Association of Pneumococcal Protein Antigen Serology With Age and Antigenic Profile of Colonizing Isolates

作者:Azarian Taj*; Grant Lindsay R; Georgieva Maria; Hammitt Laura L; Reid Raymond; Bentley Stephen D; Goldblatt David; Santosham Mathuran; Weatherholtz Robert; Burbidge Paula; Goklish Novalene; Thompson Claudette M; Hanage William P; O'Brien Kate L; Lipsitch Marc
来源:Journal of Infectious Diseases, 2017, 215(5): 713-722.
DOI:10.1093/infdis/jiw628

摘要

Background. Several Streptococcus pneumoniae proteins play a role in pathogenesis and are being investigated as vaccine targets. It is largely unknown whether naturally acquired antibodies reduce the risk of colonization with strains expressing a particular antigenic variant. Methods. Serum immunoglobulin G (IgG) titers to 28 pneumococcal protein antigens were measured among 242 individuals aged <6 months-78 years in Native American communities between 2007 and 2009. Nasopharyngeal swabs were collected >= 30 days after serum collection, and the antigen variant in each pneumococcal isolate was determined using genomic data. We assessed the association between preexisting variant-specific antibody titers and subsequent carriage of pneumococcus expressing a particular antigen variant. Results. Antibody titers often increased across pediatric groups before decreasing among adults. Individuals with low titers against group 3 pneumococcal surface protein C (PspC) variants were more likely to be colonized with pneumococci expressing those variants. For other antigens, variant-specific IgG titers do not predict colonization. Conclusion. We observed an inverse association between variant-specific antibody concentration and homologous pneumococcal colonization for only 1 protein. Further assessment of antibody repertoires may elucidate the nature of antipneumococcal antibody-mediated mucosal immunity while informing vaccine development.

  • 出版日期2017-3-1