antibody titer

抗体滴度
  • 文章类型: Journal Article
    本文的目的是监测哈萨克斯坦某些地区农场和野生动物的疾病发病率,最容易感染钩端螺旋体病,以及分离的病原体的典型,在2021-2023年的科学技术计划“研究该国领土特别危险疾病的流行病学特征,并制定兽医和卫生措施以提高其有效性”下进行。
    该材料包括近年来兽医实验室关于钩端螺旋体病的报告,以及在“SANA”研发企业进行的样品实验室测试。在此期间,通过酶联免疫吸附测定测试了来自农场动物的6,701个血清样品和来自啮齿动物的86,651个血清样品。
    血清学结果显示6.32%的牛血液中抗体滴度,5.4%的绵羊,4.2%的马,和1.8%的猪。阳性样本最多的是突厥斯坦(12.3%),阿拉木图(11.7%),和Kyzylorda(11.4%)地区。在这些年中,啮齿动物的感染率较低,范围为0.34%至0.07%。该国领土上引起钩端螺旋体的动物疾病的种群由8个血清群代表。2022年通过聚合酶链反应在哈萨克斯坦不同地区的350份动物血清样品和350份啮齿动物生物材料样品中检测致病性钩端螺旋体的研究均为阴性。
    作为这项工作的一部分进行的研究将有助于降低哈萨克斯坦人口和动物中的疾病发生率。
    UNASSIGNED: The purpose of the paper was to monitor the disease incidence in farm and wild animals in some areas of Kazakhstan, which are most susceptible to leptospirosis, and the typification of isolated pathogens, carried out under the scientific and technical program \"Studying the epizootological characteristics of the country territory on particularly dangerous diseases and developing veterinary and sanitary measures to improve their effectiveness\" in 2021-2023.
    UNASSIGNED: The material included the reports of veterinary laboratories on leptospirosis in recent years, as well as laboratory tests on samples carried out at the \"SANA\" research and development enterprise. During this period, 6,701 serum samples from farm animals and 86,651 serum samples from rodents were tested by enzyme-linked immunosorbent assay.
    UNASSIGNED: The serological results showed antibody titers in the blood of 6.32% of cattle, 5.4% of sheep, 4.2% of horses, and 1.8% of pigs. The highest number of positive samples were found in Turkestan (12.3%), Almaty (11.7%), and Kyzylorda (11.4%) regions. Infection in rodents was lower and ranged from 0.34% to 0.07% during these years. The population of leptospira-causing diseases of animals on the territory of the country is represented by 8 serogroups. Studies in 2022 on the detection of pathogenic leptospires by polymerase chain reaction in 350 samples of blood serum from animals and 350 samples of biomaterial from rodents from different regions of Kazakhstan were negative.
    UNASSIGNED: Studies conducted as part of this work will help reduce the incidence of disease among the population and animals in Kazakhstan.
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  • 文章类型: Case Reports
    肾移植是终末期肾病(ESRD)的首选治疗方法;然而,ABO不相容性(ABOi)由于移植物排斥风险增加而提出了挑战。脱敏策略,包括免疫吸附(IA),旨在克服ABOi障碍。本病例报告的目的是介绍使用两种不同品牌的IA柱(Glycosorb®ABO和SECORIM®-ABO)将等凝集素滴度降低至所需目标水平的ABOi肾移植(KT)的初步发现和患者结局。我们提供了一例51岁的男性ESRD继发于糖尿病肾病的病例报告,他接受了ABOiKT脱敏,包括利妥昔单抗给药,然后使用Glycosorb®和VitrosorbSECORIM®-ABO柱和血浆置换(PP)进行IA。Glycosorb®ABO柱将抗B滴度从1:128/1:128的初始水平降低到1:64/1:64(目标范围≤1:8);然而,在PP第四届会议之后,滴度反弹至1:64。随后使用VitrosorbSECORIM®-ABO柱实现了1:4的目标滴度,使得能够以令人满意的移植物功能成功移植。监测包括IA柱后的抗BIgG/IgM滴度水平,IA色谱柱重复使用,肾功能,和不良事件。IA柱的耐受性良好。使用IA柱脱敏有效降低抗B滴度,促进成功的ABOiKT。
    Kidney transplantation is the preferred treatment for end-stage renal disease (ESRD); however, ABO incompatibility (ABOi) poses challenges due to increased graft rejection risk. Desensitization strategies, including immunoadsorption (IA), aim to overcome ABOi barriers. The objective of this case report was to present the initial findings and patient outcomes of ABOi kidney transplantation (KT) using two different brands of IA columns (Glycosorb® ABO and SECORIM®-ABO) in reducing isoagglutinin titers to the desired target level. We present a case report of a 51-year-old male with ESRD secondary to diabetic kidney disease who underwent desensitization for ABOi KT, involving rituximab administration followed by IA using Glycosorb® and Vitrosorb SECORIM®-ABO columns and plasmapheresis (PP). Glycosorb® ABO column decreased anti-B titers from an initial level of 1:128/1:128 to 1:64/1:64 (target range ≤1:8); however, the titers rebounded to 1:64 following the fourth session of PP. Subsequent use of Vitrosorb SECORIM®-ABO column achieved target titers of 1:4, enabling successful transplantation with satisfactory graft function. Monitoring included anti-B IgG/IgM titer levels post IA columns, IA column reuse, kidney function, and adverse events. The IA columns were well tolerated. Desensitization using IA columns effectively reduced anti-B titers, facilitating successful ABOi KT.
