Reduced quantity and function of pneumococcal antibodies are associated with exacerbations of COPD in SPIROMICS

Copyright © 2023 Elsevier Inc. All rights reserved.

Bibliographische Detailangaben
Veröffentlicht in:Clinical immunology (Orlando, Fla.). - 1999. - 250(2023) vom: 15. Mai, Seite 109324
1. Verfasser: LaFon, David C (VerfasserIn)
Weitere Verfasser: Woo, Han, Fedarko, Neal, Azar, Antoine, Hill, Harry, Tebo, Anne E, Martins, Thomas B, Han, MeiLan K, Krishnan, Jerry A, Ortega, Victor E, Barjaktarevic, Igor, Kaner, Robert J, Hastie, Annette, O'Neal, Wanda K, Couper, David, Woodruff, Prescott G, Curtis, Jeffrey L, Hansel, Nadia N, Nahm, Moon H, Dransfield, Mark T, Putcha, Nirupama, SPIROMICS investigators
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2023
Zugriff auf das übergeordnete Werk:Clinical immunology (Orlando, Fla.)
Schlagworte:Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Antibodies Immunity Immunoglobulin G Opsonization Streptococcus pneumoniae Antibodies, Bacterial Pneumococcal Vaccines
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520 |a While hypogammaglobulinemia is associated with COPD exacerbations, it is unknown whether frequent exacerbators have specific defects in antibody production/function. We hypothesized that reduced quantity/function of serum pneumococcal antibodies correlate with exacerbation risk in the SPIROMICS cohort. We measured total pneumococcal IgG in n = 764 previously vaccinated participants with COPD. In a propensity-matched subset of n = 200 with vaccination within five years (n = 50 without exacerbations in the previous year; n = 75 with one, n = 75 with ≥2), we measured pneumococcal IgG for 23 individual serotypes, and pneumococcal antibody function for 4 serotypes. Higher total pneumococcal IgG, serotype-specific IgG (17/23 serotypes), and antibody function (3/4 serotypes) were independently associated with fewer prior exacerbations. Higher pneumococcal IgG (5/23 serotypes) predicted lower exacerbation risk in the following year. Pneumococcal antibodies are inversely associated with exacerbations, supporting the presence of immune defects in frequent exacerbators. With further study, pneumococcal antibodies may be useful biomarkers for immune dysfunction in COPD 
650 4 |a Journal Article 
650 4 |a Research Support, N.I.H., Extramural 
650 4 |a Research Support, Non-U.S. Gov't 
650 4 |a Antibodies 
650 4 |a Immunity 
650 4 |a Immunoglobulin G 
650 4 |a Opsonization 
650 4 |a Streptococcus pneumoniae 
650 7 |a Immunoglobulin G  |2 NLM 
650 7 |a Antibodies, Bacterial  |2 NLM 
650 7 |a Pneumococcal Vaccines  |2 NLM 
700 1 |a Woo, Han  |e verfasserin  |4 aut 
700 1 |a Fedarko, Neal  |e verfasserin  |4 aut 
700 1 |a Azar, Antoine  |e verfasserin  |4 aut 
700 1 |a Hill, Harry  |e verfasserin  |4 aut 
700 1 |a Tebo, Anne E  |e verfasserin  |4 aut 
700 1 |a Martins, Thomas B  |e verfasserin  |4 aut 
700 1 |a Han, MeiLan K  |e verfasserin  |4 aut 
700 1 |a Krishnan, Jerry A  |e verfasserin  |4 aut 
700 1 |a Ortega, Victor E  |e verfasserin  |4 aut 
700 1 |a Barjaktarevic, Igor  |e verfasserin  |4 aut 
700 1 |a Kaner, Robert J  |e verfasserin  |4 aut 
700 1 |a Hastie, Annette  |e verfasserin  |4 aut 
700 1 |a O'Neal, Wanda K  |e verfasserin  |4 aut 
700 1 |a Couper, David  |e verfasserin  |4 aut 
700 1 |a Woodruff, Prescott G  |e verfasserin  |4 aut 
700 1 |a Curtis, Jeffrey L  |e verfasserin  |4 aut 
700 1 |a Hansel, Nadia N  |e verfasserin  |4 aut 
700 1 |a Nahm, Moon H  |e verfasserin  |4 aut 
700 1 |a Dransfield, Mark T  |e verfasserin  |4 aut 
700 1 |a Putcha, Nirupama  |e verfasserin  |4 aut 
700 0 |a SPIROMICS investigators  |e verfasserin  |4 aut 
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