The influence of prematurity and low birthweight on transplacental antibody transfer in a rural West African population
Open accessAbstract
OBJECTIVE To determine the influence of prematurity and low birthweight (LBW) on transplacental antibody transfer. METHOD In a physician‐blinded, cross‐sectional study of 213 mother–baby pairs in the labour ward of Bansang Hospital, The Gambia, paired maternal and cord serum samples were tested for specific IgG antibody titres for measles virus (MeV), herpes simplex virus type 1 (HSV1), respiratory syncytial virus (RSV), varicella‐zoster virus (VZV), tetanus toxoid (TT) and diphtheria toxoid (DT) antigens using enzyme linked immunosorbent assay (ELISA). RESULTS Prematurity was significantly associated with reduced placental antibody transfer for MeV, HSV1, TT, DT, RSV and VZV. Maternal antibody transfer for MeV, HSV1, TT, DT, RSV and VZV was significantly lower in neonates with LBW than in babies with adequate birthweight (ABW). CONCLUSION Materno–foetal transfer of antibodies is impaired in prematurity and LBW babies in this Gambian population. Reduction in antibody transfer may further predispose these already vulnerable neonates to bacteria and viral infections. Therefore, alternative vaccination strategies, including earlier vaccination schedules, are needed to provide better protection to these young infants.
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Birthweight may affect IgG transfer, with studies demonstrating a reduced transfer of antibodies in term low birthweight infants.
“Birthweight may also affect IgG transfer, with studies demonstrating a reduced transfer of antibodies in term low birthweight infants (65, 130).”
From Factors Affecting the FcRn-Mediated Transplacental Transfer of Antibodies and Implications for Vaccination in Pregnancy (2017) · cites this paper as [130]
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- Authors
- Okoko, J. B., Wesumperuma, H. L., & Hart, C. A.
- Affiliations
- University of Liverpool (GB)
- Corresponding author
- Okoko, J. B.
- Venue
- Tropical Medicine & International Health
- Publisher
- Wiley
- Published
- 2001-07
- Volume
- 6
- Issue
- 7
- Pages
- 529-534
- ISSN
- 1360-2276 (ISSN-L)
- 1365-3156
- OpenAlex
- W2090276910
- Cited by
- 59
- References
- 25
- Citations by year
- 2026: 2 · 2023: 4 · 2022: 6 · 2021: 4 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 6 · 2016: 4 · 2015: 2 · 2014: 3 · 2013: 1 · 2012: 2
- FWCI
- 2.32
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Tropical Medicine & International Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Neonatal and Maternal Infections
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Life Sciences › Immunology and Microbiology › Immunology › Immune responses and vaccinations
- Keywords
- transplacental antibody transfer, preterm birth, low birth weight, maternal IgG, umbilical cord blood, measles virus, herpes simplex virus type 1, respiratory syncytial virus, varicella-zoster virus, tetanus toxoid, diphtheria toxoid, neonatal vaccination, infant infection risk, Gambia
- MeSH terms
- Adult, Antibodies, Viral, Cross-Sectional Studies, Diphtheria, Enzyme-Linked Immunosorbent Assay, Female, Gambia, Humans, Immunity, Maternally-Acquired, Infant, Low Birth Weight, Infant, Newborn, Infant, Premature, Parity, Rural Population, Tetanus
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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