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  • 文章类型: Journal Article
    内脏利什曼病(VL)的监测和持续控制需要可靠的血清诊断工具。rK39,VL诊断的金标准抗原,受限于其在某些流行地区的低敏感性,比如东非,由于其抗体的寿命,很难区分活性感染和治愈的感染。在mBio最近的一份出版物中,Robertsetal.(A.J.罗伯茨,H.B.Ong,S.克莱尔,C.勃兰特,etal.,mBio15:e00859-24,2024,https://doi.org/10.1128/mbio.00859-24)在狗和人类中鉴定了新的免疫原性利什曼原虫候选物。在狗中,联合抗原LdBPK_290790.1+LdBPK_362700.1(D4+D46)区分有症状和无症状感染。对于人类来说,LdBPK_323600.1(D36)抗原产生短寿命抗体,在孟加拉国和埃塞俄比亚的患者队列中表现良好,但不是肯尼亚。这项研究为我们的血清诊断工具箱增加了有希望的新候选者,但强调了需要更多的抗原发现研究,这些研究可能必须集中在区域表现上。
    Surveillance and sustained control of visceral leishmaniasis (VL) require reliable serodiagnostic tools. rK39, the gold standard antigen for VL diagnosis, is limited by its documented poor sensitivity in certain endemic regions, such as East Africa, and by the longevity of its antibodies, making it difficult to distinguish active from cured infections. In a recent publication in mBio, Roberts et al. (A. J. Roberts, H.B. Ong, S. Clare, C. Brandt, et al., mBio 15:e00859-24, 2024, https://doi.org/10.1128/mbio.00859-24) identified new immunogenic Leishmania candidates in dogs and humans. In dogs, combined antigens LdBPK_290790.1 + LdBPK_362700.1 (D4 +D46) distinguished symptomatic from asymptomatic infections. For humans, LdBPK_323600.1 (D36) antigen produced short-lived antibodies and performed well in patient cohorts from Bangladesh and Ethiopia, but not Kenya. This study adds promising new candidates to our serodiagnostic toolbox but highlights the need for more antigen discovery studies that may have to be focused on regional performance.
