COVID-19 in pregnancy: implications for fetal brain development
Lydia L Shook1, Elinor L Sullivan2, Jamie O Lo3
1Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA; Vincent Center for Reproductive Biology, Massachusetts General Hospital, Boston, MA, USA.
Trends in Molecular Medicine
|March 12, 2022
Summary
Maternal SARS-CoV-2 infection may impact fetal brain development via immune activation. Further research using cellular models is needed to understand these neurodevelopmental risks.
Area of Science:
- Neuroscience
- Immunology
- Maternal-Fetal Medicine
Background:
- Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection during pregnancy poses risks to fetal development.
- Antenatal infections like influenza are linked to adverse neurodevelopmental outcomes in offspring.
- Maternal immune activation (MIA) from SARS-CoV-2 may affect the developing fetal brain.
Purpose of the Study:
- To review the potential impact of SARS-CoV-2 infection on the developing fetal brain.
- To explore the mechanisms of maternal, placental, and fetal immune activation.
- To highlight the need for cellular models to study neurodevelopmental effects.
Main Methods:
- Literature review of studies on viral infections during pregnancy.
- Analysis of evidence regarding maternal immune responses.
- Examination of placental and fetal immune activation pathways.
Main Results:
- SARS-CoV-2 and other viral infections can trigger maternal, placental, and fetal immune responses.
- These immune activations are associated with potential neurodevelopmental morbidity in offspring.
- Vertical transmission of SARS-CoV-2 is rare, but immune effects are a concern.
Conclusions:
- Maternal SARS-CoV-2 infection may lead to neurodevelopmental issues in offspring through immune pathways.
- Cellular models are crucial for understanding short- and long-term impacts on fetal brain development.
- Further investigation is essential to protect the next generation from prenatal infection risks.
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