Home LiteratureArticle Details
PMID: 12595488 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S.

Clostridium difficile vaccine and serum immunoglobulin G antibody response to toxin A.

Infection and immunity ·Vol. 71 ·No. 3 ·2003-03-00 ·Pages 1608-10

Aboudola S, Kotloff KL, Kyne L, Warny M, Kelly EC, Sougioultzis S, Giannasca PJ, Monath TP, Kelly CP

Abstract

There is a strong association between serum antibody responses to toxin A and protection against Clostridium difficile diarrhea. A parenteral C. difficile toxoid vaccine induced very-high-level responses to anti-toxin A immunoglobulin G (IgG) in the sera of healthy volunteers. After vaccination, the concentrations of anti-toxin A IgG in the sera of all 30 recipients exceeded the concentrations that were associated with protection in previous clinical studies. Furthermore, the median concentration of serum anti-toxin A IgG in the test group was 50-fold higher than the previous threshold. These findings support the feasibility of using a vaccine to protect high-risk individuals against C. difficile-associated diarrhea and colitis.

MeSH Terms
Adult Antibodies, Bacterial/blood Bacterial Toxins/immunology Bacterial Vaccines/immunology Clostridioides difficile/immunology Diarrhea/prevention & control Enterotoxins/immunology Humans Immunoglobulin G/blood Toxoids/immunology Vaccination
Chemicals
Antibodies, Bacterial Bacterial Toxins Bacterial Vaccines Enterotoxins Immunoglobulin G Toxoids tcdA protein, Clostridium difficile
Authors & Affiliations
9 authors, click to expand affiliations / ORCID
Aboudola Samer
Gastroenterology Division, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Kotloff Karen L
Kyne Lorraine
Warny Michel
Kelly Eoin C
Sougioultzis Stavros
Giannasca Paul J
Monath Thomas P
Kelly Ciarán P
References (21)
21 references, click to expand
  1. Fatal pseudomembranous colitis associated with a variant clostridium difficile strain not detected by toxin A immunoassay.
    Ann Intern Med. 2001 Sep 18;135(6):434-8 PMID: 11560456
  2. Pseudomembranous colitis caused by a toxin A(-) B(+) strain of Clostridium difficile.
    J Clin Microbiol. 2000 Apr;38(4):1696-7 PMID: 10747174
  3. Human antibody response to Clostridium difficile toxin A in relation to clinical course of infection.
    Infect Immun. 1994 Feb;62(2):384-9 PMID: 8300199
  4. Clostridium difficile.
    Gastroenterol Clin North Am. 2001 Sep;30(3):753-77, ix-x PMID: 11586556
  5. Asymptomatic carriage of Clostridium difficile and serum levels of IgG antibody against toxin A.
    N Engl J Med. 2000 Feb 10;342(6):390-7 PMID: 10666429
  6. Prospects for a vaccine for Clostridium difficile.
    BioDrugs. 1998 Sep;10(3):173-81 PMID: 18020593
  7. Nosocomial outbreak of Clostridium difficile-associated diarrhoea due to a clindamycin-resistant enterotoxin A-negative strain.
    Eur J Clin Microbiol Infect Dis. 2001 Aug;20(8):528-34 PMID: 11681431
  8. Intravenous immunoglobulin therapy for severe Clostridium difficile colitis.
    Gut. 1997 Sep;41(3):366-70 PMID: 9378393
  9. Association between antibody response to toxin A and protection against recurrent Clostridium difficile diarrhoea.
    Lancet. 2001 Jan 20;357(9251):189-93 PMID: 11213096
  10. Safety and immunogenicity of increasing doses of a Clostridium difficile toxoid vaccine administered to healthy adults.
    Infect Immun. 2001 Feb;69(2):988-95 PMID: 11159994
  11. Role of antibody response in outcome of antibiotic-associated diarrhoea.
    Lancet. 2001 Jan 20;357(9251):158-9 PMID: 11213086
  12. Immune response to Clostridium difficile infection.
    Eur J Gastroenterol Hepatol. 1996 Nov;8(11):1048-53 PMID: 8944364
  13. Antibodies to recombinant Clostridium difficile toxins A and B are an effective treatment and prevent relapse of C. difficile-associated disease in a hamster model of infection.
    Infect Immun. 1998 May;66(5):2018-25 PMID: 9573084
  14. Clostridium difficile toxin B is more potent than toxin A in damaging human colonic epithelium in vitro.
    J Clin Invest. 1995 May;95(5):2004-11 PMID: 7738167
  15. Epidemiology of nosocomial clostridium difficile diarrhoea.
    J Hosp Infect. 1999 Dec;43 Suppl:S183-90 PMID: 10658778
  16. Toxin gene analysis of a variant strain of Clostridium difficile that causes human clinical disease.
    Infect Immun. 2000 Oct;68(10):5480-7 PMID: 10992443
  17. Nosocomial acquisition of Clostridium difficile infection.
    N Engl J Med. 1989 Jan 26;320(4):204-10 PMID: 2911306
  18. Systemic and mucosal antibody responses to toxin A in patients infected with Clostridium difficile.
    J Infect Dis. 1992 Dec;166(6):1287-94 PMID: 1431247
  19. Serum antibody response to Clostridium difficile toxins in patients with Clostridium difficile diarrhoea.
    Infection. 1985 May-Jun;13(3):97-101 PMID: 4030111
  20. Clinical practice. Antibiotic-associated diarrhea.
    N Engl J Med. 2002 Jan 31;346(5):334-9 PMID: 11821511
  21. Treatment with intravenously administered gamma globulin of chronic relapsing colitis induced by Clostridium difficile toxin.
    J Pediatr. 1991 Apr;118(4 Pt 1):633-7 PMID: 1901084
Article Info
Journal
Infection and immunity
Abbr.
Infect Immun
ISSN
0019-9567
Published
2003-03-00
Pages
1608-10
Language
English
Region
United States
NLM ID
0246127
PMCID
PMC148861
Subset
IM
Grants
Intramural NIH HHS · Z01 AG000971 · United States
NCRR NIH HHS · M01 RR001032 · United States
NIA NIH HHS · K23 AG000971 · United States
NCRR NIH HHS · RR-01032 · United States
NIAID NIH HHS · AI-45251 · United States
Analysis Services
Analysis Services

Contact

No. 2 Wenbo Road, Zhangqiu District, Jinan, Shandong

Qilu Normal University · Genelibs Bioinformatics Lab

750 Shunhua Rd, Jinan

2F, Bldg F, University Science Park

Tel: 0531-88819269

WeChat Official Account

Follow our WeChat subscription account for real-time updates and the latest in medical and biological research.


Business Email

E-mail: product@genelibs.com