Maternal SARS-CoV-2 infection elicits sexually dimorphic placental immune responses.


Journal

Science translational medicine
ISSN: 1946-6242
Titre abrégé: Sci Transl Med
Pays: United States
ID NLM: 101505086

Informations de publication

Date de publication:
27 Oct 2021
Historique:
pubmed: 20 10 2021
medline: 3 11 2021
entrez: 19 10 2021
Statut: ppublish

Résumé

There is a persistent bias toward higher prevalence and increased severity of coronavirus disease 2019 (COVID-19) in males. Underlying mechanisms accounting for this sex difference remain incompletely understood. Interferon responses have been implicated as a modulator of COVID-19 disease in adults and play a key role in the placental antiviral response. Moreover, the interferon response has been shown to alter Fc receptor expression and therefore may affect placental antibody transfer. Here, we examined the intersection of maternal-fetal antibody transfer, viral-induced placental interferon responses, and fetal sex in pregnant women infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Placental Fc receptor abundance, interferon-stimulated gene (ISG) expression, and SARS-CoV-2 antibody transfer were interrogated in 68 human pregnancies. Sexually dimorphic expression of placental Fc receptors, ISGs and proteins, and interleukin-10 was observed after maternal SARS-CoV-2 infection, with up-regulation of these features in placental tissue of pregnant individuals with male fetuses. Reduced maternal SARS-CoV-2–specific antibody titers and impaired placental antibody transfer were also observed in pregnancies with a male fetus. These results demonstrate fetal sex-specific maternal and placental adaptive and innate immune responses to SARS-CoV-2.

Identifiants

pubmed: 34664987
doi: 10.1126/scitranslmed.abi7428
pmc: PMC8784281
mid: NIHMS1758129
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, Non-P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

eabi7428

Subventions

Organisme : NIAID NIH HHS
ID : R01 AI042790
Pays : United States
Organisme : NIAID NIH HHS
ID : R01 AI146785
Pays : United States
Organisme : NIAID NIH HHS
ID : UM1 AI069412
Pays : United States
Organisme : NIAID NIH HHS
ID : U19 AI142790
Pays : United States
Organisme : NIMH NIH HHS
ID : U54 MH118919
Pays : United States
Organisme : NHLBI NIH HHS
ID : K08 HL146963
Pays : United States
Organisme : NHLBI NIH HHS
ID : K08 HL143183
Pays : United States
Organisme : NIMH NIH HHS
ID : F32 MH116604
Pays : United States
Organisme : NICHD NIH HHS
ID : R01 HD094937
Pays : United States
Organisme : NICHD NIH HHS
ID : R01 HD100022
Pays : United States
Organisme : NIAID NIH HHS
ID : U19 AI135995
Pays : United States
Organisme : NCI NIH HHS
ID : U01 CA260476
Pays : United States
Organisme : NIAID NIH HHS
ID : R37 AI080289
Pays : United States
Organisme : NIAID NIH HHS
ID : R21 AI145071
Pays : United States
Organisme : NICHD NIH HHS
ID : K12 HD103096
Pays : United States

Commentaires et corrections

Type : UpdateOf
Type : CommentIn
Type : ErratumIn

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Auteurs

Evan A Bordt (EA)

Department of Pediatrics, Lurie Center for Autism, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02129, USA.

Lydia L Shook (LL)

Department of Obstetrics and Gynecology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
Vincent Center for Reproductive Biology, Massachusetts General Hospital, Boston, MA 02114, USA.

Caroline Atyeo (C)

Ragon Institute of MGH, MIT, and Harvard, Cambridge, MA 02139, USA.
PhD Program in Virology, Division of Medical Sciences, Harvard University, Boston, MA 02115, USA.

Krista M Pullen (KM)

Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, MA 02142, USA.

Rose M De Guzman (RM)

Department of Obstetrics and Gynecology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
Vincent Center for Reproductive Biology, Massachusetts General Hospital, Boston, MA 02114, USA.

Marie-Charlotte Meinsohn (MC)

Pediatric Surgical Research Laboratories, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.

Maeva Chauvin (M)

Pediatric Surgical Research Laboratories, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.

Stephanie Fischinger (S)

Ragon Institute of MGH, MIT, and Harvard, Cambridge, MA 02139, USA.

Laura J Yockey (LJ)

Department of Obstetrics and Gynecology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.

Kaitlyn James (K)

Department of Obstetrics and Gynecology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.

Rosiane Lima (R)

Mucosal Immunology and Biology Research Center, Department of Pediatrics, Massachusetts General Hospital, Boston, MA 02129, USA.

Lael M Yonker (LM)

Mucosal Immunology and Biology Research Center, Department of Pediatrics, Massachusetts General Hospital, Boston, MA 02129, USA.

Alessio Fasano (A)

Mucosal Immunology and Biology Research Center, Department of Pediatrics, Massachusetts General Hospital, Boston, MA 02129, USA.
European Biomedical Research Institute of Salerno (EBRIS), Salerno, Italy.

Sara Brigida (S)

Department of Obstetrics and Gynecology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
Vincent Center for Reproductive Biology, Massachusetts General Hospital, Boston, MA 02114, USA.

Lisa M Bebell (LM)

Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.

Drucilla J Roberts (DJ)

Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.

David Pépin (D)

Pediatric Surgical Research Laboratories, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.

Jun R Huh (JR)

Department of Immunology, Blavatnik Institute, Harvard Medical School, Boston, MA 02115, USA.
Evergrande Center for Immunologic Diseases, Harvard Medical School and Brigham and Women's Hospital, Boston, MA 02115, USA.

Staci D Bilbo (SD)

Department of Pediatrics, Lurie Center for Autism, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02129, USA.
Department of Psychology and Neuroscience, Duke University, Durham, NC 27708, USA.

Jonathan Z Li (JZ)

Department of Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA.

Anjali Kaimal (A)

Department of Obstetrics and Gynecology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.

Danny J Schust (DJ)

Department of Obstetrics, Gynecology, and Women's Health, University of Missouri, Columbia, MO 65201, USA.

Kathryn J Gray (KJ)

Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.

Douglas Lauffenburger (D)

Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, MA 02142, USA.

Galit Alter (G)

Ragon Institute of MGH, MIT, and Harvard, Cambridge, MA 02139, USA.

Andrea G Edlow (AG)

Department of Obstetrics and Gynecology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
Vincent Center for Reproductive Biology, Massachusetts General Hospital, Boston, MA 02114, USA.

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Classifications MeSH