Total and serotype-specific pneumococcal antibody titres in children with normal and abnormal humoral immunity

Vaccine. 2006 Jul 7;24(27-28):5637-44. doi: 10.1016/j.vaccine.2006.03.088. Epub 2006 Apr 18.

Abstract

A heptavalent pneumococcal conjugate vaccine (PCV-7) protects children against invasive pneumococcal disease. The aim of this study was to evaluate immunoglobulin subclass and serotype-specific pneumococcal antibody responses to vaccination in children with a history of recurrent or severe bacterial infections. Pneumococcal IgG, IgG1, IgG2 titres were assayed by ELISA, and nine serotype concentrations measured using a nonaplex bead assay in 145 children investigated for recurrent or severe infections. Children mounted an exclusively IgG1 response after vaccination with two doses of PCV-7 and a dose of 23 valent pneumococcal polysaccharide vaccine (PPV-23), with pneumococcal IgG2 antibody titres remaining low to negligible. Measurement of serotype-specific responses demonstrated that although PCV-7 specific serotype responses increased significantly post-vaccination, specific IgG against two of the serotypes not covered by PCV-7 but only by PPV-23 remained low. We conclude that in contrast to antibody response to natural infection with Pneumococcus or pneumococcal polysaccharide vaccines which are often of a IgG2 subclass, responses in children after PCV-7 are of IgG1 subclass. Serotype-specific IgG were useful in determining the protection against specific pneumococcal strains, and showed that the PPV-23 did not broaden protection against non-PCV-7 serotypes.

MeSH terms

  • Adolescent
  • Age Factors
  • Antibodies, Bacterial / blood
  • Antibodies, Bacterial / immunology*
  • Antibody Formation / immunology
  • Antibody Specificity
  • Child
  • Child, Preschool
  • Cohort Studies
  • Female
  • Heptavalent Pneumococcal Conjugate Vaccine
  • Humans
  • Immunoglobulin G / immunology
  • Male
  • Meningococcal Vaccines / immunology*
  • Meningococcal Vaccines / therapeutic use
  • Pneumococcal Vaccines / immunology*
  • Pneumococcal Vaccines / therapeutic use
  • Polysaccharides, Bacterial / immunology
  • Streptococcus pneumoniae / immunology*

Substances

  • 23-valent pneumococcal capsular polysaccharide vaccine
  • Antibodies, Bacterial
  • Heptavalent Pneumococcal Conjugate Vaccine
  • Immunoglobulin G
  • Meningococcal Vaccines
  • Pneumococcal Vaccines
  • Polysaccharides, Bacterial