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Interaction Between Genetic Susceptibility and COVID-19 Pathogenesis in Pediatric Multisystem Inflammatory Disorders: The Role of Immune Responses. 遗传易感性与 COVID-19 发病机制在小儿多系统炎症性疾病中的相互作用:免疫反应的作用
IF 2.2 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-01-01 Epub Date: 2024-01-25 DOI: 10.1089/vim.2023.0074
Li-Na Chen, Zhang-Xuan Shou, Xue Jin

Numerous studies have highlighted the emergence of coronavirus disease (COVID-19) symptoms reminiscent of Kawasaki disease in children, including fever, heightened multisystem inflammation, and multiorgan involvement, posing a life-threatening complication. Consequently, extensive research endeavors in pediatric have aimed to elucidate the intricate relationship between COVID-19 infection and the immune system. COVID-19 profoundly impacts immune cells, culminating in a cytokine storm that particularly inflicts damage on the pulmonary system. The gravity and vulnerability to COVID-19 are closely intertwined with the vigor of the immune response. In this context, the human leukocyte antigen (HLA) molecule assumes pivotal significance in shaping immune responses. Genetic scrutiny of HLA has unveiled the presence of at least one deleterious allele in children afflicted with multisystem inflammatory syndrome in children (MIS-C). Furthermore, research has demonstrated that COVID-19 exploits the angiotensin-converting enzyme 2 (ACE-2) receptor, transmembrane serine protease type 2, and various other genes to gain entry into host cells, with individuals harboring ACE-2 polymorphisms being at higher risk. Pediatric studies have employed diverse genetic methodologies, such as genome-wide association studies (GWAS) and whole exome sequencing, to scrutinize target genes. These investigations have pinpointed two specific genomic loci linked to the severity and susceptibility of COVID-19, with the HLA locus emerging as a notable risk factor. In this comprehensive review article, we endeavor to assess the available evidence and consolidate data, offering insights into current clinical practices and delineating avenues for future research. Our objective is to advance early diagnosis, stabilization, and appropriate management strategies to mitigate genetic susceptibility's impact on the incidence of COVID-19 in pediatric patients with multisystem inflammation.

大量研究强调,冠状病毒病(COVID-19)在儿童中出现的症状让人联想到川崎病,包括发烧、多系统炎症加重和多器官受累,是一种危及生命的并发症。因此,儿科的大量研究工作旨在阐明 COVID-19 感染与免疫系统之间错综复杂的关系。COVID-19 对免疫细胞产生深远影响,最终导致细胞因子风暴,尤其对肺部系统造成损害。COVID-19 的严重性和易感性与免疫反应的强度密切相关。在这种情况下,人类白细胞抗原(HLA)分子在形成免疫反应方面具有举足轻重的意义。对 HLA 的基因研究发现,在儿童多系统炎症综合征(MIS-C)患者中至少存在一种有害等位基因。此外,研究表明,COVID-19 利用血管紧张素转换酶 2(ACE-2)受体、跨膜丝氨酸蛋白酶 2 型和其他各种基因进入宿主细胞,携带 ACE-2 多态性的个体风险更高。儿科研究采用了多种遗传学方法,如全基因组关联研究(GWAS)和全外显子组测序,以仔细检查目标基因。这些研究确定了两个与 COVID-19 的严重程度和易感性相关的特定基因组位点,其中 HLA 位点是一个显著的风险因素。在这篇综合性综述文章中,我们努力评估现有证据并整合数据,为当前的临床实践提供见解,并为未来的研究指明方向。我们的目标是推进早期诊断、病情稳定和适当的管理策略,以减轻遗传易感性对多系统炎症儿科患者 COVID-19 发病率的影响。
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引用次数: 0
Interleukin-36gamma Mediates the In Vitro Activation of CD8+ T Cells from Patients Living with Chronic Human Immunodeficiency Virus-1 Infection. 白细胞介素-36γ介导慢性人类免疫缺陷病毒-1 感染患者 CD8+ T 细胞的体外激活。
IF 2.2 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-01-01 Epub Date: 2024-02-01 DOI: 10.1089/vim.2023.0080
Yingquan Zhou, Jijun Chen, Shaoli Bai, Fan Yang, Ruqing Yan, Yanjun Song, Binfa Yang, Chao Li, Jianyun Wang

