Abstract
Antibodies to a capsular polysaccharide (PS) provide protection against
Streptococcus pneumoniae which express the homologous capsular serotype, and
pneumococcal vaccines are designed to induce antibodies in the capsular PS.
Levels and opsonophagocytic capacity of antibodies to the capsular PS of S.
pneumoniae serotype 19F were determined by sera from adults immunized with
23-valent S. pneumoniae capsular PS vaccines. Geometric means of IgG anti-19F
antibody level and specific opsonic titer rise significantly after immunization.
The level of anticapsular PS antibodies for S. pneumoniae 19F serotype is fairly
well correlated (r2=O.63) with the opsonophagocytic activities of sera. However,
3.7% (1/27) of serum samples display strikingly less opsonophagocytic activity
than expected on the basis of their antibody level. Thus, antibody level may be
of general use in predicting vaccine-induced protection among adults for 19F
serotype. However, the opsonic activity data suggest that antibody levels are
not always indicative of functional antibody.