Abundance in Early Infancy and Vaccine Response at 2 Years of Age.

BACKGROUND

The intestinal microbiome in early infancy affects immunologic development and thus may affect vaccine memory, though few prospective studies have examined such associations. We examined the association of levels in early infancy with memory responses to early vaccination measured at 2 years of age.

METHODS

In this prospective observational study, we examined the association of abundance in the stool of healthy infants at 6 to 15 weeks of age, near the time of vaccination, with T-cell and antibody responses measured at 6 weeks, 15 weeks, and 2 years of age. Infants were vaccinated with Calmette-Guérin (BCG) (at birth), oral polio virus (at birth and at 6, 10, and 14 weeks), tetanus toxoid (TT) (at 6, 10, and 14 weeks), and hepatitis B virus (at 6, 10, and 14 weeks). Fecal was measured at 6, 11, and 15 weeks. species and subspecies were measured at 6 weeks.

RESULTS

Mean abundance in early infancy was positively associated with the CD4 T-cell responses to BCG, TT, and hepatitis B virus at 15 weeks, with CD4 responses to BCG and TT at 2 years, and with plasma TT-specific immunoglobulin G and stool polio-specific immunoglobulin A at 2 years. Similar associations were seen for the predominant subspecies, subspecies .

CONCLUSIONS

abundance in early infancy may increase protective efficacy of vaccines by enhancing immunologic memory. This hypothesis could be tested in clinical trials of interventions to optimize abundance in appropriate populations.

Copyright © 2019 by the American Academy of Pediatrics.