Insufficient Anthrax Lethal Toxin Neutralization Is Associated with Antibody Subclass and Domain Specificity in the Plasma of Anthrax-Vaccinated Individuals

Anthrax vaccine adsorbed (AVA) is a significant line of defense against bioterrorist attack from <i>Bacillus anthracis</i> spores. However, in a subset of individuals, this vaccine may produce a suboptimal quantity of anti-protective antigen (PA), antibodies that are poorly neutralizing,...

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Main Authors: Kenneth Smith, Lori Garman, Kathleen Norris, Jennifer Muther, Angie Duke, Renata J. M. Engler, Michael R. Nelson, Limone C. Collins, Christina Spooner, Carla Guthridge, Judith A. James
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Microorganisms
Subjects:
Online Access:https://www.mdpi.com/2076-2607/9/6/1204
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author Kenneth Smith
Lori Garman
Kathleen Norris
Jennifer Muther
Angie Duke
Renata J. M. Engler
Michael R. Nelson
Limone C. Collins
Christina Spooner
Carla Guthridge
Judith A. James
author_facet Kenneth Smith
Lori Garman
Kathleen Norris
Jennifer Muther
Angie Duke
Renata J. M. Engler
Michael R. Nelson
Limone C. Collins
Christina Spooner
Carla Guthridge
Judith A. James
author_sort Kenneth Smith
collection DOAJ
description Anthrax vaccine adsorbed (AVA) is a significant line of defense against bioterrorist attack from <i>Bacillus anthracis</i> spores. However, in a subset of individuals, this vaccine may produce a suboptimal quantity of anti-protective antigen (PA), antibodies that are poorly neutralizing, and/or antibody titers that wane over time, necessitating annual boosters. To study individuals with such poor responses, we examine the properties of anti-PA in a subset of vaccinated individuals that make significant quantities of antibody but are still unable to neutralize toxin. In this cohort, characterized by poorly neutralizing antibody, we find that increased IgG4 to IgG1 subclass ratios, low antibody avidity, and insufficient antibody targeting domain 4 associate with improper neutralization. Thus, future vaccines and vaccination schedules should be formulated to improve these deficiencies.
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spelling doaj.art-3135dac548e24f40b3494cdc367ea4fd2023-11-21T22:31:11ZengMDPI AGMicroorganisms2076-26072021-06-0196120410.3390/microorganisms9061204Insufficient Anthrax Lethal Toxin Neutralization Is Associated with Antibody Subclass and Domain Specificity in the Plasma of Anthrax-Vaccinated IndividualsKenneth Smith0Lori Garman1Kathleen Norris2Jennifer Muther3Angie Duke4Renata J. M. Engler5Michael R. Nelson6Limone C. Collins7Christina Spooner8Carla Guthridge9Judith A. James10Department of Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation, 825 NE 13th St., Oklahoma City, OK 73104, USADepartment of Genes and Human Disease, Oklahoma Medical Research Foundation, 825 NE 13th St., Oklahoma City, OK 73104, USADepartment of Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation, 825 NE 13th St., Oklahoma City, OK 73104, USADepartment of Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation, 825 NE 13th St., Oklahoma City, OK 73104, USADepartment of Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation, 825 NE 13th St., Oklahoma City, OK 73104, USAWalter Reed National Military Medical Center, 8901 Wisconsin Ave, Bethesda, MD 20814, USAWalter Reed National Military Medical Center, 8901 Wisconsin Ave, Bethesda, MD 20814, USAWalter Reed National Military Medical Center, 8901 Wisconsin Ave, Bethesda, MD 20814, USAWalter Reed National Military Medical Center, 8901 Wisconsin Ave, Bethesda, MD 20814, USADepartment of Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation, 825 NE 13th St., Oklahoma City, OK 73104, USADepartment of Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation, 825 NE 13th St., Oklahoma City, OK 73104, USAAnthrax vaccine adsorbed (AVA) is a significant line of defense against bioterrorist attack from <i>Bacillus anthracis</i> spores. However, in a subset of individuals, this vaccine may produce a suboptimal quantity of anti-protective antigen (PA), antibodies that are poorly neutralizing, and/or antibody titers that wane over time, necessitating annual boosters. To study individuals with such poor responses, we examine the properties of anti-PA in a subset of vaccinated individuals that make significant quantities of antibody but are still unable to neutralize toxin. In this cohort, characterized by poorly neutralizing antibody, we find that increased IgG4 to IgG1 subclass ratios, low antibody avidity, and insufficient antibody targeting domain 4 associate with improper neutralization. Thus, future vaccines and vaccination schedules should be formulated to improve these deficiencies.https://www.mdpi.com/2076-2607/9/6/1204anthraxvaccineantibodysubclassdomaintoxin
spellingShingle Kenneth Smith
Lori Garman
Kathleen Norris
Jennifer Muther
Angie Duke
Renata J. M. Engler
Michael R. Nelson
Limone C. Collins
Christina Spooner
Carla Guthridge
Judith A. James
Insufficient Anthrax Lethal Toxin Neutralization Is Associated with Antibody Subclass and Domain Specificity in the Plasma of Anthrax-Vaccinated Individuals
Microorganisms
anthrax
vaccine
antibody
subclass
domain
toxin
title Insufficient Anthrax Lethal Toxin Neutralization Is Associated with Antibody Subclass and Domain Specificity in the Plasma of Anthrax-Vaccinated Individuals
title_full Insufficient Anthrax Lethal Toxin Neutralization Is Associated with Antibody Subclass and Domain Specificity in the Plasma of Anthrax-Vaccinated Individuals
title_fullStr Insufficient Anthrax Lethal Toxin Neutralization Is Associated with Antibody Subclass and Domain Specificity in the Plasma of Anthrax-Vaccinated Individuals
title_full_unstemmed Insufficient Anthrax Lethal Toxin Neutralization Is Associated with Antibody Subclass and Domain Specificity in the Plasma of Anthrax-Vaccinated Individuals
title_short Insufficient Anthrax Lethal Toxin Neutralization Is Associated with Antibody Subclass and Domain Specificity in the Plasma of Anthrax-Vaccinated Individuals
title_sort insufficient anthrax lethal toxin neutralization is associated with antibody subclass and domain specificity in the plasma of anthrax vaccinated individuals
topic anthrax
vaccine
antibody
subclass
domain
toxin
url https://www.mdpi.com/2076-2607/9/6/1204
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