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BM study: a monocentric prospective observational cohort study on neonatal humoral immunity against COVID-19 secondary to transplacental antibody transfer and breastfeeding.BM研究:一项关于经胎盘抗体转移和母乳喂养继发的新生儿针对新冠病毒的体液免疫的单中心前瞻性观察队列研究。
Ital J Pediatr. 2025 Jul 1;51(1):203. doi: 10.1186/s13052-025-02042-3.
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SARS-CoV-2 anti-RBD and anti-N protein responses are differentially regulated between mother-child pairs: insight from a national study cohort at the Faroe Islands.SARS-CoV-2 抗 RBD 和抗 N 蛋白反应在母婴对之间存在差异调节:法罗群岛全国研究队列的观察结果。
Front Immunol. 2024 Jul 3;15:1418678. doi: 10.3389/fimmu.2024.1418678. eCollection 2024.
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Assessing the Impact of COVID-19 Vaccination on Preterm Birth: A Systematic Review with Meta-Analysis.评估新冠病毒疫苗接种对早产的影响:一项系统评价与荟萃分析
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本文引用的文献

1
A placental model of SARS-CoV-2 infection reveals ACE2-dependent susceptibility and differentiation impairment in syncytiotrophoblasts.胎盘 SARS-CoV-2 感染模型揭示 ACE2 依赖性易感性和合胞滋养层分化障碍。
Nat Cell Biol. 2023 Aug;25(8):1223-1234. doi: 10.1038/s41556-023-01182-0. Epub 2023 Jul 13.
2
Vaccination from the early second trimester onwards gives a robust SARS-CoV-2 antibody response throughout pregnancy and provides antibodies for the neonate.从中孕期开始进行疫苗接种会在整个孕期产生强烈的 SARS-CoV-2 抗体反应,并为新生儿提供抗体。
Int J Infect Dis. 2023 May;130:126-135. doi: 10.1016/j.ijid.2023.02.022. Epub 2023 Mar 1.
3
SARS-CoV-2 vaccine booster elicits robust prolonged maternal antibody responses and passive transfer to the offspring via the placenta and breastmilk.新型冠状病毒2型疫苗加强针可引发强烈且持久的母体抗体反应,并通过胎盘和母乳将抗体被动传递给后代。
Am J Obstet Gynecol MFM. 2023 Feb;5(2):100830. doi: 10.1016/j.ajogmf.2022.100830. Epub 2022 Nov 30.
4
Characterization of SARS-CoV-2 antibodies in human milk from 21 women with confirmed COVID-19 infection.21 位确诊 COVID-19 感染的女性母乳中 SARS-CoV-2 抗体的特征。
Pediatr Res. 2023 May;93(6):1626-1633. doi: 10.1038/s41390-022-02360-w. Epub 2022 Nov 25.
5
Serum and breastmilk SARS-CoV-2 specific antibodies following BNT162b2 vaccine: prolonged protection from SARS-CoV-2 in newborns and older children.接种 BNT162b2 疫苗后血清和母乳中 SARS-CoV-2 特异性抗体:为新生儿和大龄儿童提供针对 SARS-CoV-2 的长期保护。
Int J Infect Dis. 2022 Sep;122:905-909. doi: 10.1016/j.ijid.2022.06.055. Epub 2022 Jul 5.
6
Maternal immune response and placental antibody transfer after COVID-19 vaccination across trimester and platforms.母亲接种 COVID-19 疫苗后的免疫反应和胎盘抗体转移情况,按孕期和平台划分。
Nat Commun. 2022 Jun 28;13(1):3571. doi: 10.1038/s41467-022-31169-8.
7
The Benefits of Vaccination against SARS-CoV-2 during Pregnancy in Favor of the Mother/Newborn Dyad.孕期接种新冠病毒疫苗对母婴二元组的益处。
Vaccines (Basel). 2022 May 26;10(6):848. doi: 10.3390/vaccines10060848.
8
Humoral response to anti-SARS-CoV-2 vaccine in breastfeeding mothers and mother-to-infant antibody transfer through breast milk.母乳喂养母亲对新冠疫苗的体液免疫反应及母乳中母婴抗体的传递
NPJ Vaccines. 2022 Jun 23;7(1):63. doi: 10.1038/s41541-022-00499-5.
9
Antibody responses against SARS-CoV-2 variants induced by four different SARS-CoV-2 vaccines in health care workers in the Netherlands: A prospective cohort study.在荷兰医护人员中,四种不同的 SARS-CoV-2 疫苗对 SARS-CoV-2 变异体诱导的抗体反应:一项前瞻性队列研究。
PLoS Med. 2022 May 17;19(5):e1003991. doi: 10.1371/journal.pmed.1003991. eCollection 2022 May.
10
Re: Vertical transmission and humoral immune response following maternal infection with SARS-CoV-2 by Massalha et al.关于:马萨利亚等人所著的《SARS-CoV-2 感染母亲后的垂直传播和体液免疫反应》
Clin Microbiol Infect. 2022 Oct;28(10):1400. doi: 10.1016/j.cmi.2022.04.021. Epub 2022 May 10.

新型冠状病毒感染后的垂直传播及母体被动免疫

Vertical transmission and maternal passive immunity post-SARS-CoV-2.

作者信息

Karimi Hanie, Mansouri Vahid, Rezaei Nima

机构信息

School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Network of Immunity in Infection, Malignancy & Autoimmunity (NIIMA), Universal Scientific Education & Research Network (USERN), Tehran, Iran.

出版信息

Future Virol. 2023 Aug. doi: 10.2217/fvl-2023-0089. Epub 2023 Oct 4.

DOI:10.2217/fvl-2023-0089
PMID:37822684
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10564388/
Abstract

Since 2020, the highly contagious nature and various transmission routes of SARS-CoV-2 have rendered the pandemic interminable. Vertical transmission (VT) through the placenta and breast milk, which is frequent for certain virus types, is thought to exist for SARS-CoV-2 and is hypothesized by many researchers. Conversely, antibodies are produced to counteract the effect of viruses. Since newborns' immunologic system cannot produce proper antibodies, maternal antibodies are usually transferred from mother to infant/fetus to meet the need. This theory leads to the hypothesis of transmission of antibodies through the placenta and breast milk following SARS-CoV-2 infection or vaccination. This paper further discusses these hypotheses, considering consequences of fetus/infant harm versus benefit.

摘要

自2020年以来,严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的高传染性和多种传播途径使得这场大流行没完没了。某些病毒类型常见的通过胎盘和母乳的垂直传播(VT),被认为SARS-CoV-2也存在这种传播方式,许多研究人员对此进行了假设。相反,机体产生抗体以对抗病毒的作用。由于新生儿的免疫系统无法产生适当的抗体,母体抗体通常会从母亲转移到婴儿/胎儿以满足需求。这一理论引发了关于SARS-CoV-2感染或接种疫苗后抗体通过胎盘和母乳传播的假设。本文进一步讨论了这些假设,同时考虑了对胎儿/婴儿造成伤害与带来益处的后果。