Salivary antibody levels in adolescents in response to a meningococcal serogroup C conjugate booster vaccination nine years after priming: systemically induced local immunity and saliva as potential surveillance tool

Abstract Background In several countries large-scale immunization of children and young adults with Meningococcal serogroup C (MenC) conjugate vaccines has induced long-standing herd protection. Salivary antibodies may play an important role in mucosal protection against meningococcal acquisition an...

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Veröffentlicht in:Vaccine 2015-07, Vol.33 (32), p.3933-3939
Hauptverfasser: Stoof, Susanne P, van der Klis, Fiona R.M, van Rooijen, Debbie M, Bogaert, Debby, Trzciński, Krzysztof, Sanders, Elisabeth A.M, Berbers, Guy A.M
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container_end_page 3939
container_issue 32
container_start_page 3933
container_title Vaccine
container_volume 33
creator Stoof, Susanne P
van der Klis, Fiona R.M
van Rooijen, Debbie M
Bogaert, Debby
Trzciński, Krzysztof
Sanders, Elisabeth A.M
Berbers, Guy A.M
description Abstract Background In several countries large-scale immunization of children and young adults with Meningococcal serogroup C (MenC) conjugate vaccines has induced long-standing herd protection. Salivary antibodies may play an important role in mucosal protection against meningococcal acquisition and carriage. Aim To investigate antibody levels in (pre)adolescents primed 9 years earlier with a single dose of MenC-polysaccharide tetanus toxoid conjugated (MenC-TT) vaccine and the response to a booster vaccination, with special focus on age-related differences and the relation between salivary and serum antibody levels. Methods Nine years after priming, healthy 10- ( n = 91), 12- ( n = 91) and 15-year-olds ( n = 86) received a MenC-TT booster vaccination. Saliva and serum samples were collected prior to and 1 month and 1 year after vaccination. MenC-polysaccharide(MenC-PS)-specific antibody levels were measured using a fluorescent-bead-based multiplex immunoassay. Results Before the booster, MenC-PS-specific IgG and IgA levels in saliva and serum were low and correlated with age at priming. The booster induced a marked increase in salivary MenC-PS-specific IgG (>200-fold), but also in IgA (∼10-fold). One year after the booster, salivary IgG and IgA had remained above pre-booster levels in all age groups (∼20-fold and ∼3-fold, respectively), with persistence of highest levels in the 15-year-olds. MenC-PS-specific IgG and IgA levels in saliva strongly correlated with the levels in serum. Conclusion Parenteral MenC-TT booster vaccination induces a clear increase in salivary MenC-PS-specific IgG and IgA levels and persistence of highest levels correlates with age. The strong correlation between serum and salivary antibody levels indicate that saliva may offer an easy and reliable tool for future antibody surveillance.
doi_str_mv 10.1016/j.vaccine.2015.06.055
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Salivary antibodies may play an important role in mucosal protection against meningococcal acquisition and carriage. Aim To investigate antibody levels in (pre)adolescents primed 9 years earlier with a single dose of MenC-polysaccharide tetanus toxoid conjugated (MenC-TT) vaccine and the response to a booster vaccination, with special focus on age-related differences and the relation between salivary and serum antibody levels. Methods Nine years after priming, healthy 10- ( n = 91), 12- ( n = 91) and 15-year-olds ( n = 86) received a MenC-TT booster vaccination. Saliva and serum samples were collected prior to and 1 month and 1 year after vaccination. MenC-polysaccharide(MenC-PS)-specific antibody levels were measured using a fluorescent-bead-based multiplex immunoassay. Results Before the booster, MenC-PS-specific IgG and IgA levels in saliva and serum were low and correlated with age at priming. The booster induced a marked increase in salivary MenC-PS-specific IgG (&gt;200-fold), but also in IgA (∼10-fold). One year after the booster, salivary IgG and IgA had remained above pre-booster levels in all age groups (∼20-fold and ∼3-fold, respectively), with persistence of highest levels in the 15-year-olds. MenC-PS-specific IgG and IgA levels in saliva strongly correlated with the levels in serum. Conclusion Parenteral MenC-TT booster vaccination induces a clear increase in salivary MenC-PS-specific IgG and IgA levels and persistence of highest levels correlates with age. The strong correlation between serum and salivary antibody levels indicate that saliva may offer an easy and reliable tool for future antibody surveillance.