Serum C-Reactive Protein and Congestive Heart Failure as Significant Predictors of Herpes Zoster Vaccine Response in Elderly Nursing Home Residents
Open accessAbstract
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.”
From Chronic inflammation in the etiology of disease across the life span (2019) · cites this paper as [23]
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”
From Chronic inflammation in the etiology of disease across the life span (2019) · cites this paper as [23]
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)
- ORCID
- Venue
- The Journal of Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2017-05-31
- Volume
- 216
- Issue
- 2
- Pages
- 191-197
- ISSN
- 0022-1899 (ISSN-L)
- 1537-6613
- PMC
- PMC5853411
- 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
- bronze
- doi.org
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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