Murphy B R, Olmsted R A, Collins P L, Chanock R M, Prince G A
Laboratory of Infectious Diseases, National Institute of Allergy and Infectious Diseases, Bethesda, Maryland 20892.
J Virol. 1988 Oct;62(10):3907-10. doi: 10.1128/JVI.62.10.3907-3910.1988.
In young infants who possess maternally derived respiratory syncytial virus (RSV) antibodies, the antibody response to RSV glycoproteins is relatively poor, despite extensive replication of RSV. In the present study, it was found that cotton rat RSV hyperimmune antiserum suppressed the antibody response to the RSV glycoproteins but not the response to vaccinia virus antigens when the antiserum was passively transferred to cotton rats prior to infection with vaccinia recombinant viruses expressing the RSV envelope glycoproteins. The cotton rats which had their immune responses suppressed by passively transferred antibodies were more susceptible to infection with RSV than were animals inoculated with control serum lacking RSV antibodies. Furthermore, many of the immunosuppressed animals infected with the vaccinia recombinant viruses developed RSV glycoprotein antibodies which had abnormally low neutralizing activities. Thus, preexisting serum RSV antibodies had dramatic quantitative and qualitative effects on the immune response to RSV glycoproteins, which may explain, in part, the poor RSV antibody response of young human infants to infection with RSV. Our observations also suggest that immunosuppression by preexisting, passively acquired RSV antibodies may constitute a major obstacle to RSV immunoprophylaxis during early infancy, when immunization is most needed.
在具有母源呼吸道合胞病毒(RSV)抗体的幼龄婴儿中,尽管RSV大量复制,但对RSV糖蛋白的抗体反应相对较差。在本研究中发现,当棉鼠RSV超免疫抗血清在感染表达RSV包膜糖蛋白的痘苗重组病毒之前被动转移到棉鼠体内时,它会抑制对RSV糖蛋白的抗体反应,但不会抑制对痘苗病毒抗原的反应。被被动转移的抗体抑制了免疫反应的棉鼠比接种缺乏RSV抗体的对照血清的动物更容易感染RSV。此外,许多感染痘苗重组病毒的免疫抑制动物产生了中和活性异常低的RSV糖蛋白抗体。因此,预先存在的血清RSV抗体对RSV糖蛋白的免疫反应有显著的定量和定性影响,这可能部分解释了人类幼龄婴儿对RSV感染的RSV抗体反应较差的原因。我们的观察结果还表明,在最需要免疫的婴儿早期,预先存在的、被动获得的RSV抗体引起的免疫抑制可能构成RSV免疫预防的主要障碍。