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Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1981 Apr;34(4):366–370. doi: 10.1136/jcp.34.4.366

Defective neutrophil function in low-birth-weight, premature infants.

H Al-Hadithy, I E Addison, A H Goldstone, J C Cawley, J C Shaw
PMCID: PMC493292  PMID: 7240423

Abstract

A whole-blood technique was used to measure simultaneously neutrophil migration, uptake, and killing of candida in 27 premature infants of low birth weight (less than 1500 g). Neutrophil migration was consistently reduced, especially in the first two weeks of life. Phagocytosis was also reduced, particularly in the first week of life and in sick patients. Killing was usually normal, except in sick patients. The three functions were not altered when the test was performed in normal adult, rather than autologous, plasma, and the reduced migration and uptake are therefore the result of an intrinsic defect of the cell. The results clarify the previous controversy concerning neutrophil function in premature infants and provide an explanation for their increased susceptibility to infection.

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Selected References

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

  1. Al-Hadithy H., Addison I. E., Goldstone A. H. Use of whole blood in the measurement of neutrophil migration. J Clin Pathol. 1981 Feb;34(2):158–162. doi: 10.1136/jcp.34.2.158. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Anderson D. C., Pickering L. K., Feigin R. D. Leukocyte function in normal and infected neonates. J Pediatr. 1974 Sep;85(3):420–425. doi: 10.1016/s0022-3476(74)80134-4. [DOI] [PubMed] [Google Scholar]
  3. Boxer L. A. Immunological function and leucocyte disorders in newborn infants. Clin Haematol. 1978 Feb;7(1):123–146. [PubMed] [Google Scholar]
  4. Cocchi P., Marianelli L. Phagocytosis and intracellular killing of Pseudomonas aeruginosa in premature infants. Helv Paediatr Acta. 1967 Apr;22(1):110–118. [PubMed] [Google Scholar]
  5. Coen R., Grush O., Kauder E. Studies of bactericidal activity and metabolism of the leukocyte in full-term neonates. J Pediatr. 1969 Sep;75(3):400–406. doi: 10.1016/s0022-3476(69)80265-9. [DOI] [PubMed] [Google Scholar]
  6. Dossett J. H., Williams R. C., Jr, Quie P. G. Studies on interaction of bacteria, serum factors and polymorphonuclear leukocytes in mothers and newborns. Pediatrics. 1969 Jul;44(1):49–57. [PubMed] [Google Scholar]
  7. 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]
  8. GLUCK L., SILVERMAN W. A. Phagocytosis in premature infants. Pediatrics. 1957 Dec;20(6):951–957. [PubMed] [Google Scholar]
  9. Klein R. B., Fischer T. J., Gard S. E., Biberstein M., Rich K. C., Stiehm E. R. Decreased mononuclear and polymorphonuclear chemotaxis in human newborns, infants, and young children. Pediatrics. 1977 Oct;60(4):467–472. [PubMed] [Google Scholar]
  10. Laurenti F., Ferro R., Marzetti G., Rossini M., Bucci G. Neutrophil chemotaxis in preterm infants with infections. J Pediatr. 1980 Mar;96(3 Pt 1):468–470. doi: 10.1016/s0022-3476(80)80700-1. [DOI] [PubMed] [Google Scholar]
  11. MATOTH Y. Phagocytic and ameboid activities of the leukocytes in the newborn infant. Pediatrics. 1952 Jun;9(6):748–755. [PubMed] [Google Scholar]
  12. 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]
  13. Miler I., Vondrácek J., Hromádková L. The decreased in vitro chemotactic activity of polymorphonuclear leukocytes of newborns and infants. Folia Microbiol (Praha) 1979;24(3):247–252. doi: 10.1007/BF02926456. [DOI] [PubMed] [Google Scholar]
  14. Miller M. E. Phagocyte function in the neonate: selected aspects. Pediatrics. 1979 Nov;64(5 Pt 2 Suppl):709–712. [PubMed] [Google Scholar]
  15. Miller M. E. Phagocytosis in the newborn infant: humoral and cellular factors. J Pediatr. 1969 Feb;74(2):255–259. doi: 10.1016/s0022-3476(69)80073-9. [DOI] [PubMed] [Google Scholar]
  16. Mills E. L., Thompson T., Björkstén B., Filipovich D., Quie P. G. The chemiluminescence response and bactericidal activity of polymorphonuclear neutrophils from newborns and their mothers. Pediatrics. 1979 Mar;63(3):429–434. [PubMed] [Google Scholar]
  17. Pahwa S. G., Pahwa R., Grimes E., Smithwick E. Cellular and humoral components of monocyte and neutrophil chemotaxis in cord blood. Pediatr Res. 1977 May;11(5):677–680. doi: 10.1203/00006450-197705000-00010. [DOI] [PubMed] [Google Scholar]
  18. Sasaki M., Looman B., Terasaki P. I. Miniaturized whole blood ADCC assay of depressed effector activity in cancer patients. Tissue Antigens. 1980 Mar;15(3):225–230. doi: 10.1111/j.1399-0039.1980.tb00911.x. [DOI] [PubMed] [Google Scholar]
  19. Shigeoka A. O., Santos J. I., Hill H. R. Functional analysis of neutrophil granulocytes from healthy, infected, and stressed neonates. J Pediatr. 1979 Sep;95(3):454–460. doi: 10.1016/s0022-3476(79)80535-1. [DOI] [PubMed] [Google Scholar]
  20. Wright W. C., Jr, Ank B. J., Herbert J., Stiehm E. R. Decreased bactericidal activity of leukocytes of stressed newborn infants. Pediatrics. 1975 Oct;56(4):579–584. [PubMed] [Google Scholar]
  21. Xanthou M., Valassi-Adam E., Kintsonidou E., Matsaniotis N. Phagocytosis and killing ability of Candida albicans by blood leucocytes of healthy term and preterm babies. Arch Dis Child. 1975 Jan;50(1):72–75. doi: 10.1136/adc.50.1.72. [DOI] [PMC free article] [PubMed] [Google Scholar]

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