慢性阻塞性肺疾病患者对百日咳疫苗的免疫应答。

Immune response to pertussis vaccine in COPD patients.

机构信息

Infectious Disease Department, AP-HP (Assistance Publique-Hôpitaux de Paris), Groupe Hospitalier Henri-Mondor/Albert Chenevier, 94010, Créteil, France.

INSERM U955, Equipe 16, IMRB (Institut Mondor de Recherche Biomédicale), Université Paris-Est-Créteil (UPEC), 94010, Créteil, France.

出版信息

Sci Rep. 2023 Jul 19;13(1):11654. doi: 10.1038/s41598-023-38355-8.

Abstract

Exacerbation triggered by respiratory infection is an important cause of morbidity and mortality in chronic obstructive pulmonary disease (COPD) patients. Strategies aiming to preventing infection may have significant public health impact. Our previous study demonstrated decreased immunological response to seasonal flu vaccination in COPD patients, questioning the efficiency of other vaccines in this group of patients. We performed a prospective, monocenter, longitudinal study that evaluated the humoral and cellular responses upon pertussis vaccination. We included 13 patients with stable COPD and 8 healthy volunteers. No difference in circulating B and T cell subsets at baseline was noted. Both groups presented similar levels of TFH, plasmablasts and pertussis specific antibodies induction after vaccination. Moreover, monitoring T cell immunity after ex-vivo peptide stimulation revealed equivalent induction of functional and specific CD4+ T cells (IFNγ, TNFα and IL-2-expressing T cells) in both groups. Our results highlight the immunological efficiency of pertussis vaccination in this particularly vulnerable population and challenge the concept that COPD patients are less responsive to all immunization strategies. Healthcare providers should stress the necessity of decennial Tdap booster vaccination in COPD patients.

摘要

呼吸道感染引发的恶化是慢性阻塞性肺疾病(COPD)患者发病率和死亡率的重要原因。旨在预防感染的策略可能对公共健康产生重大影响。我们之前的研究表明,COPD 患者对季节性流感疫苗的免疫反应减弱,这使得我们对该组患者中其他疫苗的效率产生了质疑。我们进行了一项前瞻性、单中心、纵向研究,评估了百日咳疫苗接种后的体液和细胞反应。我们纳入了 13 名稳定期 COPD 患者和 8 名健康志愿者。在基线时,两组的循环 B 和 T 细胞亚群没有差异。两组在接种后均表现出相似水平的 TFH、浆母细胞和百日咳特异性抗体诱导。此外,在体外肽刺激后监测 T 细胞免疫,发现两组均能等效诱导功能性和特异性 CD4+T 细胞(IFNγ、TNFα 和 IL-2 表达 T 细胞)的产生。我们的研究结果突出了百日咳疫苗在这一特别脆弱人群中的免疫效果,并挑战了 COPD 患者对所有免疫策略反应较差的概念。医疗保健提供者应强调 COPD 患者需要每十年进行一次 Tdap 加强疫苗接种。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d41b/10356756/34ab4c84ff8f/41598_2023_38355_Fig1_HTML.jpg

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