Antibodies to the Vi capsule of Salmonella Typhi in the serum of typhoid patients and healthy control subjects from a typhoid endemic region

Background: There is very little published data on the antibody response to the Vi capsular polysaccharide (Vi-CPS) of S. Typhi during naturally acquired typhoid fever in an endemic area. Methodology: An indirect ELISA, using tyraminated, purified Vi-CPS, was used to assay anti-Vi-CPS antibodies fro...

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Main Authors: Deborah House, Vo A. Ho, To S. Diep, Nguyen T. Chinh, Phan V. Bay, Ha Vinh, Minh Duc, Christopher M. Parry, Gordon Dougan, Nicholas J. White, Jeremy J. Farrar, Tran Tinh Hien, John Wain
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2008-08-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/227
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author Deborah House
Vo A. Ho
To S. Diep
Nguyen T. Chinh
Phan V. Bay
Ha Vinh
Minh Duc
Christopher M. Parry
Gordon Dougan
Nicholas J. White
Jeremy J. Farrar
Tran Tinh Hien
John Wain
author_facet Deborah House
Vo A. Ho
To S. Diep
Nguyen T. Chinh
Phan V. Bay
Ha Vinh
Minh Duc
Christopher M. Parry
Gordon Dougan
Nicholas J. White
Jeremy J. Farrar
Tran Tinh Hien
John Wain
author_sort Deborah House
collection DOAJ
description Background: There is very little published data on the antibody response to the Vi capsular polysaccharide (Vi-CPS) of S. Typhi during naturally acquired typhoid fever in an endemic area. Methodology: An indirect ELISA, using tyraminated, purified Vi-CPS, was used to assay anti-Vi-CPS antibodies from typhoid fever cases and controls living in the Ho Chi Minh City and Mekong Delta region of Viet Nam. Results: Antibody response to Vi-CPS is significantly higher in typhoid patients who have been ill for more than two weeks than those who are in the first two weeks of illness. The anti-Vi-CPS response is similar for adults and children. Anti-Vi-CPS antibodies can be detected in the sera of non-typhoid patients. The frequency with which this occurs increases with age, probably reflecting increased exposure to S. Typhi. Conclusions: Anti-Vi_CPS is elicited in persons infected with S. Typhi but only after a prolonged duration of illness. Vaccine trials have shown anti-Vi-CPS antibodies to be protective; thus early treatment of typhoid patients, i.e. in the first two week of illness before the Vi-CPS response is elicited, may inhibit the development of this protective immune response.
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publisher The Journal of Infection in Developing Countries
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spelling doaj-art-7ac5f2f8a22b460a9cba0dd56fdc1d592025-08-20T02:27:19ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802008-08-0120410.3855/jidc.227Antibodies to the Vi capsule of Salmonella Typhi in the serum of typhoid patients and healthy control subjects from a typhoid endemic regionDeborah House0Vo A. Ho1To S. Diep2Nguyen T. Chinh3Phan V. Bay4Ha Vinh5Minh Duc6Christopher M. Parry7Gordon Dougan8Nicholas J. White9Jeremy J. Farrar10Tran Tinh Hien11John Wain12Department of Biochemistry, Imperial College of Science, Technology and Medicine, LondonDong Thap Provincial Hospital, Cao Lanh, Dong Thap ProvinceHospital for Tropical Diseases, Ho Chi Minh CityDepartment of Infectious Diseases, Faculty of Medicine, University of Medicine and Pharmacy, Ho Chi Minh CityDong Thap Provincial Hospital, Cao Lanh, Dong Thap ProvinceHospital for Tropical Diseases, Ho Chi Minh CityDong Thap Provincial Hospital, Cao Lanh, Dong Thap ProvinceCentre for Tropical Medicine, Nuffield Department of Clinical Medicine, University of Oxford, OxfordDepartment of Biochemistry, Imperial College of Science, Technology and Medicine, LondonCentre for Tropical Medicine, Nuffield Department of Clinical Medicine, University of Oxford, OxfordCentre for Tropical Medicine, Nuffield Department of Clinical Medicine, University of Oxford, OxfordHospital for Tropical Diseases, Ho Chi Minh CityCentre for Tropical Medicine, Nuffield Department of Clinical Medicine, University of Oxford, OxfordBackground: There is very little published data on the antibody response to the Vi capsular polysaccharide (Vi-CPS) of S. Typhi during naturally acquired typhoid fever in an endemic area. Methodology: An indirect ELISA, using tyraminated, purified Vi-CPS, was used to assay anti-Vi-CPS antibodies from typhoid fever cases and controls living in the Ho Chi Minh City and Mekong Delta region of Viet Nam. Results: Antibody response to Vi-CPS is significantly higher in typhoid patients who have been ill for more than two weeks than those who are in the first two weeks of illness. The anti-Vi-CPS response is similar for adults and children. Anti-Vi-CPS antibodies can be detected in the sera of non-typhoid patients. The frequency with which this occurs increases with age, probably reflecting increased exposure to S. Typhi. Conclusions: Anti-Vi_CPS is elicited in persons infected with S. Typhi but only after a prolonged duration of illness. Vaccine trials have shown anti-Vi-CPS antibodies to be protective; thus early treatment of typhoid patients, i.e. in the first two week of illness before the Vi-CPS response is elicited, may inhibit the development of this protective immune response.https://jidc.org/index.php/journal/article/view/227Vi capsuleSalmonella Typhityphoid feverantibodiesViet NamVietnam
spellingShingle Deborah House
Vo A. Ho
To S. Diep
Nguyen T. Chinh
Phan V. Bay
Ha Vinh
Minh Duc
Christopher M. Parry
Gordon Dougan
Nicholas J. White
Jeremy J. Farrar
Tran Tinh Hien
John Wain
Antibodies to the Vi capsule of Salmonella Typhi in the serum of typhoid patients and healthy control subjects from a typhoid endemic region
Journal of Infection in Developing Countries
Vi capsule
Salmonella Typhi
typhoid fever
antibodies
Viet Nam
Vietnam
title Antibodies to the Vi capsule of Salmonella Typhi in the serum of typhoid patients and healthy control subjects from a typhoid endemic region
title_full Antibodies to the Vi capsule of Salmonella Typhi in the serum of typhoid patients and healthy control subjects from a typhoid endemic region
title_fullStr Antibodies to the Vi capsule of Salmonella Typhi in the serum of typhoid patients and healthy control subjects from a typhoid endemic region
title_full_unstemmed Antibodies to the Vi capsule of Salmonella Typhi in the serum of typhoid patients and healthy control subjects from a typhoid endemic region
title_short Antibodies to the Vi capsule of Salmonella Typhi in the serum of typhoid patients and healthy control subjects from a typhoid endemic region
title_sort antibodies to the vi capsule of salmonella typhi in the serum of typhoid patients and healthy control subjects from a typhoid endemic region
topic Vi capsule
Salmonella Typhi
typhoid fever
antibodies
Viet Nam
Vietnam
url https://jidc.org/index.php/journal/article/view/227
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