Association between low concentrations of antibodies to protein alpha and Rib and invasive neonatal group B

C Larsson1, M Lindroth, P Nordin

  • 1Department of Medical Microbiology, Lund University, Lund, Sweden. charlotte.u.larsson@vgregion.se

Insights

Maternal antibodies transferred across the placenta to group B streptococci (GBS) proteins alpha and Rib appear to protect neonates from GBS infection. Low antibody levels in newborns were linked to invasive GBS disease.

Area of Science:

  • Immunology
  • Neonatal Health
  • Microbiology

Background:

  • Group B streptococci (GBS) cause severe neonatal infections.
  • GBS surface proteins alpha and Rib are potential vaccine candidates.
  • Maternal antibodies may protect newborns from GBS.

Purpose of the Study:

  • To determine if maternal antibodies to GBS proteins protect neonates.
  • Investigate the role of transplacental antibody transfer in GBS infection prevention.

Main Methods:

  • Case-control study of 30 infected neonates and 60 controls.
  • Measured IgG antibody concentrations in neonatal and maternal sera.
  • Analyzed antibodies against GBS proteins alpha and Rib.

Main Results:

  • Transplacental transfer of antibodies to alpha and Rib confirmed.
  • Low neonatal antibody concentrations associated with invasive GBS infection.
  • Significant odds ratios (0.0007 for alpha, 0.002 for Rib) for protection.

Conclusions:

  • Antibodies to GBS surface proteins alpha and Rib contribute to neonatal protection.
  • Findings support the development of GBS vaccines targeting these proteins.
Abstract

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