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University of Groningen

Towards strengthening memory immunity in the ageing population

van der Heiden, Marieke

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below.

Document Version

Publisher's PDF, also known as Version of record

Publication date: 2018

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):

van der Heiden, M. (2018). Towards strengthening memory immunity in the ageing population: Investigating the immunological fitness of middle-aged adults. Rijksuniversiteit Groningen.

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TOWARDS STRENGTHENING

MEMORY IMMUNITY IN THE

AGEING POPULATION

Investigating the immunological

fitness of middle-aged adults

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Cover Mars58 | 123RF Stockfoto

Lay-out Nikki Vermeulen | Ridderprint BV

Printing Ridderprint BV | www.ridderprint.nl

ISBN 978-94-034-0229-1 | printed book 978-94-034-0228-4 | e-book

Printing of this thesis was kindly supported by: The Dutch National Institute of Public Health and the Environment (RIVM), The University of Groningen (RUG), and the Groningen University Institute for Drug Exploration (GUIDE).

Copyright © 2017 Marieke van der Heiden

All rights reserved. No part of this thesis may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission from the author, or when applicable, from the publishers of the scientific articles.

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Towards strengthening memory immunity in

the ageing population

Investigating the immunological fitness of middle-aged adults

Proefschrift

ter verkrijging van de graad van doctor aan de Rijksuniversiteit Groningen

op gezag van de

rector magnificus prof. dr. E. Sterken en volgens besluit van het College voor Promoties.

De openbare verdediging zal plaatsvinden op woensdag 10 januari 2018 om 11.00 uur

door

Marieke van der Heiden

geboren op 13 april 1989 te Nijmegen

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Promotor

Prof. dr. A.M.H. Boots

Copromotores

Dr. A.M. Buisman Dr. G.A.M. Berbers

Beoordelingscommissie

Prof. dr. W. van Eden Prof. dr. S.M. van Ham Prof. dr. A.L.W. Huckriede

Paranimfen

Lia de Rond

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Table of contents

Chapter 1 Introduction 9

Chapter 2 Differential effects of Cytomegalovirus carriage on the immune phenotype of middle-aged males and females

Sci Rep. 2016; 6: 26892

27

Chapter 3 Novel intervention in the ageing population:

a primary meningococcal vaccine inducing protective IgM responses in middle-aged adults

Front Immunol. 2017; 8: 817

57

Chapter 4 Lower antibody functionality in middle-aged adults compared to adolescents after primary meningococcal vaccination: role of IgM

Submitted

85

Chapter 5 Tetanus Toxoid carrier protein induced T-helper cell responses upon vaccination of middle-aged adults

Vaccine. 2017.08.056

103

Chapter 6 Age-dependent pre-vaccination immunity affects the immunogenicity of Varicella Zoster vaccination in middle-aged adults

Submitted

121

Chapter 7 An explorative biomarkers study for vaccine responsiveness after primary meningococcal vaccination in middle-aged adults

Submitted

145

Chapter 8 General discussion 169

Appendices Nederlandse samenvatting About the author

Publication list Dankwoord 187 193 194 195

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