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Effects of antibodies, trypsin, and trypsin inhibitors on susceptibility of neonates to rotavirus infection.

Abstract
Levels of antirotaviral secretory immunoglobulin A were measured by enzyme-linked immunosorbent assay in colostrum and milk samples collected daily for the first 5 days postpartum from 49 mothers breast-feeding their infants. The trypsin-inhibitory capacity of these lacteal secretion samples was assessed by their ability to inhibit the hydrolysis of alpha-N-benzoyl-DL-arginine-p-nitroanilide by trypsin. Stools passed by these breast-fed infants and by an additional 43 bottle-fed infants were pooled by individual and examined by electron microscopy for rotavirus. Stool trypsin levels were estimated with the gelatin hydrolysis test. Breast-fed infants were significantly less likely to become infected with rotavirus and showed significantly lower stool tryptic activity than did bottle-fed infants. Breast-fed infants who did not excrete rotavirus over the 5-day period received milk of significantly higher antirotaviral secretory immunoglobulin A or trypsin-inhibitory capacity or both than breast-fed infants who were infected with rotavirus. A case of probable maternal rotavirus infection during pregnancy, producing greatly elevated lacteal antirotaviral secretory immunoglobulin A levels lasting for 2 years, was detected. Results of this study suggest that both antibodies and trypsin inhibitors in human milk can be associated with the protection of neonates against rotavirus infection in the first 5 days of life.
AuthorsB S McLean, I H Holmes
JournalJournal of clinical microbiology (J Clin Microbiol) Vol. 13 Issue 1 Pg. 22-9 (Jan 1981) ISSN: 0095-1137 [Print] United States
PMID6257755 (Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Immunoglobulin A
  • Immunoglobulin A, Secretory
  • Trypsin Inhibitors
  • Trypsin
Topics
  • Colostrum (analysis)
  • Feces (enzymology)
  • Humans
  • Immunoglobulin A (analysis)
  • Immunoglobulin A, Secretory (analysis)
  • Infant, Newborn
  • Infant, Newborn, Diseases (immunology)
  • Milk, Human (analysis, immunology)
  • Reoviridae (immunology)
  • Reoviridae Infections (immunology)
  • Rotavirus (immunology)
  • Trypsin (metabolism)
  • Trypsin Inhibitors (analysis)

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