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Published in: BMC Infectious Diseases 1/2013

Open Access 01-12-2013 | Research article

The 7-valent pneumococcal conjugate vaccine elicits cross-functional opsonophagocytic killing responses to Streptococcus pneumoniae serotype 6D in children

Authors: Hyunju Lee, Jung Hwa Cha, Moon H Nahm, Robert L Burton, Kyung-Hyo Kim

Published in: BMC Infectious Diseases | Issue 1/2013

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Abstract

Background

We investigated the immune response to serogroup 6 with the opsonophagocytic killing assay (OPKA) in children aged 12–23 months of age after immunization with the 7-valent pneumococcal conjugate vaccine (PCV7) containing serotype 6B.

Methods

Blood samples were obtained from 59 children who had blood sampling for medical examination. Immunization status against PCV7 was confirmed by immunization records and samples were categorized according to immunization status into a booster, primary, or control group. The OPKA was performed for serotypes 6A, 6B, 6C, and 6D.

Results

Subjects with no previous PCV7 immunization history showed opsonic activity for serogroup 6 in 5-30% (according to serotype). In subjects vaccinated with a 3-dose primary series, 81% showed opsonic activity for serotypes 6B and 6D, and 29% showed opsonic activity for serotypes 6A and 6C. Among subjects vaccinated with a booster dose, all subjects had opsonic activity against serotype 6B. Subjects in the booster group with opsonic activity against serotypes 6A, 6C, and 6D were 100%, 78%, and 89%, respectively.

