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原发性抗体缺陷孕妇孕期的母血清IgG水平会影响新生儿的IgG水平吗?

Does the Maternal Serum IgG Level during Pregnancy in Primary Antibody Deficiency Influence the IgG Level in the Newborn?

作者信息

Nagendran Vasantha, Emmanuel Noel, Bansal Amolak S

机构信息

Epsom and St Helier University Hospitals NHS Trust, Carshalton, Surrey SM5 1AA, UK ; St Georges University of London, London SW17 0RE, UK.

St George's University Hospitals NHS Foundation Trust, Tooting, London SW17 0QT, UK.

出版信息

Case Reports Immunol. 2015;2015:286380. doi: 10.1155/2015/286380. Epub 2015 Aug 27.

DOI:10.1155/2015/286380
PMID:26413359
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4564600/
Abstract

Purpose. To find out if the serum IgG level in the newborn baby was affected by low maternal serum IgG during pregnancy in two newly diagnosed primary antibody deficient patients. Method. Infant cord blood IgG level was compared with maternal IgG level in 2 mothers with newly diagnosed primary antibody deficiency, who declined replacement IgG treatment during pregnancy. Results. Both mothers delivered healthy babies with normal IgG levels at birth. Conclusions. The normal IgG levels and sound health in these 2 babies in spite of low maternal IgG throughout pregnancy raise interesting discussion points about maternofoetal immunoglobulin transport mechanisms in primary antibody deficiency.

摘要

目的。在两名新诊断的原发性抗体缺陷患者中,探究孕期母亲血清IgG水平低是否会影响新生儿的血清IgG水平。方法。比较2名新诊断为原发性抗体缺陷且孕期拒绝接受IgG替代治疗的母亲的婴儿脐带血IgG水平与母亲的IgG水平。结果。两名母亲均分娩出出生时IgG水平正常的健康婴儿。结论。尽管这两名婴儿在整个孕期母亲的IgG水平较低,但他们的IgG水平正常且健康状况良好,这引发了关于原发性抗体缺陷中母胎免疫球蛋白转运机制的有趣讨论点。

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本文引用的文献

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Specific antibodies against vaccine-preventable infections: a mother-infant cohort study.针对可预防感染的特异性抗体:一项母婴队列研究。
BMJ Open. 2013 Apr 11;3(4). doi: 10.1136/bmjopen-2012-002473. Print 2013.
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IgG placental transfer in healthy and pathological pregnancies.健康与病理妊娠中的IgG胎盘转运
Clin Dev Immunol. 2012;2012:985646. doi: 10.1155/2012/985646. Epub 2011 Oct 1.
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Transfer of antibodies across the placenta and in breast milk from mothers on intravenous immunoglobulin.静脉注射免疫球蛋白的母亲体内的抗体通过胎盘和母乳进行转移。
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Placental transport of immunoglobulin G.免疫球蛋白G的胎盘转运
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7
Rapid subcutaneous IgG replacement therapy at home for pregnant immunodeficient women.居家对妊娠免疫缺陷妇女进行快速皮下注射免疫球蛋白替代疗法。
J Clin Immunol. 2001 Mar;21(2):150-4. doi: 10.1023/a:1011051704960.
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Transplacental transmission of serotype-specific pneumococcal antibodies in a Brazilian population.巴西人群中血清型特异性肺炎球菌抗体的胎盘传播。
Clin Diagn Lab Immunol. 1999 Jan;6(1):50-4. doi: 10.1128/CDLI.6.1.50-54.1999.
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Intravenous immunoglobulin replacement therapy for common variable immunodeficiency during pregnancy.孕期普通变异型免疫缺陷的静脉注射免疫球蛋白替代疗法。
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10
Placental transfer and maternally acquired neonatal IgG immunity in human immunodeficiency virus infection.人类免疫缺陷病毒感染中的胎盘转运及母体获得性新生儿IgG免疫
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