Jump to content
This site uses cookies. Continued use is acceptance of our Terms of Use and Privacy Policy. More Info... ×
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate
  • Jefferson Adams
    Jefferson Adams

    Hepatitis B Vaccine and Boosters Less Effective in People With Celiac Disease

    Reviewed and edited by a celiac disease expert.
    Hepatitis B Vaccine and Boosters Less Effective in People With Celiac Disease - In this photo, hepatitis B attacks cells. Photo: CC--ajc1
    Caption: In this photo, hepatitis B attacks cells. Photo: CC--ajc1

    A team of researchers recently took a look at how well the hepatitis B vaccine protected people with celiac disease over time. Specifically, they evaluated what is called long-term antibody persistence and immune memory to hepatitis B virus in adult celiac patients vaccinated as adolescents.

    The research team included F. Zingone, F. Morisco, A. Zanetti, L. Romanò, G. Portella, P. Capone, P. Andreozzi, R. Tortora, and C.Ciacci. They are affiliated with the Department of Clinical and Experimental Medicine of Federico II University of Naples in Italy.

    Celiac.com Sponsor (A12):
    They set out to investigate the anti-HBs antibody persistence and immune memory to hepatitis B virus in adult celiacs vaccinated as adolescents, along with the effects of a booster administration in non-protected individuals.

    They found that, eleven years after receiving the initial vaccine dose, the percentage of vaccinees with blood levels ≥ 10 mIU/ml and antibody geometric mean concentrations (GMCs) were lower among celiac patients than among control subjects (68.6% vs 91.7%, p

    Patients with anti-HBs below 10 mIU/ml received a booster dose and were retested after two weeks to measure response levels.

    Post-booster anti-HBs levels were still

    The study shows that, compared with healthy control subjects, people with celiac disease have lower seroprotective levels of anti-HBs eleven years after main vaccination, in addition to having a substantially lower response rate to a booster dose of the hepatitis B vaccine.

    Do you have celiac disease? Have you had a hepatitis B vaccine? Have you had trouble getting proper immunity levels with the hepatitis B vaccine? Is this news to you? Share your comments below.

    Source:

    • Open Original Shared Link


    User Feedback

    Recommended Comments

    Guest Kelly

    Posted

    I work for the USAF in a medical setting. I am required to have Hep B Vaccinations. The first 2 rounds did not take. I was fortunate that the flight doctor was also a friend who okayed me for no more. He said something isn't right, not long after I was diagnosed with celiac disease... Thank you for confirming something I knew to be true!!

    Link to comment
    Share on other sites
    Guest Teresa

    Posted

    I had to be completely re vaccinated. I will bring this article to my internist and share with him. Perhaps we will even recheck my antibody levels again! I was diagnosed with celiac disease 22 years ago.

    Link to comment
    Share on other sites
    Guest Pamd

    I am now being revaccinated for the third time!!

    Link to comment
    Share on other sites
    Guest elizabeth

    Posted

    This is interesting. My daughter has been vaccinated 3 times (she works in the medical field) and they have not taken. As far as we know she doesn't have celiac disease, but I do. Connection?

    Link to comment
    Share on other sites
    Guest Kristin

    Posted

    Is this relating to celiacs already on the gluten-free diet or does it relate to untreated disease?

    Link to comment
    Share on other sites
    Guest Another Round

    Posted

    Three years ago I tested negative for celiac disease, but then I went on a gluten-free diet anyway because I am sensitive to gluten. I am not immune to Hep B. My 3-shot vaccination as an infant apparently did not take, so I have received an additional 3 vaccinations in the last 12 months as an adult that also have not taken. Blood draws show that I still do not have the Hep B antibody.

    Link to comment
    Share on other sites
    Guest Christine

    Posted

    I have celiac disease and have been through 3 rounds of the 3 series hepatitis B shots, and actually had a severe reaction to the last one. I was sure I would have a titre. I do, but it's well below normal levels. However, I was told not to try any more due to the reaction I had.

