Paré J, Thurmond M C, Hietala S K
Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis 95616, USA.
J Parasitol. 1997 Feb;83(1):82-7.
A cohort study was undertaken on a dairy experiencing endemic Neospora caninum abortions, to characterize dam serologic variations during pregnancy, and to determine if dam N. caninum antibody levels during gestation predicted congenital infection or abortion. Blood samples were collected monthly during pregnancies of 254 cows and precolostrally from 87 of their calves. Antibody levels, as measured by an enzyme-linked immunosorbent assay, indicated 60.6% of cows were seropositive at some time during pregnancy and 87.4% of seropositive cows were seropositive throughout pregnancy. The rate of seroconversion was 8.5/100 cows/yr. The risk of abortion for seropositive cows at the time of pregnancy diagnosis and during gestation was twice that for seronegative cows (P = 0.025, P = 0.006). Calves born to seropositive cows were more likely to be seropositive at birth if the dam had high antibody levels at 240 days of gestation (P = 0.04) and an increase in antibody levels between 90 and 240 days (P = 0.08) than if the respective values of the dam were low or decreasing. Seropositive cows with high antibody levels at 180 and 210 days of gestation were less likely to abort than cows with low antibody levels at those times (P = 0.05, P = 0.03). Results support a causal effect between exposure to N. caninum and abortion, indicate that acquisition of infection during pregnancy is not necessary for congenital infection or abortion to occur, and suggest that maternal immune response influences congenitial infection and abortion.
对一个发生犬新孢子虫地方性流产的奶牛场进行了一项队列研究,以描述妊娠期间母牛的血清学变化,并确定妊娠期间母牛的犬新孢子虫抗体水平是否能预测先天性感染或流产。在254头母牛的妊娠期每月采集血样,并在其87头犊牛出生后初乳期前采集血样。通过酶联免疫吸附测定法测得的抗体水平表明,60.6%的母牛在妊娠期间的某个时间呈血清阳性,87.4%的血清阳性母牛在整个妊娠期都呈血清阳性。血清转化率为8.5/100头母牛/年。妊娠诊断时和妊娠期间血清阳性母牛的流产风险是血清阴性母牛的两倍(P = 0.025,P = 0.006)。如果母牛在妊娠240天时抗体水平高(P = 0.04)且在90至240天之间抗体水平升高(P = 0.08),那么血清阳性母牛所生的犊牛出生时更有可能呈血清阳性,而如果母牛相应的抗体水平低或下降,则犊牛出生时血清阳性的可能性较小。妊娠180天和210天时抗体水平高的血清阳性母牛比此时抗体水平低的母牛流产的可能性小(P = 0.05,P = 0.03)。结果支持接触犬新孢子虫与流产之间存在因果关系,表明先天性感染或流产的发生不一定需要在妊娠期间获得感染,并提示母体免疫反应会影响先天性感染和流产。