</description><identifier>ISSN: 0264-410X</identifier><identifier>EISSN: 1873-2518</identifier><identifier>DOI: 10.1016/j.vaccine.2015.06.055</identifier><identifier>PMID: 26100925</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adolescent ; Adolescent booster ; Adolescents ; Age ; Allergy and Immunology ; Antibodies, Bacterial - analysis ; Antibodies, Bacterial - blood ; Child ; Child, Preschool ; Epidemiological Monitoring ; Female ; Humans ; Immunization ; Immunization, Secondary ; Immunoglobulin A - analysis ; Immunoglobulin A - blood ; Immunoglobulin G - analysis ; Immunoglobulin G - blood ; Immunoglobulins ; Infant ; Male ; Meningitis ; Meningococcal serogroup C conjugate vaccine ; Meningococcal Vaccines - administration &amp; dosage ; Meningococcal Vaccines - immunology ; Neisseria meningitidis ; Neisseria meningitidis, Serogroup C - immunology ; Population ; Saliva - chemistry ; Saliva - immunology ; Salivary antibodies ; Serum - chemistry ; Serum - immunology ; Streptococcus infections ; Surveillance ; Surveillance tool ; Teenagers ; Vaccines ; Vaccines, Conjugate - administration &amp; dosage ; Vaccines, Conjugate - immunology ; Young adults</subject><ispartof>Vaccine, 2015-07, Vol.33 (32), p.3933-3939</ispartof><rights>Elsevier Ltd</rights><rights>2015 Elsevier Ltd</rights><rights>Copyright © 2015 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Limited Jul 31, 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c547t-aed4485a40be8463e50270b915c21858a033d394cc5d9bd55c7528076bbf97513</citedby><cites>FETCH-LOGICAL-c547t-aed4485a40be8463e50270b915c21858a033d394cc5d9bd55c7528076bbf97513</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0264410X15008440$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26100925$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stoof, Susanne P</creatorcontrib><creatorcontrib>van der Klis, Fiona R.M</creatorcontrib><creatorcontrib>van Rooijen, Debbie M</creatorcontrib><creatorcontrib>Bogaert, Debby</creatorcontrib><creatorcontrib>Trzciński, Krzysztof</creatorcontrib><creatorcontrib>Sanders, Elisabeth A.M</creatorcontrib><creatorcontrib>Berbers, Guy A.M</creatorcontrib><title>Salivary antibody levels in adolescents in response to a meningococcal serogroup C conjugate booster vaccination nine years after priming: systemically induced local immunity and saliva as potential surveillance tool</title><title>Vaccine</title><addtitle>Vaccine</addtitle><description>Abstract Background In several countries large-scale immunization of children and young adults with Meningococcal serogroup C (MenC) conjugate vaccines has induced long-standing herd protection. Salivary antibodies may play an important role in mucosal protection against meningococcal acquisition and carriage. Aim To investigate antibody levels in (pre)adolescents primed 9 years earlier with a single dose of MenC-polysaccharide tetanus toxoid conjugated (MenC-TT) vaccine and the response to a booster vaccination, with special focus on age-related differences and the relation between salivary and serum antibody levels. Methods Nine years after priming, healthy 10- ( n = 91), 12- ( n = 91) and 15-year-olds ( n = 86) received a MenC-TT booster vaccination. Saliva and serum samples were collected prior to and 1 month and 1 year after vaccination. MenC-polysaccharide(MenC-PS)-specific antibody levels were measured using a fluorescent-bead-based multiplex immunoassay. Results Before the booster, MenC-PS-specific IgG and IgA levels in saliva and serum were low and correlated with age at priming. The booster induced a marked increase in salivary MenC-PS-specific IgG (&gt;200-fold), but also in IgA (∼10-fold). One year after the booster, salivary IgG and IgA had remained above pre-booster levels in all age groups (∼20-fold and ∼3-fold, respectively), with persistence of highest levels in the 15-year-olds. MenC-PS-specific IgG and IgA levels in saliva strongly correlated with the levels in serum. Conclusion Parenteral MenC-TT booster vaccination induces a clear increase in salivary MenC-PS-specific IgG and IgA levels and persistence of highest levels correlates with age. The strong correlation between serum and salivary antibody levels indicate that saliva may offer an easy and reliable tool for future antibody surveillance.