P. falciparum infection and maternofetal antibody transfer in malaria-endemic settings of varying transmission
Identifieur interne : 001326 ( Main/Exploration ); précédent : 001325; suivant : 001327P. falciparum infection and maternofetal antibody transfer in malaria-endemic settings of varying transmission
Auteurs : Alistair R. D. Mclean [Australie, Birmanie] ; Danielle Stanisic [Australie] ; Rose Mcgready [Thaïlande, Royaume-Uni] ; Kesinee Chotivanich [Thaïlande] ; Caroline Clapham [Papouasie-Nouvelle-Guinée] ; Francesca Baiwog [Papouasie-Nouvelle-Guinée] ; Mupawjay Pimanpanarak [Thaïlande] ; Peter Siba [Papouasie-Nouvelle-Guinée] ; Ivo Mueller [Australie, France] ; Christopher L. King [États-Unis] ; François Nosten [Thaïlande, Royaume-Uni] ; James G. Beeson [Australie] ; Stephen Rogerson [Australie] ; Julie A. Simpson [Australie] ; Freya J. I. Fowkes [Australie]Source :
- PLoS ONE [ 1932-6203 ] ; 2017.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Complications de la grossesse et maladies infectieuses (immunologie), Complications de la grossesse et maladies infectieuses (sang), Complications de la grossesse et maladies infectieuses (épidémiologie), Femelle, Gravidité (immunologie), Grossesse, Humains, Immunoglobuline G (sang), Jeune adulte, Maladies endémiques, Paludisme à Plasmodium falciparum (immunologie), Paludisme à Plasmodium falciparum (sang), Paludisme à Plasmodium falciparum (épidémiologie), Plasmodium falciparum (immunologie), Plasmodium falciparum (physiologie), Sang foetal (immunologie), Échange foetomaternel (immunologie).
- MESH :
- immunologie : Complications de la grossesse et maladies infectieuses, Gravidité, Paludisme à Plasmodium falciparum, Plasmodium falciparum, Sang foetal, Échange foetomaternel.
- physiologie : Plasmodium falciparum.
- sang : Complications de la grossesse et maladies infectieuses, Immunoglobuline G, Paludisme à Plasmodium falciparum.
- épidémiologie : Complications de la grossesse et maladies infectieuses, Paludisme à Plasmodium falciparum.
- Adolescent, Adulte, Adulte d'âge moyen, Femelle, Grossesse, Humains, Jeune adulte, Maladies endémiques.
English descriptors
- KwdEn :
- Adolescent, Adult, Endemic Diseases, Female, Fetal Blood (immunology), Gravidity (immunology), Humans, Immunoglobulin G (blood), Malaria, Falciparum (blood), Malaria, Falciparum (epidemiology), Malaria, Falciparum (immunology), Maternal-Fetal Exchange (immunology), Middle Aged, Plasmodium falciparum (immunology), Plasmodium falciparum (physiology), Pregnancy, Pregnancy Complications, Infectious (blood), Pregnancy Complications, Infectious (epidemiology), Pregnancy Complications, Infectious (immunology), Young Adult.
- MESH :
- chemical , blood : Immunoglobulin G.
- blood : Malaria, Falciparum, Pregnancy Complications, Infectious.
- epidemiology : Malaria, Falciparum, Pregnancy Complications, Infectious.
- immunology : Fetal Blood, Gravidity, Malaria, Falciparum, Maternal-Fetal Exchange, Plasmodium falciparum, Pregnancy Complications, Infectious.
- physiology : Plasmodium falciparum.
- Adolescent, Adult, Endemic Diseases, Female, Humans, Middle Aged, Pregnancy, Young Adult.
Abstract
During pregnancy, immunoglobulin G (IgG) is transferred from the mother to the fetus, providing protection from disease in early infancy.
