Transplacental Respiratory Syncytial Virus and Influenza Virus Antibody Transfer in Alaska Native and Seattle Mother–Infant Pairs

Abstract Background Alaska Native (AN) infants are at risk for severe disease due to respiratory syncytial virus (RSV) and influenza. Maternal immunization protects young infants through transplacental antibody transfer. RSV- and influenza-specific transplacental antibody transfer in mother–infant p...

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Veröffentlicht in:Journal of the Pediatric Infectious Diseases Society 2021-04, Vol.10 (3), p.230-236
Hauptverfasser: Chu, Helen Y, Newman, Kira L, Englund, Janet A, Cho, Shari, Bull, Catherine, Lacombe, Kirsten, Carlin, Kristen, Bulkow, Lisa R, Rudolph, Karen, DeByle, Carolynn, Berner, James, Klejka, Joseph, Singleton, Rosalyn
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container_issue 3
container_start_page 230
container_title Journal of the Pediatric Infectious Diseases Society
container_volume 10
creator Chu, Helen Y
Newman, Kira L
Englund, Janet A
Cho, Shari
Bull, Catherine
Lacombe, Kirsten
Carlin, Kristen
Bulkow, Lisa R
Rudolph, Karen
DeByle, Carolynn
Berner, James
Klejka, Joseph
Singleton, Rosalyn
description Abstract Background Alaska Native (AN) infants are at risk for severe disease due to respiratory syncytial virus (RSV) and influenza. Maternal immunization protects young infants through transplacental antibody transfer. RSV- and influenza-specific transplacental antibody transfer in mother–infant pairs has not previously been evaluated in the AN population. Methods Serum samples collected during pregnancy and at birth from AN mother–infant pairs in the Yukon-Kuskokwim Delta region (YKD) of Alaska (2000–2011; n = 75) and predominantly white pairs in Seattle, Washington (2014–2016; n = 57), were tested for RSV and influenza antibody using a microneutralization and hemagglutination inhibition assay, respectively, and compared between sites. Results Mean RSV antibody concentrations in pregnant women in YKD and Seattle were similar (log2 RSV antibody 10.6 vs 10.7, P = .86), but cord blood RSV antibody concentrations were significantly lower in infants born to mothers in YKD compared with Seattle (log2 RSV antibody 11.0 vs 12.2, P < .001). Maternal and cord blood influenza antibody concentrations were lower for women and infants in YKD compared with Seattle for all 4 influenza antigens tested (all P < .05). The mean cord to maternal RSV antibody transfer ratio was 1.15 (standard deviation [SD], 0.13) in mother–infant pairs in Seattle compared with 1.04 (SD, 0.08) in YKD. Mean cord blood to maternal antibody transfer ratios for influenza antigens ranged from 1.22 to 1.42 in Seattle and from 1.05 to 1.59 in YKD. Conclusions Though the transplacental antibody transfer ratio was high (>1.0) for both groups, transfer ratios for RSV antibody were significantly lower in AN mother–infant pairs. Further studies are needed to elucidate the impact of lower transplacental antibody transfer on infant disease risk in rural Alaska. Alaska Native and continental US mother-infant pairs have high transplacental antibody transfer ratios (>1.0) for influenza and respiratory syncytial virus, but anti-respiratory syncytial virus antibody levels are significantly lower in Alaska Native pairs than in those from the continental US. Similar RSV antibody levels in Alaska-native (AN) and non-AN women AN infants’ cord blood RSV antibody levels lower Maternal and cord blood influenza antibody levels lower in AN women and infants AN mother–infant pairs’ RSV antibody transfer ratios significantly lower