Conclusions

In subjects aged 12–23 months, an immune response is elicited after a primary series of immunizations with PCV7 for serotypes 6B and 6D, and a booster dose enhances a cross reactive immune response against serotypes 6A, 6C and 6D.
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Literature
1.
go back to reference Center for Disease Control and Prevention: Direct and indirect effects of routine vaccination of children with 7-valent pneumococcal conjugate vaccine on incidence of invasive pneumococcal disease--United States, 1998–2003. MMWR Morb Mortal Wkly Rep. 2005, 54: 893-897. Center for Disease Control and Prevention: Direct and indirect effects of routine vaccination of children with 7-valent pneumococcal conjugate vaccine on incidence of invasive pneumococcal disease--United States, 1998–2003. MMWR Morb Mortal Wkly Rep. 2005, 54: 893-897.
2.
go back to reference Hsu KK, Shea KM, Stevenson AE, Pelton SI: Changing serotypes causing childhood invasive pneumococcal disease: Massachusetts, 2001–2007. Pediatr Infect Dis J. 2010, 29: 289-293.PubMed Hsu KK, Shea KM, Stevenson AE, Pelton SI: Changing serotypes causing childhood invasive pneumococcal disease: Massachusetts, 2001–2007. Pediatr Infect Dis J. 2010, 29: 289-293.PubMed
3.
go back to reference Bratcher PE, Park IH, Oliver MB, Hortal M, Camilli R, Hollingshead SK, Camou T, Nahm MH: Evolution of the capsular gene locus of Streptococcus pneumoniae serogroup 6. Microbiology. 2011, 157: 189-198. 10.1099/mic.0.043901-0.CrossRefPubMedPubMedCentral Bratcher PE, Park IH, Oliver MB, Hortal M, Camilli R, Hollingshead SK, Camou T, Nahm MH: Evolution of the capsular gene locus of Streptococcus pneumoniae serogroup 6. Microbiology. 2011, 157: 189-198. 10.1099/mic.0.043901-0.CrossRefPubMedPubMedCentral
4.
go back to reference Park IH, Moore MR, Treanor JJ, Pelton SI, Pilishvili T, Beall B, Shelly MA, Mahon BE, Nahm MH, Active Bacterial Core Surveillance Team: Differential effects of pneumococcal vaccines against serotypes 6A and 6C. J Infect Dis. 2008, 198: 1818-1822. 10.1086/593339.CrossRefPubMedPubMedCentral Park IH, Moore MR, Treanor JJ, Pelton SI, Pilishvili T, Beall B, Shelly MA, Mahon BE, Nahm MH, Active Bacterial Core Surveillance Team: Differential effects of pneumococcal vaccines against serotypes 6A and 6C. J Infect Dis. 2008, 198: 1818-1822. 10.1086/593339.CrossRefPubMedPubMedCentral
5.
go back to reference Bratcher PE, Park IH, Hollingshead SK, Nahm MH: Production of a unique pneumococcal capsule serotype belonging to serogroup 6. Microbiology. 2009, 155: 576-583. 10.1099/mic.0.024521-0.CrossRefPubMedPubMedCentral Bratcher PE, Park IH, Hollingshead SK, Nahm MH: Production of a unique pneumococcal capsule serotype belonging to serogroup 6. Microbiology. 2009, 155: 576-583. 10.1099/mic.0.024521-0.CrossRefPubMedPubMedCentral
6.
go back to reference Bratcher PE, Kim KH, King JH, Hong JY, Moon MH: Identification of natural pneumococcal isolates expressing serotype 6D by genetic, biochemical and serological characterization. Microbiology. 2010, 156: 555-560. 10.1099/mic.0.034116-0.CrossRefPubMedPubMedCentral Bratcher PE, Kim KH, King JH, Hong JY, Moon MH: Identification of natural pneumococcal isolates expressing serotype 6D by genetic, biochemical and serological characterization. Microbiology. 2010, 156: 555-560. 10.1099/mic.0.034116-0.CrossRefPubMedPubMedCentral
7.
go back to reference Chang B, Otsuka T, Iwaya A, Okazaki M, Matsunaga S, Wada A: Isolation of Streptococcus pneumoniae serotypes 6C and 6D from the nasopharyngeal mucosa of healthy Japanese children. Jpn J Infect Dis. 2010, 63: 381-383.PubMed Chang B, Otsuka T, Iwaya A, Okazaki M, Matsunaga S, Wada A: Isolation of Streptococcus pneumoniae serotypes 6C and 6D from the nasopharyngeal mucosa of healthy Japanese children. Jpn J Infect Dis. 2010, 63: 381-383.PubMed
8.
