羊水内由 COVID-19 疫苗引发的母体抗体证据:意大利两例报告。

Evidence of Maternal Antibodies Elicited by COVID-19 Vaccination in Amniotic Fluid: Report of Two Cases in Italy.

机构信息

National Institute for Infectious Diseases "L. Spallanzani" IRCCS, 00149 Rome, Italy.

出版信息

Viruses. 2022 Jul 21;14(7):1592. doi: 10.3390/v14071592.

Abstract

With SARS-CoV-2 infection, pregnant women may be at a high risk of severe disease and adverse perinatal outcomes. A COVID-19 vaccination campaign represents the key strategy to combat the pandemic; however, public acceptance of maternal immunization has to be improved, which may be achieved by highlighting the promising mechanism of passive immunity as a strategy for protecting newborns against SARS-CoV-2 infection. We tested the anti-SARS-CoV-2 antibody response following COVID-19 full-dose vaccination in the serum and amniotic fluid of two pregnant women who presented between April and June 2021, at the Center for the Treatment and Prevention of Infections in Pregnancy of the National Institute for Infectious Diseases "L. Spallanzani", for antenatal consultancy. Anti-SARS-CoV-2 IgG was found in residual samples of amniotic fluid collected from both women at the 18th week of gestation (63 and 131 days after the second dose's administration). Titers in amniotic fluid mirrored the levels detected in serum and were inversely linked to the time from vaccination. Our results suggest that antibodies elicited by COVID-19 vaccination can cross the placenta and reach the fetus; therefore, they may offer passive immunity at birth. It is critical to fully understand the kinetics of the maternal response to vaccination, the efficiency of IgG transfer, and the persistence of antibodies in infants to optimize maternal immunization regimens.

摘要

SARS-CoV-2 感染可能使孕妇面临严重疾病和不良围产期结局的高风险。COVID-19 疫苗接种运动是应对大流行的关键策略;然而,必须提高公众对孕产妇免疫接种的接受程度,这可以通过强调被动免疫作为保护新生儿免受 SARS-CoV-2 感染的策略的有希望的机制来实现。我们在 2021 年 4 月至 6 月期间,在国家传染病研究所“L. Spallanzani”妊娠感染治疗和预防中心,对两名因产前咨询而就诊的孕妇的血清和羊水进行了 COVID-19 全剂量疫苗接种后的抗 SARS-CoV-2 抗体反应测试。在妊娠 18 周时,从这两名女性的羊水残留样本中发现了抗 SARS-CoV-2 IgG(在第二剂接种后 63 天和 131 天)。羊水中的滴度与血清中检测到的水平一致,且与接种时间呈反比。我们的研究结果表明,COVID-19 疫苗接种引起的抗体可以穿过胎盘并到达胎儿;因此,它们可能在出生时提供被动免疫。充分了解母体对疫苗接种的反应动力学、IgG 转移的效率以及婴儿体内抗体的持续时间,对于优化孕产妇免疫接种方案至关重要。

相似文献

本文引用的文献

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索