Conserved Antigenic Structure of Contemporary Wild Poliovirus Type 1 Strains Endemic in Pakistan

© The Author(s) 2021. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissionsoup.com..

BACKGROUND: Elimination of poliovirus in Pakistan and Afghanistan is challenged by notions against the role of oral poliovirus vaccine (OPV) in eradicating contemporary wild poliovirus (WPV) strains.

METHODS: A total of 1055 WPV type 1 (WPV1) strains isolated between 2013 and 2018 were categorized into 68 antigenic groups and tested for neutralization by OPV-derived antibodies. Molecular docking was conducted to determine neutralization efficiency of antibodies against WPV. The clinical significance of WPV1 variants was assessed to ascertain their role in patient outcomes.

RESULTS: We found that 88% of WPV1 strains isolated from paralytic children belonged to a single antigenic lineage identical to the WPV1 strain detected in 1993. WPV1 antigenic variants were effectively neutralized by OPV-derived antibodies, with geometric mean titers comparable to the neutralization titers found for 3 strains in OPV (OPV1-3, 7.96-9.149 [95% confidence interval, 6.864-10.171]; WPV1 strains, 7.542-8.786 [6.493-9.869]). Docking examination underscored a strong antigen-antibody interaction despite variations within the viral protein 1 epitopes. There was no significant association (P = .78) with clinical prognosis among patients infected with antigenically diverse WPV1 strains and patient outcomes, including death.

CONCLUSIONS: Our findings substantiate the robustness of OPV for neutralizing the contemporary WPV1 strains endemic in Pakistan and Afghanistan. Vaccination coverage must be augmented to achieve early eradication.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:226

Enthalten in:

The Journal of infectious diseases - 226(2022), 5 vom: 13. Sept., Seite 843-851

Sprache:

Englisch

Beteiligte Personen:

Alam, Muhammad Masroor [VerfasserIn]
Ikram, Aamir [VerfasserIn]
Mahmood, Nayab [VerfasserIn]
Sharif, Salmaan [VerfasserIn]
Shaukat, Shahzad [VerfasserIn]
Fatmi, Muhammad Qaiser [VerfasserIn]
Angez, Mehar [VerfasserIn]
Khurshid, Adnan [VerfasserIn]
Rehman, Lubna [VerfasserIn]
Akhtar, Ribqa [VerfasserIn]
Mujtaba, Ghulam [VerfasserIn]
Arshad, Yasir [VerfasserIn]
Rana, Muhammad Suleman [VerfasserIn]
Yousaf, Aneela [VerfasserIn]
Zaidi, Syed Sohail Zahoor [VerfasserIn]
Salman, Muhammad [VerfasserIn]

Links:

Volltext

Themen:

Eradication
Journal Article
Oral poliovirus vaccine
Pakistan
Polio eradication initiative
Poliovirus
Poliovirus Vaccine, Oral
Vaccination

Anmerkungen:

Date Completed 15.09.2022

Date Revised 25.09.2022

published: Print

Citation Status MEDLINE

doi:

10.1093/infdis/jiab555

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM333289498