Anti-Dengue Virus Antibody Avidity Correlates with Protection Against Symptomatic Dengue Virus Infection

Isamu Tsuji, David Dominguez, Jonathan Hernandez, Eloi Kpamegan, José Victor Zambrana, Angel Balmaseda, Hansi Dean, Mayuri Sharma, Eva Harris
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Abstract

Antibody avidity is indicative of antibody affinity maturation following virus infection or vaccination. To determine correlation between preexisting anti-dengue virus (DENV) antibody avidity and secondary DENV exposure outcomes, we assessed anti-DENV antibody avidity, represented as avidity index (antibody response/dissociation rate) in sera of Nicaraguan Pediatric Dengue Cohort Study participants prior to symptomatic or inapparent secondary DENV infections. The avidity index was significantly higher in participants who subsequently developed inapparent versus symptomatic infections. Risk factor analysis suggested that odds of inapparent DENV infection increase as avidity index increases. Antibody avidity index is an important parameter for characterizing protective DENV immune responses.
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抗登革病毒抗体亲和力与预防症状性登革病毒感染相关
抗体亲和度表明在病毒感染或疫苗接种后抗体亲和度成熟。为了确定先前存在的抗登革热病毒(DENV)抗体贪婪度与继发性DENV暴露结果之间的相关性,我们评估了尼加拉瓜儿童登革热队列研究参与者在出现症状或不明显的继发性DENV感染之前血清中的抗DENV抗体贪婪度,用贪婪指数(抗体反应/解离率)表示。在随后出现不明显感染的参与者中,贪婪指数明显高于有症状感染的参与者。危险因素分析表明,随着贪婪指数的增加,隐性DENV感染的几率增加。抗体亲和度指数是表征DENV保护性免疫反应的重要参数。
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