Role of long-persisting human hepatitis E virus antibodies in protection

Vaccine. 1998 Apr;16(7):755-6. doi: 10.1016/s0264-410x(97)00252-1.

Abstract

The role of long-persisting HEV antibodies in humans was investigated. A well-characterized human volunteer anti-HEV (IgG) after 4 years of the recovery of the disease was passively immunized (200 mg kg-1 body wt) intramuscularly into three rhesus monkeys (nos 7, 8 and 9), while two monkeys (nos 5 and 6) were injected with normal immunoglobulin preparation (negative for anti-HEV IgG). At 16 h later all the animals were challenged intravenously with live HEV, as 10% stool extract prepared from the volunteer (positive for HEV by solid-phase immune electron microscopy). It was seen that transaminases (ALT/AST) were elevated in immunized monkeys on day 49 (no. 8), 60 (no. 7) and 86 (no. 9) after the virus challenge. On serological examination, all immunized (nos 7, 8 and 9) and one unimmunized (no. 6) monkeys were found positive for HEV IgM on day 10 post-challenge, while monkey no. 5 was negative. Further, all the animals from the immunized and unimmunized group seroconverted to HEV-IgG when tested on days 25 and 55 post-challenge. This has clearly shown that there is no protection. Therefore, these long-persisting HEV antibodies alone in humans, may not be protective in passive immunization.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alanine Transaminase / blood
  • Animals
  • Antibodies, Viral / immunology*
  • Antibodies, Viral / pharmacology
  • Aspartate Aminotransferases / blood
  • Hepatitis E / prevention & control*
  • Hepatitis E virus / immunology*
  • Humans
  • Immunization, Passive
  • Immunoglobulin G / immunology
  • Immunoglobulin G / pharmacology
  • Immunoglobulin M / blood
  • Immunoglobulin M / immunology
  • Macaca mulatta
  • Time Factors

Substances

  • Antibodies, Viral
  • Immunoglobulin G
  • Immunoglobulin M
  • Aspartate Aminotransferases
  • Alanine Transaminase