doi: 10.1111/j.1365-3083.2006.01829.x .................................................................................................................................................................. Differential Capacities of Outer Membrane Proteins from Neisseria meningitidis B to Prime the Murine Immune System after Vaccination F. C. Silva Junior*, C. A. C. Gioia , J. M. Oliveira*, S. C. Cruz*, C. E. Fraschà & L. G. Milagres* Abstract *Disciplina de Microbiologia e Imunologia, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil; Departamento de Patologia/Microbiologia e Imunologia, Hospital Universitário, Fundação Universidade Federal de Rio Grande, Rio Grande, RS, Brazil; and àFrasch Biologics Consulting, Martinsburg, WV, USA Received 9 May 2006; Accepted in revised form 22 June 2006 Correspondence to: L. Milagres, Universidade do Estado do Rio de Janeiro, Bl. 28 de Setembro, 87. Fundos 3 andar, Disciplina de Microbiologia e Imunologia, CEP 20551030, Rio de Janeiro, RJ, Brazil. E-mail: lucimar@ uerj.br Understanding the specificity of antibody response to Neisseria meningitidis serogroup B (Men B) is a key requirement for the development of an effective vaccine. This study was designed to investigate the antigen specificity of murine IgG1 and IgG2b antibodies induced by different primary immunization schedules and the booster dose with the Cuban Men B vaccine. Immunoblotting analyses were performed using outer membrane vesicles (OMV) from the vaccine strain (B:4,7:P1.19,15). IgG subclasses binding to PorA, PorB and RmpM were determined by digital scanning of the immunoreactive bands. Bactericidal antibody response after vaccination was also evaluated. The results indicated that IgG2b anti-PorA was the main antibody response induced by two doses of the vaccine. A primary series of three doses was found important for increasing IgG2b as well as IgG1 to PorB and RmpM. The fourth dose favoured the recognition of RmpM as detected by the increase of specific IgG1 and IgG2b. IgG subclasses anti-PorA did not change significantly if animals received two, three or four doses of the vaccine during the primary immunization or after the booster dose for all vaccine groups. The booster response to PorB and RmpM of groups BC2 and BC3 showed a significant increase in IgG2b levels compared with the primary response. However, the recall and the primary response of group BC4 were similar, suggesting a saturated dose– effect response after four doses of vaccine. The same was seen for bactericidal antibody response when human complement source was used in the assay. Introduction Since the publication of the entire genome of Neisseria meningitidis at the beginning of this decade, several studies focusing on alternative antigens to compose a new vaccine against N. meningitidis serogroup B (Men B) have been described [1]. Despite some encouraging results [2, 3] it is likely that several years will be needed for the development of a meningococcal vaccine suitable to control or prevent endemic diseases caused by a diverse population of Men B strains. Currently, tailor-made outer membrane vesicle (OMV) vaccines are being used to control outbreaks provoked by few prevalent phenotypes of Men B [4, 5]. Since 1992, the Cuban Men B vaccine (VA-MENGOC-BC) has formed part of the Cuban infant vaccination schedule for all infants, and the reported incidence of meningococcal disease in Cuba has remained extremely low [6]. At the beginning of the 1990s, millions of Brazilian children were immunized with two doses of the Cuban Men B vaccine. Despite a satisfactory vaccine efficacy (74%) in children aged over 48 months, younger children were poorly protected [7]. In a recent study [8] of the immunogenicity of the Cuban vaccine in mice, we demonstrated that the primary antibody response (IgG and bactericidal antibody levels) showed a positive dose– effect. There was a significant increase of IgG and bactericidal antibody levels after three doses compared with two doses and also after the fourth dose compared with the third dose. However, the bactericidal booster response of mice primed with four injections of the vaccine indicated a negative dose–effect. The ELISA analysis of IgG subclasses induced