Clyne P S, Kulczycki A
Washington University School of Medicine, St Louis, Missouri.
Pediatrics. 1991 Apr;87(4):439-44.
Previous studies have suggested that an unidentified cow's milk protein, other than beta-lactoglobulin and casein, might play a pathogenetic role in infant colic. Therefore, a radioimmunoassay was used to analyze human breast milk and infant formula samples for the presence of bovine IgG. Milk samples from 88 of the 97 mothers tested contained greater than 0.1 micrograms/mL of bovine IgG. In a study group of 59 mothers with infants in the colic-prone 2- to 17-week age group, the 29 mothers of colicky infants had higher levels of bovine IgG in their breast milk (median 0.42 micrograms/mL) than the 30 mothers of noncolicky infants (median 0.32 micrograms/mL) (P less than .02). The highest concentrations of bovine IgG observed in human milk were 8.5 and 8.2 micrograms/mL. Most cow's milk-based infant formulas contained 0.6 to 6.4 micrograms/mL of bovine IgG, a concentration comparable with levels found in many human milk samples. The results suggest that appreciable quantities of bovine IgG are commonly present in human milk, that significantly higher levels are present in milk from mothers of colicky infants, and that bovine IgG may possibly be involved in the pathogenesis of infant colic.
先前的研究表明,除β-乳球蛋白和酪蛋白外,一种未明确的牛乳蛋白可能在婴儿腹绞痛的发病机制中起作用。因此,采用放射免疫分析法分析人乳和婴儿配方奶粉样本中牛IgG的存在情况。在接受检测的97位母亲中,有88位母亲的乳汁样本中牛IgG含量高于0.1微克/毫升。在一个由59位母亲组成的研究组中,她们的婴儿处于易患腹绞痛的2至17周龄组,其中29位患有腹绞痛婴儿的母亲母乳中的牛IgG水平(中位数为0.42微克/毫升)高于30位未患腹绞痛婴儿的母亲(中位数为0.32微克/毫升)(P<0.02)。人乳中观察到的牛IgG最高浓度为8.5和8.2微克/毫升。大多数以牛奶为基础的婴儿配方奶粉中牛IgG含量为0.6至6.4微克/毫升,这一浓度与许多人乳样本中的含量相当。结果表明,人乳中通常存在相当数量的牛IgG,患腹绞痛婴儿母亲的乳汁中牛IgG水平明显更高,并且牛IgG可能参与婴儿腹绞痛的发病机制。