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1.
Front Cell Neurosci ; 17: 1176676, 2023.
Article in English | MEDLINE | ID: covidwho-2319243

ABSTRACT

Maternal antibiotics administration (MAA) is among the widely used therapeutic approaches in pregnancy. Although published evidence demonstrates that infants exposed to antibiotics immediately after birth have altered recognition memory responses at one month of age, very little is known about in utero effects of antibiotics on the neuronal function and behavior of children after birth. Therefore, this study aimed to evaluate the impact of MAA at different periods of pregnancy on memory decline and brain structural alterations in young mouse offspring after their first month of life. To study the effects of MAA on 4-week-old offspring, pregnant C57BL/6J mouse dams (2-3-month-old; n = 4/group) were exposed to a cocktail of amoxicillin (205 mg/kg/day) and azithromycin (51 mg/kg/day) in sterile drinking water (daily/1 week) during either the 2nd or 3rd week of pregnancy and stopped after delivery. A control group of pregnant dams was exposed to sterile drinking water alone during all three weeks of pregnancy. Then, the 4-week-old offspring mice were first evaluated for behavioral changes. Using the Morris water maze assay, we revealed that exposure of pregnant mice to antibiotics at the 2nd and 3rd weeks of pregnancy significantly altered spatial reference memory and learning skills in their offspring compared to those delivered from the control group of dams. In contrast, no significant difference in long-term associative memory was detected between offspring groups using the novel object recognition test. Then, we histologically evaluated brain samples from the same offspring individuals using conventional immunofluorescence and electron microscopy assays. To our knowledge, we observed a reduction in the density of the hippocampal CA1 pyramidal neurons and hypomyelination in the corpus callosum in groups of mice in utero exposed to antibiotics at the 2nd and 3rd weeks of gestation. In addition, offspring exposed to antibiotics at the 2nd or 3rd week of gestation demonstrated a decreased astrocyte cell surface area and astrocyte territories or depletion of neurogenesis in the dentate gyrus and hippocampal synaptic loss, respectively. Altogether, this study shows that MAA at different times of pregnancy can pathologically alter cognitive behavior and brain development in offspring at an early age after weaning.

2.
Dissertation Abstracts International: Section B: The Sciences and Engineering ; 84(3-B):No Pagination Specified, 2023.
Article in English | APA PsycInfo | ID: covidwho-2267577

ABSTRACT

This dissertation studies the social and psychological effects of the COVID-19 pandemic on Asian intermarried families residing in Midwestern region of the United States, the anti-Asian sentiment experienced during the pandemic by these families, and how such experiences shaped the racial socialization of their biracial children. This study is a qualitative phenomenological study utilizing interview data. Four Asian intermarried women who have biracial child(ren) were recruited. Demographic information was collected prior to interview. The data, concerning research questions, were collected through interview via Zoom. Interview was recorded and transcribed, and the transcription was sent to each participant to review and answer the follow-up questions listed on the transcription. All participants reported their experiences of fear for their life, though none of the participants experienced any anti-Asian hate crimes during the pandemic. They all experienced some forms of microaggressions and such experiences stimulated racial discussions and racial socialization with their spouse and/or their biracial children. Some of the participants' biracial children experienced overt expressions of anti-Asian hate, and Asian mothers discussed such incidents with her children. Their White husbands, while some understood the experiences of microaggression, demonstrated a state of denial or engaged in minimization of their Asian spouse's racial experience.Though the number of international interracially married couple has been fastest growing model of family union, the majority of empirical studies of interracial family is focused on Black and White. This study will fill the gap in the empirical studies on intermarriage in the United States by furthering understanding of the racial socialization of mixed heritage children. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

