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Updated: Jul 12, 2026

A Mouse Model to Assess Innate Immune Response to Staphylococcus aureus Infection
Published on: February 28, 2019
Antibody Correlates of Resilience to Staphylococcus aureus Disease and Recurrence in Children
Insights
Understanding Staphylococcus aureus immunity is crucial for developing vaccines. This study identifies key antibody targets and functions associated with protection against S. aureus infections and carriage in children.
Area of Science:
- Immunology
- Microbiology
- Infectious Diseases
Background:
- Staphylococcus aureus is a significant pathogen with no available vaccine, leading to frequent infections.
- Correlates of protection against S. aureus are not well-defined, hindering vaccine development.
Purpose of the Study:
- To comprehensively profile immune responses in children with varying S. aureus colonization and infection statuses.
- To identify antibody features associated with protection against S. aureus skin and soft tissue infections (SSTI) and invasive disease.
Main Methods:
- Prospective cohort study of 319 children.
- Extensive antibody profiling of 182,149 features.
- Multivariate modeling to distinguish clinical phenotypes and identify protective antigens.
Main Results:
- Antibody responses and Fc-receptor engagement increase with age.
- Asymptomatic carriage is linked to functional antibodies targeting conserved antigens and toxins.
- Specific antibody profiles and enhanced FcγR binding correlate with protection against recurrent S. aureus disease.
Conclusions:
- Key antigen targets for S. aureus vaccines and therapeutics have been identified.
- Anti-Hla neutralizing antibodies and functional antibodies to surface antigens are important for protection.
- Findings inform the development of next-generation vaccines and monoclonal antibody strategies.
Abstract:
Staphylococcus aureus remains a major global pathogen with no licensed vaccine and high recurrent infection burden, yet correlates of protection remain undefined. In a prospective pediatric cohort, we profiled 319 children spanning non-carriers, asymptomatic carriers, those with skin and soft tissue infection (SSTI), or invasive disease. We interrogated 182,149 antibody features, generating the most comprehensive S. aureus immune profiling dataset to date. Antibody responses increased with age, marked by expansion of IgG subclasses and Fc-receptor engagement. Asymptomatic carriage was associated with functional antibody profiles targeting conserved surface antigens and select toxins. Multivariate modeling robustly distinguished clinical phenotypes and identified high-value antigens associated with disease resilience. Protection from recurrent disease converged on enhanced FcγR binding and antibody effector function. These findings nominate key antigen targets, and highlight anti-Hla neutralizing antibodies and functional antibodies to additional surface antigens that can be recapitulated through Fc engineering, informing next-generation vaccine and monoclonal antibody strategies.
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