Ferreira Costa Ana Paula, Gonçalves Ana Katherine, Machado Paula Renata Lima, Souza Luanda B. F. C. de, Sarmento Ayane, Cobucci Ricardo Ney Oliveira, Giraldo Paulo César, Witkin Steven S
Postgraduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, Brazil. Email:
Asian Pac J Cancer Prev. 2018 Aug 24;19(8):2313-2317. doi: 10.22034/APJCP.2018.19.8.2313.
Objective: This study was designed to describe the course of IgG/IgA responses in cervical secretions and in serum one year after the first dose of intramuscular administration of the HPV16/18 AS04-adjuvant vaccine. Methods: Blood and cervical mucus samples were collected for immunologic assays, 7 months after the first doses and 1 year following the last boost vaccination (month 7) by enzyme linked immunosorbent assay (ELISA). The detection of IgG and IgA anti-HPV/VLP was developed for this purpose. Result: A total of 100% of serum samples were IgG antibody positive at a titer of 1:100 at both time periods and decreased according to the serum dilution. For serum IgA antibody, 95% were positive one month after vaccination and 79% were positive 1 year later. Similar results were observed with the cervical samples positive for both IgG and IgA antibodies at one month and decreasing after 1 year to 33% and 29%. The median absorbance in serum and the cervix for IgG and IgA anti-HPV-VLP antibodies was significantly higher at one month after vaccination when compared to 1 year post-vaccination (P<0.0001). Conclusion: Immune responses were significant one year after immunization, however it decreased in cervical and serum samples when compared to levels observed one month after the last dose. This suggests that a vaccine booster may be necessary to increase antibody titers.
本研究旨在描述首次肌内注射HPV16/18 AS04佐剂疫苗一年后宫颈分泌物和血清中IgG/IgA反应的过程。方法:在首次接种疫苗7个月后以及最后一次加强接种疫苗(第7个月)后1年,通过酶联免疫吸附测定(ELISA)采集血液和宫颈黏液样本进行免疫测定。为此开发了检测IgG和IgA抗HPV/VLP的方法。结果:在两个时间段,100%的血清样本IgG抗体滴度为1:100时呈阳性,并随血清稀释而降低。对于血清IgA抗体,接种疫苗1个月后95%呈阳性,1年后79%呈阳性。宫颈样本在1个月时IgG和IgA抗体均呈阳性,1年后分别降至33%和29%,观察到类似结果。与接种疫苗1年后相比,接种疫苗1个月后血清和宫颈中IgG和IgA抗HPV-VLP抗体的中位吸光度显著更高(P<0.0001)。结论:免疫接种1年后免疫反应显著,但与最后一剂接种1个月后观察到的水平相比,宫颈和血清样本中的免疫反应有所下降。这表明可能需要进行疫苗加强接种以提高抗体滴度。