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Maternal immunization protects young infants through transplacental antibody transfer. RSV- and influenza-specific transplacental antibody transfer in mother–infant pairs has not previously been evaluated in the AN population. Methods Serum samples collected during pregnancy and at birth from AN mother–infant pairs in the Yukon-Kuskokwim Delta region (YKD) of Alaska (2000–2011; n = 75) and predominantly white pairs in Seattle, Washington (2014–2016; n = 57), were tested for RSV and influenza antibody using a microneutralization and hemagglutination inhibition assay, respectively, and compared between sites. Results Mean RSV antibody concentrations in pregnant women in YKD and Seattle were similar (log2 RSV antibody 10.6 vs 10.7, P = .86), but cord blood RSV antibody concentrations were significantly lower in infants born to mothers in YKD compared with Seattle (log2 RSV antibody 11.0 vs 12.2, P &lt; .001). Maternal and cord blood influenza antibody concentrations were lower for women and infants in YKD compared with Seattle for all 4 influenza antigens tested (all P &lt; .05). The mean cord to maternal RSV antibody transfer ratio was 1.15 (standard deviation [SD], 0.13) in mother–infant pairs in Seattle compared with 1.04 (SD, 0.08) in YKD. Mean cord blood to maternal antibody transfer ratios for influenza antigens ranged from 1.22 to 1.42 in Seattle and from 1.05 to 1.59 in YKD. Conclusions Though the transplacental antibody transfer ratio was high (&gt;1.0) for both groups, transfer ratios for RSV antibody were significantly lower in AN mother–infant pairs. Further studies are needed to elucidate the impact of lower transplacental antibody transfer on infant disease risk in rural Alaska. Alaska Native and continental US mother-infant pairs have high transplacental antibody transfer ratios (&gt;1.0) for influenza and respiratory syncytial virus, but anti-respiratory syncytial virus antibody levels are significantly lower in Alaska Native pairs than in those from the continental US. Similar RSV antibody levels in Alaska-native (AN) and non-AN women AN infants’ cord blood RSV antibody levels lower Maternal and cord blood influenza antibody levels lower in AN women and infants AN mother–infant pairs’ RSV antibody transfer ratios significantly lower</description><identifier>ISSN: 2048-7193</identifier><identifier>ISSN: 2048-7207</identifier><identifier>EISSN: 2048-7207</identifier><identifier>DOI: 10.1093/jpids/piaa040</identifier><identifier>PMID: 32369172</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Alaska Natives ; Antibodies, Viral ; Female ; Humans ; Infant ; Infant, Newborn ; Infectious Diseases ; Life Sciences &amp; Biomedicine ; Mothers ; Original ; Orthomyxoviridae ; Pediatrics ; Pregnancy ; Respiratory Syncytial Virus Infections ; Respiratory Syncytial Virus, Human ; Science &amp; Technology</subject><ispartof>Journal of the Pediatric Infectious Diseases Society, 2021-04, Vol.10 (3), p.230-236</ispartof><rights>The Author(s) 2020. Published by Oxford University Press on behalf of The Journal of the Pediatric Infectious Diseases Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2020</rights><rights>The Author(s) 2020. Published by Oxford University Press on behalf of The Journal of the Pediatric Infectious Diseases Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>7</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000642325300002</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c420t-156be3131e32bee06b5b19917a546d3f84ec061479c83bd65f193b8857347d713</citedby><cites>FETCH-LOGICAL-c420t-156be3131e32bee06b5b19917a546d3f84ec061479c83bd65f193b8857347d713</cites><orcidid>0000-0002-8279-1111</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,781,785,886,1585,27929,27930,39263</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32369172$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chu, Helen