Stringently Defined Otitis Prone Children Demonstrate Deficient Naturally Induced Mucosal Antibody Response to Moraxella catarrhalis Proteins.
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ABSTRACT: Moraxella catarrhalis (Mcat) is a prominent mucosal pathogen causing acute otitis media (AOM). We studied Mcat nasopharyngeal (NP) colonization, AOM frequency and mucosal antibody responses to four vaccine candidate Mcat proteins: outer membrane protein (OMP) CD, oligopeptide permease (Opp) A, hemagglutinin (Hag), and Pilin A clade 2 (PilA2) from stringently defined otitis prone (sOP) children, who experience the greatest burden of disease, compared to non-otitis prone (NOP) children. sOP children had higher NP colonization of Mcat (30 vs. 22%, P?=?0.0003) and Mcat-caused AOM rates (49 vs. 24%, P?Mcat proteins OMP CD (IgG, P?P?=?0.018), Hag (IgG and IgA, both P?P?P?=?0.039) and PilA2 (P?=?0.0076), and IgA to OMP CD (P?=?0.010), OppA (P?=?0.030), and PilA2 (P?=?0.043) were associated with lower carriage of Mcat in NOP but not sOP children. Higher levels of mucosal IgG to OMP CD (P?=?0.0070) and Hag (P?=?0.0003), and IgA to Hag (P?=?0.0067) at asymptomatic colonization than those at onset of AOM were associated with significantly lower rate of Mcat NP colonization progressing to AOM in NOP compared to sOP children (3 vs. 26%, P?Mcat proteins, which was associated with higher frequencies of asymptomatic NP colonization and NP colonization progressing to Mcat-caused AOM. Enhancing Mcat antigen-specific mucosal immune responses to levels higher than achieved by natural exposure will be necessary to prevent AOM in sOP children.
SUBMITTER: Ren D
PROVIDER: S-EPMC5554491 | biostudies-literature | 2017
REPOSITORIES: biostudies-literature
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