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HEV 239 vaccine induces durable humoral and cellular immunity in Bangladeshi womenHepatitis E vaccine shows durable immunity in women

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Key Takeaway
Consider that HEV 239 vaccine induces durable humoral and cellular immunity over 2 years, but safety data are lacking.

This phase 4 longitudinal cohort study evaluated long-term immunity following HEV 239 (Hecolin) vaccination in 1480 women aged 16-39 years in Matlab, Bangladesh. Participants received HEV 239 vaccine or HBV vaccine as control. Over a follow-up of 24-35 months, seropositivity was significantly higher in the HEV-vaccinated group (83.7%) compared to controls (51.6%) (P < 0.001).

IgG subclass analysis revealed an IgG4 and IgG2 dominant response in vaccinated participants, whereas controls showed predominantly IgG2 responses. Cellular immunity was assessed by IFN-γ and IL-4 production, indicating persistent Th1-polarized cellular memory.

Safety data were not reported. A key limitation was low PBMC recovery, which may have affected interpretation of cellular responses. No funding or conflict of interest information was provided.

These results offer evidence for durable humoral and cellular immunity after HEV 239 vaccination in a region endemic for hepatitis E. However, the observational design and missing safety data warrant cautious interpretation. The findings may inform future vaccination strategies in endemic areas.

A new study from Bangladesh shows that the hepatitis E vaccine Hecolin provides long-lasting protection for women of childbearing age. The research followed 1,480 women aged 16 to 39 for up to 35 months. Those who received the vaccine had a significantly higher rate of immunity compared to women who got a hepatitis B vaccine. Specifically, 83.7% of vaccinated women remained seropositive versus 51.6% in the control group. The vaccine also triggered a strong cellular memory response, which suggests the body can fight off the virus for a long time.

The study was conducted in Matlab, Bangladesh, a region where hepatitis E is common. The virus can be especially dangerous for pregnant women, so protecting this group is important. The researchers measured both antibody levels and immune cell responses. They found that vaccinated women had a different pattern of antibody subtypes, which may indicate a more robust and lasting immune response.

One limitation of the study is that the interpretation of some immune cell data was limited because not enough cells were recovered from blood samples. This means the findings on cellular memory should be taken with some caution. No safety concerns were reported in the study.

Overall, this research offers valuable evidence that the hepatitis E vaccine can provide durable protection for women in endemic areas. It supports the use of Hecolin to prevent hepatitis E in regions where the virus is a serious health threat.

What this means for you:
The hepatitis E vaccine Hecolin shows strong, lasting immunity in women for up to 3 years.

Study Details

Study typeRct
EvidenceLevel 2
Follow-up35.0 mo
PublishedMay 2026
View Original Abstract ↓
OBJECTIVE: To assess long-term humoral and cellular immunity, including IgG subclass-specific responses, 24-35 months after HEV 239 (Hecolin®) vaccination among women in an HEV-endemic region. METHODS: A longitudinal cohort study was conducted in Matlab, Bangladesh, enrolling 1480 women (16-39 years) from a prior phase 4 cluster-randomized trial. Participants were categorized into four groups based on baseline serostatus and vaccine type: two HEV-vaccinated groups (seronegative and seropositive at baseline) and two HBV-vaccinated control groups. HEV IgG and IgG subclasses were measured, and limited ELISPOT assays assessed IFN-γ and IL-4 responses. Follow-up occurred 24-35 months post-vaccination. RESULTS: After two years, seropositivity remained significantly higher in the HEV-vaccinated participants (83.7%) than in HBV controls (51.6%, P < 0.001), indicating durable immunity. Vaccinated participants showed IgG4 and IgG2 dominance, whereas controls demonstrated predominantly IgG2 responses, consistent with natural infection. ELISPOT assays revealed persistent IFN-γ and IL-4 production, suggesting Th1-polarized cellular memory, though interpretation was limited by low PBMC recovery. CONCLUSION: This research reveals the first long-term IgG subclass-specific and cellular immunity data following HEV 239 vaccination in an endemic population. The findings demonstrate durable immune responses and offer crucial evidence to inform future HEV vaccination strategies for endemic regions like Bangladesh.
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