School-age children and adolescents suspected of having been to be infected with pertussis in Japan
VACCINE
Authors: Yasui, Yosuke; Mitsui, Toshikatsu; Nishimura, Tomoyasu; Uchida, Keiko; Inokuchi, Mikako; Mori, Masaaki; Tokumura, Mitsuaki; Nakayama, Tetsuo
Abstract
Many countries including Japan have adapted acellular pertussis vaccines combined with diphtheria and tetanus toxoids (DTaP). DTaP vaccine coverage is approximately >90%, but pertussis re-emergence has been observed since 2000 in Japan. In the present study, anti-pertussis antibodies were investigated among school-age children and adolescents from 2013 to 2015. The positive rate of anti-pertussis toxin (PT) antibodies was higher among children aged 12-13 years (60.0%. 95%Cl; 56.0-63.9%) in 2014 and 18-19 years (73.0%. 95%Cl; 61.4-82.6%) in 2013, compared with 6-7 years (47.1%. 95%CI; 40.7-53.6%). The mean PT antibody titer was higher among children aged 12-13 years (23.8 95%CI; 21.9-25.8) in 2014 and 18-19 years (29.3 EU/mI. 95%Cl; 23.0-35.6) in 2013, compared with 6-7 years (18.3 EU/mI. 95%Cl; 15.5-21.2). Distributions of pertussis antibodies and mean titers at their same grade of school-age were similar from 2013 to 2015. Although school-age children were immunized with 4 doses of DTaP, the data suggested the decay of vaccine-acquired immunity and possibility of asymptomatic infection in school age, indicating the additional DTaP vaccination before the entry of elementary school, preventing household contact. (C) 2018 Elsevier Ltd. All rights reserved.
Defective anti-polysaccharide IgG vaccine responses in IgA deficient mice
VACCINE
Authors: Furuya, Yoichi; Kirimanjeswara, Girish S.; Roberts, Sean; Racine, Rachael; Wilson-Welder, Jennifer; Sanfilippo, Alan M.; Salmon, Sharon L.; Metzger, Dennis W.
Abstract
We report that IgA(-/-) mice exhibit specific defects in IgG antibody responses to various polysaccharide vaccines (Francisella tularensis LPS and Pneumovax), but not protein vaccines such as Fluzone. This defect further included responses to polysaccharide-protein conjugate vaccines (Prevnar and Haemophilus influenzae type b-tetanus toxoid vaccine). In agreement with these findings, IgA(-/-) mice were protected from pathogen challenge with protein-but not polysaccharide-based vaccines. Interestingly, after immunization with live bacteria, IgA(+/+) and IgA(-/-) mice were both resistant to lethal challenge and their IgG anti-polysaccharide antibody responses were comparable. Immunization with live bacteria, but not purified polysaccharide, induced production of serum B cell-activating factor (BAFF), a cytokine important for IgG class switching; supplementing IgA(+/+) cell cultures with BAFF enhanced in vitro polyclonal IgG production. Taken together, these findings show that IgA deficiency impairs IgG class switching following vaccination with polysaccharide antigens and that live bacterial immunization can overcome this defect. Since IgA deficient patients also often show defects in antibody responses following immunization with polysaccharide vaccines, our findings could have relevance to the clinical management of this population. (C) 2017 Elsevier Ltd. All rights reserved.