by vaccination indicated a predominance of 2007 The Authors Journal compilation 2007 Blackwell Publishing Ltd. Scandinavian Journal of Immunology 65, 1–7 1 F. C. Silva Junior et al. 2 Specificity of IgG Subclasses after Immunization against B Meningococci .................................................................................................................................................................. IgG2b over IgG1 after the primary immunization. However, the increase in the number of vaccine injections favoured development of IgG1 antibodies. This was observed after the fourth dose and also after the booster injection in mice primed with two or four doses of vaccine. The rational of the present study was to investigate the antigen specificity of IgG subclasses after different primary immunization schedules and after the booster dose. The correlation between specific IgG subclasses and bactericidal antibody titers was also evaluated. Overall, the results showed that the predominant OMP (PorA, PorB and RmpM) from N. meningitidis present in the Men B Cuban vaccine had differing capacities to prime the immune system. A predominant IgG2b anti-PorA response was detected after two doses of vaccine. The increase in the number of injections of the vaccine was associated with a marked increase of IgG2b and IgG1 reacting with PorB and RmpM. Based on the booster IgG subclass and bactericidal antibody responses, this study showed that administration of more than four doses of the vaccine did not change the magnitude of the antibody response to Men B. Materials and methods Serogroup B meningococcal strain. The Cuban vaccine strain (Cu385/83) of serotype:serosubtype:immunotype 4,7:P1.19,15:L3,7,9 was used for the preparation of immunoblot OMV antigens and as the target strain for the bactericidal antibody assay. Vaccine and immunization of mice. The Men B Cuban vaccine (VA-MENGOC-BC), was obtained commercially. Female Swiss mice (5–6 weeks old) in groups of 8–10 were immunized with two (BC2 group), three (BC3 group) or four (BC4 group) intramuscular injections of the vaccine given 2–3 weeks apart. Each vaccine injection (100 ll) contained 2 lg of OMP, 2 lg of C polysaccharide, 400 lg of Al(OH)3 and 0.01% thimerosal as preservative [9]. Mice were bled before each injection, and 14 days after the last injection. Approximately 7 months after the last dose, mice in each study group received a booster injection of the vaccine. Blood was collected 14 days after the booster dose. The serum samples were stored at )20 C. Immunoblot assay. Outer membrane vesicles were prepared by extraction of the wet cell pellet for 2.5 h at 50 C with 5 ml of 0.2 M lithium chloride in a 0.1 M sodium acetate buffer (pH 5.8) per 1 g of cells [10]. SDS-PAGE and the detection of antibodies by immunoblot were performed as previously described [11]. Each gel (7·8 cm) was loaded with 80 lg of OMV. After electrotransfer at 250 mA for 2 h, each blot was cut into strips with about 3 lg of protein per strip. The strips were blocked (10 mM PBS pH 7.2 plus 3% BSA) and incubated overnight at room temperature with 1:300 dilutions of sera. A set of sera was incubated in the presence and absence of 0.15% Empigen BB (EBB, Calbiochem, San Diego, CA, USA) for partial renaturation of OMP epitopes [12]. All blots were incubated for 2 h with a 1:500 dilution of peroxidade-conjugated rat antimouse IgG1 or IgG2b (Zymed, S. San Francisco, CA, USA) and stained for 10 min with 3-amino-9-ethylcarbazole and hydrogen peroxide. Monoclonal antibodies (MoAb) against RmpM (BE12, IgG2b isotype, 1:200 dilution) and subtype P1.15 (F8-7A2/1H11, IgG1 isotype, 1:250,000 dilution) were used to identify RmpM and PorA, respectively, and as band intensity controls. A positive post-vaccination pool of serum was used to control IgG1 and IgG2b binding to RmpM. IgG subclasses binding to PorA, PorB and RmpM were processed after scanning (Hewlett Packard Scanjet 6100C, Hewlett Packard Company, Palo Alto, CA, USA) the strips under identical contrast enhancement conditions. An image analysis was performed with the 1D Image analysis software (Kodak Digital ScienceTM, Eastman Kodak Company, Rochester, NY, USA). A positive post-vaccination