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Topic:Immune System

The immune system in horses is a complex network of cells, tissues, and organs that work together to protect the body from pathogens, such as bacteria, viruses, and parasites. This system includes both innate and adaptive immune responses, which function to identify and eliminate foreign invaders. The innate immune response provides an immediate, non-specific defense, while the adaptive immune response involves a more targeted and long-lasting protection through the production of antibodies. Key components of the equine immune system include white blood cells, such as lymphocytes and macrophages, as well as various signaling molecules like cytokines. This page compiles peer-reviewed research studies and scholarly articles that explore the structure, function, and regulation of the immune system in horses, with an emphasis on understanding its role in maintaining equine health and its response to diseases.
[Allergies in people and animals].
Tijdschrift voor diergeneeskunde    February 12, 2008   Volume 133, Issue 1 38-40 
Jan Tjalsma E.No abstract available
Protection, systemic IFNgamma, and antibody responses induced by an ISCOM-based vaccine against a recent equine influenza virus in its natural host.
Veterinary research    February 7, 2008   Volume 39, Issue 3 21 doi: 10.1051/vetres:2007062
Paillot R, Grimmett H, Elton D, Daly JM.In the horse, conventional inactivated or subunit vaccines against equine influenza virus (EIV) induce a short-lived antibody-based immunity to infection. Alternative strategies of vaccination have been subsequently developed to mimic the long-term protection induced by natural infection with the virus. One of these approaches is the use of immune-stimulating complex (ISCOM)-based vaccines. ISCOM vaccines induce a strong antibody response and protection against influenza in horses, humans, and a mouse model. Cell-mediated immunity (CMI) has been demonstrated in humans and mice after ISCOM vacc...
Adsorptive effects of di-tri-octahedral smectite on Clostridium perfringens alpha, beta, and beta-2 exotoxins and equine colostral antibodies.
American journal of veterinary research    February 5, 2008   Volume 69, Issue 2 233-239 doi: 10.2460/ajvr.69.2.233
Lawler JB, Hassel DM, Magnuson RJ, Hill AE, McCue PM, Traub-Dargatz JL.To determine the adsorptive capability of di-tri-octahedral smectite (DTOS) on Clostridium perfringens alpha, beta, and beta-2 exotoxins and equine colostral antibodies. Methods: 3 C perfringens exotoxins and 9 colostral samples. Methods: Alpha, beta, and beta-2 exotoxins were individually co-incubated with serial dilutions of DTOS or bismuth subsalicylate, and the amount of toxin remaining after incubation was determined via toxin-specific ELISAs. Colostral samples from healthy mares were individually co-incubated with serial dilutions of DTOS, and colostral IgG concentrations were determined...
Gender differences in non-specific immune response to exercise in the lactate threshold: a study in equine athletes.
Research in veterinary science    January 28, 2008   Volume 85, Issue 2 250-256 doi: 10.1016/j.rvsc.2007.12.003
Escribano BM, Castejón FM, Santisteban R, Agüera EI, Tovar P, Vivo R, Rubio MD.Gender differences have not been shown in relation to the immune system in athletic horses. The aim of the present paper was to elucidate gender differences in the non-specific immune response of the polymorphonuclear neutrophil (PMN), plasma glucose and in hormones before and after an exercise in the lactate threshold (LT). A group of 12 Anglo-Arabian horses (6 females and 6 males, 4-7 years old) was observed. A submaximal exercise test was carried out at the LT. The results showed that males had a higher PMN percentage, plasma glucose values, Adherence index (AI) and random migration than fe...
Myeloperoxidase assay in plasma and peritoneal fluid of horses with gastrointestinal disease. Grulke S, Franck T, Gangl M, Péters F, Salciccia A, Deby-Dupont G, Serteyn D.Gastrointestinal disorders, especially strangulating intestinal obstructions, are still a major cause of illness and death in the horse. Circulating lipopolysaccharides may activate both neutrophils and monocytes. The activated neutrophils release myeloperoxidase (MPO), a specific enzyme with strong oxidative activity. The aim of this study was to evaluate MPO concentrations in the plasma and peritoneal fluid (PF) of horses with colic and to check the hypothesis that these concentrations would be higher in a case of strangulating obstruction than in cases of nonstrangulating disease. By using ...
Role of intracellular kinases in the regulation of equine eosinophil migration and actin polymerization.
