Abstract | OBJECTIVE: STUDY DESIGN: RESULTS: The percent of children with ALL who had protective titers was markedly less than that anticipated for immunized control subjects. Longitudinally, many titers fluctuate between protective and non-protective antibody responses after re-immunization. The chemotherapy protocol used did not affect the ability of these children to express protective antibody responses. T-, B-, and NK-cell numbers and proliferative responses to mitogens were all normal. Age correlated with titer results for certain vaccines. CONCLUSIONS: Children in remission from ALL have a high prevalence of humoral immune defects that are not related to any specific chemotherapy regimen. This antibody deficiency may place children with ALL at risk for the development of these bacterial and viral diseases, even after completion of chemotherapy. Pediatricians, oncologists, or both should periodically monitor humoral immunity after chemotherapy and re-vaccinate these children, as needed, to ensure prolonged immunoprotection.
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Authors | Daniel H Brodtman, David W Rosenthal, Arlene Redner, Philip Lanzkowsky, Vincent R Bonagura |
Journal | The Journal of pediatrics
(J Pediatr)
Vol. 146
Issue 5
Pg. 654-61
(May 2005)
ISSN: 0022-3476 [Print] United States |
PMID | 15870670
(Publication Type: Journal Article)
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Chemical References |
- Vincristine
- Asparaginase
- Prednisone
- Daunorubicin
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Topics |
- Antibody Formation
(drug effects, immunology)
- Antineoplastic Combined Chemotherapy Protocols
(adverse effects, therapeutic use)
- Asparaginase
(adverse effects, therapeutic use)
- Child
- Child, Preschool
- Communicable Diseases
(immunology)
- Daunorubicin
(adverse effects, therapeutic use)
- Genotype
- Humans
- Infant
- Precursor Cell Lymphoblastic Leukemia-Lymphoma
(drug therapy, genetics)
- Prednisone
(adverse effects, therapeutic use)
- Vincristine
(adverse effects, therapeutic use)
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