Frontiers in Immunology,
Journal Year:
2020,
Volume and Issue:
11
Published: Sept. 30, 2020
Immunological
adaptations
in
pregnancy
allow
maternal
tolerance
of
the
semi-allogeneic
fetus
but
also
increase
susceptibility
to
infection.
At
implantation,
endometrial
stroma,
glands,
arteries
and
immune
cells
undergo
anatomical
functional
transformation
create
decidua,
specialized
secretory
endometrium
pregnancy.
The
decidua
invading
fetal
trophoblast
constitute
a
dynamic
junction
that
facilitates
complex
immunological
dialogue
between
two.
decidual
peripheral
systems
together
assume
pivotal
role
regulating
critical
balance
defense
against
Throughout
pregnancy,
this
equilibrium
is
repeatedly
subjected
microbial
challenge.
Acute
viral
infection
associated
with
wide
spectrum
adverse
consequences
for
both
mother
fetus.
Vertical
transmission
from
can
cause
developmental
anomalies,
growth
restriction,
preterm
birth
stillbirth,
while
predisposed
heightened
morbidity
death.
A
rapid,
effective
response
invasive
pathogens
therefore
essential
order
avoid
overwhelming
consequent
compromise.
This
sentinel
mediated
by
innate
system:
heritable,
highly
evolutionarily
conserved
system
comprising
physical
barriers,
antimicrobial
peptides
(AMP)
variety
cells-principally
neutrophils,
macrophages,
dendritic
cells,
natural
killer
cells-which
express
pattern-receptors
detect
invariant
molecular
signatures
unique
pathogenic
micro-organisms.
Recognition
these
during
acute
triggers
signaling
cascades
enhance
properties
such
as
phagocytosis,
secretion
pro-inflammatory
cytokines
activation
complement
system.
As
well
coordinating
initial
response,
macrophages
present
antigens
lymphocytes,
initiating
influencing
development
specific,
long-lasting
adaptive
immunity.
Despite
extensive
progress
unraveling
pregnant
women
remain
particularly
susceptible
certain
infections
continue
experience
mortality
rates
equivalent
those
observed
pandemics
several
decades
ago.
Here,
we
focus
specifically
on
pregnancy-induced
vulnerabilities
immunity
contribute
disproportionately
high
following
infections:
Lassa
fever,
Ebola
virus
disease
(EVD),
dengue
hepatitis
E,
influenza,
novel
coronavirus
infections.
Science,
Journal Year:
2020,
Volume and Issue:
370(6518)
Published: Nov. 12, 2020
The
genomics
of
human
development
Understanding
the
trajectory
a
developing
requires
an
understanding
how
genes
are
regulated
and
expressed.
Two
papers
now
present
pooled
approach
using
three
levels
combinatorial
indexing
to
examine
single-cell
gene
expression
chromatin
landscapes
from
15
organs
in
fetal
samples.
Cao
et
al.
focus
on
measurements
RNA
broadly
distributed
cell
types
provide
insights
into
organ
specificity.
Domcke
examined
accessibility
cells
these
identify
regulatory
elements
that
regulate
expression.
Together,
analyses
generate
comprehensive
atlases
early
development.
Science
,
this
issue
p.
eaba7721
eaba7612
Cellular and Molecular Life Sciences,
Journal Year:
2019,
Volume and Issue:
76(18), P. 3479 - 3496
Published: May 3, 2019
Abnormal
placentation
is
considered
as
an
underlying
cause
of
various
pregnancy
complications
such
miscarriage,
preeclampsia
and
intrauterine
growth
restriction,
the
latter
increasing
risk
for
development
severe
disorders
in
later
life
cardiovascular
disease
type
2
diabetes.
Despite
their
importance,
molecular
mechanisms
governing
human
placental
formation
trophoblast
cell
lineage
specification
differentiation
have
been
poorly
unravelled,
mostly
due
to
lack
appropriate
cellular
model
systems.
However,
over
past
few
years
major
progress
has
made
by
establishing
self-renewing
stem
cells
3-dimensional
organoids
from
blastocysts
early
tissues
opening
path
detailed
investigations.
Herein,
we
summarize
present
knowledge
about
development,
its
cells,
progenitors
differentiated
types
epithelium
villous
core.
Anatomy
placenta,
current
systems,
critical
key
regulatory
factors
signalling
cascades
will
be
elucidated.
In
this
context,
discuss
role
developmental
pathways
Wingless
Notch,
controlling
stemness/differentiation
invasive
progenitors,
respectively.
Development,
Journal Year:
2019,
Volume and Issue:
146(22)
Published: Nov. 15, 2019
ABSTRACT
The
placenta
is
essential
for
normal
in
utero
development
mammals.
In
humans,
defective
placental
formation
underpins
common
pregnancy
disorders
such
as
pre-eclampsia
and
fetal
growth
restriction.
great
variation
types
across
mammals
means
that
animal
models
have
been
of
limited
use
understanding
human
development.
However,
new
tools
studying
development,
including
3D
organoids,
stem
cell
culture
systems
single
RNA
sequencing,
brought
insights
into
this
field.
