Aaltonen A S, Tenovuo J, Lehtonen O P, Saksala R
Health Center of Lohja District, Pusula, Finland.
Oral Microbiol Immunol. 1990 Feb;5(1):12-8. doi: 10.1111/j.1399-302x.1990.tb00219.x.
Serum and salivary immunoglobulins and antibodies reactive with Streptococcus mutans were determined in 67 5-8-year-old children. The children of mothers whose caries incidence rates exceeded the median value had significantly more serum IgG antibodies to S. mutans than those with a lower maternal caries activity (p less than 0.05). The children (n = 14) who had been exposed to frequent maternal salivary close-contacts in their first year had significantly higher (p less than 0.05) serum total specific IgG antibodies but significantly lower (p less than 0.01) high-avidity IgG antibodies to S. mutans than the other children (n = 53) with less frequent close-contacts. The maternal caries incidence rates were significantly positively associated with children's dfs/DFS-indices (r = 0.41; p less than 0.001). However, the high maternal caries incidence did not increase the risk of caries in those children whose mothers' saliva contained high amounts of lactobacilli during the first nursing year, when compared with matched children with a low maternal level of lactobacilli. This was possibly due to the fact that the former children had significantly (p less than 0.05) more anti-S. mutans IgG antibodies in their sera than the latter.
对67名5至8岁儿童的血清和唾液免疫球蛋白以及与变形链球菌反应的抗体进行了测定。母亲龋齿发病率超过中位数的儿童,其血清中针对变形链球菌的IgG抗体明显多于母亲龋齿活动度较低的儿童(p<0.05)。在出生第一年经常与母亲有唾液密切接触的14名儿童,其血清中总的特异性IgG抗体明显较高(p<0.05),但针对变形链球菌的高亲和力IgG抗体明显低于其他密切接触较少的53名儿童(p<0.01)。母亲的龋齿发病率与儿童的dfs/DFS指数显著正相关(r = 0.41;p<0.001)。然而,与母亲唾液中乳酸菌含量低的匹配儿童相比,母亲龋齿发病率高并没有增加那些在出生第一年母亲唾液中含有大量乳酸菌的儿童患龋齿的风险。这可能是因为前者血清中抗变形链球菌IgG抗体明显多于后者(p<0.05)。