COVID-19 in pregnancy: implications for fetal brain development.

COVID-19 in pregnancy: implications for fetal brain development.
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DOI:
10.1016/j.molmed.2022.02.004
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发表时间:
2022-04
影响因子:
13.6
通讯作者:
Edlow AG
Edlow AG
中科院分区:
医学1区
文献类型:
--
作者:
Shook LL;Sullivan EL;Lo JO;Perlis RH;Edlow AG

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妊娠期感染严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)对胎儿大脑发育的影响尚不清楚。其他产前感染,如流感,与后代的不良神经发育结果有关。尽管迄今为止在SARS-CoV-2中很少观察到垂直传播,但考虑到母体免疫激活(MIA)的可能性,可能会对发育中的胎儿大脑产生影响。在这里,我们回顾了怀孕期间SARS-CoV-2和其他病毒感染可导致母体、胎盘和胎儿免疫激活,并最终导致后代神经发育疾病的证据。最后,我们强调需要建立胎儿大脑发育的细胞模型,以更好地了解母体SARS-CoV-2感染对下一代的潜在短期和长期影响。
The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection during pregnancy on the developing fetal brain is poorly understood. Other antenatal infections such as influenza have been associated with adverse neurodevelopmental outcomes in offspring. Although vertical transmission has been rarely observed in SARS-CoV-2 to date, given the potential for profound maternal immune activation (MIA), impact on the developing fetal brain is likely. Here we review evidence that SARS-CoV-2 and other viral infections during pregnancy can result in maternal, placental, and fetal immune activation, and ultimately in offspring neurodevelopmental morbidity. Finally, we highlight the need for cellular models of fetal brain development to better understand potential short- and long-term impacts of maternal SARS-CoV-2 infection on the next generation.
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