3.
Zool Res ; 44(3): 494-504, 2023 May 18.
Article in English | MEDLINE | ID: covidwho-2254708

ABSTRACT

The coronavirus disease 2019 (COVID-19) pandemic has greatly damaged human society, but the origins and early transmission patterns of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pathogen remain unclear. Here, we reconstructed the transmission networks of SARS-CoV-2 during the first three and six months since its first report based on ancestor-offspring relationships using BANAL-52-referenced mutations. We explored the position (i.e., root, middle, or tip) of early detected samples in the evolutionary tree of SARS-CoV-2. In total, 6 799 transmission chains and 1 766 transmission networks were reconstructed, with chain lengths ranging from 1-9 nodes. The root node samples of the 1 766 transmission networks were from 58 countries or regions and showed no common ancestor, indicating the occurrence of many independent or parallel transmissions of SARS-CoV-2 when first detected (i.e., all samples were located at the tip position of the evolutionary tree). No root node sample was found in any sample ( n=31, all from the Chinese mainland) collected in the first 15 days from 24 December 2019. Results using six-month data or RaTG13-referenced mutation data were similar. The reconstruction method was verified using a simulation approach. Our results suggest that SARS-CoV-2 may have already been spreading independently worldwide before the outbreak of COVID-19 in Wuhan, China. Thus, a comprehensive global survey of human and animal samples is essential to explore the origins of SARS-CoV-2 and its natural reservoirs and hosts.


Subject(s)
COVID-19 , SARS-CoV-2 , Animals , Humans , SARS-CoV-2/genetics , COVID-19/veterinary , Phylogeny , Mutation , Genomics
4.
Infect Dis Model ; 7(4): 778-794, 2022 Dec.
Article in English | MEDLINE | ID: covidwho-2069075

ABSTRACT

In stochastic modeling of infectious diseases, it has been established that variations in infectivity affect the probability of a major outbreak, but not the shape of the curves during a major outbreak, which is predicted by deterministic models (Diekmann et al., 2012). However, such conclusions are derived under idealized assumptions such as the population size tending to infinity, and the individual degree of infectivity only depending on variations in the infectiousness period. In this paper we show that the same conclusions hold true in a finite population representing a medium size city, where the degree of infectivity is determined by the offspring distribution, which we try to make as realistic as possible for SARS-CoV-2. In particular, we consider distributions with fat tails, to incorporate the existence of super-spreaders. We also provide new theoretical results on convergence of stochastic models which allows to incorporate any offspring distribution with a finite variance.

5.
Math Biosci Eng ; 19(12): 13137-13151, 2022 09 08.
Article in English | MEDLINE | ID: covidwho-2055536

ABSTRACT

The basic reproduction number, $ R_0 $, plays a central role in measuring the transmissibility of an infectious disease, and it thus acts as the fundamental index for planning control strategies. In the present study, we apply a branching process model to meticulously observed contact tracing data from Wakayama Prefecture, Japan, obtained in early 2020 and mid-2021. This allows us to efficiently estimate $ R_0 $ and the dispersion parameter $ k $ of the wild-type COVID-19, as well as the relative transmissibility of the Delta variant and relative transmissibility among fully vaccinated individuals, from a very limited data. $ R_0 $ for the wild type of COVID-19 is estimated to be 3.78 (95% confidence interval [CI]: 3.72-3.83), with $ k = 0.236 $ (95% CI: 0.233-0.240). For the Delta variant, the relative transmissibility to the wild type is estimated to be 1.42 (95% CI: 0.94-1.90), which gives $ R_0 = 5.37 $ (95% CI: 3.55-7.21). Vaccine effectiveness, determined by the reduction in the number of secondary transmissions among fully vaccinated individuals, is estimated to be 91% (95% CI: 85%-97%). The present study highlights that basic reproduction numbers can be accurately estimated from the distribution of minor outbreak data, and these data can provide further insightful epidemiological estimates including the dispersion parameter and vaccine effectiveness regarding the prevention of transmission.


