Ontology highlight
ABSTRACT: Introduction
Pregnant women are vulnerable to severe acute respiratory syndrome coronavirus (SARS-CoV-2) infection. Neutralizing antibodies against the SARS-CoV-2 spike (S) protein protect from severe disease. This study analyzes the antibody titers to SARS-CoV-2 S protein in pregnant women and their newborns at delivery, and six months later.Methods
We conducted a prospective study on pregnant women with confirmed SARS-CoV-2 infection and newborns. Antibody (IgG, IgM, and IgA) titers were determined using immunoassays in serum and milk samples. An angiotensin-converting enzyme 2 (ACE2) receptor-binding inhibition assay to the S protein was performed on the same serum and milk samples.Results
At birth, antibodies to SARS-CoV-2 spike protein were detected in 81.9% of mothers' sera, 78.9% of cord blood samples, and 63.2% of milk samples. Symptomatic women had higher antibody titers (IgG, IgM, and IgA) than the asymptomatic ones (P < 0.05). At six months postpartum, IgG levels decreased drastically in children's serum (P < 0.001) but remained high in mothers' serum. Antibody titers correlated positively with its capacity to inhibit the ACE2-spike protein interaction at baseline in maternal sera (R2 = 0.203; P < 0.001), cord sera (R2 = 0.378; P < 0.001), and milk (R2 = 0.564; P < 0.001), and at six months in maternal sera (R2 = 0.600; P < 0.001).Conclusions
High antibody levels against SARS-CoV-2 spike protein were found in most pregnant women. Due to the efficient transfer of IgG to cord blood and high IgA titers in breast milk, neonates may be passively immunized to SARS-CoV-2 infection. Our findings could guide newborn management and maternal vaccination policies.
SUBMITTER: Martin-Vicente M
PROVIDER: S-EPMC9349436 | biostudies-literature | 2023 Jun
REPOSITORIES: biostudies-literature
Martin-Vicente María M Carrasco Itziar I Muñoz-Gomez María José MJ Lobo Alicia Hernanz AH Mas Vicente V Vigil-Vázquez Sara S Vázquez Mónica M Manzanares Angela A Cano Olga O Alonso Roberto R Sepúlveda-Crespo Daniel D Tarancón-Díez Laura L Muñoz-Fernández María Ángeles MÁ Muñoz-Chapuli Mar M Resino Salvador S Navarro Maria Luisa ML Martinez Isidoro I
Birth (Berkeley, Calif.) 20220708 2
<h4>Introduction</h4>Pregnant women are vulnerable to severe acute respiratory syndrome coronavirus (SARS-CoV-2) infection. Neutralizing antibodies against the SARS-CoV-2 spike (S) protein protect from severe disease. This study analyzes the antibody titers to SARS-CoV-2 S protein in pregnant women and their newborns at delivery, and six months later.<h4>Methods</h4>We conducted a prospective study on pregnant women with confirmed SARS-CoV-2 infection and newborns. Antibody (IgG, IgM, and IgA) t ...[more]