Abstract：
:Newborn infants, especially preterm infants, have an immature immune system, which is not capable to actively protect against vaccine-preventable infections. Therefore, the newborn is dependent on transplacental transport of Immunoglobulin G (IgG), an active, FcRn receptor mediated process. Fetal IgG rises from approximately 10% of the maternal concentration at 17-22weeks of gestation to 50% at 28-32weeks of gestation. If transplacental acquired IgG is lower in preterm than in term infants, preterm infants are especially at risk for these vaccine-preventable diseases. The aim of this study was to review the transplacental transfer of IgG against vaccine-preventable diseases (measles, rubella, varicella-zoster, mumps, Haemophilus influenza type B, diphtheria, tetanus, pertussis and polio) to (pre)term infants and to identify factors that influence the transplacental transfer of these antigens. After selection, 18 studies on transplacental transport to preterm infants were included. In general, these studies showed for all antibodies that preterm infants have lower antibody concentrations compared with term infants. Maternal and infants antibody concentrations showed a strong correlation in 7 of the included studies. Infant antibody concentration was not associated with parity, maternal age, height or weight. Infants of vaccinated mothers had lower anti-measles antibody titers than infants of natural immunized mothers. IgG titers of preterm infants decrease earlier in life below protective antibody titers than term infants. Combined with their immature immune system, this puts preterm infants at increased risk for vaccine-preventable diseases.
journal_name
Early Hum Devjournal_title
Early human developmentauthors
van den Berg JP,Westerbeek EA,van der Klis FR,Berbers GA,van Elburg RMdoi
10.1016/j.earlhumdev.2010.11.003subject
Has Abstractpub_date
2011-02-01 00:00:00pages
67-72issue
2eissn
0378-3782issn
1872-6232pii
S0378-3782(10)00686-9journal_volume
87pub_type
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journal_title：Early human development
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journal_title：Early human development
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pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：Early human development
pub_type： 杂志文章,评审
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pub_type： 杂志文章
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更新日期：2002-12-01 00:00:00
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journal_title：Early human development
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pub_type： 杂志文章
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更新日期：2009-04-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2005-02-01 00:00:00
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journal_title：Early human development
pub_type： 杂志文章
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更新日期：2019-10-01 00:00:00
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journal_title：Early human development
pub_type： 杂志文章
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更新日期：2008-04-01 00:00:00
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更新日期：2016-10-01 00:00:00
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pub_type： 杂志文章
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journal_title：Early human development
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journal_title：Early human development
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journal_title：Early human development
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journal_title：Early human development
pub_type： 杂志文章
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