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Bordetella pertussis isolates in Finland: serotype and fimbrial expression.

Heikkinen E, Xing DK, Olander RM, Hytönen J, Viljanen MK, Mertsola J, He Q - BMC Microbiol. (2008)

Bottom Line: A significant increase in level of serum IgG antibodies against purified fimbriae was observed between paired sera of 37 patients.Moreover, about one third of the Fim2 strain infected patients developed antibodies capable of blocking of binding of both anti-Fim2 and Fim3 monoclonal antibodies.Results of serotype-specific antibody responses suggest that Fim2 strains could express Fim3 during infection, showing a difference in fimbrial expression between in vivo and in vitro.

View Article: PubMed Central - HTML - PubMed

Affiliation: Pertussis Reference Laboratory, National Public Health Institute, Kiinamyllynkatu 13, 20520 Turku, Finland. Eriikka.Heikkinen@ktl.fi

ABSTRACT

Background: Bordetella pertussis causes whooping cough or pertussis in humans. It produces several virulence factors, of which the fimbriae are considered adhesins and elicit immune responses in the host. B. pertussis has three distinct serotypes Fim2, Fim3 or Fim2,3. Generally, B. pertussis Fim2 strains predominate in unvaccinated populations, whereas Fim3 strains are often isolated in vaccinated populations. In Finland, pertussis vaccination was introduced in 1952. The whole-cell vaccine contained two strains, 18530 (Fim3) since 1962 and strain 1772 (Fim2,3) added in 1976. After that the vaccine has remained the same until 2005 when the whole-cell vaccine was replaced by the acellular vaccine containing pertussis toxin and filamentous hemagglutinin. Our aims were to study serotypes of Finnish B. pertussis isolates from 1974 to 2006 in a population with > 90% vaccination coverage and fimbrial expression of the isolates during infection. Serotyping was done by agglutination and serotype-specific antibody responses were determined by blocking ELISA.

Results: Altogether, 1,109 isolates were serotyped. Before 1976, serotype distributions of Fim2, Fim3 and Fim2,3 were 67%, 19% and 10%, respectively. From 1976 to 1998, 94% of the isolates were Fim2 serotype. Since 1999, the frequency of Fim3 strains started to increase and reached 83% during a nationwide epidemic in 2003. A significant increase in level of serum IgG antibodies against purified fimbriae was observed between paired sera of 37 patients. The patients infected by Fim3 strains had antibodies which blocked the binding of monoclonal antibodies to Fim3 but not to Fim2. Moreover, about one third of the Fim2 strain infected patients developed antibodies capable of blocking of binding of both anti-Fim2 and Fim3 monoclonal antibodies.

Conclusion: Despite extensive vaccinations in Finland, B. pertussis Fim2 strains were the most common serotype. Emergence of Fim3 strains started in 1999 and coincided with nationwide epidemics. Results of serotype-specific antibody responses suggest that Fim2 strains could express Fim3 during infection, showing a difference in fimbrial expression between in vivo and in vitro.

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Serotype distributions of B. pertussis isolates in Finland from 1974 to 2006. A total of 1,109 isolates were collected and serotyped.
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Figure 1: Serotype distributions of B. pertussis isolates in Finland from 1974 to 2006. A total of 1,109 isolates were collected and serotyped.

Mentions: From 1974 to 2006, 1,109 isolates were collected and serotyped (Figure 1). In 1974 and 1975, serotype distributions of Fim2, Fim3 and Fim2,3 were 67% (number of Fim2/total number, 28/42), 19% (8/42) and 10% (4/42), respectively. From 1976 to 1998, 94% (667/710) of the isolates were Fim2. Two nationwide epidemics occurred in Finland in 1999 and 2003–2004. In 1999, the frequency of Fim3 started to increase and reached 83% (77/93) in 2003, the highest observed during the study period. The frequency of Fim2,3 strains has remained low throughout the whole period (Figure 1).


