Development and application of a multiplex assay for the simultaneous measurement of antibody responses elicited by common childhood vaccines.

TitleDevelopment and application of a multiplex assay for the simultaneous measurement of antibody responses elicited by common childhood vaccines.
Publication TypeJournal Article
Year of Publication2018
AuthorsItell HL, McGuire EP, Muresan P, Cunningham CK, McFarland EJ, Borkowsky W, Permar SR, Fouda GG
JournalVaccine
Volume36
Issue37
Pagination5600-5608
Date Published2018 Sep 05
ISSN1873-2518
KeywordsAIDS Vaccines, Antibodies, Bacterial, Antibody Formation, Child, Child, Preschool, Diphtheria-Tetanus-Pertussis Vaccine, Enzyme-Linked Immunosorbent Assay, Female, Haemophilus Vaccines, Hepatitis B Vaccines, High-Throughput Screening Assays, Humans, Immunization Schedule, Infant, Male, Poliovirus Vaccine, Inactivated, Vaccines, Vaccines, Combined
Abstract

Because vaccine co-administration can affect elicited immune responses, it is important to evaluate new vaccines in the context of pre-existing vaccination schedules. This is particularly necessary for new pediatric vaccines, as the World Health Organization's infant immunization program already schedules several vaccines to be administered during the first months of life. To facilitate the assessment of inter-vaccine interference, we developed a pediatric vaccine multiplex assay (PVMA) to simultaneously measure antibodies against vaccines commonly administered to infants, including hepatitis B, Haemophilus influenzae type B, diphtheria, tetanus, pertussis, rubella, and respiratory syncytial virus (RSV). Comparison of antibody concentrations determined by enzyme-linked immunosorbent assays (ELISAs) and the PVMA demonstrated that the PVMA is highly sensitive, specific, reproducible, and accurate. Moreover, the PVMA requires half the time to assess a cohort compared to ELISAs, and only costs marginally more. Demonstrating the utility of the assay, we employed the PVMA to assess vaccine interference in the setting of a candidate vaccine, using the infant HIV vaccines from the completed Pediatric AIDS Clinical Trials Group (PACTG) protocols 230 and 326 as examples. There was no substantial difference in antibody concentrations between vaccine and placebo recipients, which suggests that HIV vaccination did not disrupt antibody responses elicited by routine pediatric vaccines. Thus, the PVMA is a reliable, high-throughput technique that requires minimal sample volume to measure multiple antibody concentrations concurrently, and is an efficient alternative to ELISAs for the measurement of vaccine-elicited antibody responses in large cohorts.

DOI10.1016/j.vaccine.2018.07.048
Alternate JournalVaccine
PubMed ID30087048
PubMed Central IDPMC6130906
Grant ListUM1 AI068632 / AI / NIAID NIH HHS / United States
U01 AI068616 / AI / NIAID NIH HHS / United States
UM1 AI068616 / AI / NIAID NIH HHS / United States
P30 AI064518 / AI / NIAID NIH HHS / United States
UM1 AI106716 / AI / NIAID NIH HHS / United States