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Characterization of Inflammatory Responses During Intranasal Colonization with Streptococcus pneumoniae
Published on: January 17, 2014
Induction of antibodies by Staphylococcus aureus nasal colonization in young children
N J Verkaik1, A Lebon, C P de Vogel
1Department of Medical Microbiology and Infectious Diseases, Erasmus MC, Rotterdam, The Netherlands. n.j.verkaik@erasmusmc.nl
Insights
Understanding Staphylococcus aureus nasal colonization in children is key for new treatments. Higher antibody levels against specific S. aureus proteins like CHIPS, Efb, IsdA, and IsdH were found in colonized children.
Area of Science:
- Immunology
- Microbiology
- Pediatrics
Background:
- Developing new antistaphylococcal strategies requires understanding Staphylococcus aureus carriage and human immune responses.
- The primary humoral immune response to S. aureus and its link to nasal colonization in young children were investigated.
Purpose of the Study:
- To analyze the association between S. aureus-specific antibody levels (IgG, IgA, IgM) and nasal colonization in children.
- To identify specific staphylococcal proteins involved in the immune response during colonization.
Main Methods:
- Sera from 57 children (colonized and non-colonized) were collected serially from birth to 24 months.
- Flow cytometry-based technology was used to measure antibody binding to 19 staphylococcal proteins.
Main Results:
- Antibody responses varied significantly between individuals.
- Antistaphylococcal IgA and IgM levels increased, while IgG levels decreased with age.
- Colonized children showed higher IgG and IgA levels against specific proteins, including chemotaxis inhibitory protein of S. aureus (CHIPS), extracellular fibrinogen-binding protein (Efb), iron-responsive surface determinant H (IsdH), and IsdA.
Conclusions:
- Placentally transferred maternal IgG did not prevent S. aureus colonization.
- CHIPS, Efb, IsdA, and IsdH appear to play a role in S. aureus nasal colonization in young children.
- These findings contribute to developing novel antistaphylococcal strategies.
Abstract:
In order to develop novel antistaphylococcal strategies, understanding the determinants of carriage and how humans respond to Staphylococcus aureus exposure is essential. Here, the primary S. aureus-specific humoral immune response and its association with nasal colonization was studied in young children. Sera from 57 colonized or non-colonized children, serially collected at birth and at 6, 14 and 24 months, were analysed for IgG, IgA and IgM binding to 19 staphylococcal proteins, using flow cytometry-based technology. The antibody responses showed extensive inter-individual variability. On average, the levels of antistaphylococcal IgA and IgM increased from birth until the age of 2 years (p <0.05), whereas the levels of IgG decreased (p <0.001). Placentally transferred maternal IgG did not protect against colonization. In colonized children, IgG and IgA levels for a number of proteins were higher than in non-colonized children. At both 14 and 24 months, the levels of IgG against chemotaxis inhibitory protein of S. aureus (at 24 months; median fluorescence intensity, 4928 vs. 24, p <0.05), extracellular fibrinogen-binding protein (987 vs. 604, p <0.05), and iron-responsive surface determinant H (62 vs. 5, p <0.05) were significantly higher in colonized children. The levels of IgA against CHIPS, IsdH and IsdA were higher (p <0.05). Therefore, CHIPS, Efb, IsdA and IsdH seem to play a role in nasal colonization of young children.
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