go back to reference Ho P-L, Ang I, Chow K-H, Lai EL, Chiu SS: The prevalence and characteristics of Streptococcus pneumoniae isolates expressing serotypes 6C and 6D in Hong Kong prior to the introduction of the 7-valent pneumococcal conjugate vaccine. Diagn Microbiol Infect Dis. 2010, 68: 439-444. 10.1016/j.diagmicrobio.2010.07.020.CrossRefPubMed Ho P-L, Ang I, Chow K-H, Lai EL, Chiu SS: The prevalence and characteristics of Streptococcus pneumoniae isolates expressing serotypes 6C and 6D in Hong Kong prior to the introduction of the 7-valent pneumococcal conjugate vaccine. Diagn Microbiol Infect Dis. 2010, 68: 439-444. 10.1016/j.diagmicrobio.2010.07.020.CrossRefPubMed
9.
go back to reference Kuch A, Sadowy E, Skoczyńska A, Hryniewicz W: First report of Streptococcus pneumoniae serotype 6D isolates from invasive infections. Vaccine. 2010, 28: 6406-6407. 10.1016/j.vaccine.2010.07.051.CrossRefPubMed Kuch A, Sadowy E, Skoczyńska A, Hryniewicz W: First report of Streptococcus pneumoniae serotype 6D isolates from invasive infections. Vaccine. 2010, 28: 6406-6407. 10.1016/j.vaccine.2010.07.051.CrossRefPubMed
10.
go back to reference Mercado E, Srinivansan V, Hawkins P, Chochua S, Ochoa T, Beall B, McGee L: First report of Streptococcus pneumoniae serotype 6D in South America. J Clin Microbiol. 2011, 49: 2080-2081. 10.1128/JCM.00153-11.CrossRefPubMedPubMedCentral Mercado E, Srinivansan V, Hawkins P, Chochua S, Ochoa T, Beall B, McGee L: First report of Streptococcus pneumoniae serotype 6D in South America. J Clin Microbiol. 2011, 49: 2080-2081. 10.1128/JCM.00153-11.CrossRefPubMedPubMedCentral
11.
go back to reference Nahm MH, Oliver MB, Siira L, Kaijalainen T, Lambertsen LM, Virolainen A: A report of Streptococcus pneumoniae serotype 6D in Europe. J Med Microbiol. 2011, 60: 46-48. 10.1099/jmm.0.023853-0.CrossRefPubMedPubMedCentral Nahm MH, Oliver MB, Siira L, Kaijalainen T, Lambertsen LM, Virolainen A: A report of Streptococcus pneumoniae serotype 6D in Europe. J Med Microbiol. 2011, 60: 46-48. 10.1099/jmm.0.023853-0.CrossRefPubMedPubMedCentral
12.
go back to reference Oftadeh S, Satzke C, Gilbert GL: Identification of newly described Streptococcus pneumoniae serotype 6D by use of the Quellung reaction and PCR. J Clin Microbiol. 2010, 48: 3378-3379. 10.1128/JCM.00675-10.CrossRefPubMedPubMedCentral Oftadeh S, Satzke C, Gilbert GL: Identification of newly described Streptococcus pneumoniae serotype 6D by use of the Quellung reaction and PCR. J Clin Microbiol. 2010, 48: 3378-3379. 10.1128/JCM.00675-10.CrossRefPubMedPubMedCentral
13.
go back to reference Yao KH, Liu ZJ, Yu JG, Yu SJ, Yuan L, Nahm MH, Yang YH: Type distribution of serogroup 6 Streptococcus pneumoniae and molecular epidemiology of newly identified serotypes 6C and 6D in China. Diagn Microbiol Infect Dis. 2011, 70: 291-298. 10.1016/j.diagmicrobio.2011.03.015.CrossRefPubMed Yao KH, Liu ZJ, Yu JG, Yu SJ, Yuan L, Nahm MH, Yang YH: Type distribution of serogroup 6 Streptococcus pneumoniae and molecular epidemiology of newly identified serotypes 6C and 6D in China. Diagn Microbiol Infect Dis. 2011, 70: 291-298. 10.1016/j.diagmicrobio.2011.03.015.CrossRefPubMed
14.
go back to reference Adam HJ, Karlowsky JA, Nichol KA, Gilmour MW, Hoban DH, Embree J, Zhanel GG: Baseline epidemiology of Streptococcus pneumoniae serotypes in Canada prior to the introduction of the 13-valent pneumococcal vaccine. Microb Drug Resist. 2012, 18: 176-182. 10.1089/mdr.2011.0197.CrossRefPubMed Adam HJ, Karlowsky JA, Nichol KA, Gilmour MW, Hoban DH, Embree J, Zhanel GG: Baseline epidemiology of Streptococcus pneumoniae serotypes in Canada prior to the introduction of the 13-valent pneumococcal vaccine. Microb Drug Resist. 2012, 18: 176-182. 10.1089/mdr.2011.0197.CrossRefPubMed
15.
