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重度轮状病毒感染性腹泻患儿及其母亲体内针对不同轮状病毒血清型的中和抗体流行情况

Prevalence of neutralizing antibodies against different rotavirus serotypes in children with severe rotavirus-induced diarrhea and their mothers.

作者信息

Ray Pratibha G, Kelkar Shobhana D

机构信息

Rotavirus Department, National Institute of Virology, Pune 411 001, India.

出版信息

Clin Diagn Lab Immunol. 2004 Jan;11(1):186-94. doi: 10.1128/cdli.11.1.186-194.2004.

Abstract

Neutralizing antibody (NAb) responses to different rotavirus serotypes were compared in 64 convalescent-phase serum samples from hospitalized rotavirus-positive children less than 2 years of age and their mothers. Compared to the child patients, the mothers showed significantly higher NAb positivity to animal rotavirus serotypes G3 simian (96.88%), G6 bovine (85.94%), and G10 bovine (25.0%) and to human rotavirus serotypes G8 (79.69%) and G3 (57.81%) (P < 0.01 for each) but not to human serotypes G1, G2, G4, and G9 (P > 0.05). The overall prevalence of NAb among the child patients was low for human rotavirus serotypes G1 (20.31%) and G3 (21.8%). The comparative NAb response in individual mother-child paired serum samples was analyzed against each rotavirus serotype. A substantial number of child patients showed higher NAb titers than their mothers to serotypes G1, G2, G4, and G9, indicating that these serotypes are the major serotypes causing rotavirus diarrhea among the children of Pune, India. In these cases, the mothers were either negative or had lower titers of NAbs than their children. Correlation was observed between the infecting serotype and child patient serum that showed a homologous NAb response at a higher level than that of the mother. It appears that when the level of NAb to a particular serotype is higher among child patients than among their mothers, that serotype is the infecting serotype, and that low titers of NAb among the mothers predispose the children to infection with that serotype, if the serotype is in circulation.

摘要

在64份来自2岁以下住院轮状病毒阳性儿童及其母亲的恢复期血清样本中,比较了对不同轮状病毒血清型的中和抗体(NAb)反应。与儿童患者相比,母亲对动物轮状病毒血清型G3猿猴(96.88%)、G6牛(85.94%)和G10牛(25.0%)以及人类轮状病毒血清型G8(79.69%)和G3(57.81%)的NAb阳性率显著更高(每种血清型P<0.01),但对人类血清型G1、G2、G4和G9则不然(P>0.05)。儿童患者中人类轮状病毒血清型G1(20.31%)和G3(21.8%)的NAb总体流行率较低。针对每种轮状病毒血清型,分析了个体母婴配对血清样本中的比较NAb反应。大量儿童患者针对血清型G1、G2、G4和G9的NAb滴度高于其母亲,这表明这些血清型是印度浦那儿童中导致轮状病毒腹泻的主要血清型。在这些病例中,母亲要么为阴性,要么NAb滴度低于其子女。在感染血清型与儿童患者血清之间观察到相关性,显示出同源NAb反应水平高于母亲。似乎当儿童患者中针对特定血清型的NAb水平高于其母亲时,该血清型就是感染血清型,并且如果该血清型在传播,母亲中低滴度的NAb会使儿童易感染该血清型。

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