The Journal of Experimental Medicine
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Published 4 February 2002. doi:10.1084/jem.20011576
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© Rockefeller University Press, 0022-1007/2002/2/359/ $5.00
The Journal of Experimental Medicine, Volume 195, Number 3, February 4, 2002 359-365


Brief Definitive Report

The Immune Response to Pneumococcal Proteins during Experimental Human Carriage

Tera L. McCool1, Thomas R. Cate2, Gregory Moy1 and Jeffrey N. Weiser1

1 Department of Microbiology, University of Pennsylvania, Philadelphia, PA 19104
2 Respiratory Pathogens Research Unit, Baylor College of Medicine, Houston, TX 77030

Address correspondence to Jeffrey N. Weiser, 402A Johnson Pavilion, Department of Microbiology, University of Pennsylvania, Philadelphia, PA 19104-6076. Phone: 215-573-3511; Fax: 215-898-9557; E-mail: weiser{at}mail.med.upenn.edu

Colonization of the nasopharynx is the initial step in all infections caused by Streptococcus pneumoniae. The antibody response to carriage was examined in an experimental model of human colonization in healthy adults. Asymptomatic colonization was detected in 6/14 subjects and continued for up to 122 d. Susceptibility to carriage did not correlate with total serum immunoglobulin (Ig)G to the homotypic capsular polysaccharide. All of the colonized subjects, in contrast, developed a serum IgG and secretory IgA response to a 22 kD protein, whereas 7 of 8 subjects who did not become colonized had preexisting antibody to this protein. Analysis of the 22 kD protein identified it as the NH2-terminal region of pneumococcal surface protein A (PspA). Our findings provide evidence for the role of antibody to this protein fragment in preventing pneumococcal carriage by humans.

Key Words: Streptococcus pneumoniae • vaccine • carriage • colonization • pneumococcal surface protein A


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