Journal of veterinary pharmacology and therapeutics    January 8, 2008   Volume 31, Issue 1 31-38 doi: 10.1111/j.1365-2885.2007.00922.x
Weston MC, Collins ME, Cunningham FM.Inappropriately activated eosinophils can contribute to disease pathogenesis and intracellular signalling pathways that regulate functional responses may represent a therapeutic target. Little is known about intracellular signalling in equine eosinophils and this study examined the role of phospholipase C (PLC) and a range of protein kinases on responses to histamine and CCL11. Histamine (10(-4) M) or CCL11 (5.6 x 10(-9) M)-induced actin polymerization, migration and superoxide production by eosinophils from healthy horses were compared in the presence and absence of selective kinase inhibitor...
Apoptosis and antioxidant status are influenced by age and exercise training in horses.
Journal of animal science    December 21, 2007   Volume 86, Issue 3 576-583 doi: 10.2527/jas.2007-0585
Williams CA, Gordon ME, Betros CL, McKeever KH.Eight mature (12 +/- 2 yr; MAT) and 5 older (22 +/- 2 yr; OLD) Standardbred mares were used to test the hypothesis that aging and exercise training would alter apoptosis in white blood cells and antioxidant status. The horses were housed indoors overnight (16 h/d) in 3 m x 3 m stalls and were turned out in a drylot during the day. They were fed a diet consisting of total mixed ration, hay cubes fed ad libitum or an equine senior diet plus grass hay. Horses were trained for 20 to 30 min/d, 3 to 5 d/wk for 8 wk at a submaximal work intensity between 60 to 70% of maximal heart rate. A graded exer...
Ocular penetration of intravenously administered enrofloxacin in the horse.
Equine veterinary journal    December 20, 2007   Volume 40, Issue 2 167-170 doi: 10.2746/042516408X255972
Divers TJ, Irby NL, Mohammed HO, Schwark WS.Information on antibiotic concentrations in the equine eye following systemic therapy is limited. Reports that Leptospira spp. are frequently present in the eyes of horses with recurrent uveitis, emphasises a need for studies on ocular concentrations of specific antibiotics. Objective: 1) Enrofloxacin, administered i.v. at 7.5 mg/kg bwt q. 24 h, results in aqueous humour concentrations greater than the reported minimum inhibitory concentration (MIC) for Leptospira pomona. 2) Aqueous humour paracentesis sufficiently disrupts the blood-aqueous humour barrier (BAB) to cause an increase in aqueous...
Selective inhibition of butyrylcholinesterase in vivo in horses by the feed-through larvacide Equitrol.
Regulatory toxicology and pharmacology : RTP    November 28, 2007   Volume 50, Issue 2 200-205 doi: 10.1016/j.yrtph.2007.11.006
Karanth S, Holbrook T, MacAllister C, Pope CN.The organophosphate insecticide tetrachlorvinphos (TCVP, Rabon) is the active ingredient in "feed-through" larvacides (e.g., Equitrol) for fly control around horse stables. As with other organophosphates, TCVP elicits toxicity by inhibiting acetylcholinesterase, leading to accumulation of the neurotransmitter acetylcholine and cholinergic signs. Relatively little is known, however, on the effects of TCVP-containing larvacides on acetylcholinesterase or other esterases in horses. Previous in vitro studies indicated that horse plasma cholinesterase activity was substantially (>10,000-fold) mo...
Blood lymphocyte subpopulations, neutrophil phagocytosis and proteinogram during late pregnancy and postpartum in mares.
Reproduction in domestic animals = Zuchthygiene    November 7, 2007   Volume 43, Issue 2 212-217 doi: 10.1111/j.1439-0531.2007.00879.x
Agrícola R, Carvalho H, Barbosa M, Pereira M, Medeiros JA, Ferreira-Dias G.The aim of this study was to evaluate peripheral blood lymphocyte subpopulations, neutrophil phagocytic capacity and proteinogram characteristics in mares, during the last trimester of pregnancy and in postpartum. Measurement of phagocytosis and quantification of T-lymphocyte subsets were done by flow cytometry. Quantification of T-lymphocyte subsets was performed with monoclonal antibodies specific for CD2, CD3, CD4 and CD8 cell markers. Natural killer and B-cell counts were estimated mathematically. Serum proteinogram was obtained by electrophoresis. No significant differences were observed ...
