Thorley J D, Kaplan J M, Holmes R K, McCracken G H, Sanford J P
Lancet. 1975 Mar 22;1(7908):651-3. doi: 10.1016/s0140-6736(75)91757-2.
The demonstration that specific IgM antibodies are present in the serum of infants is useful in the diagnosis of several congenital infections. However, it is less certain whether the detection of antibodies in cerebrospinal fluid (c.s.f.) of infants indicates congenital infection of the central nervous system, because the origins of such antibodies have not been established. In the present study diphtheria and tetanus antitoxins of maternal origin have been detected both in the serum and in the c.s.f. of infants. These observations suggest that an important source of immunoglobulins in c.s.f. is passive transfer of antibodies from serum which should be considered in interpreting serological studies with c.s.f.
证明婴儿血清中存在特异性IgM抗体,对几种先天性感染的诊断很有用。然而,婴儿脑脊液(CSF)中抗体的检测是否表明中枢神经系统先天性感染,尚不太确定,因为此类抗体的来源尚未明确。在本研究中,已在婴儿的血清和脑脊液中检测到母体来源的白喉和破伤风抗毒素。这些观察结果表明,脑脊液中免疫球蛋白的一个重要来源是抗体从血清的被动转移,在解释脑脊液血清学研究结果时应考虑这一点。