“…Unconjugated pneumococcal capsular polysaccharide vaccines elicit antibodies that are largely restricted in their immunoglobulin G (IgG) subclass distribution, with a preponderance of IgG2 in humans (IgG3 in mice), even after absorption of nonspecific antibodies (3,6,25,31,34,42,45,55). Type-specific antibodies to pneumococcal polysaccharide are also restricted in their V-region gene use, being predominantly derived from members of the V H 3 immunoglobulin gene family (1,13,39). Although the importance of antibody restriction for pneumococcal resistance is unknown, it may translate into a poor response to polysaccharide-based vaccines in patients with IgG subclass deficiencies and/or dysregulation of V H 3 gene expression, such as human immunodeficiency virus-infected individuals (1,11,12,47).…”