Immunization of pregnant women with group B streptococcal type III capsular polysaccharide-tetanus toxoid conjugate vaccine

被引:137
作者
Baker, CJ [1 ]
Rench, MA
McInnes, P
机构
[1] Baylor Coll Med, Dept Pediat, Houston, TX 77030 USA
[2] Baylor Coll Med, Dept Mol Virol, Houston, TX 77030 USA
[3] Baylor Coll Med, Dept Microbiol, Houston, TX 77030 USA
[4] Natl Inst Allergy & Immunol, NIH, Bethesda, MD USA
关键词
group B streptococcal (GBS) infections; immunization; conjugate vaccine; pregnancy;
D O I
10.1016/S0264-410X(03)00353-0
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Aim: To determine the safety and inummogenicity of group B streptococcal (GBS) type III CPS-TT conjugate vaccine in pregnant women. Methods: Prospective, randomized (2: 1, vaccine:placebo), double-blind, placebo-controlled trial in women at 30-32 weeks' gestation and their infants. Immune responses were measured with IgG-specific ELISA assays; killing of III GBS by 1 - and 2-month infant sera was assessed by opsonophagocytosis. Results: Immunization was well-tolerated; maternal and infant outcomes were similar in vaccine and placebo groups. III-TT conjugate elicited good levels of IgG to III CPS that were functionally active against type III GBS through age 2 months. Conclusion: Maternal immunization with GBS CPS-TT conjugates could prevent maternal, neonatal and young infant GBS disease. (C) 2003 Elsevier Science Ltd. All rights reserved.
引用
收藏
页码:3468 / 3472
页数:5
相关论文
共 13 条
[1]   IMMUNIZATION OF PREGNANT-WOMEN WITH A POLYSACCHARIDE VACCINE OF GROUP-B STREPTOCOCCUS [J].
BAKER, CJ ;
RENCH, MA ;
EDWARDS, MS ;
CARPENTER, RJ ;
HAYS, BM ;
KASPER, DL .
NEW ENGLAND JOURNAL OF MEDICINE, 1988, 319 (18) :1180-1185
[2]   Safety and immunogenicity of capsular polysaccharide-tetanus toxoid conjugate vaccines for group B streptococcal types Ia and Ib [J].
Baker, CJ ;
Paoletti, LC ;
Wessels, MR ;
Guttormsen, HK ;
Rench, MA ;
Hickman, ME ;
Kasper, DL .
JOURNAL OF INFECTIOUS DISEASES, 1999, 179 (01) :142-150
[3]   Use of capsular polysaccharide-tetanus toxoid conjugate vaccine for type II group B Streptococcus in healthy women [J].
Baker, CJ ;
Paoletti, LC ;
Rench, MA ;
Guttormsen, HK ;
Carey, VJ ;
Hickman, ME ;
Kasper, DL .
JOURNAL OF INFECTIOUS DISEASES, 2000, 182 (04) :1129-1138
[4]  
BAKER CJ, 2001, CLIN INFECT DIS A, V370
[5]   OPSONIC SPECIFICITY OF HUMAN-ANTIBODY TO THE TYPE-III POLYSACCHARIDE OF GROUP-B STREPTOCOCCUS [J].
EDWARDS, MS ;
BAKER, CJ ;
KASPER, DL .
JOURNAL OF INFECTIOUS DISEASES, 1979, 140 (06) :1004-1008
[6]  
EDWARDS MS, 2000, INFECT DIS FETUS NEW, P913
[7]   Quantitative determination of antibodies to type III group B streptococcal polysaccharide [J].
Guttormsen, HK ;
Baker, CJ ;
Edwards, MS ;
Paoletti, LC ;
Kasper, DL .
JOURNAL OF INFECTIOUS DISEASES, 1996, 173 (01) :142-150
[8]   Serotype distribution of invasive group B streptococcal isolates in Maryland: Implications for vaccine formulation [J].
Harrison, LH ;
Elliott, JA ;
Dwyer, DM ;
Libonati, JP ;
Ferrieri, P ;
Billmann, L ;
Schuchat, A .
JOURNAL OF INFECTIOUS DISEASES, 1998, 177 (04) :998-1002
[9]   Immune response to type III group B streptococcal polysaccharide-tetanus toxoid conjugate vaccine [J].
Kaspar, DL ;
Paoletti, LC ;
Wessels, MR ;
Guttormsen, HK ;
Carey, VJ ;
Jennings, HJ ;
Baker, CJ .
JOURNAL OF CLINICAL INVESTIGATION, 1996, 98 (10) :2308-2314
[10]   Maternal antibody transfer in baboons and mice vaccinated with a group B streptococcal polysaccharide conjugate [J].
Paoletti, LC ;
Pinel, J ;
Kennedy, RC ;
Kasper, DL .
JOURNAL OF INFECTIOUS DISEASES, 2000, 181 (02) :653-658