Department of Obstetrics, Gynecology and Reproductive Sciences, School of Medicine, Yale University, New Haven, CT 06520, USA.
J Immunol. 2010 Jul 15;185(2):1248-57. doi: 10.4049/jimmunol.1000289. Epub 2010 Jun 16.
Pandemics pose a more significant threat to pregnant women than to the nonpregnant population and may have a detrimental effect on the well being of the fetus. We have developed an animal model to evaluate the consequences of a viral infection characterized by lack of fetal transmission. The experiments described in this work show that viral infection of the placenta can elicit a fetal inflammatory response that, in turn, can cause organ damage and potentially downstream developmental deficiencies. Furthermore, we demonstrate that viral infection of the placenta may sensitize the pregnant mother to bacterial products and promote preterm labor. It is critical to take into consideration the fact that during pregnancy it is not only the maternal immune system responding, but also the fetal/placental unit. Our results further support the immunological role of the placenta and the fetus affecting the global response of the mother to microbial infections. This is relevant for making decisions associated with treatment and prevention during pandemics.
大流行对孕妇的威胁甚于非孕妇人群,并且可能对胎儿的健康产生有害影响。我们已经开发了一种动物模型来评估以缺乏胎儿传播为特征的病毒感染的后果。本工作中描述的实验表明,胎盘的病毒感染可引发胎儿炎症反应,进而导致器官损伤并可能导致下游发育缺陷。此外,我们证明胎盘的病毒感染可使孕妇对细菌产物敏感并促进早产。必须考虑到这样一个事实,即怀孕期间不仅是母体免疫系统在做出反应,还有胎儿/胎盘单位。我们的结果进一步支持胎盘和胎儿的免疫作用会影响母亲对微生物感染的整体反应。这与大流行期间的治疗和预防决策相关。
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