Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2010-3-17
pubmed:abstractText
A human Campylobacter jejuni infection model provided controlled exposure to assess vaccine efficacy and investigate protective immunity for this important diarrheal pathogen. A well-characterized outbreak strain, C. jejuni 81-176, was investigated using a volunteer experimental infection model to evaluate the dose range and duration of protection. Healthy Campylobacter-seronegative adults received C. jejuni strain 81-176 via oral inoculation of 10(5), 10(7), or 10(9) CFU (5 adults/dose), which was followed by clinical and immunological monitoring. Based on dose range clinical outcomes, the 10(9)-CFU dose (n = 31) was used to assess homologous protection at 28 to 49 days (short-term veterans [STV]; n = 8) or 1 year (long-term veterans [LTV]; n = 7) after primary infection. An illness dose effect was observed for naïve subjects (with lower doses, 40 to 60% of the subjects were ill; with the 10(9)-CFU dose, 92% of the subjects were ill) along with complete protection for the STV group and attenuated illness for the LTV group (57%). Partial resistance to colonization was seen in STV (25% of the subjects were not infected; 3-log-lower maximum excretion level). Systemic and mucosal immune responses were robust in naïve subjects irrespective of the dose or the severity of illness. In contrast, in STV there was a lack of circulating antibody-secreting cells (ASC), reflecting the local mucosal effector responses. LTV exhibited comparable ASC responses to primary infection, and anamnestic fecal IgA responses likely contributed to self-resolving illness prior to antibiotic treatment. Campylobacter antigen-dependent production of gamma interferon by peripheral blood mononuclear cells was strongly associated with protection from illness, supporting the hypothesis that TH1 polarization has a primary role in acquired immunity to C. jejuni. This study revealed a C. jejuni dose-related increase in campylobacteriosis rates, evidence of complete short-term protection that waned with time, and immune response patterns associated with protection.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
1098-5522
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
78
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1750-9
pubmed:dateRevised
2010-10-4
pubmed:meshHeading
pubmed-meshheading:20086085-Administration, Oral, pubmed-meshheading:20086085-Adult, pubmed-meshheading:20086085-Antibodies, Bacterial, pubmed-meshheading:20086085-Bacterial Vaccines, pubmed-meshheading:20086085-Campylobacter Infections, pubmed-meshheading:20086085-Campylobacter jejuni, pubmed-meshheading:20086085-Diarrhea, pubmed-meshheading:20086085-Feces, pubmed-meshheading:20086085-Female, pubmed-meshheading:20086085-Human Experimentation, pubmed-meshheading:20086085-Humans, pubmed-meshheading:20086085-Immunity, Mucosal, pubmed-meshheading:20086085-Immunoglobulin A, pubmed-meshheading:20086085-Immunologic Memory, pubmed-meshheading:20086085-Interferon-gamma, pubmed-meshheading:20086085-Leukocytes, Mononuclear, pubmed-meshheading:20086085-Male, pubmed-meshheading:20086085-Severity of Illness Index, pubmed-meshheading:20086085-Time Factors, pubmed-meshheading:20086085-Young Adult
pubmed:year
2010
pubmed:articleTitle
Assessment of the duration of protection in Campylobacter jejuni experimental infection in humans.
pubmed:affiliation
Naval Medical Research Center, Silver Spring, Maryland, USA. dtribble@usuhs.mil
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't