“…Thus, further elevations in humoral antibody, raised by active immunization, might not offer benefit. Third, circulating immune complexes are seen at increased frequency among infected CF patients (12)(13)(14)(15), and it is possible that these complexes result from the presence of Pseudomonas antigen with elevated titers of Pseudomonas antibodies. Such complexes, if deposited in lung tissues, might predispose to hypersensitivity lung disease (12,13), and further immune stimulation by vaccine would be contraindicated in that setting.…”