥1:40 and 69% seroconverted. 13% of the transplanted patients seroconverted compared with 72% of the non-transplanted patients. In this latter group, non-adjuvanted vaccine and low body mass index were independently associated with lower response to vaccination. 86% of the non-transplanted patients with normal BMI and receiving adjuvanted vaccine seroconverted. Persistence of seroprotection 10 months after vaccination was found in 50% of the patients. In patients with cystic fibrosis, malnutrition and receipt of non-adjuvanted vaccine were associated with lower immune response to pandemic influenza vaccination. Our data also suggest a potential defect in the immune response to influenza vaccination of patients with cystic fibrosis and raise the question of whether a different immunization strategy is needed.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>France</li>
</country>
<region>
<li>Île-de-France</li>
</region>
<settlement>
<li>Créteil</li>
<li>Paris</li>
</settlement>
<orgName>
<li>Université Paris-Descartes</li>
</orgName>
</list>
<tree>
<country name="France">
<region name="Île-de-France">
<name sortKey="Launay, O" sort="Launay, O" uniqKey="Launay O" first="O." last="Launay">O. Launay</name>
</region>
<name sortKey="Boelle, P Y" sort="Boelle, P Y" uniqKey="Boelle P" first="P. Y." last="Boelle">P. Y. Boelle</name>
<name sortKey="Boussaud, V" sort="Boussaud, V" uniqKey="Boussaud V" first="V." last="Boussaud">V. Boussaud</name>
<name sortKey="Chedevergne, F" sort="Chedevergne, F" uniqKey="Chedevergne F" first="F." last="Chedevergne">F. Chedevergne</name>
<name sortKey="Corvol, H" sort="Corvol, H" uniqKey="Corvol H" first="H." last="Corvol">H. Corvol</name>
<name sortKey="Grenet, D" sort="Grenet, D" uniqKey="Grenet D" first="D." last="Grenet">D. Grenet</name>
<name sortKey="Hubert, D" sort="Hubert, D" uniqKey="Hubert D" first="D." last="Hubert">D. Hubert</name>
<name sortKey="Krivine, A" sort="Krivine, A" uniqKey="Krivine A" first="A." last="Krivine">A. Krivine</name>
<name sortKey="Launay, O" sort="Launay, O" uniqKey="Launay O" first="O." last="Launay">O. Launay</name>
<name sortKey="Launay, O" sort="Launay, O" uniqKey="Launay O" first="O." last="Launay">O. Launay</name>
<name sortKey="Remus, N" sort="Remus, N" uniqKey="Remus N" first="N." last="Remus">N. Remus</name>
<name sortKey="Sermet Gaudelus, I" sort="Sermet Gaudelus, I" uniqKey="Sermet Gaudelus I" first="I." last="Sermet-Gaudelus">I. Sermet-Gaudelus</name>
<name sortKey="Sermet Gaudelus, I" sort="Sermet Gaudelus, I" uniqKey="Sermet Gaudelus I" first="I." last="Sermet-Gaudelus">I. Sermet-Gaudelus</name>
<name sortKey="Sermet Gaudelus, I" sort="Sermet Gaudelus, I" uniqKey="Sermet Gaudelus I" first="I." last="Sermet-Gaudelus">I. Sermet-Gaudelus</name>
</country>
</tree>
</affiliations>
</record>

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