Age-specific long-term course of IgG antibodies to pertussis toxin after symptomatic infection with Bordetella pertussis

Epidemiol Infect. 2005 Aug;133(4):737-48. doi: 10.1017/s0950268805003833.

Abstract

To investigate the possible dependence on age of the rate of decline of IgG antibodies to pertussis toxin (IgG-PT) after natural infection with Bordetella pertussis we measured IgG-PT in follow-up sera of 121 patients (age 0-94 years) obtained after 123 episodes of B. pertussis infection. For analysis we applied a dynamic model for the inactivation of B. pertussis by the immune system. There were no significant differences in rise, peak and decline of IgG-PT between different age groups, although there was a tendency for a more rapid increase, a higher peak and a faster decline with increasing age. The IgG-PT cut-off of 100 U/ml for serodiagnosis of pertussis appeared valid in all age groups. A decline of IgG-PT to < 10 U/ml was associated with increased risk of re-infection with B. pertussis.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Antibodies, Bacterial / analysis*
  • Bordetella pertussis / drug effects
  • Bordetella pertussis / immunology*
  • Case-Control Studies
  • Child
  • Child, Preschool
  • Cohort Studies
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Follow-Up Studies
  • Humans
  • Immunoglobulin G / immunology*
  • Infant
  • Male
  • Middle Aged
  • Netherlands
  • Pertussis Toxin / administration & dosage*
  • Polymerase Chain Reaction / methods
  • Risk Assessment
  • Virulence Factors, Bordetella / immunology*
  • Whooping Cough / diagnosis
  • Whooping Cough / prevention & control*

Substances

  • Antibodies, Bacterial
  • Immunoglobulin G
  • Virulence Factors, Bordetella
  • Pertussis Toxin