Interleukin-36 (IL-36) signaling plays an important role in promoting CD8+ T cell-mediated antitumor immune responses. The role of IL-36 signaling in CD8+ T cells that are involved in host immune responses during human immunodeficiency virus-1 (HIV-1) infection has not been characterized. Sixty-one patients living with chronic HIV-1 infection and 23 controls were enrolled in this study. The levels of IL-36 cytokine family members were measured by enzyme-linked immunosorbent assay. Purified CD8+ T cells were stimulated with recombinant IL-36gamma (1 or 10 ng/mL). The expression of inhibitory receptors, the secretion of cytotoxic molecules and interferon-gamma, and the mRNA levels of apoptosis-related ligands were assessed to evaluate the effect of IL-36gamma on CD8+ T cell function in vitro. There were no significant differences in IL-36alpha, IL-36beta, or IL-36 receptor antagonist levels between patients living with chronic HIV-1 infection and controls. Plasma IL-36gamma levels were reduced in patients living with chronic HIV-1 infection. Perforin, granzyme B, and granulysin secretion, as well as tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) and Fas ligand (FasL) mRNA expression, but not programmed death-1 (PD-1) or cytotoxic T lymphocyte-associated protein-4 (CTLA-4) expression was downregulated in CD8+ T cells from patients living with chronic HIV-1 infection. The addition of both 1 and 10 ng/mL IL-36gamma enhanced perforin, granzyme B, granulysin, and interferon-gamma secretion by CD8+ T cells without affecting PD-1/CTLA-4 or TRAIL/FasL mRNA expression in CD8+ T cells from patients living with chronic HIV-1 infection. The addition of 1 ng/mL IL-36gamma also promoted perforin and granzyme B secretion by HIV-1-specific CD8+ T cells from patients living with chronic HIV-1 infection. The reduced IL-36gamma levels in patients living with chronic HIV-1 infection might be insufficient for the activation of CD8+ T cells, leading to CD8+ T cell exhaustion.

白细胞介素-36(IL-36)信号在促进 CD8+ T 细胞介导的抗肿瘤免疫反应中发挥着重要作用。在人类免疫缺陷病毒-1(HIV-1)感染期间,IL-36 信号在参与宿主免疫应答的 CD8+ T 细胞中的作用尚未确定。本研究招募了 61 名慢性 HIV-1 感染患者和 23 名对照组患者。通过酶联免疫吸附试验测定了 IL-36 细胞因子家族成员的水平。用重组 IL-36gamma (1 或 10 纳克/毫升)刺激纯化的 CD8+ T 细胞。评估抑制性受体的表达、细胞毒性分子和干扰素-γ的分泌以及凋亡相关配体的 mRNA 水平,以评价 IL-36gamma 对体外 CD8+ T 细胞功能的影响。慢性 HIV-1 感染者与对照组之间的 IL-36α、IL-36β 或 IL-36 受体拮抗剂水平没有明显差异。慢性 HIV-1 感染者的血浆 IL-36gamma 水平降低。在慢性 HIV-1 感染者的 CD8+ T 细胞中,穿孔素、颗粒酶 B 和颗粒霉素的分泌以及肿瘤坏死因子相关凋亡诱导配体(TRAIL)和 Fas 配体(FasL)mRNA 的表达都出现了下调,但程序性死亡-1(PD-1)或细胞毒性 T 淋巴细胞相关蛋白-4(CTLA-4)的表达却没有下调。添加 1 和 10 ng/mL IL-36gamma 可增强 CD8+ T 细胞的穿孔素、颗粒酶 B、颗粒霉素和干扰素-γ 的分泌,但不会影响慢性 HIV-1 感染患者 CD8+ T 细胞中 PD-1/CTLA-4 或 TRAIL/FasL mRNA 的表达。添加 1 ng/mL IL-36gamma 还能促进慢性 HIV-1 感染者的 HIV-1 特异性 CD8+ T 细胞分泌穿孔素和颗粒酶 B。慢性 HIV-1 感染者体内 IL-36gamma 水平的降低可能不足以激活 CD8+ T 细胞,从而导致 CD8+ T 细胞衰竭。
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引用次数: 0
Impact of Different Cofactors on Naturally Acquired Human Papillomavirus Antibody Levels Among Unvaccinated Pregnant Women. 不同辅因子对未接种疫苗孕妇自然获得的人类乳头瘤病毒抗体水平的影响
IF 2.2 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-01-01 Epub Date: 2024-02-05 DOI: 10.1089/vim.2023.0108
Laura Kirjavainen, Helmi Suominen, Kari Syrjänen, Tim Waterboer, Seija Grenman, Stina Syrjänen, Karolina Louvanto

