Infectious episodes during pregnancy, at particular mucosal sites, increase specific IgA1 or IgA2 subtype levels in human colostrum

怀孕期间,特定粘膜部位的感染事件会增加人初乳中特定的 IgA1 或 IgA2 亚型水平

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作者:Erick Sánchez-Salguero, Geovanni Kaleb Mondragón-Ramírez, Julio C Alcántara-Montiel, Arturo Cérbulo-Vázquez, Xóchitl Villegas-Domínguez, Víctor Manuel Contreras-Vargas, María Del Rocío Thompson-Bonilla, Héctor Romero-Ramírez, Leopoldo Santos-Argumedo

Background

Colostrum is the primary source of maternal immunoglobulin A (IgA) for the newborn. IgA participates in protection and regulation mechanisms of the immune response at the neonate's mucosa. Several studies have evaluated infectious diseases and vaccine protocols effects during pregnancy on maternal milk IgA levels, with the

Conclusions

Infections present during pregnancy at certain mucosal site increase specific IgA subclasses levels in human colostrum. These results will help in understanding infections and immunizations effects on maternal IgA at the mammary gland, and their impact on the development and protection of the newborn.

Methods

We analyzed data from 900 women in Mexico City. With Pearson correlation, we compared the number of infectious episodes during their pregnancy that was associated with mucosal compartments (skin, respiratory and gastrointestinal tracts) and colostrum IgA subclasses.

Results

We show a correlation between increased colostrum IgA1 levels and the number of infectious episodes at respiratory tract and the skin. In contrast, infections at the gastrointestinal tract correlated with increased IgA2 amounts. Conclusions: Infections present during pregnancy at certain mucosal site increase specific IgA subclasses levels in human colostrum. These results will help in understanding infections and immunizations effects on maternal IgA at the mammary gland, and their impact on the development and protection of the newborn.

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