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Cell Rep . SARS-CoV-2 infection elucidates features of pregnancy-specific immunity

tetano

Editor, Senior Moderator
Cell Rep


. 2024 Nov 5;43(11):114933.
doi: 10.1016/j.celrep.2024.114933. Online ahead of print. SARS-CoV-2 infection elucidates features of pregnancy-specific immunity

Dong Sun Oh[SUP] 1 [/SUP], Eunha Kim[SUP] 2 [/SUP], Rachelly Normand[SUP] 3 [/SUP], Guangqing Lu[SUP] 1 [/SUP], Lydia L Shook[SUP] 4 [/SUP], Amanda Lyall[SUP] 5 [/SUP], Olyvia Jasset[SUP] 6 [/SUP], Stepan Demidkin[SUP] 6 [/SUP], Emily Gilbert[SUP] 6 [/SUP], Joon Kim[SUP] 6 [/SUP], Babatunde Akinwunmi[SUP] 6 [/SUP], Jessica Tantivit[SUP] 7 [/SUP], Alice Tirard[SUP] 7 [/SUP], Benjamin Y Arnold[SUP] 7 [/SUP], Kamil Slowikowski[SUP] 3 [/SUP]; MGH COVID-19 Collection & Processing Team; Marcia B Goldberg[SUP] 8 [/SUP], Michael R Filbin[SUP] 9 [/SUP], Nir Hacohen[SUP] 10 [/SUP], Long H Nguyen[SUP] 11 [/SUP], Andrew T Chan[SUP] 12 [/SUP], Xu G Yu[SUP] 13 [/SUP], Jonathan Z Li[SUP] 14 [/SUP], Lael Yonker[SUP] 15 [/SUP], Alessio Fasano[SUP] 16 [/SUP], Roy H Perlis[SUP] 17 [/SUP], Ofer Pasternak[SUP] 18 [/SUP], Kathryn J Gray[SUP] 19 [/SUP], Gloria B Choi[SUP] 20 [/SUP], David A Drew[SUP] 17 [/SUP], Pritha Sen[SUP] 21 [/SUP], Alexandra-Chloé Villani[SUP] 22 [/SUP], Andrea G Edlow[SUP] 23 [/SUP], Jun R Huh[SUP] 24 [/SUP]



Affiliations
Free article Abstract

Pregnancy is a risk factor for increased severity of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and other respiratory infections, but the mechanisms underlying this risk are poorly understood. To gain insight into the role of pregnancy in modulating immune responses at baseline and upon SARS-CoV-2 infection, we collected peripheral blood mononuclear cells and plasma from 226 women, including 152 pregnant individuals and 74 non-pregnant women. We find that SARS-CoV-2 infection is associated with altered T cell responses in pregnant women, including a clonal expansion of CD4-expressing CD8[SUP]+[/SUP] T cells, diminished interferon responses, and profound suppression of monocyte function. We also identify shifts in cytokine and chemokine levels in the sera of pregnant individuals, including a robust increase of interleukin-27, known to drive T cell exhaustion. Our findings reveal nuanced pregnancy-associated immune responses, which may contribute to the increased susceptibility of pregnant individuals to viral respiratory infection.

Keywords: COVID-19; CP: Immunology; SARS-CoV-2; T cells; cytokines; immune cells; immune responses; maternal immune activation; pregnancy; single-cell RNA-seq.

 
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