Toxoplasma gondii infection during pregnancy: T lymphocyte subpopulations in mothers and fetuses

Pediatr Infect Dis J. 1990 Dec;9(12):878-81. doi: 10.1097/00006454-199012000-00004.

Abstract

Prenatal diagnosis of fetal toxoplasmosis is possible with the use of fetal blood sampling, amniocentesis and ultrasound examination. The purpose of this study was to describe T lymphocyte subsets (CD3, CD4 and CD8) in mothers and their fetuses when Toxoplasma gondii infection occurred during pregnancy. Maternal and fetal blood samples were obtained in 86 cases and 9 fetuses showed T. gondii infection. Control groups consisted of 30 healthy nonpregnant women and 30 pregnant women. Pregnant women with T. gondii infection showed an increase in the suppressor (CD8) T subpopulation and a significant depression in the total helper (CD4) T cells. These alterations were more important in mothers whose fetus was infected. We showed the progressive maturation of the fetal immune system with a regular increase of all T lymphocyte subsets. Marked alterations were observed in the 9 infected fetuses (depression of CD4 population and lower CD4/CD8 ratio). In the future these differences might be used as a new marker of the severity of fetal lesions and become a useful diagnostic tool.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • CD4-Positive T-Lymphocytes
  • Female
  • Fetal Diseases / blood*
  • Fetal Diseases / diagnosis
  • Fetal Diseases / immunology
  • Humans
  • Leukocyte Count
  • Pregnancy
  • Pregnancy Complications, Infectious / blood*
  • Pregnancy Complications, Infectious / diagnosis
  • Pregnancy Complications, Infectious / immunology
  • T-Lymphocyte Subsets*
  • T-Lymphocytes, Helper-Inducer
  • T-Lymphocytes, Regulatory
  • Toxoplasmosis / blood*
  • Toxoplasmosis / diagnosis
  • Toxoplasmosis / immunology