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Published on: November 5, 2019
Antibody-dependent killing of meningococci by human neutrophils in serum of late complement component-deficient
Alexander E Platonov1, Irina V Vershinina, Helena Käyhty
1Central Institute of Epidemiology, Moscow, Russia. platonov@pcr.ru
Background:
Thirty-one Russian patients with late complement component deficiency (LCCD) who had experienced one to five meningococcal infections were immunized with meningococcal polysaccharide vaccine (A + C + W135 + Y) and were followed for 3-8 years. We investigated the potentially protective killing effect of human neutrophils (PMNL) on serogroup A and W135 meningococci.
Methods:
Meningococci were incubated in LCCD vaccine sera in the absence or presence of PMNL, and the number of live bacteria (CFU) was determined by plating onto chocolate agar.
Results:
When meningococci were incubated in the LCCD sera alone, exponential growth of meningococci occurred despite the presence of meningococcal antibodies. After the addition of PMNL, meningococci were inhibited in their growth or even eliminated. Group A or W135 meningococci were killed effectively by PMNL in 80% of the sera which were collected 1 month to 1 year after vaccination compared to only 40% in the prevaccination LCCD sera (p < 0.05). Three years after vaccination 67% of the LCCD sera were still capable of promoting killing (and even 90% after revaccination). The rate of killing correlated with the concentration of serogroup-specific immunoglobulins. In 83% of the 72 LCCD sera with more than 5 microg/ml anti-group A immunoglobulins the killing of group A meningococci was promoted. By contrast, only 21% of 19 samples with lower specific antibody levels showed a PMNL-mediated meningococcal killing (p < 0.05). The same effect was observed for group W135 meningococci.
Conclusion:
PMNL kill meningococci during incubation in LCCD serum; this effect increases after vaccination and depends on both specific antibody and complement. Protection by vaccination may therefore be caused by an increased killing capacity of PMNL.
Insights
Vaccination enhances the ability of neutrophils to kill meningococci in patients with late complement component deficiency (LCCD). This improved bacterial killing capacity, dependent on antibodies and complement, offers protection against meningococcal infections.
Area of Science:
- Immunology
- Infectious Diseases
- Vaccinology
Background:
- Late complement component deficiency (LCCD) patients experienced recurrent meningococcal infections.
- Thirty-one LCCD patients were vaccinated with a quadrivalent meningococcal polysaccharide vaccine (A+C+W135+Y).
- The study investigated the role of human neutrophils (PMNL) in killing meningococci in LCCD patients.
Purpose of the Study:
- To assess the impact of meningococcal vaccination on the ability of PMNL to kill meningococci in LCCD patients.
- To determine the correlation between specific antibody levels and PMNL-mediated bacterial killing.
- To elucidate the mechanism of protection conferred by vaccination in LCCD individuals.
Main Methods:
- Meningococci (serogroups A and W135) were incubated with LCCD patient sera, with and without PMNL.
- Bacterial viability was quantified by colony-forming unit (CFU) counts after incubation.
- Sera were collected pre-vaccination and at various time points post-vaccination (1 month to 3 years).
Main Results:
- PMNL effectively killed meningococci in LCCD sera post-vaccination, unlike in prevaccination sera where bacteria grew.
- Effective PMNL-mediated killing increased significantly from 40% pre-vaccination to 80% within 1 year post-vaccination (p < 0.05).
- Killing rates correlated with higher concentrations of serogroup-specific immunoglobulins, with 83% of sera having >5 µg/ml anti-group A antibodies promoting killing.
Conclusions:
- Human neutrophils kill meningococci in the presence of LCCD serum, an effect enhanced by vaccination.
- Vaccination-induced protection against meningococcal disease in LCCD patients is likely mediated by increased PMNL killing capacity.
- This PMNL-mediated killing is dependent on both specific antibodies and complement activation.
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