Differential effect of human immunodeficiency virus infection on the IgA and IgG antibody responses to pneumococcal vaccine

F Mascart-Lemone, M Gérard, M Libin… - Journal of Infectious …, 1995 - academic.oup.com
F Mascart-Lemone, M Gérard, M Libin, A Crusiaux, P Franchioly, A Lambrechts, M Goldman…
Journal of Infectious Diseases, 1995academic.oup.com
Abstract The IgA, IgM, and IgG antibody responses to pneumococcal polysaccharide
vaccine were analyzed in 35 asymptomatic or mildly symptomatic human immunodeficiency
virus (HIV)-infected patients stratified according to their CD4 cell counts and in 12 healthy
controls. Both the antibody titers in serum and saliva and the numbers of circulating antigen-
specific antibody-producing cells (Elispot technique) were measured. At the peak of the
antibody responses, HIV-infected patients mounted nearly normal IgG responses, while their …
Abstract
The IgA, IgM, and IgG antibody responses to pneumococcal polysaccharide vaccine were analyzed in 35 asymptomatic or mildly symptomatic human immunodeficiency virus (HIV)-infected patients stratified according to their CD4 cell counts and in 12 healthy controls. Both the antibody titers in serum and saliva and the numbers of circulating antigen-specific antibody-producing cells (Elispot technique) were measured. At the peak of the antibody responses, HIV-infected patients mounted nearly normal IgG responses, while their IgM responses were significantly depressed, regardless of their CD4 cell counts. The IgA antibody response was decreased in patients with <500 CD4 circulating cells/mm3. Most IgG antibodies belonged to the IgG2 subclass,and most IgA antibodies were dimeric IgA2 in both controls and patients. Anti-capsular pneumococcal polysaccharide IgG titers decreased much more rapidly in HIV-infected patients so that in all groups they were significantly lower than in controls 9 months after vaccination.
Oxford University Press