Duration of immunity from vaccines administered in Uruguay: a bibliographic review
Abstract
Vaccines are a crucial tool in protecting against infectious diseases, saving between 3.5 to 5 million lives annually, according to the WHO. The duration of the immune response generated by vaccines is a topic of great interest and concern, as uncertainty complicates the definition of appropriate vaccination strategies to prevent the resurgence of infections. This narrative literature review aimed to assess the current state of knowledge regarding the duration of the immune response and protection conferred by some of the vaccines currently in use in Uruguay. In particular, research was focused on vaccines against Human Papillomavirus (HPV), measles, mumps, and rubella (MMR vaccine), and influenza. The review was
conducted through searches in electronic databases and a selection of scientific articles based on their quality and level of evidence. It was found that vaccination against HPV provides a long-lasting immune response, but it is essential to continue monitoring the immune response elicited. Influenza vaccines elicit shorter immune responses, necessitating booster doses and annual vaccine reformulations. Regarding the MMR vaccine, there are also variations depending on the pathogen; for rubella, a single dose offers long-term protection, while immunity against mumps and measles wanes more quickly. More longitudinal studies are needed to evaluate the duration of immunity and to establish clear correlates of protection for vaccines.
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References
Pírez C, Peluffo G, Barrios P, Pujadas M. Immunizaciones como estrategia de Salud Pública. Arch Pediatr (Barc). 2021;(92(S1)):e103.
Montero DA, Vidal RM, Velasco J, Carreño LJ, Torres JP, Benachi O MA, et al. Two centuries of vaccination: historical and conceptual approach and future perspectives. Front public Heal. 2024;11.
Ministerio de Salud Pública U. Esquema nacional de vacunación | Ministerio de Salud Pública [Internet]. 2024. Available from: https://www.gub.uy/ministerio-salud-publica/comunicacion/publicaciones/esquema-nacionalvacunacion
Ministerio de Salud Pública U. Unidad de Inmunizaciones [Internet]. 2024. Available from: https://www.gub.uy/ministerio-salud-publica/comunicacion/publicaciones/VACUNAS
de Martel C, Plummer M, Vignat J, Franceschi S. Worldwide burden of cancer attributable to HPV by site, country and HPV type. Int J cancer. 2017 Aug 15;141(4):664–70.
Garland SM, Steben M, Sings HL, James M, Lu S, Railkar R, et al. Natural history of genital warts: analysis of the placebo arm of 2 randomized phase III trials of a quadrivalent human papillomavirus (types 6, 11, 16, and 18) vaccine. J Infect Dis. 2009 Mar 15;199(6):805–14.
National Cancer Institute. El virus del papiloma humano (VPH) y el cáncer [Internet]. 2019. Available from: https://www.cancer.gov/espanol/cancer/causas-prevencion/riesgo/germenes-infecciosos/vph-y-cancer
World Health Organization W. Cáncer de cuello uterino [Internet]. Available from: https://www.who.int/es/news-room/fact-sheets/detail/cervical-cancer
Comisión Honoraria de Lucha contra el Cáncer. Cánceres más frecuentes en el Uruguay. [Internet]. Available from: https://www.comisioncancer.org.uy/Ocultas/Canceres-mas-frecuentes-en-el-Uruguay--uc65
World Health Organization W. The immunological basis for immunization series: module 19: human papillomavirus infection. Immunization, Vaccines Biol. 2011 Dec 31;42.
Pérez NP, Tedesco S, González F, Jordi JML, Rey G. Prevalencia de los genotipos de HPV en lesiones Uruguay 2012. An Fac Med. 2020;7(2):0–2.
González V, Holcberg M, Díaz A, Duarte B, Deragón J, Duarte J, et al. Vacuna HPV: ¿la recomiendan los pediatras de diferentes prestadores de salud en Montevideo? Arch Pediatr Urug. 2021;92(1).
Rodríguez;A. Recomendaciones para la vacunación contra el Virus del Papiloma Humano (VPH) - CHLAEP [Internet]. 2022. Available from: https://chlaep.org.uy/recomendaciones-para-la-vacunacion-contra-el-virus-delpapiloma-humano-vph/
Gripe (estacional) [Internet]. Available from: https://www.who.int/es/news-room/fact-sheets/detail/influenza-(seasonal)
Hutchinson EC. Influenza Virus. Trends Microbiol. 2018 Sep 1;26(9):809–10.
