4.6 Article

Antibodies Against SARS-CoV-2 in Human Milk: Milk Conversion Rates in the Netherlands

期刊

JOURNAL OF HUMAN LACTATION
卷 37, 期 3, 页码 469-476

出版社

SAGE PUBLICATIONS INC
DOI: 10.1177/08903344211018185

关键词

breastfeeding; breastmilk; coronavirus; COVID-19; immunoglobulins; lactation secretory IgA; spike protein

资金

  1. Stichting Steun Emma Kinderziekenhuis
  2. Amsterdam Infection and Immunity Institute [24175]

向作者/读者索取更多资源

In lactating mothers in the Netherlands, 23.1% of human milk contains IgA antibodies against SARS-CoV-2. This suggests that many breastfed infants may receive passive immunity and protection against COVID-19.
Background It has been demonstrated that human milk from mothers who have been infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) contains antibodies against the virus, which could play an important role in protecting the recipient infant against coronavirus disease 2019 (COVID-19). Seroconversion is measured frequently around the world, but the milk conversion rate is unknown. Research Aims To determine (1) the prevalence and (2) the dynamics of immunoglobulin A (IgA) antibodies against SARS-CoV-2 in human milk amongst lactating mothers in the Netherlands. Methods In this large prospective cohort study, lactating mothers (N = 2312) were included between October 12, 2020 and February 24, 2021. Enzyme-linked immunosorbent assay was used to determine levels of IgA antibodies in human milk and immunoglobulin G (IgG) antibodies in serum against the ectodomain of the SARS-CoV-2 spike protein. Results A total of 691 (30.6%) participants had SARS-CoV-2 specific antibodies in human milk and/or serum. Of these participants, 524 (23.1%) had IgA antibodies against SARS-CoV-2 in human milk, and 356 (15.7%) had IgG antibodies against SARS-CoV-2 in serum. A total of 199 (8.8%) participants had antibodies in both human milk and serum. SARS-CoV-2 specific IgA antibodies in human milk remain present at least 10 months after a polymerase chain reaction confirmed infection. Conclusion The prevalence of IgA antibodies against SARS-CoV-2 in human milk was 23.1% in our cohort. This high prevalence of antibodies in human milk might lead to passive immunity in many breastfed infants and may serve as protection against COVID-19.

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