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Immunologic profiling of the infant immune response to whole-cell and acellular pertussis vaccines

08/2025

Journal Article

Authors:
Creech, C. B.; Leguia, M.; Goll, J. B.; Howard, L. M.; Vila-Sanjurjo, A.; Yoder, S.; Juarez, D.; Garcia-Glaessner, A.; Gelber, C. E.; Jimenez-Truque, N.; Cherikh, S.; Gil, A. I.; Crowe, J. E.; Cotos, R. C.; Edwards, K. M.; Lanata, C. F.

Volume:
10

Issue:
1

Journal:
NPJ Vaccines

PMID:
40790123

URL:
https://www.ncbi.nlm.nih.gov/pubmed/40790123

DOI:
10.1038/s41541-025-01170-5

Keywords:
acellular pertussis vaccine (DTaP) pertussis whole-cell vaccine (DTP)

Abstract:
Despite robust antibody responses, immunity induced by acellular pertussis vaccine (DTaP) wanes over time and risk of pertussis seems to be lower in children who receive whole-cell vaccine (DTP) as their first dose. To interrogate the early immunologic response to pertussis vaccine, we enrolled 56 healthy infants who received either DTP or DTaP at 2-, 4-, 6-, and 18-months of age. RNA-sequencing and ribosome profiling of PBMC were performed prior to vaccination (Day 1) and on either Day 2 or Day 8. Pathway enrichment analysis on Days 2 and 8 showed enrichment of TLR-signaling and FcUpsilonR-mediated phagocytosis among DTP recipients. DTP also led to increases in IRAK-4 and IL-1ss. After booster vaccination, a higher frequency of PT-specific B-cells was observed in DTP- vs. DTaP recipients. These data provide insights into the early immunologic responses to pertussis vaccine and may guide next-generation pertussis vaccine development.

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