Skip to main content
British Medical Journal logoLink to British Medical Journal
. 1980 Mar 22;280(6217):828–830. doi: 10.1136/bmj.280.6217.828

Cord blood and breast-milk antibodies in neonatal rotavirus infection.

B M Totterdell, I L Chrystie, J E Banatvala
PMCID: PMC1600947  PMID: 6245749

Abstract

Studies were carried out during an outbreak of rotavirus type 2 infection in a neonatal nursery to determine the protective role of antibodies in cord blood and breast milk. The range, distribution, and geometric mean titres of rotavirus-specific antibody in the cord blood were similar among rotavirus-positive and rotavirus-negative neonates, and the amount of virus excreted did not correlate with antibody levels. Despite the protective effect of breast feeding, the pattern of rotavirus-specific IgA and IgG antibodies in the expressed breast milk of mothers of babies who were rotavirus excreters and non-excreters was similar. Nevertheless, a higher proportion of expressed breast milk samples contained rotavirus-specific IgA group 2 (92%) and type 2 (97%) specific antibodies than type I (67%) antibodies, and the geometric mean titres of group 2 and type 2 specific antibodies were tenfold higher than type I antibodies. Among breast-fed babies who excreted rotavirus there was no correlation between type 2 rotavirus-specific IgA antibodies in expressed breast milk and the amount of neonatal virus excretion. These studies suggest that factors other than the rotavirus antibodies in expressed breast milk are of importance in preventing rotavirus infection in newborn infants.

Full text

PDF

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Chrystie I. L., Totterdell B. M., Banatvala J. E. Asymptomatic endemic rotavirus infections in the newborn. Lancet. 1978 Jun 3;1(8075):1176–1178. doi: 10.1016/S0140-6736(78)90967-4. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Chrystie I. L., Totterdell B., Baker M. J., Scopes J. W., Banatvala J. E. Letter: Rotavirus infections in a maternity unit. Lancet. 1975 Jul 12;2(7924):79–79. doi: 10.1016/s0140-6736(75)90525-5. [DOI] [PubMed] [Google Scholar]
  3. Cukor G., Blacklow N., Capozza F., Panjvani Z., Bednarek F. Secretory IgA antibody to rotavirus in human milk 6--9 months postpartum. Lancet. 1978 Sep 16;2(8090):631–632. doi: 10.1016/s0140-6736(78)92853-2. [DOI] [PubMed] [Google Scholar]
  4. Flewett T. H., Woode G. N. The rotaviruses. Arch Virol. 1978;57(1):1–23. doi: 10.1007/BF01315633. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Kohl S., Malloy M. M., Pickering L. K., Morriss F. H., Adcock E. W., Walters D. L. Human colostral cytotoxicity: I. Antibody-dependent cellular cytotoxicity against Herpes simplex viral-infected cells mediated by colostral cells. J Clin Lab Immunol. 1978 Nov;1(3):221–224. [PubMed] [Google Scholar]
  6. Matthews T. H., Nair C. D., Lawrence M. K., Tyrrell D. A. Antiviral activity in milk of possible clinical importance. Lancet. 1976 Dec 25;2(8000):1387–1389. doi: 10.1016/s0140-6736(76)91922-x. [DOI] [PubMed] [Google Scholar]
  7. Pittard W. B., 3rd Breast milk immunology. A frontier in infant nutrition. Am J Dis Child. 1979 Jan;133(1):83–87. doi: 10.1001/archpedi.1979.02130010089019. [DOI] [PubMed] [Google Scholar]
  8. Snodgrass D. R., Wells P. W. The immunoprophylaxis of of rotavirus infections in lambs. Vet Rec. 1978 Feb 18;102(7):146–148. doi: 10.1136/vr.102.7.146. [DOI] [PubMed] [Google Scholar]
  9. Thouless M. E., Bryden A. S., Flewett T. H. Rotavirus neutralisation by human milk. Br Med J. 1977 Nov 26;2(6099):1390–1390. doi: 10.1136/bmj.2.6099.1390. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Totterdell B. M., Chrystie I. L., Banatvala J. E. Rotavirus infections in a maternity unit. Arch Dis Child. 1976 Dec;51(12):924–928. doi: 10.1136/adc.51.12.924. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Wenman W. M., Hinde D., Feltham S., Gurwith M. Rotavirus infection in adults. Results of a prospective family study. N Engl J Med. 1979 Aug 9;301(6):303–306. doi: 10.1056/NEJM197908093010604. [DOI] [PubMed] [Google Scholar]
  12. Yolken R. H., Wyatt R. G., Kim H. W., Kapikian A. Z., Chanock R. M. Immunological response to infection with human reovirus-like agent: measurement of anti-human reovirus-like agent immunoglobulin G and M levels by the method of enzyme-linked immunosorbent assay. Infect Immun. 1978 Feb;19(2):540–546. doi: 10.1128/iai.19.2.540-546.1978. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Yolken R. H., Wyatt R. G., Mata L., Urrutia J. J., Garciá B., Chanock R. M., Kapikian A. Z. Secretory antibody directed against rotavirus in human milk--measurement by means of enzyme-linked immunosorbent assay. J Pediatr. 1978 Dec;93(6):916–921. doi: 10.1016/s0022-3476(78)81211-6. [DOI] [PubMed] [Google Scholar]
  14. Zissis G., Lambert J. P. Different serotypes of human rotaviruses. Lancet. 1978 Jan 7;1(8054):38–39. doi: 10.1016/s0140-6736(78)90380-x. [DOI] [PubMed] [Google Scholar]
  15. Zissis G., Lambert J. P. Enzyme-linked immunosorbent assays adapted for serotyping of human rotavirus strains. J Clin Microbiol. 1980 Jan;11(1):1–5. doi: 10.1128/jcm.11.1.1-5.1980. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from British Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES