Title
Prospective study of systemic and mucosal immune responses in dysenteric patients to specific Shigella invasion plasmid antigens and lipopolysaccharides
Date Issued
01 January 1991
Access level
metadata only access
Resource Type
journal article
Author(s)
Oberhelman R.A.
Kopecko D.J.
Salazar-Lindo E.
Buysse J.M.
Venkatesan M.M.
Fernandez-Prada C.
Guzman M.
Sack R.B.
Johns Hopkins University
Johns Hopkins University
Johns Hopkins University
Publisher(s)
American Society for Microbiology
Abstract
Shigellosis is a major cause of infant morbidity and mortality in developing countries. To find immunological correlates of specific protection against shigellosis we examined chronological samples of sera, stool extracts, duodenal aspirates, and saliva samples from 39 adults and 22 children with shigellosis from Peru for the presence of specific antibody to invasion plasmid antigens (Ipa) common to all virulent Shigella strains, by using both a whole-organism enzyme-linked immunosorbent assay (ELISA) and a Western blot (immunoblot) assay. Antibody responses to lipopolysaccharide (LPS) from Shigella serotypes both homologous and heterologous to the infecting strain were also determined by ELISA. ELISAs showed that the highest serum immunoglobulin G (IgG) antibody titers to Shigella whole organisms both with and without surface Ipa were found in adults and malnourished children, the two groups with the shortest and longest durations of disease, respectively. Mucosal IgA antibody titers to Shigella strains decreased over time to a much greater extent than serum IgG titers, and IgA to Ipa in mucosal secretions was found in adults and well-nourished children but not in malnourished children. The presence of mucosal antibody to Ipa may limit the spread and severity of the infection, as indicated by the prolonged illness observed in malnourished children who have no significant mucosal antibody to Shigella Ipa. Serum antibody titers to the Ipa antigens were high relative to anti-Shigella LPS antibody titers, especially in pediatric patients. In contrast to the anti-Ipa responses observed, no differences in antibody responses to LPS in children compared by nutritional status were found. High levels of serum and mucosal cross-reacting antibody to heterologous serotype LPS were found between Shigella flexneri serotypes la and 2a. Different patterns of immune response to Ipa proteins and LPS that may aid in the definition of Shigella antigens important in host protection were observed in adults, well-nourished children, and malnourished children.
Start page
2341
End page
2350
Volume
59
Issue
7
Language
English
OCDE Knowledge area
BiologÃa celular, MicrobiologÃa
InmunologÃa
PediatrÃa
Publication version
Version of Record
Scopus EID
2-s2.0-0025883165
PubMed ID
Source
Infection and Immunity
ISSN of the container
0019-9567
Sponsor(s)
National Institute of Allergy and Infectious Diseases P01AI020130
Sources of information:
Directorio de Producción CientÃfica
Scopus