go back to reference Massire C, Gertz RE, Svoboda P, Levert K, Reed MS, Pohl J, Kreft R, Li F, White N, Ranken R, Blyn LB, Ecker DJ, Sampath R, Beall B: Concurrent serotyping and genotyping of pneumococci by use of PCR and electrospray ionization mass spectrometry. Clin Microbiol. 2012, 50: 2018-2025. 10.1128/JCM.06735-11.CrossRef Massire C, Gertz RE, Svoboda P, Levert K, Reed MS, Pohl J, Kreft R, Li F, White N, Ranken R, Blyn LB, Ecker DJ, Sampath R, Beall B: Concurrent serotyping and genotyping of pneumococci by use of PCR and electrospray ionization mass spectrometry. Clin Microbiol. 2012, 50: 2018-2025. 10.1128/JCM.06735-11.CrossRef
16.
go back to reference Baek JY, Ko KS, Song JH: Streptococcus pneumoniae serotype 6D cross-reacting with serotype 6A, 6B, and 6C factor sera. J Clin Microbiol. 2011, 49: 765-766. 10.1128/JCM.01933-10.CrossRefPubMedPubMedCentral Baek JY, Ko KS, Song JH: Streptococcus pneumoniae serotype 6D cross-reacting with serotype 6A, 6B, and 6C factor sera. J Clin Microbiol. 2011, 49: 765-766. 10.1128/JCM.01933-10.CrossRefPubMedPubMedCentral
17.
go back to reference Choi EH, Lee HJ, Cho EY, Oh CE, Eun BW, Lee J, Kim MJ: Prevalence and genetic structures of Streptococcus pneumoniae serotype 6D, South Korea. Emerg Infect Dis. 2010, 16: 1751-1753. 10.3201/eid1611.100941.CrossRefPubMedPubMedCentral Choi EH, Lee HJ, Cho EY, Oh CE, Eun BW, Lee J, Kim MJ: Prevalence and genetic structures of Streptococcus pneumoniae serotype 6D, South Korea. Emerg Infect Dis. 2010, 16: 1751-1753. 10.3201/eid1611.100941.CrossRefPubMedPubMedCentral
18.
go back to reference Park SE, Lee H, Lim SY, Kim KH: Immunogenicity of 7-valent pneumococcal conjugate vaccine related to booster immunization in Korean children. Korean J Pediatr. 2008, 51: 622-628. 10.3345/kjp.2008.51.6.622.CrossRef Park SE, Lee H, Lim SY, Kim KH: Immunogenicity of 7-valent pneumococcal conjugate vaccine related to booster immunization in Korean children. Korean J Pediatr. 2008, 51: 622-628. 10.3345/kjp.2008.51.6.622.CrossRef
19.
go back to reference Burton RL, Nahm MH: Development and validation of a fourfold multiplexed opsonization assay (MOPA4) for pneumococcal antibodies. Clin Vaccine Immunol. 2006, 13: 1004-1009. 10.1128/CVI.00112-06.CrossRefPubMedPubMedCentral Burton RL, Nahm MH: Development and validation of a fourfold multiplexed opsonization assay (MOPA4) for pneumococcal antibodies. Clin Vaccine Immunol. 2006, 13: 1004-1009. 10.1128/CVI.00112-06.CrossRefPubMedPubMedCentral
20.
go back to reference Wang D, Burton RL, Nahm MH, Soong SJ: A four-parameter logistic model for estimating titers of functional multiplexed pneumococcal opsonophagocytic killing assay. J Biopharm Stat. 2008, 18: 307-325. 10.1080/10543400701697182.CrossRefPubMed Wang D, Burton RL, Nahm MH, Soong SJ: A four-parameter logistic model for estimating titers of functional multiplexed pneumococcal opsonophagocytic killing assay. J Biopharm Stat. 2008, 18: 307-325. 10.1080/10543400701697182.CrossRefPubMed
21.
go back to reference Romero-Steiner S, Frasch CE, Carlone G, Fleck RA, Goldblatt D, Nahm MH: Use of opsonophagocytosis for serological evaluation of pneumococcal vaccines. Clin Vaccine Immunol. 2006, 13: 165-169. 10.1128/CVI.13.2.165-169.2006.CrossRefPubMedPubMedCentral Romero-Steiner S, Frasch CE, Carlone G, Fleck RA, Goldblatt D, Nahm MH: Use of opsonophagocytosis for serological evaluation of pneumococcal vaccines. Clin Vaccine Immunol. 2006, 13: 165-169. 10.1128/CVI.13.2.165-169.2006.CrossRefPubMedPubMedCentral
22.
go back to reference Romero-Steiner S, Libutti D, Pais LB, Dykes J, Anderson P, Whitin JC, Keyserling HL, Carlone GM: Standardization of an opsonophagocytic assay for the measurement of functional antibody activity against Streptococcus pneumoniae using differentiated HL-60 cells. Clin Diagn Lab Immunol. 1997, 4: 415-422.PubMedPubMedCentral Romero-Steiner S, Libutti D, Pais LB, Dykes J, Anderson P, Whitin JC, Keyserling HL, Carlone GM: Standardization of an opsonophagocytic assay for the measurement of functional antibody activity against Streptococcus pneumoniae using differentiated HL-60 cells. Clin Diagn Lab Immunol. 1997, 4: 415-422.PubMedPubMedCentral