Assessment of exercise-induced alterations in neutrophil function in horses.
American journal of veterinary research    November 3, 2007   Volume 68, Issue 11 1198-1204 doi: 10.2460/ajvr.68.11.1198
Donovan DC, Jackson CA, Colahan PT, Norton NN, Clapper JL, Moore JN, Hurley DJ.To evaluate the effects of a standardized exercise test to exhaustion in horses on leukocyte function ex vivo. Methods: 6 Thoroughbred geldings. Methods: Blood samples were obtained from each horse before exercise; at exhaustion (termed failure); and at 2, 6, 24, 48, and 72 hours after exercise to evaluate hematologic changes, rate of leukocyte apoptosis, and leukocyte production of reactive oxygen species (ROS) ex vivo. To assess leukocyte function, leukocyte ROS production in response to stimulation with lipopolysaccharide, peptidoglycan, zymosan, and phorbol myristate acetate was evaluated....
Characterization of monoclonal antibodies to equine interleukin-10 and detection of T regulatory 1 cells in horses.
Veterinary immunology and immunopathology    October 24, 2007   Volume 122, Issue 1-2 57-64 doi: 10.1016/j.vetimm.2007.10.012
Wagner B, Hillegas JM, Brinker DR, Horohov DW, Antczak DF.Interleukin-10 (IL-10) terminates inflammatory immune responses and inhibits activation and effector functions of T-cells, monocytes, macrophages and dendritic cells. IL-10 has also been found to be a key cytokine expressed by subpopulations of regulatory T-cells. In this report, we describe the generation and characterization of three monoclonal antibodies (mAbs) to equine IL-10. The antibodies were found to be specific for equine IL-10 using different recombinant equine cytokine/IgG fusion proteins. Two of the anti-equine IL-10 mAbs were selected for ELISA to detect secreted IL-10 in superna...
Effects of unfractionated and fractionated heparins on myeloperoxidase activity and interactions with endothelial cells: possible effects on the pathophysiology of equine laminitis.
Veterinary journal (London, England : 1997)    October 17, 2007   Volume 178, Issue 1 62-69 doi: 10.1016/j.tvjl.2007.08.033
de la Rebière G, Franck T, Deby-Dupont G, Salciccia A, Grulke S, Péters F, Serteyn D.As heparins are sometimes used to prevent equine laminitis, the interactions between equine neutrophil myeloperoxidase (MPO), unfractionated (UFH) and fractionated low molecular weight (LMWH) heparins and digital endothelium have been investigated. The effects of the heparins on purified equine MPO activity were tested by immunocapture followed by enzymatic detection. Endothelium-MPO interactions were assessed by measuring total and active MPO uptake by arterial and venous digital endothelial cells in culture with or without the addition of heparins. A dose-dependent MPO inhibition by UFH and ...
A comparison of equine and bovine sera as sources of lipopolysaccharide-binding protein activity in equine monocytes incubated with lipopolysaccharide.
Veterinary immunology and immunopathology    October 10, 2007   Volume 121, Issue 3-4 275-280 doi: 10.1016/j.vetimm.2007.10.002
Figueiredo MD, Salter CE, Hurley DJ, Moore JN.Lipopolysaccharide-binding protein (LBP) is an acute phase protein that binds the lipid A moiety of lipopolysaccharide (LPS) and transfers LPS monomers to soluble CD14 in plasma or membrane bound CD14 on mononuclear phagocytes. The result of these interactions is activation of the TLR4 receptor complex, and the synthesis and release of inflammatory mediators. Inclusion of LBP in cellular assays increases the sensitivity of cells expressing CD14 to LPS. Therefore, the objectives of this study were to (1) compare differentially treated sera from cattle and horses as sources of LBP activity using...
Passive transfer of Theileria equi antibodies to neonate foals of immune tolerant mares.
Veterinary parasitology    October 7, 2007   Volume 151, Issue 1 80-85 doi: 10.1016/j.vetpar.2007.10.001
Kumar S, Kumar R, Gupta AK, Dwivedi SK.Equine babesiosis, a tick transmitted haemoprotozoan disease caused by Theileria equi is globally distributed and responsible for heavy economic losses to the equine husbandry. Equids reared in endemic areas usually pick up infection at an early age and become immune tolerant throughout their life span. We studied the level of passively transferred antibodies in neonate foals born from pre-immuned mares. Latently T. equi infected pre-immuned pony and donkey mares (three each) were selected and T. equi antibody titres in neonates was monitored till 90 days post foaling (DPF) by applying Dot-ELI...
