Urinary Neopterin Concentrations in Healthy Individuals with Household Contact

Abstract

Increased neopterin concentrations in serum and urine indicate activation of cell-mediated immunity. In this study, urinary neopterin concentrations of a family consisting of 1 child (aged 5 years), her parents, and her grandparents were determined over a one year period and the course of neopterin levels was compared. Urine specimens were taken every second week during 1 year beginning in June. All 5 individuals lived in the same house, child and her parents separated by one floor from the grandparents. Neopterin concentrations were determined by high Performance liquid chromatography. In adults, neopterin concentrations were very stable throughout the year and peak increases occurred only rarely. In contrast, 5 sharp peaks of urinary neopterin concentrations were observed in the child, all occurring during the period when she was attending the kindergarten. Comparing the course of neopterin concentrations between the persons tested, several corresponding elevations of urinary neopterin were detected in the child and her relatives. The best association was detected between the child and her father (3 peaks of neopterin concentrations were observed, 1 of which coinciding with a peak in the child and two peaks with two weeks delay in the father). Between the child and her mother 1 corresponding neopterin peak was observed. One highly increased urinary neopterin concentration was observed in the grandmother which corresponded to a peak in the child with two weeks delay, a similar Observation was made between the child and her grandfather. In summary, high degree of correspondence in neopterin peaks was detected between child and adults. The data render it likely that the child was transmitting infectious diseases which she acquired at the kindergarten to her relatives, and the data are in line with the assumption that a dose family contact between individuals increases the risk of infectious disease transmission via household contact.

Keywords

• neopterin
• household contact
• infection