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An In vitro Model to Study Immune Responses of Human Peripheral Blood Mononuclear Cells to Human Respiratory Syncytial Virus Infection
Published on: December 10, 2013
The specific maternal-neonatal immunity against respiratory syncytial virus after the COVID-19 pandemic: an
Maria Giulia Conti1, Leonardo Sorrentino2, Laura Petrarca1
1Department of Maternal Infantile and Urological Sciences, Sapienza University of Rome, Rome, Italy.
Insights
The COVID-19 pandemic altered immune responses to Respiratory Syncytial Virus (RSV) in pregnant women and newborns. This immunological shift may explain changes in RSV seasonality and increased bronchiolitis hospitalizations.
Area of Science:
- Immunology
- Virology
- Public Health
Background:
- Respiratory Syncytial Virus (RSV) bronchiolitis poses the highest risk to infants in their first months.
- Maternal anti-RSV IgG antibodies are crucial for protecting newborns against early-life RSV infection.
- The COVID-19 pandemic significantly disrupted the typical seasonality of RSV epidemics.
Purpose of the Study:
- To investigate the impact of COVID-19 restrictions on RSV-specific immunity in pregnant women and their newborns.
- To compare anti-RSV IgM and IgG levels across different RSV seasons affected by the pandemic.
- To explore the potential link between altered maternal-newborn immunity and changes in RSV seasonality.
Main Methods:
- Collected maternal and cord blood samples from mother-newborn dyads over three RSV seasons (2020-2023).
- Measured anti-RSV IgM and IgG antibody levels in maternal and cord blood samples.
- Compared antibody levels between groups representing different periods of the pandemic's influence on RSV circulation.
Main Results:
- Maternal anti-RSV IgM levels were significantly higher in the 2021-2022 and 2022-2023 seasons compared to 2020-2021.
- Anti-RSV IgG levels were significantly lower in maternal and cord blood in the 2021-2022 season, and in cord blood in the 2022-2023 season, compared to 2020-2021.
- These changes suggest a pandemic-induced 'immunological debit' in RSV-specific immunity.
Conclusions:
- The COVID-19 pandemic appears to have negatively impacted RSV-specific immunity in pregnant women and their infants.
- This immunological deficit may contribute to the observed alterations in RSV seasonality.
- The findings could help explain the rise in bronchiolitis hospitalizations following the pandemic restrictions.
Abstract:
Children in the first months of life are at highest risk for Respiratory Syncytial Virus (RSV) bronchiolitis. Maternal specific anti-RSV IgG antibodies play a key role in preventing infection in early life. The COVID-19 pandemic changed the seasonality of RSV epidemics. We hypothesized that COVID-19 restrictions, affecting RSV circulation, altered RSV-specific immunity of pregnant women and their newborns. We compared anti-RSV IgM and IgG levels in maternal and cord blood (CB) samples collected from mother-newborn dyads at Policlinico Umberto I Hospital, Rome, Italy, across three consecutive RSV seasons: Group 1 (Nov 2020-Mar 2021; N: 24 dyads), Group 2 (Nov 2021-Mar 2022; N: 38 dyads), and Group 3 (Sep 2022-Mar 2023; N: 31 dyads). Median maternal anti-RSV IgM values were significantly higher in Group 3 (p = 0.001) and in Group 2 (p = 0.004) compared to Group 1. Anti-RSV IgG median values were significantly lower in Group 2 both in maternal (p = 0.039) and CB (p = 0.05) and in Group 3 in CB (p = 0.029) compared to Group 1. These findings suggest that the COVID-19 pandemic caused an RSV-specific immunological debit in pregnant women and their infants, potentially explaining the altered RSV seasonality and increased bronchiolitis hospitalizations during 2021-2022.
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