    Link to comment
    Share on other sites
    Guest Camille Pridgen

    Posted

    My doctor is gluten sensitive, and she did not develop antibodies from the hepatitis B vaccine. My hepatitis B levels were not tested after the vaccination. But I don't produce antibodies to the pneumovax vaccine. I have dermatitis herpetiformis.

    Link to comment
    Share on other sites
    Guest Fran

    That explains why I had to go two rounds of immunization, and then I had enough antibodies for the entire town! It just seems to make sense. It has to be the autoimmune factor.

    Link to comment
    Share on other sites
    Guest Sharon

    Posted

    My 14 year old daughter was recently diagnosed with celiac disease. After running additional blood work, her HEP B vaccination was found to be nonresponsive. She is scheduled to be revaccinated in the near future as per her doctor.

    Link to comment
    Share on other sites
    Guest SharonM

    Posted

    So here is our family's history of vaccines and celiac disease and GS: One family member with celiac disease diagnosed 2 years ago contracted rubella (German measles) first year of college (decades ago) despite being complete revaccinated for everything (not just boosters) as a healthcare major. Doctors noted amazement at the time that there was no rubella titer with blood sample. Other three are pretty severely gluten sensitive - though two have not been completely tested for celiac disease as they had low total IgA that could render a false negative with antibody testing, and genetic testing was not done; the other definitely does not have celiac disease but is GS. Several years ago all of us despite being up to date on immunizations and boosters contracted pertussis (whooping cough) . One had to have polio series redone (never developed a titer), and the other had THREE series of Hep B to never develop a titer and the doctors just gave up.

     

    So despite the warnings that celiac disease has severe autoimmune issues - one has to wonder if the immune issues with GS are not as bad/as severe since the autoimmune issues and presentation of symptoms among body systems is so similar between celiac disease and GS. Perhaps much of the ineffectiveness of vaccines in the news the past few years is related to celiac disease and GS, and unless there is a specific reason (such as you are from a foreign country) doctors rarely, if ever, confirm the effectiveness of all these vaccinations by drawing titers/levels of antibodies.

     

    Finally, and this is just my theory (so please do not take this as fact), perhaps the issue with autism is not what is in the vaccines but the autoimmune response these induce in children whose immune systems are altered in some way (celiac disease or GS or other disorder) or are too immature. We know that the inflammatory response of celiac disease and GS has been documented to elicit seizures, migraines, and peripheral neurological issues - so perhaps it in combination with the vaccines triggers autistic syndrome. Perhaps doctors should consider checking IgA levels and performing other screening before immunizing children. It would be great if Dr. Fasano at Mass General looked into this with his study testing the relationship of gluten (reducing/eliminating it) to autistic symptoms.

    Link to comment
    Share on other sites
    Guest Carol

    I had issues with Measles, Mumps, Rubella (MMR) titres being too low despite being vaccinated three times. Also through work in healthcare, I had repeated shots for Hepatitis B and did not have sufficient titres. They gave up and gave no explanation why this was so. This was prior to being diagnosed with Celiac.

    Link to comment
    Share on other sites


    Create an account or sign in to comment

    You need to be a member in order to leave a comment

    Create an account

    Sign up for a new account in our community. It's easy!

    Register a new account

    Sign in

    Already have an account? Sign in here.

    Sign In Now

  • Get Celiac.com Updates:
    Support Celiac.com:
    Donate
  • About Me

    Jefferson Adams

    Jefferson Adams is Celiac.com's senior writer and Digital Content Director. He earned his B.A. and M.F.A. at Arizona State University. His articles, essays, poems, stories and book reviews have appeared in numerous magazines, journals, and websites, including North American Project, Antioch Review, Caliban, Mississippi Review, Slate, and more. He is the author of more than 2,500 articles on celiac disease. His university coursework includes studies in science, scientific methodology, biology, anatomy, physiology, medicine, logic, and advanced research. He previously devised health and medical content for Colgate, Dove, Pfizer, Sharecare, Walgreens, and more. Jefferson has spoken about celiac disease to the media, including an appearance on the KQED radio show Forum, and is the editor of numerous books, including "Cereal Killers" by Scott Adams and Ron Hoggan, Ed.D.

