IgE anti-Haemophilus influenzae type b (Hib) antibodies detected in serum of Hib-vaccinated asthmatic and non-asthmatic pediatric patients

Minerva Pediatr. 2018 Apr;70(2):111-116. doi: 10.23736/S0026-4946.16.04564-3. Epub 2016 May 17.

Abstract

Background: Haemophilus influenzae type b (Hib) bacterium causes severe illness in infants and children, but has largely been eliminated by introducing a universal Hib conjugate vaccine. While effects of certain vaccinations on atopic disease have been studied, little is known about the relationship between Hib vaccination and diseases of altered immunoglobulin E (IgE) regulation (asthma or atopy). As such, it is necessary to provide more evidence concerning Hib vaccination as a possible risk factor for atopic disease.

Methods: Total serum IgE and IgE-and IgG-anti-Hib antibody responses were studied in Hib vaccinated asthmatic (N.=14) and non-asthmatic children (N=26) (VaccZyme™ Human Anti Hib Enzyme Immunoassay Kit). Data are reported as mean optical density (OD) values.

Results: We found that: 1) total serum IgE levels were higher in asthmatic compared with non-asthmatic subjects (389±125 vs. 125±129, P<0.001); 2) IgE and IgG anti-Hib antibody responses were similar in both asthmatic and non-asthmatic subjects (0.722±0.279 and 0.681±0.280, respectively; P=0.65; 0.450±0.505 and 0.573±0.779, respectively; P=0.580).

Conclusions: The universal Hib vaccine antigen did not result in either increased IgE, or IgG anti-Hib antibody responses in asthmatic or non-asthmatics subjects. Thus, in this cohort, no association between Hib vaccination and asthma status was identified.

MeSH terms

  • Adolescent
  • Antibodies, Bacterial / blood*
  • Asthma / immunology*
  • Bacterial Capsules / immunology
  • Case-Control Studies
  • Child
  • Child, Preschool
  • Cohort Studies
  • Female
  • Haemophilus Infections / prevention & control
  • Haemophilus Vaccines / administration & dosage*
  • Haemophilus Vaccines / immunology
  • Humans
  • Immunoglobulin E / blood*
  • Immunoglobulin G / blood
  • Infant
  • Male
  • Vaccination
  • Young Adult

Substances

  • Antibodies, Bacterial
  • Haemophilus Vaccines
  • Haemophilus influenzae type b polysaccharide vaccine
  • Immunoglobulin G
  • Immunoglobulin E