Kostinov P Mikhail, Zhuravlev I Pavel, Filatov N Nikolay, Kostinova M Аristitsa, Polishchuk B Valentina, Shmitko D Anna, Mashilov V Cyrill, Vlasenko E Anna, Ryzhov A Alexey, Kostinov M Аnton
Federal State Budgetary Scientific Institution I.I. Mechnikov Research Institute of Vaccines and Sera, Maliyi Kazenniy Pereulok, 5a, 105064 Moscow, Russia.
Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation, Sechenov University, Trubetskaya Str., 8/2, 119991 Moscow, Russia.
Vaccines (Basel). 2021 May 12;9(5):494. doi: 10.3390/vaccines9050494.
Individuals without a protective antibody level are susceptible to measles infection. There are differences in the persistence of antibodies after vaccination and infection, while the impact of gender on this process has not been sufficiently studied. Measles Ig G antibodies were measured in 1742 employees of a large hospital facility-403 men and 1339 women aged from 25 to 67 years; 15% participants had antibody levels less than the protective threshold of ≥0.18 IU/mL. Significant differences were found in the age group 40-49, where the level of IgG antibodies to measles among men was higher than among women (1.51 IU/mL (0.41; 3.38) vs. 0.70 IU/mL (0.22;1.98) respectively, (U = 3.2, = 0,001)); in the age group 60 and older, by contrast, the level of antibodies among women was higher compared to men (3.29 IU/mL (1.72; 4.07) vs. 2.90 IU/mL (1.46; 3.53) respectively (U = 2.2, = 0.03)). The proportion of seronegative women in the age group 40-49 was significantly higher than of seronegative men: 22 [18-26]% and 11 [6-18]% respectively (χ = 7.0, = 0.001). The revealed gender characteristics that affect persistence of measles immunity may be important in personalization of vaccinal prevention for men and women.
没有保护性抗体水平的个体易感染麻疹。接种疫苗和感染后抗体的持续时间存在差异,而性别对这一过程的影响尚未得到充分研究。对一家大型医院设施的1742名员工(403名男性和1339名女性,年龄在25至67岁之间)检测了麻疹IgG抗体;15%的参与者抗体水平低于≥0.18 IU/mL的保护阈值。在40 - 49岁年龄组中发现了显著差异,该年龄组男性的麻疹IgG抗体水平高于女性(分别为1.51 IU/mL(0.41;3.38)和0.70 IU/mL(0.22;1.98),(U = 3.2,P = 0.001));相比之下,在60岁及以上年龄组中,女性的抗体水平高于男性(分别为3.29 IU/mL(1.72;4.07)和2.90 IU/mL(1.46;3.53),(U = 2.2,P = 0.03))。40 - 49岁年龄组中血清阴性女性的比例显著高于血清阴性男性:分别为22[18 - 26]%和11[6 - 18]%(χ² = 7.0,P = 0.001)。所揭示的影响麻疹免疫力持续时间的性别特征可能对男性和女性疫苗预防的个性化具有重要意义。