The influence of placental malaria infection and maternal hypergammaglobulinemia on transplacental transfer of antibodies and IgG subclasses in a rural West African population

J Infect Dis. 2001 Sep 1;184(5):627-32. doi: 10.1086/322808. Epub 2001 Jul 31.

Abstract

Two hundred thirteen mother-baby pairs in The Gambia were studied to determine the influence of placental malaria infection and maternal hypergammaglobulinemia on transplacental antibody transfer. Antibody transfer for herpes simplex virus 1 (HSV-1), respiratory syncytial virus (RSV), and varicella-zoster virus (VZV) was significantly reduced by placental malaria infection by 69%, 58%, and 55%, respectively. Maternal hypergammaglobulinemia was associated with a significant reduction in antibody transfer for HSV-1, RSV, VZV, and pneumococcus by 89%, 90%, 91%, and 88%, respectively. In addition, placental malaria infection was associated with a significant reduction in transfer of IgG1, IgG2, and IgG4 (P<.01, P=.01, and P=.03, respectively) but not of IgG3 (P=.59). Maternal hypergammaglobulinemia significantly impaired the transfer of IgG1 and IgG2 (P=.01) but not of IgG3 or IgG4 (P=.62 and P=.59, respectively). Placental malaria infection and maternal hypergammaglobulinemia were associated with reduction in the transplacental transfer of these specific antibodies, IgG1, and IgG2 in this Gambian population.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Animals
  • Antibodies, Bacterial / blood
  • Antibodies, Bacterial / immunology*
  • Antibodies, Viral / blood
  • Antibodies, Viral / immunology*
  • Female
  • Gambia
  • Humans
  • Hypergammaglobulinemia / immunology*
  • Immunity, Maternally-Acquired / immunology*
  • Immunoglobulin G / blood
  • Immunoglobulin G / immunology
  • Infant, Newborn
  • Malaria, Falciparum / immunology*
  • Male
  • Placenta / immunology
  • Placenta / parasitology
  • Placenta Diseases / immunology*
  • Plasmodium falciparum / isolation & purification
  • Pregnancy
  • Pregnancy Complications, Parasitic / immunology*

Substances

  • Antibodies, Bacterial
  • Antibodies, Viral
  • Immunoglobulin G