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. 1978 Oct;22(1):52–56. doi: 10.1128/iai.22.1.52-56.1978

Effect of immunization on susceptibility to experimental Streptococcus mutans and Streptococcus sanguis endocarditis.

D T Durack, B C Gilliland, R G Petersdorf
PMCID: PMC422114  PMID: 730349

Abstract

It has been asserted that humoral immunity is an important potentiating factor in pathogenesis of infective endocarditis, in that prior immunization to certain bacteria may predispose the host to endocarditis caused by those organisms. If so, possible future vaccination of humans with streptococcal antigens for the prevention of dental caries might increase the susceptibility of the population to streptococcal endocarditis. To examine this hypothesis further, we immunized rabbits with killed Streptococcus sanguis or Streptococcus mutans. After complement-fixing antibody had developed, the rabbits were tested for susceptibility to experimental infective endocarditis. Rabbits with high titers of complement-fixing antibody to the infecting organism developed streptococcal endocarditis less often (13%) than animals with lower titers (69%; P less than 0.0002). These findings do not support the hypothesis that pre-immunization predisposes to infective endocarditis and lend no credence to the concept that vaccination of human subjects against dental caries might increase their susceptibility to streptococcal endocarditis. On the contrary, the results of these experiments indicate that specific antibody can confer relative immunity to infective endocarditis.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bayer A. S., Theofilopoulos A. N., Eisenberg R., Dixon F. J., Guze L. B. Circulating immune complexes in infective endocarditis. N Engl J Med. 1976 Dec 30;295(27):1500–1505. doi: 10.1056/NEJM197612302952703. [DOI] [PubMed] [Google Scholar]
  2. Bowen W. H. A vaccine against dental caries. A pilot experiment in monkeys (Macaca irus). Br Dent J. 1969 Feb 18;126(4):159–160. [PubMed] [Google Scholar]
  3. Durack D. T., Beeson P. B., Petersdorf R. G. Experimental bacterial endocarditis. 3. Production and progress of the disease in rabbits. Br J Exp Pathol. 1973 Apr;54(2):142–151. [PMC free article] [PubMed] [Google Scholar]
  4. Evans R. T., Emmings F. G., Genco R. J. Prevention of Streptococcus mutans infection of tooth surfaces by salivary antibody in Irus monkeys (Macaca fascicularis). Infect Immun. 1975 Aug;12(2):293–302. doi: 10.1128/iai.12.2.293-302.1975. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Facklam R. R. Physiological differentiation of viridans streptococci. J Clin Microbiol. 1977 Feb;5(2):184–201. doi: 10.1128/jcm.5.2.184-201.1977. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Gambrell S. C., Jr, Allen J. M., Jr Stress concentrations at the apex of pinned, implanted teeth. J Dent Res. 1976 Jan-Feb;55(1):59–65. doi: 10.1177/00220345760550012501. [DOI] [PubMed] [Google Scholar]
  7. Laxdal T., Messner R. P., Williams R. C., Jr, Quie P. G. Opsonic, agglutinating, and complement-fixing antibodies in patients with subacute bacterial endocarditis. J Lab Clin Med. 1968 Apr;71(4):638–653. [PubMed] [Google Scholar]
  8. Lehner T., Challacombe S. J., Caldwell J. An immunological investigation into the prevention of caries in deciduous teeth of rhesus monkeys. Arch Oral Biol. 1975 May-Jun;20(5-6):305–310. doi: 10.1016/0003-9969(75)90019-9. [DOI] [PubMed] [Google Scholar]
  9. Messner R. P., Laxdal T., Quie P. G., Williams R. C., Jr Rheumatoid factors in subacute bacterial endocarditis--bacterium, duration of disease or genetic predisposition? Ann Intern Med. 1968 Apr;68(4):746–756. doi: 10.7326/0003-4819-68-4-746. [DOI] [PubMed] [Google Scholar]
  10. Miller J. K. Meningococcal Endocarditis in Immunized Horses. Am J Pathol. 1944 Mar;20(2):269–276. [PMC free article] [PubMed] [Google Scholar]
  11. Pelletier L. L., Jr, Durack D. T., Petersdorf R. G. Chemotherapy of experimental streptococcal endocarditis. IV. Further observations on prophylaxis. J Clin Invest. 1975 Aug;56(2):319–330. doi: 10.1172/JCI108096. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Talbman M. A., Smith D. J. Effects of local immunization with Streptococcus mutans on induction of salivary immunoglobulin A antibody and experimental dental caries in rats. Infect Immun. 1974 Jun;9(6):1079–1091. doi: 10.1128/iai.9.6.1079-1091.1974. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. WILLIAMS R. C., Jr, KUNKEL H. G. Rheumatoid factor, complement, and conglutinin aberrations in patients with subacute bacterial endocarditis. J Clin Invest. 1962 Mar;41:666–675. doi: 10.1172/JCI104523. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Weinstein L., Rubin R. H. Infective endocarditis--1973. Prog Cardiovasc Dis. 1973 Nov-Dec;16(3):239–274. doi: 10.1016/s0033-0620(73)80001-5. [DOI] [PubMed] [Google Scholar]
  15. Weinstein L., Schlesinger J. J. Pathoanatomic, pathophysiologic and clinical correlations in endocarditis (first of two parts). N Engl J Med. 1974 Oct 17;291(16):832–837. doi: 10.1056/NEJM197410172911609. [DOI] [PubMed] [Google Scholar]

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