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Updated: May 4, 2026

Characterization of Inflammatory Responses During Intranasal Colonization with Streptococcus pneumoniae
Published on: January 17, 2014
Co-colonization by Haemophilus influenzae with Streptococcus pneumoniae enhances pneumococcal-specific antibody
Qingfu Xu1, Michael E Pichichero1
1Center for Infectious Disease and Immunology, Rochester General Hospital Research Institute, 1425 Portland Avenue, Rochester, NY 14621, USA.
Insights
Co-colonization of Streptococcus pneumoniae (Spn) with Haemophilus influenzae (Hi) or Moraxella catarrhalis (Mcat) boosts antibody responses to Spn vaccines. Interactions among these common respiratory bacteria impact immune responses to pathogen-specific antigens.
Area of Science:
- Immunology
- Microbiology
- Vaccinology
Background:
- Streptococcus pneumoniae (Spn), Haemophilus influenzae (Hi), and Moraxella catarrhalis (Mcat) are common respiratory pathogens and nasopharyngeal (NP) commensals.
- The impact of interactions between these bacteria during NP co-colonization on host immune responses remains largely unevaluated.
Purpose of the Study:
- To assess how co-colonization with Hi or Mcat influences systemic antibody responses to Spn vaccine candidate antigens.
- To evaluate how co-colonization with Spn and Mcat affects antibody responses to Hi vaccine candidate antigens.
Main Methods:
- Serum samples were collected from children at multiple ages (6-24 months) during colonization with Spn, Hi, Mcat, or combinations.
- Quantitative ELISA measured serum IgA and IgG against specific Spn and Hi antigens, as well as whole cells of non-typeable strains.
Main Results:
- NP colonization with Spn increased serum IgA/IgG titers against Spn antigens (PhtD, PcpA, PlyD) and whole cells.
- Co-colonization with Hi or Mcat alongside Spn further elevated pneumococcal-specific antibody levels.
- Hi colonization increased serum IgA/IgG titers against Hi antigens (P6, Protein D, OMP26) and whole cells, but co-colonization with Spn or Mcat did not further enhance these responses.
Conclusions:
- Co-colonization of Hi or Mcat with Spn enhances antibody responses to Spn vaccine candidates and whole cells.
- Bacterial co-colonization appears to modulate pathogen-specific adaptive immune responses in a variable manner.
Background:
Streptococcus pneumoniae (Spn), Haemophilus influenzae (Hi) and Moraxella catarrhalis (Mcat) are common bacterial pathogens of respiratory infections and common commensal microbes in the human nasopharynx (NP). The effect of interactions among theses bacteria during co-colonization of the NP on the host immune response has not been evaluated. The objective of this study was to assess the impact of co-colonization by Hi or Mcat on the systemic antibody response to vaccine protein candidate antigens of Spn and similarly the impact of co-colonization by Spn and Mcat on antibody responses to Hi vaccine protein candidate antigens.
Methods:
Serum samples were collected from healthy children at 6, 9, 15, 18, and 24 months of age when they were colonized with Spn, Hi, Mcat or their combinations. Quantitative ELISA was used to determine serum IgA and IgG against three Spn antigens and three Hi antigens, and as well as whole cells of non-typeable (NT) Spn and Hi.
Results:
NP colonization by Spn increased serum IgA and IgG titers against Spn antigens PhtD, PcpA and PlyD and whole cells of NTSpn, and co-colonization of Hi or Mcat with Spn resulted in further increases of serum pneumococcal-specific antibody levels. NP colonization by Hi increased serum IgA and IgG titers against Hi antigens P6, Protein D and OMP26 and whole cells of NTHi, but co-colonization of Spn or Mcat with Hi did not result in further increase of serum NTHi-specific antibody levels.
Conclusion:
Co-colonization of Hi or Mcat with Spn enhances serum antibody response to NTSpn whole cells and Spn vaccine candidate antigens PhtD, PcPA and PlyD1. Co-colonization appears to variably modulate pathogen species-specific host adaptive immune response.
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