Lodinová R, Jouja V
Acta Paediatr Scand. 1977 Nov;66(6):705-8. doi: 10.1111/j.1651-2227.1977.tb07975.x.
Twenty five breast-fed and 25 formula-fed infants were colonised by oral administration of a living suspension of E. coli 083. Twenty breast-fed and 13 formula-fed infants were followed as controls. Specific antibody titres in serum, stool filtrates and milk, and secretory IgA levels in stool filtrates and milk were determined in samples taken fortnightly from birth until 20 weeks of age. The haemagglutinating antibody in serum and milk increased in the colonised groups, but in stool filtrates an inhibitory effect of breast-milk was demonstrated. Secretory IgA levels in stool filtrates were significantly higher in colonised infants and breast-fed controls than in bottle-fed infants during the period of breast feeding. Then levels in the colonised groups remained high, but in breast-fed controls they decreased to values found in bottle-fed controls. Artificial colonisation evoked local antibody and secretory IgA responses in the intestine, as well as an antibody response in the mother's mammary gland. The possible protective effect of those responses is discussed.
通过口服大肠杆菌083活悬液使25名母乳喂养婴儿和25名配方奶喂养婴儿定殖。将20名母乳喂养婴儿和13名配方奶喂养婴儿作为对照进行随访。从出生至20周龄,每两周采集一次样本,测定血清、粪便滤液和乳汁中的特异性抗体滴度,以及粪便滤液和乳汁中的分泌型IgA水平。定殖组血清和乳汁中的血凝抗体增加,但在粪便滤液中显示出母乳的抑制作用。在母乳喂养期间,定殖婴儿和母乳喂养对照组粪便滤液中的分泌型IgA水平显著高于奶瓶喂养婴儿。然后,定殖组的水平保持较高,但母乳喂养对照组的水平降至奶瓶喂养对照组的水平。人工定殖在肠道中引发了局部抗体和分泌型IgA反应,以及母亲乳腺中的抗体反应。讨论了这些反应可能的保护作用。