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  • 文章类型: Journal Article
    2019年冠状病毒病(COVID-19)的再感染引起了人们对感染和疫苗接种的可靠免疫力的担忧。随着对病毒的大规模测试停止,了解COVID-19目前的流行情况至关重要。这项研究调查了厦门市疾病控制中心的1,191名公共卫生工作者,关注抗体滴度的变化及其与个体特征的关系。
    该研究从描述研究参与者的流行病学特征开始。采用多线性回归(MLR)模型来探索个体属性与抗体滴度之间的关联。此外,基于组的轨迹模型(GBTM)用于识别抗体滴度变化的轨迹.为了预测和模拟未来的流行趋势,并检查抗体衰变与流行病的相关性,建立了高维传输动力学模型。
    流行病学特征分析显示,感染组和未感染组之间的疫苗接种状况存在显着差异(χ2=376.706,P<0.05)。然而,抗体滴度在感染人群和接种人群中的分布无显著差异.MLR模型确定年龄是影响免疫球蛋白G(IgG)滴度的常见因素,免疫球蛋白M(IgM),和中和抗体(NAb),而其他因素则表现出不同的影响。肺病史和住院影响IgG滴度,以及性别等因素,吸烟,肺部疾病家族史,和住院影响NAb滴度。年龄是本研究中IgM滴度的唯一决定因素。GBTM分析表明IgG的“逐渐下降型”轨迹(95.65%),而IgM和NAb滴度在研究期间保持稳定。高维传播动力学模型预测和模拟厦门市流行高峰期,与IgG衰变相关。特定年龄组的模拟显示,在第二个和第三个高峰期间,30-39岁的个体的发病率和感染率更高。其次是40-49岁,50-59岁,18-29岁和70-79岁。
    我们的研究表明,抗体滴度可能受年龄的影响,以前的肺部疾病以及吸烟。此外,IgG滴度下降与流行趋势一致.这些发现强调需要进一步探索这些因素,并开发针对再感染的优化自我保护对策。
    UNASSIGNED: Reinfection of coronavirus disease 2019 (COVID-19) has raised concerns about how reliable immunity from infection and vaccination is. With mass testing for the virus halted, understanding the current prevalence of COVID-19 is crucial. This study investigated 1,191 public health workers at the Xiamen Center for Disease Control, focusing on changes in antibody titers and their relationship with individual characteristics.
    UNASSIGNED: The study began by describing the epidemiological characteristics of the study participants. Multilinear regression (MLR) models were employed to explore the associations between individual attributes and antibody titers. Additionally, group-based trajectory models (GBTMs) were utilized to identify trajectories in antibody titer changes. To predict and simulate future epidemic trends and examine the correlation of antibody decay with epidemics, a high-dimensional transmission dynamics model was constructed.
    UNASSIGNED: Analysis of epidemiological characteristics revealed significant differences in vaccination status between infected and non-infected groups (χ2=376.706, P<0.05). However, the distribution of antibody titers among the infected and vaccinated populations was not significantly different. The MLR model identified age as a common factor affecting titers of immunoglobulin G (IgG), immunoglobulin M (IgM), and neutralizing antibody (NAb), while other factors showed varying impacts. History of pulmonary disease and hospitalization influenced IgG titer, and factors such as gender, smoking, family history of pulmonary diseases, and hospitalization impacted NAb titers. Age was the sole determinant of IgM titers in this study. GBTM analysis indicated a \"gradual decline type\" trajectory for IgG (95.65%), while IgM and NAb titers remained stable over the study period. The high-dimensional transmission dynamics model predicted and simulated peak epidemic periods in Xiamen City, which correlated with IgG decay. Age-group-specific simulations revealed a higher incidence and infection rate among individuals aged 30-39 years during both the second and third peaks, followed by those aged 40-49, 50-59, 18-29, and 70-79 years.
    UNASSIGNED: Our study shows that antibody titer could be influenced by age, previous pulmonary diseases as well as smoking. Furthermore, the decline in IgG titers is consistent with epidemic trends. These findings emphasize the need for further exploration of these factors and the development of optimized self-protection countermeasures against reinfection.
