Suppr超能文献

病毒感染在妊娠期间的发病机制。

Pathogenesis of viral infections during pregnancy.

机构信息

W. Harry Feinstone Department of Molecular Microbiology and Immunology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.

出版信息

Clin Microbiol Rev. 2024 Jun 13;37(2):e0007323. doi: 10.1128/cmr.00073-23. Epub 2024 Feb 29.

Abstract

SUMMARYViral infections during pregnancy are associated with significant adverse perinatal and fetal outcomes. Pregnancy is a unique immunologic and physiologic state, which can influence control of virus replication, severity of disease, and vertical transmission. The placenta is the organ of the maternal-fetal interface and provides defense against microbial infection while supporting the semi-allogeneic fetus via tolerogenic immune responses. Some viruses, such as cytomegalovirus, Zika virus, and rubella virus, can breach these defenses, directly infecting the fetus and having long-lasting consequences. Even without direct placental infection, other viruses, including respiratory viruses like influenza viruses and severe acute respiratory syndrome coronavirus 2, still cause placental damage and inflammation. Concentrations of progesterone and estrogens rise during pregnancy and contribute to immunological adaptations, placentation, and placental development and play a pivotal role in creating a tolerogenic environment at the maternal-fetal interface. Animal models, including mice, nonhuman primates, rabbits, and guinea pigs, are instrumental for mechanistic insights into the pathogenesis of viral infections during pregnancy and identification of targetable treatments to improve health outcomes of pregnant individuals and offspring.

摘要

摘要

怀孕期间的病毒感染与围产期和胎儿不良结局显著相关。妊娠是一种独特的免疫和生理状态,可影响病毒复制的控制、疾病的严重程度和垂直传播。胎盘是母婴界面的器官,通过耐受免疫反应提供对微生物感染的防御,同时支持半同种异体胎儿。一些病毒,如巨细胞病毒、寨卡病毒和风疹病毒,可以突破这些防御,直接感染胎儿,并产生持久的后果。即使没有直接的胎盘感染,其他病毒,包括流感病毒和严重急性呼吸综合征冠状病毒 2 等呼吸道病毒,仍然会导致胎盘损伤和炎症。怀孕期间孕激素和雌激素的浓度升高,有助于免疫适应、胎盘形成和胎盘发育,并在母婴界面形成耐受环境中发挥关键作用。包括小鼠、非人灵长类动物、兔子和豚鼠在内的动物模型,对于深入了解妊娠期间病毒感染的发病机制以及确定可靶向治疗方法以改善孕妇和后代的健康结果具有重要意义。

相似文献

1
Pathogenesis of viral infections during pregnancy.
Clin Microbiol Rev. 2024 Jun 13;37(2):e0007323. doi: 10.1128/cmr.00073-23. Epub 2024 Feb 29.
2
Pregnancy and viral infections: Mechanisms of fetal damage, diagnosis and prevention of neonatal adverse outcomes from cytomegalovirus to SARS-CoV-2 and Zika virus.
Biochim Biophys Acta Mol Basis Dis. 2021 Oct 1;1867(10):166198. doi: 10.1016/j.bbadis.2021.166198. Epub 2021 Jun 10.
3
Significance of the placental barrier in antenatal viral infections.
Biochim Biophys Acta Mol Basis Dis. 2021 Dec 1;1867(12):166244. doi: 10.1016/j.bbadis.2021.166244. Epub 2021 Aug 16.
4
Placental Immune Responses to Viruses: Molecular and Histo-Pathologic Perspectives.
Int J Mol Sci. 2021 Mar 13;22(6):2921. doi: 10.3390/ijms22062921.
6
Viral infections during pregnancy.
Am J Reprod Immunol. 2015 Mar;73(3):199-213. doi: 10.1111/aji.12355. Epub 2015 Jan 13.
9
Congenital Viral Infection: Traversing the Uterine-Placental Interface.
Annu Rev Virol. 2018 Sep 29;5(1):273-299. doi: 10.1146/annurev-virology-092917-043236. Epub 2018 Jul 26.
10

引用本文的文献

1
Bridging Knowledge Gaps in Understanding SARS-CoV-2 Infection During Pregnancy.
Paediatr Perinat Epidemiol. 2025 Jul;39(5):495-497. doi: 10.1111/ppe.70050. Epub 2025 Jul 5.
2
Innate immune responses to pathogens at the maternal-fetal interface.
Nat Rev Immunol. 2025 Jun 18. doi: 10.1038/s41577-025-01191-0.
3
Multi-system dysregulation in placental malaria contributes to adverse perinatal outcomes in mice.
Infect Immun. 2025 Jul 8;93(7):e0002125. doi: 10.1128/iai.00021-25. Epub 2025 Jun 5.
5
Neurovirulent Pathogens Across the Human Lifespan: A Balancing Act.
J Infect Dis. 2025 Jun 2;231(5):1098-1100. doi: 10.1093/infdis/jiaf015.
6
Neurovirulent Pathogens Across the Human Lifespan: A Balancing Act.
J Pediatric Infect Dis Soc. 2025 Jan 20;14(1). doi: 10.1093/jpids/piae118.
7
Seoul orthohantavirus evades innate immune activation by reservoir endothelial cells.
PLoS Pathog. 2024 Nov 25;20(11):e1012728. doi: 10.1371/journal.ppat.1012728. eCollection 2024 Nov.

本文引用的文献

1
Suppression of progesterone by influenza A virus mediates adverse maternal and fetal outcomes in mice.
mBio. 2024 Feb 14;15(2):e0306523. doi: 10.1128/mbio.03065-23. Epub 2024 Jan 8.
2
Influenza in Pregnancy: Prevention and Treatment: ACOG Committee Statement No. 7.
Obstet Gynecol. 2024 Feb 1;143(2):e24-e30. doi: 10.1097/AOG.0000000000005479.
3
Control of maternal Zika virus infection during pregnancy is associated with lower antibody titers in a macaque model.
Front Immunol. 2023 Sep 22;14:1267638. doi: 10.3389/fimmu.2023.1267638. eCollection 2023.
4
Protective effect of pre-existing natural immunity in a nonhuman primate reinfection model of congenital cytomegalovirus infection.
PLoS Pathog. 2023 Oct 5;19(10):e1011646. doi: 10.1371/journal.ppat.1011646. eCollection 2023 Oct.
5
Influenza, Tdap, and COVID-19 Vaccination Coverage and Hesitancy Among Pregnant Women - United States, April 2023.
MMWR Morb Mortal Wkly Rep. 2023 Sep 29;72(39):1065-1071. doi: 10.15585/mmwr.mm7239a4.
6
The essential role of intestinal microbiota in cytomegalovirus reactivation.
Microbiol Spectr. 2023 Sep 27;11(5):e0234123. doi: 10.1128/spectrum.02341-23.
7
The quest for a cytomegalovirus vaccine continues.
Lancet Infect Dis. 2023 Dec;23(12):1330-1332. doi: 10.1016/S1473-3099(23)00361-4. Epub 2023 Aug 31.
8
HIV infection.
Nat Rev Dis Primers. 2023 Aug 17;9(1):42. doi: 10.1038/s41572-023-00452-3.
9
Viral Hepatitis in Pregnancy: ACOG Clinical Practice Guideline No. 6.
Obstet Gynecol. 2023 Sep 1;142(3):745-759. doi: 10.1097/AOG.0000000000005300.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验