Fetal immune changes during atopy and normal pregnancies

J. V. Priamkova, G. A. Samsygina, I. G. Sherbakova, O. V. Zaitseva (Moscow, Russia)

Source: Annual Congress 2002 - The development of allergic sensitization / asthma in children
Session: The development of allergic sensitization / asthma in children
Session type: Thematic Poster Session
Number: 783
Disease area: Airway diseases, Paediatric lung diseases

Congress or journal article abstract

Abstract

It is well established that the induction of T-cell memory is frequently initiated in utero, and it is likely that maternal factors exert their influences during this period. We dynamically investigated immunological changes of 10 fetuses of atopic mothers (in most cases suffering bronchial asthma) at 22 to 37 weeks` gestation. In the control group were concluded 16 healthy fetuses. The fetal blood samples obtained by cordocentesis technique at the necessary to exclude a genetic pathology, congenital malformations, development hemolytic disease and/or during the premature labor. Enzyme-linked immunoassay was used to measure serum concentrations of interleukin (IL)-2 (Th1) and IL-4 (Th2). It was shown that the concentration of IL-2 in fetal plasma had approximately same low level during the second and third trimester of pregnancy in both normals and atopics. The increasing of IL-2 was revealed at the period of 37 weeks until the labors. The IL-4 has demonstrated the low level at 22-34 and 37-40 weeks with increased parameters during 34-37 weeks` gestation. The infants of asthmatic mothers had reduced IL-4 at birth. These findings support the hypothesis that the fetus maintains a Th1 biased environment to counteract the Th2 biased maternal and placental influences. The IL-2 can play the role in promotion of fetal rejection. So, understanding the underlying mechanisms whereby immunological responses are initiated and modified at the beginning of life can offer alternative targets for therapeutic intervention.


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J. V. Priamkova, G. A. Samsygina, I. G. Sherbakova, O. V. Zaitseva (Moscow, Russia). Fetal immune changes during atopy and normal pregnancies. Eur Respir J 2002; 20: Suppl. 38, 783

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