Li R Y, Tsutsui Y
Second Department of Pathology, Hamamatsu University School of Medicine, Hamamatsu 431-3192, Japan.
Teratology. 2000 Aug;62(2):79-85. doi: 10.1002/1096-9926(200008)62:2<79::AID-TERA3>3.0.CO;2-S.
The placenta is regarded as a site of congenital cytomegalovirus (CMV) infection. The placental infection of fetuses with murine CMV (MCMV) was investigated in a mouse model.
The placentas and fetuses were examined using the polymerase chain reaction (PCR) and Southern blotting for viral DNA and immunostaining for viral antigen. Since the transplacental infection rarely occurs, the placentas were directly injected with MCMV at day 12.5 of gestation; the embryos were then allowed to develop until day 18.5 of gestation.
Formation of infected foci at day 18. 5 of gestation was found in more than 60% of the injected placentas. Infection of about 50% of the embryos occurred from the infected placentas. The frequency of infection in the brain was 27%, which was the same as that in the liver and higher than that in the lungs. In the brains, infected cells were often observed in the ventricular zone of the cerebrum and sometimes in the cortical plate and the hippocampus. Developmental retardation with microcephaly was observed in about 25% of offspring exposed to infection in utero.
These results suggest that formation of infected foci in the placenta is important for embryonic congenital infection, and that the cerebral ventricular zone is one of the most susceptible sites for CMV infection in the embryonic stage.
胎盘被视为先天性巨细胞病毒(CMV)感染的部位。在小鼠模型中研究了鼠巨细胞病毒(MCMV)对胎儿的胎盘感染情况。
使用聚合酶链反应(PCR)和Southern印迹法检测胎盘和胎儿的病毒DNA,并通过免疫染色检测病毒抗原。由于经胎盘感染很少发生,因此在妊娠第12.5天直接向胎盘注射MCMV;然后让胚胎发育至妊娠第18.5天。
在超过60%的注射胎盘样本中,于妊娠第18.5天发现了感染灶。约50%的胚胎因感染的胎盘而受到感染。脑部的感染率为27%,与肝脏相同,高于肺部。在大脑中,常在大脑的脑室区观察到感染细胞,有时在皮质板和海马体中也能观察到。在子宫内受到感染的后代中,约有四分之一出现了伴有小头畸形的发育迟缓。
这些结果表明,胎盘感染灶的形成对于胚胎先天性感染很重要,并且脑室区是胚胎期CMV感染最易受累的部位之一。