Serum Antibody Responses to Polymorphic Cryptosporidium Mucin Antigen in Bangladeshi Children with Cryptosporidiosis

Olivia Lai Division of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, Massachusetts; International Center for Diarrheal Disease Research, Dhaka, Bangladesh

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Christopher Morris Division of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, Massachusetts; International Center for Diarrheal Disease Research, Dhaka, Bangladesh

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Sabeena Ahmed Division of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, Massachusetts; International Center for Diarrheal Disease Research, Dhaka, Bangladesh

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Mohammed Mahbubul Karim Division of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, Massachusetts; International Center for Diarrheal Disease Research, Dhaka, Bangladesh

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Wasif Khan Division of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, Massachusetts; International Center for Diarrheal Disease Research, Dhaka, Bangladesh

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Honorine Ward Division of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, Massachusetts; International Center for Diarrheal Disease Research, Dhaka, Bangladesh

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Roberta O'Connor Division of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, Massachusetts; International Center for Diarrheal Disease Research, Dhaka, Bangladesh

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Cryptosporidium is a significant cause of diarrheal disease in children in developing countries. The sporozoite antigen Muc4 is important for infection of host cells, and could be a candidate vaccine antigen. However, this antigen is polymorphic between Cryptosporidium hominis and C. parvum. We investigated antibody responses to C. hominis Muc4 and C. parvum Muc4 antigen in children in Bangladesh infected with C. hominis. Antibody responses were compared between children with cryptosporidial diarrhea (cases) and uninfected children with diarrhea (controls). There was a significant IgM response to Muc4 from both species in cases compared with controls, which increased over time, and was higher in children with persistent diarrhea. Despite sequence polymorphisms, antibody responses to C. hominis Muc4 and C. parvum Muc4 were significantly correlated. These results suggest that the human antibody response to Muc4 is cross-reactive between species, but in young children does not mature to an IgG response within the period observed in this study.

Author Notes

*Address correspondence to Roberta O'Connor, Division of Geographic Medicine and Infectious Diseases, Tufts Medical Center, 800 Washington Street, Boston, MA 02111. E-mail: roconnor@tuftsmedicalcenter.org

Financial support: This study was supported by grants 1R21AI070037 and 1R21AI081643 from the National Institute of Allergy and Infectious Diseases, National Institutes of Health to Roberta O'Connor. The clinical study was supported by an opportunity pool grant from National Institute of Allergy and Infectious Diseases, National Institutes of Health to Honorine Ward.

Authors' addresses: Olivia Lai, Christopher Morris, Honorine Ward, and Roberta O'Connor, Division of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, MA, E-mails: olivialai1988@gmail.com, chris.h.morris@gmail.com, hward@tuftsmedicalcenter.org, and roconnor@tuftsmedicalcenter.org. Sabeena Ahmed, Mohammed Mahbubul Karim, and Wasif Khan, International Center for Diarrheal Disease Research, Bangladesh, Dhaka, Bangladesh, E-mails: sabeena@icddrb.org, mahbub@icribd.com, and wakhan@icddrb.org.

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