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Published on: August 30, 2014
Essential immunogens in human pertussis: the role of fimbriae
Abstract:
After the decline in pertussis vaccination in Britain from the mid-1970s, isolates possessing agglutinogen 2 (types 1.2.3 and 1.2) have replaced type 1.3 as the predominant serotypes. These agglutinogen-2 strains are fimbriate, and their predominance in non-vaccinated communities may result from enhanced attachment to mucosal cells. However, type 1.3 cells are not fimbriate; and, because agglutinogen 3 is essential in fully effective whole-cell vaccine, a subcellular vaccine prepared from fimbriae alone (agglutinogen 2) would probably be inadequate. The mouse can be killed with type 1 strains, devoid of agglutinogens 2 and 3, and is therefore not a suitable model for ensuring that pertussis vaccine contains these essential immunogens.
Insights
Pertussis (whooping cough) serotypes changed after vaccination declined. Agglutinogen-2 strains, which are fimbriated, became dominant, but a vaccine solely from fimbriae may be inadequate.
Area of Science:
- Microbiology
- Immunology
- Vaccinology
Background:
- Pertussis vaccination rates declined in Britain from the mid-1970s.
- Agglutinogen-2 strains (types 1.2.3 and 1.2) replaced type 1.3 as the predominant pertussis serotypes.
- Agglutinogen-2 strains are fimbriated, potentially enhancing attachment to mucosal cells in unvaccinated populations.
Purpose of the Study:
- To investigate the implications of changing pertussis serotype predominance.
- To evaluate the potential inadequacy of subcellular vaccines based on fimbriae (agglutinogen 2).
- To assess the suitability of the mouse model for pertussis vaccine development.
Main Methods:
- Analysis of pertussis serotype prevalence shifts.
- Evaluation of fimbrial presence in different serotypes.
- Assessment of the role of agglutinogens in vaccine efficacy and mouse models.
Main Results:
- Agglutinogen-2 strains became predominant following decreased pertussis vaccination.
- Type 1.3 strains lack fimbriae, while agglutinogen-2 strains possess them.
- Agglutinogen 3 is crucial for whole-cell vaccine effectiveness.
- Mice are susceptible to type 1 strains lacking agglutinogens 2 and 3.
Conclusions:
- The shift to fimbriated agglutinogen-2 pertussis strains may be linked to increased attachment in unvaccinated communities.
- A subcellular vaccine targeting only fimbriae (agglutinogen 2) might be insufficient due to the importance of agglutinogen 3.
- The mouse model is unsuitable for verifying the presence of essential immunogens (agglutinogens 2 and 3) in pertussis vaccines.
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