Human papillomavirus (HPV) infections are common, transmitted by sexual and nonsexual routes. The present case-control setting was designed to examine potential cofactors associated with either persistently low or high HPV-antibody levels. The study subjects were from the Finnish HPV Family cohort of 329 baseline pregnant, non-HPV-vaccinated women, who were sampled for genital and oral HPV-DNA and HPV serology at baseline, and at 12, 24, and 36 months. Antibodies to the L1 major capsid protein of HPV 6, 11, 16, 18, and 45 were analyzed by multiplex HPV serology and HPV genotyping was performed. This study included 59 women, 23 women with persistently low (<200 median fluorescence intensity [MFI]) and 36 women with persistently high and always positive (>200 MFI) levels of these antibodies for all five HPV genotypes. Potential HPV-associated covariates were derived from detailed questionnaires. Only cofactors other than detected HPV genotype significantly impact on the levels of natural HPV antibodies. A higher number of past sexual partners or a history of diagnosed genital warts were significant covariates of high HPV antibody levels (p = 0.023 and p = 0.043, respectively). Of interest, women with a history of allergies presented with low levels of HPV antibodies (p = 0.03), potentially exposing these women to an increased risk of future HPV-related diseases that merit closer surveillance.

人类乳头瘤病毒(HPV)感染很常见,通过性途径和非性途径传播。本病例对照研究旨在探讨与 HPV 抗体水平持续偏低或偏高相关的潜在辅助因素。研究对象来自芬兰 HPV 家庭队列,该队列中有 329 名基线怀孕、未接种 HPV 疫苗的妇女,她们在基线、12、24 和 36 个月时接受了生殖器和口腔 HPV DNA 及 HPV 血清学采样。通过多重人类乳头瘤病毒血清学分析了人类乳头瘤病毒 6、11、16、18 和 45 的 L1 主要外壳蛋白抗体,并进行了人类乳头瘤病毒基因分型。这项研究包括 59 名妇女,其中 23 名妇女的五种 HPV 基因型抗体水平持续较低(200 MFI)。潜在的 HPV 相关协变量来自详细的问卷调查。除检测到的 HPV 基因型外,只有其他协变量对天然 HPV 抗体的水平有显著影响。既往性伴侣数量较多或确诊生殖器疣病史是高 HPV 抗体水平的重要协变量(分别为 p = 0.023 和 p = 0.043)。值得注意的是,有过敏史的妇女的 HPV 抗体水平较低(p = 0.03),这可能会增加这些妇女未来罹患与 HPV 相关疾病的风险,值得密切监测。
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引用次数: 0
Acknowledgment of Reviewers 2023. 鸣谢 2023 年审稿人。
IF 2.2 4区 医学 Q4 IMMUNOLOGY Pub Date : 2024-01-01 Epub Date: 2023-12-08 DOI: 10.1089/vim.2023.29062.ack
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引用次数: 0
Intracellular Toll-Like Receptors Modulate Adaptive Immune Responses in Head and Neck Cancer 细胞内 Toll-Like 受体调节头颈癌的适应性免疫反应
IF 2.2 4区 医学 Q4 IMMUNOLOGY Pub Date : 2023-12-08 DOI: 10.1089/vim.2023.0079
S. Nayanar, Deepak Roshan V.G., Shruthi Surendran, G. Kjeller, B. Hasséus, Daniel Giglio
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引用次数: 0
Viral Biology and Immune Privilege in the Development of Extrahepatic Manifestations During Hepatitis E Virus Infection 戊型肝炎病毒感染期间出现肝外表现的病毒生物学和免疫特权
IF 2.2 4区 医学 Q4 IMMUNOLOGY Pub Date : 2023-12-08 DOI: 10.1089/vim.2023.0096
Javier Orozco-Cordoba, Camila Mazas, Gisela Du Pont, Edmundo Lamoyi, Graciela Cárdenas, Nora A. Fierro
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引用次数: 0
Development of a Recombinant Enzyme-Linked Immunosorbent Assay for the Detection of Antibodies Against Infectious Bronchitis Virus. 用于检测传染性支气管炎病毒抗体的重组酶联免疫吸附法的开发。
IF 2.2 4区 医学 Q4 IMMUNOLOGY Pub Date : 2023-12-01 Epub Date: 2023-10-30 DOI: 10.1089/vim.2023.0049
Yu Zhang, Zongxi Han, Huixin Li, Shengwang Liu

