The effect of the delta SARS-CoV-2 variant on maternal infection and pregnancy.

Pregnancy Virology

Journal

iScience
ISSN: 2589-0042
Titre abrégé: iScience
Pays: United States
ID NLM: 101724038

Informations de publication

Date de publication:
20 May 2022
Historique:
pubmed: 3 5 2022
medline: 3 5 2022
entrez: 2 5 2022
Statut: ppublish

Résumé

A greater proportion of pregnant women with COVID-19 have mild disease compared with their non-pregnant counterparts. Paradoxically, however, they are at higher risk of developing severe disease, requiring respiratory support and admission to intensive care. The delta SARS-Cov-2 variant is associated with increased risk of hospitalization and morbidity in unvaccinated pregnant populations. However, it is not known whether the worse pregnancy outcomes associated with the delta variant are due to a direct effect of the virus on the pregnancy, or whether this effect is mediated through more severe maternal infection. Here, we synthesize studies of COVID-19 pregnancies, focusing on the different routes of SARS-CoV-2 infection of lung and placenta, and the mechanisms of syncytial formation for each SARS-CoV-2 variant. To delineate COVID-19 complications in pregnant women, future studies should explore whether the delta variant causes greater placental infection compared to other variants and contributes to increased syncytial formation.

Identifiants

pubmed: 35492217
doi: 10.1016/j.isci.2022.104295
pii: S2589-0042(22)00565-X
pmc: PMC9040522
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

104295

Informations de copyright

© 2022 The Author(s).

Déclaration de conflit d'intérêts

The authors have no interest to declare.

