Genetic associations with measles PRNT and IgG antibody response to MMR vaccination in 6- and 15-month-old children

Jesper Kiehn Sørensen*, Andreas Jensen, Anne Cathrine Zimakoff, Dorthe Maria Vittrup, Michelle Malon, Sejun Kim, Emma Victoria Hatley, Jonas Bybjerg-Grauholm, Simranjeet Kaur, Flemming Pociot, Lone Graff Stensballe, Jannet Svensson

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Background: Measles immunization is a cornerstone in public health, yet vaccine failure affects up to 10 % of the population, leaving some vaccinated individuals susceptible to infection. Many factors influence vaccine responses, and we hypothesize that host genetic factors impact vaccine response to measles, mumps, and rubella (MMR) vaccination. Methods: We performed Human Leukocyte Antigen (HLA) associations and a genome-wide association study of measles plaque reduction neutralization test (PRNT) and Immunoglobin G (IgG) in 607 infants from a randomized, double-blind vaccine trial of the MMR vaccine. We examined HLA and Single Nucleotide Polymorphism (SNP) associations with measles vaccine response at 5–7 months and again at 15 months. Association analyses for SNPs were performed using linear and logistic regression, while HLA associations only utilized linear regression. Results: Two novel regions associated with post-vaccine measles PRNT levels were identified - one on chromosome 1 and one on chromosome 9. The most significant SNP at chromosome 9 is the intronic SNP rs77498152 within the LINGO2-gene (p-value = 1.1∙10−9), and on chromosome 1, the intronic SNP rs3005891 (p-value = 2.2∙10−8) in the LOC124904186 gene. Associations of 4-digit HLA type alleles and measles PRNT revealed the HLA-A*2902 (p = 0.006) and measles IgG HLA-B*1801 (p = 0.0025) as the most strongly associated HLA types; both were associated with a lower response. Conclusion: In an MMR vaccine trial, this study identified novel genetic regions on chromosomes 1 and 9 associated with measles PRNT in healthy infants. Four-digit HLA types were associated with both Measles IgG and PRNT. Associations between SNPs and HLA have been investigated previously, and we suspect the difference in results is due to dissimilarities between cohorts and study design, especially regarding participants' age and time from immunization to immune outcome measurement.

Original languageEnglish
Article number126788
JournalVaccine
Volume50
Number of pages10
ISSN0264-410X
DOIs
Publication statusPublished - 2025

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