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  • 文章类型: Journal Article
    探讨口蹄疫灭活疫苗中146S抗原含量与抗病毒免疫水平的关系。本研究用三批O型和A型FMD双价灭活疫苗接种30公斤猪。在初次免疫后第7、14、21和28天以及加强免疫后第14和28天测量抗体滴度和干扰素-γ(IFN-γ)分泌水平,以评估146S含量与抗体滴度和IFN-γ分泌水平之间的关联。此外,用46批O型FMD灭活疫苗接种30kg猪,并在第28天进行攻击,之后测定PD50值以评价146S含量和PD50之间的关联。结果表明,免疫后特定时间点的抗体滴度和IFN-γ分泌水平与146S含量呈正相关。此外,146S含量与PD50呈正相关,146S含量记录的PD50值更大,范围为4.72至16.55µg/剂。这项研究建立了FMD灭活疫苗中146S含量与诱导的FMDV免疫应答之间的显著关联。从而强调其在疫苗质量控制中的关键作用。146S含量的测定可以作为药效检测的新方法,提供了一种替代动物挑战测试的方法。
    To investigate the association between 146S antigen contents in FMD inactivated vaccines and levels of antiviral immunity, this study vaccinated 30 kg pigs with three batches of FMD types O and A bivalent inactivated vaccines. Antibody titers and interferon-gamma (IFN-γ) secretion levels were measured on days 7, 14, 21, and 28 after primary immunization and on days 14 and 28 following booster immunization to assess associations between 146S contents and both antibody titers and IFN-γ secretion levels. Furthermore, 30 kg pigs were vaccinated with 46 batches of FMD type O inactivated vaccines and challenged on day 28, after which PD50 values were determined to evaluate the association between 146S content and PD50. The findings suggested that antibody titers and IFN-γ secretion levels at specific time points after immunization were positively associated with 146S contents. Additionally, 146S content showed a positive correlation with PD50, with greater PD50 values recorded for 146S contents ranging from 4.72 to 16.55 µg/dose. This investigation established a significant association between the 146S content in FMD inactivated vaccines and induced immune response against FMDV, thereby emphasizing its critical role in vaccine quality control. The determination of 146S content could serve as a new method for potency testing, offering an alternative to animal challenge tests.
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  • 文章类型: Journal Article
    本研究旨在评估椰子油提取物(COE)在实验性感染了新城疫病毒(vNDV)的肉鸡中的免疫调节作用。
    总共150只肉鸡(日龄)被平均分为五个研究组,即阴性对照,阳性对照,COE-1、COE-2和COE-3。在第10天,COE-1,COE-2和COE-3组的肉鸡分别每升饮用水补充1,2和3mlCOE,持续15天。在第13天,将0.1ml/鸟(10-5.25ELD50)的vNDV接种到阳性对照的肉鸡中,COE-1、COE-2和COE-3组肌内注射。在这项研究中,增长业绩,发病率,记录每个研究组的死亡率。在第7、14、21、28和35天测定抗NDV的抗体滴度。7日也测定了IgY和IgM的水平,14日,和SRBC接种后第21天。在第33天,在左侧的第一和第二脚趾之间(皮内)注射禽结核菌素以测量淋巴增生反应。在第35天,通过将炭黑墨水注射到右翼静脉中,通过碳清除率测定来评估血液中的吞噬活性。还收集具有大体损伤的内脏器官用于组织病理学。
    COE显着提高了增长绩效,降低了肉鸡的发病率和死亡率。在补充了COE的肉鸡中,针对NDV的抗体滴度以及针对SRBC的IgY和IgM抗体水平显着升高。淋巴增殖反应和吞噬活性也增强。在COE补充的群体中,COE-3组肉鸡的生长性能显着提高,免疫防御增强。
    椰子油提取物具有提高肉鸡生长性能和免疫状态的潜力。它可以有效地用作饲料添加剂和抗生素的替代品,以防止传染性家禽病原体的传播。
    UNASSIGNED: This study aims to evaluate the immunomodulatory effects of coconut oil extract (COE) in broilers experimentally infected with velogenic Newcastle disease virus (vNDV).
    UNASSIGNED: A total of 150 broiler birds (day-old) were equally divided into five study groups i.e., negative control, positive control, COE-1, COE-2, and COE-3. On day 10, broilers of groups COE-1, COE-2, and COE-3 were supplemented with 1, 2, and 3 ml of COE respectively per liter of drinking water for 15 days. On day 13, 0.1ml/bird (10-5.25 ELD50) of vNDV was inoculated in broilers of positive control, COE-1, COE-2, and COE-3 groups intramuscularly. During this study, growth performance, morbidity, and mortality rates of each study group were recorded. The antibody titer against NDV was determined on days 7, 14, 21, 28, and 35. The levels of IgY and IgM were also determined on the 7th, 14th, and 21st days post-SRBC inoculation. On day 33, avian tuberculin was injected between the 1st and 2nd toes of the left side (intradermally) to measure lymphoproliferative responses. On day 35, the phagocytic activity in the blood was assessed through a carbon clearance assay by injecting carbon black ink into the right-wing vein. The visceral organs having gross lesions were also collected for histopathology.
    UNASSIGNED: The COE significantly improved the growth performance, and lowered the morbidity and mortality rates of broilers. There was a significant rise in antibody titers against NDV and levels of IgY and IgM antibodies against SRBC in COE-supplemented broilers. The lymphoproliferative response and phagocytic activity were also enhanced. Among COE-supplemented groups, the broilers of the COE-3 group showed a significant increase in growth performance and boosted immune defense.
