論文

査読有り 国際誌
2019年

Seroprevalence of IgA and IgM antibodies to Bordetella pertussis in healthy Japanese donors: Assessment for the serological diagnosis of pertussis.

PloS one
  • Rei Fumimoto
  • ,
  • Nao Otsuka
  • ,
  • Hajime Kamiya
  • ,
  • Tomimasa Sunagawa
  • ,
  • Keiko Tanaka-Taya
  • ,
  • Kazunari Kamachi
  • ,
  • Keigo Shibayama

14
7
開始ページ
e0219255
終了ページ
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1371/journal.pone.0219255

Pertussis is a human respiratory infection caused by the gram-negative bacterium, Bordetella pertussis. To evaluate the pertussis burden and vaccine efficacy, diagnosis and epidemiological surveillance should be based on accurate and valid diagnostic methods. Recently, the serodiagnostic tests Novagnost Bordetella pertussis IgA and IgM were approved in Japan for pertussis diagnostics. Although the anti-pertussis toxin (PT) IgG assay has been used for pertussis diagnosis worldwide, little is known about the anti-B. pertussis IgA and IgM assays. In this study, serum samples from 460 healthy donors were examined to determine the seroprevalence of anti-B. pertussis IgA and IgM in a Japanese population, and its correlation with donor age. Our data demonstrated that anti-B. pertussis IgA and IgM are positively and negatively correlated with age (r = 0.27, r = -0.37; P < 0.001, respectively). Age-specific analysis revealed high titers of anti-B. pertussis IgA in adults (46-50 years), while anti-B. pertussis IgM titers were high in schoolchildren (6-10, 11-15 years). When applying the arbitrary cut-off values for these ages, 17.6% and 39.5% of healthy donors were interpreted as pertussis-positive or indeterminate with anti-B. pertussis IgA (46-50 years) and IgM (11-15 years) titers, respectively. Overall, our findings indicated that the Novagnost Bordetella pertussis IgA and IgM testing could be greatly affected by subject age, limiting its value for pertussis diagnosis.

リンク情報
DOI
https://doi.org/10.1371/journal.pone.0219255
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31260500
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6602288
ID情報
  • DOI : 10.1371/journal.pone.0219255
  • PubMed ID : 31260500
  • PubMed Central 記事ID : PMC6602288

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