Association of increased neopterin production with decreased
humoral immunity in the elderly
Christian Murra, Ursula Hainzb,
Ester Aschb, Peter Bergerb,
Brigitte Jeneweinb, Maria Saurwein-Teisslb, Beatrix Grubeck-Loebensteinb
and Dietmar Fuchs, , a,
c
a Institute of Medical Chemistry and Biochemistry, Leopold-Franzens
University, Innsbruck, Austria b Institute for Biomedical Aging Research of the Austrian Academy of
Science, Innsbruck, Austria c Ludwig Boltzmann Institute of AIDS-Research, Innsbruck, Austria
Received 26 July 2002; revised 23 December 2002; accepted 17 February 2003. ;
Available online 16 March 2003.
Abstract
Tetanus toxoid (TT) antibodies of 447 adult persons aged 2769 years
were investigated and analyzed in relationship with the time span since
the last vaccination against tetanus as well as the serum concentration of
neopterin. Neopterin is a pteridine, which is produced by
monocytes/macrophages upon stimulation with the type 1 T cell-derived
cytokine interferon-. There was an inverse correlation
between serum neopterin and TT antibody concentrations (Spearman's rank
correlation coefficient: rs=-0.259; p<0.0001)
which was even stronger when persons with neopterin concentrations and TT
antibodies below the third quartile of the study population were excluded
(residual group: n=210; rs=-0.718; p<0.0001).
The study demonstrates that an immunoregulatory shift towards type 1
immunity as indicated by higher neopterin concentrations coincides with
lower TT antibody concentrations in the elderly.
Corresponding author. Address:
Institute of Medical Chemistry and Biochemistry, University of Innsbruck,
Fritz Pregl Strasse 3, A-6020 Innsbruck, Austria. Tel.: +43-512-507-3519;
fax: +43-512-507-2865
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