Bordetella pertussis isolates in Finland: serotype and fimbrial expression.

Heikkinen E, Xing DK, Olander RM, Hytönen J, Viljanen MK, Mertsola J, He Q - BMC Microbiol. (2008)

Serotype distributions of B. pertussis isolates in Finland from 1974 to 2006. A total of 1,109 isolates were collected and serotyped.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2562373&req=5

Figure 1: Serotype distributions of B. pertussis isolates in Finland from 1974 to 2006. A total of 1,109 isolates were collected and serotyped.
Mentions: From 1974 to 2006, 1,109 isolates were collected and serotyped (Figure 1). In 1974 and 1975, serotype distributions of Fim2, Fim3 and Fim2,3 were 67% (number of Fim2/total number, 28/42), 19% (8/42) and 10% (4/42), respectively. From 1976 to 1998, 94% (667/710) of the isolates were Fim2. Two nationwide epidemics occurred in Finland in 1999 and 2003–2004. In 1999, the frequency of Fim3 started to increase and reached 83% (77/93) in 2003, the highest observed during the study period. The frequency of Fim2,3 strains has remained low throughout the whole period (Figure 1).

Bottom Line: A significant increase in level of serum IgG antibodies against purified fimbriae was observed between paired sera of 37 patients.Moreover, about one third of the Fim2 strain infected patients developed antibodies capable of blocking of binding of both anti-Fim2 and Fim3 monoclonal antibodies.Results of serotype-specific antibody responses suggest that Fim2 strains could express Fim3 during infection, showing a difference in fimbrial expression between in vivo and in vitro.

View Article: PubMed Central - HTML - PubMed

Affiliation: Pertussis Reference Laboratory, National Public Health Institute, Kiinamyllynkatu 13, 20520 Turku, Finland. Eriikka.Heikkinen@ktl.fi

ABSTRACT

Background: Bordetella pertussis causes whooping cough or pertussis in humans. It produces several virulence factors, of which the fimbriae are considered adhesins and elicit immune responses in the host. B. pertussis has three distinct serotypes Fim2, Fim3 or Fim2,3. Generally, B. pertussis Fim2 strains predominate in unvaccinated populations, whereas Fim3 strains are often isolated in vaccinated populations. In Finland, pertussis vaccination was introduced in 1952. The whole-cell vaccine contained two strains, 18530 (Fim3) since 1962 and strain 1772 (Fim2,3) added in 1976. After that the vaccine has remained the same until 2005 when the whole-cell vaccine was replaced by the acellular vaccine containing pertussis toxin and filamentous hemagglutinin. Our aims were to study serotypes of Finnish B. pertussis isolates from 1974 to 2006 in a population with > 90% vaccination coverage and fimbrial expression of the isolates during infection. Serotyping was done by agglutination and serotype-specific antibody responses were determined by blocking ELISA.

Results: Altogether, 1,109 isolates were serotyped. Before 1976, serotype distributions of Fim2, Fim3 and Fim2,3 were 67%, 19% and 10%, respectively. From 1976 to 1998, 94% of the isolates were Fim2 serotype. Since 1999, the frequency of Fim3 strains started to increase and reached 83% during a nationwide epidemic in 2003. A significant increase in level of serum IgG antibodies against purified fimbriae was observed between paired sera of 37 patients. The patients infected by Fim3 strains had antibodies which blocked the binding of monoclonal antibodies to Fim3 but not to Fim2. Moreover, about one third of the Fim2 strain infected patients developed antibodies capable of blocking of binding of both anti-Fim2 and Fim3 monoclonal antibodies.

Conclusion: Despite extensive vaccinations in Finland, B. pertussis Fim2 strains were the most common serotype. Emergence of Fim3 strains started in 1999 and coincided with nationwide epidemics. Results of serotype-specific antibody responses suggest that Fim2 strains could express Fim3 during infection, showing a difference in fimbrial expression between in vivo and in vitro.

Show MeSH
Related in: MedlinePlus