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0至2岁婴儿产前暴露于疟疾的临床疟疾发作期间的干扰素和白细胞介素-10反应:坦桑尼亚出生队列研究

Interferon- and Interleukin-10 Responses during Clinical Malaria Episodes in Infants Aged 0-2 Years Prenatally Exposed to : Tanzanian Birth Cohort.

作者信息

Sylvester Boniphace, Gasarasi Dinah B, Aboud Said, Tarimo Donath, Masawe Siriel, Mpembeni Rose, Swedberg Göte

机构信息

Department of Parasitology and Medical Entomology, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, P.O. Box 65001, Dar es Salaam, Tanzania.

Department of Microbiology and Immunology, School of Medicine, Muhimbili University of Health and Allied Sciences, P.O. Box 65001, Dar es Salaam, Tanzania.

出版信息

J Trop Med. 2018 Jul 30;2018:6847498. doi: 10.1155/2018/6847498. eCollection 2018.

Abstract

BACKGROUND

Infants born to mothers with placental malaria are prenatally exposed to antigens. However, the effect of that exposure to subsequent immune responses has not been fully elucidated. This study aimed at determining the effect of prenatal exposure to on Interleukin-10 and Interferon- responses during clinical malaria episodes in the first 24 months of life.

METHODS

This prospective cohort study involved 215 infants aged 0-2 years born to mothers with or without placental malaria. Enzyme-linked immunosorbent assay (ELISA) was used to determine levels of IL-10 and IFN- in infants and detect IgM in cord blood. Data were analyzed using SPSS version 20.

FINDINGS

Geometric mean for IFN- in exposed infants was 557.9 pg/ml (95% CI: 511.6-604.1) and in unexposed infants it was 634.4 pg/ml (95% CI: 618.2-668.5) (P=0.02). Mean IL-10 was 22.4 pg/ml (95% CI: 19.4-28.4) and 15.1 pg/ml (95%CI: 12.4-17.6), respectively (P=0.01).

CONCLUSIONS

Prenatal exposure to antigens significantly affects IL-10 and IFN- responses during clinical malaria episodes in the first two years of life.

摘要

背景

患有胎盘疟疾的母亲所生婴儿在出生前会接触到抗原。然而,这种接触对后续免疫反应的影响尚未完全阐明。本研究旨在确定出生前接触抗原对生命最初24个月临床疟疾发作期间白细胞介素-10和干扰素反应的影响。

方法

这项前瞻性队列研究纳入了215名0至2岁的婴儿,其母亲患有或未患有胎盘疟疾。采用酶联免疫吸附测定(ELISA)法测定婴儿白细胞介素-10和干扰素水平,并检测脐血中的IgM。使用SPSS 20版软件进行数据分析。

结果

接触抗原婴儿的干扰素几何平均水平为557.9 pg/ml(95%置信区间:511.6 - 604.1),未接触抗原婴儿的该水平为634.4 pg/ml(95%置信区间:618.2 - 668.5)(P = 0.02)。白细胞介素-10的平均水平分别为22.4 pg/ml(95%置信区间:19.4 - 28.4)和15.1 pg/ml(95%置信区间:12.4 - 17.6)(P = 0.01)。

结论

出生前接触抗原会显著影响生命最初两年临床疟疾发作期间的白细胞介素-10和干扰素反应。

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