Y</creatorcontrib><creatorcontrib>Newman, Kira L</creatorcontrib><creatorcontrib>Englund, Janet A</creatorcontrib><creatorcontrib>Cho, Shari</creatorcontrib><creatorcontrib>Bull, Catherine</creatorcontrib><creatorcontrib>Lacombe, Kirsten</creatorcontrib><creatorcontrib>Carlin, Kristen</creatorcontrib><creatorcontrib>Bulkow, Lisa R</creatorcontrib><creatorcontrib>Rudolph, Karen</creatorcontrib><creatorcontrib>DeByle, Carolynn</creatorcontrib><creatorcontrib>Berner, James</creatorcontrib><creatorcontrib>Klejka, Joseph</creatorcontrib><creatorcontrib>Singleton, Rosalyn</creatorcontrib><title>Transplacental Respiratory Syncytial Virus and Influenza Virus Antibody Transfer in Alaska Native and Seattle Mother–Infant Pairs</title><title>Journal of the Pediatric Infectious Diseases Society</title><addtitle>J PEDIAT INF DIS SOC</addtitle><addtitle>J Pediatric Infect Dis Soc</addtitle><description>Abstract Background Alaska Native (AN) infants are at risk for severe disease due to respiratory syncytial virus (RSV) and influenza. Maternal immunization protects young infants through transplacental antibody transfer. RSV- and influenza-specific transplacental antibody transfer in mother–infant pairs has not previously been evaluated in the AN population. Methods Serum samples collected during pregnancy and at birth from AN mother–infant pairs in the Yukon-Kuskokwim Delta region (YKD) of Alaska (2000–2011; n = 75) and predominantly white pairs in Seattle, Washington (2014–2016; n = 57), were tested for RSV and influenza antibody using a microneutralization and hemagglutination inhibition assay, respectively, and compared between sites. Results Mean RSV antibody concentrations in pregnant women in YKD and Seattle were similar (log2 RSV antibody 10.6 vs 10.7, P = .86), but cord blood RSV antibody concentrations were significantly lower in infants born to mothers in YKD compared with Seattle (log2 RSV antibody 11.0 vs 12.2, P &lt; .001). Maternal and cord blood influenza antibody concentrations were lower for women and infants in YKD compared with Seattle for all 4 influenza antigens tested (all P &lt; .05). The mean cord to maternal RSV antibody transfer ratio was 1.15 (standard deviation [SD], 0.13) in mother–infant pairs in Seattle compared with 1.04 (SD, 0.08) in YKD. Mean cord blood to maternal antibody transfer ratios for influenza antigens ranged from 1.22 to 1.42 in Seattle and from 1.05 to 1.59 in YKD. Conclusions Though the transplacental antibody transfer ratio was high (&gt;1.0) for both groups, transfer ratios for RSV antibody were significantly lower in AN mother–infant pairs. Further studies are needed to elucidate the impact of lower transplacental antibody transfer on infant disease risk in rural Alaska. Alaska Native and continental US mother-infant pairs have high transplacental antibody transfer ratios (&gt;1.0) for influenza and respiratory syncytial virus, but anti-respiratory syncytial virus antibody levels are significantly lower in Alaska Native pairs than in those from the continental US. Similar RSV antibody levels in Alaska-native (AN) and non-AN women AN infants’ cord blood RSV antibody levels lower Maternal and cord blood influenza antibody levels lower in AN women and infants AN mother–infant pairs’ RSV antibody transfer ratios significantly lower</description><subject>Alaska Natives</subject><subject>Antibodies, Viral</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infectious Diseases</subject><subject>Life Sciences &amp; Biomedicine</subject><subject>Mothers</subject><subject>Original</subject><subject>Orthomyxoviridae</subject><subject>Pediatrics</subject><subject>Pregnancy</subject><subject>Respiratory Syncytial Virus Infections</subject><subject>Respiratory Syncytial Virus, Human</subject><subject>Science &amp; Technology</subject><issn>2048-7193</issn><issn>2048-7207</issn><issn>2048-7207</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><sourceid>EIF</sourceid><recordid>eNqNkctu1TAQhiMEolXpki3yEgmF-pbE2SAdHXGpVC6iha01SSbUJcdObacorJB4BN6QJ8Hn0gOswBtb429-z-8_yx4y-pTRWpxcjaYLJ6MBoJLeyQ45lSqvOK3u3p5ZLQ6y4xCuaFplwQol72cHgouyZhU_zL5feLBhHKBFG2Eg7zGMxkN0fibns23naFL1o_FTIGA7cmr7YUL7FXa1hY2mcd1MNjo9emIsWQwQPgN5A9Hc4KbtHCHGAclrFy_R__z2I-mAjeQdGB8eZPd6GAIe7_aj7MOL5xfLV_nZ25eny8VZ3kpOY86KskHBBEPBG0RaNkXD6mQDCll2olcSW1oyWdWtEk1XFn0y3yhVVEJWXcXEUfZsqztOzQq7tWMPgx69WYGftQOj_76x5lJ_cjdaUS4Ek0ng8U7Au-sJQ9QrE1ocBrDopqC5qFXJuFIiofkWbb0LwWO_f4ZRvc5Ob7LTu-wS_-jP2fb0bVIJUFvgCzauD61B2-IeW4crueCFWOfMlyamv3d26SYbU-uT_2_9bdJN4z-G_gUbEsja</recordid><startdate>20210403</startdate><enddate>20210403</enddate><creator>Chu, Helen Y</creator><creator>Newman, Kira L</creator><creator>Englund, Janet A</creator><creator>Cho, Shari</creator><creator>Bull, Catherine</creator><creator>Lacombe, Kirsten</creator><creator>Carlin, Kristen</creator><creator>Bulkow, Lisa R</creator><creator>Rudolph, Karen</creator><creator>DeByle, Carolynn</creator><creator>Berner, James</creator><creator>Klejka, Joseph</creator><creator>Singleton, Rosalyn</creator><general>Oxford University Press</general><general>Oxford Univ Press</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8279-1111</orcidid></search><sort><creationdate>20210403</creationdate><title>Transplacental Respiratory Syncytial Virus and Influenza Virus Antibody Transfer in Alaska Native and Seattle Mother–Infant Pairs</title><author>Chu, Helen Y ; Newman, Kira L ; Englund, Janet A ; Cho, Shari ; Bull, Catherine ; Lacombe, Kirsten ; Carlin, Kristen ; Bulkow, Lisa R ; Rudolph, Karen ; DeByle, Carolynn ; Berner, James ; Klejka, Joseph ; Singleton, Rosalyn</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-156be3131e32bee06b5b19917a546d3f84ec061479c83bd65f193b8857347d713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Alaska Natives</topic><topic>Antibodies, Viral</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infectious Diseases</topic><topic>Life Sciences &amp; Biomedicine</topic><topic>Mothers</topic><topic>Original</topic><topic>Orthomyxoviridae</topic><topic>Pediatrics</topic><topic>Pregnancy</topic><topic>Respiratory Syncytial Virus Infections</topic><topic>Respiratory Syncytial Virus, Human</topic><topic>Science &amp; Technology</topic><toplevel>online_resources</toplevel><creatorcontrib>Chu, Helen Y</creatorcontrib><creatorcontrib>Newman, Kira L</creatorcontrib><creatorcontrib>Englund, Janet A</creatorcontrib><creatorcontrib>Cho, Shari</creatorcontrib><creatorcontrib>Bull, Catherine</creatorcontrib><creatorcontrib>Lacombe, Kirsten</creatorcontrib><creatorcontrib>Carlin, Kristen</creatorcontrib><creatorcontrib>Bulkow, Lisa R</creatorcontrib><creatorcontrib>Rudolph, Karen</creatorcontrib><creatorcontrib>DeByle, Carolynn</creatorcontrib><creatorcontrib>Berner, James</creatorcontrib><creatorcontrib>Klejka, Joseph</creatorcontrib><creatorcontrib>Singleton, Rosalyn</creatorcontrib><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of the Pediatric Infectious Diseases Society</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chu, Helen Y</au><au>Newman, Kira L</au><au>Englund, Janet A</au><au>Cho, Shari</au><au>Bull, Catherine</au><au>Lacombe, Kirsten</au><au>Carlin, Kristen</au><au>Bulkow, Lisa R</au><au>Rudolph, Karen</au><au>DeByle, Carolynn</au><au>Berner, James</au><au>Klejka, Joseph</au><au>Singleton, Rosalyn</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transplacental