PMID- 33678637 OWN - NLM STAT- MEDLINE DCOM- 20210310 LR - 20240321 IS - 1672-7347 (Print) IS - 1672-7347 (Linking) VI - 46 IP - 1 DP - 2021 Jan 28 TI - Changes of serum immunoglobulin level in healthy pregnant women and establishment of its reference interval. PG - 53-59 LID - 1672-7347(2021)01-0053-07 [pii] LID - 10.11817/j.issn.1672-7347.2021.200468 [doi] AB - OBJECTIVES: Pregnant women in a special physiological period, the body's blood indicators will change to a certain extent. This study aims to explore the changes of serum immunoglobulin levels in healthy pregnant women and establish its reference interval (RI). METHODS: A total of 369 healthy pregnant women, who underwent pregnancy examination in the Department of Obstetrics, Second Xiangya Hospital of Central South University from August 2019 to October 2019, were enrolled for this study. They were divided into an early pregnancy group, a middle pregnancy group, and a late pregnancy group according to the pregnancy period, and 123 healthy non-pregnant women were selected as the controls. The levels of immunoglobulin G (IgG), immunoglobulin M (IgM), and immunoglobulin A (IgA) were determined by immune transmission turbidities. The level of immunoglobulin E (IgE) was determined by electrochemiluminescence. The differences in immunoglobulin levels between pregnant women and non-pregnant women and among different gestational periods were analyzed, and the RI of serum immunoglobulin level during pregnancy was established. RESULTS: Compared to the non-pregnant women, the levels of serum IgG, IgM, IgA, and IgE in pregnant women were significantly decreased (all P<0.01), with 51.81% for IgG, 43.84% for IgM, 55.80% for IgA, and 49.80% for IgE. Except that the IgG level of late pregnancy group was significantly lower than that of early pregnancy group (P<0.05), there were no significant differences in the IgG, IgM, IgA, and IgE levels among the other groups (all P>0.05). The RIs of serum IgG in early pregnancy, middle pregnancy, and late pregnancy were 6.02-7.70 g/L, 5.18-6.85 g/L, and 4.58-5.72 g/L, respectively, while the RIs of serum IgM, IgA, and IgE were 0.71-0.93 g/L, 0.90-1.09 g/L, and 68.30-107.69 ng/mL, respectively in pregnant women. CONCLUSIONS: The levels of immunoglobulin in pregnant women are decreased significantly. The establishment of RIs of IgG, IgM, IgA and IgE in healthy pregnant women could provide scientific basis for clinical decision-making. FAU - Zhang, Tingting AU - Zhang T AD - Department of Laboratory Medicine, Second Xiangya Hospital, Central South University, Changsha 410011. zhangtingting@csu.edu.cn. FAU - Hu, Yun AU - Hu Y AD - Department of Obstetrics, Second Xiangya Hospital, Central South University, Changsha 410011, China. FAU - Xiang, Zhongyuan AU - Xiang Z AD - Department of Laboratory Medicine, Second Xiangya Hospital, Central South University, Changsha 410011. xiangzhongyuan@csu.edu.cn. LA - eng LA - chi GR - 2020JJ4816/the Hunan Provincial Science and Technology Department, China/ PT - Journal Article TT - 健康妊娠妇女血清免疫球蛋白水平的变化及其参考区间的建立. PL - China TA - Zhong Nan Da Xue Xue Bao Yi Xue Ban JT - Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences JID - 101230586 RN - 0 (Immunoglobulin A) RN - 0 (Immunoglobulin G) RN - 0 (Immunoglobulin M) SB - IM MH - Female MH - Humans MH - *Immunoglobulin A MH - Immunoglobulin G MH - Immunoglobulin M MH - Pregnancy MH - *Pregnant Women MH - Reference Values PMC - PMC10878290 OTO - NOTNLM OT - immunoglobulin A OT - immunoglobulin E OT - immunoglobulin G OT - immunoglobulin M OT - pregnant women OT - reference interval COIS- The authors declare that they have no conflicts of interest to disclose. EDAT- 2021/03/09 06:00 MHDA- 2021/03/11 06:00 PMCR- 2021/01/28 CRDT- 2021/03/08 05:46 PHST- 2021/03/08 05:46 [entrez] PHST- 2021/03/09 06:00 [pubmed] PHST- 2021/03/11 06:00 [medline] PHST- 2021/01/28 00:00 [pmc-release] AID - 1672-7347(2021)01-0053-07 [pii] AID - 1672-7347(2021)01-0053-07 [pii] AID - 10.11817/j.issn.1672-7347.2021.200468 [doi] PST - ppublish SO - Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2021 Jan 28;46(1):53-59. doi: 10.11817/j.issn.1672-7347.2021.200468.