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Use of In vivo Imaging to Monitor the Progression of Experimental Mouse Cytomegalovirus Infection in Neonates
Published on: July 6, 2013
Congenital cytomegalovirus infection: new prospects for prevention and therapy
Elizabeth C Swanson1, Mark R Schleiss
1Division of Pediatric Infectious Diseases and Immunology, Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN 55455, USA.
Insights
Cytomegalovirus (CMV) is a common congenital infection. Antiviral therapy can reduce long-term disabilities in symptomatic newborns, and a vaccine could prevent future neurologic issues.
Area of Science:
- Virology
- Pediatrics
- Infectious Diseases
Background:
- Cytomegalovirus (CMV) is the most frequent congenital viral infection globally.
- Congenital CMV affects approximately 0.6% of newborns, with 10% exhibiting symptoms at birth.
- Symptomatic infants face significant risks of lifelong neurologic sequelae.
Purpose of the Study:
- To review the impact of congenital cytomegalovirus infection.
- To highlight the benefits of antiviral therapy for symptomatic newborns.
- To emphasize the potential of a preconceptual CMV vaccine.
Main Methods:
- Literature review on congenital CMV infection prevalence and outcomes.
- Analysis of the efficacy of antiviral treatments in affected infants.
- Discussion of preventative strategies, including vaccination.
Main Results:
- Congenital CMV infection can lead to severe neurologic deficits such as hearing loss, developmental delay, and cerebral palsy.
- Antiviral therapy demonstrably reduces the risk of these long-term disabilities.
- A preconceptual vaccine holds promise for preventing CMV-related sequelae.
Conclusions:
- Early antiviral intervention is crucial for infants with symptomatic congenital CMV.
- Preventing congenital CMV through vaccination is a key strategy for mitigating neurologic sequelae.
Abstract:
Cytomegalovirus is the commonest congenital viral infection in the developed world, with an overall prevalence of approximately 0.6%. Approximately 10% of congenitally infected infants have signs and symptoms of disease at birth, and these symptomatic infants have a substantial risk of subsequent neurologic sequelae. These include sensorineural hearing loss, mental retardation, microcephaly, development delay, seizure disorders, and cerebral palsy. Antiviral therapy for children with symptomatic congenital cytomegalovirus infection is effective at reducing the risk of long-term disabilities and should be offered to families with affected newborns. An effective preconceptual vaccine against CMV could protect against long-term neurologic sequelae and other disabilities.
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