pool of serum, diluted at 1:300, was used as an internal antibody standard and assigned 100 scan units (U) for IgG2b anti-PorA. Band densities were recorded in arbitrary scan units as integrated peak areas between baseline and curve [12]. Care was taken to employ the same conditions for incubation, staining and scanning of all strips. Band density analyses were done by two independent observers. Results showing a discordance higher than 15% were reanalysed. The mean scan units were taken as the final result. Interassay variability of IgG subclasses binding to OMP. The coefficient of variation (CV) of MoAb P1.15 (control for IgG1) and the positive control serum (IgG1 anti-RmpM) were 12.9% (n ¼ 10) and 18.8% (n ¼ 12) respectively. The controls for IgG2b reactions were MoAb anti-RmpM and the IgG2b anti-RmpM reaction of the positive control serum, which gave a CV of 19.6% (n ¼ 7) and 16.1% (n ¼ 6) respectively. These results demonstrate good assay reproducibility, and are similar to that found by Wedege et al. [12]. Bactericidal assay. Serum bactericidal antibodies were measured as previously described [8]. Briefly, the final reaction mixture contained 25 ll of diluted test serum previously heat inactivated at 56 C for 30 min, 12.5 ll of guinea-pig serum that lacked detectable intrinsic bactericidal activity diluted at 1:2, and 12.5 ll of log-phase meningococci (about 5 · 103 cfu/ml) grown on Tryptic Soy Broth (Difco, Detroit, MA, USA) solidified with 1.5% (w/v) Noble agar (Difco) and containing 1% (v/v) horse serum. For groups BC2 and BC4, bactericidal tests were also done using human serum diluted at 1:2 (12.5 ll) as the complement source. This serum was negative for bacterial killing. The bactericidal reaction was carried out at 37 C for 30 min. The CFU per well were determined with the aid of a stereoscopic microscope 2007 The Authors Journal compilation 2007 Blackwell Publishing Ltd. Scandinavian Journal of Immunology 65, 1–7 F. C. Silva Junior et al. Specificity of IgG Subclasses after Immunization against B Meningococci 3 .................................................................................................................................................................. (·40). The bactericidal titer was defined as the reciprocal of the serum dilution (before addition of complement and bacteria) causing ‡50% killing and recorded as the log2 titer. A value of 1 was assigned to each titer of <2; thus, log2 1 ¼ 0. The positive control for each assay consisted of a pool of post-vaccination mouse serum with previously determined bactericidal titer. The negative control consisted of the complement source in the absence of test serum. Statistical analyses. The significance levels of differences between groups were examined by paired or unpaired t-test (parametric tests). Wilcoxon matched pairs test and Mann–Whitney test were used as non-parametric tests in a few cases. Correlations between bactericidal titers and IgG binding were assessed by Pearson’s r coefficient. These analyses were performed with a GraphPad-Prism software, version 4.02 (Graphpad Software, San Diego, CA, USA). P < 0.05 was taken as significant. Results Specificity of antibodies induced by two doses of the vaccine (group BC2) The results described below for groups BC2 and BC4 were similar in two independent experiments. The data presented below represent the experiment with a greater number of animals. Table 1 shows the geometric mean (GM) of IgG1 and IgG2b towards PorA, PorB and RmpM (strain Cu385/ 83) measured after primary and booster immunizations. Overall, there was a predominant IgG2b response after primary immunization. In spite of the fact that the amounts of the various antigens in the OMV are different and that their transfer to the nitrocellulose paper during electrotransfer may be dissimilar, our results indicated that IgG2b antibodies induced by two doses of vaccine were mainly (P < 0.05) directed to PorA (GM of Table 1 Geometric mean (95% confidence interval) of IgG1 and IgG2b to PorA, PorB and RmpM of Strain Cu385 in serum of mice obtained 14 days after two injections (group BC2), three injections (group BC3) or four injections (group BC4) of the Neisseria meningitidis serogroup B vaccine and 14 days after the booster dose given 7 months after the last dose. PorA PorB RmpM 1 3 4 Figure 1 Immunoblots showing IgG1 binding to PorA (lane 1) and IgG2b binding to RmpM (lane 2) of Neisseria meningitidis Cu385/83 (B:4,7:P1.19,15). Lanes 3 and 4 represent IgG2b binding of two postbooster sera from group BC2. Scan units for serum 1 to PorA, PorB and RmpM were 45, 73 and 53 respectively (lane 3); for serum 2 scan units to PorA, PorB and RmpM were 70, 80 and 115 respectively (lane 4). 