Serum Antibody and Opsonic Responses to Vaccination with Pneumococcal Capsular Polysaccharide in Normal and Splenectomized Children

Serum pneumococcal antibody and opsonic activity were measured in normal and splenectomized children before and after vaccination with capsular polysaccharides of Streptococcus pneumoniae. Splenectomized children showed a lower mean antibody response to four capsular polysaccharide types after vacci...

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Veröffentlicht in:The Journal of infectious diseases 1980-03, Vol.141 (3), p.404-412
Hauptverfasser: Giebink, G. Scott, Foker, John E., Kim, Youngki, Schiffman, Gerald
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container_title The Journal of infectious diseases
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creator Giebink, G. Scott
Foker, John E.
Kim, Youngki
Schiffman, Gerald
description Serum pneumococcal antibody and opsonic activity were measured in normal and splenectomized children before and after vaccination with capsular polysaccharides of Streptococcus pneumoniae. Splenectomized children showed a lower mean antibody response to four capsular polysaccharide types after vaccination but had higher antibody levels than normal children before vaccination for 10 of the 12 antigen types. Two splenectomized children showed high serum antibody levels before vaccination but low autologous pneumococcal opsonic activity, measured with a phagocytic test that employednormal human leukocytes. Thirteen (42%) of 31 splenectomized patients and three (25%) of 12 normal subjects with a twofold pneumococcal antibody increase after vaccination failed to show an autologous opsonic response. Alternative-pathway opsonic activity was moderately reduced in five splenectomized patients; however, immunochemical measurements of Clq, C3, properdin, and factor B were normal in all patient sera. These observations suggest that vaccination with pneumococcal polysaccharides may not enhance serum opsonic activity against vaccine pneumococcal types in some splenectomized, as well as unsplenectomized, children.
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source MEDLINE; Jstor Complete Legacy
subjects Adolescent
Adult
Antibodies
Antibodies, Bacterial - biosynthesis
Antibody formation
Antigens
Bacterial Vaccines - immunology
Child
Child health services
Child, Preschool
Children
Complement Pathway, Classical
Humans
Medical Miscellany
Opsonin Proteins - immunology
Phagocytosis
Polysaccharides
Polysaccharides, Bacterial - immunology
Salmonella typhimurium - immunology
Splenectomy
Streptococcus pneumoniae
Streptococcus pneumoniae - immunology
Vaccination
title Serum Antibody and Opsonic Responses to Vaccination with Pneumococcal Capsular Polysaccharide in Normal and Splenectomized Children
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