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Published on: December 19, 2020
Human immunogenicity studies on group A streptococcal C5a peptidase (SCPA) as a potential vaccine against group A
Anita Shet1, Edward Kaplan, Dwight Johnson
1Department of Pediatrics, World Health Organization Collaborating Center for Reference & Research on Streptococci, University of Minnesota Medical School, Minneapolis, MN 55455, USA. shetx002@umn.edu
Background & Objectives:
Group A streptococcal C5a peptidase (SCPA) is a major virulence surface factor. Its highly conserved nature among all tested serotypes of group A streptococci (GAS) as well as animal protection studies make SCPA a prime vaccine candidate. The present study was undertaken to explore the human immunogenicity to SCPA using an indirect enzyme-linked immunosorbent assay.
Methods:
Children (n=72) who had signs and symptoms of acute pharyngitis and had GAS isolated from the throat at initial visit were included. Acute and convalescent sera were collected 4 weeks apart. ELISA was performed using recombinant SCPA peptide as antigen.
Results:
The mean convalescent anti-SCPA level was twice the level of mean acute anti-SCPA and the difference was statistically significant (P < 0.0001). There was a rise in convalescent anti-SCPA in all children aged 2-12 yr.
Interpretation & Conclusion:
Our observations confirmed that SCPA was highly immunogenic in children infected with group A streptococcal pharyngitis. Further studies need to be done to characterize the immune response including antibody subclass.
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