A total of 154 human serum samples (32 acute-phase and 22 convalescent-phase serum samples obtained within a week and between days 8 and 26 after the onset of rash, respectively, and 100 samples drawn from healthy immune adults) were processed by an immunofluorescence assay for the detection of immunoglobulin M (IgM), total immunoglobulin G (IgG), IgG1, IgG2, IgG3, and IgG4 measles virus-specific antibodies. In the acute phase, IgG1 was seen first, followed by IgG2, IgG3, and IgG4 responses, the mean seropositivity of which gradually increased during convalescence, reaching 100% (standard deviation [SD], 84 to 100%), 57% (SD, 34 to 80%), 86% (SD, 66 to 100%), and 86% (SD, 66 to 100%), respectively. IgG2 rose and fell in connection with Measles has been targeted for global eradication by the World Health Organization's Expanded Programme on Immunization; for the effective control and eventual eradication of measles, it is necessary to impair measles transmission by establishing herd immunity. To accomplish this aim, a sensitive surveillance system is essential to detect wild-virus circulation, as well as sensitive and specific diagnostic tests (4, 5). The diagnosis of measles infection is serologically confirmed by the presence of a fourfold rise in antibody titers for paired acuteand convalescent-phase sera or most often by detection of anti-measles virus immunoglobulin M (IgM) antibody. The performance of IgM detection for the differentiation of primary and secondary measles antibody responses depends upon (i) propagation of the virus within the community, (ii) characteristics of the individual immune response, (iii) time of specimen collection, and (iv) assay sensitivity.Similar to other serological markers, a subclass-restricted response to antigens has been recently demonstrated (8, 9, 10, 12, 18); however, a limited amount of data is available on the virus-specific immunoglobulin G (IgG) subclass responses during the ordinary course of measles viral infection. Narita et al. suggested that the IgG3 response could play a major role in acute-phase immunity during primary infection, while the IgG1 response could be related to maintenance of measles immunity (14).These data offer early support for the hypothesis that the IgG isotypic immune response could also be a useful serologic tool, in addition to specific measles IgM antibody detection, to eventually distinguish between early and late measles infection.The present study was undertaken to point out the specific antiviral IgG1, IgG2, IgG3, and IgG4 subclass response patterns elicited during natural infection (acute and convalescent phases) as well as in the long-lasting humoral immunity to measles virus.The aim of this paper is to contribute to the global understanding of antibody responses to measles virus infections.
MATERIALS AND METHODSSerum specimens. A total of 154 positive human serum samples for measles antibodies were used in this study. Serum specimens were classified within two groups according to the characteristics of the measles cases from whic...