Abstract
This study was designed to assess the serum and mucosal immune response to naturally acquired rotavirus enteritis in children. Serum and duodenal secretions were collected 1 week and again 4 to 5 weeks after the onset of illness from 10 children. In two of these children, the procedure was repeated 12 to 15 months later. Another 10 children with bacterial enteritis were studied as controls. The antibody response in serum included a significant elevation of rotavirus-specific immunoglobulin M (IgM) in acute-phase samples (P less than 0.05), but not in convalescent-phase samples, when compared with controls. Rotavirus-specific IgG and IgA levels were significantly elevated in convalescent-phase serum when compared with acute-phase serum (P less than 0.025), but not in control serum. Rotavirus-specific IgA levels in convalescent duodenal secretions were significantly raised when compared with both acute-phase and control samples (P less than 0.01). Rotavirus-specific IgM levels were elevated in acute-phase duodenal secretions (P less than 0.05), but not in convalescent-phase secretions. In two children, the secretory IgA response had disappeared by 12 months. These studies demonstrate the presence of rotavirus-specific antibody in duodenal secretions which may be important for protection against reinfection and may be capable of being stimulated by oral vaccination.
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Black R. E., Merson M. H., Huq I., Alim A. R., Yunus M. Incidence and severity of rotavirus and Escherichia coli diarrhoea in rural Bangladesh. Implications for vaccine development. Lancet. 1981 Jan 17;1(8212):141–143. doi: 10.1016/s0140-6736(81)90719-4. [DOI] [PubMed] [Google Scholar]
- Davidson G. P., Bishop R. F., Townley R. R., Holmes I. H. Importance of a new virus in acute sporadic enteritis in children. Lancet. 1975 Feb 1;1(7901):242–246. doi: 10.1016/s0140-6736(75)91140-x. [DOI] [PubMed] [Google Scholar]
- Davidson G. P., Goller I., Bishop R. F., Townley R. R., Holmes I. H., Ruck B. J. Immunofluorescence in duodenal mucosa of children with acute enteritis due to a new virus. J Clin Pathol. 1975 Apr;28(4):263–266. doi: 10.1136/jcp.28.4.263. [DOI] [PMC free article] [PubMed] [Google Scholar]
- FAHEY J. L., MCKELVEY E. M. QUANTITATIVE DETERMINATION OF SERUM IMMUNOGLOBULINS IN ANTIBODY-AGAR PLATES. J Immunol. 1965 Jan;94:84–90. [PubMed] [Google Scholar]
- Ghose L. H., Schnagl R. D., Holmes I. H. Comparison of an enzyme-linked immunosorbent assay for quantitation of rotavirus antibodies with complement fixation in an epidemiological survey. J Clin Microbiol. 1978 Sep;8(3):268–276. doi: 10.1128/jcm.8.3.268-276.1978. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Grauballe P. C., Hjelt K., Krasilnikoff P. A., Schiøtz P. O. ELISA for rotavirus-specific secretory IgA in human sera. Lancet. 1981 Sep 12;2(8246):588–589. doi: 10.1016/s0140-6736(81)90981-8. [DOI] [PubMed] [Google Scholar]
- Gust I. D., Pringle R. C., Barnes G. L., Davidson G. P., Bishop R. F. Complement-fixing antibody response to rotavirus infection. J Clin Microbiol. 1977 Feb;5(2):125–130. doi: 10.1128/jcm.5.2.125-130.1977. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Herrmann J. E., Collins M. F. Quantitation of immunoglobulin adsorption to plastics. J Immunol Methods. 1976;10(4):363–366. doi: 10.1016/0022-1759(76)90030-2. [DOI] [PubMed] [Google Scholar]
- Holmes I. H. Viral gastroenteritis. Prog Med Virol. 1979;25:1–36. [PubMed] [Google Scholar]
- Kapikian A. Z., Wyatt R. G., Greenberg H. B., Kalica A. R., Kim H. W., Brandt C. D., Rodriguez W. J., Parrott R. H., Chanock R. M. Approaches to immunization of infants and young children against gastroenteritis due to rotaviruses. Rev Infect Dis. 1980 May-Jun;2(3):459–469. doi: 10.1093/clinids/2.3.459. [DOI] [PubMed] [Google Scholar]
- La Brooy J. T., Davidson G. P., Sherman D. J., Rowley D. The antibody response to bacterial gastroenteritis in serum and secretions. Clin Exp Immunol. 1980 Aug;41(2):290–296. [PMC free article] [PubMed] [Google Scholar]
- McLean B. S., Holmes I. H. Effects of antibodies, trypsin, and trypsin inhibitors on susceptibility of neonates to rotavirus infection. J Clin Microbiol. 1981 Jan;13(1):22–29. doi: 10.1128/jcm.13.1.22-29.1981. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mestecky J., McGhee J. R., Arnold R. R., Michalek S. M., Prince S. J., Babb J. L. Selective induction of an immune response in human external secretions by ingestion of bacterial antigen. J Clin Invest. 1978 Mar;61(3):731–737. doi: 10.1172/JCI108986. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ogra P. L., Karzon D. T. Distribution of poliovirus antibody in serum, nasopharynx and alimentary tract following segmental immunization of lower alimentary tract with poliovaccine. J Immunol. 1969 Jun;102(6):1423–1430. [PubMed] [Google Scholar]
- Orstavik I., Haug K. W., Sovde A. Rotavirus-associated gastroenteritis in two adults probably caused by virus reinfection. Scand J Infect Dis. 1976;8(4):277–278. doi: 10.3109/inf.1976.8.issue-4.12. [DOI] [PubMed] [Google Scholar]
- Orstavik I., Haug K. W. Virus-specific IgM antibodies in acute gastroenteritis due to a reovirus-like agent (rotavirus). Scand J Infect Dis. 1976;8(4):237–240. doi: 10.3109/inf.1976.8.issue-4.03. [DOI] [PubMed] [Google Scholar]
- Schoub B. D., Lecatsas G., Prozesky O. W. Antigenic relationship between human and simian rotaviruses. J Med Microbiol. 1977 Feb;10(1):1–6. doi: 10.1099/00222615-10-1-1. [DOI] [PubMed] [Google Scholar]
- Snodgrass D. R., Wells P. W. Rotavirus infection in lambs: studies on passive protection. Arch Virol. 1976;52(3):201–205. doi: 10.1007/BF01348017. [DOI] [PubMed] [Google Scholar]
- Wyatt R. G., James W. D., Bohl E. H., Theil K. W., Saif L. J., Kalica A. R., Greenberg H. B., Kapikian A. Z., Chanock R. M. Human rotavirus type 2: cultivation in vitro. Science. 1980 Jan 11;207(4427):189–191. doi: 10.1126/science.6243190. [DOI] [PubMed] [Google Scholar]