Influence of Pediatric Vaccines on Social Behavior in the Infant Rhesus Monkey Britni 1Washington 1 Curtis , Kelly 1 Morrisroe , Vernon 1 Yutuc , Clayton 1 Ferrier , Gene 1 Sackett , Laura 2 Hewitson National Primate Research Center, Center for Human Development & Disability, Seattle, WA; 2 Johnson Center for Child Health & Development, Austin, TX Abstract Pediatric vaccines have been controversial due to presumed negative effects on development, particularly impaired social interaction and communication, hyperactivity, and repetitive stereotyped behaviors that are characteristic of autism spectrum disorder (ASD) . Some reports suggest that exposure to ethyl mercury (EtHg) in the form of thimerosal in pediatric vaccines may play a causative role in such negative effects (Austin et al., 2008). Nursery raised male infant rhesus macaques (n=79) were assigned at birth to one of six vaccine study groups. Subjects began socializing in a playroom at approximately 25 days of age and were socialized 5 days per week in unchanging 4-monkey play groups until 11-12 months of age. Playroom behavior data were collected by observers using a computer system measuring the duration and frequency of all nonsocial and social activities. Data were analyzed using repeated measure ANOVAs. No significant overall group differences in nonsocial or social behavior were found when comparing the vaccine groups to saline controls. The data provide no evidence of abnormal social behavior in rhesus macaques exposed to low-dose thimerosal or other vaccine combinations, contrary to the proposed negative affects of vaccines on the social behavior of developing children. Table 1. Experimental study groups based upon the vaccines administered, presence or absence of thimerosal or MMR (mumpsmeasles-rubella), vs. saline placebo. Group Group 1 Code Control N 16 Vaccines administered None, all saline placebos Group 2 TCV only 12 Thimerosal only Group 3 MMR 15 MMR only Group 4 Group 5 Group 6 1990s - Primate 1990’s - Pediatric 2008 Code Behavior 0 Passive 1 2 3 4 Our goal was to look for potential behavioral effects of a variety of vaccine regimens in a primate model using infant male rhesus macaques. We were interested to see if groups of animals exposed to thimerosal containing vaccines showed any difference in behaviors from animals on placebo or non-thimerosal vaccines. In particular we were looking for an effect between groups in the negative behaviors associated with autism spectrum disorders. 5 6 7 8 Materials & Methods Data were collected from 20-25 days through 12 months of age by experienced testers observing focal monkey behaviors in a playroom. The five minute observations on each play group member were made 3 times per week during weekday 30-45 minute playroom sessions. The 4 monkeys in each unchanging play group were from the same vaccine condition. A digital code recorded the duration, frequency, and sequence of the focal animal’s social and nonsocial behaviors. 12 12 1990’s vaccines on primate schedule 1990’s vaccines on human pediatric schedule Vaccine regimen recommended in 2008 Table 2. Focal monkey behavior codes scored on a laptop computer during playroom social behavior sessions. Behaviors can be either interactive with other monkeys or individual nonsocial activity. Description No intense interaction with other monkeys, self, or objects. Can include a slow visual scanning component, social contact such as huddling or proximity within one foot, and occurs without locomotion. Explore Visual and/or tactual inspection of monkeys, self, or objects, with or without locomotion. Withdraw Retreat from an animal or object creating increased distance by locomotion, with no fear behaviors. FearFear display involving submissive posture, retraction of lips cooing, Disturbance screeching, convulsive jerking, 3 successive hoots, with