Cited by 31Herpesvirus Infections and TreatmentsImmune responses and vaccinationsGeriatric Care and Nursing Homes

Serum C-Reactive Protein and Congestive Heart Failure as Significant Predictors of Herpes Zoster Vaccine Response in Elderly Nursing Home Residents

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Verschoor, Chris P, Lelic, Alina, Parsons, Robin, Evelegh, Carole, Bramson, Jonathan L, Johnstone, Jennie, Loeb, Mark B, Bowdish, Dawn M E·2017·The Journal of Infectious Diseases

Abstract

Background: Elderly long-term care residents often exhibit a myriad of risk factors for immune dysfunction, including chronic inflammation and multiple comorbid conditions, which undoubtedly contribute to their enhanced susceptibility to infection. Hence, understanding the factors required for optimal vaccine responsiveness is critical. Methods: We examined 187 elderly nursing home residents (aged 80-102 years) and 50 community-dwelling seniors (aged 60-75 years) immunized with the live-attenuated varicella-zoster virus (VZV) vaccine. Specifically, we examined whether vaccine responsiveness was associated with serum C-reactive protein (CRP), tumor necrosis factor, interleukin 1β, 6, and 10, leukocyte telomere length, chronic disease status, and frailty. Results: Elderly participants had significantly higher levels of CRP, tumor necrosis factor, and interleukin 6 and shorter leukocyte telomere length. Vaccine responsiveness was inversely related to the CRP level in elderly participants, but not seniors, and those with congestive heart failure were less likely to achieve a 2-fold response (odds ratio, 0.08). The latter relationship is probably due to immunosenescence, because heart failure was associated with increased senescent CD4+ T cells, and reduced naive and effector and central memory CD8+ T cells. Conclusions: In summary, these data improve our understanding of vaccine responsiveness for those in long-term care, suggesting that certain risk factors are associated with a greater likelihood of vaccine failure.

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  • Systemic chronic inflammation can impair normal immune function, increasing susceptibility to infections and tumors and reducing vaccine response.

    “SCI can also impair normal immune function, leading to increased susceptibility to infections and tumors and a poor response to vaccines22–25.”
  • Certain inflammatory biomarkers, such as CRP, are inversely correlated with older adults' response to herpes zoster vaccine.

    “certain inflammatory biomarkers, such as CRP, are inversely correlated with older adults’ response to other vaccines, such as the herpes zoster vaccine23”
  • Mediators of systemic chronic inflammation are linked to suboptimal vaccine responses in both elderly and younger individuals.

    “This may help explain why mediators of systemic chronic inflammation have been linked to suboptimal vaccine responses in not only the elderly26,27 but in younger individuals as well28.”

    From SARS-CoV-2, COVID-19 and the aging immune system (2021) · cites this paper as [27]

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Authors
Verschoor, C. P., Lelic, A., Parsons, R., Evelegh, C., Bramson, J. L., Johnstone, J., Loeb, M. B., & Bowdish, D. M. E.
Affiliations
  • Canadian Longitudinal Study on Aging (CA)
  • Department of Pathology and Molecular Medicine,
  • Public Health Ontario (CA)
  • McMaster University (CA)
Venue
The Journal of Infectious Diseases
Published
2017-05-31
Volume
216
Issue
2
Pages
191-197
ISSN
  • 0022-1899 (ISSN-L)
  • 1537-6613
OpenAlex
W2620183594
Cited by
31
References
49
Citations by year
2026: 1 · 2025: 3 · 2023: 4 · 2022: 8 · 2021: 6 · 2020: 1 · 2019: 5 · 2018: 3
FWCI
1.93
Type
journal article
Language
en
Open access
Locations
  • The Journal of Infectious Diseases (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
Canadian Institutes of Health Research
Topics
  • Health Sciences › Medicine › Epidemiology › Herpesvirus Infections and Treatments
  • Life Sciences › Immunology and Microbiology › Immunology › Immune responses and vaccinations
  • Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
Keywords
C-reactive protein, congestive heart failure, herpes zoster vaccine, vaccine response, elderly nursing home residents, immunosenescence, chronic inflammation, TNF-α, interleukin-6, IL-10, leukocyte telomere length, frailty, varicella-zoster virus, long-term care, vaccine failure
MeSH terms
Immunosenescence, Aged, Aged, 80 and over, C-Reactive Protein, Canada, Female, Heart Failure, Herpes Zoster, Homes for the Aged, Humans, Immunity, Cellular, Long-Term Care, Male, Middle Aged, Nursing Homes, T-Lymphocytes, Herpesvirus 3, Human, Linear Models, Logistic Models, Cytokines, Telomere, Herpes Zoster Vaccine

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