Infectious bronchitis virus (IBV), a gammacoronavirus within the Coronaviridae family, is an economically important etiological disease agent in chickens. Both early diagnosis and determination of the immune status of chickens are important for controlling IBV outbreaks in chicken flocks. The N protein is the most abundantly expressed virus-derived protein during IBV infection and can induce a strong immune response by producing antibodies during early infection or immunization. In this study, we found that the amino acid sequences of the N protein between CK/CH/LJL/04I and the other 22 IBVs were conserved, especially in the 1-160 amino acid region. Based on the sequence similarities, the three recombinant proteins, rN160 (amino acid positions 1-160), rN266 (144-409), and rN409 (1-409), were expressed using the Escherichia coli system and subsequently purified. The results demonstrated that the antigenicity and reactivity of rN160 were better than those of rN266 and rN409. As a result, an indirect enzyme-linked immunosorbent assay (ELISA) (rN160 ELISA) was developed to detect the IBV antibody based on the rN160 protein. Using 1,500 clinical field serum samples, the relative sensitivity, specificity, and accuracy of the rN160 ELISA were 98.97%, 92.34%, and 97.93%, respectively, compared to those of a commercial ELISA kit (IDEXX), indicating a strong positive correlation between the two methods. Taken together, these results reveal that the rN160 ELISA is a rapid, simple, and sensitive method for detecting group-specific IBV antibodies for epidemiological investigation and antibody-level monitoring.

传染性支气管炎病毒(IBV)是冠状病毒科中的一种新冠病毒,是鸡的一种经济上重要的病原体。鸡的早期诊断和免疫状态的确定对于控制鸡群中IBV的爆发是重要的。N蛋白是IBV感染期间表达最丰富的病毒衍生蛋白,并且可以通过在早期感染或免疫期间产生抗体来诱导强烈的免疫反应。在本研究中,我们发现CK/CH/LJL/04I和其他22个IBV之间的N蛋白的氨基酸序列是保守的,尤其是在1-160个氨基酸区域。基于序列相似性,使用大肠杆菌系统表达rN160(氨基酸位置1-160)、rN266(144-409)和rN409(1-409)这三种重组蛋白,并随后进行纯化。结果表明,rN160的抗原性和反应性均优于rN266和rN409。结果,开发了间接酶联免疫吸附试验(ELISA)(rN160 ELISA)来检测基于rN160蛋白的IBV抗体。使用1500份临床现场血清样本,与商业ELISA试剂盒(IDEXX)相比,rN160 ELISA的相对灵敏度、特异性和准确性分别为98.97%、92.34%和97.93%,表明两种方法之间存在较强的正相关性。总之,这些结果表明,rN160 ELISA是一种快速、简单、灵敏的检测群体特异性IBV抗体的方法,用于流行病学调查和抗体水平监测。
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引用次数: 0
Relationship Between Human FCγRIIA rs1801274 G Allele and Risk of Death Among Different SARS-CoV-2 Variants. 人FCγRIIA rs1801274g等位基因与SARS-CoV-2不同变异体死亡风险的关系
IF 2.2 4区 医学 Q4 IMMUNOLOGY Pub Date : 2023-12-01 Epub Date: 2023-11-29 DOI: 10.1089/vim.2023.0091
Nazanin Moghaddam, Mohammad Taghi Goodarzi, Sina Moghaddam, Fatemeh Sakhaee, Iraj Ahmadi, Enayat Anvari, Abolfazl Fateh

