Distribution and Variation of Serotypes and Pneumococcal Surface Protein A Clades of Streptococcus pneumoniae Strains Isolated From Adult Patients With Invasive Pneumococcal Disease in Japan

Pneumococcal surface protein A (PspA) is a surface protein of Streptococcus pneumoniae that may be a candidate antigen for new pneumococcal vaccines. This study investigates the distribution of PspA clades of the causative strains of adult invasive pneumococcal disease (IPD) in Japan. Of the 1,939 strains isolated from cases of adult IPD during 2014–2019, the PspA clades of 1,932 (99.6%) strains were determined, and no pspA was detected in the remaining 7 strains (0.4%). PspA clades 1–6 were detected in 786 (40.5%), 291 (15.0%), 443 (22.8%), 369 (19.0%), 33 (1.7%), and 6 (0.3%) strains, respectively. New PspA clades (0.2%) were identified in two non-typeable and two serotype 35B pneumococci. The proportions of clade 1 and clade 2 showed significantly decreased and increased trends, respectively. Furthermore, the PspA clade of pneumococcal strains was partially serotype- and sequence type-dependent. The majority of strains belonging to serotypes contained in both the 13-valent pneumococcal conjugate vaccine (PCV13) and the 23-valent pneumococcal polysaccharide vaccine (PPSV23) belonged to PspA clades 1 or 3. In contrast, the distribution of clades in non-vaccine serotypes was wider than that of vaccine serotype pneumococci. Our findings demonstrate that almost all pneumococcal strains from adult IPD express PspA clades 1–4, especially for non-vaccine serotypes. These results may be useful for the development of a new pneumococcal vaccine with PspA.

Download Full-text

Pneumococcal surface protein A (PspA) is effective at eliciting T cell-mediated responses during invasive pneumococcal disease in adults

Clinical & Experimental Immunology ◽

10.1111/j.1365-2249.2006.03148.x ◽

2006 ◽

Vol 145 (2) ◽

pp. 277-286 ◽

Cited By ~ 19

Author(s):

L. Baril ◽

J. Dietemann ◽

M. Essevaz-Roulet ◽

L. Beniguel ◽

P. Coan ◽

...

Keyword(s):

T Cell ◽

Invasive Pneumococcal Disease ◽

Pneumococcal Disease ◽

Protein A ◽

Surface Protein ◽

Pneumococcal Surface Protein A

Download Full-text

DNA vaccines expressing pneumococcal surface protein A (PspA) elicit protection levels comparable to recombinant protein

Journal of Medical Microbiology ◽

10.1099/jmm.0.46217-0 ◽

2006 ◽

Vol 55 (4) ◽

pp. 375-378 ◽

Cited By ~ 14

Author(s):

Daniela M. Ferreira ◽

Eliane N. Miyaji ◽

Maria Leonor S. Oliveira ◽

Michelle Darrieux ◽

Ana Paula M. Arêas ◽

...

Keyword(s):

Streptococcus Pneumoniae ◽

Recombinant Protein ◽

Dna Vaccines ◽

Protein A ◽

Surface Protein ◽

Humoral Response ◽

Cost Effective ◽

Promising Candidate ◽

Pneumococcal Surface Protein A ◽

Antibody Levels

Pneumococcal surface protein A (PspA) is a promising candidate for the development of cost-effective vaccines against Streptococcus pneumoniae. In the present study, BALB/c mice were immunized with DNA vaccine vectors expressing the N-terminal region of PspA. Animals immunized with a vector expressing secreted PspA developed higher levels of antibody than mice immunized with the vector expressing the antigen in the cytosol. However, both immunogens elicited similar levels of protection against intraperitoneal challenge. Furthermore, immunization with exactly the same fragment in the form of a recombinant protein, with aluminium hydroxide as an adjuvant, elicited even higher antibody levels, but this increased humoral response did not correlate with enhanced protection. These results show that DNA vaccines expressing PspA are able to elicit protection levels comparable to recombinant protein, even though total anti-PspA IgG response is considerably lower.

Download Full-text

Evaluating post-vaccine expansion patterns of pneumococcal serotypes

10.1101/2020.05.31.20116228 ◽

2020 ◽

Author(s):

Maile T. Phillips ◽

Joshua L. Warren ◽

Noga Givon-Lavi ◽

Adrienn Tothpal ◽

Gili Regev-Yochay ◽

...

Keyword(s):

Streptococcus Pneumoniae ◽

Invasive Pneumococcal Disease ◽

Jewish Population ◽

Pneumococcal Disease ◽

Pneumococcal Serotypes ◽

Conjugate Vaccines ◽

Pneumococcal Conjugate Vaccines ◽

Vaccine Serotypes ◽

Serotype Replacement ◽

Disease Understanding

ABSTRACTStreptococcus pneumoniae remains a leading cause of morbidity and mortality. Pneumococcal conjugate vaccines (PCVs) are effective but target only a fraction of the more than 90 pneumococcal serotypes. As a result, the introduction of PCVs has been followed by the emergence of non-vaccine serotypes. With higher-valency PCVs currently under development, there is a need to understand and predict patterns of serotype replacement to anticipate future changes. In this study, we evaluated patterns of change in serotype prevalence post-PCV introduction in Israel. We found that the assumption that non-vaccine serotypes increase by the same proportion overestimates changes in serotype prevalence in Jewish and Bedouin children. Furthermore, pre-vaccine prevalence was positively associated with increases in prevalence over the study period. From our analyses, serotypes 12F, 8, 16F, 33F, 9N, 7B, 10A, 22F, 24F, and 17F were estimated to have gained the most cases of invasive pneumococcal disease through serotype replacement in the Jewish population. However, this model also failed to quantify some additional cases gained, suggesting that changes in carriage in children alone may be insufficient to explain serotype replacement in disease. Understanding of serotype replacement is important as higher-valency vaccines are introduced.

Download Full-text