[HTML][HTML] Studies into the mechanism of measles-associated immune suppression during a measles outbreak in the Netherlands

BM Laksono, RD de Vries, RJ Verburgh… - Nature …, 2018 - nature.com
BM Laksono, RD de Vries, RJ Verburgh, EG Visser, A de Jong, PLA Fraaij, WLM Ruijs…
Nature communications, 2018nature.com
Measles causes a transient immune suppression, leading to increased susceptibility to
opportunistic infections. In experimentally infected non-human primates (NHPs) measles
virus (MV) infects and depletes pre-existing memory lymphocytes, causing immune
amnesia. A measles outbreak in the Dutch Orthodox Protestant community provided a
unique opportunity to study the pathogenesis of measles immune suppression in
unvaccinated children. In peripheral blood mononuclear cells (PBMC) of prodromal measles …
Abstract
Measles causes a transient immune suppression, leading to increased susceptibility to opportunistic infections. In experimentally infected non-human primates (NHPs) measles virus (MV) infects and depletes pre-existing memory lymphocytes, causing immune amnesia. A measles outbreak in the Dutch Orthodox Protestant community provided a unique opportunity to study the pathogenesis of measles immune suppression in unvaccinated children. In peripheral blood mononuclear cells (PBMC) of prodromal measles patients, we detected MV-infected memory CD4+ and CD8+ T cells and naive and memory B cells at similar levels as those observed in NHPs. In paired PBMC collected before and after measles we found reduced frequencies of circulating memory B cells and increased frequencies of regulatory T cells and transitional B cells after measles. These data support our immune amnesia hypothesis and offer an explanation for the previously observed long-term effects of measles on host resistance. This study emphasises the importance of maintaining high measles vaccination coverage.
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