Front Pediatr. 2016 Jun 08;4:52. doi: 10.3389/fped.2016.00052. eCollection 2016.
Rediscovering Pertussis.
Frontiers in pediatrics
Manuela Zlamy
Affiliations
Affiliations
- Department of Pediatrics, Medical University of Innsbruck , Innsbruck , Austria.
PMID: 27376050
PMCID: PMC4896922 DOI: 10.3389/fped.2016.00052
Abstract
Pertussis, caused by Bordetella (B.) pertussis, a Gram-negative bacterium, is a highly contagious airway infection. Especially in infants, pertussis remains a major health concern. Acute infection with B. pertussis can cause severe illness characterized by severe respiratory failure, pulmonary hypertension, leucocytosis, and death. Over the past years, rising incidence rates of intensive care treatment in young infants were described. Due to several virulence factors (pertussis toxin, tracheal cytotoxin, adenylate cyclase toxin, filamentous hemagglutinin, and lipooligosaccharide) that promote bacterial adhesion and invasion, B. pertussis creates a unique niche for colonization within the human respiratory tract. The resulting long-term infection is mainly caused by the ability of B. pertussis to interfere with the host's innate and adaptive immune system. Although pertussis is a vaccine-preventable disease, it has persisted in vaccinated populations. Epidemiological data reported a worldwide increase in pertussis incidence among children during the past years. Either acellular pertussis (aP) vaccines or whole-cell vaccines are worldwide used. Recent studies did not detect any differences according to pertussis incidence when comparing the different vaccines used. Most of the currently used aP vaccines protect against acute infections for a period of 6-8 years. The resurgence of pertussis may be due to the lack of herd immunity caused by missing booster immunizations among adolescents and adults, low vaccine coverages in some geographic areas, and genetic changes of different B. pertussis strains. Due to the rising incidence of pertussis, probable solution strategies are discussed. Cocooning strategies (vaccination of close contact persons) and immunizations during pregnancy appear to be an approach to reduce neonatal contagiousness. During the past years, studies focused on the pathway of the immune modulation done by B. pertussis to provide a basis for the identification of new therapeutic targets to enhance the host's immune response and to probably modulate certain virulence factors.
Keywords: herd immunity; pertussis; vaccination; vaccine-preventable disease; whooping cough
References
- J Clin Microbiol. 2012 Jul;50(7):2186-90 - PubMed
- Emerg Infect Dis. 2009 Aug;15(8):1206-13 - PubMed
- PLoS Comput Biol. 2015 Apr 23;11(4):e1004138 - PubMed
- Infect Immun. 1997 Dec;65(12):4904-8 - PubMed
- Clin Vaccine Immunol. 2009 Dec;16(12):1816-21 - PubMed
- Clin Vaccine Immunol. 2007 Mar;14(3):288-92 - PubMed
- Pediatr Infect Dis J. 2005 May;24(5 Suppl):S10-8 - PubMed
- Vaccine. 2013 Apr 8;31(15):1981-6 - PubMed
- Lancet. 2014 Oct 25;384(9953):1521-8 - PubMed
- MMWR Morb Mortal Wkly Rep. 2013 Feb 22;62(7):131-5 - PubMed
