Rotavirus-Specific Maternal Serum Antibodies and Vaccine Responses to RV3-BB Rotavirus Vaccine Administered in a Neonatal or Infant Schedule in Malawi

High titres of rotavirus-specific maternal antibodies may contribute to lower rotavirus vaccine efficacy in low- and middle-income countries (LMICs). RV3-BB vaccine (G3P[6]) is based on a neonatal rotavirus strain that replicates well in the newborn gut in the presence of breast milk. This study inv...

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Main Authors: Benjamin Morgan, Eleanor A. Lyons, Amanda Handley, Nada Bogdanovic-Sakran, Daniel Pavlic, Desiree Witte, Jonathan Mandolo, Ann Turner, Khuzwayo C. Jere, Frances Justice, Darren Suryawijaya Ong, Rhian Bonnici, Karen Boniface, Celeste M. Donato, Ashley Mpakiza, Anell Meyer, Naor Bar-Zeev, Miren Iturriza-Gomara, Nigel A. Cunliffe, Margaret Danchin, Julie E. Bines
Format: Article
Language:English
Published: MDPI AG 2024-09-01
Series:Viruses
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Online Access:https://www.mdpi.com/1999-4915/16/9/1488
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author Benjamin Morgan
Eleanor A. Lyons
Amanda Handley
Nada Bogdanovic-Sakran
Daniel Pavlic
Desiree Witte
Jonathan Mandolo
Ann Turner
Khuzwayo C. Jere
Frances Justice
Darren Suryawijaya Ong
Rhian Bonnici
Karen Boniface
Celeste M. Donato
Ashley Mpakiza
Anell Meyer
Naor Bar-Zeev
Miren Iturriza-Gomara
Nigel A. Cunliffe
Margaret Danchin
Julie E. Bines
author_facet Benjamin Morgan
Eleanor A. Lyons
Amanda Handley
Nada Bogdanovic-Sakran
Daniel Pavlic
Desiree Witte
Jonathan Mandolo
Ann Turner
Khuzwayo C. Jere
Frances Justice
Darren Suryawijaya Ong
Rhian Bonnici
Karen Boniface
Celeste M. Donato
Ashley Mpakiza
Anell Meyer
Naor Bar-Zeev
Miren Iturriza-Gomara
Nigel A. Cunliffe
Margaret Danchin
Julie E. Bines
author_sort Benjamin Morgan
collection DOAJ
description High titres of rotavirus-specific maternal antibodies may contribute to lower rotavirus vaccine efficacy in low- and middle-income countries (LMICs). RV3-BB vaccine (G3P[6]) is based on a neonatal rotavirus strain that replicates well in the newborn gut in the presence of breast milk. This study investigated the association between maternal serum antibodies and vaccine response in infants administered the RV3-BB vaccine. Serum was collected antenatally from mothers of 561 infants enrolled in the RV3-BB Phase II study conducted in Blantyre, Malawi, and analysed for rotavirus-specific serum IgA and IgG antibodies using enzyme-linked immunosorbent assay. Infant vaccine take was defined as cumulative IgA seroconversion (≥3 fold increase) and/or stool vaccine shedding. Maternal IgA or IgG antibody titres did not have a negative impact on vaccine-like stool shedding at any timepoint. Maternal IgG (but not IgA) titres were associated with reduced take post dose 1 (<i>p</i> < 0.005) and 3 (<i>p</i> < 0.05) in the neonatal vaccine schedule group but not at study completion (week 18). In LMICs where high maternal antibodies are associated with low rotavirus vaccine efficacy, RV3-BB in a neonatal or infant vaccine schedule has the potential to provide protection against severe rotavirus disease.
