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Learning from inborn errors of immunity and secondary immune deficiencies about vaccine immunogenicity, efficacy, and safety

Lookup NU author(s): Professor Sophie HambletonORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© The Author(s) 2025. Published by Oxford University Press on behalf of the British Society for Immunology. Since its discovery in the late 18th century, the role of vaccination in preventing death and disease has expanded across many infectious diseases and cancer. Key to our understanding of vaccine immunogenicity and efficacy is knowledge of the immune system itself. Inborn errors of immunity (IEI) represent a heterogeneous group of disorders characterized by impaired function of the immune system. Patients with IEI can have variable responses to vaccinations, depending on the nature and extent of the defect. Studies performed during the recent COVID-19 pandemic have brought unique insight into vaccine immunogenicity in individuals with IEI, knowledge that can be extended to the growing number of patients with secondary immunodeficiency arising from malignancy, organ transplantation, autoimmune conditions, and their treatments. In this review, we describe vaccine immunogenicity in IEI alongside their equivalent secondary immunodeficiencies and discuss what lessons can be learned about immunization strategies more broadly.


Publication metadata

Author(s): Peters NE, Shields AM, Hambleton S, Richter AG

Publication type: Review

Publication status: Published

Journal: Clinical and Experimental Immunology

Year: 2025

Volume: 219

Issue: 1

Online publication date: 02/09/2025

Acceptance date: 24/07/2025

ISSN (print): 0009-9104

ISSN (electronic): 1365-2249

Publisher: Oxford University Press

URL: https://doi.org/10.1093/cei/uxaf059

DOI: 10.1093/cei/uxaf059

PubMed id: 40916471

Data Access Statement: The source material in this review was obtained from publicly available peer-reviewed literature, accessible through databases such as PubMed, Web of Science, and Scopus. No original data were generated for this review; therefore, all data supporting the findings are readily available within the cited publications.


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