Abstract:
:Paediatric patients with antibody deficiency may either be delayed in development of humoral immunity or may be persistently deficient in antibody production. To differentiate between these entities, we examined the 23-valent pneumococcal polysaccharide (PnPS) vaccine-induced IgM-, IgG- and IgA antibody responses in a cohort of 66 children with recurrent respiratory tract infections. Individual serum titres against 11 pneumococcal serotypes were measured by Luminex. The cohort contained 33 antibody deficiency patients, 17 transient antibody deficiency patients and 16 patients without antibody deficiency diagnosis (control group). Transient antibody deficiency patients produced consistently higher levels of PnPS-specific IgA responses than antibody deficiency patients. Decreased IgA responses to serotypes 1, 5, 7F and 18C were most discriminative to stratify transient antibody deficiency patients from antibody deficiency patients with persistent disease. We conclude that measuring PnPS-specific IgA responses may predict the disease course in young children diagnosed with antibody deficiency and suggest confirmation of these data in a prospective setting.
journal_name
Vaccinejournal_title
Vaccineauthors
Janssen WJ,Nierkens S,Sanders EA,Boes M,van Montfrans JMdoi
10.1016/j.vaccine.2015.09.041subject
Has Abstractpub_date
2015-11-17 00:00:00pages
6320-6issue
46eissn
0264-410Xissn
1873-2518pii
S0264-410X(15)01317-1journal_volume
33pub_type
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