Abstract
Thirty five homosexual men (17 positive for antibody to the human immunodeficiency virus (HIV) and 18 consistently negative) were vaccinated against hepatitis B virus infection. Eight of the 17 seropositive patients failed to develop detectable hepatitis B surface antibody within three months of the third injection compared with only one of the 18 seronegative patients (p less than 0.01). HIV infection is prevalent in the developed world in groups at risk for hepatitis B infection and in certain Third World countries where widespread vaccination programmes exist. This study shows the impact that coincident HIV infection may have on an otherwise efficacious vaccine. The efficacy of this and other vaccines in patients infected with HIV needs to be studied urgently.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Adler M. W., Belsey E. M., McCutchan J. A., Mindel A. Should homosexuals be vaccinated against hepatitis B virus? Cost and benefit assessment. Br Med J (Clin Res Ed) 1983 May 21;286(6378):1621–1624. doi: 10.1136/bmj.286.6378.1621. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cameron C. H., Combridge B. S., Howell D. R., Barbara J. A. A sensitive immunoradiometric assay for the detection of hepatitis B surface antigen. J Virol Methods. 1980;1(6):311–323. doi: 10.1016/0166-0934(80)90048-8. [DOI] [PubMed] [Google Scholar]
- Carne C. A., Weller I. V., Johnson A. M., Loveday C., Pearce F., Hawkins A., Smith A., Williams P., Tedder R. S., Adler M. W. Prevalence of antibodies to human immunodeficiency virus, gonorrhoea rates, and changed sexual behaviour in homosexual men in London. Lancet. 1987 Mar 21;1(8534):656–658. doi: 10.1016/s0140-6736(87)90415-6. [DOI] [PubMed] [Google Scholar]
- Centers for Disease Control (CDC) Suboptimal response to hepatitis B vaccine given by injection into the buttock. MMWR Morb Mortal Wkly Rep. 1985 Mar 1;34(8):105-8, 113. [PubMed] [Google Scholar]
- Courouce A. M., Jungers P., Benhamou E., Laplanche A., Crosnier J. Hepatitis B vaccine in dialysis patients. N Engl J Med. 1984 Dec 6;311(23):1515–1516. doi: 10.1056/NEJM198412063112313. [DOI] [PubMed] [Google Scholar]
- Coutinho R. A., Lelie N., Albrecht-Van Lent P., Reerink-Brongers E. E., Stoutjesdijk L., Dees P., Nivard J., Huisman J., Reesink H. W. Efficacy of a heat inactivated hepatitis B vaccine in male homosexuals: outcome of a placebo controlled double blind trial. Br Med J (Clin Res Ed) 1983 Apr 23;286(6374):1305–1308. doi: 10.1136/bmj.286.6374.1305. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Crosnier J., Jungers P., Couroucé A. M., Laplanche A., Benhamou E., Degos F., Lacour B., Prunet P., Cerisier Y., Guesry P. Randomised placebo-controlled trial of hepatitis B surface antigen vaccine in French haemodialysis units: I, Medical staff. Lancet. 1981 Feb 28;1(8218):455–459. doi: 10.1016/s0140-6736(81)91847-x. [DOI] [PubMed] [Google Scholar]
- Desmyter J., Colaert J., De Groote G., Reynders M., Reerink-Brongers E. E., Lelie P. N., Dees P. J., Reesink H. W. Efficacy of heat-inactivated hepatitis B vaccine in haemodialysis patients and staff. Double-blind placebo-controlled trial. Lancet. 1983 Dec 10;2(8363):1323–1328. doi: 10.1016/s0140-6736(83)91089-9. [DOI] [PubMed] [Google Scholar]
- Hadler S. C., Francis D. P., Maynard J. E., Thompson S. E., Judson F. N., Echenberg D. F., Ostrow D. G., O'Malley P. M., Penley K. A., Altman N. L. Long-term immunogenicity and efficacy of hepatitis B vaccine in homosexual men. N Engl J Med. 1986 Jul 24;315(4):209–214. doi: 10.1056/NEJM198607243150401. [DOI] [PubMed] [Google Scholar]
- Krugman S., Holley H. P., Jr, Davidson M., Simberkoff M. S., Matsaniotis N. Immunogenic effect of inactivated hepatitis B vaccine: comparison of 20 microgram and 40 microgram doses. J Med Virol. 1981;8(2):119–121. doi: 10.1002/jmv.1890080205. [DOI] [PubMed] [Google Scholar]
- Lane H. C., Masur H., Edgar L. C., Whalen G., Rook A. H., Fauci A. S. Abnormalities of B-cell activation and immunoregulation in patients with the acquired immunodeficiency syndrome. N Engl J Med. 1983 Aug 25;309(8):453–458. doi: 10.1056/NEJM198308253090803. [DOI] [PubMed] [Google Scholar]
- Mann J. M., Francis H., Davachi F., Baudoux P., Quinn T. C., Nzilambi N., Bosenge N., Colebunders R. L., Piot P., Kabote N. Risk factors for human immunodeficiency virus seropositivity among children 1-24 months old in Kinshasa, Zaire. Lancet. 1986 Sep 20;2(8508):654–657. doi: 10.1016/s0140-6736(86)90167-4. [DOI] [PubMed] [Google Scholar]
- Maupas P., Chiron J. P., Barin F., Coursaget P., Goudeau A., Perrin J., Denis F., Mar I. D. Efficacy of hepatitis B vaccine in prevention of early HBsAg carrier state in children. Controlled trial in an endemic area (Senegal). Lancet. 1981 Feb 7;1(8215):289–292. doi: 10.1016/s0140-6736(81)91908-5. [DOI] [PubMed] [Google Scholar]
- Melbye M., Njelesani E. K., Bayley A., Mukelabai K., Manuwele J. K., Bowa F. J., Clayden S. A., Levin A., Blattner W. A., Weiss R. A. Evidence for heterosexual transmission and clinical manifestations of human immunodeficiency virus infection and related conditions in Lusaka, Zambia. Lancet. 1986 Nov 15;2(8516):1113–1115. doi: 10.1016/s0140-6736(86)90527-1. [DOI] [PubMed] [Google Scholar]
- Mulley A. G., Silverstein M. D., Dienstag J. L. Indications for use of hepatitis B vaccine, based on cost-effectiveness analysis. N Engl J Med. 1982 Sep 9;307(11):644–652. doi: 10.1056/NEJM198209093071103. [DOI] [PubMed] [Google Scholar]
- Szmuness W., Stevens C. E., Zang E. A., Harley E. J., Kellner A. A controlled clinical trial of the efficacy of the hepatitis B vaccine (Heptavax B): a final report. Hepatology. 1981 Sep-Oct;1(5):377–385. doi: 10.1002/hep.1840010502. [DOI] [PubMed] [Google Scholar]
- Tedder R. S., Cameron C. H., Wilson-Croome R., Howell D. R., Colgrove A., Barbara J. A. Contrasting patterns and frequency of antibodies to the surface, core, and e antigens of hepatitis B virus in blood donors and in homosexual patients. J Med Virol. 1981;6(4):323–332. doi: 10.1002/jmv.1890060407. [DOI] [PubMed] [Google Scholar]