When estrogen deficiency meets immune responses induced by rabies vaccination

ABSTRACT Estrogen deficiency in postmenopausal women is accompanied by immune status alterations, leading to a chronic low-grade inflammatory phenotype. Immediate rabies postexposure prophylaxis (PEP) following a transdermal bite or scratch from a rabies-infected animal is urgently needed. However,...

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Main Authors: Hua Qian, Junjie Zhang, Li Tian, Lele Liu, Menghua Li, Zezheng Jiang, Xiaoying Lei, Wenwen Zheng, Peilu Sun, Xuexing Zheng
Format: Article
Language:English
Published: American Society for Microbiology 2025-05-01
Series:Microbiology Spectrum
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Online Access:https://journals.asm.org/doi/10.1128/spectrum.02726-24
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author Hua Qian
Junjie Zhang
Li Tian
Lele Liu
Menghua Li
Zezheng Jiang
Xiaoying Lei
Wenwen Zheng
Peilu Sun
Xuexing Zheng
author_facet Hua Qian
Junjie Zhang
Li Tian
Lele Liu
Menghua Li
Zezheng Jiang
Xiaoying Lei
Wenwen Zheng
Peilu Sun
Xuexing Zheng
author_sort Hua Qian
collection DOAJ
description ABSTRACT Estrogen deficiency in postmenopausal women is accompanied by immune status alterations, leading to a chronic low-grade inflammatory phenotype. Immediate rabies postexposure prophylaxis (PEP) following a transdermal bite or scratch from a rabies-infected animal is urgently needed. However, whether immune alterations in postmenopausal women influence the reaction to rabies vaccination remains unclear. Bilateral ovariectomized (OVX) and Sham mice were immunized with modified live vaccine RABV LBNSE. LBNSE immunization had no obvious pathological effect on the mice in either group and effectively protected all mice from RABV attack. Although 100% protection was found, the reduction rate of viral neutralizing antibody titers in the LBNSE-OVX mice was greater than that in the LBNSE-Sham mice. LBNSE immunization recruited/activated fewer dendritic cells (DCs) and B cells in the lymph nodes, while more B cells were detected in the blood of LBNSE-OVX mice than in that of LBNSE-Sham mice. Th1 and Th2 immune responses are both rapidly induced in LBNSE-OVX-subjected mice and are inclined toward a Th2-biased immune response. LBNSE immunization in OVX mice elicited similar amounts of RABV-specific CD4+ and CD8+ T cells as those in Sham mice. Our data revealed that the protective efficacy of rabies vaccination was slightly decreased by estrogen deficiency and that DC and B lymphocyte recruitment/activation and Th-mediated responses in splenocytes were partly altered; however, rabies vaccination offered sufficient protection against RABV within the observation period, helping alleviate anxiety related to rabies virus exposure after menopause. Additional measures might be helpful to improve long-term effective protection in postmenopausal women.IMPORTANCEMenopause has a distinct effect on the decrease in the female immune system, and whether protection efficacy after rabies vaccination in postmenopausal women is influenced requires evaluation. Our findings demonstrated that although viral neutralizing antibody (VNA) titers in the LBNSE-OVX mice were similar to those in the LBNSE-Sham mice, VNAs declined faster than those in the LBNSE-Sham mice within the observation period. Fewer dendritic cells in the lymph nodes were recruited/activated in LBNSE-OVX mice than in LBNSE-Sham mice, whereas B cells in the lymph nodes and peripheral blood exhibited the opposite tendency. Th2-biased immune responses were induced in LBNSE-OVX mice, and no significant changes were observed in RABV-specific CD4+ or CD8+ T cells. These results provide evidence that rabies vaccination could provide effective protection for postmenopausal women within the observation period, but other measures might be needed to improve protection, which is beneficial for alleviating anxiety of menopausal women when facing rabies immunization.