Subject(s)
COVID-19 , Humans , Basic Reproduction Number , COVID-19/epidemiology , SARS-CoV-2/genetics , Disease Outbreaks
6.
Mol Genet Genomics ; 297(6): 1711-1740, 2022 Nov.
Article in English | MEDLINE | ID: covidwho-2035056

ABSTRACT

Timelines of population-level effects of viruses on humans varied from the evolutionary scale of million years to contemporary spread of viral infections. Correspondingly, these events are exemplified by: (i) emergence of human endogenous retroviruses (HERVs) from ancient germline infections leading to stable integration of viral genomes into human chromosomes; and (ii) wide-spread viral infections reaching a global pandemic state such as the COVID-19 pandemic. Despite significant efforts, understanding of HERV's roles in governance of genomic regulatory networks, their impacts on primate evolution and development of human-specific physiological and pathological phenotypic traits remains limited. Remarkably, present analyses revealed that expression of a dominant majority of genes (1696 of 1944 genes; 87%) constituting high-confidence down-steam regulatory targets of defined HERV loci was significantly altered in cells infected with the SARS-CoV-2 coronavirus, a pathogen causing the global COVID-19 pandemic. This study focused on defined sub-sets of DNA sequences derived from HERVs that are expressed at specific stages of human preimplantation embryogenesis and exert regulatory actions essential for self-renewal and pluripotency. Evolutionary histories of LTR7/HERVH and LTR5_Hs/HERVK were charted based on evidence of the earliest presence and expansion of highly conserved (HC) LTR sequences. Sequence conservation analyses of most recent releases 17 primate species' genomes revealed that LTR7/HERVH have entered germlines of primates in Africa after the separation of the New World Monkey lineage, while LTR5_Hs/HERVK successfully colonized primates' germlines after the segregation of Gibbons' species. Subsequently, both LTR7 and LTR5_Hs undergo a marked ~ fourfold-fivefold expansion in genomes of Great Apes. Timelines of quantitative expansion of both LTR7 and LTR5_Hs loci during evolution of Great Apes appear to replicate the consensus evolutionary sequence of increasing cognitive and behavioral complexities of non-human primates, which seems particularly striking for LTR7 loci and 11 distinct LTR7 subfamilies. Consistent with previous reports, identified in this study, 351 human-specific (HS) insertions of LTR7 (175 loci) and LTR5_Hs (176 loci) regulatory sequences have been linked to genes implicated in establishment and maintenance of naïve and primed pluripotent states and preimplantation embryogenesis phenotypes. Unexpectedly, HS-LTRs manifest regulatory connectivity to genes encoding markers of 12 distinct cells' populations of fetal gonads, as well as genes implicated in physiology and pathology of human spermatogenesis, including Y-linked spermatogenic failure, oligo- and azoospermia. Granular interrogations of genes linked with 11 distinct LTR7 subfamilies revealed that mammalian offspring survival (MOS) genes seem to remain one of consistent regulatory targets throughout ~ 30 MYA of the divergent evolution of LTR7 loci. Differential GSEA of MOS versus non-MOS genes identified clearly discernable dominant enrichment patterns of phenotypic traits affected by MOS genes linked with LTR7 (562 MOS genes) and LTR5_Hs (126 MOS genes) regulatory loci across the large panel of genomics and proteomics databases reflecting a broad spectrum of human physiological and pathological traits. GSEA of LTR7-linked MOS genes identified more than 2200 significantly enriched records of human common and rare diseases and gene signatures of 466 significantly enriched records of Human Phenotype Ontology traits, including Autosomal Dominant (92 genes) and Autosomal Recessive (93 genes) Inheritance. LTR7 regulatory elements appear linked with genes implicated in functional and morphological features of central nervous system, including synaptic transmission and protein-protein interactions at synapses, as well as gene signatures differentially regulated in cells of distinct neurodevelopmental stages and morphologically diverse cell types residing and functioning in human brain. These include Neural Stem/Precursor cells, Radial Glia cells, Bergman Glia cells, Pyramidal cells, Tanycytes, Immature neurons, Interneurons, Trigeminal neurons, GABAergic neurons, and Glutamatergic neurons. GSEA of LTR7-linked genes identified significantly enriched gene sets encoding markers of more than 80 specialized types of neurons and markers of 521 human brain regions, most prominently, subiculum and dentate gyrus. Identification and characterization of 1944 genes comprising high-confidence down-steam regulatory targets of LTR7 and/or LTR5_Hs loci validated and extended these observations by documenting marked enrichments for genes implicated in neoplasm metastasis, intellectual disability, autism, multiple cancer types, Alzheimer's, schizophrenia, and other brain disorders. Overall, genes representing down-stream regulatory targets of ancient retroviral LTRs exert the apparently cooperative and exceedingly broad phenotypic impacts on human physiology and pathology. This is exemplified by altered expression of 93% high-confidence LTR targets in cells infected by contemporary viruses, revealing a convergence of virus-inflicted aberrations on genomic regulatory circuitry governed by ancient retroviral LTR elements and interference with human cells' differentiation programs.