Mother-cord paired serum samples collected at delivery from Papua New Guinea (PNG) and the Thailand-Myanmar Border Area (TMBA) were tested for IgG1 and IgG3 to four
Maternofetal antibody transfer efficiency of IgG1 and IgG3 was lower in PNG compared to TMBA (mean difference in cord antibody levels (controlling for maternal antibody levels) ranged from -0.88 to 0.09, median of -0.20 log2 units). Placental
Primigravid women may be at risk of impaired maternofetal antibody transport with placental
Url:
DOI: 10.1371/journal.pone.0186577
PubMed: 29028827
PubMed Central: 5640245
Affiliations:
- Australie, Birmanie, France, Papouasie-Nouvelle-Guinée, Royaume-Uni, Thaïlande, États-Unis
- Angleterre, Ohio, Oxfordshire, Victoria (État), Île-de-France
- Melbourne, Oxford, Paris
- Université d'Oxford, Université de Melbourne
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Le document en format XML
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D." last="Mclean">Alistair R. D. Mclean</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Burnet Institute, Melbourne, Victoria, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Burnet Institute, Melbourne, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="aff002"><addr-line>Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region><settlement type="city">Melbourne</settlement></placeName><orgName type="university">Université de Melbourne</orgName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff003"><addr-line>Myanmar Oxford Clinical Research Unit, Yangon, Myanmar</addr-line></nlm:aff><country xml:lang="fr">Birmanie</country><wicri:regionArea>Myanmar Oxford Clinical Research Unit, Yangon</wicri:regionArea><wicri:noRegion>Yangon</wicri:noRegion></affiliation></author><author><name sortKey="Stanisic, Danielle" sort="Stanisic, Danielle" uniqKey="Stanisic D" first="Danielle" last="Stanisic">Danielle Stanisic</name><affiliation wicri:level="1"><nlm:aff id="aff004"><addr-line>Institute for Glycomics, Griffith University, Gold Coast Campus, Southport, Queensland, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Institute for Glycomics, Griffith University, Gold Coast Campus, Southport, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author><author><name sortKey="Mcgready, Rose" sort="Mcgready, Rose" uniqKey="Mcgready R" first="Rose" last="Mcgready">Rose Mcgready</name><affiliation wicri:level="1"><nlm:aff id="aff005"><addr-line>Shoklo Malaria Research Unit (SMRU), Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand</addr-line></nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Shoklo Malaria Research Unit (SMRU), Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot</wicri:regionArea><wicri:noRegion>Mae Sot</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="aff006"><addr-line>Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford</wicri:regionArea><placeName><settlement type="city">Oxford</settlement><region type="country">Angleterre</region><region type="comté" nuts="2">Oxfordshire</region><settlement type="city">Oxford</settlement></placeName><orgName type="university">Université d'Oxford</orgName></affiliation></author><author><name sortKey="Chotivanich, Kesinee" sort="Chotivanich, Kesinee" uniqKey="Chotivanich K" first="Kesinee" last="Chotivanich">Kesinee Chotivanich</name><affiliation wicri:level="1"><nlm:aff id="aff007"><addr-line>Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand</addr-line></nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok</wicri:regionArea><wicri:noRegion>Bangkok</wicri:noRegion></affiliation></author><author><name sortKey="Clapham, Caroline" sort="Clapham, Caroline" uniqKey="Clapham C" first="Caroline" last="Clapham">Caroline Clapham</name><affiliation wicri:level="1"><nlm:aff id="aff008"><addr-line>Papua New Guinea Institute of Medical Research, Madang, Papua New Guinea</addr-line></nlm:aff><country xml:lang="fr">Papouasie-Nouvelle-Guinée</country><wicri:regionArea>Papua New Guinea Institute of Medical Research, Madang</wicri:regionArea><wicri:noRegion>Madang</wicri:noRegion></affiliation></author><author><name sortKey="Baiwog, Francesca" sort="Baiwog, Francesca" uniqKey="Baiwog F" first="Francesca" last="Baiwog">Francesca Baiwog</name><affiliation wicri:level="1"><nlm:aff id="aff008"><addr-line>Papua New Guinea Institute of Medical Research, Madang, Papua New Guinea</addr-line></nlm:aff><country