“…However, studies have shown enhancement of active antibody responses by soluble antigen-antibody complexes in in vivo conditions for all subisotypes of IgG antibodies in mice (53). Vaccination studies have also shown enhancement of active antibody responses in the presence of lower titers of maternal antibodies (37,54,55). Several factors, such as age at vaccination, titer of maternal antibodies, type of vaccine [live, killed, or attenuated (including degree of attenuation)], dosage, number of doses, nature of antigen (carbohydrate or protein), use of adjuvant, and the methods used for determining antibody responses, may influence the outcome of immunization studies in neonates.…”