Influence of age and carriage status on salivary IgA to Neisseria meningitidis

Epidemiol Infect. 2005 Oct;133(5):883-9. doi: 10.1017/S0950268805004097. Epub 2005 Apr 25.

Abstract

Asymptomatic carriage of Neisseria meningitidis is common (5-35% of individuals) while the incidence of invasive meningococcal disease is fairly low (<1-5 per 100,000 per annum in Europe). Naturally acquired protective immunity may account for this difference. In this study, we investigated the relationship between anti-meningococcal salivary IgA and age and carriage. We showed that salivary IgA to a range of meningococcal antigens increased successively with age with some specificity for commonly circulating serosubtypes. In a group of 258 students 37 (14%) of whom were carriers of N. meningitidis serogroup B, higher levels of specific IgA were associated with carriage. Stratified analysis revealed a positive relationship between smoking and specific anti- N. meningitidis IgA independent of current carriage, weighted odds ratio (OR) 4.1 (95% CI 1.1-18) and OR 3.8 (95% CI 0.96-16) for reference strains B:1:P1.14 and B:4:P1.5,4 respectively. These data implicate IgA as a factor in host defence from meningococcal invasion, although the precise mechanisms remain uncertain.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Carrier State / epidemiology*
  • Child
  • Child, Preschool
  • England / epidemiology
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Humans
  • Immunoglobulin A, Secretory / analysis*
  • Infant
  • Male
  • Meningitis, Meningococcal / epidemiology
  • Meningitis, Meningococcal / etiology
  • Meningitis, Meningococcal / immunology*
  • Meningitis, Meningococcal / prevention & control
  • Meningitis, Meningococcal / transmission*
  • Middle Aged
  • Neisseria meningitidis, Serogroup B / immunology*
  • Saliva

Substances

  • Immunoglobulin A, Secretory