Risk of Zika microcephaly correlates with features of maternal antibodies.

TitleRisk of Zika microcephaly correlates with features of maternal antibodies.
Publication TypeJournal Article
Year of Publication2019
AuthorsRobbiani DF, Olsen PC, Costa F, Wang Q, Oliveira TY, Nery N, Aromolaran A, Rosário MS do, Sacramento GA, Cruz JS, Khouri R, Wunder EA, Mattos A, Freitas Bde Paula, Sarno M, Archanjo G, Daltro D, Carvalho GBS, Pimentel K, de Siqueira IC, de Almeida JRM, Henriques DF, Lima JA, Vasconcelos PFC, Schaefer-Babajew D, Azzopardi SA, Bozzacco L, Gazumyan A, Belfort R, Alcântara AP, Carvalho G, Moreira L, Araujo K, Reis MG, Keesler RI, Coffey LL, Tisoncik-Go J, Gale M, Rajagopal L, Waldorf KMAdams, Dudley DM, Simmons HA, Mejia A, O'Connor DH, Steinbach RJ, Haese N, Smith J, Lewis A, Colgin L, Roberts V, Frias A, Kelleher M, Hirsch A, Streblow DN, Rice CM, MacDonald MR, de Almeida ARP, Van Rompay KKA, Ko AI, Nussenzweig MC
JournalJ Exp Med
Volume216
Issue10
Pagination2302-2315
Date Published2019 Oct 07
ISSN1540-9538
Abstract

Zika virus (ZIKV) infection during pregnancy causes congenital abnormalities, including microcephaly. However, rates vary widely, and the contributing risk factors remain unclear. We examined the serum antibody response to ZIKV and other flaviviruses in Brazilian women giving birth during the 2015-2016 outbreak. Infected pregnancies with intermediate or higher ZIKV antibody enhancement titers were at increased risk to give birth to microcephalic infants compared with those with lower titers (P < 0.0001). Similarly, analysis of ZIKV-infected pregnant macaques revealed that fetal brain damage was more frequent in mothers with higher enhancement titers. Thus, features of the maternal antibodies are associated with and may contribute to the genesis of ZIKV-associated microcephaly.

DOI10.1084/jem.20191061
Alternate JournalJ. Exp. Med.
PubMed ID31413072
PubMed Central IDPMC6781003
Grant ListP51 OD011092 / OD / NIH HHS / United States
U19 AI083019 / AI / NIAID NIH HHS / United States
P51 OD010425 / OD / NIH HHS / United States
R01 AI133976 / AI / NIAID NIH HHS / United States
R25 TW009338 / TW / FIC NIH HHS / United States
R01 AI100989 / AI / NIAID NIH HHS / United States
R01 TW009504 / TW / FIC NIH HHS / United States
R01 AI121207 / AI / NIAID NIH HHS / United States
R01 AI104002 / AI / NIAID NIH HHS / United States
P51 OD011106 / OD / NIH HHS / United States

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