Cited by 68Reproductive System and Pregnancyinterferon and immune responsesCytomegalovirus and herpesvirus research

Contributions of maternal and fetal antiviral immunity in congenital disease

Yockey, Laura J., Lucas, Carolina, Iwasaki, Akiko·2020·Science

Abstract

Viral infections during pregnancy can have devastating consequences on pregnancy outcomes, fetal development, and maternal health. In this review, we examine fetal and maternal immune defense mechanisms that mediate resistance against viral infections and discuss the range of syndromes that ensue when such mechanisms fail, from fetal developmental defects to establishment of chronic infection. Further, we highlight the role of maternal immune activation, or uncontrolled inflammation triggered by viral infections during pregnancy, and its potential downstream pathological effects, including tissue damage and fetal demise. Insights into the respective contributions of direct viral toxicity versus fetal and maternal immune responses that underlie the pathogenesis of congenital disease will guide future treatment strategies.

Integrity signals

Registry

Crossref · 10.1126/science.aaz1960

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44 of 44 references verified0 citation errors · 0 not checkable

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  • Zika virus can infect cortical neurons and glial cells in the fetus, resulting in cell death, neuroinflammation and severe congenital malformations.

    “Zika virus can infect cortical neurons and glial cells in the fetus, resulting in cell death, neuroinflammation and severe congenital malformations221.”

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Authors
Yockey, L. J., Lucas, C., & Iwasaki, A.
Affiliations
  • Yale University (US)
  • Howard Hughes Medical Institute (US)
Corresponding author
  • Yockey, Laura J.
  • Lucas, Carolina
  • Iwasaki, Akiko
Venue
Science
Published
2020-05-08
Volume
368
Issue
6491
Pages
608-612
ISSN
  • 0036-8075 (ISSN-L)
  • 1095-9203
OpenAlex
W3023140579
Cited by
68
References
44
Citations by year
2026: 3 · 2025: 2 · 2024: 7 · 2023: 9 · 2022: 15 · 2021: 22 · 2020: 9
FWCI
1.34
Type
journal article
Language
en
Open access
closed
Locations
  • Science (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (AI054359, AI127429)
  • Howard Hughes Medical Institute (N/A)
Topics
  • Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
  • Life Sciences › Immunology and Microbiology › Immunology › interferon and immune responses
  • Health Sciences › Medicine › Epidemiology › Cytomegalovirus and herpesvirus research
Keywords
congenital viral infection, maternal immune activation, chronic viral infection, intrauterine fetal death, inflammation, pregnancy outcomes
MeSH terms
Female, Fetal Diseases, Fetus, Humans, Immunity, Innate, Maternal-Fetal Exchange, Pregnancy, Pregnancy Complications, Infectious, Pregnancy Outcome, Virus Diseases, Fetal Development

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