xml:lang="fr">Papouasie-Nouvelle-Guinée</country><wicri:regionArea>Papua New Guinea Institute of Medical Research, Madang</wicri:regionArea><wicri:noRegion>Madang</wicri:noRegion></affiliation></author><author><name sortKey="Pimanpanarak, Mupawjay" sort="Pimanpanarak, Mupawjay" uniqKey="Pimanpanarak M" first="Mupawjay" last="Pimanpanarak">Mupawjay Pimanpanarak</name><affiliation wicri:level="1"><nlm:aff id="aff005"><addr-line>Shoklo Malaria Research Unit (SMRU), Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand</addr-line></nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Shoklo Malaria Research Unit (SMRU), Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot</wicri:regionArea><wicri:noRegion>Mae Sot</wicri:noRegion></affiliation></author><author><name sortKey="Siba, Peter" sort="Siba, Peter" uniqKey="Siba P" first="Peter" last="Siba">Peter Siba</name><affiliation wicri:level="1"><nlm:aff id="aff008"><addr-line>Papua New Guinea Institute of Medical Research, Madang, Papua New Guinea</addr-line></nlm:aff><country xml:lang="fr">Papouasie-Nouvelle-Guinée</country><wicri:regionArea>Papua New Guinea Institute of Medical Research, Madang</wicri:regionArea><wicri:noRegion>Madang</wicri:noRegion></affiliation></author><author><name sortKey="Mueller, Ivo" sort="Mueller, Ivo" uniqKey="Mueller I" first="Ivo" last="Mueller">Ivo Mueller</name><affiliation wicri:level="1"><nlm:aff id="aff009"><addr-line>Population Health & Immunity Division, WEHI, Parkville, Victoria, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Population Health & Immunity Division, WEHI, Parkville, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="aff010"><addr-line>Malaria: Parasites & Hosts Unit, Institut Pasteur, Paris, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Malaria: Parasites & Hosts Unit, Institut Pasteur, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="4"><nlm:aff id="aff011"><addr-line>Department of Medical Biology, University of Melbourne, Parkville, Victoria, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Medical Biology, University of Melbourne, Parkville, Victoria</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="King, Christopher L" sort="King, Christopher L" uniqKey="King C" first="Christopher L." last="King">Christopher L. King</name><affiliation wicri:level="2"><nlm:aff id="aff012"><addr-line>Center for Global Health and Diseases, Case Western Reserve University, and Veterans Affairs Medical Center, Cleveland, OH, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Global Health and Diseases, Case Western Reserve University, and Veterans Affairs Medical Center, Cleveland, OH</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Nosten, Francois" sort="Nosten, Francois" uniqKey="Nosten F" first="François" last="Nosten">François Nosten</name><affiliation wicri:level="1"><nlm:aff id="aff005"><addr-line>Shoklo Malaria Research Unit (SMRU), Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand</addr-line></nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Shoklo Malaria Research Unit (SMRU), Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot</wicri:regionArea><wicri:noRegion>Mae Sot</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="aff006"><addr-line>Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford</wicri:regionArea><placeName><settlement type="city">Oxford</settlement><region type="country">Angleterre</region><region type="comté" nuts="2">Oxfordshire</region><settlement type="city">Oxford</settlement></placeName><orgName type="university">Université d'Oxford</orgName></affiliation></author><author><name sortKey="Beeson, James G" sort="Beeson, James G" uniqKey="Beeson J" first="James G." last="Beeson">James G. Beeson</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Burnet Institute, Melbourne, Victoria, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Burnet Institute, Melbourne, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="aff013"><addr-line>Department of Medicine, University of Melbourne, Melbourne, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Medicine, University of Melbourne, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region><settlement type="city">Melbourne</settlement></placeName><orgName type="university">Université de Melbourne</orgName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff014"><addr-line>Department of