Fluctuating Serum Aspartate Aminotransferase Activity in a Complicated Pregnancy

Clinical Case Study

A 29-year-old para 0 gravida 2 woman with a history of infertility and spontaneous abortion presented to her local hospital at 9 weeks gestation with severe nausea and vomiting. Symptoms persisted for 10 weeks, leading to the diagnosis of hyperemesis gravidarum and treatment with intravenous fluids (3 times/week) and Zofran.

At 8 weeks gestation, laboratory tests were unremarkable with the exception of increased aspartate aminotransferase (AST)5 measured at a regional reference laboratory [105 U/L; reference interval (RI), 10 – 40 U/L]. AST continued to be monitored at the same laboratory, peaking at 132 U/L (9 weeks gestation) and gradually declining to 38 U/L by 19 weeks gestation.

Read more: Fluctuating Serum Aspartate Aminotransferase Activity in a Complicated Pregnancy

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Source: clinchem

Mother's microbiome influence her offspring's immune system during gestation.

During gestation, a mother's microbiome shapes the immune system of her offspring, a new study in mice suggests. While it's known that a newborn's gut microbiota can affect its own immune system, the impact of a mother's microbiota on her offspring has largely been unexplored.

Here, Mercedes Gomez de Agüero et al. infected the guts of pregnant mice with E.coli engineered to dwindle over time, allowing the mothers to become germ-free again around the time they gave birth.

This temporary colonization of E.coli in the mother affected the immune system of her offspring; after birth, the offspring harbored more innate lymphoid and mononuclear cells in their intestines compared to mice born to microbe-free pregnant mothers. Similar results were seen when pregnant mothers were temporarily colonized with a cocktail of eight other microbes.

An RNA analysis of offspring born to gestation-only colonized mothers compared with controls revealed greater expression of numerous genes, including those that influence cell division and differentiation, mucus and ion channels, and metabolism and immune function.

By transferring serum from bacteria-colonized pregnant mice to non-colonized pregnant mice, the researchers found that maternal antibodies likely facilitate the transmission and retention of microbial molecules from a mother to her offspring.

Read more: Mother's microbiome influence her offspring's immune system during gestation.

Shaping of the immune system starts with the maternal microbiota.

Source: sciencedaily