    UNASSIGNED: Coconut oil extract has the potential to boost the growth performance and immune status of broilers. It can be used effectively as a feed additive and alternative to antibiotics to prevent the spread of infectious poultry pathogens.
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  • 文章类型: Journal Article
    背景:目前,由PRRS病毒(PRRSV)引起的猪繁殖与呼吸综合征(PRRS)是影响全球养猪业的最严重的流行病之一。尽管已经对这个问题的潜在解决方案进行了许多研究,没有一个被证明是有效的。解决问题的重点是使用天然成分,如植物提取物。在整个亚洲都很受欢迎,苏木(CS)是一种体外抑制PRRSV的治疗植物。因此,这项研究是为了确定CS提取物膳食补充剂对生产性能的影响,抗体水平,免疫学指标,和PRRSV攻击的断奶猪的肺病理学。将32只断奶仔猪(28日龄)随机分为4组,分别饲养14天。以2×2阶乘设计组织治疗,涉及两个因素:PRRSV攻击和补充1mg/kgCS提取物。PRRSV攻击组中的猪鼻内接种含有104TCID50/mL的2mLPRRSV(VR2332),而未感染PRRSV的组接种2mL生理盐水。
    结果:在PRRSV挑战组(CS+PRRSV)中,CS提取物的补充导致感染后第7天的白细胞(WBC)增加(p<0.05),特别是第7天和第14天的淋巴细胞增加。感染后第14天,CSPRRSV组的抗体滴度明显高于未施用CS的PRRSV攻击组(PRRSV组)(S/P=1.19vs.0.78)。此外,CS提取物给药降低了肺部病变的患病率,在未接受CS提取物的PRRSV攻击的猪中更为普遍。
    结论:这项研究的结果表明,补充CS提取物有利于增加白细胞计数,尤其是淋巴细胞,增加PRRSV感染猪的抗体水平和减少肺部病变的患病率。
    BACKGROUND: At present, porcine reproductive and respiratory syndrome (PRRS) caused by the PRRS virus (PRRSV) is one of the most severe epidemics impacting pig farming globally. Despite the fact that a number of studies have been conducted on potential solutions to this problem, none have proven effective. The focus of problem solving is the use of natural ingredients such as plant extracts. Popular throughout Asia, Caesalpinia sappan (CS) is a therapeutic plant that inhibits PRRSV in vitro. Therefore, this study was performed to determine the efficacy of CS extract dietary supplementation on the productive performance, antibody levels, immunological indicators, and lung pathology of PRRSV-challenged weaned pigs. A total of 32 weaned piglets (28 days old) were randomized into 4 groups and kept separately for 14 days. The treatments were organized in a 2 × 2 factorial design involving two factors: PRRSV challenge and supplementation with 1 mg/kg CS extract. The pigs in the PRRSV-challenged groups were intranasally inoculated with 2 mL of PRRSV (VR2332) containing 104 TCID50/mL, while those in the groups not challenged with PRRSV were inoculated with 2 mL of normal saline.
    RESULTS: In the PRRSV-challenged group (CS + PRRSV), supplementation with CS extract led to an increase in white blood cells (WBCs) on Day 7 post infection (p < 0.05) and particularly in lymphocytes on Days 7 and 14. The antibody titer was significantly greater in the CS + PRRSV group than in the PRRSV-challenged group not administered CS (PRRSV group) on Day 14 postinfection (S/P = 1.19 vs. 0.78). In addition, CS extract administration decreased the prevalence of pulmonary lesions, which were more prevalent in the PRRSV-challenged pigs that did not receive the CS extract.
    CONCLUSIONS: The findings of this study suggest that supplementation with CS extract is beneficial for increasing WBC counts, especially lymphocytes, increasing the levels of antibodies and reducing the prevalence of lung lesions in PRRSV-infected pigs.
