title: Assessment of humoral and cell-mediated immune response to measles-mumps-rubella vaccine viruses among patients with asthma.
abstract: Little is known about the influence of asthma status on humoral and cell-mediated immune responses to measles-mumps-rubella (MMR) vaccine viruses. We compared the virus-specific IgG levels and lymphoproliferative response of peripheral blood mononuclear cells to MMR vaccine viruses between asthmatic and nonasthmatic patients. The study subjects included 342 healthy children aged 12-18 years who had received two doses of the MMR vaccine. We ascertained asthma status by applying predetermined criteria. Of the 342 subjects, 230 were available for this study of whom 25 were definite asthmatic patients (10.9%) and the rest of subjects were nonasthmatic patients. The mean of the log-transformed lymphoproliferative responses between definite asthma and nonasthma who had a family history of asthma were for measles, 0.92 ± 0.31 versus 1.54 ± 0.17 (p = 0.125); for mumps, 0.98 ± 0.64 versus 2.20 ± 0.21 (p = 0.035); and for rubella, 0.12 ± 0.37 versus 0.97 ± 0.16 (p = 0.008), respectively, adjusting for the duration between the first MMR vaccination and determination of the immune responses. There were no such differences among children without a family history of asthma. MMR virus-specific IgG levels were not different between study subjects with or without asthma. The study findings suggest asthmatic patients may have a suboptimal cell-mediated immune response to MMR vaccine viruses and a family history of asthma modifies this effect.
authors.affiliation: Department of Internal Medicine, KonKuk University College of Medicine, Seoul, Korea.
authors.forename: Kwang Ha
authors.initials: KH
authors.lastname: Yoo
authors.forename: Kanishtha
authors.initials: K
authors.lastname: Agarwal
authors.forename: Michael
authors.initials: M
authors.lastname: Butterfield
authors.forename: Robert M
authors.initials: RM
authors.lastname: Jacobson
authors.forename: Gregory A
authors.initials: GA
authors.lastname: Poland
authors.forename: Young J
authors.initials: YJ
authors.lastname: Juhn
mesh_terms: D000293:Adolescent; D000956:Antigens, Viral / Q000276:immunology; D001249:Asthma / Q000150:complications / Q000276:immunology* / Q000628:therapy; D049109:Cell Proliferation; D002648:Child; D004198:Disease Susceptibility / Q000276:immunology; D005260:Female; D006801:Humans; D007111:Immunity, Cellular; D056724:Immunity, Humoral; D007074:Immunoglobulin G / Q000097:blood; D008297:Male; D022542:Measles-Mumps-Rubella Vaccine / Q000008:administration & dosage*; D013601:T-Lymphocytes / Q000276:immunology / Q000378:metabolism* / Q000473:pathology; D014777:Virus Diseases / Q000150:complications / Q000276:immunology* / Q000517:prevention & control
chemical_list: D000956:Antigens, Viral; D007074:Immunoglobulin G; D022542:Measles-Mumps-Rubella Vaccine