QIAN Xiao-hua;SHEN Hong-bo;PAN Rong;QIAO Rui-jie;TAN Xiao-mei;CHEN Wei-zheng;The Center for Disease Control and Prevention in Hongkou District,Shanghai City;Objective To monitor the level of specific functional antibodies in elderly individuals inoculated with 23-valent pneumococcal polysaccharide vaccine(PPV-23). Methods Healthy individuals and those recovered from tuberculosis, with registered permanent residence in Shanghai and at age of more than 60 years, were vaccinated with PPV-23. The OPA antibody levels against 13 serotypes(1, 3, 4, 5, 6 A, 6 B, 7 F, 9 V, 14, 18 C, 19 A, 19 F, 23 F) of pneumococcus before as well as 1 and 6 months after vaccination were determined by multi-specificity opsonophagocytosis killing assay(MOPA), and the GMTs and increasing rates of antibodies against the 13 serotypes 1 and 6 months after vaccination were analyzed statistically. Results The GMTs of OPA antibodies against 13 serotypes of pneumococcus in most of the elderly individuals 1 and 6 months after vaccination were significantly higher than those before vaccination(P < 0. 05). However, the GMTs of antibodies against serotypes 1 and 3 six months after vaccination showed no significant difference with those before vaccination(P > 0. 05). The GMTs of antibodies against serotypes 6 A, 6 B, 7 F,18 C, 19 F and 23 F 6 months after vaccination showed no significant difference with those 1 month after vaccination(P >0. 05). Except that against serotype 1 in the individuals recovered from tuberculosis(37. 5%), the 2-fold increasing rates of GMTs of antibodies against all the 13 serotypes 1 month after vaccination were not less than 60%, which showed no significant difference in the healthy and recovered individuals(P > 0. 05). Except those against serotypes 1 and 3 in the individuals recovered from tuberculosis, the 4-fold increasing rates of GMTs of OPA antibodies against various serotypes showed no significant difference in the healthy and recovered individuals(P > 0. 05). However, the 2-fold increasing rates of GMTs of OPA antibodies against the 13 serotypes were more than 45% and, except that against serotype 1, showed no significant difference in healthy and recovered individuals(P > 0. 05). The 4-fold increasing rates of OPA antibody levels,except those against serotypes 1 and 18 C, showed no significant difference in the healthy and recovered individuals(P >0. 05). Conclusion Specific functional antibodies against 13 serotypes of pneumococcus were induced by PPV-23 in healthy elderly individuals and the individuals recovered from tuberculosis, which last for 6 months. However, the levels and persistence of OPA antibodies against serotypes 1 and 3 in the recovered individuals were significantly lower than those in healthy individuals.
2018 02 v.31 [Abstract][OnlineView][Download 265K]