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  • 文章类型: Observational Study
    睡眠增强了对疫苗接种的抗体反应,但是睡眠与严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的mRNA疫苗接种之间的关系尚未完全了解。
    在这项前瞻性观察研究中,我们调查了睡眠习惯对48名健康成年人中SARS-CoV-2mRNA疫苗诱导的免疫获得的影响(BNT-162b2,n=34;mRNA-1273,n=14;女性,n=30,62.5%;男性,n=18,37.5%;中位年龄,39.5年;四分位数范围,33.0-44.0年)从2021年6月到2022年1月。该研究使用肌动描记术和睡眠日记测量睡眠持续时间,涵盖了初次和加强疫苗接种的时期。
    多变量线性回归分析表明,加强疫苗接种后3天和7天的体动测定客观睡眠持续时间与较高的抗体滴度独立且显着相关(B=0.003;95%置信区间,0.000-0.005;Beta=0.337;p=0.02),即使在控制了协变量之后,包括年龄,性别,疫苗的类型,和对疫苗接种的反应原性。疫苗接种前获得抗体滴度与平均客观睡眠时间之间的关联,并且通过睡眠日记测量的任何主观睡眠持续时间都可以忽略不计。
    更长的目标,但不是主观的,加强疫苗接种后的睡眠持续时间增强了抗体反应。因此,鼓励公民在mRNA疫苗接种后睡眠时间更长,尤其是在加强剂量后,可能会增加对SARS-CoV-2的保护。
    本研究在大学医院医疗信息网络中心注册(UMIN:https://www.乌明。AC.jp)2021年7月30日,#UMIN000045009。
    Sleep enhances the antibody response to vaccination, but the relationship between sleep and mRNA vaccination against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is not fully understood.
    In this prospective observational study, we investigated the influence of sleep habits on immune acquisition induced by mRNA vaccines against SARS-CoV-2 in 48 healthy adults (BNT-162b2, n=34; mRNA-1273, n=14; female, n=30, 62.5%; male, n=18, 37.5%; median age, 39.5 years; interquartile range, 33.0-44.0 years) from June 2021 to January 2022. The study measured sleep duration using actigraphy and sleep diaries, which covered the periods of the initial and booster vaccinations.
    Multivariable linear regression analysis showed that actigraphy-measured objective sleep duration 3 and 7 days after the booster vaccination was independently and significantly correlated with higher antibody titers (B=0.003; 95% confidence interval, 0.000-0.005; Beta=0.337; p=0.02), even after controlling for covariates, including age, sex, the type of vaccine, and reactogenicity to the vaccination. Associations between acquired antibody titer and average objective sleep duration before vaccination, and any period of subjective sleep duration measured by sleep diary were negligible.
    Longer objective, but not subjective, sleep duration after booster vaccination enhances antibody response. Hence, encouraging citizens to sleep longer after mRNA vaccination, especially after a booster dose, may increase protection against SARS-CoV-2.
    This study is registered at the University Hospital Medical Information Network Center (UMIN: https://www.umin.ac.jp) on July 30, 2021, #UMIN000045009.
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  • 文章类型: Case Reports
    在妊娠期间同种免疫的情况下使用血浆置换和IVIG是预期严重早期胎儿贫血的有效策略。尽管血浆置换前后抗体滴度水平没有变化,在两个胎儿中均观察到临床反应,两者都有很好的产科结果。
    胎儿和新生儿的溶血病是同种免疫的潜在致命并发症,宫内输血(IUBT)是严重胎儿贫血的标准治疗和护理计划。然而,IUBT在妊娠20周之前在技术上是无法实现的。血浆置换和静脉内免疫球蛋白(IVIG)是文献中描述的两种治疗方式,可将输血的需要推迟到20周后。这里,我们提出了两例同种异体免疫(一个使用抗Kell,另一个使用抗D)。由于在妊娠24周前早期发生严重的胎儿贫血和水肿,两者在先前的妊娠中结局均较差。两名患者在18周前接受了三次血浆置换,然后每周输注IVIG,一直持续到怀孕23-27周。在血浆去除之前和之后测量抗体滴度。此外,每周进行MCA多普勒监测需要输血的严重胎儿贫血的发展,当收缩期峰值速度(PSV)为中位数的1.5倍或更高时诊断。第一例患者在24周接受IUBT,第二例在28周接受IUBT,正如MCA多普勒所示。两个病人都是剖腹产,第一次是34周,第二次是36周,不同的产科适应症。两次怀孕都导致了活产。我们得出的结论是,在妊娠20周之前预计会出现严重的早期胎儿贫血时,在妊娠期间使用血浆置换和IVIG进行同种免疫是一种有效的治疗策略。尽管血浆置换前后抗体滴度水平没有变化,在两个胎儿中都观察到临床反应,两者都有出色的产科结果。
    UNASSIGNED: Plasmapheresis and IVIG use in cases of alloimmunization during pregnancy are effective strategies when severe early fetal anemia is anticipated. Despite no change in antibody titer levels before and after plasmapheresis, clinical response was observed in both fetuses, and both had an excellent obstetrical outcome.