- BMC Med. 2015 Jun 24;13:146 - PubMed
- FEMS Immunol Med Microbiol. 2006 Oct;48(1):140-7 - PubMed
- Clin Exp Immunol. 2012 Sep;169(3):281-91 - PubMed
- J Exp Med. 2009 Dec 21;206(13):3073-88 - PubMed
- J Immunol. 2004 Aug 1;173(3):1934-40 - PubMed
- J Immunol. 2003 Feb 1;170(3):1504-9 - PubMed
- Eur J Immunol. 2000 Feb;30(2):415-22 - PubMed
- Pediatr Infect Dis J. 2013 Nov;32(11):1257-60 - PubMed
- Clin Microbiol Rev. 2015 Oct;28(4):1005-26 - PubMed
- Pediatr Infect Dis J. 2005 May;24(5 Suppl):S25-34 - PubMed
- PLoS One. 2010 Jan 15;5(1):e8734 - PubMed
- Vaccine. 2013 Dec 17;32(1):111-8 - PubMed
- Clin Immunol. 2015 Apr;157(2):205-15 - PubMed
- Immunology. 1998 Jan;93(1):1-10 - PubMed
- Infect Immun. 1996 Oct;64(10):4078-84 - PubMed
- BMC Public Health. 2013 Jul 23;13:676 - PubMed
- Infect Control Hosp Epidemiol. 2006 Jan;27(1):95-7 - PubMed
- Future Microbiol. 2010 Mar;5(3):455-69 - PubMed
- Vaccine. 2016 Feb 17;34(8):1062-9 - PubMed
- Pediatr Infect Dis J. 2015 Sep;34(9):e222-32 - PubMed
- JAMA. 1995 Apr 5;273(13):1044-6 - PubMed
- Infect Immun. 1993 Feb;61(2):399-410 - PubMed
- Infect Immun. 2004 Mar;72(3):1450-62 - PubMed
- Microbiology. 1996 Nov;142 ( Pt 11):3261-8 - PubMed
- Infect Immun. 1997 Jun;65(6):2168-74 - PubMed
- Vaccine. 2012 Feb 21;30(9):1667-74 - PubMed
- Infect Immun. 2000 Mar;68(3):1235-42 - PubMed
- Epidemiology. 2012 Nov;23(6):852-60 - PubMed
- Curr Opin Immunol. 2001 Feb;13(1):89-95 - PubMed
- Eur J Pediatr. 2008 Sep;167(9):1017-9 - PubMed
- FEMS Microbiol Rev. 2011 May;35(3):441-74 - PubMed
- J Immunol. 2009 Jul 1;183(1):400-10 - PubMed
- BMC Infect Dis. 2014 Jul 17;14:397 - PubMed
- FEMS Microbiol Lett. 1996 Jan 1;135(1):131-5 - PubMed
- J Exp Med. 2001 May 7;193(9):1035-44 - PubMed
- Pediatr Infect Dis J. 2010 Nov;29(11):1013-5 - PubMed
- Front Immunol. 2014 Sep 16;5:446 - PubMed
- J Immunol. 2005 Jul 15;175(2):730-8 - PubMed
- Vaccine. 2008 Dec 9;26(52):6929-35 - PubMed
- Pediatr Infect Dis J. 2005 May;24(5 Suppl):S19-24 - PubMed
- J Immunol. 2006 Dec 1;177(11):7980-9 - PubMed
- J Rheumatol. 2009 Dec;36(12):2715-23 - PubMed
- Pediatr Infect Dis J. 1999 Apr;18(4):366-70 - PubMed
- Proc Natl Acad Sci U S A. 2011 Apr 26;108(17):7259-64 - PubMed
- Pediatr Infect Dis J. 2016 Jan;35(1):39-44 - PubMed
- Pathog Dis. 2015 Oct;73(7):null - PubMed
- J Clin Immunol. 2006 Mar;26(2):153-9 - PubMed
- Vaccine. 2014 Feb 12;32(8):996-1002 - PubMed
- BMC Infect Dis. 2013 Mar 11;13:129 - PubMed
- Expert Rev Anti Infect Ther. 2015 Aug;13(8):965-71 - PubMed
- J Infect Dis. 2014 Apr 1;209 Suppl 1:S10-5 - PubMed
- J Emerg Med. 2011 Mar;40(3):256-61 - PubMed
- FEMS Immunol Med Microbiol. 2009 Jul;56(2):143-50 - PubMed
- Int Immunol. 1998 May;10(5):651-62 - PubMed
- PLoS One. 2012;7(7):e41928 - PubMed
- Clin Infect Dis. 2016 Apr 1;62(7):829-36 - PubMed
- N Engl J Med. 1996 Feb 8;334(6):349-55 - PubMed
- Crit Rev Microbiol. 2004;30(3):187-96 - PubMed
- J Immunol. 2003 Sep 15;171(6):3119-27 - PubMed
- Clin Infect Dis. 2015 Dec 1;61(11):1637-44 - PubMed
- Mol Microbiol. 1993 Aug;9(4):653-60 - PubMed
