Response of recent human immunodeficiency virus seroconverters to the pneumococcal polysaccharide vaccine and Haemophilus influenzae type b conjugate vaccine

J Infect Dis. 1995 May;171(5):1217-22. doi: 10.1093/infdis/171.5.1217.

Abstract

Antibody responses in recent human immunodeficiency virus (HIV) seroconverters to 2 vaccines were studied. Twenty patients infected with HIV for < 18 months and 15 HIV-seronegative controls were vaccinated with the 23-valent pure polysaccharide pneumococcal vaccine and the Haemophilus influenzae type b (Hib) capsular polysaccharide diphtheria CRM197 protein toxoid conjugate vaccine in separate arms. Despite increased levels of total serum IgG, recent seroconverters and controls showed similar specific IgG responses for 6 of 7 antigens. Baseline levels were equivalent in both groups, as were peak levels of IgG at 1 month to conjugated polysaccharide (Hib), delayed-type hypersensitivity, and pneumococcal capsular serotypes 4, 6B, 12F, and 14. At 6 months, IgG levels were similar for 4 of 7 antigens. Antibody responses to pure pneumococcal capsular polysaccharides and to a protein recall antigen were most often similar among recent seroconverters and seronegative controls. Both total levels and fold-rises of IgG to the Hib conjugate were similar in the 2 groups. Immunization of HIV-infected patients soon after seroconversion rather than later appears to improve antibody responses.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Antibodies, Bacterial / blood*
  • Bacterial Proteins / immunology*
  • Bacterial Vaccines / immunology*
  • Case-Control Studies
  • Cohort Studies
  • Diphtheria Toxoid / immunology
  • HIV Infections / immunology*
  • HIV Seropositivity / immunology
  • Haemophilus Vaccines / immunology*
  • Humans
  • Immunoglobulin G / blood
  • Matched-Pair Analysis
  • Middle Aged
  • Military Personnel
  • Pneumococcal Vaccines
  • Streptococcus pneumoniae / immunology*
  • United States
  • Vaccination
  • Vaccines, Conjugate / immunology

Substances

  • Antibodies, Bacterial
  • Bacterial Proteins
  • Bacterial Vaccines
  • Diphtheria Toxoid
  • Haemophilus Vaccines
  • Immunoglobulin G
  • Pneumococcal Vaccines
  • Vaccines, Conjugate
  • HibTITER protein, Haemophilus influenzae