孕期SARS-CoV-2特异性抗体和细胞因子谱的垂直传播
Vertical Transmission of SARS-CoV-2-Specific Antibodies and Cytokine Profiles in Pregnancy.
作者信息
Monroe Jonathon M, Quach Huy Quang, Punia Sohan, Enninga Elizabeth Ann L, Fedyshyn Yaroslav, Girsch James H, Fedyshyn Bohdana, Lemens Maureen, Littlefield Dawn, Behl Supriya, Sintim-Aboagye Elise, Mejia Plazas Maria C, Yamaoka Satoko, Ebihara Hideki, Pandey Akhilesh, Correia Cristina, Ung Choong Yong, Li Hu, Vassallo Robert, Sun Jie, Johnson Erica L, Olson Janet E, Theel Elitza S, Badley Andrew D, Kennedy Richard B, Theiler Regan N, Chakraborty Rana
机构信息
Vaccine Research Group, Department of Internal Medicine.
Children Research Center, Division of Pediatric Infectious Diseases, Department of Pediatric and Adolescent Medicine.
出版信息
J Infect Dis. 2024 Feb 14;229(2):473-484. doi: 10.1093/infdis/jiad399.
Despite intensive characterization of immune responses after COVID-19 infection and vaccination, research examining protective correlates of vertical transmission in pregnancy are limited. Herein, we profiled humoral and cellular characteristics in pregnant women infected or vaccinated at different trimesters and in their corresponding newborns. We noted a significant correlation between spike S1-specific IgG antibody and its RBD-ACE2 blocking activity (receptor-binding domain-human angiotensin-converting enzyme 2) in maternal and cord plasma (P < .001, R > 0.90). Blocking activity of spike S1-specific IgG was significantly higher in pregnant women infected during the third trimester than the first and second trimesters. Elevated levels of 28 cytokines/chemokines, mainly proinflammatory, were noted in maternal plasma with infection at delivery, while cord plasma with maternal infection 2 weeks before delivery exhibited the emergence of anti-inflammatory cytokines. Our data support vertical transmission of protective SARS-CoV-2-specific antibodies. This vertical antibody transmission and the presence of anti-inflammatory cytokines in cord blood may offset adverse outcomes of inflammation in exposed newborns.
尽管对新型冠状病毒肺炎感染和接种疫苗后的免疫反应进行了深入研究,但关于孕期垂直传播的保护性相关因素的研究仍然有限。在此,我们分析了不同孕期感染或接种疫苗的孕妇及其相应新生儿的体液和细胞特征。我们发现,母体和脐带血中刺突S1特异性IgG抗体与其RBD-ACE2阻断活性(受体结合域-人血管紧张素转换酶2)之间存在显著相关性(P < 0.001,R > 0.90)。孕晚期感染的孕妇中,刺突S1特异性IgG的阻断活性显著高于孕早期和孕中期。分娩时感染的孕妇母体血浆中,28种细胞因子/趋化因子水平升高,主要为促炎因子,而分娩前2周母体感染的脐带血血浆中则出现了抗炎细胞因子。我们的数据支持保护性严重急性呼吸综合征冠状病毒2特异性抗体的垂直传播。这种垂直抗体传播以及脐带血中抗炎细胞因子的存在可能抵消暴露新生儿炎症的不良后果。
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