Volume 15, Issue 1 (Spring 2007)                   JSSU 2007, 15(1): 44-48 | Back to browse issues page

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Nouri-Majalan N. Effect of Serum Zinc Levels on Humoral Immune Response to Hepatitis B Vaccination in Patients on Dialysis . JSSU 2007; 15 (1) :44-48
URL: http://jssu.ssu.ac.ir/article-1-676-en.html
Abstract:   (7607 Views)
Introduction: Zinc deficiency causes abnormalities in immune response. In chronic hemodialysis (HD) and continuous ambulatory peritoneal dialysis (CAPD) patients, impaired immune responses to vaccination have been reported. Therefore, we performed a study to determine the correlation between serum zinc levels and immune response to hepatitis B vaccination in patients on dialysis. Methods: A cross-sectional study including 95 CRF patients on dialysis (70 HD and 25 CAPD), (63 male and 32 female) with three dose regimens of vaccination against HBV was performed. Results: Four months after vaccination, there were 34 (36%) patients with sufficient HBs Antibody response (HBs Ab≥ 10 mU/mL ) and 61 ( 64% ) patients with insufficient HBs antibody response( HBs Ab< 10mU/mL ). The mean serum zinc level was 23.35±3.87 micmol/L (13.20-33 micmol/L). The mean serum zinc concentration was significantly higher in patients with sufficient HBs antibody level than patients with insufficient HBs antibody levels ( 24.94±4.17 versus 22.15±3.46, P= 0.005 ). In logistic regression analysis, independent variables that correlated with sufficient HBs Ab level ≥ 10 mU/mL included higher mean serum zinc level [OR=1.44 (1.02-2.02), P=0.006 ] and female gender [OR=1.8 (1.01-4.01), P=0.048] . Factors found to be insignificant included type of dialysis, age, diabetes mellitus as a cause of ESRD, serum creatinine and albumin levels. Conclusion: We conclude that failure to respond to HBV vaccination is significantly related to a low levels of serum zinc. However, clinical trial studies should be performed in order to confirm this finding.
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Type of Study: Original article | Subject: General
Received: 2010/01/25 | Published: 2007/04/15

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