Correlations between three ELISA protocols measurements of RTS,S/AS01-induced anti-CSP IgG antibodies.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2023
Historique:
received: 26 07 2022
accepted: 09 05 2023
medline: 25 5 2023
pubmed: 23 5 2023
entrez: 23 5 2023
Statut: epublish

Résumé

RTS,S/AS01 induced anti-circumsporozoite protein (CSP) IgG antibodies are associated with the vaccine efficacy. There is currently no international standardisation of the assays used in the measurement of anti-CSP IgG antibody concentrations for use in evaluations of the vaccine's immunogenicity and/or efficacy. Here, we compared the levels of RTS,S/AS01 induced anti-CSP IgG antibodies measured using three different enzyme-Linked ImmunoSorbent Assays (ELISA). 196 plasma samples were randomly selected from the 447 samples collected during the RTS,S/AS01 phase IIb trial in 2007 from Kenyan children aged between 5-17 months. The vaccine-induced anti-CSP IgG antibodies were then measured using two independently developed ELISA protocols ('Kilifi-RTS,S' and 'Oxford-R21') and compared to the results from the reference 'Ghent-RTS,S' protocol for the same participants. For each pair of protocols, a deming regression model was fitted. Linear equations were then derived to aid in conversions into equivalent ELISA units. The agreement was assessed using Bland and Altman method. The anti-CSP IgG antibodies measured from the three ELISA protocols were in agreement, and were positively and linearly correlated; 'Oxford' and 'Kilifi' r = 0.93 (95% CI 0.91-0.95), 'Oxford' and 'Ghent' r = 0.94 (95% CI: 0.92-0.96), and 'Kilifi' and 'Ghent' r = 0.97 (95% CI: 0.96-0.98), p<0.0001 for all correlations. With the linearity, agreement and correlations established between the assays, conversion equations can be applied to convert results into equivalent units, enabling comparisons of immunogenicities across different vaccines of the same CSP antigens. This study highlights the need for the international harmonisation of anti-CSP antibody measurements.

Sections du résumé

BACKGROUND
RTS,S/AS01 induced anti-circumsporozoite protein (CSP) IgG antibodies are associated with the vaccine efficacy. There is currently no international standardisation of the assays used in the measurement of anti-CSP IgG antibody concentrations for use in evaluations of the vaccine's immunogenicity and/or efficacy. Here, we compared the levels of RTS,S/AS01 induced anti-CSP IgG antibodies measured using three different enzyme-Linked ImmunoSorbent Assays (ELISA).
METHODS
196 plasma samples were randomly selected from the 447 samples collected during the RTS,S/AS01 phase IIb trial in 2007 from Kenyan children aged between 5-17 months. The vaccine-induced anti-CSP IgG antibodies were then measured using two independently developed ELISA protocols ('Kilifi-RTS,S' and 'Oxford-R21') and compared to the results from the reference 'Ghent-RTS,S' protocol for the same participants. For each pair of protocols, a deming regression model was fitted. Linear equations were then derived to aid in conversions into equivalent ELISA units. The agreement was assessed using Bland and Altman method.
FINDINGS
The anti-CSP IgG antibodies measured from the three ELISA protocols were in agreement, and were positively and linearly correlated; 'Oxford' and 'Kilifi' r = 0.93 (95% CI 0.91-0.95), 'Oxford' and 'Ghent' r = 0.94 (95% CI: 0.92-0.96), and 'Kilifi' and 'Ghent' r = 0.97 (95% CI: 0.96-0.98), p<0.0001 for all correlations.
CONCLUSIONS
With the linearity, agreement and correlations established between the assays, conversion equations can be applied to convert results into equivalent units, enabling comparisons of immunogenicities across different vaccines of the same CSP antigens. This study highlights the need for the international harmonisation of anti-CSP antibody measurements.

Identifiants

pubmed: 37220123
doi: 10.1371/journal.pone.0286117
pii: PONE-D-22-21096
pmc: PMC10204981
doi:

Substances chimiques

Immunoglobulin G 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0286117

Informations de copyright

Copyright: © 2023 Mugo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Robert M Mugo (RM)

KEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
Department of Biological Sciences, Pwani University, Kilifi, Kenya.
Center for Infection Medicine, Institute of Immunology, Freie Universtät Berlin, Berlin, Germany.

Benedict Orindi (B)

KEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.

Faiz M Shee (FM)

Department of Biological Sciences, Pwani University, Kilifi, Kenya.

Duncan Bellamy (D)

Nuffield Department of Medicine, The Jenner Institute, University of Oxford, Oxford, United Kingdom.

Jedidah Mwacharo (J)

KEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.

Katie J Ewer (KJ)

Nuffield Department of Medicine, The Jenner Institute, University of Oxford, Oxford, United Kingdom.

Philip Bejon (P)

KEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
Nuffield Department of Medicine, The Jenner Institute, University of Oxford, Oxford, United Kingdom.

Francis M Ndungu (FM)

KEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
Department of Biological Sciences, Pwani University, Kilifi, Kenya.
Center for Infection Medicine, Institute of Immunology, Freie Universtät Berlin, Berlin, Germany.
Nuffield Department of Medicine, The Jenner Institute, University of Oxford, Oxford, United Kingdom.
Division of Infectious Diseases, Department of Medicine Solna and Centre for Molecular Medicine, Karolinska Institute, Stockholm, Sweden.

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