Subject(s)
COVID-19 , Endogenous Retroviruses , Hominidae , Animals , Male , Humans , Endogenous Retroviruses/genetics , Pandemics , Steam , Evolution, Molecular , SARS-CoV-2 , Hominidae/genetics , Terminal Repeat Sequences/genetics , Genomics , Primates/genetics , Phenotype , Mammals/genetics
7.
Animal Model Exp Med ; 5(5): 430-435, 2022 10.
Article in English | MEDLINE | ID: covidwho-1966022

ABSTRACT

The mass inoculation of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccines to induce herd immunity is one of the most effective measures we can deploy in the fight against coronavirus disease 2019 (COVID-19). Pregnant women are prone to a higher risk of COVID-19, and maternal infection is a risk factor for a range of neurological disorders leading to abnormal behavior in adulthood. However, there are limited clinical data to support whether vaccination or infection post-immunization in pregnant women can affect the behavioral cognition of fetuses in adulthood. In this study, human angiotensin-converting enzyme 2 pregnant mice (F0 generation) were immunized with CoronaVac and then infected with SARS-CoV-2. Subsequently, we analyzed the behavioral cognition of their adult offspring (F1 generation) using the open-field test and Morris water maze test. The adult F1 generation did not exhibit any impairments in spontaneous locomotor activity or spatial reference memory.


Subject(s)
COVID-19 , SARS-CoV-2 , Humans , Adult , Female , Mice , Pregnancy , Animals , COVID-19 Vaccines , COVID-19/prevention & control , Immunity, Herd , Vaccination
8.
Gerontological social work and COVID-19: Calls for change in education, practice, and policy from international voices ; : 43-53, 2022.
Article in English | APA PsycInfo | ID: covidwho-1887959

ABSTRACT

This reprinted chapter originally appeared in Journal of Gerontological Social Work, 2020, 63[6-7], 542-552. (The following of the original article appeared in record 2020-41235-001.) The COVID-19 pandemic, which is especially dangerous to older people, has disrupted the lives of older people and their family caregivers. This commentary outlines the adaptive and emerging practices in formal supportive services for family caregivers, the changing types of support that family caregivers are providing to their older relatives, and the ways family caregivers are seeking informal caregiving support during the COVID-19 outbreak. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

9.
J Dev Orig Health Dis ; 13(1): 3-8, 2022 02.
Article in English | MEDLINE | ID: covidwho-1701837

ABSTRACT

Little is known about the consequences of viral infection for pregnant woman or for the fetus. This issue became important with the appearance of the severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2). The infection with SARS-CoV-2 causes a respiratory syndrome known as COVID-19. The fast spreading around the world and the fact that without a treatment or vaccine humans are completely exposed, converts emerging viral diseases in a significant risk for pregnant women and their infants. At this time, during SARS-CoV-2 pandemics pregnant women are not considered as a risk population and little is known about the effects of viral infections over the offspring although the amount of emerging evidence showing detrimental effects for the mother and the fetus. This issue highlights the importance to understand the effects of viral infections during pregnancy. In this work, we analyze the effects of viral infections, like SARS-CoV-2 and other related viruses during pregnancy over the mother and the consequences for the offspring.


