Tzitiridou-Chatzopoulou Maria, Kazakos Evangelos, Orovou Eirini, Andronikidi Paraskevi Eva, Kyrailidi Foteini, Mouratidou Maria C, Iatrakis Georgios, Kountouras Jannis
School of Health Sciences, Department of Midwifery, University of Western Macedonia, 50100 Koila, Greece.
Second Medical Clinic, School of Medicine, Aristotle University of Thessaloniki, Ippokration Hospital, Macedonia, 54642 Thessaloniki, Greece.
J Clin Med. 2024 Apr 18;13(8):2360. doi: 10.3390/jcm13082360.
infection, a significant global burden beyond the gastrointestinal tract, has long been implicated in various systemic pathologies. Rising evidence suggests that the bacterium's intricate relationship with the immune system and its potential to induce chronic inflammation impact diverse pathophysiological processes in pregnant women that may in turn affect the incidence of several adverse pregnancy and neonate outcomes. infection, which has been linked to metabolic syndrome and other disorders by provoking pericyte dysfunction, hyperhomocysteinemia, galectin-3, atrial fibrillation, gut dysbiosis, and mast cell activation pathologies, may also contribute to adverse pregnancy and neonatal outcomes. Together with increasing our biological understanding of the individual and collective involvement of infection-related metabolic syndrome and concurrent activation of mast cells in maternal, fetus, and neonatal health outcomes, the present narrative review may foster related research endeavors to offer novel therapeutic approaches and informed clinical practice interventions to mitigate relevant risks of this critical topic among pregnant women and their offspring.
感染是一种超出胃肠道的重大全球负担,长期以来一直与各种全身性病理状况有关。越来越多的证据表明,这种细菌与免疫系统的复杂关系及其引发慢性炎症的潜力,会影响孕妇的多种病理生理过程,进而可能影响多种不良妊娠和新生儿结局的发生率。感染通过引发周细胞功能障碍、高同型半胱氨酸血症、半乳糖凝集素-3、心房颤动、肠道菌群失调和肥大细胞活化病理状况,与代谢综合征及其他疾病相关联,也可能导致不良妊娠和新生儿结局。随着我们对与感染相关的代谢综合征的个体及共同参与情况以及肥大细胞在母体、胎儿和新生儿健康结局中的同时激活的生物学认识不断增加,本叙述性综述可能会促进相关研究工作,以提供新的治疗方法和明智的临床实践干预措施,来降低孕妇及其后代中这一关键问题的相关风险。