Age-specific long-term course of IgG antibodies to pertussis toxin after symptomatic infection with Bordetella pertussis

Age-specific long-term course of IgG antibodies to pertussis toxin after symptomatic infection with Bordetella pertussis
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DOI:
10.1017/s0950268805003833
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发表时间:
2005-08-01
影响因子:
4.2
通讯作者:
Teunis, PFM
Teunis, PFM
中科院分区:
医学4区
文献类型:
--
作者:
Versteegh, FGA;Mertens, PLJM;Teunis, PFM

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为了研究百日咳毒素IgG抗体(IgG-PT)自然感染后下降率与年龄的可能相关性,我们检测了121例患者(年龄0-94岁)在123次B发作后获得的随访血清中的IgG-PT。百日咳感染为了分析,我们应用了B失活的动态模型。百日咳免疫系统不同年龄组之间的IgG-PT上升、峰值和下降无显著差异,但随着年龄的增长,有上升更快、峰值更高和下降更快的趋势。百日咳血清学诊断的IgG-PT临界值100 U/ml在所有年龄组中均有效。IgG-PT下降至< 10 U/ml与B再感染风险增加相关。百日咳。
To investigate the possible dependence on age of the rate of decline of IgG antibodies to pertussis toxin (IgG-PT) after natural infection with Bordetella pertussis we measured IgG-PT in follow-up sera of 121 patients (age 0-94 years) obtained after 123 episodes of B. pertussis infection. For analysis we applied a dynamic model for the inactivation of B. pertussis by the immune system. There were no significant differences in rise, peak and decline of IgG-PT between different age groups, although there was a tendency for a more rapid increase, a higher peak and a faster decline with increasing age. The IgG-PT cut-off of 100 U/ml for serodiagnosis of pertussis appeared valid in all age groups. A decline of IgG-PT to < 10 U/ml was associated with increased risk of re-infection with B. pertussis.