Subject(s)
COVID-19/complications , Pregnancy Complications, Infectious/virology , SARS-CoV-2 , COVID-19/immunology , Coronavirus Infections/complications , Female , Humans , Infant, Newborn/immunology , Infectious Disease Transmission, Vertical , Influenza A Virus, H1N1 Subtype , Influenza, Human/complications , Maternal-Fetal Exchange/immunology , Pregnancy , Severe Acute Respiratory Syndrome/complications
10.
The Lancet ; 399(10323):428-429, 2022.
Article in English | ProQuest Central | ID: covidwho-1655277

ABSTRACT

Citing psychiatrist and neuroscientist Rachel Yehuda's studies of Holocaust survivors and their children, Richardson introduces the burgeoning field of developmental origins of health and disease (DOHaD) and its use of epigenetics—analyses of heritable changes that affect gene expression but not DNA sequence—as a means to measure and characterise the impact of the gestational environment. First is the problem of crypticity— a term Richardson helpfully uses to describe the tenuousness of the links between cause and effect that characterise maternal effects science. [...]the challenges of crypticity are not redressed by epigenetic technologies—even, as she argues in a robust chapter-long critique of the emerging science, among the boldest new research programmes. The second concern is that these assumptions contribute to a “drastically limited”, according to Richardson, picture of influences on development since much DOHaD research does not adequately consider paternal, postnatal, and other social and environmental factors that may influence the long-term health of offspring.

11.
Int Psychogeriatr ; 33(12): 1327-1332, 2021 12.
Article in English | MEDLINE | ID: covidwho-1447273

ABSTRACT

This study aimed to examine the caregiver burden among offspring of Holocaust survivors (OHS) caring for their parents during the COVID-19 pandemic, hypothesizing that caregivers whose parents suffer from posttraumatic stress disorder (PTSD) would report an increased burden. The sample consisted of 109 caregivers with older adult care recipient parents (average caregivers' age = 57.67, SD = 8.49). Caregivers were divided into three groups: 20 OHS who reported that at least one care recipient had PTSD, 60 OHS who reported that their care recipients did not have PTSD, and 29 comparison caregivers (whose care recipients did not undergo the Holocaust). Caregivers completed questionnaires about SARS-CoV-2 exposure, COVID-19 concerns, helping their care recipients, their experiences of caregiver burden, and perceived changes to their caregiver burden during the pandemic. The caregivers also reported PTSD symptoms-in themselves as well as in their care recipients. Relative to comparisons, OHS with parental PTSD reported higher caregiver burden in four aspects: time-dependent burden, developmental burden, physical burden, and social burden. Furthermore, OHS reported a greater perceived increase in caregiver burden during the pandemic than the comparisons. The study findings illuminate the difficulties OHS caregivers, especially those whose care recipients have PTSD, face during the COVID-19 pandemic. This group of caregivers is at risk of experiencing more distress and may need help and support. Further research is needed to determine whether people taking care of their posttraumatic parents following other massive traumatic events also feel a heavier caregiver burden-both in general and specifically during the current pandemic.


Subject(s)
COVID-19 , Holocaust , Aged , Caregiver Burden , Caregivers , Humans , Pandemics , Parents , SARS-CoV-2 , Survivors
12.
Endocr Metab Immune Disord Drug Targets ; 21(8): 1392-1405, 2021.
Article in English | MEDLINE | ID: covidwho-1389051

