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Molecular evidence suggesting the persistence of residual SARS-CoV-2 and immune responses in the placentas of pregnant patients recovered from COVID-19

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单位: [1]Chinese Acad Sci, Inst Zool, State Key Lab Stem Cell & Reprod Biol, Beijing 100101, Peoples R China [2]Chinese Acad Sci, Inst Stem Cell & Regenerat, Beijing, Peoples R China [3]Univ Chinese Acad Sci, Beijing, Peoples R China [4]Beijing Inst Stem Cell & Regenerat Med, Beijing, Peoples R China [5]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Gynecol & Obstet,Wuhan 430030,Hubei,Peoples R China [6]Wuhan Univ, Coll Life Sci, Modern Virol Res Ctr, State Key Lab Virol, Wuhan, Peoples R China [7]Huazhong Univ Sci & Technol, Tongji Med Coll, Maternal & Child Hlth Hosp Hubei Prov, Dept Obstet, Wuhan 430070, Hubei, Peoples R China [8]Peoples Hosp Huangmei Country, Dept Obstet & Gynecol, Huanggang City, Peoples R China [9]Wuhan Univ, Zhongnan Hosp, Wuhan, Peoples R China
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关键词: COVID-19 cytokine immune response placenta pregnant women SARS-CoV-2

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Objectives Recent studies have shown the presence of SARS-CoV-2 in the tissues of clinically recovered patients and persistent immune symptoms in discharged patients for up to several months. Pregnant patients were shown to be a high-risk group for COVID-19. Based on these findings, we assessed SARS-CoV-2 nucleic acid and protein retention in the placentas of pregnant women who had fully recovered from COVID-19 and cytokine fluctuations in maternal and foetal tissues. Materials and Methods Remnant SARS-CoV-2 in the term placenta was detected using nucleic acid amplification and immunohistochemical staining of the SARS-CoV-2 protein. The infiltration of CD14+ macrophages into the placental villi was detected by immunostaining. The cytokines in the placenta, maternal plasma, neonatal umbilical cord, cord blood and amniotic fluid specimens at delivery were profiled using the Luminex assay. Results Residual SARS-CoV-2 nucleic acid and protein were detected in the term placentas of recovered pregnant women. The infiltration of CD14+ macrophages into the placental villi of the recovered pregnant women was higher than that in the controls. Furthermore, the cytokine levels in the placenta, maternal plasma, neonatal umbilical cord, cord blood and amniotic fluid specimens fluctuated significantly. Conclusions Our study showed that SARS-CoV-2 nucleic acid (in one patient) and protein (in five patients) were present in the placentas of clinically recovered pregnant patients for more than 3 months after diagnosis. The immune responses induced by the virus may lead to prolonged and persistent symptoms in the maternal plasma, placenta, umbilical cord, cord blood and amniotic fluid.

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出版当年[2020]版:
大类 | 2 区 生物
小类 | 2 区 细胞生物学
最新[2025]版:
大类 | 1 区 生物学
小类 | 1 区 细胞生物学
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出版当年[2019]版:
Q1 CELL BIOLOGY
最新[2023]版:
Q2 CELL BIOLOGY

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第一作者单位: [1]Chinese Acad Sci, Inst Zool, State Key Lab Stem Cell & Reprod Biol, Beijing 100101, Peoples R China [2]Chinese Acad Sci, Inst Stem Cell & Regenerat, Beijing, Peoples R China [3]Univ Chinese Acad Sci, Beijing, Peoples R China [4]Beijing Inst Stem Cell & Regenerat Med, Beijing, Peoples R China
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通讯机构: [1]Chinese Acad Sci, Inst Zool, State Key Lab Stem Cell & Reprod Biol, Beijing 100101, Peoples R China [2]Chinese Acad Sci, Inst Stem Cell & Regenerat, Beijing, Peoples R China [3]Univ Chinese Acad Sci, Beijing, Peoples R China [4]Beijing Inst Stem Cell & Regenerat Med, Beijing, Peoples R China
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