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IgG subclass response to immunization with Haemophilus influenzae type b polysaccharide-outer membrane protein

D M Granoff1, G A Weinberg, P G Shackelford

  • 1Edward Mallinckrodt Department of Pediatrics, Washington University School of Medicine, Children's Hospital, St. Louis, Missouri 63110.

Pediatric Research
|August 1, 1988
PubMed

Insights

Children receiving Haemophilus influenzae type b polysaccharide vaccines showed varied antibody responses. Conjugate vaccines in infants produced primarily IgG1 antibodies, while older children and boosted groups showed both IgG1 and IgG2 responses.

Area of Science:

  • Immunology
  • Vaccinology
  • Pediatrics

Background:

  • Haemophilus influenzae type b (Hib) is a significant cause of bacterial meningitis in young children.
  • Antibody subclass responses, particularly IgG1 and IgG2, are crucial for effective immunity against polysaccharide antigens.
  • The immunogenicity of Hib polysaccharide vaccines can be enhanced by conjugation to carrier proteins.

Purpose of the Study:

  • To compare the IgG subclass (IgG1 and IgG2) antibody responses to Haemophilus influenzae type b polysaccharide in children immunized with conventional polysaccharide vaccine versus a conjugate vaccine.
  • To evaluate the antibody response after primary immunization and booster doses in different age groups.

Main Methods:

  • Enzyme-linked immunosorbent assay (ELISA) was used to measure IgG, IgG1, and IgG2 antibody concentrations in post-immunization sera from 117 children.
  • Children were immunized with either a conventional Hib polysaccharide vaccine or a Hib conjugate vaccine (polysaccharide coupled to an outer membrane protein).
  • Age groups included infants (2-17 months) and older children (24-83 months), with some receiving primary immunization and others a booster dose.

Main Results:

  • Children (24-83 months) receiving the conventional Hib polysaccharide vaccine showed IgG responses composed of both IgG1 and IgG2 subclasses.
  • Infants (2-17 months) immunized with the conjugate vaccine had predominantly or exclusively IgG1 antibody responses.
  • Children primed with conjugate vaccine and boosted approximately one year later demonstrated robust memory responses with both IgG1 and IgG2 subclasses, regardless of whether boosted with polysaccharide or conjugate vaccine.

Conclusions:

  • Conventional Hib polysaccharide vaccine in older children elicits both IgG1 and IgG2 responses, with a slight IgG1 predominance.
  • Hib conjugate vaccine in infants induces a predominantly IgG1 response, suggesting a T-cell dependent mechanism.
  • Both vaccine types elicit effective memory responses upon boosting, characterized by significant IgG1 and IgG2 subclass production.

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