Yorty Jodi L, Bonneau Robert H
Department of Microbiology and Immunology and Integrative Biosciences Program in Immunobiology, The Pennsylvania State University College of Medicine, Milton S. Hershey Medical Center, Hershey, Pennsylvania 17033, USA.
J Virol. 2003 Jun;77(12):6613-9. doi: 10.1128/jvi.77.12.6613-6619.2003.
Neonates are severely compromised in the ability to generate an immune response to pathogens and thus rely heavily on maternally derived immunity that is acquired by transplacental and transmammary means. The passive transfer of maternal herpes simplex virus (HSV)-specific antibody is critical in determining the outcome of neonatal HSV infection. In adults, psychological stress alters immune responsiveness via the increased level of corticosterone that is produced as a result of hypothalamic-pituitary-adrenal axis activation. Although the behavioral and neuroendocrine effects of pre- and postnatal stress-induced increases in corticosterone are well documented, the effects of maternal stress on the efficacy of prenatally transferred and neonatally developed viral immunity has yet to be addressed. By using a well-established prenatal restraint-and-light stress mouse model, we investigated the effects of increased maternal corticosterone on the passive transfer of total and HSV-specific immunoglobulin G (IgG) antibody and subsequent neonatal susceptibility to HSV infection. Serum corticosterone levels in pregnant mice were significantly increased in response to restraint-and-light stress, and fetuses derived from these stressed mice had significantly elevated levels of corticosterone. Despite the increases in corticosterone, the passive transfer of total and HSV-specific IgG antibody persisted and, in turn, protected the neonate from systemic viral spread. Therefore, prenatal stress did not increase the susceptibility of neonates to HSV type 2-associated mortality. These findings demonstrate the resiliency of the passive transfer of protective HSV-specific immunity under conditions of acute psychological stress.
新生儿产生针对病原体的免疫反应的能力严重受损,因此严重依赖通过胎盘和母乳途径获得的母体免疫。母体单纯疱疹病毒(HSV)特异性抗体的被动转移对于决定新生儿HSV感染的结果至关重要。在成年人中,心理应激通过下丘脑-垂体-肾上腺轴激活导致皮质酮水平升高,从而改变免疫反应性。虽然产前和产后应激诱导的皮质酮增加对行为和神经内分泌的影响已有充分记录,但母体应激对产前转移和新生儿发育的病毒免疫力功效的影响尚未得到研究。通过使用成熟的产前束缚和光照应激小鼠模型,我们研究了母体皮质酮增加对总免疫球蛋白G(IgG)抗体和HSV特异性IgG抗体被动转移以及随后新生儿对HSV感染易感性的影响。怀孕小鼠的血清皮质酮水平因束缚和光照应激而显著升高,这些应激小鼠的胎儿皮质酮水平也显著升高。尽管皮质酮增加,但总IgG抗体和HSV特异性IgG抗体的被动转移仍然存在,进而保护新生儿免受全身性病毒传播。因此,产前应激并未增加新生儿对2型HSV相关死亡的易感性。这些发现证明了在急性心理应激条件下,保护性HSV特异性免疫被动转移的弹性。