Shigella-specific antibodies in the first year of life among Zambian infants: A longitudinal cohort study.

<h4>Introduction</h4>Shigellosis, is a leading cause of moderate-to-severe diarrhoea and related mortality in young children in low and middle income countries (LMICs). Knowledge on naturally acquired immunity can support the development of Shigella candidate vaccines mostly needed in LM...

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Autores principales: Caroline C Chisenga, Samuel Bosomprah, Michelo Simuyandi, Katayi Mwila-Kazimbaya, Obvious N Chilyabanyama, Natasha M Laban, Anya Bialik, Valeria Asato, Shiri Meron-Sudai, Gad Frankel, Daniel Cohen, Roma Chilengi
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spelling oai:doaj.org-article:344fea9a3c4a4a649cec3078ee3359592021-11-25T06:23:41ZShigella-specific antibodies in the first year of life among Zambian infants: A longitudinal cohort study.1932-620310.1371/journal.pone.0252222https://doaj.org/article/344fea9a3c4a4a649cec3078ee3359592021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252222https://doaj.org/toc/1932-6203<h4>Introduction</h4>Shigellosis, is a leading cause of moderate-to-severe diarrhoea and related mortality in young children in low and middle income countries (LMICs). Knowledge on naturally acquired immunity can support the development of Shigella candidate vaccines mostly needed in LMICs. We aimed to quantify Shigella-specific antibodies of maternal origin and those naturally acquired in Zambian infants.<h4>Methods</h4>Plasma samples collected from infants at age 6, 14 and 52-weeks were tested for Shigella (S. sonnei and S. flexneri 2a) lipopolysaccharide (LPS) antigen specific immunoglobulin G (IgG) and A (IgA) by enzyme-linked immunosorbent assay.<h4>Results</h4>At 6 weeks infant age, the IgG geometric mean titres (GMT) against S. sonnei (N = 159) and S. flexneri 2a (N = 135) LPS were 311 (95% CI 259-372) and 446 (95% CI 343-580) respectively. By 14 weeks, a decline in IgG GMT was observed for both S. sonnei to 104 (95% CI 88-124), and S. flexneri 2a to 183 (95% CI 147-230). Both S. sonnei and S. flexneri 2a specific IgG GMT continued to decrease by 52 weeks infant age when compared to 6 weeks. In 27% and 8% of infants a significant rise in titre (4 fold and greater) against S. flexneri 2a and S. sonnei LPS, respectively, was detected between the ages of 14 and 52 weeks. IgA levels against both species LPS were very low at 6 and 14 weeks and raised significantly against S. flexneri 2a and S. sonnei LPS in 29% and 10% of the infants, respectively.<h4>Conclusion</h4>In our setting, transplacental IgG anti-Shigella LPS is present at high levels in early infancy, and begins to decrease by age 14 weeks. Our results are consistent with early exposure to Shigella and indicate naturally acquired IgG and IgA antibodies to S. flexneri 2a and S. sonnei LPS in part of infants between 14 and 52 weeks of age. These results suggest that a potential timing of vaccination would be after 14 and before 52 weeks of age to ensure early infant protection against shigellosis.Caroline C ChisengaSamuel BosomprahMichelo SimuyandiKatayi Mwila-KazimbayaObvious N ChilyabanyamaNatasha M LabanAnya BialikValeria AsatoShiri Meron-SudaiGad FrankelDaniel CohenRoma ChilengiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0252222 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Caroline C Chisenga
Samuel Bosomprah
Michelo Simuyandi
Katayi Mwila-Kazimbaya
Obvious N Chilyabanyama
Natasha M Laban
Anya Bialik
Valeria Asato
Shiri Meron-Sudai
Gad Frankel
Daniel Cohen
Roma Chilengi
Shigella-specific antibodies in the first year of life among Zambian infants: A longitudinal cohort study.
description <h4>Introduction</h4>Shigellosis, is a leading cause of moderate-to-severe diarrhoea and related mortality in young children in low and middle income countries (LMICs). Knowledge on naturally acquired immunity can support the development of Shigella candidate vaccines mostly needed in LMICs. We aimed to quantify Shigella-specific antibodies of maternal origin and those naturally acquired in Zambian infants.<h4>Methods</h4>Plasma samples collected from infants at age 6, 14 and 52-weeks were tested for Shigella (S. sonnei and S. flexneri 2a) lipopolysaccharide (LPS) antigen specific immunoglobulin G (IgG) and A (IgA) by enzyme-linked immunosorbent assay.<h4>Results</h4>At 6 weeks infant age, the IgG geometric mean titres (GMT) against S. sonnei (N = 159) and S. flexneri 2a (N = 135) LPS were 311 (95% CI 259-372) and 446 (95% CI 343-580) respectively. By 14 weeks, a decline in IgG GMT was observed for both S. sonnei to 104 (95% CI 88-124), and S. flexneri 2a to 183 (95% CI 147-230). Both S. sonnei and S. flexneri 2a specific IgG GMT continued to decrease by 52 weeks infant age when compared to 6 weeks. In 27% and 8% of infants a significant rise in titre (4 fold and greater) against S. flexneri 2a and S. sonnei LPS, respectively, was detected between the ages of 14 and 52 weeks. IgA levels against both species LPS were very low at 6 and 14 weeks and raised significantly against S. flexneri 2a and S. sonnei LPS in 29% and 10% of the infants, respectively.<h4>Conclusion</h4>In our setting, transplacental IgG anti-Shigella LPS is present at high levels in early infancy, and begins to decrease by age 14 weeks. Our results are consistent with early exposure to Shigella and indicate naturally acquired IgG and IgA antibodies to S. flexneri 2a and S. sonnei LPS in part of infants between 14 and 52 weeks of age. These results suggest that a potential timing of vaccination would be after 14 and before 52 weeks of age to ensure early infant protection against shigellosis.
format article
author Caroline C Chisenga
Samuel Bosomprah
Michelo Simuyandi
Katayi Mwila-Kazimbaya
Obvious N Chilyabanyama
Natasha M Laban
Anya Bialik
Valeria Asato
Shiri Meron-Sudai
Gad Frankel
Daniel Cohen
Roma Chilengi
author_facet Caroline C Chisenga
Samuel Bosomprah
Michelo Simuyandi
Katayi Mwila-Kazimbaya
Obvious N Chilyabanyama
Natasha M Laban
Anya Bialik
Valeria Asato
Shiri Meron-Sudai
Gad Frankel
Daniel Cohen
Roma Chilengi
author_sort Caroline C Chisenga
title Shigella-specific antibodies in the first year of life among Zambian infants: A longitudinal cohort study.
title_short Shigella-specific antibodies in the first year of life among Zambian infants: A longitudinal cohort study.
title_full Shigella-specific antibodies in the first year of life among Zambian infants: A longitudinal cohort study.
title_fullStr Shigella-specific antibodies in the first year of life among Zambian infants: A longitudinal cohort study.
title_full_unstemmed Shigella-specific antibodies in the first year of life among Zambian infants: A longitudinal cohort study.
title_sort shigella-specific antibodies in the first year of life among zambian infants: a longitudinal cohort study.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/344fea9a3c4a4a649cec3078ee335959
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