Serotypes With Low Invasive Potential Are Associated With an Impaired Antibody Response in Invasive Pneumococcal Disease

Pneumococcal polysaccharide vaccines may elicit a hyporesponse under certain conditions. There is limited knowledge, however, on the type of specific antibody response in individuals with invasive pneumococcal disease (IPD). The aim of this study was to investigate the functional antibody response i...

Full description

Bibliographic Details
Main Authors: Nils Littorin, Fabian Uddén, Jonas Ahl, Fredrik Resman, Hans-Christian Slotved, Simon Athlin, Kristian Riesbeck
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-11-01
Series:Frontiers in Microbiology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fmicb.2018.02746/full
_version_ 1824011947493818368
author Nils Littorin
Fabian Uddén
Jonas Ahl
Jonas Ahl
Fredrik Resman
Fredrik Resman
Hans-Christian Slotved
Simon Athlin
Kristian Riesbeck
author_facet Nils Littorin
Fabian Uddén
Jonas Ahl
Jonas Ahl
Fredrik Resman
Fredrik Resman
Hans-Christian Slotved
Simon Athlin
Kristian Riesbeck
author_sort Nils Littorin
collection DOAJ
description Pneumococcal polysaccharide vaccines may elicit a hyporesponse under certain conditions. There is limited knowledge, however, on the type of specific antibody response in individuals with invasive pneumococcal disease (IPD). The aim of this study was to investigate the functional antibody response in patients with IPD caused by different serotypes. Pre-immune and convalescent sera from 40 patients (age 14–91 years) with IPD caused by serotypes with low (serotype 3, 19F, and 23F) and high (1, 4, 7F, and 14) invasive potential were investigated. For each patient, the homologous serotype-specific antibody concentration was determined. The functionality of induced antibodies post-IPD was evaluated in an opsonophagocytic assay (OPA). Undetectable or decreased pneumococcal killing in OPA following IPD, i.e., a nonfunctional antibody response, was observed in 24 of 40 patients (60%). Patients with nonfunctional antibody responses had lower serotype specific IgG antibody ratios post-IPD than patients with increased OPA titres. A nonfunctional antibody response was associated with low invasive serotypes (3, 19F, and 23F, p = 0.015). In conclusion, a nonfunctional antibody response may follow IPD, and was in our cohort associated to serotypes with low invasive potential. These findings need to be confirmed in a larger material.
first_indexed 2024-12-18T21:41:30Z
format Article
id doaj.art-0055ab9ccaa746e99eb975961879efff
institution Directory Open Access Journal
issn 1664-302X
language English
last_indexed 2024-12-18T21:41:30Z
publishDate 2018-11-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Microbiology
spelling doaj.art-0055ab9ccaa746e99eb975961879efff2022-12-21T20:50:47ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2018-11-01910.3389/fmicb.2018.02746420017Serotypes With Low Invasive Potential Are Associated With an Impaired Antibody Response in Invasive Pneumococcal DiseaseNils Littorin0Fabian Uddén1Jonas Ahl2Jonas Ahl3Fredrik Resman4Fredrik Resman5Hans-Christian Slotved6Simon Athlin7Kristian Riesbeck8Clinical Microbiology, Department of Translational Medicine, Faculty of Medicine, Lund University, Malmö, SwedenClinical Microbiology, Department of Translational Medicine, Faculty of Medicine, Lund University, Malmö, SwedenClinical Microbiology, Department of Translational Medicine, Faculty of Medicine, Lund University, Malmö, SwedenInfectious Diseases, Department of Translational Medicine, Faculty of Medicine, Lund University, Malmö, SwedenClinical Microbiology, Department of Translational Medicine, Faculty of Medicine, Lund University, Malmö, SwedenInfectious Diseases, Department of Translational Medicine, Faculty of Medicine, Lund University, Malmö, SwedenDepartment of Bacteria, Parasites and Fungi, Statens Serum Institut, Copenhagen, DenmarkDepartment of Infectious Diseases, Faculty of Medicine and Health, Örebro