Fochi Mariana Machado Lemos, Baring Sabrina, Spegiorin Lígia Cosentino Junqueira Franco, Vaz-Oliani Denise Cristina Mós, Galão Eloisa Aparecida, Oliani Antonio Hélio, de Mattos Luiz Carlos, de Mattos Cinara Cássia Brandão
Immunogenetics Laboratory, Department of Molecular Biology, Faculdade de Medicina de São José do Rio Preto-FAMERP, São José do Rio Preto, São Paulo, Brazil; FAMERP Toxoplasma Research Group, Faculdade de Medicina de São José do Rio Preto-FAMERP, São José do Rio Preto, São Paulo, Brazil.
Obstetrics and Gynecology Service, Hospital de Base, Fundação Faculdade Regional de Medicina de São José do Rio Preto-HB-FUNFARME, São José do Rio Preto, São Paulo, Brazil.
PLoS One. 2015 Jul 20;10(7):e0132719. doi: 10.1371/journal.pone.0132719. eCollection 2015.
Gestational Toxoplasma gondii infection is considered a major risk factor for miscarriage, prematurity and low birth weight in animals. However, studies focusing on this topic in humans are scarce. The objective of this study is to determine whether anti-Toxoplasma gondii maternal serum profiles correlate prematurity and low birth weight in humans. The study examined 213 pregnant women seen at the High-Risk Pregnancy Hospital de Base, São José do Rio Preto, São Paulo, Brazil. All serological profiles (IgM-/IgG+; IgM-/IgG-; IgM+/IgG+) were determined by ELISA commercial kits. Maternal age, gestational age and weight of the newborn at birth were collected and recorded in the Statement of Live Birth. Prematurity was defined as gestational age <37 weeks and low birth weight ≤ 2499 grams. The t-test was used to compare values (p < 0.05). The mean maternal age was 27.6±6.6 years. Overall, 56.3% (120/213) of the women studied were IgM-/IgG+, 36.2% (77/213) were IgM-/IgG- and 7.5% (16/213) were IgM+/IgG+. The average age of the women with serological profile IgM+/IgG+ (22.3±3.9 years) was different from women with the profile IgM-/IgG+ (27.9±6.7 years, p = 0.0011) and IgM-/IgG- (27.9±6.4 years, p = 0.0012). There was no statistically significant difference between the different serological profiles in relation to prematurity (p = 0.6742) and low birth weight (p = 0.7186). The results showed that prematurity and low birth weight did not correlate with anti-Toxoplasma gondii maternal serum profiles.
妊娠期弓形虫感染被认为是动物流产、早产和低出生体重的主要危险因素。然而,针对该主题的人体研究较少。本研究的目的是确定抗弓形虫母体血清谱与人类早产和低出生体重之间是否存在关联。该研究对巴西圣保罗州里奥普雷图河畔圣若泽市高危妊娠基础医院的213名孕妇进行了检查。所有血清学谱(IgM-/IgG+;IgM-/IgG-;IgM+/IgG+)均通过ELISA商用试剂盒测定。收集产妇年龄、孕周和新生儿出生体重并记录在出生证明中。早产定义为孕周<37周,低出生体重定义为≤2499克。采用t检验比较数值(p<0.05)。产妇平均年龄为27.6±6.6岁。总体而言,研究的女性中56.3%(120/213)为IgM-/IgG+,36.2%(77/213)为IgM-/IgG-,7.5%(16/213)为IgM+/IgG+。血清学谱为IgM+/IgG+的女性平均年龄(22.3±3.9岁)与IgM-/IgG+的女性(27.9±6.7岁,p = 0.0011)和IgM-/IgG-的女性(27.9±6.4岁,p = 0.0012)不同。不同血清学谱在早产(p = 0.6742)和低出生体重(p = 0.7186)方面无统计学显著差异。结果表明,早产和低出生体重与抗弓形虫母体血清谱无关。