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Why are pregnant women susceptible to COVID-19? An immunological viewpoint

Identifieur interne : 000006 ( Pmc/Checkpoint ); précédent : 000005; suivant : 000007

Why are pregnant women susceptible to COVID-19? An immunological viewpoint

Auteurs : Hong Liu [République populaire de Chine] ; Li-Ling Wang [République populaire de Chine] ; Si-Jia Zhao [République populaire de Chine] ; Joanne Kwak-Kim [États-Unis] ; Gil Mor [États-Unis] ; Ai-Hua Liao [République populaire de Chine]

Source :

RBID : PMC:7156163

Abstract

Highlights

The COVID-19 may alter the maternal symmetrical and local immune responses, and affect the well-being of mothers and infants.

Pregnant women are more susceptible to respiratory pathogens; hence, they may be more susceptible to SARS-CoV-2 than the general population.

We focused on the immunological factor of the susceptibility of pregnant women to COVID-19 and the potential damages to mother and fetus.


Url:
DOI: 10.1016/j.jri.2020.103122
PubMed: 32244166
PubMed Central: 7156163


Affiliations:


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PMC:7156163

Le document en format XML

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<contrib contrib-type="author" id="aut0005">
<name>
<surname>Liu</surname>
<given-names>Hong</given-names>
</name>
<xref rid="aff0005" ref-type="aff">a</xref>
<xref rid="fn0005" ref-type="fn">1</xref>
</contrib>
<contrib contrib-type="author" id="aut0010">
<name>
<surname>Wang</surname>
<given-names>Li-Ling</given-names>
</name>
<xref rid="aff0005" ref-type="aff">a</xref>
<xref rid="fn0005" ref-type="fn">1</xref>
</contrib>
<contrib contrib-type="author" id="aut0015">
<name>
<surname>Zhao</surname>
<given-names>Si-Jia</given-names>
</name>
<xref rid="aff0005" ref-type="aff">a</xref>
<xref rid="fn0005" ref-type="fn">1</xref>
</contrib>
<contrib contrib-type="author" id="aut0020">
<name>
<surname>Kwak-Kim</surname>
<given-names>Joanne</given-names>
</name>
<email>joanne.kwakkim@rosalindfranklin.edu</email>
<xref rid="aff0010" ref-type="aff">b</xref>
<xref rid="aff0015" ref-type="aff">c</xref>
<xref rid="cor0010" ref-type="corresp">**</xref>
</contrib>
<contrib contrib-type="author" id="aut0025">
<name>
<surname>Mor</surname>
<given-names>Gil</given-names>
</name>
<email>gmor@med.wanye.edu</email>
<xref rid="aff0020" ref-type="aff">d</xref>
<xref rid="cor0015" ref-type="corresp">***</xref>
</contrib>
<contrib contrib-type="author" id="aut0030">
<name>
<surname>Liao</surname>
<given-names>Ai-Hua</given-names>
</name>
<email>aihua_liao@sina.com</email>
<xref rid="aff0005" ref-type="aff">a</xref>
<xref rid="cor0005" ref-type="corresp">*</xref>
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<aff id="aff0005">
<label>a</label>
Institute of Reproductive Health, Center for Reproductive Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, PR China</aff>
<aff id="aff0010">
<label>b</label>
Reproductive Medicine and Immunology, Obstetrics and Gynecology, Department of Clinical Sciences, Chicago Medical School, Rosalind Franklin University of Medicine and Science, Vernon Hills, IL, USA</aff>
<aff id="aff0015">
<label>c</label>
Microbiology and Immunology, Department of Foundational Science and Humanities, Chicago Medical School, Rosalind Franklin University of Medicine and Science, N. Chicago, IL, USA</aff>
<aff id="aff0020">
<label>d</label>
C.S. Mott Center for Human Growth and Development, Department of Obstetrics and Gynecology, Wayne State University, Detroit, USA</aff>
<author-notes>
<corresp id="cor0005">
<label></label>
Corresponding author at: Institute of Reproductive Health, Center for Reproductive Medicine, Tongji Medical College, Huazhong University of Science and Technology, No. 13 Hangkong Rd, Wuhan, 430030, P.R. China.
<email>aihua_liao@sina.com</email>
</corresp>
<corresp id="cor0010">
<label>⁎⁎</label>
Corresponding author at: Reproductive Medicine and Immunology, Department of Obstetrics and Gynecology, Chicago Medical School, Rosalind Franklin University of Medicine and Science, Vernon Hills, IL, USA.
<email>joanne.kwakkim@rosalindfranklin.edu</email>
</corresp>
<corresp id="cor0015">
<label>⁎⁎⁎</label>
