Briles D E, Ades E, Paton J C, Sampson J S, Carlone G M, Huebner R C, Virolainen A, Swiatlo E, Hollingshead S K
Department of Microbiology, University of Alabama at Birmingham, Birmingham, Alabama 35294, USA.
Infect Immun. 2000 Feb;68(2):796-800. doi: 10.1128/IAI.68.2.796-800.2000.
Acquisition of pneumococci is generally from carriers rather than from infected individuals. Therefore, to induce herd immunity against Streptococcus pneumoniae it will be necessary to elicit protection against carriage. Capsular polysaccharide-protein conjugates, PspA, and PsaA are known to elicit some protection against nasopharyngeal carriage of pneumococci but do not always completely eliminate carriage. In this study, we observed that PsaA elicited better protection than did PspA against carriage. Pneumolysin elicited no protection against carriage. Immunization with a mixture of PsaA and PspA elicited the best protection against carriage. These results indicate that PspA and PsaA may be useful for the elicitation of herd immunity in humans. As PspA and pneumolysin are known to elicit immunity to bacteremia and pneumonia, their inclusion in a mucosal vaccine may enable such a vaccine to prevent invasive disease as well as carriage.
肺炎球菌的获得通常来自携带者而非感染者。因此,要诱导针对肺炎链球菌的群体免疫,有必要引发针对携带状态的保护作用。已知荚膜多糖 - 蛋白结合物、肺炎球菌表面蛋白A(PspA)和肺炎球菌表面黏附素A(PsaA)可引发针对肺炎球菌鼻咽部携带的一定保护作用,但并不总能完全消除携带状态。在本研究中,我们观察到PsaA相较于PspA对携带状态引发了更好的保护作用。肺炎溶血素对携带状态未引发保护作用。用PsaA和PspA的混合物进行免疫接种对携带状态引发了最佳保护作用。这些结果表明,PspA和PsaA可能有助于在人类中引发群体免疫。由于已知PspA和肺炎溶血素可引发针对菌血症和肺炎的免疫,将它们纳入黏膜疫苗可能使这种疫苗既能预防侵袭性疾病又能预防携带状态。