The influence of sequential annual vaccination and of DHEA administration on the efficacy of the immune response to influenza vaccine in the elderly.

Abstract:

:The present study examined the effect of repeated vaccination and of dehydroepiandrosterone (DHEA) treatment on the immune response to influenza vaccine in elderly subjects. Seventy-one elderly volunteers, aged 61-89 years, enrolled in a prospective randomized, double-blind study to receive either DHEA (50 mg qd p.o. for 4 consecutive days starting 2 days before immunization) or placebo. Antibody response against the three strains of vaccine was measured before and 28 days after vaccination, and compared between previously vaccinated and non-vaccinated subjects. DHEA treatment did not enhance established immunity. A significant decrease in attainment of protective antibody titer (titer of 1:40 or greater) against A/Texas in subjects with non-protective baseline antibody titer was recorded following DHEA treatment compared to placebo (52 vs. 84%, P < 0.05). Post-immunization titers against influenza A strains were significantly higher in those subjects who were never immunized before. Additionally, post-vaccination protective titers against the A/Johannesburg strain were more prevalent in those subjects who were never vaccinated before. The results were not the same for anti-B/Harbin antibodies-repeated vaccination caused a non-significant increase in HI titer in previously vaccinated subjects.

journal_name

Mech Ageing Dev

authors

Ben-Yehuda A,Danenberg HD,Zakay-Rones Z,Gross DJ,Friedman G

doi

10.1016/s0047-6374(98)00017-7

subject

Has Abstract

pub_date

1998-05-15 00:00:00

pages

299-306

issue

2-3

eissn

0047-6374

issn

1872-6216

pii

S0047-6374(98)00017-7

journal_volume

102

pub_type

临床试验,杂志文章,随机对照试验
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    pub_type: 临床试验,杂志文章

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    pub_type: 杂志文章

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