Egesa Moses, Lubyayi Lawrence, Jones Frances M, van Diepen Angela, Chalmers Iain W, Tukahebwa Edridah M, Bagaya Bernard S, Hokke Cornelis H, Hoffmann Karl F, Dunne David W, Elliott Alison M, Yazdanbakhsh Maria, Wilson Shona, Cose Stephen
Department of Medical Microbiology, School of Biomedical Sciences, Makerere University College of Health Sciences, Kampala, Uganda.
Medical Research Council/Uganda Virus Research Institute and London School of Hygiene & Tropical Medicine Uganda Research Unit, Entebbe, Uganda.
Parasite Immunol. 2018 Dec;40(12):e12591. doi: 10.1111/pim.12591. Epub 2018 Oct 14.
While antigens from Schistosoma schistosomula have been suggested as potential vaccine candidates, the association between antibody responses with schistosomula antigens and infection intensity at reinfection is not well known. Schistosoma mansoni-infected individuals were recruited from a schistosomiasis endemic area in Uganda (n = 372), treated with 40 mg/kg praziquantel (PZQ) and followed up at five weeks and at one year post-treatment. Pre-treatment and five weeks post-treatment immunoglobulin (Ig) E, IgG1 and IgG4 levels against recombinant schistosomula antigens rSmKK7, rSmLy6A, rSmLy6B and rSmTSP7 were measured using ELISA. Factors associated with detectable pre-treatment or post-treatment antibody response against the schistosomula antigens and the association between five-week antibody responses and one year post-treatment reinfection intensity among antibody responders were examined. Being male was associated with higher pre-treatment IgG1 to rSmKK7, rSmLy6a and AWA. Five weeks post-treatment antibody responses against schistosomula antigens were not associated with one year post-treatment reinfection intensity among antibody responders' antibody levels against rSmKK7, rSmLy6B and rSmTSP7 dropped, but increased against rSmLy6A, AWA and SEA at five weeks post-treatment among antibody responders. S. mansoni-infected individuals exhibit detectable antibody responses to schistosomula antigens that are affected by treatment. These findings indicate that schistosomula antigens induce highly varied antibody responses and could have implications for vaccine development.
虽然曼氏血吸虫童虫抗原被认为是潜在的疫苗候选物,但针对童虫抗原的抗体反应与再感染时的感染强度之间的关联尚不清楚。从乌干达一个血吸虫病流行地区招募了曼氏血吸虫感染个体(n = 372),用40 mg/kg吡喹酮(PZQ)进行治疗,并在治疗后5周和1年进行随访。使用酶联免疫吸附测定(ELISA)法检测治疗前和治疗后5周针对重组曼氏血吸虫童虫抗原rSmKK7、rSmLy6A、rSmLy6B和rSmTSP7的免疫球蛋白(Ig)E、IgG1和IgG4水平。研究了与治疗前或治疗后针对童虫抗原的可检测抗体反应相关的因素,以及抗体反应者中5周抗体反应与治疗后1年再感染强度之间的关联。男性与治疗前针对rSmKK7、rSmLy6a和AWA的较高IgG1水平相关。在抗体反应者中,治疗后5周针对童虫抗原的抗体反应与治疗后1年的再感染强度无关;抗体反应者中针对rSmKK7、rSmLy6B和rSmTSP7的抗体水平在治疗后5周下降,但针对rSmLy6A、AWA和SEA的抗体水平在治疗后5周升高。曼氏血吸虫感染个体对童虫抗原表现出可检测到的抗体反应,且这些反应受治疗影响。这些发现表明,童虫抗原可诱导高度多样的抗体反应,可能对疫苗开发具有启示意义。