4.8 Review

Pregnancy, Viral Infection, and COVID-19

Journal

FRONTIERS IN IMMUNOLOGY
Volume 11, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fimmu.2020.01672

Keywords

COVID-19; SARS-CoV-2; pregnancy; neonatal; immunology

Categories

Funding

  1. FAPESP [19/02679-7, 19/07976-0, 19/22448-0]
  2. Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP) [19/02679-7, 19/22448-0, 19/07976-0] Funding Source: FAPESP

Ask authors/readers for more resources

Pregnancy comprises a unique immunological condition, to allow fetal development and to protect the host from pathogenic infections. Viral infections during pregnancy can disrupt immunological tolerance and may generate deleterious effects on the fetus. Despite these possible links between pregnancy and infection-induced morbidity, it is unclear how pregnancy interferes with maternal response to some viral pathogens. In this context, the novel coronavirus (SARS-CoV-2) can induce the coronavirus diseases-2019 (COVID-19) in pregnant women. The potential risk of vertical transmission is unclear, babies born from COVID-19-positive mothers seems to have no serious clinical symptoms, the possible mechanisms are discussed, which highlights that checking the children's outcome and more research is warranted. In this review, we investigate the reports concerning viral infections and COVID-19 during pregnancy, to establish a correlation and possible implications of COVID-19 during pregnancy and neonatal's health.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.8
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Nutrition & Dietetics

Clinical Characteristics and Survival Analysis in Frequent Alcohol Consumers With COVID-19

Ricardo Wesley Alberca, Paula Ordonhez Rigato, Yasmim Alefe Leuzzi Ramos, Franciane Mouradian Emidio Teixeira, Anna Claudia Calvielli Branco, Iara Grigoletto Fernandes, Anna Julia Pietrobon, Alberto Jose da Silva Duarte, Valeria Aoki, Raquel Leao Orfali, Maria Notomi Sato

Summary: COVID-19 patients with self-reported daily alcohol consumption showed alterations in immune response, increased inflammation, and higher death rate compared to non-DAC patients.

FRONTIERS IN NUTRITION (2021)

Article Immunology

Evaluation of systemic immunity in atypical cutaneous leishmaniasis caused by Leishmania (L.) infantum chagasi

Marcia Dalastra Laurenti, Wilfredo Sosa-Ochoa, Gabriela Venicia Araujo Flores, Carmen Maria Sandoval Pacheco, Thaise Yumie Tomokane, Luanda Mara da Silva Oliveira, Concepcion Zuniga, Fernando Tobias Silveira, Carlos Eduardo Pereira Corbett

Summary: The study revealed a weak immune response in NUCL patients, with lower cytokine levels and higher IgG and IgM production compared to VL patients and the control group.

PARASITE IMMUNOLOGY (2022)

Article Allergy

Constant-Load Exercise Versus High-Intensity Interval Training on Aerobic Fitness in Moderate-to-Severe Asthma: A Randomized Controlled Trial

Ronaldo Aparecido da Silva, Rafael Stelmach, Luanda Mara da Silva Oliveira, Maria Notomi Sato, Alberto Cukier, Celso Ricardo Fernandes Carvalho

Summary: This study compared constant-load exercise (CLE) with high-intensity interval training (HIIT) for improvements in dyspnea symptoms and clinical control in adults with moderate-to-severe asthma. The results showed that both interventions promoted similar improvements in aerobic fitness, but HIIT induced a greater reduction in dyspnea and fatigue perception. Similar responses were observed for other variables.

JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE (2022)

Article Immunology

Upregulation of PD-1 Expression and High sPD-L1 Levels Associated with COVID-19 Severity

Danielle Rosa Beserra, Ricardo Wesley Alberca, Anna Claudia Calvielli Castelo Branco, Luana de Mendonca Oliveira, Milena Mary de Souza Andrade, Sarah Cristina Gozzi-Silva, Franciane Mouradian Emidio Teixeira, Tatiana Mina Yendo, Alberto Jose da Silva Duarte, Maria Notomi Sato

Summary: This study evaluated the expression of PD-1 in lymphocytes from COVID-19 patients and found that the PD-1/PDL-1 axis plays an important role in the disease. Severe/critical patients showed lymphocyte depletion and increased PD-1 expression in TCD4+ and CD19+ lymphocytes, as well as decreased monocyte frequency with increased PD-1 expression on CD14+ monocytes. Additionally, there was a correlation between disease severity and elevated sPD-L1 levels.

JOURNAL OF IMMUNOLOGY RESEARCH (2022)

Article Virology

Biomarkers in a Cohort of HIV-Infected Patients Single- or Co-Infected with HTLV-1, HTLV-2, and/or HCV: A Cross-Sectional, Observational Study

Adele Caterino-de-Araujo, Karoline R. Campos, Luanda M. S. Oliveira, Paula O. Rigato

Summary: HIV, HTLV-1/-2, and HCV share routes of transmission, and co-infection can lead to worse outcomes. This study analyzed biomarkers in HIV-infected individuals and found differences in cytokines/chemokines, T cells, and viral load among different groups. Although the sample size is small and the study design is cross-sectional, the findings suggest a negative impact of HTLV-1 and a possible protective role of HTLV-2 in HIV infection progression.

VIRUSES-BASEL (2022)

Article Cell Biology

Generation of Cytotoxic T Cells and Dysfunctional CD8 T Cells in Severe COVID-19 Patients

Sarah Cristina Gozzi-Silva, Luana de Mendonca Oliveira, Ricardo Wesley Alberca, Natalli Zanete Pereira, Fabio Seiti Yoshikawa, Anna Julia Pietrobon, Tatiana Mina Yendo, Milena Mary de Souza Andrade, Yasmim Alefe Leuzzi Ramos, Cyro Alves Brito, Emily Araujo Oliveira, Danielle Rosa Beserra, Raquel Leao Orfali, Valeria Aoki, Alberto Jose da Silva Duarte, Maria Notomi Sato

Summary: This study evaluated the characteristics of T lymphocytes in COVID-19 patients and found that patients with severe/critical conditions express more activation markers and the immunological checkpoint protein PD-1. In addition, the increased cytotoxicity of CD4+ T cells may compensate for the exhaustion of CD8+ T cells. These findings contribute to our understanding of the interplay of T cells in the severity of acute COVID-19 infection.

CELLS (2022)

Article Biochemistry & Molecular Biology

Resveratrol Downmodulates Neutrophil Extracellular Trap (NET) Generation by Neutrophils in Patients with Severe COVID-19

Milena M. de Souza Andrade, Vinicius N. C. Leal, Iara G. Fernandes, Sarah C. Gozzi-Silva, Danielle R. Beserra, Emily A. Oliveira, Franciane M. E. Teixeira, Tatiana M. Yendo, Maria da Gloria T. Sousa, Walcy R. Teodoro, Luana de M. Oliveira, Ricardo W. Alberca, Valeria Aoki, Alberto J. S. Duarte, Maria N. Sato

Summary: The formation of microthrombi in lung autopsies indicates the involvement of NETs in the immunopathogenesis of severe COVID-19. Therefore, using supplements inhibiting NET formation and drugs with fewer adverse effects may be an effective strategy to attenuate the disease. Resveratrol may serve as an adjunctive therapy to decrease neutrophil activation and NET formation, improving patient outcomes.