</description><subject>Adolescent</subject><subject>Adolescent booster</subject><subject>Adolescents</subject><subject>Age</subject><subject>Allergy and Immunology</subject><subject>Antibodies, Bacterial - analysis</subject><subject>Antibodies, Bacterial - blood</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Epidemiological Monitoring</subject><subject>Female</subject><subject>Humans</subject><subject>Immunization</subject><subject>Immunization, Secondary</subject><subject>Immunoglobulin A - analysis</subject><subject>Immunoglobulin A - blood</subject><subject>Immunoglobulin G - analysis</subject><subject>Immunoglobulin G - blood</subject><subject>Immunoglobulins</subject><subject>Infant</subject><subject>Male</subject><subject>Meningitis</subject><subject>Meningococcal serogroup C conjugate vaccine</subject><subject>Meningococcal Vaccines - administration &amp; 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van der Klis, Fiona R.M ; van Rooijen, Debbie M ; Bogaert, Debby ; Trzciński, Krzysztof ; Sanders, Elisabeth A.M ; Berbers, Guy A.M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c547t-aed4485a40be8463e50270b915c21858a033d394cc5d9bd55c7528076bbf97513</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adolescent booster</topic><topic>Adolescents</topic><topic>Age</topic><topic>Allergy and Immunology</topic><topic>Antibodies, Bacterial - analysis</topic><topic>Antibodies, Bacterial - blood</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Epidemiological Monitoring</topic><topic>Female</topic><topic>Humans</topic><topic>Immunization</topic><topic>Immunization, Secondary</topic><topic>Immunoglobulin A - analysis</topic><topic>Immunoglobulin A - blood</topic><topic>Immunoglobulin G - analysis</topic><topic>Immunoglobulin G - blood</topic><topic>Immunoglobulins</topic><topic>Infant</topic><topic>Male</topic><topic>Meningitis</topic><topic>Meningococcal serogroup C conjugate vaccine</topic><topic>Meningococcal Vaccines - administration &amp; 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Salivary antibodies may play an important role in mucosal protection against meningococcal acquisition and carriage. Aim To investigate antibody levels in (pre)adolescents primed 9 years earlier with a single dose of MenC-polysaccharide tetanus toxoid conjugated (MenC-TT) vaccine and the response to a booster vaccination, with special focus on age-related differences and the relation between salivary and serum antibody levels. Methods Nine years after priming, healthy 10- ( n = 91), 12- ( n = 91) and 15-year-olds ( n = 86) received a MenC-TT booster vaccination. Saliva and serum samples were collected prior to and 1 month and 1 year after vaccination. MenC-polysaccharide(MenC-PS)-specific antibody levels were measured using a fluorescent-bead-based multiplex immunoassay. Results Before the booster, MenC-PS-specific IgG and IgA levels in saliva and serum were low and correlated with age at priming. The booster induced a marked increase in salivary MenC-PS-specific IgG (&gt;200-fold), but also in IgA (∼10-fold). One year after the booster, salivary IgG and IgA had remained above pre-booster levels in all age groups (∼20-fold and ∼3-fold, respectively), with persistence of highest levels in the 15-year-olds. MenC-PS-specific IgG and IgA levels in saliva strongly correlated with the levels in serum. Conclusion Parenteral MenC-TT booster vaccination induces a clear increase in salivary MenC-PS-specific IgG and IgA levels and persistence of highest levels correlates with age. The strong correlation between serum and salivary antibody levels indicate that saliva may offer an easy and reliable tool for future antibody surveillance.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>26100925</pmid><doi>10.1016/j.vaccine.2015.06.055</doi><tpages>7</tpages></addata></record>
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subjects Adolescent
Adolescent booster
Adolescents
Age
Allergy and Immunology
Antibodies, Bacterial - analysis
Antibodies, Bacterial - blood
Child
Child, Preschool
Epidemiological Monitoring
Female
Humans
Immunization
Immunization, Secondary
Immunoglobulin A - analysis
Immunoglobulin A - blood
Immunoglobulin G - analysis
Immunoglobulin G - blood
Immunoglobulins
Infant
Male
Meningitis
Meningococcal serogroup C conjugate vaccine
Meningococcal Vaccines - administration & dosage
Meningococcal Vaccines - immunology
Neisseria meningitidis
Neisseria meningitidis, Serogroup C - immunology
Population
Saliva - chemistry
Saliva - immunology
Salivary antibodies
Serum - chemistry
Serum - immunology
Streptococcus infections
Surveillance
Surveillance tool
Teenagers
Vaccines
Vaccines, Conjugate - administration & dosage
Vaccines, Conjugate - immunology
Young adults
title Salivary antibody levels in adolescents in response to a meningococcal serogroup C conjugate booster vaccination nine years after priming: systemically induced local immunity and saliva as potential surveillance tool
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