Samples from four hypogammaglobulinemic moth ers and their newborns as well as two Ig/v-deficient moth ers and their neonates were studi ed. Mother I whose first infant was investigated earlier (1), now had her second baby investigated. From mother II samples from two pregnancies were included. At delivery, we tried to obtain am niotic fluid, cord serum , and mother's serum. Cord blood was taken from the placental side of the umbilical cord. All samples were frozen at -20ce . Du ring the first few days postpartum, mother's and infant's saliva, meconium, and maternal milk (not included in this study) were collected. Samples were frozen immediately at -20°C. The babies had not been given either the mother's or bank milk before the sample was taken. Th e time passed from the last feeding was recorded, as was the mode of feeding. Th e saliva was obtai ned as unstimulated whole saliva with a l-mL syringe or a rounded eye-drop pipette during 15 min and was immediately frozen at -20°C.The hypogamm aglobulinem ic mothers were on proph ylaxis with ' 16.5% Ig intramuscularly (Gammaglobulin; KabiPharmacia, Stockholm, Sweden), a preparation shown to contain idiotypic and antiidiotypic antibod ies to poliovirus type I (HahnZoric M, Carlsson B, Jeansson S, Ekre HP , Osterhaus ADME, Roberton D, Hanson LA., unpubl ished data).Preparation ofmeconium extracts. Previously freeze-dried meconium samples were weighed, and 0.1 g of dry material was dissolved in 3 mL of PBS, pH 7.2, in centrifuge tub es with round bottoms. Glass beads were added to each test tub e and the mixture was shaken on a whirl-mixer six times du ring a 30-min interval with a 5-min pause in between at 4°C. After that, the samples were centrifuged for 20 min at 1500 x g and the clear supernatant was used immediately for analysis. Tween 20 (Merck, Darmstadt, Germany) was added in a concentration of 0.05% to the extracts that were analyzed undiluted.
Antibody determ inations. Total maternal serum IgG, IgM, andIgA levels were quantified by radial immunodiffusion (2). 19A 150 ABSTRACT. To explain the mechanism for induction and production of specific antibodies found in the newborn alread y at birth, without previous known exposure to the antigen, we chose a model that presumably excluded the possibility of specific antibodies being transferred from the mother to the fetus. Specific IgG, IgA, and IgM antibodie s against Escherichia coli and poliovirus antigens were determined with ELISA in serum, saliva, and amniotic fluid from hypogammaglobulinemic and IgA-deficient mothers as well as in cord serum, sali va, and meconium from their offspring. All the mothers lacked IgA and some also lacked IgM antibodies , which were found in their healthy newborns. The amniotic fluid from a hypogammaglobulinemic mother lacking IgA contained small amounts of Igaantibodies, which were also found in the neonate, suggesting a fetal origin. There was evidence for the presence of antiidiotypic antibodies to poliovirus in the cord sera. We propose that idiotypic and/or antiidiot ypic IgG ...