Inhaled delivery of 23-valent pneumococcal polysaccharide vaccine does not result in enhanced pulmonary mucosal immunoglobulin responses

  • Stephen Gordon
  • , Rose Malamba
  • , Neema Mthunthama
  • , Elizabeth R. Jarman
  • , Kondwani Jambo
  • , Khuzwayo Jere
  • , Eduard E. Zijlstra
  • , Malcolm E. Molyneux
  • , John Dennis
  • , Neil French

Research output: Contribution to journalArticlepeer-review

19 Citations (Scopus)

Abstract

We compared the effect of intramuscular vs. inhaled 23-valent pneumococcal capsular polysaccharide vaccine (23-PPV) oil pulmonary mucosal immunoglobulin levels. Bronchoalveolar lavage (BAL) and serum were collected from 33 adults before and I month after injected (n = 16) or inhaled (it = 17) 23-PPV. Levels of pneumococcal capsule-specific IgG and IgA to types 1, 9V and 14 were measured in each sample. Injected 23-PPV produced a significant increase in types 1, 9V and 14 capsule-specific IgG and type I IgA in both serum and BAL (type I geometric mean BAL IgG 9.8 ng/ml post-vaccine vs. 5 ng/ml pre-vaccine, p = 0.01; type 9V geo mean 5.6 ng/ml vs. 2.7 ng/ml, p = 0.001; type 14 geo mean 23.6 ng/ml vs. 6.2 ng/ml, p = 0.02). Inhaled vaccine produced no response in either BAL or serum. (C) 2008 Elsevier Ltd. All rights reserved.

Original languageEnglish
Pages (from-to)5400-5406
Number of pages7
JournalVaccine
Volume26
Issue number42
DOIs
Publication statusPublished - 3 Oct 2008

Keywords

  • Bronchoalveolar lavage
  • Immunoglobulin
  • Inhaled pneumococcal vaccine
  • Lung
  • Mucosa
  • Pneumonia
  • Polysaccharide
  • Streptococcus pneumoniae

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