ANTIOXIDANTS (2022)

Article Multidisciplinary Sciences

Infection-elicited microbiota promotes host adaptation to nutrient restriction

Mirian Krystel De Siqueira, Vinicius Andrade-Oliveira, Apollo Stacy, Joao Pedro Torres Guimaraes, Ricardo Wesley Alberca-Custodio, Angela Castoldi, Jaqueline Marques Santos, Marcela Davoli-Ferreira, Luisa Menezes-Silva, Walter Miguel Turato, Seong-Ji Han, Arielle Glatman Zaretsky, Timothy Wesley Hand, Niels Olsen Saraiva Camara, Momtchilo Russo, Sonia Jancar, Denise Morais da Fonseca, Yasmine Belkaid

Summary: This study reveals that transient gut infection can optimize host metabolism by altering the gut microbiota, leading to enhanced carbohydrate utilization and insulin sensitivity. These infection-induced metabolic changes protect the host against growth restriction under limited nutrient availability.

PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA (2023)

Article Virology

Obesity Induces an Impaired Placental Antiviral Immune Response in Pregnant Women Infected with Zika Virus

Anna Claudia Calvielli Castelo Branco, Emily Araujo De Oliveira, Natalli Zanete Pereira, Ricardo Wesley Alberca, Amaro Nunes Duarte-Neto, Luiz Fernando Ferraz Da Silva, Fernanda Guedes Luiz, Naiura Vieira Pereira, Mirian Nacagami Sotto, Naiara Naiana Dejani, Patricia Helen Carvalho Rondo, Elyzabeth Avvad-Portari, Zilton Farias Meira De Vasconcelos, Alberto Jose da Silva Duarte, Tamiris Azamor, Maria Notomi Sato

Summary: The incidence of obesity is increasing worldwide, particularly in women, and this can affect pregnancy outcomes. During this period, viral infections pose a risk to the mother, placenta, and fetus. The Zika virus outbreak in Brazil has resulted in the congenital Zika syndrome (CZS) and devastating consequences such as microcephaly in newborns. This study examines the impact of maternal overweight/obesity on the expression of antiviral factors in the placental tissue of Zika-infected mothers.

VIRUSES-BASEL (2023)

Article Biochemistry & Molecular Biology

Imbalanced IL-1B and IL-18 Expression in Sezary Syndrome

Kelly Cristina Gomes Manfrere, Marina Passos Torrealba, Frederico Moraes Ferreira, Emanuella Sarmento Alho de Sousa, Denis Miyashiro, Franciane Mouradian Emidio Teixeira, Ricardo Wesley Alberca Custodio, Helder I. Nakaya, Yasmin Alefe Leuzzi Ramos, Mirian Nacagami Sotto, Anders Woetmann, Niels odum, Alberto Jose da Silva Duarte, Jose Antonio Sanches, Maria Notomi Sato

Summary: This study investigated the expression levels of inflammatory markers IL-1B and IL-18 in the skin, serum, blood cells, and lymph nodes of patients with Sezary syndrome, as potential markers of inflammasome activation. The findings showed compartmentalized expressions of IL-1B and IL-18, with increased expression of IL-1B in the epidermis and increased expression of IL-18 in the dermis. In advanced stages of the disease, enhanced expression of IL-18 and downregulation of IL-1B were observed in the lymph nodes. This study provided the first evidence of the imbalance of IL-1B and IL-18 in patients with Sezary syndrome.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2023)

Meeting Abstract Cardiac & Cardiovascular Systems

Early Biomarkers to Predict a Worse Outcome After Acute Myocardial Infarction: Circulating Infectious Extracellular Vesicles From Archaea and M. Pneumoniae Are Present and Correlated to Cytokines IL-6 and IL-10

Camila R. Moreno, Alexandre M. Soeiro, Maria N. Sato, Jaqueline J. Pereira, Renata N. Ikegami, Joyce T. Kawakami, Marcia M. Reis, Luanda M. Oliveira, Maria Lourdes Higuchi

CIRCULATION (2022)

Letter Infectious Diseases

What is the long-term clinical significance of anti-SARS-CoV-2-specific IgG?

Gabriela Gama Freire Alberca, Ricardo Wesley Alberca

INFLUENZA AND OTHER RESPIRATORY VIRUSES (2021)

No Data Available