Here,
we
review
the
morphological,
molecular
functional
aspects
formation,
with
a
focus
on
defining
–
trophoblast.
Science,
Journal Year:
2020,
Volume and Issue:
370(6518)
Published: Nov. 13, 2020
The
genomics
of
human
development
Understanding
the
trajectory
a
developing
requires
an
understanding
how
genes
are
regulated
and
expressed.
Two
papers
now
present
pooled
approach
using
three
levels
combinatorial
indexing
to
examine
single-cell
gene
expression
chromatin
landscapes
from
15
organs
in
fetal
samples.
Cao
et
al.
focus
on
measurements
RNA
broadly
distributed
cell
types
provide
insights
into
organ
specificity.
Domcke
examined
accessibility
cells
these
identify
regulatory
elements
that
regulate
expression.
Together,
analyses
generate
comprehensive
atlases
early
development.
Science
,
this
issue
p.
eaba7721
eaba7612
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2020,
Volume and Issue:
unknown
Published: April 20, 2020
ABSTRACT
The
COVID-19
pandemic,
caused
by
the
novel
coronavirus
SARS-CoV-2,
creates
an
urgent
need
for
identifying
molecular
mechanisms
that
mediate
viral
entry,
propagation,
and
tissue
pathology.
Cell
membrane
bound
angiotensin-converting
enzyme
2
(ACE2)
associated
proteases,
transmembrane
protease
serine
(TMPRSS2)
Cathepsin
L
(CTSL),
were
previously
identified
as
mediators
of
SARS-CoV2
cellular
entry.
Here,
we
assess
cell
type-specific
RNA
expression
ACE2
,
TMPRSS2
CTSL
through
integrated
analysis
107
single-cell
single-nucleus
RNA-Seq
studies,
including
22
lung
airways
datasets
(16
unpublished),
85
from
other
diverse
organs.
Joint
accessory
proteases
identifies
specific
subsets
respiratory
epithelial
cells
putative
targets
infection
in
nasal
passages,
airways,
alveoli.
Cells
co-express
are
also
organs,
some
which
have
been
with
transmission
or
pathology,
gut
enterocytes,
corneal
cells,
cardiomyocytes,
heart
pericytes,
olfactory
sustentacular
renal
cells.
Performing
first
meta-analyses
scRNA-seq
analyzed
1,176,683
282
nasal,
airway,
parenchyma
samples
164
donors
spanning
fetal,
childhood,
adult,
elderly
age
groups,
associate
increased
levels
types
increasing
age,
male
gender,
smoking,
all
epidemiologically
linked
to
susceptibility
outcomes.
Notably,
there
was
a
particularly
low
few
young
pediatric
analysis.
Further
reveals
gene
program
shared
+
tissues,
genes
may
subtend
key
immune
functions,
epithelial-macrophage
cross-talk.
Amongst
these
IL6,
its
receptor
co-receptor,
IL1R
TNF
response
pathways,
complement
genes.
type
specificity
smoking
effects
conserved
mice.
Our
analyses
suggest
differences
SARS-CoV-2
entry
be
responsible
aspects
epidemiology
clinical
course,
point
pathways
involved
disease
pathogenesis.
Med,
Journal Year:
2021,
Volume and Issue:
2(5), P. 591 - 610.e10
Published: April 30, 2021
BackgroundPregnant
women
are
at
increased
risk
for
severe
outcomes
from
coronavirus
disease
2019
(COVID-19),
but
the
pathophysiology
underlying
this
morbidity
and
its
potential
effect
on
developing
fetus
is
not
well
understood.MethodsWe
assessed
placental
histology,
ACE2
expression,
viral
immune
dynamics
term
placenta
in
pregnant
with
without
respiratory
acute
syndrome
2
(SARS-CoV-2)
infection.FindingsThe
majority
(13
of
15)
placentas
analyzed
had
no
detectable
RNA.
was
detected
by
immunohistochemistry
syncytiotrophoblast
cells
normal
during
early
pregnancy
rarely
seen
healthy
full
term,
suggesting
that
low
expression
may
protect
infection.
Using
immortalized
cell
lines
primary
isolated
cells,
we
found
cytotrophoblasts,
trophoblast
stem
precursors
to
syncytiotrophoblasts,
rather
than
syncytiotrophoblasts
or
Hofbauer
most
vulnerable
SARS-CoV-2
infection
vitro.
To
better
understand
mechanisms
shielding
vivo,
performed
bulk
single-cell
transcriptomics
analyses
maternal-fetal
interface
SARS-CoV-2-infected
exhibited
robust
responses,
including
activation
natural
killer
(NK)
T
interferon-related
genes,
as
markers
associated
complications
such
preeclampsia.ConclusionsSARS-CoV-2
late
even
absence
local
invasion.FundingNIH
(T32GM007205,
F30HD093350,
K23MH118999,
R01AI157488,
U01DA040588)
Fast
Grant
funding
support
Emergent
Ventures
Mercatus
Center.