Shigella lipopolysaccharide antibodies in pediatric populations

Pediatr Infect Dis J. 1995 Oct;14(10):859-65. doi: 10.1097/00006454-199510000-00008.

Abstract

Shigellosis is the most common cause of bacterial dysentery. To study the specific immunity to the two major groups causing shigellosis, we assayed antibodies to lipopolysaccharide (LPS) by enzyme-linked immunoadsorbent assay to both Shigella sonnei and Shigella flexneri 2a serotypes in the following populations: (1) women immediately after delivery and their infants to assess the transfer of passive immunity by placenta and the presence of secretory antibodies in breast milk; (2) children of different ages; and (3) the kinetics of antibody production in pediatric patients, who had culture-proved shigellosis. The sera of these women showed variable concentrations of antibodies of all three isotypes to LPS of S. sonnei and S. flexneri 2a. These serotype-specific antibodies were not cross-reactive. Transfer of IgG anti-LPS across the placenta was significantly correlated with concentration of the specific antibody in the mother (S. sonnei, r = 0.96; S. flexneri, r = 0.84). Varying concentrations of anti-LPS IgA were present in colostrum, which was correlated with serum anti-LPS IgA titers in the case of S. sonnei (r = 0.44; P < 0.05) but not S. flexneri (r = 0.17). Healthy children between the ages of 6 months and 4 years in our population had undetectable or relatively low titers of anti-S. sonnei IgG. More children had detectable antibody titers to S. flexneri 2a than to S. sonnei. The relatively high concentrations of these natural antibodies are particularly noteworthy because there is a far lower incidence (< 10% of patients) with S. flexneri than with S. sonnei disease in this population.(ABSTRACT TRUNCATED AT 250 WORDS)

MeSH terms

  • Adolescent
  • Antibodies, Bacterial / analysis*
  • Antibodies, Bacterial / blood
  • Child
  • Child, Preschool
  • Dysentery, Bacillary / immunology*
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Humans
  • Immunity, Maternally-Acquired*
  • Immunoglobulin A / analysis
  • Immunoglobulin G / analysis
  • Immunoglobulin M / analysis
  • Infant
  • Infant, Newborn
  • Milk, Human / immunology
  • Polysaccharides, Bacterial / analysis
  • Polysaccharides, Bacterial / immunology*
  • Pregnancy
  • Shigella flexneri / immunology*
  • Shigella sonnei / immunology*

Substances

  • Antibodies, Bacterial
  • Immunoglobulin A
  • Immunoglobulin G
  • Immunoglobulin M
  • Polysaccharides, Bacterial