Microbiology and Central Clinical School, Monash University, Melbourne, Victoria, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Microbiology and Central Clinical School, Monash University, Melbourne, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation></author><author><name sortKey="Rogerson, Stephen" sort="Rogerson, Stephen" uniqKey="Rogerson S" first="Stephen" last="Rogerson">Stephen Rogerson</name><affiliation wicri:level="4"><nlm:aff id="aff013"><addr-line>Department of Medicine, University of Melbourne, Melbourne, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Medicine, University of Melbourne, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region><settlement type="city">Melbourne</settlement></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author><author><name sortKey="Simpson, Julie A" sort="Simpson, Julie A" uniqKey="Simpson J" first="Julie A." last="Simpson">Julie A. Simpson</name><affiliation wicri:level="4"><nlm:aff id="aff002"><addr-line>Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region><settlement type="city">Melbourne</settlement></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author><author><name sortKey="Fowkes, Freya J I" sort="Fowkes, Freya J I" uniqKey="Fowkes F" first="Freya J. I." last="Fowkes">Freya J. I. Fowkes</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Burnet Institute, Melbourne, Victoria, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Burnet Institute, Melbourne, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="aff002"><addr-line>Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region><settlement type="city">Melbourne</settlement></placeName><orgName type="university">Université de Melbourne</orgName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff015"><addr-line>Department of Epidemiology and Preventative Medicine, Monash University, Melbourne, Victoria, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Epidemiology and Preventative Medicine, Monash University, Melbourne, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Endemic Diseases</term><term>Female</term><term>Fetal Blood (immunology)</term><term>Gravidity (immunology)</term><term>Humans</term><term>Immunoglobulin G (blood)</term><term>Malaria, Falciparum (blood)</term><term>Malaria, Falciparum (epidemiology)</term><term>Malaria, Falciparum (immunology)</term><term>Maternal-Fetal Exchange (immunology)</term><term>Middle Aged</term><term>Plasmodium falciparum (immunology)</term><term>Plasmodium falciparum (physiology)</term><term>Pregnancy</term><term>Pregnancy Complications, Infectious (blood)</term><term>Pregnancy Complications, Infectious (epidemiology)</term><term>Pregnancy Complications, Infectious (immunology)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Complications de la grossesse et maladies infectieuses (immunologie)</term><term>Complications de la grossesse et maladies infectieuses (sang)</term><term>Complications de la grossesse et maladies infectieuses (épidémiologie)</term><term>Femelle</term><term>Gravidité (immunologie)</term><term>Grossesse</term><term>Humains</term><term>Immunoglobuline G (sang)</term><term>Jeune adulte</term><term>Maladies endémiques</term><term>Paludisme à Plasmodium falciparum (immunologie)</term><term>Paludisme à Plasmodium falciparum (sang)</term><term>Paludisme à Plasmodium falciparum (épidémiologie)</term><term>Plasmodium falciparum (immunologie)</term><term>Plasmodium falciparum (physiologie)</term><term>Sang foetal (immunologie)</term><term>Échange foetomaternel (immunologie)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Immunoglobulin G</term></keywords><keywords scheme="MESH" qualifier="blood" xml:lang="en"><term>Malaria, Falciparum</term><term>Pregnancy Complications, Infectious</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Malaria, Falciparum</term><term>Pregnancy Complications, Infectious</term></keywords><keywords scheme="MESH" qualifier="immunologie" xml:lang="fr"><term>Complications de la grossesse et maladies infectieuses</term><term>Gravidité</term><term>Paludisme à Plasmodium falciparum</term><term>Plasmodium falciparum</term><term>Sang foetal</term><term>Échange foetomaternel</term></keywords><keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>Fetal Blood</term><term>Gravidity</term><term>Malaria, Falciparum</term><term>Maternal-Fetal Exchange</term><term>Plasmodium