Elevated IgG responses in infants are associated with reduced prevalence of Mycobacterium tuberculosis infection

<p>Background: It is unclear whether antibodies can prevent Mycobacterium tuberculosis (Mtb) infection. In this study, we examined the relationship between total plasma IgG levels, IgG elicited by childhood vaccines and soil-transmitted helminths, and Mtb infection prevalence, defined by posit...

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Main Authors: Logan, E, Luabeya, A, Mulenga, H, Mrdjen, D, Ontong, C, Cunningham, A, Tameris, M, McShane, H, Scriba, T, Horsnell, W, Hatherill, M
Format: Journal article
Language:English
Published: Frontiers Media 2018
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author Logan, E
Luabeya, A
Mulenga, H
Mrdjen, D
Ontong, C
Cunningham, A
Tameris, M
McShane, H
Scriba, T
Horsnell, W
Hatherill, M
author_facet Logan, E
Luabeya, A
Mulenga, H
Mrdjen, D
Ontong, C
Cunningham, A
Tameris, M
McShane, H
Scriba, T
Horsnell, W
Hatherill, M
author_sort Logan, E
collection OXFORD
description <p>Background: It is unclear whether antibodies can prevent Mycobacterium tuberculosis (Mtb) infection. In this study, we examined the relationship between total plasma IgG levels, IgG elicited by childhood vaccines and soil-transmitted helminths, and Mtb infection prevalence, defined by positive QuantiFERON (QFT) test.</p><p> Methods: We studied 100 Mtb uninfected infants, aged 4–6 months. Ten infants (10%) converted to positive QFT test (QFT+) within 2 years of follow-up for Mtb infection. Antibody responses in plasma samples acquired at baseline and tuberculosis investigation were analyzed by enzyme-linked immunosorbent assay and ImmunoCAP® assay.</p><p> Results: QFT− infants displayed a significant increase in total IgG titers when re-tested, compared to IgG titers at baseline, which was not observed in QFT+ infants. Bacille Calmette-Guérin (BCG) vaccine-specific IgG2 and live-attenuated measles vaccine-specific IgG were raised in QFT− infants, and infants who acquired an Mtb infection did not appear to launch a BCG-specific IgG2 response. IgG titers against the endemic helminth Ascaris lumbricoides increased from baseline to QFT re-testing in all infants.</p><p> Conclusion: These data show raised IgG associates with a QFT-status. Importantly, this effect was also associated with a trend showing raised IgG titers to BCG and measles vaccine. Our data suggest a possible protective association between raised antibody titers and acquisition of Mtb infection, potentially mediated by exposure to antigens both related and unrelated to Mtb.</p>
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spelling oxford-uuid:7fdd5406-faad-467e-8ff7-4313ba2453992022-03-26T21:19:39ZElevated IgG responses in infants are associated with reduced prevalence of Mycobacterium tuberculosis infectionJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:7fdd5406-faad-467e-8ff7-4313ba245399EnglishSymplectic Elements at OxfordFrontiers Media2018Logan, ELuabeya, AMulenga, HMrdjen, DOntong, CCunningham, ATameris, MMcShane, HScriba, THorsnell, WHatherill, M<p>Background: It is unclear whether antibodies can prevent Mycobacterium tuberculosis (Mtb) infection. In this study, we examined the relationship between total plasma IgG levels, IgG elicited by childhood vaccines and soil-transmitted helminths, and Mtb infection prevalence, defined by positive QuantiFERON (QFT) test.</p><p> Methods: We studied 100 Mtb uninfected infants, aged 4–6 months. Ten infants (10%) converted to positive QFT test (QFT+) within 2 years of follow-up for Mtb infection. Antibody responses in plasma samples acquired at baseline and tuberculosis investigation were analyzed by enzyme-linked immunosorbent assay and ImmunoCAP® assay.</p><p> Results: QFT− infants displayed a significant increase in total IgG titers when re-tested, compared to IgG titers at baseline, which was not observed in QFT+ infants. Bacille Calmette-Guérin (BCG) vaccine-specific IgG2 and live-attenuated measles vaccine-specific IgG were raised in QFT− infants, and infants who acquired an Mtb infection did not appear to launch a BCG-specific IgG2 response. IgG titers against the endemic helminth Ascaris lumbricoides increased from baseline to QFT re-testing in all infants.</p><p> Conclusion: These data show raised IgG associates with a QFT-status. Importantly, this effect was also associated with a trend showing raised IgG titers to BCG and measles vaccine. Our data suggest a possible protective association between raised antibody titers and acquisition of Mtb infection, potentially mediated by exposure to antigens both related and unrelated to Mtb.</p>
spellingShingle Logan, E
Luabeya, A
Mulenga, H
Mrdjen, D
Ontong, C
Cunningham, A
Tameris, M
McShane, H
Scriba, T
Horsnell, W
Hatherill, M
Elevated IgG responses in infants are associated with reduced prevalence of Mycobacterium tuberculosis infection
title Elevated IgG responses in infants are associated with reduced prevalence of Mycobacterium tuberculosis infection
title_full Elevated IgG responses in infants are associated with reduced prevalence of Mycobacterium tuberculosis infection
title_fullStr Elevated IgG responses in infants are associated with reduced prevalence of Mycobacterium tuberculosis infection
title_full_unstemmed Elevated IgG responses in infants are associated with reduced prevalence of Mycobacterium tuberculosis infection
title_short Elevated IgG responses in infants are associated with reduced prevalence of Mycobacterium tuberculosis infection
title_sort elevated igg responses in infants are associated with reduced prevalence of mycobacterium tuberculosis infection
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AT mrdjend elevatediggresponsesininfantsareassociatedwithreducedprevalenceofmycobacteriumtuberculosisinfection
AT ontongc elevatediggresponsesininfantsareassociatedwithreducedprevalenceofmycobacteriumtuberculosisinfection
AT cunninghama elevatediggresponsesininfantsareassociatedwithreducedprevalenceofmycobacteriumtuberculosisinfection
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