Serologic correlates of protection for evaluating the response to meningococcal vaccines

Paul Balmer1, Ray Borrow

  • 1Vaccine Evaluation Department, NW Regional HPA Laboratory, Manchester Medical Microbiology Partnership, PO Box 209, Clinical Sciences Building, Manchester Royal Infirmary, Manchester, M13 9WZ, UK.

Expert Review of Vaccines
|February 6, 2004
PubMed

Insights

Vaccination is key to controlling meningococcal disease. This review details serologic correlates of protection needed to evaluate immune responses to meningococcal vaccines, especially for serogroup B.

Area of Science:

  • Immunology
  • Vaccinology
  • Microbiology

Background:

  • Meningococci cause significant global disease, particularly bacterial meningitis in children and young adults.
  • Vaccination is the primary method for controlling meningococcal disease.
  • Existing vaccines target serogroups A, C, Y, and W135, with newer conjugate vaccines and ongoing efforts for serogroup B.

Purpose of the Study:

  • To review the laboratory correlates of protection for evaluating immune responses to meningococcal vaccines.
  • To highlight the need for reliable measures to assess vaccine efficacy.

Main Methods:

  • This is a review article, synthesizing existing knowledge on serologic correlates of protection.
  • It discusses established and emerging methods for assessing immune responses to meningococcal vaccines.

Main Results:

  • Serum bactericidal antibody is a validated correlate of protection for serogroups A and C.
  • For serogroup B, protection may involve mechanisms beyond serum bactericidal antibody, necessitating further research into correlates.

Conclusions:

  • Accurate serologic correlates of protection are essential for assessing the quality of immune responses to meningococcal vaccines.
  • Development of effective serogroup B vaccines requires a comprehensive understanding of protective immune mechanisms.