在怀孕期间的SARS-CoV-2感染与疫苗接种:对胎盘抗体转移的影响
Leire Perez-Latorre1,2,3, Shira H Cohen1, Pablo J Sánchez4,5
1From the Center for Vaccines & Immunity, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio.
The Pediatric infectious disease journal
|November 17, 2025
概括
与单独感染相比,对SARS-CoV-2的母体疫苗接种导致更有效的抗体转移到婴儿身上. 这些疫苗诱导的抗体提供了更好的保护,在婴儿中持续更长时间,以增强免疫力.
科学领域:
- 免疫学 免疫学 免疫学
- 孕产妇和胎儿的医学
- 传染性疾病传染性疾病.
背景情况:
- 母亲的抗体对于保护婴儿至关重要.
- 在怀孕期间感染SARS-CoV-2和接种疫苗会影响这些抗体.
- 了解抗体动态是婴儿健康的关键.
研究的目的:
- 在SARS-CoV-2母体感染和/或接种疫苗后分析胎盘抗体转移的动态.
- 根据母亲的SARS-CoV-2暴露史,比较婴儿的抗体水平和持续性.
主要方法:
- 展望性,多中心观察性研究,涉及孕妇和她们的婴儿.
- 采集母亲,带和婴儿血液样本,长达12个月.
- 使用ELISA测量受体结合域 (RBD) 和Spike免疫球蛋白G (IgG) 抗体标位.
主要成果:
- 接种疫苗的母亲产生的婴儿在出生和6个月后的抗体标位较高,与仅感染母亲的婴儿相比.
- 经胎盘抗体转移比率在母亲接种疫苗后与感染后显著更高.
- 孕产妇的细胞因子水平 (CXCL10,CXCL11,IL-18,IFNg) 与抗体转移呈反向相关性.
结论:
- 孕产妇接种疫苗导致SARS-CoV-2抗体更有效地通过胎盘转移.
- 接种疫苗的抗体在婴儿中持续时间较长,而不是仅感染的抗体.
- 疫苗诱导的母体抗体提供了优越的婴儿保护.
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