Respiratory Syncytial Virus and Influenza Virus Antibody Transfer in Alaska Native and Seattle Mother–Infant Pairs</atitle><jtitle>Journal of the Pediatric Infectious Diseases Society</jtitle><stitle>J PEDIAT INF DIS SOC</stitle><addtitle>J Pediatric Infect Dis Soc</addtitle><date>2021-04-03</date><risdate>2021</risdate><volume>10</volume><issue>3</issue><spage>230</spage><epage>236</epage><pages>230-236</pages><issn>2048-7193</issn><issn>2048-7207</issn><eissn>2048-7207</eissn><abstract>Abstract Background Alaska Native (AN) infants are at risk for severe disease due to respiratory syncytial virus (RSV) and influenza. Maternal immunization protects young infants through transplacental antibody transfer. RSV- and influenza-specific transplacental antibody transfer in mother–infant pairs has not previously been evaluated in the AN population. Methods Serum samples collected during pregnancy and at birth from AN mother–infant pairs in the Yukon-Kuskokwim Delta region (YKD) of Alaska (2000–2011; n = 75) and predominantly white pairs in Seattle, Washington (2014–2016; n = 57), were tested for RSV and influenza antibody using a microneutralization and hemagglutination inhibition assay, respectively, and compared between sites. Results Mean RSV antibody concentrations in pregnant women in YKD and Seattle were similar (log2 RSV antibody 10.6 vs 10.7, P = .86), but cord blood RSV antibody concentrations were significantly lower in infants born to mothers in YKD compared with Seattle (log2 RSV antibody 11.0 vs 12.2, P &lt; .001). Maternal and cord blood influenza antibody concentrations were lower for women and infants in YKD compared with Seattle for all 4 influenza antigens tested (all P &lt; .05). The mean cord to maternal RSV antibody transfer ratio was 1.15 (standard deviation [SD], 0.13) in mother–infant pairs in Seattle compared with 1.04 (SD, 0.08) in YKD. Mean cord blood to maternal antibody transfer ratios for influenza antigens ranged from 1.22 to 1.42 in Seattle and from 1.05 to 1.59 in YKD. Conclusions Though the transplacental antibody transfer ratio was high (&gt;1.0) for both groups, transfer ratios for RSV antibody were significantly lower in AN mother–infant pairs. Further studies are needed to elucidate the impact of lower transplacental antibody transfer on infant disease risk in rural Alaska. Alaska Native and continental US mother-infant pairs have high transplacental antibody transfer ratios (&gt;1.0) for influenza and respiratory syncytial virus, but anti-respiratory syncytial virus antibody levels are significantly lower in Alaska Native pairs than in those from the continental US. Similar RSV antibody levels in Alaska-native (AN) and non-AN women AN infants’ cord blood RSV antibody levels lower Maternal and cord blood influenza antibody levels lower in AN women and infants AN mother–infant pairs’ RSV antibody transfer ratios significantly lower</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>32369172</pmid><doi>10.1093/jpids/piaa040</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-8279-1111</orcidid><oa>free_for_read</oa></addata></record>
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subjects Alaska Natives
Antibodies, Viral
Female
Humans
Infant
Infant, Newborn
Infectious Diseases
Life Sciences & Biomedicine
Mothers
Original
Orthomyxoviridae
Pediatrics
Pregnancy
Respiratory Syncytial Virus Infections
Respiratory Syncytial Virus, Human
Science & Technology
title Transplacental Respiratory Syncytial Virus and Influenza Virus Antibody Transfer in Alaska Native and Seattle Mother–Infant Pairs
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