Francesca J. Noelette
MD Student with Scholarly Concentration in Biomedical Ethics & Medical Humanities / Women's Health - Sexual & Gender Minority Health, expected graduation Spring 2026
Honors & Awards
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College of American Pathologists Distinguished Medical Student Award, College of American Pathologists (2025)
All Publications
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Functional and structural modifications of influenza antibodies during pregnancy
ISCIENCE
2022; 25 (4): 104088
Abstract
Pregnancy represents a unique tolerogenic immune state which may alter susceptibility to infection and vaccine response. Here, we characterized humoral immunity to seasonal influenza vaccine strains in pregnant and non-pregnant women. Although serological responses to influenza remained largely intact during late pregnancy, distinct modifications were observed. Pregnant women had reduced hemagglutinin subtype-1 (H1)- IgG, IgG1, IgG2, and IgG3, hemagglutination inhibition, and group 1 and 2 stem IgG titers. Intriguingly, H1-specific avidity and FcγR1 binding increased, and influenza antibodies had distinct Fc and Fab glycans characterized by increased di-galactosylation and di-sialylation. H1-specific Fc-functionality (i.e. monocyte phagocytosis and complement deposition) was moderately reduced in pregnancy. Multivariate antibody analysis revealed two distinct populations (pregnant vs. non-pregnant) segregated by H1 FcγR1 binding, H1-IgG levels, and Fab and Fc glycosylation. Our results demonstrated a structural and functional modulation of influenza humoral immunity during pregnancy that was antigen-specific and consistent with reduced inflammation and efficient placental transport.
View details for DOI 10.1016/j.isci.2022.104088
View details for Web of Science ID 000791049100008
View details for PubMedID 35402869
View details for PubMedCentralID PMC8991102
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Health Disparities in Antepartum Anemia: The Intersection of Race and Social Determinants of Health
MOSBY-ELSEVIER. 2022: S529-S530
View details for Web of Science ID 000737459401182
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Fc Glycan-Mediated Regulation of Placental Antibody Transfer.
Cell
2019; 178 (1): 202-215.e14
Abstract
Despite the worldwide success of vaccination, newborns remain vulnerable to infections. While neonatal vaccination has been hampered by maternal antibody-mediated dampening of immune responses, enhanced regulatory and tolerogenic mechanisms, and immune system immaturity, maternal pre-natal immunization aims to boost neonatal immunity via antibody transfer to the fetus. However, emerging data suggest that antibodies are not transferred equally across the placenta. To understand this, we used systems serology to define Fc features associated with antibody transfer. The Fc-profile of neonatal and maternal antibodies differed, skewed toward natural killer (NK) cell-activating antibodies. This selective transfer was linked to digalactosylated Fc-glycans that selectively bind FcRn and FCGR3A, resulting in transfer of antibodies able to efficiently leverage innate immune cells present at birth. Given emerging data that vaccination may direct antibody glycosylation, our study provides insights for the development of next-generation maternal vaccines designed to elicit antibodies that will most effectively aid neonates.
View details for DOI 10.1016/j.cell.2019.05.044
View details for PubMedID 31204102
View details for PubMedCentralID PMC6741440
https://orcid.org/0000-0002-2939-2904