Measles remains a public health concern due to a lack of
vaccine use and
vaccine failure. A better understanding of the factors that influence variations in immune responses, including innate/inflammatory and adaptive cellular immune responses, following
measles-
mumps-
rubella (MMR) vaccination could increase our knowledge of
measles vaccine-induced immunity and potentially lead to better
vaccines.
Measles-specific innate/inflammatory and adaptive cell-mediated immune (CMI) responses were characterized using
enzyme-linked
immunosorbent assays to quantify the levels of secreted
IL-2,
IL-6,
IL-10, IFN-α, IFN-γ, IFN-λ1, and TNF-α in PBMC cultures following in vitro stimulation with measles virus (MV) in a cohort of 764 school-aged children. IFN-γ ELISPOT assays were performed to ascertain the number of
measles-specific IFN-γ-secreting cells.
Cytokine responses were then tested for associations with self-declared demographic data, including gender, race, and ethnicity. Females secreted significantly more TNF-α,
IL-6, and IFN-α (p<0.001, p<0.002, p<0.04, respectively) compared to males. Caucasians secreted significantly more IFN-λ1,
IL-10,
IL-2, TNF-α,
IL-6, and IFN-α (p<0.001, p<0.001, p<0.001, p<0.003, p<0.01, and p<0.02, respectively) compared to the other racial groups combined. Additionally, Caucasians had a greater number of IFN-γ-secreting cells compared to other racial groups (p<0.001). Ethnicity was not significantly correlated with variations in
measles-specific CMI measures. Our data suggest that innate/inflammatory and CMI
cytokine responses to
measles vaccine vary significantly by gender and race. These data further advance our understanding regarding inter-individual and subgroup variations in immune responses to
measles vaccination.