Optimization of Pertussis Immunization Using Mathematical Models

JonahHall

UBC

"Optimization of Pertussis Immunization Using Mathematical Models"

Pertussis (whooping cough), caused by Bordetella pertussis, is most severe in infants, with most deaths occurring in unvaccinated infants under three months of age. Vaccination with the DTaP (priming) and TdaP (booster) immunizations is effective, with TdaP given during pregnancy and DTaP in infancy. However, immunomodulation can dampen the IgG response in infants born to vaccinated mothers. We hypothesize that adjusting the vaccination schedule could reduce immunomodulation and enhance vaccine efficacy. Since empirically testing multiple schedules is impractical, we propose using mathematical modeling alongside two experimental mouse models to determine an optimal schedule. Pregnant and infant mice will be immunized following a murine analog of standard vaccination. These data will inform our model, allowing us to estimate key immune parameters. Once parametrized, our model will propose schedules that maximize infant antibody response. A second mouse experiment will test these schedules, comparing immune responses to assess their efficacy. This approach will help evaluate immunomodulation mechanisms and refine vaccination strategies. The mechanistic evaluation of immunomodulation is of significance due to its lack of effective investigations to date.
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