55.5 U). Eighty per cent of mice had IgG2b levels higher than 40 U (which means a distinct band with medium intensity, Fig. 1 – lane 3) to PorA, while only 30% responded with similar antibody levels to PorB (GM of 6.8 U). Half of the mice did not show IgG2b binding towards RmpM and most others (40%) had a positive, but low response to this protein. IgG1 and IgG2b reactions induced by primary immunization were similar for PorB and RmpM showing a low response (GM of 3.5–7.1 U). In opposition to the strong IgG2b to PorA, this protein was barely recognized by IgG1. The booster dose, given 7 months after the primary series, broadened the immune response and induced a IgG1 Group BC2 PorA PorB RmpM Group BC3 PorA PorB RmpM Group BC4 PorA PorB RmpM 2 2 doses 1.4 (0.8–2.5) 3.5 (1.3–9.6) 7.1 (2.3–21.7) 3 doses 5.9 (1.1–32.5) 25.5 (6.5–100.2) 19.6 (3.6–105.6) 4 doses 6.8 (2.0–23.6) 37.3 (12.7–109.4) 93.9 (52.6–167.9)à IgG2b IgG1 Booster dose 5.6 (2.2–14.2) 7.2 (1.4–37.0) 18.3 (4.1–81.1) Booster dose 42.7 (11.6–157.3) 18.1 (6.2–52.7) 19.8 (3.7–105.9) 64.0 (37.7–108.5) 33.2 (8.6–128.6) 52.3 (36.02–75.9) Booster dose 45.4 (19.2–107.0) 8.2 (2.5–26.6) 95.5 (65.7–139.0)à 25.8 (7.4–89.7) 83.1 (44.2–156.2) 92.5 (55.8–153.4)à 55.5 (30.4–101.5) 6.8 ( 2.0–22.9) 4.2 (1.3–13.7) IgG2b 44.0 (16.2–119.2) 49.4 (21.4–113.7)* 32.6 (11.8–90.1)* 53.2 (32.6–86.8) 93.6 (62.9–139.4)* 92.6 (61.3–140.1) 52.7 (30.7–90.3) 46.2 (15.2–140.9) 116.0 (95.5–141.0) *P < 0.05 compared with the primary antibody response P < 0.05 compared with the primary or booster antibody response of group BC2 àP < 0.05 compared with the primary or booster antibody response of group BC3. 2007 The Authors Journal compilation 2007 Blackwell Publishing Ltd. Scandinavian Journal of Immunology 65, 1–7 4 Specificity of IgG Subclasses after Immunization against B Meningococci F. C. Silva Junior et al. .................................................................................................................................................................. Bactericidal titer (log2) A Group BC2 8 Group BC3 Group BC4 7 6 5 4 3 2 1 B 8 Group BC2 Bo os te r do se s 4 Bo os te r do se s st e r 3 2 Bo o do se s 0 Group BC4 7 6 5 4 3 2 1 te os Bo se do r s r os te 4 2 do se s 0 Bo Bactericidal titer (log2) dose was needed to increase the IgG2b response to PorB and RmpM, but not to PorA. Two doses of the vaccine were not sufficient to induce a bactericidal antibody titer higher than 2 (log2) in most mice. Nevertheless, it was efficient to induce a long-lasting immune memory that was activated 7 months later as evaluated by the recall antibody response (with human complement). Figure 2 Mean (log2) of bactericidal antibodies to Cu385 strain (B:4,7:P1.19,15) induced by primary and booster immunization of groups BC2, BC3 and BC4. (A) Guinea-pig complement, (B) human complement. significant IgG2b response to PorB (GM of 49.4 U) and RmpM (GM of 32.6 U). The IgG2b anti-PorA did not change significantly (GM of 44.0 U) in comparison with the response after two doses (GM of 55.5 U). The booster IgG1 response to each protein studied was similar to the primary response. The bactericidal titers of mice from group BC2 are shown in Fig. 2A and B, left. We found significant differences of bactericidal titers when guinea-pig or human complement was used. Fig. 2A, shows that the booster antibody response (log2 mean of 1.7) and the primary antibody response (log2 mean of 1.0) of group BC2 were similar when guinea-pig complement was used in the assay. A similar proportion of mice responded with bactericidal titers >2 (log2 titer) after the primary (22%) and booster doses (33%). However, using human complement source (Fig. 2B) a significant increase (mean of 1.6-fold) in antibodies was evident after the booster dose (log2 mean titer of 3.7). 