    >VIEW ALL ARTICLES BY JEFFERSON ADAMS

     


  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):





    Celiac.com Sponsors (A17-M):




  • Related Articles

    Scott Adams
    Troncone R, Greco L, Mayer M, Mazzarella G, et. al.
    Gastroenterology, 1996; 111: 318-324
    The final paragraph says:
    In conclusion, our data show that approximately half of the siblings of patients with celiac disease show signs of sensitization to gluten as they mount an inflammatory local response to rectal gluten challenge. The genetic background and the clinical meaning of such gluten sensitivity need to be established. Further studies, particularly at the jejunal level, are necessary before deciding if any action is to be taken in this subset of first-degree relatives.


    Jefferson Adams
    Celiac.com 06/30/2008 - The results of a Hungarian study published recently in the June issue of Pediatrics suggest that people with untreated celiac disease show abnormal resistance to the hepatitis B (HBV) vaccine, while celiac patients on a gluten-free diet show a near normal response to the vaccine.
    A team of doctors led by Dr. Eva Nemes, at the University of Debrecen, administered 2 to 3 doses of recombinant HBV vaccine to 128 patients with celiac disease and an age matched control group of 113 non-celiac patients within a 6-month period. Twenty-two of the celiac patients were following a gluten-free diet when they received the vaccine.
    One month after the last HBV vaccination, the team took blood samples to look for anti-HBV antibodies. The group of 22 patients who received...


    Jefferson Adams
    How Reliable is Hepatitis B Vaccination in People with Celiac Disease?
    Celiac.com 02/10/2012 - The HBV vaccine is usually effective against common hepatitis B virus (HBV) infection, with just 4-10% of vaccine recipients failing to respond to standard immunization. Some studies suggest that people with celiac disease may have high levels of resistance to the HBV vaccine, compared to the general population.
    A team of researchers recently took a look at the issue of HBV vaccine reliability in people with celiac disease.
    The study team included Mohammad Rostami Nejad, Kamran Rostami, and Mohammad Reza Zali. They are variously affiliated with the Research Center for Gastroenterology and Liver Disease at Shahid Beheshti University of Medical Sciences in Tehran, Iran, and with Acute Medicine at Dudley Group of Hospital in Dudley, UK. Together, they reviewed...


    Jefferson Adams
    How Common is Celiac Disease in Patients with Autoimmune Hepatitis?
    Celiac.com 10/20/2014 - Researchers don’t have much data on rates of celiac disease in patients with autoimmune hepatitis (AIH). To better understand any connections between the two conditions, a Dutch research team recently set out to examine the rates of celiac disease in patients with autoimmune hepatitis.
    Specifically, the team set out to investigate the relationship between AIH and celiac disease by assessing the prevalence of IgA tissue antitransglutaminase antibodies (TGA) and antiendomysium antibodies (EMA) in a large group of AIH patients.
    The research team N.M. van Gerven, S.F. Bakker, Y.S. de Boer, B.I. Witte, H. Bontkes, C.M. van Nieuwkerk, C.J Mulder, G. Bouma; and the Dutch AIH working group. They are variously affiliated with the Departments of Gastroenterology an...


  • Recent Activity

    1. - trents replied to Art Maltman's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      2

      My 5 months of Struggle

    2. - Scott Adams replied to Dana Gilcrease's topic in Gluten-Free Foods, Products, Shopping & Medications
      4

      Gluten-Free Foods

    3. - Art Maltman posted a topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      2

      My 5 months of Struggle


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      126,490
    • Most Online (within 30 mins)
      7,748

    Constance E.
    Newest Member
    Constance E.
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      120.9k
    • Total Posts
      69.4k

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Popular Now

    • JA917
      11
    • Dana Gilcrease
      4
    • marion wheaton
      6
    • Jula
    • GardeningForHealth
  • Popular Articles

    • Scott Adams
    • Scott Adams
    • Scott Adams
    • Scott Adams
    • Scott Adams
  • Upcoming Events

×
×
  • Create New...