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Publication : Pregnancy enables antibody protection against intracellular infection.

First Author  Erickson JJ Year  2022
Journal  Nature Volume  606
Issue  7915 Pages  769-775
PubMed ID  35676476 Mgi Jnum  J:370252
Mgi Id  MGI:7367073 Doi  10.1038/s41586-022-04816-9
Citation  Erickson JJ, et al. (2022) Pregnancy enables antibody protection against intracellular infection. Nature 606(7915):769-775
abstractText  Adaptive immune components are thought to exert non-overlapping roles in antimicrobial host defence, with antibodies targeting pathogens in the extracellular environment and T cells eliminating infection inside cells(1,2). Reliance on antibodies for vertically transferred immunity from mothers to babies may explain neonatal susceptibility to intracellular infections(3,4). Here we show that pregnancy-induced post-translational antibody modification enables protection against the prototypical intracellular pathogen Listeria monocytogenes. Infection susceptibility was reversed in neonatal mice born to preconceptually primed mothers possessing L. monocytogenes-specific IgG or after passive transfer of antibodies from primed pregnant, but not virgin, mice. Although maternal B cells were essential for producing IgGs that mediate vertically transferred protection, they were dispensable for antibody acquisition of protective function, which instead required sialic acid acetyl esterase(5) to deacetylate terminal sialic acid residues on IgG variable-region N-linked glycans. Deacetylated L. monocytogenes-specific IgG protected neonates through the sialic acid receptor CD22(6,7), which suppressed IL-10 production by B cells leading to antibody-mediated protection. Consideration of the maternal-fetal dyad as a joined immunological unit reveals protective roles for antibodies against intracellular infection and fine-tuned adaptations to enhance host defence during pregnancy and early life.
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