30% and 70% of animals, respectively, following the primary and the booster dose, had bactericidal titers >2 (log2 titer). We did not detect any significant correlation between bactericidal antibody titers and IgG subclasses directed to PorA, PorB or RmpM. In summary, IgG2b anti-PorA was the major antibody response induced by two doses of the vaccine. A booster Specificity of antibodies induced by three doses of the vaccine (group BC3) As shown in Table 1, the third dose of the vaccine induced a marked IgG1 and IgG2b reaction to PorB and RmpM in addition to the IgG2b response to PorA. Group BC3 had a significant higher IgG1 response to PorB (GM of 25.5 U) and RmpM (GM of 19.8 U) when compared with group BC2. Similarly, a higher IgG2b response to RmpM (GM of 33.2; P < 0.05) and PorB (GM of 19.8; P > 0.05) was detected after three doses of the vaccine when compared with two doses. About 60% of mice demonstrated IgG2b levels higher than 40 U towards PorB and RmpM. It is noteworthy that the IgG2b levels to PorA (GM of 42.7 U) were similar to the levels induced by two injections (GM of 55.5 U) of the vaccine (Table 1). In contrast to the remarkable difference in IgG subclasses binding to PorA, there were no significant differences between IgG1 and IgG2b levels to PorB and RmpM after the primary immunization. A marked increase of 5.7-fold (P < 0.05) and 3.6-fold (P ¼ 0.08) in the IgG2b anti-PorB (GM of 93.6 U) and anti-RmpM (GM of 92.6 U), respectively, was seen after the booster dose compared with the primary response. Nonetheless, the IgG2b levels to PorA did not change significantly after the booster dose (GM of 53.2 U) compared with the primary response (GM of 42.7 U). IgG2b levels anti-PorB and anti-RmpM higher than 100 U (very strong reactivity, Fig. 1 – lane 4) were detected in 60% and 50%, respectively, of mice after the booster dose. Only two (20%) animals had the same pattern of response against PorA. The booster IgG1 response to PorB (GM of 64.0 U) and RmpM (GM of 52.3 U) showed an increase of threefold (P > 0.05) compared with the primary response. IgG1 levels higher than 40 U towards PorB and RmpM were detected in about 80% of mice. Only 40% of animals had such IgG1 levels to PorA (GM of 18.1 U). Because of the small volume of sera, the bactericidal tests of this vaccine group were done using guinea-pig complement only. As can be seen in Fig. 2A, three doses of vaccine (group BC3) induced a higher (log2 mean of 4.4; P < 0.05) bactericidal antibody response than two doses (group BC2; log2 mean of 1.0). The recall bactericidal antibody response (log2 mean of 5.7) of group BC3 was higher, but not statistically different from the 2007 The Authors Journal compilation 2007 Blackwell Publishing Ltd. Scandinavian Journal of Immunology 65, 1–7 F. C. Silva Junior et al. Specificity of IgG Subclasses after Immunization against B Meningococci 5 .................................................................................................................................................................. primary response (log2 mean of 4.4). 75% and 90% of mice showed a bactericidal titer higher than 2 (log2 titer) after the third and booster doses respectively. There was no significant correlation between bactericidal antibody titers and IgG subclasses directed to PorA, PorB or RmpM. In conclusion, three doses of the vaccine were needed to increase IgG1 and IgG2b to PorB and RmpM. The booster dose of vaccine in group BC3 induced a relevant increase of IgG2b antibodies to PorB and RmpM. In contrast, the primary and recall IgG1 and IgG2b responses to PorA were similar. This immunization schedule was efficient to induce a bactericidal antibody response in the majority of mice. Specificity of antibodies induced by four doses of the vaccine (group BC4) Immunoblotting of sera collected after four doses (Table 1) of the vaccine clearly showed a marked IgG1 reaction to RmpM (GM of 93.9 U) as well as IgG2b binding to PorB (GM of 95.5 U) and to RmpM (GM of 83.1 U). Notably, the IgG2b anti-PorB and IgG1 anti-RmpM was approximately four times (P < 0.05) higher for group BC4 compared with that