Wang Y, Song T, Li K, Jin Y, Yue J, Ren H, et al. Different Subtypes of Influenza Viruses Target Different Human Proteins and Pathways Leading to Different Pathogenic Phenotypes. Biomed Res Int. 2019;2019:4794910.
Hun Opfer L. El virus Influenza. Acta Pediátrica Costarric. 2009;21(1):5–7.
Taubenberger JK, Kash JC, Morens DM. The 1918 influenza pandemic: 100 years of questions answered and unanswered. Sci Transl Med. 2019 Jul 24;11(502).
Lûthy I, Kanto I. Sarampión. Med BUENOS AIRES. 2020;80(2):162–8.
Lau RK, Turner MD. Viral mumps: Increasing occurrences in the vaccinated population. Oral Surg Oral Med Oral Pathol Oral Radiol. 2019 Oct 1;128(4):386–92.
World Health Organization W. Immunological basis for immunization : rubella. World Health. 2008 Dec 31
Lambert N, Strebel P, Orenstein W, Icenogle J, Poland GA. Rubella. Lancet. 2015 Jun 6;385(9984):2297–307.
Center for Disease Control. About MMR and MMRV Vaccines: [Internet]. National Center for Immunization and Respiratory Diseases. 2021. Available from: https://www.cdc.gov/vaccines/vpd/mmr/hcp/about.html?utm_
source=chatgpt.com
Ministerio de Salud Pública. Manual Nacional de Inmunizaciones 2024. 2024;8–381.
Yousefi Z, Aria H, Ghaedrahmati F, Bakhtiari T, Azizi M, Bastan R, et al. An Update on Human Papilloma Virus Vaccines: History, Types, Protection, and Efficacy. Front Immunol. 2022 Jan 27;12:805695.
Slifka MK, Amanna IJ. Role of multivalency and antigenic threshold in generating protective antibody responses. Front Immunol. 2019 May 1;10(MAY):434283.
World Health Organization W. The Immunological Basis for Immunization Series- Module 119: Human Papiloma virus. 2011;1–53.
Quang C, Chung AW, Frazer IH, Toh ZQ, Licciardi P V. Single-dose HPV vaccine immunity: is there a role for non-neutralizing antibodies? Trends Immunol. 2022 Oct 1;43(10):815–25.
Wang JW, Roden RBS. Virus-like particles for the prevention of human papillomavirus-associated malignancies. Expert Rev Vaccines. 2013 Feb;12(2):129–41.
Kjaer SK, Nygård M, Sundström K, Dillner J, Tryggvadottir L, Munk C, et al. Final analysis of a 14-year long-term follow-up study of the effectiveness and immunogenicity of the quadrivalent human papillomavirus vaccine in women from four nordic countries. EClinicalMedicine. 2020 Jun 1;23:100401.
Kamolratanakul S, Pitisuttithum P. Human Papillomavirus Vaccine Efficacy and Effectiveness against Cancer. Vaccines. 2021 Dec 1;9(12):1413.
Whitworth HS, Mounier-Jack S, Choi EM, Gallagher KE, Howard N, Kelly H, et al. Efficacy and immunogenicity of a single dose of human papillomavirus vaccine compared to multidose vaccination regimens or no vaccination: An updated systematic review of evidence from clinical trials. Vaccine X. 2024 Aug 1;19.
World Health Organization W. One-dose Human Papillomavirus (HPV) vaccine offers solid protection against cervical cancer [Internet]. 2022. Available from: https://www.who.int/news/item/11-04-2022-one-dosehuman-papillomavirus-(hpv)-vaccine-offers-solid-protection-against-cervicalcancer
Romanowski B, Schwarz TF, Ferguson L, Peters K, Dionne M, Behre U, et al. Sustained immunogenicity of the HPV-16/18 AS04-adjuvanted vaccine administered as a two-dose schedule in adolescent girls: Five-year clinical data and modeling predictions from a randomized study. Hum Vaccin Immunother. 2016 Jan 1;12(1):20–9.