Antibodies to elastin peptides in sera of Warmblood horses at different ages.
Equine veterinary journal    October 4, 2007   Volume 39, Issue 5 414-416 doi: 10.2746/042516407x204573
van Brantegem L, de Cock HE, Affolter VK, Duchateau L, Govaere J, Ferraro GL, Ducatelle R.Early diagnosis and monitoring progression of chronic diseases in elastin-rich tissues, such as chronic progressive lymphoedema in draught horses and chronic obstructive pulmonary disease (COPD) is still a real challenge in the horse. Use of an enzyme-linked immunosorbent assay (ELISA) to detect anti-elastin antibody (AEAb) levels might be useful to assess the status of such diseases. Baseline levels, representing physiological breakdown of elastin in normal horses, are not available at present. Objective: Levels of AEAb in healthy horses are generally low and follow the same age-related patte...
Increased immunogenicity of a DNA-launched Venezuelan equine encephalitis virus-based replicon DNA vaccine.
Journal of virology    October 3, 2007   Volume 81, Issue 24 13412-13423 doi: 10.1128/JVI.01799-07
Ljungberg K, Whitmore AC, Fluet ME, Moran TP, Shabman RS, Collier ML, Kraus AA, Thompson JM, Montefiori DC, Beard C, Johnston RE.A novel genetic vaccine that is based on a Venezuelan equine encephalitis virus (VEE) replicon launched from plasmid DNA is described. The plasmid encodes a VEE replicon under the transcriptional control of the cytomegalovirus immediate-early promoter (VEE DNA). The VEE DNA consistently expressed 3- to 15-fold more green fluorescent protein in vitro than did a conventional DNA vaccine. Furthermore, transfection with the DNA-launched VEE replicon induced apoptosis and type I interferon production. Inoculation of mice with VEE DNA encoding human immunodeficiency virus type 1 gp160 significantly ...
Direct stimulation of the oxidative activity of isolated equine neutrophils by TNF-alpha and IL-1beta.
Veterinary immunology and immunopathology    October 2, 2007   Volume 121, Issue 1-2 101-106 doi: 10.1016/j.vetimm.2007.09.006
Benbarek H, Deby-Dupont G, Deby C, Serteyn D.The capacity of the two cytokines TNF-alpha and IL-1beta to directly stimulate the oxidative activity of polymorphonuclear neutrophils remains debated. The purpose of this study was to verify if a direct stimulation of equine neutrophils by TNF-alpha and IL-1beta was possible. Equine neutrophils were isolated from blood by discontinuous density gradient centrifugation. The cell viability after isolation was >98%. The neutrophils were used at 1.25 x 10(6) cells by assay, immediately after isolation. The oxidative activity of neutrophils was measured by luminol- or lucigenin-enhanced chemilumine...
The oxidant/antioxidant equilibrium in horses.
Veterinary journal (London, England : 1997)    September 25, 2007   Volume 177, Issue 2 178-191 doi: 10.1016/j.tvjl.2007.07.033
Kirschvink N, de Moffarts B, Lekeux P.Since "free radical research" started in 1954, understanding the role of oxidants and antioxidants in physiological and pathological conditions has increased continuously. Oxidants are essentially generated by metabolic enzymes, inflammatory cells and mitochondrial electron leakage; they are indispensable for the cellular redox regulation and may, under certain conditions, have a pro-inflammatory stimulatory role. Endogenous and exogenous antioxidants counterbalance the oxidative processes and so maintain the oxidant/antioxidant equilibrium. Excessive oxidant generation or antioxidant insuffic...
Cytokine expression by peripheral blood neutrophils from heaves-affected horses before and after allergen challenge.
Veterinary journal (London, England : 1997)    September 14, 2007   Volume 178, Issue 2 227-232 doi: 10.1016/j.tvjl.2007.07.027
Joubert P, Cordeau ME, Boyer A, Silversides DW, Lavoie JP.Heaves, also known as recurrent airway obstruction, is a common condition of horses characterised by pulmonary neutrophilia and reversible airway obstruction. This study evaluated the role of neutrophils in producing cytokines and chemokines that might be involved in the recruitment and activation of inflammatory cells in horses with heaves. Peripheral neutrophils were isolated from heaves-affected (n = 9) and control (n = 4) horses before and after 5 h of natural inhalation challenge. Expression of mRNA of two pro-inflammatory cytokines, tumour necrosis factor (TNF)-alpha and interleukin (IL)...
