在怀孕期间的SARS-CoV-2突破性感染优先引起IgG4反应和增强的胎盘转移
Sheridan B Wagner1, Monica Rincon2, Katelyn E Keen1
1Department of Microbiology, Immunology, and Molecular Genetics, College of Medicine, University of Kentucky, Lexington, KY, United States.
Vaccine
|July 10, 2025
概括
在怀孕期间突破SARS-CoV-2感染增强了母亲的抗体反应,并促进了对新生儿的抗体转移. 建议孕妇继续接种疫苗,以防止严重的COVID-19和新生儿.
科学领域:
- 免疫学 免疫学 免疫学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 病毒学 病毒学
背景情况:
- 新出现的SARS-CoV-2变种和免疫力减弱增加了突破性感染.
- 孕妇和新生儿面临COVID-19的更高风险.
研究的目的:
- 评估母亲对SARS-CoV-2的IgG反应.
- 在突破性感染,初级感染或怀孕期间接种疫苗后评估抗体转移到胎儿.
主要方法:
- 研究了165名孕妇患者,分为三个队列:突破性感染,未接种疫苗的感染和没有感染的疫苗接种.
- 在母体血液和母乳中长度测量了受体结合域 (RBD) 和核蛋白 (NP) 特定的IgG标位.
- 在分娩时分析了双对母体,带和新生儿血液.
主要成果:
- 突破性感染产生了比单独感染或接种疫苗更高的母体RBD特异性IgG.
- 突破性感染使RBD特异性IgG偏向IgG4;IgG1和IgG3主导了NP特异性反应.
- 在突破性感染队列中观察到最高的新生儿对母体IgG比率,与强烈的母婴新生儿标位相关性.
结论:
- 孕期突破性感染延长了幽默免疫力,并增强了对新生儿的胎盘抗体转移.
- 由于先前接种疫苗而形成的抗体,而不是单独感染,推动了增强的转移.
- 在怀孕期间更新SARS-CoV-2疫苗接种对于减少疾病严重程度和保护新生儿至关重要.
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