Corresponding author.
<email>gmor@med.wanye.edu</email>
</corresp>
<fn id="fn0005">
<label>1</label>
<p id="npar0005">These authors contr
<underline>i</underline>
buted equally.</p>
</fn>
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<lpage>103122</lpage>
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<day>21</day>
<month>2</month>
<year>2020</year>
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<copyright-statement>© 2020 Elsevier B.V. All rights reserved.</copyright-statement>
<copyright-year>2020</copyright-year>
<copyright-holder>Elsevier B.V.</copyright-holder>
<license>
<license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract abstract-type="author-highlights" id="abs0005">
<title>Highlights</title>
<p>
<list list-type="simple" id="lis0005">
<list-item id="lsti0005">
<label></label>
<p id="par0005">The COVID-19 may alter the maternal symmetrical and local immune responses, and affect the well-being of mothers and infants.</p>
</list-item>
<list-item id="lsti0010">
<label></label>
<p id="par0010">Pregnant women are more susceptible to respiratory pathogens; hence, they may be more susceptible to SARS-CoV-2 than the general population.</p>
</list-item>
<list-item id="lsti0015">
<label></label>
<p id="par0015">We focused on the immunological factor of the susceptibility of pregnant women to COVID-19 and the potential damages to mother and fetus.</p>
</list-item>
</list>
</p>
</abstract>
<abstract id="abs0010">
<p>The 2019 novel coronavirus disease (COVID-19) was first detected in December 2019 and became epidemic in Wuhan, Hubei Province, China. COVID-19 has been rapidly spreading out in China and all over the world. The virus causing COVID-19, SARS-CoV-2 has been known to be genetically similar to severe acute respiratory syndrome coronavirus (SARS-CoV) but distinct from it. Clinical manifestation of COVID-19 can be characterized by mild upper respiratory tract infection, lower respiratory tract infection involving non-life threatening pneumonia, and life-threatening pneumonia with acute respiratory distress syndrome. It affects all age groups, including newborns, to the elders. Particularly, pregnant women may be more susceptible to COVID-19 since pregnant women, in general, are vulnerable to respiratory infection. In pregnant women with COVID-19, there is no evidence for vertical transmission of the virus, but an increased prevalence of preterm deliveries has been noticed. The COVID-19 may alter immune responses at the maternal-fetal interface, and affect the well-being of mothers and infants. In this review, we focused on the reason why pregnant women are more susceptible to COVID-19 and the potential maternal and fetal complications from an immunological viewpoint.</p>
</abstract>
<kwd-group id="kwd0005">
<title>Keywords</title>
<kwd>COVID-19</kwd>
<kwd>Pregnancy</kwd>
<kwd>Placenta</kwd>
<kwd>Maternal-fetal interface</kwd>
<kwd>Immunity</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>République populaire de Chine</li>
<li>États-Unis</li>
</country>
<region>
<li>Hubei</li>
<li>Illinois</li>
</region>
<settlement>
<li>Wuhan</li>
</settlement>
</list>
<tree>
<country name="République populaire de Chine">
<region name="Hubei">
<name sortKey="Liu, Hong" sort="Liu, Hong" uniqKey="Liu H" first="Hong" last="Liu">Hong Liu</name>
</region>
<name sortKey="Liao, Ai Hua" sort="Liao, Ai Hua" uniqKey="Liao A" first="Ai-Hua" last="Liao">Ai-Hua Liao</name>
<name sortKey="Wang, Li Ling" sort="Wang, Li Ling" uniqKey="Wang L" first="Li-Ling" last="Wang">Li-Ling Wang</name>
<name sortKey="Zhao, Si Jia" sort="Zhao, Si Jia" uniqKey="Zhao S" first="Si-Jia" last="Zhao">Si-Jia Zhao</name>
</country>
<country name="États-Unis">
<region name="Illinois">
<name sortKey="Kwak Kim, Joanne" sort="Kwak Kim, Joanne" uniqKey="Kwak Kim J" first="Joanne" last="Kwak-Kim">Joanne Kwak-Kim</name>
</region>
<name sortKey="Kwak Kim, Joanne" sort="Kwak Kim, Joanne" uniqKey="Kwak Kim J" first="Joanne" last="Kwak-Kim">Joanne Kwak-Kim</name>
<name sortKey="Mor, Gil" sort="Mor, Gil" uniqKey="Mor G" first="Gil" last="Mor">Gil Mor</name>
</country>
</tree>
</affiliations>
</record>

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