Fecal Immunoglobulin A Against a Sporozoite Antigen at 12 Months Is Associated With Delayed Time to Subsequent Cryptosporidiosis in Urban Bangladesh: A Prospective Cohort Study

Author:

Steiner Kevin L1,Kabir Mamun2,Priest Jeffrey W3,Hossain Biplob2,Gilchrist Carol A1,Cook Heather4,Ma Jennie Z5,Korpe Poonum S6,Ahmed Tahmeed2,Faruque A S G2,Haque Rashidul2,Petri William A1

Affiliation:

1. Division of Infectious Diseases and International Health, Department of Medicine, University of Virginia, Charlottesville

2. icddr,b, Dhaka, Bangladesh

3. Division of Foodborne, Waterborne and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia

4. Department of Statistics, School of Medicine, University of Virginia, Charlottesville

5. Division of Biostatistics, Department of Public Health Sciences, School of Medicine, University of Virginia, Charlottesville

6. Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland

Abstract

Abstract In this prospective cohort study of Bangladeshi children, greater fecal immunoglobulin A, but not plasma immunoglobulin G, directed against the Cryptosporidium sporozoite-expressed antigen Cp23 at 12 months of age was associated with delayed time to subsequent cryptosporidiosis. This finding suggests a protective role for mucosal antibody-mediated immunity in naturally exposed children.

Funder

National Institutes of Health

Bill and Melinda Gates Foundation

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

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