Anticorpos IgG total, IgG1 e IgG3 anti-VRS em crianças ≤5 anos de idade: ocorrência, nível e avidez

Respiratory syncytial virus (RSV) is well recognized as the most important pathogen accounting for acute respiratory disease (ARD) in infants and young children, mainly bronchiolitis and pneumonia. Since the 1960s, aspects of the immune response to RSV have been intensively studied, however, some ch...

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Detalles Bibliográficos
Autor: Freitas, Guilherme Ramos Oliveira e
Tipo de recurso: tesis de maestría
Estado:Versión publicada
Fecha de publicación:2010
País:Brasil
Institución:Universidade Federal de Uberlândia (UFU)
Repositorio:Repositório Institucional da UFU
Idioma:portugués
OAI Identifier:oai:repositorio.ufu.br:123456789/16647
Acceso en línea:https://repositorio.ufu.br/handle/123456789/16647
Access Level:acceso abierto
Palabra clave:Crianças ≤ 5 anos de idade
Doença respiratória aguda
Anticorpos IgG total, IgG1 e IgG3
Ensaio de avidez
Virologia
Imunoglobulinas
Vírus respiratório sincicial
Respiratory syncytial virus
Young children
Acute respiratory disease
Total IgG, IgG1 and IgG3 antibodies
Avidity assay
CNPQ::CIENCIAS BIOLOGICAS::IMUNOLOGIA::IMUNOLOGIA APLICADA
Descripción
Sumario:Respiratory syncytial virus (RSV) is well recognized as the most important pathogen accounting for acute respiratory disease (ARD) in infants and young children, mainly bronchiolitis and pneumonia. Since the 1960s, aspects of the immune response to RSV have been intensively studied, however, some characteristics that may lead a protection against the infection or severity of the illness are still unknown. This study aimed to investigate the occurrence, levels and avidity of total IgG, IgG1 and IgG3 specific to RSV by indirect enzyme linked immuno sorbent assay (ELISA) and avidity ELISA in serum samples from children ≤ 5 years old with RSV-ARD (cases) and without ARD (controls). Also a possible association between the antibody avidity and severity of the disease was examined. The occurrence and levels of RSV-IgG were age dependent, corroborating to previous observation that infants <3 months old show high prevalence and levels of maternal antibodies and the responsiveness capacity of children ≥2 years old to reinfections. The results of RSV-specific total IgG and IgG1 avidity demonstrated that cases <3 months old show low avidity antibodies when compared with age-matched controls. While children ≥2 years old with lower tract respiratory illness (LTRI) showed lower RSV-specific total IgG avidity than those with upper tract respiratory illness (UTRI). These results suggest that the high avidity of RSVspecific IgG may be related to protection against RSV disease in children <3 months old and thus, children with high avidity maternal RSV-specific IgG may have a lower probability of developing disease. They also suggest that children ≥2 years old with low avidity RSVspecific IgG showed tendency to develop severe RSV-illness.