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Clinical and Diagnostic Laboratory Immunology, January 1999, p. 50-54, Vol. 6, No. 1
Division of Allergy,
Received 6 April 1998/Returned for modification 15 June
1998/Accepted 2 October 1998
The highest incidence of severe pneumococcal infections in children
occurs in the first 6 months of life; however, immunization of infants
with the existing polysaccharide vaccines is ineffective. We wished to
determine the prevalence of immunoglobulin G (IgG) pneumococcal
antibodies in unimmunized Brazilian mothers and their transplacental
transmission to term and preterm infants. Total IgG, IgG1 and -2 subclass levels, and IgG antibodies against Streptococcus pneumoniae serotypes 1, 3, 6B, 9V, and 14 were determined in 15 pairs of mothers and term newborns (gestational age,
1071-412X/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Transplacental Transmission of Serotype-Specific
Pneumococcal Antibodies in a Brazilian Population
37 weeks) and in
18 pairs of mothers and preterm newborns (gestational age, 32 to 36 weeks). Serotype-specific anti-pneumococcal antibodies were detected by
a recently standardized enzyme-linked immunosorbent assay calibrated
with the 89-SF reference serum. Varying percentages of the mothers had
antibody concentrations below arbitrarily defined protective levels:
33% for serotype 1, 67% for serotype 3, 30% for serotype 6B, 52%
for serotype 9V, and 22% for serotype 14. In term newborns, IgG1
concentrations were slightly higher than maternal concentrations; in
preterm newborns, the concentrations were much lower. Concentrations of
IgG2 in term and preterm infants were significantly lower than in the
mothers. Transplacental transmission of antibodies to serotypes 3 and
14 was clearly different from that of antibodies to serotypes 1, 6B,
and 9V. Concentrations of IgG antibodies against serotypes 3 and 14 were similar to or higher than those of the mothers; against serotypes
1, 6B, and 9V they ranged from 77 to 83% of maternal concentrations in
term newborns and also in preterm infants, although transplacental transmission of antibodies was proportionally lower for each specific serotype in preterm than in term infants. These data are relevant for
developing strategies to protect infants against pneumococcal infections in the first months of life. Our findings and a review of
existing information stress the importance of understanding the
relationships among pneumococcal immunization, IgG subclass antibodies
to individual serotypes, transplacental transport, half-life, and
antibody function and their protective values against infection.
*
Corresponding author. Mailing address: Rua dos Otonis,
725, Vila Clementino, São Paulo-SP, Brazil, CEP: 04025-002. Phone: 55 11 5740548. Fax: 55 11 5701590. E-mail:
beatrizt{at}nox.net.
Clinical and Diagnostic Laboratory Immunology, January 1999, p. 50-54, Vol. 6, No. 1
1071-412X/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
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