23.
go back to reference Kim KH, Yu J, Nahm MH: Efficiency of a pneumococcal opsonophagocytic killing assay improved by multiplexing and by coloring colonies. Clin Diagn Lab Immunol. 2003, 10: 616-621.PubMedPubMedCentral Kim KH, Yu J, Nahm MH: Efficiency of a pneumococcal opsonophagocytic killing assay improved by multiplexing and by coloring colonies. Clin Diagn Lab Immunol. 2003, 10: 616-621.PubMedPubMedCentral
24.
go back to reference Burton RL, Nahm MH: Development of a fourfold multiplexed opsonophagocytosis assay for pneumococcal antibodies against additional serotypes and discovery of serological subtypes in Streptococcus pneumoniae serotype 20. Clin Vaccine Immunol. 2012, 19: 835-841. 10.1128/CVI.00086-12.CrossRefPubMedPubMedCentral Burton RL, Nahm MH: Development of a fourfold multiplexed opsonophagocytosis assay for pneumococcal antibodies against additional serotypes and discovery of serological subtypes in Streptococcus pneumoniae serotype 20. Clin Vaccine Immunol. 2012, 19: 835-841. 10.1128/CVI.00086-12.CrossRefPubMedPubMedCentral
25.
go back to reference Ko KS, Baek JY, Song JH: Multidrug-Resistant Streptococcus pneumoniae Serotype 6D Clones inSouth Korea. J Clin Microbiol. 2012, 50: 818-822. 10.1128/JCM.05895-11.CrossRefPubMedPubMedCentral Ko KS, Baek JY, Song JH: Multidrug-Resistant Streptococcus pneumoniae Serotype 6D Clones inSouth Korea. J Clin Microbiol. 2012, 50: 818-822. 10.1128/JCM.05895-11.CrossRefPubMedPubMedCentral
26.
go back to reference Carvalho Mda G, Pimenta FC, Gertz RE, Joshi HH, Trujillo AA, Keys LE, Findley J, Moura IS, Park IH, Hollingshead SK, Pilishvili T, Whitney CG, Nahm MH, Beall BW, Active Bacterial Core Surveillance Team: PCR-based quantitation and clonal diversity of the current prevalent invasive serogroup 6 pneumococcal serotype, 6C, in the United States in 1999 and 2006 to 2007. J Clin Microbiol. 2009, 47: 554-559. 10.1128/JCM.01919-08.CrossRefPubMed Carvalho Mda G, Pimenta FC, Gertz RE, Joshi HH, Trujillo AA, Keys LE, Findley J, Moura IS, Park IH, Hollingshead SK, Pilishvili T, Whitney CG, Nahm MH, Beall BW, Active Bacterial Core Surveillance Team: PCR-based quantitation and clonal diversity of the current prevalent invasive serogroup 6 pneumococcal serotype, 6C, in the United States in 1999 and 2006 to 2007. J Clin Microbiol. 2009, 47: 554-559. 10.1128/JCM.01919-08.CrossRefPubMed
27.
go back to reference Lee H, Nahm MH, Burton R, Kim KH: Immune response in infants to the heptavalent pneumococcal conjugate vaccine against vaccine-related serotypes 6A and 19A. Clin Vaccine Immunol. 2009, 16: 376-381. 10.1128/CVI.00344-08.CrossRefPubMedPubMedCentral Lee H, Nahm MH, Burton R, Kim KH: Immune response in infants to the heptavalent pneumococcal conjugate vaccine against vaccine-related serotypes 6A and 19A. Clin Vaccine Immunol. 2009, 16: 376-381. 10.1128/CVI.00344-08.CrossRefPubMedPubMedCentral
28.
go back to reference Lee HJ, Park SE, Kim KH: Immune response to 19A serotype after immunization of 19F containing pneumococcal conjugate vaccine in Korean children aged 12–23 months. Korean J Pediatr. 2011, 54: 163-168. 10.3345/kjp.2011.54.4.163.CrossRefPubMedPubMedCentral Lee HJ, Park SE, Kim KH: Immune response to 19A serotype after immunization of 19F containing pneumococcal conjugate vaccine in Korean children aged 12–23 months. Korean J Pediatr. 2011, 54: 163-168. 10.3345/kjp.2011.54.4.163.CrossRefPubMedPubMedCentral
29.
go back to reference Yu X, Gray B, Chang S, Ward JI, Edwards KM, Nahm MH: Immunity to cross-reactive serotypes induced by pneumococcal conjugate vaccines in infants. J Infect Dis. 1999, 180: 1569-1576. 10.1086/315096.CrossRefPubMed Yu X, Gray B, Chang S, Ward JI, Edwards KM, Nahm MH: Immunity to cross-reactive serotypes induced by pneumococcal conjugate vaccines in infants. J Infect Dis. 1999, 180: 1569-1576. 10.1086/315096.CrossRefPubMed
