Cellular and humoral responses to tetanus vaccination in gabonese children

E. van Riet*, K. Retra, A. A. Adegnika, C. M. Jol-van der Zijde, B. Lell, S. Issifou, P. G. Kremsner, M. Yazdanbakhsh, M. J.D. van Tol, F. C. Hartgers

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

19 Citations (Scopus)

Abstract

Protection to tetanus is often not optimal in developing countries due to incomplete vaccination schemes, or decreased efficacy of vaccination. In this study we investigated the immunological response to tetanus booster vaccination in school children living in a semi-urban or in a rural area of Gabon. Tetanus-specific total IgG as well as antibody subclasses of the IgG1, IgG2, IgG3 and IgG4 isotype and the avidity of the dominating IgG1 subclass were determined both before and 1 month after the booster vaccination. In addition, tetanus-specific cytokine responses were determined. We found a polarization towards a T helper 1 (Th1) profile in the semi-urban children, whereas the cytokine responses of the rural children showed a T helper 2 (Th2) skewed response. Furthermore, tetanus-specific antibodies of the different IgG subclasses were all increased upon a tetanus booster vaccination and levels of IgG1 and IgG3 were higher in the rural children. In conclusion, a tetanus booster vaccination induced a stronger Th2 over Th1 cytokine profile to tetanus toxoid (TT) in rural children who showed the highest levels of IgG1 and IgG3 anti-TT antibody responses.

Original languageEnglish
Pages (from-to)3690-3695
Number of pages6
JournalVaccine
Volume26
Issue number29-30
DOIs
Publication statusPublished - 4 Jul 2008

Keywords

  • Rural/semi-urban
  • Tetanus
  • Vaccination

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