Seroprevalence of Bactericidal, Specific IgG Antibodies and Incidence of Meningitis Due to Group A Neisseria meningitidis by Age in Burkina Faso 2008

Caroline L. Trotter*, Seydou Yaro, Berthe-Marie Njanpop-Lafourcade, Aly Drabo, Sita S. Kroman, Regina S. Idohou, Oumarou Sanou, Leah Bowen, Helen Findlow, Serge Diagbouga, Bradford D. Gessner, Ray Borrow, Judith E. Mueller

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

27 Citations (Scopus)

Abstract

Background: We investigated serological correlates of protection against Neisseria meningitidis serogroup A (NmA) in Burkina Faso before the introduction of NmA conjugate vaccine.

Methodology/Principal Findings: We collected blood from a representative sample (N = 1022) of Bobo-Dioulasso residents. Sera were evaluated for serum bactericidal antibody (SBA) activity against NmA strains of immunotype L11 (F8238) and L10 (3125) and NmA-specific IgG. Seroprevalence was compared to the age-specific NmA meningitis incidence in Bobo-Dioulasso during March 2007-February 2008. Meningococcal carriage was evaluated in a subset (N = 538). Geometric mean titres (GMT)/concentrations (GMC) of SBA and NmA-specific IgG increased with age, peaking around age 20 years. Overall, 70% of our sample had NmA-specific IgG >= 2 ug/mL. Meningitis incidence was highest in those aged

Conclusions/Significance: This study provides estimates of natural immunity to NmA, according to a variety of antibody measures, which will be helpful in ascertaining antibody persistence after MenAfriVac (TM) introduction. Age-specific seroprevalence of reference strain SBA titres most likely reflects exposure to meningococci and consecutive reactive immunity. We could not define any serological correlate of protection.

Original languageEnglish
Article number55486
Number of pages8
JournalPLoS ONE
Volume8
Issue number2
DOIs
Publication statusPublished - 14 Feb 2013

Keywords

  • MENINGOCOCCAL MENINGITIS
  • SEROGROUP-C
  • CAPSULAR POLYSACCHARIDE
  • IMMUNITY
  • VACCINES
  • ENGLAND
  • CARRIAGE
  • EPIDEMIC
  • BELT
  • VACCINATION

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