Microbial Vertical Transmission during Human Pregnancy.

Microbial Vertical Transmission during Human Pregnancy.
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DOI:
10.1016/j.chom.2017.04.007
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发表时间:
2017-05-10
影响因子:
30.3
通讯作者:
Coyne CB
Coyne CB
中科院分区:
医学1区
文献类型:
--
作者:
Arora N;Sadovsky Y;Dermody TS;Coyne CB

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诸如寨卡病毒、刚地弓形虫、单核细胞增生李斯特菌、苍白密螺旋体、细小病毒、HIV、水痘带状疱疹病毒、风疹、巨细胞病毒和疱疹病毒等病原体的先天性感染是全世界发病率和死亡率的主要原因。尽管微生物感染对发育中的胎儿造成了毁灭性的影响,但人们对与先天性疾病相关的病原体如何在人类妊娠期间突破胎盘屏障垂直转运知之甚少。在这篇综述中,我们着重于人类妊娠期病原体的经胎盘传播。我们介绍了人类胎盘的结构,并描述了胎盘限制微生物进入子宫腔室的先天机制。根据目前的知识,我们还讨论了微生物克服胎盘屏障的潜在途径和未来的前景。
Congenital infections with pathogens such as Zika virus, Toxoplasma gondii, Listeria monocytogenes, Treponema pallidium, parvovirus, HIV, varicella zoster virus, Rubella, Cytomegalovirus, and Herpesviruses are a major cause of morbidity and mortality worldwide. Despite the devastating impact of microbial infections on the developing fetus, relatively little is known about how pathogens associated with congenital disease breach the placental barrier to transit vertically during human pregnancy. In this review, we focus on transplacental transmission of pathogens during human gestation. We introduce the structure of the human placenta and describe the innate mechanisms by which the placenta restricts microbial access to the intrauterine compartment. Based on current knowledge, we also discuss the potential pathways employed by microorganisms to overcome the placental barrier and prospects for the future.
DOI: 10.1056/nejmoa1602412
发表时间: 2016-12-15
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