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Clinical and Diagnostic Laboratory Immunology, November 1999, p. 812-818, Vol. 6, No. 6
International Centre for Diarrhoeal Disease
Research, Bangladesh, Dhaka, Bangladesh1;
Department of Medical Microbiology and Immunology,
Göteborg University, Göteborg,
Sweden2; and Immunobiology Vaccine
Center, University of Alabama at Birmingham, Birmingham,
Alabama3
Received 24 March 1999/Returned for modification 29 July
1999/Accepted 23 August 1999
The immunoglobulin subclass responses to homologous
lipopolysaccharide (LPS) and to cholera toxin (CT) in adult patients
infected with Vibrio cholerae O1 and V. cholerae O139 were studied. LPS-specific antibody-secreting cells
(ASC) of both the immunoglobulin A1 (IgA1) and IgA2 subclasses were
seen, with the IgA1 ASC response predominating in both V. cholerae O1- and O139-infected patients. For antibodies in
plasma, by day 11 after onset of disease, all V. cholerae
O1- infected patients responded to homologous LPS with the IgA1
subclass (P = 0.001), whereas fewer (68%) responded
with the IgA2 subclass (P = 0.007). About 89% of
V. cholerae O139-infected patients responded with the IgA1
subclass (P = 0.003), and only 21% responded with the
IgA2 subclass (not significant [NS]). Both groups of cholera patients
showed significant increases in LPS-specific IgG1, IgG2, and IgG3
antibodies in plasma. In feces, the response to homologous LPS occurred
in both groups of patients with the IgA1 and IgA2 subclasses, with 55 to 67% of patients showing a positive response. V. cholerae O1- and O139-infected patients showed CT-specific ASC
responses of the different IgG and IgA subclasses in the circulation, and the pattern followed the order IgG1 > IgA1 > IgG2 > IgA2, with low levels of IgG3 and IgG4 ASC. Plasma anti-CT antibody responses in all subclasses were seen by day 11 after onset of disease.
Although there were no increases in CT-specific ASC of the IgG3 (NS)
and IgG4 (NS) subtypes, there were significant increases of these two
subclasses in plasma (P
1071-412X/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Lipopolysaccharide- and Cholera Toxin-Specific
Subclass Distribution of B-Cell Responses in Cholera
0.001). The response to CT
in the fecal extracts was contributed to by both IgA1 and IgA2 isotypes, with 67 to 75% of the patients responding. Thus, the mucosa-derived ASC and fecal antibodies to LPS and CT were of both the
IgA1 and IgA2 subclasses; in plasma, the contribution from IgA2 was
lower. Very little difference in the B-cell responses to LPS and CT in
the different subclasses was seen in the two groups of cholera
patients. Vaccines against O1 and O139 cholera ideally should stimulate
antibody subclasses that are likely to offer protection.
*
Corresponding author. Mailing address: Laboratory
Sciences Division, International Centre for Diarrhoeal Diseases
Research, Bangladesh, GPO Box 128, Dhaka 1000, Bangladesh. Phone: 880 2 871751-60. Fax: 880 2 872529, 880 2 883116, or 880 2 886050. E-mail: fqadri{at}icddrb.org.
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