Low Immunogenicity of Recombinant Hepatitis B Vaccine Derived from Hansenula polymorpha in Adults Aged Over 40 Years

Karlla Antonieta Amorim Caetano Nursing School, Federal University of Goias, Goiania, Brazil.

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Nativa Helena Alves Del-Rios Institute of Tropical Pathology and Public Health, Federal University of Goias, Goiania, Brazil.

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Raquel Silva Pinheiro Nursing School, Federal University of Goias, Goiania, Brazil.

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Fabiana Perez Rodrigues Bergamaschi Nursing School, State University of Mato Grosso do Sul, Dourados, Brazil.

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Megmar Aparecida dos Santos Carneiro Institute of Tropical Pathology and Public Health, Federal University of Goias, Goiania, Brazil.

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Sheila Araujo Teles Nursing School, Federal University of Goias, Goiania, Brazil.

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The Brazilian recombinant hepatitis B vaccine (VrHB-IB) is based on the expression of the recombinant antigen in Hansenula polymorpha yeast cells. Currently, data on the immunogenicity of this vaccine in older adults are nonexistent. This study aimed to evaluate the immunogenicity of VrHB-IB in adults over 40 years of age. From May to October 2011, 235 rural settlers between 2 and 93 years of age from the State of Goias in Brazil were eligible for vaccination. Of these, 180 accepted the first dose of the vaccine and 106 (58.9%) completed the vaccination schedule. Multivariate analysis revealed that individuals ≥ 40 years of age responded significantly less well to vaccination than younger adults. Also, a greater proportion of male nonresponders was observed (versus women; P = 0.02). These results point to the need for better evaluation of the immunogenicity of VrHB-IB in older adults.

Author Notes

* Address correspondence to Karlla Antonieta Amorim Caetano, Faculdade de Enfermagem, Universidade Federal de Goias, Rua 227, s/n–Setor Leste Universitário, Goiania 74605-220, Brazil. E-mail: karllacaetano@gmail.com

Authors' addresses: Karlla Antonieta Amorim Caetano, Raquel Silva Pinheiro, and Sheila Araujo Teles, Faculdade de Enfermagem, Universidade Federal de Goias, Goiania, Brazil, E-mails: karllacaetano@gmail.com, raquelsilva932@gmail.com, and sheila.fen@gmail.com. Nativa Helena Alves Del-Rios and Megmar Aparecida dos Santos Carneiro, Instituto de Patologia Tropical e Saúde Pública, Universidade Federal de Goias, Goiania, Brazil, E-mails: nativa_rios@yahoo.com.br and megmar242@gmail.com. Fabiana Perez Rodrigues Bergamaschi, Ciências da Saúde, Universidade Estadual do Mato Grosso do Sul, Dourados, Brazil, E-mail: fa.rodrigues@hotmail.com.

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