ABSTRACT

The complications of the SARS-CoV-2 infection and its COVID-19 disease on mothers and their offspring are less known. This review aimed to determine the transmission, severity, and complications of SARS- CoV-2 infection during pregnancy. This review showed the influence of COVID-19 disease on neonatal neurogenesis. Owing medicines that were reported for the treatment of COVID-19 disease, this review suggested some control strategies like treatments (medicinal plants, antiviral therapy, cellular therapy, and immunotherapy), nutrition uptake, prevention, and recommendations. This overview showed that severe infection of SARS-CoV-2 during the early stage of pregnancy might increase the risk of stress, panic, and anxiety. This disorder can disturb the maternal immune system, and thus causing a neurodevelopmental disturbance. This hypothesis may be depending on the severity and intensity of the SARS-CoV-2 infection during pregnancy. However, vertical transmission of SARS-CoV-2 from dams to their fetuses is absent until now. During this global pandemic disease, maintaining safety during pregnancy, vaginal delivery, and breastfeeding may play a vital role in a healthy life for the offspring. Thus, international, and national organizations should be continuing for perinatal management, particularly during the next pandemic or disaster time.


Subject(s)
COVID-19/therapy , COVID-19/transmission , Infectious Disease Transmission, Vertical/prevention & control , Pregnancy Complications, Infectious/immunology , Pregnancy Complications, Infectious/therapy , Animals , Antiviral Agents/pharmacology , Antiviral Agents/therapeutic use , COVID-19/immunology , Cytokine Release Syndrome/immunology , Cytokine Release Syndrome/therapy , Female , Humans , Immunotherapy/methods , Pregnancy , SARS-CoV-2/drug effects , SARS-CoV-2/immunology
13.
Front Endocrinol (Lausanne) ; 12: 677701, 2021.
Article in English | MEDLINE | ID: covidwho-1268244

ABSTRACT

Background: Angiotensin-converting enzyme II (ACE2), a receptor for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) to enter host cells, is widely expressed in testes and prostate tissues. The testis and prostate produce semen. At present, there are contradictory reports about whether SARS-CoV-2 can exist in the semen of infected men. Objective: To provide a comprehensive overview of the topic of whether COVID-19 can impact on male reproductive system. Methods: We reviewed the relevant publications on the possible impact of Coronavirus Disease 2019 (COVID-19) on male reproductive system and summarized the latest and most important research results so far. Literature published in English from December 2019 to January 31, 2021 regarding the existence of SARS-CoV-2 in semen, testis, and prostatic fluid and the effects of COVID-19 on male reproductive were included. Results: We identified 28 related studies, only one of which reported the presence of SARS-CoV-2 in semen. The study found that the semen quality of patients with moderate infection was lower than that of patients with mild infection and healthy controls. The impaired semen quality may be related to fever and inflammation. Pathological analysis of the testis/epididymis showed that SARS-CoV-2 viral particles were positive in 10 testicular samples, and the spermatogenic function of the testis was impaired. All 94 expressed prostatic secretion (EPS) samples were negative for SARS-CoV-2 RNA. Conclusion: The likelihood of SARS-CoV-2 in the semen of COVID-19 patients is very small, and semen should rarely be regarded as a carrier of SARS-CoV-2 genetic material. However, COVID-19 may cause testicular spermatogenic dysfunction via immune or inflammatory reactions. Long-term follow-up is needed for COVID-19 male patients and fetuses conceived during the father's infection period.


Subject(s)
COVID-19/physiopathology , Genitalia, Male/virology , SARS-CoV-2/physiology , COVID-19/complications , COVID-19/pathology , Genitalia, Male/pathology , Genitalia, Male/physiology , History, 21st Century , Humans , Inflammation/complications , Inflammation/pathology , Inflammation/virology , Male , Prostate/pathology , Prostate/physiology , Prostate/virology , Semen/virology , Semen Analysis , Sexual Dysfunction, Physiological/pathology , Sexual Dysfunction, Physiological/virology , Testis/pathology , Testis/physiology , Testis/virology
14.
Early Hum Dev ; 155: 105322, 2021 04.
Article in English | MEDLINE | ID: covidwho-1053333

