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ABSTRACT There is some data to suggest that amniotic fluid (AF) protects the fetus from invasion by pathogenic bacteria. To examine methods by which AF may offer such protection,
quantitative antibody, complement activity, and functional opsonic capacity were measured. Immunoglobulins were measured by laser nephelometry and total hemolytic complement by radial
diffusion; results suggested activity adequate for bactericidal capacity. The chemiluminescence assay was used to quantitate the functional interaction between PMN's and E. coli, group
B strep (GBS) or zymosan particles preopsonized with amniotic fluid obtained at different stages of gestation. Results were compared to those for normal serum. Data were analyzed by
evaluation of the initial slope, area under the curve, and peak chemiluminescence response. Opsonic activity of amniotic fluid for E. coli and GBS was demonstrated with E. coli showing
greater reactivity(maximum cpm= 15-25,000) than GBS(10-20,000 cpm). Specific, as well as nonspecific, opsonic activity was demonstrated by absorption of AF with killed bacteria.
Concentration of amniotic fluid did not result in an increase in chemiluminescent activity demonstrating that optimal opsonic activity already exists. The classical and alternate pathways of
complement were assessed for E. coli and GBS. Amniotic fluids preterm did not differ from term pregnancies. This study demonstrates that amniotic fluid can provide the fetus with protection
from bacterial pathogens and delineate mechanisms for such protection. ARTICLE PDF AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Univ. of Arkansas for Medical Sciences, Dept. of Pediatrics,
Little Rock, AR. Michael J Cone, Daniel J Marmer, Donald E Hill & Russell W Steele Authors * Michael J Cone View author publications You can also search for this author inPubMed Google
Scholar * Daniel J Marmer View author publications You can also search for this author inPubMed Google Scholar * Donald E Hill View author publications You can also search for this author
inPubMed Google Scholar * Russell W Steele View author publications You can also search for this author inPubMed Google Scholar RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS
ARTICLE CITE THIS ARTICLE Cone, M., Marmer, D., Hill, D. _et al._ 1276 FUNCTIONAL BACTERIAL OPSONIC ACTIVITY OF HUMAN AMNIOTIC FLUID. _Pediatr Res_ 15 (Suppl 4), 656 (1981).
https://doi.org/10.1203/00006450-198104001-01305 Download citation * Issue Date: 01 April 1981 * DOI: https://doi.org/10.1203/00006450-198104001-01305 SHARE THIS ARTICLE Anyone you share the
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