title: Immunoglobulin a as a serological marker for the (silent) circulation of poliovirus in an inactivated poliovirus-vaccinated population.
abstract: Poliovirus-specific immunoglobulin A (IgA) is detected after infection with wild-type virus or vaccination with live attenuated oral poliovirus (OPV) but not after vaccination with inactivated poliovirus (IPV). We examined whether the presence of IgA in serum can be used as a marker for poliovirus circulation in IPV-vaccinated populations in The Netherlands. In seronegative persons challenged with OPV, the sensitivity of this marker was 76%-86%. Results from a serosurvey showed a high seroprevalence (63%-73%) of IgA in the population born before vaccination was introduced in The Netherlands, which reflects natural exposure. The start of the vaccination program in 1957 corresponded to a reduction in the IgA seroprevalence in both vaccinated (2.1%-4.5%) and nonvaccinated groups (8.3%-11.7%). The presence of IgA-positive persons in the population could largely be explained by the occurrence of episodes of proven poliovirus circulation. We propose to use the detection of poliovirus-specific IgA as a tool to monitor virus circulation in IPV-vaccinated and nonvaccinated populations, to aid the poliovirus eradication process.
authors.affiliation: Diagnostic Laboratory for Infectious Diseases and Perinatal Screening, National Institute of Public Health and the Environment (RIVM), 3720 BA Bilthoven, The Netherlands. Tineke.Herremans@rivm.nl
authors.forename: Tineke
authors.initials: T
authors.lastname: Herremans
authors.forename: Tjeerd G
authors.initials: TG
authors.lastname: Kimman
authors.forename: Marina A E
authors.initials: MA
authors.lastname: Conyn-Van Spaendonck
authors.forename: Annemarie
authors.initials: A
authors.lastname: Buisman
authors.forename: Hester
authors.initials: H
authors.lastname: de Melker
authors.forename: Fritjofna
authors.initials: F
authors.lastname: Abbink
authors.forename: Paul
authors.initials: P
authors.lastname: Bijkerk
authors.forename: Marion P G
authors.initials: MP
authors.lastname: Koopmans
mesh_terms: D015415:Biomarkers / Q000097:blood; D004797:Enzyme-Linked Immunosorbent Assay; D006801:Humans; D007070:Immunoglobulin A / Q000097:blood*; D009426:Netherlands / Q000453:epidemiology; D011051:Poliomyelitis / Q000097:blood* / Q000453:epidemiology / Q000276:immunology / Q000821:virology; D017955:Poliovirus / Q000276:immunology / Q000302:isolation & purification*; D011054:Poliovirus Vaccine, Inactivated / Q000276:immunology*; D012680:Sensitivity and Specificity; D016036:Seroepidemiologic Studies; D012698:Serologic Tests; D014611:Vaccination
chemical_list: D015415:Biomarkers; D007070:Immunoglobulin A; D011054:Poliovirus Vaccine, Inactivated