University, Örebro, SwedenClinical Microbiology, Department of Translational Medicine, Faculty of Medicine, Lund University, Malmö, SwedenPneumococcal polysaccharide vaccines may elicit a hyporesponse under certain conditions. There is limited knowledge, however, on the type of specific antibody response in individuals with invasive pneumococcal disease (IPD). The aim of this study was to investigate the functional antibody response in patients with IPD caused by different serotypes. Pre-immune and convalescent sera from 40 patients (age 14–91 years) with IPD caused by serotypes with low (serotype 3, 19F, and 23F) and high (1, 4, 7F, and 14) invasive potential were investigated. For each patient, the homologous serotype-specific antibody concentration was determined. The functionality of induced antibodies post-IPD was evaluated in an opsonophagocytic assay (OPA). Undetectable or decreased pneumococcal killing in OPA following IPD, i.e., a nonfunctional antibody response, was observed in 24 of 40 patients (60%). Patients with nonfunctional antibody responses had lower serotype specific IgG antibody ratios post-IPD than patients with increased OPA titres. A nonfunctional antibody response was associated with low invasive serotypes (3, 19F, and 23F, p = 0.015). In conclusion, a nonfunctional antibody response may follow IPD, and was in our cohort associated to serotypes with low invasive potential. These findings need to be confirmed in a larger material.https://www.frontiersin.org/article/10.3389/fmicb.2018.02746/fullantibodyopsonizationsepsisserotypeStreptococcus pneumoniae
spellingShingle Nils Littorin
Fabian Uddén
Jonas Ahl
Jonas Ahl
Fredrik Resman
Fredrik Resman
Hans-Christian Slotved
Simon Athlin
Kristian Riesbeck
Serotypes With Low Invasive Potential Are Associated With an Impaired Antibody Response in Invasive Pneumococcal Disease
Frontiers in Microbiology
antibody
opsonization
sepsis
serotype
Streptococcus pneumoniae
title Serotypes With Low Invasive Potential Are Associated With an Impaired Antibody Response in Invasive Pneumococcal Disease
title_full Serotypes With Low Invasive Potential Are Associated With an Impaired Antibody Response in Invasive Pneumococcal Disease
title_fullStr Serotypes With Low Invasive Potential Are Associated With an Impaired Antibody Response in Invasive Pneumococcal Disease
title_full_unstemmed Serotypes With Low Invasive Potential Are Associated With an Impaired Antibody Response in Invasive Pneumococcal Disease
title_short Serotypes With Low Invasive Potential Are Associated With an Impaired Antibody Response in Invasive Pneumococcal Disease
title_sort serotypes with low invasive potential are associated with an impaired antibody response in invasive pneumococcal disease
topic antibody
opsonization
sepsis
serotype
Streptococcus pneumoniae
url https://www.frontiersin.org/article/10.3389/fmicb.2018.02746/full
work_keys_str_mv AT nilslittorin serotypeswithlowinvasivepotentialareassociatedwithanimpairedantibodyresponseininvasivepneumococcaldisease
AT fabianudden serotypeswithlowinvasivepotentialareassociatedwithanimpairedantibodyresponseininvasivepneumococcaldisease
AT jonasahl serotypeswithlowinvasivepotentialareassociatedwithanimpairedantibodyresponseininvasivepneumococcaldisease
AT jonasahl serotypeswithlowinvasivepotentialareassociatedwithanimpairedantibodyresponseininvasivepneumococcaldisease
AT fredrikresman serotypeswithlowinvasivepotentialareassociatedwithanimpairedantibodyresponseininvasivepneumococcaldisease
AT fredrikresman serotypeswithlowinvasivepotentialareassociatedwithanimpairedantibodyresponseininvasivepneumococcaldisease
AT hanschristianslotved serotypeswithlowinvasivepotentialareassociatedwithanimpairedantibodyresponseininvasivepneumococcaldisease
AT simonathlin serotypeswithlowinvasivepotentialareassociatedwithanimpairedantibodyresponseininvasivepneumococcaldisease
AT kristianriesbeck serotypeswithlowinvasivepotentialareassociatedwithanimpairedantibodyresponseininvasivepneumococcaldisease