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Clinical and Diagnostic Laboratory Immunology, 09 1997, 565-571, Vol 4, No. 5
S Gennaro, WP Fehder, A Cnaan, R York, DE Campbell, PR Gallagher and SD Douglas
Differences in the levels of immune cell subsets present in peripheral
blood have been demonstrated based on sociodemographic factors such as age
and race. Postpartal women, who are recovering from the immune changes that
are concomitant with pregnancy, have lymphocyte and monocyte values that
differ from other populations. A subgroup of postpartal women, mothers who
deliver preterm very-low-birth-weight (VLBW) (< or = 1,500 g) infants,
may have further differences in values of immune cell subsets and in immune
functioning either because of hormonal factors or lifestyle changes or
because of the stress they experience after their infant's birth and for
the first few months of infant caretaking. This study examined anxiety,
depression, and immune cell phenotypes in 30 mothers of VLBW infants and in
30 mothers of healthy term infants over the first 4 postpartal months to
determine if mothers of preterm VLBW infants differed from mothers of
healthy term infants in psychological and immunologic parameters.
Additionally, lymphocyte proliferation and natural killer cell functional
assays were performed in a subset of mothers. Mothers of VLBW infants had
increased anxiety and decreased lymphocyte proliferation compared to
mothers of term infants. When lymphocyte and monocyte subsets were compared
over time between the two groups of mothers differences were found in CD8,
CD20, CD3-/CD56+, CD14, and HLA class II Ia on monocytes. Mothers with
high-fat diets had lower percentages of some monocytes (CD14), lymphocytes
(CD4+/CD45RA+), and natural killer cells (CD3-/CD57+) during the first 4
postpartal months.
Copyright © 1997 by the American Society for Microbiology. All rights reserved.
Immune responses in mothers of term and preterm very-low-birth-weight infants
University of Pennsylvania School of Nursing, Philadelphia, USA.
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