早产产妇乳汁中IgA浓度升高。

Elevated IgA concentration in milk produced by mothers delivered of preterm infants.

作者信息

Gross S J, Buckley R H, Wakil S S, McAllister D C, David R J, Faix R G

出版信息

J Pediatr. 1981 Sep;99(3):389-93. doi: 10.1016/s0022-3476(81)80323-x.

Abstract

Concentrations of immunoglobulins G, M, and A were measured by double-antibody radioimmunoassay in morning milk samples collected during the first month postpartum from 35 mothers delivered of preterm infants and 14 mothers delivered of term infants. Mean concentrations of IgG (1.8, to 2.8 mg/gm protein) and IgM (2.8 to 11.7 mg/gm protein) were similar in milk from both groups of mothers. In contrast, IgA was present in significantly higher concentrations throughout the first month postpartum in milk from mothers delivered of preterm infants than in milk from those giving birth at term (P less than 0.01). To determine the effect of milk flow on IgA concentration, IgA was also measured in complete 24-hour milk collections; milk from mothers with preterm deliveries again contained significantly higher concentrations of IgA than milk from mothers with term deliveries (P less than 0.01). This higher IgA concentration was not secondary to method of milk expression. The concentration of IgA was found, however, to vary inversely with milk volume (P less than 0.01). Although mean values of milk volumes for the groups were not statistically different, the overall lower volumes of milk produced by mothers giving birth preterm resulted in comparable total IgA production per 24 hours. There were no differences in serum IgA concentrations of preterm infants fed their own mother's milk and comparable infants fed a cow milk formula, suggesting that IgA in milk is not absorbed from the intestine in significant amounts.

摘要

采用双抗体放射免疫分析法,对35名早产母亲和14名足月产母亲产后第一个月早晨采集的乳汁样本中的免疫球蛋白G、M和A浓度进行了测定。两组母亲乳汁中IgG(1.8至2.8毫克/克蛋白质)和IgM(2.8至11.7毫克/克蛋白质)的平均浓度相似。相比之下,早产母亲产后第一个月的乳汁中IgA浓度在整个月内均显著高于足月产母亲的乳汁(P<0.01)。为了确定乳汁流量对IgA浓度的影响,还对24小时的完整乳汁分泌量进行了IgA测定;早产母亲的乳汁中IgA浓度再次显著高于足月产母亲的乳汁(P<0.01)。这种较高的IgA浓度并非乳汁分泌方式所致。然而,发现IgA浓度与乳汁量呈负相关(P<0.01)。尽管两组的乳汁量平均值无统计学差异,但早产母亲分泌的乳汁总量较低,导致每24小时的总IgA产量相当。喂养自己母亲乳汁的早产儿与喂养牛奶配方奶的对照婴儿血清IgA浓度无差异,这表明乳汁中的IgA不会大量从肠道吸收。

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