The early kinetics of circulating pneumococcal-specific memory B cells following pneumococcal conjugate and plain polysaccharide vaccines in the elderly

Helen E. Baxendale*, Sheila M. Keating, Marina Johnson, Jo Southern, Elizabeth Miller, David Goldblatt

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    41 Citations (Scopus)

    Abstract

    In young children, polyvalent pneumococcal polysaccharide conjugate vaccines (PCVs) have been shown to offer advantage over plain polysaccharide vaccines (PPVs) in both immunogenicity and priming for memory responses. In the elderly, the potential benefit of conjugate vaccines is unclear.Here, we explore the early kinetics of serum antibody and circulating plasma and memory B cell responses to pneumococcal capsular polysaccharide (PPS) in older adults (n=37) immunised a PPV vaccine, Pneumovax™ or a PCV: Prevenar™. All individuals had serum evidence of pre-existing serotype-specific immunity. Following immunisation, a day 7 rise in circulating PPS-specific plasma and memory antibody secreting cells (AbSCs) was detected in both vaccine groups and this was sustained to day 28 in some PCV recipients. There was no difference between vaccine groups in serum antibody responses or the kinetics of the early PBMC-derived B cell responses. Although our sample cohort was small, these data are different from profiles in younger individuals at early time points post-immunisation and suggest that pneumococcal conjugate vaccines may not quantitatively enhance the generation of memory responses in the elderly.

    Original languageEnglish
    Pages (from-to)4763-4770
    Number of pages8
    JournalVaccine
    Volume28
    Issue number30
    DOIs
    Publication statusPublished - Jul 2010

    Bibliographical note

    Funding Information:
    Sources of support: This study was funded by Meningitis UK , the Health Protection Agency UK , the Special Trustees of Great Ormond St and GlaxoSmithKline and the Department of Health (039/031, 3).

    Funding Information:
    Disclosure: This study was funded in part by an unrestricted grant from GlaxoSmithKline .

    Funding Information:
    Potential conflicts of interest: D.G. has received honoraria in the past for attendance at advisory boards for Wyeth Pharmaceuticals and receives academic grant support from Merck, Sharpe, and Dohme. All other authors have no conflicts of interest.

    Keywords

    • 7vCRM
    • Aged
    • B cell memory
    • ELISpot
    • Immunogenicity
    • PPV
    • Pneumococcus
    • Vaccine

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