Cross-sectional study of IgG antibody levels to invasive nontyphoidal Salmonella LPS O-antigen with age in Uganda

Invasive nontyphoidal Salmonella (iNTS) disease is a major cause of deaths among children and HIV-infected individuals in sub-Saharan Africa. Acquisition of IgG to iNTS lipopolysaccharide (LPS) O-antigen in Malawi in early childhood corresponds with a fall in cases of iNTS disease suggesting that va...

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Main Authors: Stockdale, L, Nalwoga, A, Nash, S, Elias, S, Asiki, G, Kusemererwa, S, Gilchrist, JJ, Newton, R, MacLennan, CA
Format: Journal article
Language:English
Published: F1000Research 2019
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author Stockdale, L
Nalwoga, A
Nash, S
Elias, S
Asiki, G
Kusemererwa, S
Gilchrist, JJ
Newton, R
MacLennan, CA
author_facet Stockdale, L
Nalwoga, A
Nash, S
Elias, S
Asiki, G
Kusemererwa, S
Gilchrist, JJ
Newton, R
MacLennan, CA
author_sort Stockdale, L
collection OXFORD
description Invasive nontyphoidal Salmonella (iNTS) disease is a major cause of deaths among children and HIV-infected individuals in sub-Saharan Africa. Acquisition of IgG to iNTS lipopolysaccharide (LPS) O-antigen in Malawi in early childhood corresponds with a fall in cases of iNTS disease suggesting that vaccines able to induce such antibodies could confer protection. To better understand the acquisition of IgG to iNTS in other African settings, we performed a cross-sectional seroepidemiological study using sera from 1090 Ugandan individuals aged from infancy to old age. Sera were analysed for IgG to LPS O-antigen of S. Typhimurium and S. Enteritidis using an in-house ELISA. Below 18 months of age, most children lacked IgG to both serovars. Thereafter, specific IgG levels increased with age, peaking in adulthood, and did not wane noticeably in old age. There was no clear difference in antibody levels between the sexes and the few HIV-infected individuals in the study did not have obviously different levels from uninfected subjects. While IgG to iNTS is acquired at a younger age in Malawian compared with Ugandan children, it is not clear whether this is due to differences in the populations themselves, their exposure to iNTS, or variations between assays used. In conclusion, there is a need to develop a harmonised method and standards for measuring antibodies to iNTS across studies and to investigate acquisition of such antibodies with age across different sites in sub-Saharan Africa.
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spelling oxford-uuid:c031814b-2b00-44e5-aa86-9a78b0a4fd4b2022-03-27T05:52:50ZCross-sectional study of IgG antibody levels to invasive nontyphoidal Salmonella LPS O-antigen with age in UgandaJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:c031814b-2b00-44e5-aa86-9a78b0a4fd4bEnglishSymplectic Elements at OxfordF1000Research2019Stockdale, LNalwoga, ANash, SElias, SAsiki, GKusemererwa, SGilchrist, JJNewton, RMacLennan, CAInvasive nontyphoidal Salmonella (iNTS) disease is a major cause of deaths among children and HIV-infected individuals in sub-Saharan Africa. Acquisition of IgG to iNTS lipopolysaccharide (LPS) O-antigen in Malawi in early childhood corresponds with a fall in cases of iNTS disease suggesting that vaccines able to induce such antibodies could confer protection. To better understand the acquisition of IgG to iNTS in other African settings, we performed a cross-sectional seroepidemiological study using sera from 1090 Ugandan individuals aged from infancy to old age. Sera were analysed for IgG to LPS O-antigen of S. Typhimurium and S. Enteritidis using an in-house ELISA. Below 18 months of age, most children lacked IgG to both serovars. Thereafter, specific IgG levels increased with age, peaking in adulthood, and did not wane noticeably in old age. There was no clear difference in antibody levels between the sexes and the few HIV-infected individuals in the study did not have obviously different levels from uninfected subjects. While IgG to iNTS is acquired at a younger age in Malawian compared with Ugandan children, it is not clear whether this is due to differences in the populations themselves, their exposure to iNTS, or variations between assays used. In conclusion, there is a need to develop a harmonised method and standards for measuring antibodies to iNTS across studies and to investigate acquisition of such antibodies with age across different sites in sub-Saharan Africa.
spellingShingle Stockdale, L
Nalwoga, A
Nash, S
Elias, S
Asiki, G
Kusemererwa, S
Gilchrist, JJ
Newton, R
MacLennan, CA
Cross-sectional study of IgG antibody levels to invasive nontyphoidal Salmonella LPS O-antigen with age in Uganda
title Cross-sectional study of IgG antibody levels to invasive nontyphoidal Salmonella LPS O-antigen with age in Uganda
title_full Cross-sectional study of IgG antibody levels to invasive nontyphoidal Salmonella LPS O-antigen with age in Uganda
title_fullStr Cross-sectional study of IgG antibody levels to invasive nontyphoidal Salmonella LPS O-antigen with age in Uganda
title_full_unstemmed Cross-sectional study of IgG antibody levels to invasive nontyphoidal Salmonella LPS O-antigen with age in Uganda
title_short Cross-sectional study of IgG antibody levels to invasive nontyphoidal Salmonella LPS O-antigen with age in Uganda
title_sort cross sectional study of igg antibody levels to invasive nontyphoidal salmonella lps o antigen with age in uganda
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