30.
go back to reference Lozano F, Rada C, Jarvis JM, Milstein C: Affinity maturation leads to differential expression of multiple copies of a kappa light-chain transgene. Nature. 1993, 363: 271-273. 10.1038/363271a0.CrossRefPubMed Lozano F, Rada C, Jarvis JM, Milstein C: Affinity maturation leads to differential expression of multiple copies of a kappa light-chain transgene. Nature. 1993, 363: 271-273. 10.1038/363271a0.CrossRefPubMed
31.
go back to reference Hackett J, Rogerson BJ, O’Brien RL, Storb U: Analysis of somatic mutations in kappa transgenes. J Exp Med. 1990, 172: 131-137. 10.1084/jem.172.1.131.CrossRefPubMed Hackett J, Rogerson BJ, O’Brien RL, Storb U: Analysis of somatic mutations in kappa transgenes. J Exp Med. 1990, 172: 131-137. 10.1084/jem.172.1.131.CrossRefPubMed
32.
go back to reference Henckaerts I, Goldblatt D, Ashton L, Poolman J: Critical differences between pneumococcal polysaccharide enzyme-linked immunosorbent assays with and without 22F inhibition at low antibody concentrations in pediatric sera. Clin Vaccine Immunol. 2006, 13: 356-360. 10.1128/CVI.13.3.356-360.2006.CrossRefPubMedPubMedCentral Henckaerts I, Goldblatt D, Ashton L, Poolman J: Critical differences between pneumococcal polysaccharide enzyme-linked immunosorbent assays with and without 22F inhibition at low antibody concentrations in pediatric sera. Clin Vaccine Immunol. 2006, 13: 356-360. 10.1128/CVI.13.3.356-360.2006.CrossRefPubMedPubMedCentral
33.
go back to reference Kim NH, Lee J, Lee SJ, Lee H, Kim KH, Park SE, Lee HJ: Immunogenicity and safety of pneumococcal 7-valent conjugate vaccine (diphtheria CRM(197) protein conjugate; Prevenar) in Korean infants: differences that are found in Asian children. Vaccine. 2007, 25: 7858-7865. 10.1016/j.vaccine.2007.08.022.CrossRefPubMed Kim NH, Lee J, Lee SJ, Lee H, Kim KH, Park SE, Lee HJ: Immunogenicity and safety of pneumococcal 7-valent conjugate vaccine (diphtheria CRM(197) protein conjugate; Prevenar) in Korean infants: differences that are found in Asian children. Vaccine. 2007, 25: 7858-7865. 10.1016/j.vaccine.2007.08.022.CrossRefPubMed
34.
go back to reference Yeh SH, Gurtman A, Hurley DC, Block SL, Schwartz RH, Patterson S, Jansen KU, Love J, Gruber WC, Emini EA, Scott DA, 004 Study Group: Immunogenicity and safety of 13-valent pneumococcal conjugate vaccine in infants and toddlers. Pediatrics. 2010, 126: e493-e505. 10.1542/peds.2009-3027.CrossRefPubMed Yeh SH, Gurtman A, Hurley DC, Block SL, Schwartz RH, Patterson S, Jansen KU, Love J, Gruber WC, Emini EA, Scott DA, 004 Study Group: Immunogenicity and safety of 13-valent pneumococcal conjugate vaccine in infants and toddlers. Pediatrics. 2010, 126: e493-e505. 10.1542/peds.2009-3027.CrossRefPubMed
35.
go back to reference Silfverdal SA, Hogh B, Bergsaker MR, Skerlikova H, Lommel P, Borys D, Schuerman L: Immunogenicity of a 2-dose priming and booster vaccination with the 10-valent pneumococcal nontypeable Haemophilus influenzae protein D conjugate vaccine. Pediatr Infect Dis J. 2009, 28: e276-e282. 10.1097/INF.0b013e3181b48ca3.CrossRefPubMed Silfverdal SA, Hogh B, Bergsaker MR, Skerlikova H, Lommel P, Borys D, Schuerman L: Immunogenicity of a 2-dose priming and booster vaccination with the 10-valent pneumococcal nontypeable Haemophilus influenzae protein D conjugate vaccine. Pediatr Infect Dis J. 2009, 28: e276-e282. 10.1097/INF.0b013e3181b48ca3.CrossRefPubMed
Metadata
Title
The 7-valent pneumococcal conjugate vaccine elicits cross-functional opsonophagocytic killing responses to Streptococcus pneumoniae serotype 6D in children
Authors
Hyunju Lee
Jung Hwa Cha
Moon H Nahm
Robert L Burton
Kyung-Hyo Kim
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Infectious Diseases / Issue 1/2013
Electronic ISSN: 1471-2334
DOI
https://doi.org/10.1186/1471-2334-13-474

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