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spelling doaj-art-d4db0241b4f34bcea69c22b495aa820b2025-08-20T03:52:10ZengAmerican Society for MicrobiologyMicrobiology Spectrum2165-04972025-05-0113510.1128/spectrum.02726-24When estrogen deficiency meets immune responses induced by rabies vaccinationHua Qian0Junjie Zhang1Li Tian2Lele Liu3Menghua Li4Zezheng Jiang5Xiaoying Lei6Wenwen Zheng7Peilu Sun8Xuexing Zheng9The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaThe Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Virology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Virology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Virology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Virology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Virology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaThe Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaInstitute of Pharmacology, Shandong First Medical University, Jinan, Shandong, ChinaThe Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaABSTRACT Estrogen deficiency in postmenopausal women is accompanied by immune status alterations, leading to a chronic low-grade inflammatory phenotype. Immediate rabies postexposure prophylaxis (PEP) following a transdermal bite or scratch from a rabies-infected animal is urgently needed. However, whether immune alterations in postmenopausal women influence the reaction to rabies vaccination remains unclear. Bilateral ovariectomized (OVX) and Sham mice were immunized with modified live vaccine RABV LBNSE. LBNSE immunization had no obvious pathological effect on the mice in either group and effectively protected all mice from RABV attack. Although 100% protection was found, the reduction rate of viral neutralizing antibody titers in the LBNSE-OVX mice was greater than that in the LBNSE-Sham mice. LBNSE immunization recruited/activated fewer dendritic cells (DCs) and B cells in the lymph nodes, while more B cells were detected in the blood of LBNSE-OVX mice than in that of LBNSE-Sham mice. Th1 and Th2 immune responses are both rapidly induced in LBNSE-OVX-subjected mice and are inclined toward a Th2-biased immune response. LBNSE immunization in OVX mice elicited similar amounts of RABV-specific CD4+ and CD8+ T cells as those in Sham mice. Our data revealed that the protective efficacy of rabies vaccination was slightly decreased by estrogen deficiency and that DC and B lymphocyte recruitment/activation and Th-mediated responses in splenocytes were partly altered; however, rabies vaccination offered sufficient protection against RABV within the observation period, helping alleviate anxiety related to rabies virus exposure after menopause. Additional measures might be helpful to improve long-term effective protection in postmenopausal women.IMPORTANCEMenopause has a distinct effect on the decrease in the female immune system, and whether protection efficacy after rabies vaccination in postmenopausal women is influenced requires evaluation. Our findings demonstrated that although viral neutralizing antibody (VNA) titers in the LBNSE-OVX mice were similar to those in the LBNSE-Sham mice, VNAs declined faster than those in the LBNSE-Sham mice within the observation period. Fewer dendritic cells in the lymph nodes were recruited/activated in LBNSE-OVX mice than in LBNSE-Sham mice, whereas B cells in the lymph nodes and peripheral blood exhibited the opposite tendency. Th2-biased immune responses were induced in LBNSE-OVX mice, and no significant changes were observed in RABV-specific CD4+ or CD8+ T cells. These results provide evidence that rabies vaccination could provide effective protection for postmenopausal women within the observation period, but other measures might be needed to improve protection, which is beneficial for alleviating anxiety of menopausal women when facing rabies immunization.https://journals.asm.org/doi/10.1128/spectrum.02726-24rabies virusviral neutralizing antibodiesovariectomymenopauseestrogenvaccine
spellingShingle Hua Qian
Junjie Zhang
Li Tian
Lele Liu
Menghua Li
Zezheng Jiang
Xiaoying Lei
Wenwen Zheng
Peilu Sun
Xuexing Zheng
When estrogen deficiency meets immune responses induced by rabies vaccination
Microbiology Spectrum
rabies virus
viral neutralizing antibodies
ovariectomy
menopause
estrogen
vaccine
title When estrogen deficiency meets immune responses induced by rabies vaccination
title_full When estrogen deficiency meets immune responses induced by rabies vaccination
title_fullStr When estrogen deficiency meets immune responses induced by rabies vaccination
title_full_unstemmed When estrogen deficiency meets immune responses induced by rabies vaccination
title_short When estrogen deficiency meets immune responses induced by rabies vaccination
title_sort when estrogen deficiency meets immune responses induced by rabies vaccination
topic rabies virus
viral neutralizing antibodies
ovariectomy
menopause
estrogen
vaccine
url https://journals.asm.org/doi/10.1128/spectrum.02726-24
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