ABSTRACT

From the moment of the identification of SARS-CoV-2 as an etiological agent of the severe clinical pictures of pneumonia that were being slowly observed all over the world, numerous studies have been conducted to increase the knowledge about what was an unknown virus until then. The efforts were mainly aimed to acquire epidemiological, microbiological, pathogenetic, clinical, diagnostic, therapeutic and preventive information in order to increase the available weapons to fight an infection which was rapidly taking on the characteristics of the pandemic. Given the topicality of the problem, not everything has yet been fully understood and clarified, especially in the maternal-fetal­neonatal field, where we are beginning to question what could be the outcomes of newborn babies born to mothers who contracted SARS-CoV-2 infection during pregnancy. Thus, the aim of this review is to analyze the long-term outcomes of this infection that could affect the offspring, regardless of a possible maternal-fetal transmission, focusing on, above all, the role of maternal immune activation and the expression of the Angiotensin-converting enzyme 2 (ACE2) in particular at the placental level.


Subject(s)
COVID-19/complications , Infant, Newborn, Diseases/virology , Pregnancy Complications, Infectious/immunology , Pregnancy Complications, Infectious/virology , Adaptive Immunity , Angiotensin-Converting Enzyme 2/metabolism , COVID-19/immunology , COVID-19/therapy , COVID-19/transmission , Female , Fetal Development , Humans , Infant, Newborn , Infant, Newborn, Diseases/embryology , Infant, Newborn, Diseases/metabolism , Infectious Disease Transmission, Vertical , Placenta/immunology , Placenta/metabolism , Pregnancy , Time Factors
15.
J Reprod Immunol ; 143: 103250, 2021 02.
Article in English | MEDLINE | ID: covidwho-939094

ABSTRACT

Coronavirus disease 2019 (COVID-19) pandemic has spread rapidly across the world. The vast majority of patients with COVID-19 manifest mild to moderate symptoms but may progress to severe cases or even mortalities. Young adults of reproductive age are the most affected population by SARS-CoV-2 infection. However, there is no consensus yet if pregnancy contributes to the severity of COVID-19. Initial studies of pregnant women have found that COVID-19 significantly increases the risk of preterm birth, intrauterine growth restriction, and low birth weight, which have been associated with non-communicable diseases in offspring. Besides, maternal viral infections with or without vertical transmission have been allied with neurological and behavioral disorders of the offspring. In this review, obstetrical outcomes of women with COVID-19 and possible risks for their offspring are discussed by reviewing maternal immune responses to COVID-19 based on the current evidence. Structural and systemic follow-up of offspring who are exposed to SARS-CoV-2 in-utero is suggested.


Subject(s)
COVID-19/immunology , Child of Impaired Parents , Fetal Growth Retardation/epidemiology , Pregnancy Complications, Infectious/immunology , Premature Birth/epidemiology , SARS-CoV-2/physiology , COVID-19/epidemiology , COVID-19/transmission , Female , Humans , Immunity, Maternally-Acquired , Infectious Disease Transmission, Vertical , Maternal Exposure/adverse effects , Pregnancy , Pregnancy Complications, Infectious/epidemiology , Pregnancy Outcome , Problem Behavior , Risk
16.
Behav Sci (Basel) ; 10(11)2020 Oct 23.
Article in English | MEDLINE | ID: covidwho-895330

ABSTRACT

The COVID-19 ongoing pandemic constitutes a major challenge for countries throughout the world due to the rapid spread of SARS-CoV-2 and devastating consequences in health. No one is free from COVID-19 impact. In this regard, pregnant women are not the exception. The COVID-19 outbreak represents a massive source of stressful agents for women and their babies during the perinatal period. The COVID-19 pandemic has been suggested to potentially have short- and long-term detrimental effects on pregnant women and the baby. These adverse consequences range from mental to medical diseases. During the last centuries, several dreadful and fatal incidents have put pregnant women and their babies at higher risk of mortality and health deterioration. For example, it has been informed that women exposed to the 1918 flu pandemic (commonly known as the Spanish flu) while pregnant showed higher rates of premature delivery in the short term. Long-term consequences have also been reported and individuals (both males and females) who were exposed to the 1918 flu pandemic while in utero had a higher risk of developing schizophrenia, diabetes, coronary heart disease or cancer throughout their lifespan.

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