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DOI10.1073/pnas.1314688110
Acellular pertussis vaccines protect against disease but fail to prevent infection and transmission in a nonhuman primate model
Warfel, Jason M.; Zimmerman, Lindsey I.; Merkel, Tod J.
发表日期2014-01-14
ISSN0027-8424
卷号111期号:2页码:787-792
英文摘要

Pertussis is a highly contagious respiratory illness caused by the bacterial pathogen Bordetella pertussis. Pertussis rates in the United States have been rising and reached a 50-y high of 42,000 cases in 2012. Although pertussis resurgence is not completely understood, we hypothesize that current acellular pertussis (aP) vaccines fail to prevent colonization and transmission. To test our hypothesis, infant baboons were vaccinated at 2, 4, and 6 mo of age with aP or whole-cell pertussis (wP) vaccines and challenged with B. pertussis at 7 mo. Infection was followed by quantifying colonization in nasopharyngeal washes and monitoring leukocytosis and symptoms. Baboons vaccinated with aP were protected from severe pertussis-associated symptoms but not from colonization, did not clear the infection faster than naive animals, and readily transmitted B. pertussis to unvaccinated contacts. Vaccination with wP induced a more rapid clearance compared with naive and aP-vaccinated animals. By comparison, previously infected animals were not colonized upon secondary infection. Although all vaccinated and previously infected animals had robust serum antibody responses, we found key differences in T-cell immunity. Previously infected animals and wP-vaccinated animals possess strong B. pertussis-specific T helper 17 (Th17) memory and Th1 memory, whereas aP vaccination induced a Th1/Th2 response instead. The observation that aP, which induces an immune response mismatched to that induced by natural infection, fails to prevent colonization or transmission provides a plausible explanation for the resurgence of pertussis and suggests that optimal control of pertussis will require the development of improved vaccines.


英文关键词whooping cough;T-cell memory;animal models;adaptive immunity;IL-17
语种英语
WOS记录号WOS:000329614500054
来源期刊PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA (IF:9.58[JCR-2018],10.6[5-Year])
来源机构美国环保署
文献类型期刊论文
条目标识符http://gcip.llas.ac.cn/handle/2XKMVOVA/56854
作者单位US EPA, Div Bacterial Parasit & Allergen Prod, Ctr Biol Evaluat & Res, Bethesda, MD 20892 USA
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GB/T 7714
Warfel, Jason M.,Zimmerman, Lindsey I.,Merkel, Tod J.. Acellular pertussis vaccines protect against disease but fail to prevent infection and transmission in a nonhuman primate model[J]. 美国环保署,2014,111(2):787-792.
APA Warfel, Jason M.,Zimmerman, Lindsey I.,&Merkel, Tod J..(2014).Acellular pertussis vaccines protect against disease but fail to prevent infection and transmission in a nonhuman primate model.PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA,111(2),787-792.
MLA Warfel, Jason M.,et al."Acellular pertussis vaccines protect against disease but fail to prevent infection and transmission in a nonhuman primate model".PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA 111.2(2014):787-792.
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