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Development of lymphocyte subpopulations in preterm infants
J C Walker1, M A J C Smolders, E F A Gemen
1Department of Paediatrics, Jeroen Bosch Hospital, 's-Hertogenbosch, The Netherlands.
Scandinavian Journal of Immunology
|December 7, 2010
Summary
Preterm infants show similar lymphocyte development to full-term infants, generating naive T and B lymphocytes post-birth. However, lower post-menstrual age correlates with reduced naive helper T lymphocyte counts.
Area of Science:
- Immunology
- Neonatology
- Pediatrics
Background:
- The immune system of preterm neonates is considered underdeveloped at birth.
- Limited knowledge exists regarding lymphocyte subpopulation size and maturation in preterm infants during early infancy.
Purpose of the Study:
- To investigate the postnatal development of lymphocyte subpopulations in preterm infants.
- To compare immune system maturation in preterm versus term neonates during the first three months of life.
Main Methods:
- Prospective longitudinal study involving 38 preterm neonates.
- Blood samples collected at birth (cord blood), 1 week, 6 weeks, and 3 months.
- Lymphocyte subpopulations analyzed using four-colour flow cytometry and compared to term neonates, children, and adults.
Main Results:
- Preterm and term infants exhibited similar patterns in lymphocyte subpopulation development.
- Both B lymphocytes and helper/cytotoxic T lymphocytes were predominantly naive cells at birth and throughout the 3-month follow-up.
- Lower post-menstrual age was associated with lower absolute counts of naive helper T lymphocytes.
Conclusions:
- The preterm immune system can generate naive T and B lymphocytes post-natally at a similar rate as term infants.
- Despite similar developmental patterns, absolute counts of naive helper T lymphocytes are lower in preterm infants with lower post-menstrual ages.
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