Original Article
IntroductIonChlamydia trachomatis is the leading cause of bacterial sexually transmitted infection (STI) in humans.[1] The prevalence of C. trachomatis infection has been rising progressively in many countries, with >100 million new cases estimated annually around the globe (WHO).[2] An estimated 3-4 million new cases occur every year in the US, 5 million in Western Europe and 16 million in Sub-Saharan Africa.[3] The largest burden of C. trachomatis infection occurs in women, where complications can include pelvic inflammatory disease. However, because patients with C. trachomatis urogenital infections often do not exhibit any symptoms (75%-90% of patients), they remain undiagnosed and untreated. This can lead to tubal factor infertility, miscarriage or ectopic pregnancy. [4][5][6] Genital Chlamydia infections also increase the susceptibility to other sexually transmitted agents, such as HIV. [7] Repeated chlamydial genital infections are common and account for a substantial proportion of incident infections.[8]Although C. trachomatis infections can be treated effectively with antibiotics such as azithromycin, or doxycycline, almost one-fourth of individuals are re-infected with C. trachomatis.[9]Repeated infections result from failure of antibiotic therapy or from reinfection due to continued unprotected sexual contact Introduction: Chlamydia trachomatis is the etiological agent for the most prevalent bacterial sexually transmitted infection in both developed and developing countries. The aim of present study was to characterize the antibody response between two groups of individuals, having either a single C. trachomatis infection and or repeated infections. Material and Methods: Current study consisted of two groups, one with an initial Chlamydia infection and a second with repeated infections. A titre based estimation of specific serum (IgG and IgA) levels using ELISA were performed, which further validated by western blot. In vitro neutralizing ability of each patient's serum against both homologous and heterologous strains was also determined. Results: Individuals infected with one of the C. trachomatis serovars D, E or K exhibited a strong systemic antibody response as characterized by ELISA and western blot. These individuals may have developed at least some level of protection as they only represented single infection. By comparison, individuals infected with serovar D, E or F that exhibited low systemic antibody response often presented repeated C. trachomatis infections, suggesting an association with poor immune response. An in vitro neutralizing level of 60-90% was observed in the human sera against homologous serovar D and two heterologous C. trachomatis serovars E and K, compared to <40% against heterologous serovars F. Conclusion: Individuals infected with serovars D and K showed a potential association between circulating antibody response and re-infection risk. While the patients infected with serovars E showed a disconnection between systemic antibody response and re-...