falciparum</term><term>Pregnancy Complications, Infectious</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Plasmodium falciparum</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Plasmodium falciparum</term></keywords><keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Complications de la grossesse et maladies infectieuses</term><term>Immunoglobuline G</term><term>Paludisme à Plasmodium falciparum</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Complications de la grossesse et maladies infectieuses</term><term>Paludisme à Plasmodium falciparum</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Endemic Diseases</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Pregnancy</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Grossesse</term><term>Humains</term><term>Jeune adulte</term><term>Maladies endémiques</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Introduction</title><p>During pregnancy, immunoglobulin G (IgG) is transferred from the mother to the fetus, providing protection from disease in early infancy. <italic>Plasmodium falciparum</italic> infections may reduce maternofetal antibody transfer efficiency, but mechanisms remain unclear.</p></sec><sec id="sec002"><title>Methods</title><p>Mother-cord paired serum samples collected at delivery from Papua New Guinea (PNG) and the Thailand-Myanmar Border Area (TMBA) were tested for IgG1 and IgG3 to four <italic>P</italic>. <italic>falciparum</italic> antigens and measles antigen, as well as total serum IgG. Multivariable linear regression was conducted to assess the association of peripheral <italic>P</italic>. <italic>falciparum</italic> infection during pregnancy or placental <italic>P</italic>. <italic>falciparum</italic> infection assessed at delivery with maternofetal antibody transfer efficiency. Path analysis assessed the extent to which associations between <italic>P</italic>. <italic>falciparum</italic> infection and antibody transfer were mediated by gestational age at delivery or levels of maternal total serum IgG.</p></sec><sec id="sec003"><title>Results</title><p>Maternofetal antibody transfer efficiency of IgG1 and IgG3 was lower in PNG compared to TMBA (mean difference in cord antibody levels (controlling for maternal antibody levels) ranged from -0.88 to 0.09, median of -0.20 log<sub>2</sub> units). Placental <italic>P</italic>. <italic>falciparum</italic> infections were associated with substantially lower maternofetal antibody transfer efficiency in PNG primigravid women (mean difference in cord antibody levels (controlling for maternal antibody levels) ranged from -0.62 to -0.10, median of -0.36 log<sub>2</sub> units), but not multigravid women. The lower antibody transfer efficiency amongst primigravid women with placental infection was only partially mediated by gestational age at delivery (proportion indirect effect ranged from 0% to 18%), whereas no mediation effects of maternal total serum IgG were observed.</p></sec><sec id="sec004"><title>Discussion</title><p>Primigravid women may be at risk of impaired maternofetal antibody transport with placental <italic>P</italic>. <italic>falciparum</italic> infection. Direct effects of <italic>P</italic>. <italic>falciparum</italic> on the placenta, rather than earlier gestational age and elevated serum IgG, are likely responsible for the majority of the reduction in maternofetal antibody transfer efficiency with placental infection.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Chu, Hy" uniqKey="Chu H">HY Chu</name></author><author><name sortKey="Englund, Ja" uniqKey="Englund J">JA Englund</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bruce Chwatt, Lj" uniqKey="Bruce Chwatt L">LJ Bruce-Chwatt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Garnham, Pc" uniqKey="Garnham P">PC Garnham</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sehgal, Vm" uniqKey="Sehgal V">VM Sehgal</name></author><author><name sortKey="Siddjiqui, Wa" uniqKey="Siddjiqui W">WA 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Stapleton</name></author><author><name sortKey="Andersen, Jt" uniqKey="Andersen J">JT Andersen</name></author><author><name sortKey="Stemerding, Am" uniqKey="Stemerding A">AM Stemerding</name></author><author><name sortKey="Bjarnarson, Sp" uniqKey="Bjarnarson S">SP Bjarnarson</name></author><author><name sortKey="Verheul, Rc" uniqKey="Verheul