Accuracy of a rapid enzyme-linked immunosorbent assay to measure progesterone in mares.
The Canadian veterinary journal = La revue veterinaire canadienne    September 11, 2007   Volume 48, Issue 8 823-826 
Relave F, Lefebvre RC, Beaudoin S, Price C.The aim of this study was to validate an enzyme-linked immunosorbent assay (ELISA) for the measurement of progesterone (P4) in mares. Specifically, the objectives were as follows: (1) to determine the specificity and sensitivity of the ELISA test for determination of P4, (2) to measure the potential agreement between the 2 people performing the test, and 3) to evaluate the effect of time on the outcome. Ten mares were sampled on the day before ovulation (D-1), and on days 1 (D1), 3 (D3), and 5 (D5) following ovulation, during the reproductive season. While mares were cycling regularly, estrus ...
Risk factors for influenza infection in vaccinated racehorses: lessons from an outbreak in Newmarket, UK in 2003.
Vaccine    September 6, 2007   Volume 25, Issue 43 7520-7529 doi: 10.1016/j.vaccine.2007.08.038
Barquero N, Daly JM, Newton JR.Between March and May 2003, clinical equine influenza was confirmed among vaccinated racehorses in Newmarket, UK. A particular feature was that 2-year-old horses were apparently less susceptible than older animals. Statistical analyses comparing infected and non-infected animals showed the unusual, apparently counter-intuitive inverse age effect was principally explained by more recent vaccination among younger animals, despite broadly equivalent antibody levels between age groups. There was novel evidence for sexual dimorphism in susceptibility to infection and data supported the hypothesis t...
Herpesvirus chemokine-binding glycoprotein G (gG) efficiently inhibits neutrophil chemotaxis in vitro and in vivo.
Journal of immunology (Baltimore, Md. : 1950)    September 6, 2007   Volume 179, Issue 6 4161-4169 doi: 10.4049/jimmunol.179.6.4161
Van de Walle GR, May ML, Sukhumavasi W, von Einem J, Osterrieder N.Glycoprotein G (gG) of alphaherpesviruses has been described to function as a viral chemokine-binding protein (vCKBP). More recently, mutant viruses devoid of gG have been shown to result in increased virulence, but it remained unclear whether the potential of gG to serve as a vCKBP is responsible for this observation. In this study, we used equine herpesvirus type 1 (EHV-1) as a model to study the pathophysiological importance of vCKBP activity. First, in vitro chemotaxis assays studying migration of immune cells, an important function of chemokines, were established. In such assays, supernat...
Validation of quantitative polymerase chain reaction assays for measuring cytokine expression in equine macrophages.
Journal of immunological methods    September 4, 2007   Volume 328, Issue 1-2 59-69 doi: 10.1016/j.jim.2007.08.006
Allen CA, Payne SL, Harville M, Cohen N, Russell KE.The study of the equine immune system and inflammatory responses, by measuring cytokine expression, can provide important insight into disease pathogenesis in the horse. A set of quantitative real-time polymerase chain reaction (QPCR) assays for the equine cytokines IL-1alpha, IL-1beta, IL-6, IL-8 and TNF-alpha were validated using QPCR primers and probes which were generated for the equine IL-1alpha, IL-1beta, IL-6, IL-8, TNF-alpha and 18S genes. Amplification efficiency, intra-assay and inter-assay variation were determined using 10-fold dilutions of plasmid for each gene. Under these condit...
Adenosine A2A receptor agonists inhibit lipopolysaccharide-induced production of tumor necrosis factor-alpha by equine monocytes.
Veterinary immunology and immunopathology    August 25, 2007   Volume 121, Issue 1-2 91-100 doi: 10.1016/j.vetimm.2007.08.011
Sun WC, Moore JN, Hurley DJ, Vandenplas ML, Linden J, Cao Z, Murray TF.Adenosine is an endogenous nucleoside that regulates many physiological processes by activating one or more adenosine receptor subtypes, namely A1, A2A, A2B and A3. The results of previous studies indicate that adenosine analogues inhibit lipopolysaccharide (LPS)-induced production of reactive oxygen species (ROS) by equine neutrophils primarily through activation of A2A receptors. Because peripheral blood monocytes produce cytokines that are responsible for many of the deleterious effects of LPS, the current study was performed to evaluate the effects of an array of novel adenosine receptor a...
