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Risk of Zika microcephaly correlates with features of maternal antibodies.

Davide F Robbiani | Priscilla C Olsen | Federico Costa | Qiao Wang | Thiago Y Oliveira | Nivison Nery | Adeolu Aromolaran | Mateus S do Rosário | Gielson A Sacramento | Jaqueline S Cruz | Ricardo Khouri | Elsio A Wunder | Adriana Mattos | Bruno de Paula Freitas | Manoel Sarno | Gracinda Archanjo | Dina Daltro | Gustavo B S Carvalho | Kleber Pimentel | Isadora C de Siqueira | João R M de Almeida | Daniele F Henriques | Juliana A Lima | Pedro F C Vasconcelos | Dennis Schaefer-Babajew | Stephanie A Azzopardi | Leonia Bozzacco | Anna Gazumyan | Rubens Belfort | Ana P Alcântara | Gustavo Carvalho | Licia Moreira | Katiaci Araujo | Mitermayer G Reis | Rebekah I Keesler | Lark L Coffey | Jennifer Tisoncik-Go | Michael Gale | Lakshmi Rajagopal | Kristina M Adams Waldorf | Dawn M Dudley | Heather A Simmons | Andres Mejia | David H O'Connor | Rosemary J Steinbach | Nicole Haese | Jessica Smith | Anne Lewis | Lois Colgin | Victoria Roberts | Antonio Frias | Meredith Kelleher | Alec Hirsch | Daniel N Streblow | Charles M Rice | Margaret R MacDonald | Antonio R P de Almeida | Koen K A Van Rompay | Albert I Ko | Michel C Nussenzweig
The Journal of experimental medicine | 2019

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.

Pubmed ID: 31413072

Associated grants

  • Agency: NIH HHS, United States
    Id: P51 OD011092
  • Agency: NIH HHS, United States
    Id: P51 OD010425
  • Agency: NIH HHS, United States
    Id: P51 OD011107
  • Agency: NIAID NIH HHS, United States
    Id: P01 AI138938
  • Agency: NIAID NIH HHS, United States
    Id: R01 AI133976
  • Agency: NIAID NIH HHS, United States
    Id: R01 AI100989
  • Agency: FIC NIH HHS, United States
    Id: R01 TW009504
  • Agency: NIAID NIH HHS, United States
    Id: R01 AI104002
  • Agency: NIH HHS, United States
    Id: P51 OD011106
  • Agency: NICHD NIH HHS, United States
    Id: U54 HD083091
  • Agency: NIAID NIH HHS, United States
    Id: U19 AI083019
  • Agency: FIC NIH HHS, United States
    Id: R25 TW009338
  • Agency: NIAID NIH HHS, United States
    Id: R21 AI129479
  • Agency: NIAID NIH HHS, United States
    Id: R01 AI145296
  • Agency: NIAID NIH HHS, United States
    Id: R01 AI121207
  • Agency: NIAID NIH HHS, United States
    Id: U19 AI111825

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