Falcaro M, Castañon A, Ndlela B, Checchi M, Soldan K, Lopez-Bernal J, et al. The effects of the national HPV vaccination programme in England, UK, on cervical cancer and grade 3 cervical intraepithelial neoplasia incidence: a register-based observational study. Lancet. 2021 Dec 4;398(10316):2084–92.
Campaña de vacunación antigripal 2024 | Lineamientos técnicos | Ministerio de Salud Pública [Internet]. 2024. Available from: https://www.gub.uy/ministerio-salud-publica/comunicacion/publicaciones/campanavacunacion-antigripal-2024-lineamientos-tecnicos
(CHLAEP) CH para la lucha antibuberculosa y enfermedades prevalentes. Gripe (influenza) estacional. 2020;4–7.
Thomas Ray G, Lewis N, Klein NP, Daley MF, Wang S V., Kulldorff M, et al. Intraseason waning of influenza vaccine effectiveness. Clin Infect Dis. 2019 May 1;68(10):1623–30.
Castilla J, Martínez-Baz I, Martínez-Artola V, Reina G, Pozo F, García Cenoz M, et al. Decline in influenza vaccine effectiveness with time after vaccination, Navarre, Spain, season 2011/12. Euro Surveill. 2013;18(5).
Young B, Sadarangani S, Jiang L, Wilder-Smith A, Chen MIC. Duration of Influenza Vaccine Effectiveness: A Systematic Review, Meta-analysis, and Meta-regression of Test-Negative Design Case-Control Studies. J Infect Dis. 2018 Mar 1;217(5):731–41.
Ferdinands JM, Fry AM, Reynolds S, Petrie JG, Flannery B, Jackson ML, et al. Intraseason waning of influenza vaccine protection: Evidence from the US Influenza Vaccine Effectiveness Network, 2011-12 through 2014-15. Clin Infect Dis. 2017;64(5):544–50.
Reber AJ, Chirkova T, Kim JH, Cao W, Biber R, Shay DK, et al. Immunosenescence and Challenges of Vaccination against Influenza in the Aging Population. Aging Dis. 2011;3(1):68.
Picón T, Speranza N, Varela A. Eliminación del sarampión, la rubéola y del síndrome de rubéola congénita: un desafío para Uruguay. Arch Pediatr Urug. 2013;84(4):291–6.
Yang L, Grenfell BT, Mina MJ. Waning immunity and re-emergence of measles and mumps in the vaccine era. Curr Opin Virol. 2020 Feb 1;40:48–54.
Minterio de Salud Pública. Recomendaciones de prevención ante casos de sarampión en Argentina | MSP [Internet]. Available from: https://www.gub.uy/ministerio-salud-publica/comunicacion/comunicados/recomendacionesprevencion-ante-casos-sarampion-argentina
Lewnard JA, Grad YH. Vaccine waning and mumps re-emergence in the United States. Sci Transl Med. 2018 Mar 21;10(433).
Seagle EE, Bednarczyk RA, Hill T, Fiebelkorn AP, Hickman CJ, Icenogle JP, et al. Measles, mumps, and rubella antibody patterns of persistence and rate of decline following the second dose of the MMR vaccine. Vaccine. 2018 Feb 1;36(6):818–26.
Pang H, Zhou Y, Zhao W, Jiang Q. Seroprevalence and Determinants Associated with Mumps Antibodies after 20 Years of MMR Vaccination in Urban Area of Shanghai, China. Int J Environ Res Public Health. 2018 Sep 23;15(10).
Fiebelkorn AP, Coleman LA, Belongia EA, Freeman SK, York D, Bi D, et al. Mumps antibody response in young adults after a third dose of measles-mumpsrubella vaccine. Open forum Infect Dis. 2024 Dec 1;1(3).
Alonge OD, Marin M, Hickman CJ, Sowers SB, Chen MH, Hao L, et al. Longterm Neutralizing Antibody Levels Against Measles and Rubella Viruses Among Adults With 3 Doses of Measles-Mumps-Rubella Vaccine. Open forum Infect Dis.
Jan 1;11(1).
Mahallawi WH, Ibrahim NA. Seroprevalence against the measles virus after vaccination or natural infection in an adult population in Madinah, Saudi Arabia. Hum Vaccin Immunother. 2021;17(8):2522–9.
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