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

Abstract

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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