Dynamics and Determinants of Pneumococcal Antibodies Specific against 13 Vaccine Serotypes in the Pre-Vaccination Era

Annemarijn C Prins-van Ginkel1, Guy A M Berbers1, Lucienne H Grundeken1

  • 1Centre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.

Plos One
|January 23, 2016
PubMed

Insights

Serotype-specific antibody levels in the pre-vaccine era showed some variation, indicating shifts in pneumococcal exposure. Understanding these dynamics is crucial for evaluating vaccine impact on invasive pneumococcal disease (IPD).

Area of Science:

  • Immunology
  • Epidemiology
  • Public Health

Background:

  • Pneumococcal conjugate vaccines (PCVs) reduced invasive pneumococcal disease (IPD) but led to increased non-vaccine serotype IPD.
  • Understanding pre-vaccine serotype dynamics is essential for assessing serotype replacement.
  • Serosurveillance studies offer insights into serotype dynamics alongside IPD surveillance and carriage studies.

Purpose of the Study:

  • To compare pneumococcal serotype antibody levels between two Dutch serosurveillance studies conducted before widespread PCV use (PIENTER1: 1995-1996 and PIENTER2: 2006-2007).
  • To investigate changes in serotype-specific antibody concentrations and identify associated determinants during the pre-vaccine era.

Main Methods:

  • Blood samples and questionnaire data were collected from participants in two Dutch serosurveillance studies.
  • Pneumococcal antibodies for PCV13 serotypes were quantified using a multiplex immunoassay.
  • Geometric mean antibody concentrations (GMCs) and their determinants were analyzed.

Main Results:

  • GMCs for several serotypes (1, 6A, 6B, 9V, 18C, 19F, 23F) were higher in PIENTER2 compared to PIENTER1, while levels for serotypes 3 and 5 were lower.
  • Factors like age, daycare attendance, household size, vaccination coverage, and urbanization rate were associated with antibody levels in children.
  • In the elderly, associations included education level, ethnicity, age, low vaccination coverage, urbanization rate, and asthma/COPD.
  • Determinants of pneumococcal IgG differed slightly between the two study periods in the elderly population.

Conclusions:

  • While most serotype antibody levels remained stable, specific serotype antibody levels showed variation during the pre-vaccine era.
  • These observed variations suggest changes in exposure to certain pneumococcal serotypes independent of PCV interference.
  • The findings highlight the importance of pre-vaccine serotype dynamics for understanding serotype replacement patterns.
Abstract