    UNASSIGNED: Hemolytic disease of the fetus and newborn is a potentially lethal complication of alloimmunization, and intrauterine fetal blood transfusion (IUBT) is the standard treatment and care plan for severe fetal anemia. However, IUBT is technically unattainable before 20 weeks of gestation. Plasmapheresis and intravenous immunoglobulin (IVIG) are the two treatment modalities described in the literature that postpone the need for transfusion until after 20 weeks. Here, we present two cases of alloimmunization (one with anti-Kell and the other with anti-D). Both had poor outcomes in previous pregnancies because of the early development of severe fetal anemia and hydrops before 24 weeks of gestation. Both patients underwent three sessions of plasmapheresis before 18 weeks, followed by weekly IVIG infusion, which continued until 23-27 weeks of pregnancy. Antibody titers were measured before and after plasmapheresis. In addition, weekly MCA Doppler was performed to monitor the development of severe fetal anemia requiring blood transfusion, which was diagnosed when the peak systolic velocity (PSV) was 1.5 multiples of the median or more. The first patient underwent IUBT at 24 weeks and the second at 28 weeks, as indicated by the MCA Doppler. Both patients were delivered by cesarean section, the first at 34 weeks and the second at 36 weeks, for different obstetrical indications. Both pregnancies resulted in a live birth. We conclude that the use of plasmapheresis and IVIG in alloimmunization during pregnancy is an effective treatment strategy when severe early fetal anemia is anticipated before 20 weeks of gestation. Despite no change in antibody titer levels before and after plasmapheresis, a clinical response was observed in both fetuses, and both had excellent obstetrical outcomes.
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  • 文章类型: Journal Article
    TNX-1800是一种合成来源的活重组嵌合马痘病毒(rcHPXV)候选疫苗,表达武汉SARS-CoV-2刺突(S)蛋白。这项研究的主要目的是评估TNX-1800在受到USA-WA1/2020SARS-CoV-2攻击的两种非人灵长类动物中的免疫原性和功效。TNX-1800疫苗接种耐受性良好,无严重不良事件或临床参数显著变化。单剂量的TNX-1800在非洲绿猴和食蟹猴中产生体液反应,通过抗SARS-CoV-2SIgG的总结合和针对USA-WA1/2020菌株的中和抗体滴度进行测量。此外,单剂量的TNX-1800在食蟹猴中诱导干扰素-γ(IFN-γ)介导的T细胞应答。在受到SARS-CoV-2的攻击后,非洲绿猴和食蟹猴在上呼吸道和下呼吸道表现出病毒的快速清除。未来的研究将评估TNX-1800对新出现的变体的功效,并证明其在人类中的安全性。
    TNX-1800 is a synthetically derived live recombinant chimeric horsepox virus (rcHPXV) vaccine candidate expressing Wuhan SARS-CoV-2 spike (S) protein. The primary objective of this study was to evaluate the immunogenicity and efficacy of TNX-1800 in two nonhuman primate species challenged with USA-WA1/2020 SARS-CoV-2. TNX-1800 vaccination was well tolerated with no serious adverse events or significant changes in clinical parameters. A single dose of TNX-1800 generated humoral responses in African Green Monkeys and Cynomolgus Macaques, as measured by the total binding of anti-SARS-CoV-2 S IgG and neutralizing antibody titers against the USA-WA1/2020 strain. In addition, a single dose of TNX-1800 induced an interferon-gamma (IFN-γ)-mediated T-cell response in Cynomolgus Macaques. Following challenge with SARS-CoV-2, African Green and Cynomolgus Macaques exhibited rapid clearance of virus in the upper and lower respiratory tract. Future studies will assess the efficacy of TNX-1800 against newly emerging variants and demonstrate its safety in humans.
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