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A Single Human Papillomavirus Vaccine Dose Improves B Cell Memory in Previously Infected Subjects.

Abstract：

:Although licensed human papillomavirus (HPV) vaccines are most efficacious in persons never infected with HPV, they also reduce infection and disease in previously infected subjects, indicating natural immunity is not entirely protective against HPV re-infection. The aim of this exploratory study was to examine the B cell memory elicited by HPV infection and evaluate whether vaccination merely boosts antibody (Ab) levels in previously infected subjects or also improves the quality of B cell memory. Toward this end, the memory B cells (Bmem) of five unvaccinated, HPV-seropositive subjects were isolated and characterized, and subject recall responses to a single HPV vaccine dose were analyzed. Vaccination boosted Ab levels 24- to 930-fold (median 77-fold) and Bmem numbers 3- to 27-fold (median 6-fold). In addition, Abs cloned from naturally elicited Bmem were generally non-neutralizing, whereas all those isolated following vaccination were neutralizing. Moreover, Ab and plasmablast responses indicative of memory recall responses were only observed in two subjects. These results suggest HPV vaccination augments both the magnitude and quality of natural immunity and demonstrate that sexually active persons could also benefit from HPV vaccination. This study may have important public policy implications, especially for the older 'catch-up' group within the vaccine's target population.

journal_name

EBioMedicine

journal_title

EBioMedicine

authors

Scherer EM,Smith RA,Gallego DF,Carter JJ,Wipf GC,Hoyos M,Stern M,Thurston T,Trinklein ND,Wald A,Galloway DA

doi

10.1016/j.ebiom.2016.06.042

subject

Has Abstract

pub_date

2016-08-01 00:00:00

pages

55-64

issn

2352-3964

pii

S2352-3964(16)30299-7

journal_volume

10

pub_type

杂志文章

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