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Transplacentally acquired antibodies against hepatitis B surface antigen in full term infants

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF PERINATAL MEDICINE
Issue:
5
DOI:
10.3760/cma.j.issn.1007-9408.2008.05.002
Key Word:
肝炎表面抗原,乙型;免疫球蛋白G;婴儿,新生;Hepatitis B surface antigens;Immunoglobulin G;Infant,newborn

Abstract: Objective To analyze the correlation of the concentration of antibodies against hepatitis B surface antigen (anti-HBs) between normal full term pregnant women and their newborns.Methods Sixty-three paired serum samples from infants and their anti-HBs positive mothers,who delivered in the Affiliated Drum Tower Hospital of Nanjing Medical University School from Dec.2006 to Feb.2007,were quantitatively tested for anti-HBs by AxSYM AUSAB immunoassay.Subclasses of anti-HBs IgG were analyzed.The neutralizing activity of maternal anti-HBs in infants was assessed by surrogate assay. Results All infants born to anti-HBs positive mothers were also seropositive.Anti-HBs 1evels in infants were correlated with the maternal concentration(rs=0.976,P<0.01),and majority of the infants had higher concentrations than their mothers(195.4 mIU/ml vs 141.6 mIU/ml,P<0.01).The mean half-life of maternal anti-HBs in infants was estimated to be 41 days.Anti-HBs IgGl subclass was predominantly in infants,which was in agreement with that in their mothers.Transplacentally transferred anti-HBs in infants efficiently bound the hepatitis B surface antigen derived from hepatitis B patients. Conclusions Anti-HBs IgG carl efficiently transfer through the placenta.Infants born to anti-HBs positive mothers may be immune to hepatitis B virus in the early life of several months.

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