Barrington G M, Parish S M
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman, Washington, USA.
Vet Clin North Am Food Anim Pract. 2001 Nov;17(3):463-76. doi: 10.1016/s0749-0720(15)30001-3.
The majority of early, in utero immune development occurs independent of antigen exposure. Only later during development can a fetus respond to antigens, and even then the response depends on the stage of fetal development and the nature of the antigen. At birth, the neonate is rapidly exposed to large numbers of potential pathogens. Although immunocompetent, the neonate is immunonaive and dependent on passively acquired maternal immunoglobulins, immune cells, and other substances from colostrum for protection. Neonates that suffer failure of passive transfer of maternal immunoglobulins may be at increased risk for disease; however, many other factors interact in conjunction with the level of passively acquired immunoglobulin to determine the occurrence of disease. These include, but are not limited to, management, environment, hygiene, infection pressure, virulence of organisms, and antibody specificity. In addition to immunoglobulins, colostrum contains large numbers of immune cells and cytokines. It is thought that the primary role for the cellular component of colostrum is to interact with the development of local immunity and to modulate active immunization of the neonatal intestine. In particular, T lymphocytes are thought to transfer immune functions and secrete cytokines. Although most of the major cytokines have been identified in colostrum and milk, their biologic effects on the neonate have yet to be determined.
大多数早期的子宫内免疫发育独立于抗原暴露而发生。只有在发育后期,胎儿才能对抗原作出反应,即便如此,这种反应仍取决于胎儿的发育阶段和抗原的性质。出生时,新生儿会迅速接触到大量潜在病原体。尽管具有免疫能力,但新生儿是免疫初免的,依赖于从初乳中被动获得的母体免疫球蛋白、免疫细胞和其他物质来提供保护。母体免疫球蛋白被动转移失败的新生儿可能患病风险增加;然而,许多其他因素与被动获得的免疫球蛋白水平相互作用,共同决定疾病的发生。这些因素包括但不限于管理、环境、卫生、感染压力、病原体毒力和抗体特异性。除免疫球蛋白外,初乳还含有大量免疫细胞和细胞因子。人们认为初乳的细胞成分的主要作用是与局部免疫的发育相互作用,并调节新生儿肠道的主动免疫。特别是,T淋巴细胞被认为可传递免疫功能并分泌细胞因子。尽管在初乳和乳汁中已鉴定出大多数主要细胞因子,但其对新生儿的生物学效应尚未确定。