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使用AS04佐剂的HPV-16/18疫苗预防性接种一年后对人乳头瘤病毒的免疫反应:循环系统和子宫颈中的HPV特异性IgG和IgA抗体

Immune Response to Human Papillomavirus One Year after Prophylactic Vaccination with AS04-Adjuvanted HPV-16/18 Vaccine: HPV-Specific IgG and IgA Antibodies in the Circulation and the Cervix.

作者信息

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

机构信息

Postgraduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, Brazil. Email:

出版信息

Asian Pac J Cancer Prev. 2018 Aug 24;19(8):2313-2317. doi: 10.22034/APJCP.2018.19.8.2313.

Abstract

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.

摘要

目的

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。

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