Immunological Links to Nonspecific Effects of DTwP and BCG Vaccines on Infant Mortality

A number of mainly observational studies suggest that many African females below the age of one year die each year from the nonspecific effects of vaccination with diphtheria-tetanus toxoids and killed (whole-cell) Bordetella pertussis (DTwP). In contrast, similar studies suggest that many African f...

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Main Author: Mogens Helweg Claesson
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Journal of Tropical Medicine
Online Access:http://dx.doi.org/10.1155/2011/706304
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author Mogens Helweg Claesson
author_facet Mogens Helweg Claesson
author_sort Mogens Helweg Claesson
collection DOAJ
description A number of mainly observational studies suggest that many African females below the age of one year die each year from the nonspecific effects of vaccination with diphtheria-tetanus toxoids and killed (whole-cell) Bordetella pertussis (DTwP). In contrast, similar studies suggest that many African females and males may have their lives saved each year by the nonspecific immunological benefits of Bacillus Calmette-Guerin (BCG) vaccination. From an immunological point of view, we hypothesise that the adverse effects of DTwP vaccine may occur because of the Th2-polarising effect of the aluminium phosphate adjuvant in the vaccine and because intramuscular administration of the vaccine may cause chronic inflammation at the site of injection. However, the Th1-polarising effect of BCG is likely to be beneficial. Sexual dimorphism affecting immune functions and vitamin A supplementation may influence both the deleterious and beneficial nonspecific effects of immunisation.
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spelling doaj-art-752e88d363574e4ea9f82a46704411fb2025-02-03T05:51:40ZengWileyJournal of Tropical Medicine1687-96861687-96942011-01-01201110.1155/2011/706304706304Immunological Links to Nonspecific Effects of DTwP and BCG Vaccines on Infant MortalityMogens Helweg Claesson0Laboratory for Experimental and Cellular Immunology, Department of International Health, Immunology and Microbiology, The Panum Institute, University of Copenhagen, Blegdamsvej 3, 2200 Copenhagen, DenmarkA number of mainly observational studies suggest that many African females below the age of one year die each year from the nonspecific effects of vaccination with diphtheria-tetanus toxoids and killed (whole-cell) Bordetella pertussis (DTwP). In contrast, similar studies suggest that many African females and males may have their lives saved each year by the nonspecific immunological benefits of Bacillus Calmette-Guerin (BCG) vaccination. From an immunological point of view, we hypothesise that the adverse effects of DTwP vaccine may occur because of the Th2-polarising effect of the aluminium phosphate adjuvant in the vaccine and because intramuscular administration of the vaccine may cause chronic inflammation at the site of injection. However, the Th1-polarising effect of BCG is likely to be beneficial. Sexual dimorphism affecting immune functions and vitamin A supplementation may influence both the deleterious and beneficial nonspecific effects of immunisation.http://dx.doi.org/10.1155/2011/706304
spellingShingle Mogens Helweg Claesson
Immunological Links to Nonspecific Effects of DTwP and BCG Vaccines on Infant Mortality
Journal of Tropical Medicine
title Immunological Links to Nonspecific Effects of DTwP and BCG Vaccines on Infant Mortality
title_full Immunological Links to Nonspecific Effects of DTwP and BCG Vaccines on Infant Mortality
title_fullStr Immunological Links to Nonspecific Effects of DTwP and BCG Vaccines on Infant Mortality
title_full_unstemmed Immunological Links to Nonspecific Effects of DTwP and BCG Vaccines on Infant Mortality
title_short Immunological Links to Nonspecific Effects of DTwP and BCG Vaccines on Infant Mortality
title_sort immunological links to nonspecific effects of dtwp and bcg vaccines on infant mortality
url http://dx.doi.org/10.1155/2011/706304
work_keys_str_mv AT mogenshelwegclaesson immunologicallinkstononspecificeffectsofdtwpandbcgvaccinesoninfantmortality