Modulation of allergy incidence in icelandic horses is associated with a change in IL-4-producing T cells.
International archives of allergy and immunology    July 2, 2007   Volume 144, Issue 4 325-337 doi: 10.1159/000106459
Hamza E, Doherr MG, Bertoni G, Jungi TW, Marti E.Equine insect bite hypersensitivity (IBH) is an immediate-type hypersensitivity reaction provoked by insect-derived allergens. Icelandic horses living in Iceland do not have IBH due to absence of relevant insects, but acquire it at high frequency after being imported to mainland Europe. In contrast, their offspring born in mainland Europe has reduced IBH incidence. T helper 1 (Th1) and Th2 cells and cytokines were determined in Icelandic horses born in Iceland and on the continent and which either have IBH or are healthy. Methods: Peripheral blood mononuclear cells (PBMC) from these horses wer...
On the presence of antibodies against bovine, equine and poultry immunoglobulins in human IgG preparations, and its implications on antivenom production.
Toxicon : official journal of the International Society on Toxinology    June 26, 2007   Volume 51, Issue 1 10-16 doi: 10.1016/j.toxicon.2007.06.009
Sevcik C, Díaz P, D'Suze G.Specific immunoassays were developed to detect anti-horse, anti-chicken and anti-bovine immunoglobulins in human IgG preparations. Three samples of 5% human IgG for intravenous use ("Inmunoglobulina G Endovenosa al 5%"(trade mark), Quimbiotec CA), were studied. All samples were produced from pools of >2500 plasma units from different donors. One sample was produced from an only Venezuelan plasma pool (2660 donors) and the other two were produced from a 1:1 blend of Venezuelan and Canadian plasma pools. The amounts of human IgG detected were 0.017 (0.015,0.020) mg/ml (n=18) against horse IgG...
Dietary fructan carbohydrate increases amine production in the equine large intestine: implications for pasture-associated laminitis.
Journal of animal science    June 25, 2007   Volume 85, Issue 11 2949-2958 doi: 10.2527/jas.2006-600
Crawford C, Sepulveda MF, Elliott J, Harris PA, Bailey SR.Pasture-induced laminitis in the horse is associated with the overconsumption of fermentable carbohydrate, in the form of simple sugars, fructans, or starch. The fermentation of carbohydrate in the cecum and large intestine results in the production of lactic acid and other toxins or "laminitis trigger factors." Vasoactive amines have been suggested as possible initiating factors. The aim of this study was to feed a commercially available form of fructan carbohydrate (inulin, 3 g/kg of BW per day) to normal ponies and to ponies predisposed to laminitis, to mimic a change from a basal hay diet ...
Suspected immune-mediated myositis in horses.
Journal of veterinary internal medicine    June 8, 2007   Volume 21, Issue 3 495-503 doi: 10.1892/0891-6640(2007)21[495:simih]2.0.co;2
Lewis SS, Valberg SJ, Nielsen IL.Although immune-mediated myositis (IMM) is commonly reported in other species, this condition is poorly described in horses. Objective: IMM occurs in horses. Methods: Thirty-seven horses with suspected IMM were included in the study. Methods: The database of the Neuromuscular Diagnostic Laboratory was reviewed to identify 37 horses with muscle biopsies characterized by lymphocytic infiltrates. A retrospective standardized questionnaire regarding clinical signs and response to treatment was answered by horse owners. Results: Horses with suspected IMM were predominantly of Quarter Horse bloodlin...
Immune responsiveness in the neonatal period.
Journal of comparative pathology    June 4, 2007   Volume 137 Suppl 1 S27-S31 doi: 10.1016/j.jcpa.2007.04.008
Morein B, Blomqvist G, Hu K.The maintenance of pregnancy requires suppression of the maternal immune system which would naturally recognize the developing fetus as an allograft and seek to destroy it by mounting a Th1 regulated cytotoxic immune response. During pregnancy a range of soluble factors are produced by the placenta which switch maternal immune regulation towards a protective Th2 phenotype. These factors also influence the developing fetal immune system and all newborns initially have an immunological milieu skewed towards Th2 immunity. Vaccination during the neonatal period must therefore overcome the dual cha...
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