for group BC3. IgG2b levels towards RmpM induced by four doses of vaccine were also higher, but not statistically different, in comparison with group BC3. IgG subclasses binding to PorA was not altered if animals had received three or four injections of the vaccine. Notably, the booster dose provoked a decrease (P ¼ 0.06) of 0.48-fold in the GM of IgG2b anti-PorB compared with four doses of the vaccine. Nonetheless, the proportion (60%) of mice with IgG2b levels around 100 U was similar after the primary and booster dose. IgG2b response to PorA and RmpM did not change significantly after the booster dose. The IgG1 recall and primary response were similar for all protein studied. A marked IgG2b and a less pronounced IgG1 reaction to high molecular (70–108 kDa) weight proteins, especially a 70-kDa protein, were seen mainly after four doses and the booster dose in group BC4. A variable reactivity of IgG subclasses to low molecular weight proteins (28–30 kDa) was detected after different immunization schedules. In terms of bactericidal antibody response, Fig. 2A, right, shows that antibody titers peaked in mice immunized four times (group BC4) during the primary immunization. A significant decrease of antibody levels was seen after the booster dose. However, when using human complement (Fig. 2B), we did not see any change in titers comparing the primary (log2 mean of 6.0) and booster response (log2 mean of 6.2) of group BC4. A significant correlation (r ¼ 0.65) was detected between IgG2b antiPorA and bactericidal titers after the booster dose. In conclusion, four doses of the vaccine favoured the development of IgG1 to RmpM and IgG2b to PorB and RmpM. Nonetheless, the booster dose negatively influenced the recognition of PorB by IgG2b. IgG subclasses against PorA did not change significantly if animals received two, three or four doses of the vaccine during the primary immunization. Four doses of vaccine induced a significantly higher bactericidal antibody response than two or three doses. Depending on the complement source the booster response of group BC4 was lower (guinea-pig complement) or similar (human complement) to the primary response. Discussion In a previous study of the immunogenicity of the VAMENGOC-BC vaccine, we showed a dominant murine IgG2b response to OMV from the vaccine strain as detected by an ELISA. In addition, specific IgG1 development was associated with the number of injections of the vaccine [8]. Data obtained in this study indicated that two doses of the Cuban Men B vaccine induced a predominant IgG2b response to PorA. Thus, this was an indication that one dose of the vaccine was important to prime the immune system to especially recognize PorA of N. meningitidis. Mouse IgG2b are preferentially induced by a Th1 immune response, but rather little is known about factors that direct class switching in vivo [13, 14]. Recently published data [15] demonstrated that a specific epitope of MSP2 protein of Plasmodium falciparum induced a T-celldependent class switching to IgG2b in immunized mice and strongly implicated IL-10 and INF-c in the process. Accordingly, based on the responses of the IgG subclasses, the data presented here indicated a tendency to a Th1 response in animals immunized with two doses of vaccine. A Th1 response in children immunized with two doses of the Cuban Men B vaccine has been described [16]. The possibility that linear epitopes of PorA protein influenced the T-cell–B-cell interactions and consequently the immunoglobulin switch to IgG2b anti-PorA needs to be investigated. A distinct IgG1 as well as IgG2b reaction to PorB and RmpM was induced by three doses of vaccine (group BC3). A continued elevation of such antibodies was detected during the recall response of group BC3. Based on this significant switch to IgG1 response, the animal model used in this study indicated that a Th2 response to OMP from Men B requires repeated antigen exposures. Based on the responses of the IgG subclasses induced by primary immunization schedules of groups BC3 and BC4, our results suggest the need for two or three doses of the vaccine to prime the immune system to subsequently respond to PorB and RmpM. This was also 2007 The Authors Journal