Mechanisms by which maternal antibodies influence infant vaccine
responses: review of hypotheses and definition of main determinants.
Siegrist CA.
Departments of Pathology and Pediatrics, Centre for Vaccinology and Neonatal
Immunology, University of Geneva, CMU, 1 rue Michel-Servet, 1211 Geneva 4,
Switzerland. claire-anne.siegrist@medecine.unige.ch
Several mechanisms have been suggested as mediating the inhibitory influence of
maternal antibodies (MatAb) on infant responses. This inhibition is B cell
determinant-specific, depends on the ratio between MatAb titers at the time of
immunization and the dose of vaccine antigen, and leaves infant T cell responses
largely unaffected. Neutralization of vaccine replication or
FcgammaRIIB-mediated inhibitory signalling to infant B cells would not account
for these characteristics. In contrast, determinant-specific masking of B cell
epitopes and APC uptake of MatAb:vaccine antigen immune complexes, followed by
antigen processing and presentation, explain the pattern of pre-clinical and
clinical responses to infant vaccines. This allows the definition of the main
determinants of the influence of MatAb on infant immunity.
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