Abstract
Sera from 30 of 303 (9.9%) unselected term newborn infants were deficient in their ability to opsonize heat-killed baker's yeasts, an incidence which is almost double that seen in adults. Genetic influence is important in some since the mothers of 10 infants with defective opsonization showed the same defect, but it was not related to the sex or race of the infant or to the atopic state of the parents. In others the defect could be due to a functional maturation delay of the complement system, but not to inhibitory factors in neonatal serum since correction of opsonization was achieved with subopsonizing amounts of normal sera. Significantly more infants had sera with high opsonizing capacity (greater than 80% yeasts phagocytosed) when compared with adults; perhaps antibody independent immune mechanisms like this are important in the newborn. This study shows that a common specific immunodeficiency which may predispose to severe infection or atopy can be identified at birth.
Full text
PDF





Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Feinstein P. A., Kaplan S. R. The alternative pathway of complement activation in the neonate. Pediatr Res. 1975 Oct;9(10):803–806. doi: 10.1203/00006450-197510000-00012. [DOI] [PubMed] [Google Scholar]
- Forman M. L., Stiehm E. R. Impaired opsonic activity but normal phagocytosis in low-birth-weight infants. N Engl J Med. 1969 Oct 23;281(17):926–931. doi: 10.1056/NEJM196910232811704. [DOI] [PubMed] [Google Scholar]
- Godfrey R. C., Griffiths M. The prevalence of immediate positive skin tests to Dermatophagoides pteronyssinus and grass pollen in schoolchildren. Clin Allergy. 1976 Jan;6(1):79–82. doi: 10.1111/j.1365-2222.1976.tb01415.x. [DOI] [PubMed] [Google Scholar]
- Jacobs J. C., Miller M. E. Fatal familial Leiner's disease: a deficiency of the opsonic activity of serum complement. Pediatrics. 1972 Feb;49(2):225–232. [PubMed] [Google Scholar]
- Kaufman H. S., Hobbs J. R. Immunoglobulin deficiencies in an atopic population. Lancet. 1970 Nov 21;2(7682):1061–1063. doi: 10.1016/s0140-6736(70)90288-6. [DOI] [PubMed] [Google Scholar]
- Larcher V. F., Wyke R. J., Mowat A. P., Williams R. Mechanism of the serum defect in yeast opsonization in children with fulminant hepatic failure (FHF). Clin Exp Immunol. 1981 Nov;46(2):406–411. [PMC free article] [PubMed] [Google Scholar]
- Levinsky R. J., Harvey B. A., Paleja S. A rapid objective method for measuring the yeast opsonisation activity of serum. J Immunol Methods. 1978;24(3-4):251–256. doi: 10.1016/0022-1759(78)90129-1. [DOI] [PubMed] [Google Scholar]
- McCracken G. H., Jr, Eichenwald H. F. Leukocyte function and the development of opsonic and complement activity in the neonate. Am J Dis Child. 1971 Feb;121(2):120–126. doi: 10.1001/archpedi.1971.02100130074008. [DOI] [PubMed] [Google Scholar]
- Miller M. E., Nilsson U. R. A familial deficiency of the phagocytosis-enhancing activity of serum related to a dysfunction of the fifth component of complement (C5). N Engl J Med. 1970 Feb 12;282(7):354–358. doi: 10.1056/NEJM197002122820702. [DOI] [PubMed] [Google Scholar]
- Mills E. L., Björksteń B., Quie P. G. Deficient alternative complement pathway activity in newborn sera. Pediatr Res. 1979 Dec;13(12):1341–1344. doi: 10.1203/00006450-197912000-00008. [DOI] [PubMed] [Google Scholar]
- Pelet B. Exchange transfusion in newborn infants: effects on granulocyte function. Arch Dis Child. 1979 Sep;54(9):687–690. doi: 10.1136/adc.54.9.687. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Scott H., Moynahan E. J., Risdon R. A., Harvey B. A., Soothill J. F. Familial opsonization defect associated with fatal infantile dermatitis, infections, and histiocytosis. Arch Dis Child. 1975 Apr;50(4):311–317. doi: 10.1136/adc.50.4.311. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Soothill J. F., Harvey B. A. A defect of the alternative pathway of complement. Clin Exp Immunol. 1977 Jan;27(1):30–33. [PMC free article] [PubMed] [Google Scholar]
- Soothill J. F., Harvey B. A. Defective opsonization. A common immunity deficiency. Arch Dis Child. 1976 Feb;51(2):91–99. doi: 10.1136/adc.51.2.91. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Strunk R. C., Fenton L. J., Gaines J. A. Alternative pathway of complement activation in full term and premature infants. Pediatr Res. 1979 May;13(5 Pt 1):641–643. doi: 10.1203/00006450-197905000-00013. [DOI] [PubMed] [Google Scholar]
- Taylor B., Norman A. P., Orgel H. A., Stokes C. R., Turner M. W., Soothill J. F. Transient IgA deficiency and pathogenesis of infantile atopy. Lancet. 1973 Jul 21;2(7821):111–113. doi: 10.1016/s0140-6736(73)93060-2. [DOI] [PubMed] [Google Scholar]
- Turner K. J., Rosman D. L., O'Mahony J. Prevalence and familial association of atopic disease and its relationship to serum IgE levels in 1,061 school children and their families. Int Arch Allergy Appl Immunol. 1974;47(5):650–664. doi: 10.1159/000231257. [DOI] [PubMed] [Google Scholar]
- Turner M. W., Mowbray J. F., Harvey B. A., Brostoff J., Wells R. S., Soothill J. F. Defective yeast opsonization and C2 deficiency in atopic patients. Clin Exp Immunol. 1978 Nov;34(2):253–259. [PMC free article] [PubMed] [Google Scholar]
- Whaley K. Biosynthesis of the complement components and the regulatory proteins of the alternative complement pathway by human peripheral blood monocytes. J Exp Med. 1980 Mar 1;151(3):501–516. doi: 10.1084/jem.151.3.501. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Yamamura M., Valdimarsson H. A new semiquantitative radiometric opsonin assay. Selective measurement of opsonizing capacity of the alternative pathway. Immunology. 1978 Apr;34(4):689–694. [PMC free article] [PubMed] [Google Scholar]