compilation 2007 Blackwell Publishing Ltd. Scandinavian Journal of Immunology 65, 1–7 6 Specificity of IgG Subclasses after Immunization against B Meningococci F. C. Silva Junior et al. .................................................................................................................................................................. observed after the booster dose of groups BC2 and BC3. Of note, the fourth dose of vaccine was of great importance to increase the primary antibody response but it did not influence the development of a stronger recall antibody response compared with three doses. PorA and PorB function as porin proteins and are the most abundant neisserial outer membrane proteins [17]. In the Norwegian Men B vaccine, PorA and PorB are present in equal amounts and account for about 70% of the proteins [17]. Assuming that the Cuban and Norwegian vaccines have similar amounts of PorA and PorB, our data indicate that PorB may be less immunogenic than PorA in the Cuban vaccine. Similar results were described using human sera collected after two doses of the Norwegian OMV vaccine [18]. In addition, a markedly lower T-cell response to PorB compared with PorA and OMV was detected after two or three doses of the Norwegian vaccine in humans [17]. Interestingly, our data indicated that the IgG2b anti-PorA induced by two, three or four doses of vaccine did not alter significantly. The reasons for this unchanged IgG2b response to PorA are not known. Future studies may investigate the biological function and avidity of purified IgG2b anti-PorA. Despite the low proportion (10%) of RmpM in the outer membrane of meningococci, [17] the results reported here indicated that four doses of vaccine induced a predominant IgG1 response to this protein. In addition, a stronger IgG2b anti-RmpM was seen after the fourth dose of the vaccine. The biological function of RmpM remains unknown. It has been described that mouse MoAb to RmpM can block bactericidal killing by antiPorA MoAb [19]. Nevertheless, an elegant study by Rosenqvist et al. [20] showed no blocking effect on bactericidal activity of MoAb anti-RmpM or immunoglobulin (Ig) anti-RmpM purified from serum of vaccinees. Of note, the human Ig anti-RmpM preparations were obtained from sera collected after two doses of the Norwegian Men B vaccine. A previous report found that only 22% of Norwegian vaccinees had strong or intermediate IgG binding to RmpM [18]. Similarly, in the present study, two doses of the Cuban Men B vaccine induced a weak IgG1 and IgG2b response to RmpM. As the avidity of antibodies may increase with time and with repeated antigen exposure, we believe that the blocking effect of anti-RmpM induced by three and four doses of Men B vaccines should be investigated. In conclusion, our data showed that PorA, PorB and RmpM had different abilities to prime the immune system and consequently to induce a recall antibody response. An IgG2b response was quickly induced by vaccination and its specificities were broadened as the number of vaccine injections was increased. The IgG1 response to vaccination needed a higher number of injections and was directed mostly against RmpM and PorB. The biological significance of these antibody responses in terms of functional activity and development of immune memory needs to be further investigated. Acknowledgment Monoclonal antibodies and meningococcal strains were provided by Adolfo Lutz Institute, Bacteriology Division. We acknowledge FAPERJ/SR2-UERJ/CAPES and CNPq for financial support. References 1 Rappuoli R. Conjugates and reverse vaccinology to eliminate bacterial meningitis. Vaccine 2001;19:2319–22. 2 Welsch JA, Moe GR, Rossi R, et al. Antibody to genome-derived neisserial antigen 2132, a Neisseria meningitidis candidate vaccine, confers protection against bacteremia in the absence of complementmediated bactericidal activity. J Pediatr Infect Dis 2003;188: 1730–40. 3 Welsch JA, Rossi R, Comanducci M, Granoff DM. Protective activity of monoclonal antibodies to genome-derived neisserial antigen 1870, a Neisseria meningitidis candidate vaccine. J Immunol 2004;172: 5606–15. 4 Holst J, Feiring B, Næss LM et al. 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