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About:
Mechanisms and evidence of vertical transmission of infections in pregnancy including SARS‐CoV‐2
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An Entity of Type :
schema:ScholarlyArticle
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wasabi.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
Mechanisms and evidence of vertical transmission of infections in pregnancy including SARS‐CoV‐2
Creator
Choolani, Mahesh
Huang,
Su, L
Biswas, A
Choolani, M
Dimri, Sharma
Huang, Ry-J
Kanneganti, A
Mahyuddin, A
Mattar, Cnz
Ruby, Yun-Ju
Wong, Jlj
source
Medline; PMC
abstract
There remain unanswered questions concerning mother‐to‐child‐transmission (MTCT) of SARS‐CoV‐2. Despite reports of neonatal COVID‐19, SARS‐CoV‐2 has not been consistently isolated in perinatal samples thus, definitive proof of transplacental infection is still lacking. To address these questions, we assessed investigative tools used to confirm maternal‐fetal infection and known protective mechanisms of the placental barrier that prevent transplacental pathogen migration. Forty studies of COVID‐19 pregnancies reviewed suggest a lack of consensus on diagnostic strategy for congenital infection. While RT‐PCR of neonatal swabs was universally performed, a wide range of clinical samples was screened including vaginal secretions (22.5%), amniotic fluid (35%), breast milk (22.5%) and umbilical cord blood. Neonatal COVID‐19 was reported in eight studies, two of which were based on the detection of SARS‐CoV‐2 IgM in neonatal blood. Histological examination demonstrated sparse viral particles, vascular malperfusion and inflammation in the placenta from pregnant women with COVID‐19. The paucity of placental co‐expression of ACE‐2 and TMPRSS2, two receptors involved in cytoplasmic entry of SARS‐CoV‐2, may explain its relative insensitivity to transplacental infection. Viral interactions may utilise membrane receptors other than ACE‐2 thus, tissue susceptibility may be broader than currently known. Further spatial‐temporal studies are needed to determine the true potential for transplacental migration. This article is protected by copyright. All rights reserved.
has issue date
2020-06-12
(
xsd:dateTime
)
bibo:doi
10.1002/pd.5765
bibo:pmid
32529643
has license
no-cc
sha1sum (hex)
16d492b12e64af7b490ce9a472e509e245872dc9
schema:url
https://doi.org/10.1002/pd.5765
resource representing a document's title
Mechanisms and evidence of vertical transmission of infections in pregnancy including SARS‐CoV‐2
has PubMed Central identifier
PMC7307070
has PubMed identifier
32529643
schema:publication
Prenat Diagn
resource representing a document's body
covid:16d492b12e64af7b490ce9a472e509e245872dc9#body_text
is
schema:about
of
named entity 'copyright'
named entity 'virions'
named entity 'This'
named entity 'MTCT'
named entity 'placenta'
named entity 'protected by copyright'
named entity 'vertical transmission'
named entity 'Mother-to-child'
named entity 'fetus'
named entity 'cytokines'
named entity 'TMPRSS2'
named entity 'chorionic villus'
named entity 'serine protease'
named entity 'cell membrane'
named entity 'fetal'
named entity 'transplacental'
named entity 'TMPRSS2'
named entity 'natural killer (NK) cells'
named entity 'ACE-2'
named entity 'SARS-CoV-2'
named entity 'protein'
named entity 'pathogens'
named entity 'SARS-CoV-2'
named entity 'pathogens'
named entity 'Toll'
named entity 'CTs'
named entity 'Syncytiotrophoblasts'
named entity 'decidual'
named entity 'infection control'
named entity 'anti-microbial'
named entity 'ACE-2'
named entity 'gestation'
named entity 'pregnancy'
named entity 'macrophages'
named entity 'placenta'
named entity 'uterine cavity'
named entity 'breast tissue'
named entity 'lung tissue'
named entity 'infection'
named entity 'SARS-CoV-2'
named entity 'stroma'
named entity 'TMPRSS2'
named entity 'SCTs'
named entity 'COVID-19'
named entity 'decidual'
named entity 'infection'
named entity 'placenta'
named entity 'placental'
named entity 'placenta'
named entity 'pathogen'
named entity 'villous'
named entity 'virion'
named entity 'ACE-2'
named entity 'SARS-CoV-2'
named entity 'fetal'
named entity 'NK cell'
named entity 'receptor'
named entity 'breastfeeding'
named entity 'CD8 +'
named entity 'macrophages'
named entity 'transplacental'
named entity 'fetus'
named entity 'fetal'
named entity 'immunological defence'
named entity 'vertical transmission'
named entity 'implantation'
named entity 'NK cells'
named entity 'fetus'
named entity 'virus'
named entity 'placenta'
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