2016
DOI: 10.1016/j.vaccine.2016.04.032
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Morning vaccination enhances antibody response over afternoon vaccination: A cluster-randomised trial

Abstract: HighlightsEarly small studies provide mixed evidence for effects of time of vaccination on antibody response.This is the first large scale randomised trial of different times of vaccination.Morning vaccination enhances the antibody response to the influenza vaccine.This simple manipulation is cost neutral and may improve protection from influenza in older adults.

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Cited by 224 publications
(205 citation statements)
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“…has recently been shown to be a determinant in the systemic immunization response in people aged >65 y (24 Cell Culture and Bioluminescence Assays. Primary fibroblasts were generated as described previously (27).…”
Section: Discussionmentioning
confidence: 99%
“…has recently been shown to be a determinant in the systemic immunization response in people aged >65 y (24 Cell Culture and Bioluminescence Assays. Primary fibroblasts were generated as described previously (27).…”
Section: Discussionmentioning
confidence: 99%
“…Timing chemotherapy infusions with circadian rhythms in patients with metastatic colorectal cancer increased the effectiveness of chemotherapy and significantly reduced toxic side-effects compared to conventional constant-rate infusion [33] Vaccination 276 patients (over 65 years of age) vaccinated in the morning had greater antibody titers 1 month later than patients vaccinated in the afternoon.…”
Section: Molecular Clockmentioning
confidence: 99%
“…In 2017, the Nobel Prize in Physiology or Medicine was awarded jointly to Jeffrey C. Hall, Michael Rosbash, and Michael W. Young ''for their discoveries of molecular mechanisms controlling the circadian rhythm'' [1][2][3]. The circadian clock is crucial in regulating daily physiological processes and it is now realized that the time at which our immune system is triggered (by infection [4], vaccination [5], surgery [6]), appears to be critical to the way we respond to these insults. Several inflammatory diseases, such as asthma, display a marked time of day pattern in symptoms.…”
Section: Introductionmentioning
confidence: 99%
“…Mice immunized with CpG, a TLR9 ligand, at ZT19 display an increased lymphocyte proliferative response and heightened IFN␥ [82]. Human data indicates that the efficiency of certain serotypes of the influenza vaccine in elderly subjects might be modulated by time-of-day administration [83]. Antibody titres against the vaccine were greatest in subjects vaccinated in the morning versus the afternoon.…”
Section: Bmal1-a Master Regulatormentioning
confidence: 99%