Impaired avidity maturation after tetanus toxoid booster in children with Down Syndrome
Abstract
Down syndrome children show a decreased avidity of the antibody response after tetanus toxoid booster vaccination at 9 years of age suggesting impaired memory B cell selection in the germinal center. Clinicians need to be aware of this ongoing subtle immunologic deficit in Down syndrome.
Down syndrome tetanus toxoid antibody formation avidity children common variable immunodeficiency somatic hypermutation syndrome trisomy-21 antibody-response intrinsic defect antigens abnormalities deficiency cells
