Petersen E E, Neumann-Haefelin D, Heussler M
Dtsch Med Wochenschr. 1978 Oct 27;103(43):1695-700. doi: 10.1055/s-0028-1129325.
Rubella infection was produced with a wild rubella virus in 24 volunteers by intranasal application. Some of the subjects were given gamma-globulin intramuscular 24 hours later. In the control group clinically manifest rubella with massive viral excretion in the throat occurred in all in whom infection had taken place. In the majority of subjects rubella virus could be demonstrated in blood shortly before the skin rash appeared. High antibody titres occurred already 20 days after the infection. In subjects who were given gamma-globulin there were no clinical signs of rubella, viral excretion in the throat was diminished and shortened and viraemia was never demonstrated, antibody response was delayed and lower. But there was no significant decrease in the infection rate after gamma-globluin administration. It is concluded that early administration of a sufficient amount of rubella antibodies achieves inhibition of rubella virus multiplication and thus decreases significantly the risk of damage to the fetus.
通过鼻腔接种,用野生风疹病毒使24名志愿者感染风疹。其中一些受试者在24小时后接受了肌肉注射丙种球蛋白。在对照组中,所有发生感染的受试者均出现了临床症状明显的风疹,且咽喉部有大量病毒排出。在大多数受试者中,在皮疹出现前不久血液中可检测到风疹病毒。感染后20天就出现了高抗体滴度。接受丙种球蛋白的受试者没有风疹的临床症状,咽喉部病毒排出减少且持续时间缩短,从未检测到病毒血症,抗体反应延迟且较低。但是给予丙种球蛋白后感染率没有显著下降。结论是早期给予足量的风疹抗体可抑制风疹病毒增殖,从而显著降低胎儿受损的风险。