怀孕期间病毒感染的发病因子
Patrick S Creisher1, Sabra L Klein1
1W. Harry Feinstone Department of Molecular Microbiology and Immunology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.
Clinical microbiology reviews
|February 29, 2024
概括
怀孕期间的病毒感染对围产期和胎儿健康构成风险. 了解胎盘防御和母亲的免疫适应对于开发有效的治疗这些感染至关重要.
科学领域:
- 免疫学 免疫学 免疫学
- 病毒学 病毒学
- 产科 产科 产科 产科 产科
背景情况:
- 怀孕涉及独特的免疫和生理变化,影响病毒感染控制和垂直传播.
- 胎盘作为一个关键的接口,防御病原体,同时保持对胎儿发育的免疫耐受性.
- 激素变化,包括孕激素和雌激素的增加,对于免疫适应和胎盘功能在怀孕期间至关重要.
研究的目的:
- 审查病毒感染对怀孕结果的影响.
- 探索胎盘和母体免疫系统在妊娠期间病毒病原发生中的作用.
- 突出动物模型在研究怀孕期间病毒感染中的实用性.
主要方法:
- 文献综述,重点关注怀孕期间的病毒感染.
- 对胎盘功能和母亲免疫反应的分析.
- 从怀孕期间病毒感染的动物模型中检查数据.
主要成果:
- 某些病毒 (例如,细胞巨型病毒,寨卡病毒,红疹病毒) 可以直接感染胎儿,导致长期问题.
- 呼吸道病毒 (例如,流感,SARS-CoV-2) 即使没有直接感染胎儿,也可以诱导胎盘损伤和炎症.
- 动物模型为疾病机制和潜在的治疗点提供了宝贵的见解.
结论:
- 怀孕期间的病毒感染存在重大风险,影响母亲和胎儿的健康.
- 母胎界面,特别是胎盘及其免疫环境,在病毒病原发生过程中起着复杂的作用.
- 使用动物模型进行进一步的研究对于开发改善孕妇和新生儿结果的干预措施至关重要.
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