Coronavirus disease 2019 (COVID-19), the illness caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), emerged in late 2019 and spread very quickly across the world. Different responses to infections have been related to fragment crystallizable gamma-receptor II alpha (FcγRIIA) polymorphisms. The purpose of this investigation was to determine if FCγRIIA rs1801274 polymorphism was related to COVID-19 mortality among different variants of SARS-CoV-2. The FCγRIIA rs1801274 polymorphism was genotyped using the polymerase chain reaction-restriction fragment length polymorphism technique in 1,734 recovered and 1,450 deceased patients. Deceased patients had significantly higher minor allele frequency of the FCγRIIA rs1801274 G allele than in the recovered cases. The COVID-19 mortality was associated with FCγRIIA rs1801274 GG and AG genotypes in the Delta variant and with FCγRIIA rs1801274 GG genotypes in the Alpha and Omicron BA.5 variants. The reverse transcription-quantitative polymerase chain reaction Ct values revealed statistically significant differences between individuals with a G allele and those with an A allele. In conclusion, among the several SARS-CoV-2 variants, there may be a correlation between the mortality rate of COVID-19 and the G allele of FCγRIIA rs1801274. To confirm our findings, thorough research is still required.

2019年冠状病毒病(COVID-19)是由严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2)引起的疾病,于2019年底出现,并在全球迅速传播。对感染的不同反应与片段结晶γ -受体II α (FcγRIIA)多态性有关。本研究的目的是确定FCγRIIA rs1801274多态性是否与不同SARS-CoV-2变异体的COVID-19死亡率相关。采用聚合酶链反应-限制性片段长度多态性技术对1734例康复患者和1450例死亡患者的FCγRIIA rs1801274多态性进行基因分型。死亡患者FCγRIIA rs1801274 G等位基因频率显著高于康复患者。新冠肺炎死亡率与Delta变异的FCγRIIA rs1801274 GG和AG基因型相关,与Alpha和Omicron BA.5变异的FCγRIIA rs1801274 GG基因型相关。逆转录-定量聚合酶链反应Ct值显示具有G等位基因的个体与具有a等位基因的个体之间存在统计学差异。综上所述,在几种SARS-CoV-2变异体中,FCγRIIA rs1801274的G等位基因可能与COVID-19的死亡率存在相关性。为了证实我们的发现,还需要进行深入的研究。
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引用次数: 0
Chemical Complementarity of Tumor Resident, Adaptive Immune Receptor CDR3s and Previously Defined Hepatitis C Virus Epitopes Correlates with Improved Outcomes in Hepatocellular Carcinoma. 肿瘤驻留、适应性免疫受体 CDR3 与先前定义的丙型肝炎病毒表位的化学互补性与肝细胞癌疗效的改善有关。
IF 2.2 4区 医学 Q4 IMMUNOLOGY Pub Date : 2023-12-01 Epub Date: 2023-12-05 DOI: 10.1089/vim.2023.0078
Joanna J Song, Andrea Chobrutskiy, Boris I Chobrutskiy, Konrad J Cios, Taha I Huda, Rachel A Eakins, Michael J Diaz, George Blanck

To better understand how adaptive immune receptors (IRs) in hepatocellular carcinoma (HCC) microenvironments are related to disease outcomes, we employed a chemical complementarity scoring algorithm to quantify electrostatic complementarity between HCC tumor TRB or IGH complementarity-determining region 3 (CDR3) amino acid (AA) sequences and previously characterized hepatitis C virus (HCV) epitopes. High electrostatic complementarity between HCC-resident CDR3s and 12 HCV epitopes was associated with greater survival probabilities, as indicated by two distinct HCC IR CDR3 datasets. Two of the HCV epitopes, HCV*71871 (TRB) and HCV*13458 (IGH), were also determined to represent significantly larger electrostatic CDR3-HCV epitope complementarity in HCV-positive HCC cases, compared with HCV-negative HCC cases, with the CDR3s representing yet a third, independent HCC dataset. Overall, the results indicated the utility of CDR3 AA sequences as biomarkers for HCC patient stratification and as potential guides for the development of therapeutic reagents.