- Eur J Med Res. 1998 Nov 17;3(11):523-6 - PubMed
- Trends Immunol. 2002 Sep;23(9):450-5 - PubMed
- Paediatr Respir Rev. 2008 Sep;9(3):201-11; quiz 211-2 - PubMed
- Mucosal Immunol. 2012 Sep;5(5):485-500 - PubMed
- PLoS One. 2010 Dec 30;5(12):e16009 - PubMed
- Clin Infect Dis. 2004 Jul 15;39(2):179-85 - PubMed
- JAMA. 2014 May 7;311(17):1760-9 - PubMed
- Epidemiol Infect. 2014 Apr;142(4):672-84 - PubMed
- J Immunol. 2010 Aug 1;185(3):1711-9 - PubMed
- J Clin Microbiol. 2005 Oct;43(10):4925-9 - PubMed
- Expert Rev Vaccines. 2014 Sep;13(9):1107-14 - PubMed
- Clin Infect Dis. 2008 Aug 1;47(3):328-38 - PubMed
- Infect Immun. 2009 Mar;77(3):1182-8 - PubMed
- J Clin Microbiol. 1993 Jul;31(7):1715-25 - PubMed
- Infect Immun. 2012 Feb;80(2):850-9 - PubMed
- Lancet Infect Dis. 2006 Feb;6(2):112-7 - PubMed
- Pediatr Infect Dis J. 2015 Jan;34(1):22-6 - PubMed
- PLoS One. 2011 Mar 08;6(3):e17271 - PubMed
- Cell Microbiol. 2011 Jan;13(1):123-34 - PubMed
- Pediatr Infect Dis J. 2013 Jun;32(6):695-8 - PubMed
- J Infect Dis. 2003 May 15;187(10):1646-53 - PubMed
- J Clin Microbiol. 1987 Jun;25(6):1109-10 - PubMed
- PLoS Pathog. 2005 Dec;1(4):e45 - PubMed
- Vaccine. 2014 Oct 7;32(44):5787-93 - PubMed
- Pediatrics. 2015 Jun;135(6):990-9 - PubMed
- Eur J Immunol. 2004 Sep;34(9):2579-88 - PubMed
- J Pediatr. 2008 May;152(5):655-60, 660.e1 - PubMed
- Expert Rev Vaccines. 2014 Sep;13(9):1125-33 - PubMed
- Pediatr Infect Dis J. 2012 Jan;31(1):78-9 - PubMed
- Clin Infect Dis. 2000 Jul;31(1):7-14 - PubMed
- FEMS Immunol Med Microbiol. 2012 Apr;64(3):413-24 - PubMed
- Infect Immun. 2007 Apr;75(4):1713-20 - PubMed
- Clin Infect Dis. 2001 Jun 15;32(12):1691-7 - PubMed
- Clin Infect Dis. 2015 Feb 1;60(3):333-7 - PubMed
- JAMA. 2012 Nov 28;308(20):2126-32 - PubMed
- Antimicrob Agents Chemother. 1996 Apr;40(4):1041-3 - PubMed
- Microb Pathog. 2002 Sep;33(3):115-25 - PubMed
- Infect Immun. 2000 Dec;68(12):6720-8 - PubMed
- N Engl J Med. 1996 Feb 8;334(6):341-8 - PubMed
- Clin Vaccine Immunol. 2012 Nov;19(11):1879-86 - PubMed
- J Endotoxin Res. 2001;7(4):251-61 - PubMed
- Nat Rev Microbiol. 2014 Apr;12(4):274-88 - PubMed
- Immunol Lett. 1999 Jun 1;68(2-3):213-7 - PubMed
- Eur J Immunol. 1998 Jan;28(1):153-63 - PubMed
- J Exp Med. 2002 Jan 21;195(2):221-31 - PubMed
- J Clin Microbiol. 1993 Jan;31(1):50-2 - PubMed
- Infect Immun. 1999 Mar;67(3):1424-31 - PubMed
- Cell Microbiol. 2005 Apr;7(4):489-97 - PubMed
- Emerg Infect Dis. 2011 Apr;17(4):612-8 - PubMed
- Pediatrics. 2015 Jun;135(6):981-9 - PubMed
- Infect Immun. 1999 Aug;67(8):4064-71 - PubMed
- Health Policy. 2014 Mar;115(1):82-91 - PubMed
- Am J Obstet Gynecol. 2011 Apr;204(4):334.e1-5 - PubMed
- Clin Microbiol Rev. 1991 Jul;4(3):243-55 - PubMed
- J Infect Dis. 1990 Mar;161(3):480-6 - PubMed
- Infect Dis (Lond). 2015 Feb;47(2):65-8 - PubMed
- Vaccine. 2013 Dec 9;31(51):6087-91 - PubMed
- PLoS Pathog. 2013;9(4):e1003264 - PubMed
- J Exp Med. 1989 May 1;169(5):1519-32 - PubMed
- Pathog Dis. 2015 Nov;73(8):ftv071 - PubMed
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