Vaccination and heterologous immunity: educating the immune system

A Gil, LL Kenney, R Mishra, LB Watkin… - Transactions of the …, 2015 - academic.oup.com
A Gil, LL Kenney, R Mishra, LB Watkin, N Aslan, LK Selin
Transactions of the Royal Society of Tropical Medicine and Hygiene, 2015academic.oup.com
This review discusses three inter-related topics:(1) the immaturity of the neonatal and infant
immune response;(2) heterologous immunity, where prior infection history with unrelated
pathogens alters disease outcome resulting in either enhanced protective immunity or
increased immunopathology to new infections, and (3) epidemiological human vaccine
studies that demonstrate vaccines can have beneficial or detrimental effects on subsequent
unrelated infections. The results from the epidemiological and heterologous immunity …
Abstract
This review discusses three inter-related topics: (1) the immaturity of the neonatal and infant immune response; (2) heterologous immunity, where prior infection history with unrelated pathogens alters disease outcome resulting in either enhanced protective immunity or increased immunopathology to new infections, and (3) epidemiological human vaccine studies that demonstrate vaccines can have beneficial or detrimental effects on subsequent unrelated infections. The results from the epidemiological and heterologous immunity studies suggest that the immune system has tremendous plasticity and that each new infection or vaccine that an individual is exposed to during a lifetime will potentially alter the dynamics of their immune system. It also suggests that each new infection or vaccine that an infant receives is not only perturbing the immune system but is educating the immune system and laying down the foundation for all subsequent responses. This leads to the question, is there an optimum way to educate the immune system? Should this be taken into consideration in our vaccination protocols?
Oxford University Press