为了更好地了解肝细胞癌(HCC)微环境中的适应性免疫受体(IR)如何与疾病预后相关,我们采用了一种化学互补性评分算法来量化HCC肿瘤TRB或IGH互补性决定区3(CDR3)氨基酸(AA)序列与先前表征的丙型肝炎病毒(HCV)表位之间的静电互补性。两个不同的 HCC IR CDR3 数据集显示,HCC 驻留 CDR3 与 12 个 HCV 表位之间的高静电互补性与更高的存活概率相关。与HCV阴性HCC病例相比,HCV阳性HCC病例中的两个HCV表位(HCV*71871 (TRB)和HCV*13458 (IGH))也被确定为静电CDR3-HCV表位互补性显著增强,CDR3s代表了第三个独立的HCC数据集。总之,研究结果表明,CDR3 AA 序列可作为 HCC 患者分层的生物标志物,也可作为开发治疗试剂的潜在指南。
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引用次数: 0
Seroprevalence of Measles in Pairs of Mothers and Newborns in Southern Greece. 希腊南部母亲和新生儿麻疹血清流行率。
IF 2.2 4区 医学 Q4 IMMUNOLOGY Pub Date : 2023-12-01 DOI: 10.1089/vim.2023.0047
Afroditi Barmpakou, Maria Mavrouli, Aikaterini Pana, Eleni Kourkouni, Ioannis Panagiotou, Nikolaos Spanakis, Athanasios Michos

Maternal immunoglobulin G (IgG) antibodies that are passively transferred to newborns through the placenta confer protection if they are exposed to measles virus. A measles outbreak occurred in several European countries including Greece, between 2016 and 2018. A prospective study was conducted in the General Hospital of Lakonia, regarding the measles seropositivity status of mother and newborn pairs. IgG antibody titer for measles was measured in serum samples acquired from pairs of mothers and newborns. The samples were analyzed through quantitative enzyme-linked immunosorbent assay, and antimeasles IgG >200 IU/mL was considered to be protective. Demographic data for mothers and neonates and data regarding immunization status of mothers were analyzed. Study population included 206 mothers and their newborns. In total, 12.6% of mothers (n = 26) and 10.7% of newborns (n = 22) did not have protective serology. A statistically significant positive linear association between maternal and neonatal antibodies was found (rho = 0.924) (p = 0.001). Neonates whose mothers were seropositive had higher antibodies [geometric mean concentration (GMC): 804.8 (728.3-889.2)] than neonates whose mothers were seronegative/borderline [GMC: 97.7 (64.2-148.8)] (p = 0.001). In the study area, a significant rate of mothers and newborns was found to have nonprotective measles serology that exceeds the limit required for herd immunity. Vaccination coverage in women of reproductive age should be increased to reduce potential for future measles epidemics.

如果新生儿暴露于麻疹病毒,母体免疫球蛋白 G (IgG) 抗体会通过胎盘被动转移给新生儿,从而为新生儿提供保护。2016年至2018年期间,包括希腊在内的多个欧洲国家爆发了麻疹疫情。拉科尼亚综合医院开展了一项关于母亲和新生儿麻疹血清阳性状况的前瞻性研究。从成对的母亲和新生儿血清样本中测量了麻疹 IgG 抗体滴度。样本通过定量酶联免疫吸附试验进行分析,抗麻疹 IgG >200 IU/mL 被认为具有保护性。研究还分析了母亲和新生儿的人口统计学数据以及母亲的免疫状况数据。研究对象包括 206 名母亲及其新生儿。共有 12.6% 的母亲(n = 26)和 10.7% 的新生儿(n = 22)没有保护性血清。母体抗体与新生儿抗体之间存在统计学意义上的正线性关系(rho = 0.924)(p = 0.001)。母亲血清阳性的新生儿的抗体[几何平均浓度(GMC):804.8(728.3-889.2)]高于母亲血清阴性/边缘的新生儿[几何平均浓度(GMC):97.7(64.2-148.8)](p = 0.001)。在研究地区发现,相当一部分母亲和新生儿的麻疹血清无保护性,超过了群体免疫所需的限度。应提高育龄妇女的疫苗接种率,以减少未来麻疹流行的可能性。
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引用次数: 0
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Viral immunology
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