Association between antibodies against group B Streptococcus surface proteins and recto-vaginal colonisation during

Sonwabile Dzanibe1,2, Gaurav Kwatra1,2, Peter V Adrian1,2

  • 1Department of Science and Technology/National Research Foundation: Vaccine Preventable Diseases, University of the Witwatersrand, Faculty of Health Sciences, Johannesburg, South Africa.

Scientific Reports
|November 30, 2017
PubMed

Insights

Group B Streptococcus (GBS) recto-vaginal colonization in pregnant women can be reduced by antibodies against specific GBS surface proteins. Higher antibody levels against gbs0233 and gbs1539 were linked to a lower risk of GBS acquisition during pregnancy.

Area of Science:

  • Immunology
  • Microbiology
  • Obstetrics

Background:

  • Group B Streptococcus (GBS) recto-vaginal colonization in pregnant women is a primary risk factor for invasive GBS disease in newborns.
  • Understanding factors influencing GBS acquisition during pregnancy is crucial for prevention strategies.

Purpose of the Study:

  • To investigate the association between serum antibody levels against 11 GBS surface proteins and recto-vaginal GBS acquisition in pregnant women.
  • To identify potential GBS surface protein targets for vaccine development.

Main Methods:

  • Sera from pregnant women were collected at 20-25 weeks and ≥37 weeks gestation.
  • IgG antibody titres against 11 GBS surface proteins were measured using a multiplex immunoassay.
  • Recto-vaginal colonization was monitored every 4-5 weeks throughout pregnancy.

Main Results:

  • Lower likelihood of GBS acquisition was observed in women with higher IgG titres against gbs0233 (adjusted OR=0.47) and gbs1539 (adjusted OR=0.44).
  • Significantly higher IgG titres specific to BibA and Sip were found in GBS-colonized women compared to non-colonized women at ≥37 weeks gestation (p<0.01).

Conclusions:

  • Antibodies induced by gbs0233 and gbs1539 are associated with a reduced risk of recto-vaginal GBS acquisition during pregnancy.
  • These GBS surface proteins represent promising targets for developing maternal vaccines to prevent GBS colonization and subsequent neonatal disease.

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