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A glycoconjugate vaccine for Neisseria meningitidis induces antibodies in human infants that afford protection against meningococcal bacteremia in a neonate rat challenge model.

Abstract
The functional activities of serum samples from human infants immunized with a glycoconjugate vaccine for Neisseria meningitidis serogroup C were assessed in a complement-mediated antibody-dependent serum bactericidal assay (SBA) and in a neonate rat model of protection from bacteremia. Selective serum samples from individual human infants were combined to make a panel of 11 serum pools to obtain a sufficient volume for testing. Each pool was assayed (i) for the anti-N. meningitidis serogroup C capsular polysaccharide (PS) immunoglobulin G (IgG) concentration as determined by reactivity in a direct-binding enzyme-linked immunosorbent assay, (ii) for bactericidal activity against N. meningitidis serogroup C strain C11, and (iii) for the ability to reduce bacteremia after passive transfer into a neonate rat model. Representative serum samples from infants who were not previously immunized with any N. meningitidis serogroup C vaccine served as a negative control. The prepared serum pools ranged in antibody concentration from 0.18 to 17.31 micro g of IgG specific for N. meningitidis serogroup C PS per ml. For this serum panel, a direct relationship between concentrations of anti-N. meningitidis serogroup C PS-specific IgG and serum SBA titers (r = 0.9960) was observed. Passive transfer to neonate rats demonstrated the ability of postimmunization serum samples to significantly reduce (> or =2-log(10) reduction compared to control animals) the level of bacteremia following a challenge. Of 79 neonate rats that received > or =0.031 micro g of human infant anti-N. meningitidis serogroup C PS IgG, 75 (94.9%) had a > or =2-log(10) reduction in bacteremia, whereas of the animals that received <0.031 micro g of antigen-specific IgG, 10.3% (4 of 39 rats) showed a > or =2-log(10) reduction in bacteremia. It was concluded that the anti-N. meningitidis serogroup C PS IgG antibody induced by this glycoconjugate vaccine had in vitro functional activity (as determined by a SBA) and also afforded protection against meningococcal bacteremia in an animal model.
AuthorsKenneth T Mountzouros, Kelly A Belanger, Alan P Howell, Garvin S Bixler Jr, Dace V Madore
JournalInfection and immunity (Infect Immun) Vol. 70 Issue 12 Pg. 6576-82 (Dec 2002) ISSN: 0019-9567 [Print] United States
PMID12438327 (Publication Type: Clinical Trial, Journal Article)
Chemical References
  • Antibodies, Bacterial
  • Complement C3
  • Meningococcal Vaccines
  • Vaccines, Conjugate
Topics
  • Animals
  • Antibodies, Bacterial (blood, immunology)
  • Bacteremia (immunology, microbiology, prevention & control)
  • Blood Bactericidal Activity
  • Complement C3 (metabolism)
  • Disease Models, Animal
  • Humans
  • Immunization, Passive
  • Infant, Newborn
  • Meningococcal Infections (immunology, microbiology, prevention & control)
  • Meningococcal Vaccines (immunology)
  • Neisseria meningitidis, Serogroup C (immunology)
  • Rats
  • Rats, Sprague-Dawley
  • Vaccination
  • Vaccines, Conjugate (immunology)

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