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NLM171210107 |
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231223s2007 xx ||||| 00| ||eng c |
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|a pubmed24n0571.xml
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|a (DE-627)NLM171210107
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|a (NLM)17602874
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|a DE-627
|b ger
|c DE-627
|e rakwb
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|a eng
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100 |
1 |
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|a Goldacker, S
|e verfasserin
|4 aut
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245 |
1 |
0 |
|a Active vaccination in patients with common variable immunodeficiency (CVID)
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264 |
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1 |
|c 2007
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336 |
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|a Text
|b txt
|2 rdacontent
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337 |
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|a ohne Hilfsmittel zu benutzen
|b n
|2 rdamedia
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338 |
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|a Band
|b nc
|2 rdacarrier
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500 |
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|a Date Completed 25.10.2007
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500 |
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|a Date Revised 10.04.2022
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500 |
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|a published: Print-Electronic
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|a Citation Status MEDLINE
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|a Active vaccination of CVID patients with standard vaccines has rarely been studied in depth although some patients have been shown to develop transient vaccine-specific immunity. We addressed the question whether these patients can be identified by functional classification of their B cell subsets in vitro. Twenty-one CVID patients receiving regular IgG substitution were immunized with anti-peptide and anti-polysaccharide vaccines. Humoral vaccination responses were compared to the numbers of circulating memory B cells, CD21(low) B cells and the capacity to produce antibodies in vitro. Our findings allow four conclusions: (1) positive vaccination responses are not contradictory to the diagnosis of CVID; they occurred against polypeptide vaccines in 23% and against polysaccharide antigens in 18% of all vaccinations. (2) Class-switched antibody responses occur preferentially in patients of CVID group II. (3) A normal percentage of IgM memory B cells is necessary but not sufficient for a vaccination response to polysaccharide antigens. (4) Active vaccination in addition to IgG replacement therapy should be performed in patients of CVID type II - especially in case of vaccines for which passive protection cannot be guaranteed
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|a Clinical Trial
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4 |
|a Journal Article
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4 |
|a Research Support, Non-U.S. Gov't
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650 |
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7 |
|a Immunoglobulin G
|2 NLM
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650 |
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7 |
|a Immunoglobulin M
|2 NLM
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650 |
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7 |
|a Peptides
|2 NLM
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650 |
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7 |
|a Pneumococcal Vaccines
|2 NLM
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650 |
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7 |
|a Polysaccharides
|2 NLM
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700 |
1 |
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|a Draeger, R
|e verfasserin
|4 aut
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700 |
1 |
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|a Warnatz, K
|e verfasserin
|4 aut
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700 |
1 |
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|a Huzly, D
|e verfasserin
|4 aut
|
700 |
1 |
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|a Salzer, U
|e verfasserin
|4 aut
|
700 |
1 |
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|a Thiel, J
|e verfasserin
|4 aut
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700 |
1 |
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|a Eibel, H
|e verfasserin
|4 aut
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700 |
1 |
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|a Schlesier, M
|e verfasserin
|4 aut
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700 |
1 |
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|a Peter, H H
|e verfasserin
|4 aut
|
773 |
0 |
8 |
|i Enthalten in
|t Clinical immunology (Orlando, Fla.)
|d 1999
|g 124(2007), 3 vom: 11. Sept., Seite 294-303
|w (DE-627)NLM098196855
|x 1521-7035
|7 nnns
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773 |
1 |
8 |
|g volume:124
|g year:2007
|g number:3
|g day:11
|g month:09
|g pages:294-303
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912 |
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|a GBV_USEFLAG_A
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|a SYSFLAG_A
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|a GBV_NLM
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912 |
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|a GBV_ILN_11
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912 |
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|a GBV_ILN_24
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912 |
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|a GBV_ILN_350
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951 |
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|a AR
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952 |
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|d 124
|j 2007
|e 3
|b 11
|c 09
|h 294-303
|