Martin S, Sadler F, Borrow R, Dawson M, Fox A, Cartwright K
Meningococcal Reference Unit, Manchester Public Health Laboratory, Withington Hospital, Nell Lane, West Didsbury, M20 2LR, Manchester, UK.
Vaccine. 2001 Aug 14;19(31):4404-8. doi: 10.1016/s0264-410x(01)00198-0.
The introduction of meningococcal serogroup C conjugate vaccines into the UK immunisation schedule has led to the decline of serogroup C disease in those vaccinated but there is no imminent vaccine solution for serogroup B disease. The PorA outer membrane protein (OMP) is a potential serogroup B vaccine candidate and an outer membrane vesicle (OMV) vaccine containing six different PorA OMPs (each representing a different serosubtype) has been evaluated in phase II trials with encouraging results. Little is known about the IgG subclass response to the various antigens contained within this vaccine. These responses are important due to the different half-lives and complement fixing abilities of these antibodies. In this study, immunoblotting was undertaken with infants' sera following either three or four doses of vaccine, and OMVs from six isogenic meningococcal strains differing only in their PorA serosubtype. Following either three or four doses of the vaccine, IgG(3) and IgG(1) subclass antibodies were induced to all six of the isogenic strains, although sera collected after four doses of vaccine showed stronger antibody levels. IgG(3) was found in more sera than IgG(1). For both sets of sera, the two isogenic strains expressing P1.5,2 and P1.5(c),10 induced stronger IgG subclass antibody responses than the other four meningococcal strains. The recombinant hexavalent PorA OMV vaccine stimulates both IgG(1) and IgG(3) subclass antibodies, the subclasses that are most effective in activating the complement system.
将脑膜炎球菌C群结合疫苗引入英国免疫计划后,接种疫苗人群中的C群疾病有所减少,但针对B群疾病尚无迫在眉睫的疫苗解决方案。PorA外膜蛋白(OMP)是B群疫苗的潜在候选物,一种含有六种不同PorA OMP(每种代表不同血清亚型)的外膜囊泡(OMV)疫苗已在II期试验中进行评估,结果令人鼓舞。对于该疫苗中所含各种抗原的IgG亚类反应了解甚少。由于这些抗体的半衰期和补体结合能力不同,这些反应很重要。在本研究中,对接种三剂或四剂疫苗后的婴儿血清以及来自六种仅PorA血清亚型不同的同基因脑膜炎球菌菌株的OMV进行了免疫印迹分析。接种三剂或四剂疫苗后,对所有六种同基因菌株均诱导出IgG(3)和IgG(1)亚类抗体,不过接种四剂疫苗后采集的血清显示出更强的抗体水平。发现含有IgG(3)的血清比含有IgG(1)的血清更多。对于两组血清,表达P1.5,2和P1.5(c),10的两种同基因菌株诱导的IgG亚类抗体反应比其他四种脑膜炎球菌菌株更强。重组六价PorA OMV疫苗可刺激IgG(1)和IgG(3)亚类抗体,这两种亚类在激活补体系统方面最有效。