or without withdrawal or locomotion. RockStrong clasping-grasping of another monkey without play behavior, or selfHuddleclasping with arms, legs, hands, or feet, without locomotion and no active Selfclasp inspection of own or other’s body. Stereotypy Repetitive body movements, with or without locomotion, requiring three or more consecutive repetitive movements. Play Behaviors with greater physical intensity than explore, involving “ears backmouth puckering” expression, open mouth without teeth exposure or ears back, chasing, wrestling, bouncing, running or jumping, rolling, biting without injury, or “tug-of-war” with an object. Sex Presenting rear area, inspection of genitalia, masturbation, with thrusting toward a monkey or tester, mounting and thrusting a monkey or object. Aggression “Stiff” stance, piloerection, open-mouth threat, back, rolling and hitting with or without injury. Materials & Methods Introduction 12 Results Table 3: Overall mean duration and frequency of all non-social or social behaviors. Overall means (N=790) and 95% Confidence Intervals (bootstrapped from 1000 samples). FOCAL CATEGORY NONSOCIAL Duration BEHAVIORS Frequency SOCIAL Duration BEHAVIORS Frequency Passive 0.56 0.30-0.86 194.1 192.1-195.9 0 0.03 0.02-004 30.4 30.0-30.9 0 2.6 2.3-2.8 1.3 1.2-1.4 0.04 0.02-0.05 0.44 0.34-0.55 0.60 .16-1.15 0 0.6 0.55-0.64 0.46 0.42-0.49 0.014 0.019-0.02 011 0.09-0.13 0.02 0.01-0.04 0 17.0 16.3-17.8 1.6 1.3-1.8 0.04 0.02-0.05 5.2 5.1-5.4 0.28 0.25-0.32 0.01 0.007-0.016 Mean CI Explore Mean CI FearMean Withdrawal CI Disturbed Mean CI Rock-Huddle-Self Mean Clasp CI Stereotypy Mean CI Play Mean CI Sex Mean CI Aggress-Threat Mean CI 6.0 4.8-7.3 0.13 0.03-0.26 0.001 0-0.004 13.4 12.9-13.9 0.0001 00-.001 0.0001 0-0.001 1.0 0.9-1.2 0.01 0-0.001 0.0002 00-.001 10.5 10.2-10.8 0.0001 0-0.0004 0.001 0-0.0003 Figure 1: Duration (top graphs) and frequency (bottom graphs) of observed nonsocial positive (left) and social positive (right) behaviors between two and eleven months of age for each study group. These data suggest that the animals in the vaccinated groups did not behave significantly differently than control animals. Table 4: Repeated measure Analyses of Variance: Group is an uncorrelated variable, 30-day month and Group X Month are correlated variables. * Uses Greenhouse-Geisser Sphericity correction to df ** Composite of categories 2, 3, 4, and 5 (see table 3) *** Composite of categories 6, 7, and 8 Nonsocial Behavior Passive Explore Negative** Positive*** Month df=9/657 F P* 2.63 0.005 12.64 <0.001 32.27 <0.001 44.06 <0.001 Group df=5/73 F P 1.69 0.15 1.79 0.13 1.34 0.26 2.01 0.09 Mn X Gr df=45/657 F P* 1.28 0.11 1.56 0.06 1.01 0.44 3.58 <0.001 Social Behavior Passive Explore Negative** Positive*** Month df=9/657 F P* 5.94 <0.001 20.07 <0.001 1.87 0.16 5.36 <0.001 Group df=5/73 F P 1.02 0.41 1.13 0.35 0.87 0.50 1.35 0.25 Mn X Gr df=45/657 F P* 1.24 0.21 0.94 0.54 1.56 0.12 1.63 0.02 Conclusions No significant differences were found between vaccine and control groups in either social or non-social behavior. Negative behaviors of Fear, Withdraw, Stereotypy, and Aggression were rarely exhibited, such that we did not have adequate numbers in those behaviors to make any comparisons in either social or non-social categories. There was an interesting spike in group 4 non-social positive behavior between 8 & 10 months, and in groups 4 & 5 in social positive behavior at month 10 but by month 12, all groups were showing similar behavior trends. Acknowledgements We would like to thank the staff of the WaNPRC IPRL. We are very grateful for funding from the following sources: Christopher Johnson The 1964 Robert Wood Johnson Charitable Trust The Ted Lindsay Foundation SafeMinds National Autism Association NIH grant RR00166 CHDD grant HD02274
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