R">RC Verheul</name></author><author><name sortKey="Gerritsen, J" uniqKey="Gerritsen J">J Gerritsen</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Australie</li><li>Birmanie</li><li>France</li><li>Papouasie-Nouvelle-Guinée</li><li>Royaume-Uni</li><li>Thaïlande</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Ohio</li><li>Oxfordshire</li><li>Victoria (État)</li><li>Île-de-France</li></region><settlement><li>Melbourne</li><li>Oxford</li><li>Paris</li></settlement><orgName><li>Université d'Oxford</li><li>Université de Melbourne</li></orgName></list><tree><country name="Australie"><noRegion><name sortKey="Mclean, Alistair R D" sort="Mclean, Alistair R D" uniqKey="Mclean A" first="Alistair R. D." last="Mclean">Alistair R. D. Mclean</name></noRegion><name sortKey="Beeson, James G" sort="Beeson, James G" uniqKey="Beeson J" first="James G." last="Beeson">James G. Beeson</name><name sortKey="Beeson, James G" sort="Beeson, James G" uniqKey="Beeson J" first="James G." last="Beeson">James G. Beeson</name><name sortKey="Beeson, James G" sort="Beeson, James G" uniqKey="Beeson J" first="James G." last="Beeson">James G. Beeson</name><name sortKey="Fowkes, Freya J I" sort="Fowkes, Freya J I" uniqKey="Fowkes F" first="Freya J. I." last="Fowkes">Freya J. I. Fowkes</name><name sortKey="Fowkes, Freya J I" sort="Fowkes, Freya J I" uniqKey="Fowkes F" first="Freya J. I." last="Fowkes">Freya J. I. Fowkes</name><name sortKey="Fowkes, Freya J I" sort="Fowkes, Freya J I" uniqKey="Fowkes F" first="Freya J. I." last="Fowkes">Freya J. I. Fowkes</name><name sortKey="Mclean, Alistair R D" sort="Mclean, Alistair R D" uniqKey="Mclean A" first="Alistair R. D." last="Mclean">Alistair R. D. Mclean</name><name sortKey="Mueller, Ivo" sort="Mueller, Ivo" uniqKey="Mueller I" first="Ivo" last="Mueller">Ivo Mueller</name><name sortKey="Mueller, Ivo" sort="Mueller, Ivo" uniqKey="Mueller I" first="Ivo" last="Mueller">Ivo Mueller</name><name sortKey="Rogerson, Stephen" sort="Rogerson, Stephen" uniqKey="Rogerson S" first="Stephen" last="Rogerson">Stephen Rogerson</name><name sortKey="Simpson, Julie A" sort="Simpson, Julie A" uniqKey="Simpson J" first="Julie A." last="Simpson">Julie A. Simpson</name><name sortKey="Stanisic, Danielle" sort="Stanisic, Danielle" uniqKey="Stanisic D" first="Danielle" last="Stanisic">Danielle Stanisic</name></country><country name="Birmanie"><noRegion><name sortKey="Mclean, Alistair R D" sort="Mclean, Alistair R D" uniqKey="Mclean A" first="Alistair R. D." last="Mclean">Alistair R. D. Mclean</name></noRegion></country><country name="Thaïlande"><noRegion><name sortKey="Mcgready, Rose" sort="Mcgready, Rose" uniqKey="Mcgready R" first="Rose" last="Mcgready">Rose Mcgready</name></noRegion><name sortKey="Chotivanich, Kesinee" sort="Chotivanich, Kesinee" uniqKey="Chotivanich K" first="Kesinee" last="Chotivanich">Kesinee Chotivanich</name><name sortKey="Nosten, Francois" sort="Nosten, Francois" uniqKey="Nosten F" first="François" last="Nosten">François Nosten</name><name sortKey="Pimanpanarak, Mupawjay" sort="Pimanpanarak, Mupawjay" uniqKey="Pimanpanarak M" first="Mupawjay" last="Pimanpanarak">Mupawjay Pimanpanarak</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Mcgready, Rose" sort="Mcgready, Rose" uniqKey="Mcgready R" first="Rose" last="Mcgready">Rose Mcgready</name></region><name sortKey="Nosten, Francois" sort="Nosten, Francois" uniqKey="Nosten F" first="François" last="Nosten">François Nosten</name></country><country name="Papouasie-Nouvelle-Guinée"><noRegion><name sortKey="Clapham, Caroline" sort="Clapham, Caroline" uniqKey="Clapham C" first="Caroline" last="Clapham">Caroline Clapham</name></noRegion><name sortKey="Baiwog, Francesca" sort="Baiwog, Francesca" uniqKey="Baiwog F" first="Francesca" last="Baiwog">Francesca Baiwog</name><name sortKey="Siba, Peter" sort="Siba, Peter" uniqKey="Siba P" first="Peter" last="Siba">Peter Siba</name></country><country name="France"><region name="Île-de-France"><name sortKey="Mueller, Ivo" sort="Mueller, Ivo" uniqKey="Mueller I" first="Ivo" last="Mueller">Ivo Mueller</name></region></country><country name="États-Unis"><region name="Ohio"><name sortKey="King, Christopher L" sort="King, Christopher L" uniqKey="King C" first="Christopher L." last="King">Christopher L. King</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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