We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Effect of a synbiotic on the response to seasonal influenza vaccination is strongly influenced by degree of immunosenescence.
- Authors
Przemska-Kosicka, Agnieszka; Childs, Caroline E.; Enani, Sumia; Maidens, Catherine; Honglin Dong; Dayel, Iman Bin; Tuohy, Kieran; Todd, Susan; Gosney, Margot A.; Yaqoob, Parveen
- Abstract
Background: Ageing increases risk of respiratory infections and impairs the response to influenza vaccination. Pre- and probiotics offer an opportunity to modulate anti-viral defenses and the response to vaccination via alteration of the gut microbiota. This study investigated the effect of a novel probiotic, Bifidobacterium longum bv. infantis CCUG 52,486, combined with a prebiotic, gluco-oligosaccharide (B. longum + Gl-OS), on the response to seasonal influenza vaccination in young and older subjects in a double-blind, randomized controlled trial, taking into account the influence of immunosenescence markers at baseline. Results: Vaccination resulted in a significant increase in total antibody titres, vaccine-specific IgA, IgM and IgG and seroprotection to all three subunits of the vaccine in both young and older subjects, and in general, the increases in young subjects were greater. There was little effect of the synbiotic, although it tended to reduce seroconversion to the Brisbane subunit of the vaccine and the vaccine-specific IgG response in older subjects. Immunological characterization revealed that older subjects randomized to the synbiotic had a significantly higher number of senescent (CD28 CD57+) helper T cells at baseline compared with those randomized to the placebo, and they also had significantly higher plasma levels of anti-CMV IgG and a greater tendency for CMV seropositivity. Moreover, higher numbers of CD28 CD57+ helper T cells were associated with failure to seroconvert to Brisbane, strongly suggesting that the subjects randomized to the synbiotic were already at a significant disadvantage in terms of likely ability to respond to the vaccine compared with those randomized to the placebo. Conclusions: Ageing was associated with marked impairment of the antibody response to influenza vaccination in older subjects and the synbiotic failed to reverse this impairment. However, the older subjects randomized to the synbiotic were at a significant disadvantage due to a greater degree of immunosenscence at baseline compared with those randomized to the placebo. Thus, baseline differences in immunosenescence between the randomized groups are likely to have influenced the outcome of the intervention, highlighting the need for detailed immunological characterization of subjects prior to interventions. Trial registration: Clinicaltrials.gov NCT01066377.
- Subjects
PHYSIOLOGICAL aspects of aging; RESPIRATORY infections; INFLUENZA; VACCINATION; IMMUNOSENESCENCE; IMMUNOGLOBULINS; PROBIOTICS
- Publication
Immunity & Ageing, 2016, Vol 13, p1
- ISSN
1742-4933
- Publication type
Article
- DOI
10.1186/s12979-016-0061-4