Références

EBioMedicine. 2020 Nov;61:103104
pubmed: 33158808
Cell Res. 2020 Apr;30(4):343-355
pubmed: 32231345
Philos Trans R Soc Lond B Biol Sci. 2015 Mar 5;370(1663):20140066
pubmed: 25602070
Open Biol. 2020 Aug;10(8):200162
pubmed: 32750256
Elife. 2021 Apr 23;10:
pubmed: 33890572
Infect Dis Rep. 2021 Nov 30;13(4):993-1008
pubmed: 34940401
Front Mol Biosci. 2021 Nov 08;8:614728
pubmed: 34820418
Viruses. 2020 Nov 15;12(11):
pubmed: 33203131
J Mol Biol. 2022 Mar 30;434(6):167280
pubmed: 34606831
JAMA. 2022 Apr 19;327(15):1500-1502
pubmed: 35325015
Arch Pathol Lab Med. 2021 May 1;145(5):517-528
pubmed: 33393592
Cell Rep. 2021 Oct 12;37(2):109825
pubmed: 34614392
Placenta. 2010 Feb;31(2):144-50
pubmed: 20004972
Front Endocrinol (Lausanne). 2021 Nov 15;12:778911
pubmed: 34867825
Med (N Y). 2021 May 14;2(5):591-610.e10
pubmed: 33969332
MMWR Morb Mortal Wkly Rep. 2021 Nov 26;70(47):1640-1645
pubmed: 34818318
Placenta. 2022 Jan;117:187-193
pubmed: 34929459
Placenta. 2012 Sep;33(9):663-71
pubmed: 22695103
Front Public Health. 2021 Nov 30;9:775224
pubmed: 34917580
BJOG. 2022 Jan;129(2):221-231
pubmed: 34687585
JACC Basic Transl Sci. 2021 Apr;6(4):331-345
pubmed: 33681537
Nature. 2003 Nov 27;426(6965):450-4
pubmed: 14647384
Cureus. 2021 Jan 6;13(1):e12522
pubmed: 33564526
Ultrasound Obstet Gynecol. 2022 Apr;59(4):560-562
pubmed: 35229932
Eur J Obstet Gynecol Reprod Biol. 2021 Apr;259:7-11
pubmed: 33556768
Int J Infect Dis. 2021 Oct;111:10-11
pubmed: 34403782
J Clin Invest. 2020 Sep 1;130(9):4947-4953
pubmed: 32573498
Reprod Sci. 2011 Nov;18(11):1085-91
pubmed: 21493955
Exp Cell Res. 2006 Apr 15;312(7):1011-20
pubmed: 16427621
Viruses. 2021 Aug 23;13(8):
pubmed: 34452534
Nature. 2022 Mar;603(7902):706-714
pubmed: 35104837
Am J Obstet Gynecol. 1967 May 15;98(2):245-51
pubmed: 6023677
Cell. 2020 May 28;181(5):1016-1035.e19
pubmed: 32413319
Proc Natl Acad Sci U S A. 2020 Mar 31;117(13):7001-7003
pubmed: 32165541
Vaccines (Basel). 2022 Jan 10;10(1):
pubmed: 35062762
MMWR Morb Mortal Wkly Rep. 2021 Nov 26;70(47):1646-1648
pubmed: 34818319
Placenta. 2007 Apr;28 Suppl A:S33-40
pubmed: 17140657
mSphere. 2021 Apr 14;6(2):
pubmed: 33853873
Nature. 2021 Jul;595(7865):114-119
pubmed: 33915568
Virulence. 2021 Dec;12(1):2946-2956
pubmed: 34793280
Fetal Diagn Ther. 2021;48(11-12):801-811
pubmed: 34794139
Nature. 2021 Jun;594(7861):88-93
pubmed: 33827113
Am J Obstet Gynecol. 2002 Feb;186(2):210-3
pubmed: 11854637
Bull Exp Biol Med. 2021 Jul;171(3):399-403
pubmed: 34292445
Anat Cell Biol. 2012 Jun;45(2):86-91
pubmed: 22822462
J Cell Sci. 2003 Aug 15;116(Pt 16):3413-21
pubmed: 12840075
Hypertension. 2013 Sep;62(3):608-13
pubmed: 23817495
J Virol. 2010 Dec;84(24):12658-64
pubmed: 20926566
J Infect Dis. 2022 Mar 2;225(5):754-758
pubmed: 35024844
J Infect Dis. 2022 Mar 2;225(5):748-753
pubmed: 35024853
Cell Res. 2018 Aug;28(8):819-832
pubmed: 30042384
Lancet Reg Health Eur. 2022 Feb;13:100313
pubmed: 35098198
Placenta. 2002 Apr;23 Suppl A:S107-13
pubmed: 11978067
Signal Transduct Target Ther. 2021 Mar 27;6(1):134
pubmed: 33774649
Obstet Gynecol. 2021 Dec 1;138(6):842-844
pubmed: 34592747
BMJ. 2020 Sep 1;370:m3320
pubmed: 32873575
iScience. 2021 Dec 17;24(12):103478
pubmed: 34841222
Nature. 2022 Mar;603(7902):700-705
pubmed: 35104835
Front Cell Dev Biol. 2020 Aug 19;8:783
pubmed: 32974340
Clin Infect Dis. 2021 Dec 18;:
pubmed: 34922338
Curr Opin Microbiol. 2012 Feb;15(1):36-43
pubmed: 22169833
Viruses. 2019 Sep 05;11(9):
pubmed: 31491938
J Soc Gynecol Investig. 2004 Sep;11(6):353-62
pubmed: 15350247
Lancet. 2020 Mar 28;395(10229):1033-1034
pubmed: 32192578
Hum Pathol. 1995 Jun;26(6):594-600
pubmed: 7774887
Diagn Pathol. 2021 Jan 14;16(1):8
pubmed: 33441152
Neurosci Lett. 2019 Mar 16;695:86-90
pubmed: 28886986
J Immunol. 2001 Mar 15;166(6):3882-9
pubmed: 11238632
Am J Physiol Lung Cell Mol Physiol. 2020 Jul 1;319(1):L121-L125
pubmed: 32519892
JAMA Pediatr. 2021 Aug 1;175(8):817-826
pubmed: 33885740
Sci Rep. 2021 Jul 13;11(1):14390
pubmed: 34257394
Am J Obstet Gynecol. 2022 Jan;226(1):149-151
pubmed: 34529957
Acta Obstet Gynecol Scand. 2020 Jul;99(7):823-829
pubmed: 32259279
EMBO J. 2020 Dec 1;39(23):e106267
pubmed: 33051876
Placenta. 2020 Aug;97:1-5
pubmed: 32501218

Auteurs

Athina Samara (A)

Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden.

Asma Khalil (A)

Fetal Medicine Unit, St George's Hospital, St George's University of London, London, UK.
Vascular Biology Research Centre, Molecular and Clinical Sciences Research Institute, St George's University of London, London, UK.
Fetal Medicine Unit, Liverpool Women's Hospital, University of Liverpool, Liverpool, UK.

Patrick O'Brien (P)

The Royal College of Obstetricians and Gynaecologists, London, UK.
University College London Hospitals NHS Foundation Trust, London, UK.

Eric Herlenius (E)

Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden.

Classifications MeSH