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spelling doaj-art-5a77dd079b2640cba65a62a46ed3daa02025-08-20T01:56:13ZengMDPI AGViruses1999-49152024-09-01169148810.3390/v16091488Rotavirus-Specific Maternal Serum Antibodies and Vaccine Responses to RV3-BB Rotavirus Vaccine Administered in a Neonatal or Infant Schedule in MalawiBenjamin Morgan0Eleanor A. Lyons1Amanda Handley2Nada Bogdanovic-Sakran3Daniel Pavlic4Desiree Witte5Jonathan Mandolo6Ann Turner7Khuzwayo C. Jere8Frances Justice9Darren Suryawijaya Ong10Rhian Bonnici11Karen Boniface12Celeste M. Donato13Ashley Mpakiza14Anell Meyer15Naor Bar-Zeev16Miren Iturriza-Gomara17Nigel A. Cunliffe18Margaret Danchin19Julie E. Bines20Enteric Diseases, Murdoch Children’s Research Institute, Parkville, VIC 3052, AustraliaEnteric Diseases, Murdoch Children’s Research Institute, Parkville, VIC 3052, AustraliaEnteric Diseases, Murdoch Children’s Research Institute, Parkville, VIC 3052, AustraliaEnteric Diseases, Murdoch Children’s Research Institute, Parkville, VIC 3052, AustraliaEnteric Diseases, Murdoch Children’s Research Institute, Parkville, VIC 3052, AustraliaMalawi Liverpool Welcome Trust Programme, Blantyre P.O. Box 30096, Chichi, MalawiMalawi Liverpool Welcome Trust Programme, Blantyre P.O. Box 30096, Chichi, MalawiInstitute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool L69 7ZX, UKMalawi Liverpool Welcome Trust Programme, Blantyre P.O. Box 30096, Chichi, MalawiEnteric Diseases, Murdoch Children’s Research Institute, Parkville, VIC 3052, AustraliaEnteric Diseases, Murdoch Children’s Research Institute, Parkville, VIC 3052, AustraliaEnteric Diseases, Murdoch Children’s Research Institute, Parkville, VIC 3052, AustraliaEnteric Diseases, Murdoch Children’s Research Institute, Parkville, VIC 3052, AustraliaEnteric Diseases, Murdoch Children’s Research Institute, Parkville, VIC 3052, AustraliaMalawi Liverpool Welcome Trust Programme, Blantyre P.O. Box 30096, Chichi, MalawiEnteric Diseases, Murdoch Children’s Research Institute, Parkville, VIC 3052, AustraliaInstitute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool L69 7ZX, UKInstitute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool L69 7ZX, UKInstitute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool L69 7ZX, UKEnteric Diseases, Murdoch Children’s Research Institute, Parkville, VIC 3052, AustraliaEnteric Diseases, Murdoch Children’s Research Institute, Parkville, VIC 3052, AustraliaHigh titres of rotavirus-specific maternal antibodies may contribute to lower rotavirus vaccine efficacy in low- and middle-income countries (LMICs). RV3-BB vaccine (G3P[6]) is based on a neonatal rotavirus strain that replicates well in the newborn gut in the presence of breast milk. This study investigated the association between maternal serum antibodies and vaccine response in infants administered the RV3-BB vaccine. Serum was collected antenatally from mothers of 561 infants enrolled in the RV3-BB Phase II study conducted in Blantyre, Malawi, and analysed for rotavirus-specific serum IgA and IgG antibodies using enzyme-linked immunosorbent assay. Infant vaccine take was defined as cumulative IgA seroconversion (≥3 fold increase) and/or stool vaccine shedding. Maternal IgA or IgG antibody titres did not have a negative impact on vaccine-like stool shedding at any timepoint. Maternal IgG (but not IgA) titres were associated with reduced take post dose 1 (<i>p</i> < 0.005) and 3 (<i>p</i> < 0.05) in the neonatal vaccine schedule group but not at study completion (week 18). In LMICs where high maternal antibodies are associated with low rotavirus vaccine efficacy, RV3-BB in a neonatal or infant vaccine schedule has the potential to provide protection against severe rotavirus disease.https://www.mdpi.com/1999-4915/16/9/1488rotavirus vaccinematernal antibodiesRV3-BB vaccine
spellingShingle Benjamin Morgan
Eleanor A. Lyons
Amanda Handley
Nada Bogdanovic-Sakran
Daniel Pavlic
Desiree Witte
Jonathan Mandolo
Ann Turner
Khuzwayo C. Jere
Frances Justice
Darren Suryawijaya Ong
Rhian Bonnici
Karen Boniface
Celeste M. Donato
Ashley Mpakiza
Anell Meyer
Naor Bar-Zeev
Miren Iturriza-Gomara
Nigel A. Cunliffe
Margaret Danchin
Julie E. Bines
Rotavirus-Specific Maternal Serum Antibodies and Vaccine Responses to RV3-BB Rotavirus Vaccine Administered in a Neonatal or Infant Schedule in Malawi
Viruses
rotavirus vaccine
maternal antibodies
RV3-BB vaccine
title Rotavirus-Specific Maternal Serum Antibodies and Vaccine Responses to RV3-BB Rotavirus Vaccine Administered in a Neonatal or Infant Schedule in Malawi
title_full Rotavirus-Specific Maternal Serum Antibodies and Vaccine Responses to RV3-BB Rotavirus Vaccine Administered in a Neonatal or Infant Schedule in Malawi
title_fullStr Rotavirus-Specific Maternal Serum Antibodies and Vaccine Responses to RV3-BB Rotavirus Vaccine Administered in a Neonatal or Infant Schedule in Malawi
title_full_unstemmed Rotavirus-Specific Maternal Serum Antibodies and Vaccine Responses to RV3-BB Rotavirus Vaccine Administered in a Neonatal or Infant Schedule in Malawi
title_short Rotavirus-Specific Maternal Serum Antibodies and Vaccine Responses to RV3-BB Rotavirus Vaccine Administered in a Neonatal or Infant Schedule in Malawi
title_sort rotavirus specific maternal serum antibodies and vaccine responses to rv3 bb rotavirus vaccine administered in a neonatal or infant schedule in malawi
topic rotavirus vaccine
maternal antibodies
RV3-BB vaccine
url https://www.mdpi.com/1999-4915/16/9/1488
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