PMID- 18501999 OWN - NLM STAT- MEDLINE DCOM- 20080909 LR - 20080613 IS - 0264-410X (Print) IS - 0264-410X (Linking) VI - 26 IP - 27-28 DP - 2008 Jun 25 TI - HLA and response to booster hepatitis B vaccination in anti-HBs-seronegative adolescents who had received primary infantile vaccination. PG - 3414-20 LID - 10.1016/j.vaccine.2008.04.038 [doi] AB - To explore contemporarily genetic and non-genetic determinants of long-term immunological memory to hepatitis B (HB) vaccination, we conducted a case-control study nested in an adolescent cohort of booster recipients who had received primary infantile HB vaccination but with residual anti-HBs titers <10 mIU/mL at 15-18 years of age. High-resolution phenotypes of human leukocyte antigen (HLA)-A, -B, and -DRB1 loci were determined by sequence-specific oligonucleotide probe hybridization. After controlling for pre-booster anti-HBs levels, the absences of HLA-A*02 and -DRB1*08, simply expressed as A*02(-) and -DRB1*08(-), and the presence of B*15 were significantly associated with elevated risks of non-response (post-booster anti-HBs titers<10 mIU/mL) to booster vaccination. The adjusted odds ratios (ORs) were 3.85 (CI, 1.82-8.33), 4.55 (CI, 1.23-16.67), 3.59 (CI, 1.40-9.17), respectively. There was multiplicative synergism between A*02 and B*15 on the risk of non-response to booster vaccination. The multivariate-adjusted ORs for A*02(-)/B*15, A*02(-)/B*15(-), A*02/B*15, and A*02/B*15(-) haplotypes were 20.39 (p=0.0003), 3.29 (p=0.007), 1.32 (p>0.05), and 1.0, respectively. Recent cigarette smoking and/or betel-quid chewing was associated with a 12-fold risk of non-response to booster vaccination. Further comparisons between responders and adolescents who had undetectable post-booster anti-HBs titers (<0.1 mIU/mL) demonstrated similar results. Our results indicated that response to booster HB vaccination as well as long-term immunological responses to HB vaccination are closely related with host genetic factors, and probably modified by recent substance use. FAU - Lin, Hans Hsienhong AU - Lin HH AD - Department of Internal Medicine, Tzu Chi University, Hualien, Taiwan. FAU - Liao, Huei-Wen Chang AU - Liao HW FAU - Lin, Sheng-Kai AU - Lin SK FAU - Wang, Li-Yu AU - Wang LY LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080505 PL - Netherlands TA - Vaccine JT - Vaccine JID - 8406899 RN - 0 (DNA Primers) RN - 0 (HLA Antigens) RN - 0 (Hepatitis B Antibodies) RN - 0 (Hepatitis B Vaccines) SB - IM MH - Adolescent MH - Case-Control Studies MH - DNA Primers MH - Female MH - HLA Antigens/*genetics MH - Hepatitis B/prevention & control MH - Hepatitis B Antibodies/*blood MH - Hepatitis B Vaccines/*immunology MH - Humans MH - Immunization, Secondary MH - Male MH - Nucleic Acid Hybridization EDAT- 2008/05/27 09:00 MHDA- 2008/09/10 09:00 CRDT- 2008/05/27 09:00 PHST- 2008/01/22 00:00 [received] PHST- 2008/03/11 00:00 [revised] PHST- 2008/04/15 00:00 [accepted] PHST- 2008/05/27 09:00 [pubmed] PHST- 2008/09/10 09:00 [medline] PHST- 2008/05/27 09:00 [entrez] AID - S0264-410X(08)00492-1 [pii] AID - 10.1016/j.vaccine.2008.04.038 [doi] PST - ppublish SO - Vaccine. 2008 Jun 25;26(27-28):3414-20. doi: 10.1016/j.vaccine.2008.04.038. Epub 2008 May 5.