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Seroprevalence study reveals pertussis underreporting in Brazil and calls for adolescent/young adult boosting: mouse model demonstrates immunity restoration

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Silva, Eliane P. ; Trentini, Monalisa ; Rodriguez, Dunia ; Kanno, Alex I. ; Gomes, Filumena M. S. ; Valente, Maria H. ; Trufen, Carlos E. M. ; Yamamoto, Lais S. ; Januzzi, Arthur D. ; Cunegundes, Priscila S. ; Palacios, Ricardo ; Souza, Renan P. ; Raw, Isaias ; Leite, Luciana C. C. ; Dias, Waldely O.
Total Authors: 15
Document type: Journal article
Source: FRONTIERS IN IMMUNOLOGY; v. 15, p. 12-pg., 2024-12-04.
Abstract

Background Pertussis continues to pose a significant threat despite the availability of effective vaccines. The challenge lies in the vulnerability of infants who have not yet completed their vaccination schedule and in adolescents and adults becoming potential disease carriers.Methods We evaluated the seroprevalence of pertussis immunity in a cohort of 1,500 healthy Brazilian volunteers. Next, we explored the potential restoration of waning pertussis immunity by administering booster doses of wP, aP or Plow (an economically viable and low reactogenic vaccine in development at Butantan) using a mouse model.Findings The mean anti-PT IgG levels in the Brazilian volunteers was 39.4 IU/mL. Notably, individuals <= 19 years exhibited higher IgG values compared to older age groups (>= 20 y). Overall, 8.4% of the samples displayed indications of recent or current contact/infection, with IgG levels surpassing 120 IU/mL, particularly in the 15-19 years age group. IgM values were also increased in the 10-19 years age group. Potential recovery of pre-existing but waning immunity investigated in mice, showed that boosting with wP induced higher antibody titers than aP or Plow. Notably, aP and Plow boosts prompted superior effector and memory cell responses from both B and T cells. Upon challenge with B. pertussis, aP or Plow boost provided greater protection as compared to wP.Interpretations Pertussis appears to circulate predominantly among adolescents and young adults. Insights from the mouse model indicate that immunity can be restored with booster doses. Boosting immunity in non-targeted groups could prevent the dissemination of pertussis to infants. (AU)

FAPESP's process: 17/24832-6 - Development of vaccines based on recombinant BCG: Tuberculosis, Pertussis, Pneumococcus and Schistosoma
Grantee:Luciana Cezar de Cerqueira Leite
Support Opportunities: Research Projects - Thematic Grants
FAPESP's process: 20/14443-5 - Conjugation of antigens to the surface of BCG vaccine: application of the avidin-biotin system
Grantee:Lais Sayuri Yamamoto
Support Opportunities: Scholarships in Brazil - Master
FAPESP's process: 19/06454-0 - Evaluation of BCG expressing adjuvant LTAK63 in a humanized mouse model as a therapeutic vaccine for Tuberculosis
Grantee:Monalisa Martins Trentini
Support Opportunities: Scholarships in Brazil - Post-Doctoral
FAPESP's process: 21/14376-9 - Optimization of SARS-CoV-2 antigen production in Expi293 cell culture aiming OMV-based vaccine generation
Grantee:Arthur Daniel Januzzi
Support Opportunities: Scholarships in Brazil - Master