Evidence map›Paper›PMID 33441152›Full record

ArticleDiagnostic pathology2021

Placental pathology of the third trimester pregnant women from COVID-19.

Likun Gao, Jiacai Ren, Li Xu, Xiaokang Ke, Lin Xiong, Xiaoli Tian, Cuifang Fan, Honglin Yan, Jingping Yuan

Open access · goldAbstract read
In one paragraph

Article in Diagnostic pathology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
8.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Review
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  4. Article
  5. Changes in Placentas of Pregnant Women Infected with COVID-19.International journal of molecular sciences · 2025
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  17. Response to "Diffuse trophoblast damage is the hallmark of SARS-CoV-2-associated fetal demise."Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2022
    Article
  18. Review
  19. Low placental weight and altered metabolic scaling after severe acute respiratory syndrome coronavirus type 2 infection during pregnancy: a prospective multicentric study.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2022
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  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Likun Gao *Department of Pathology, Renmin Hospital of Wuhan University, 99 Ziyang Road, Wuchang District, Wuhan, 430060, Hubei Province, People's Republic of China.
Jiacai Ren *Department of Pathology, Renmin Hospital of Wuhan University, 99 Ziyang Road, Wuchang District, Wuhan, 430060, Hubei Province, People's Republic of China.
Li XuDepartment of Pathology, Renmin Hospital of Wuhan University, 99 Ziyang Road, Wuchang District, Wuhan, 430060, Hubei Province, People's Republic of China.
Xiaokang KeDepartment of Pathology, Renmin Hospital of Wuhan University, 99 Ziyang Road, Wuchang District, Wuhan, 430060, Hubei Province, People's Republic of China.
Lin XiongDepartment of Pathology, Renmin Hospital of Wuhan University, 99 Ziyang Road, Wuchang District, Wuhan, 430060, Hubei Province, People's Republic of China.
Xiaoli TianDepartment of Pathology, Renmin Hospital of Wuhan University, 99 Ziyang Road, Wuchang District, Wuhan, 430060, Hubei Province, People's Republic of China.
Cuifang FanDepartment of Obstetrics and Gynecology, Renmin Hospital of Wuhan University, Wuhan City, 430060, Hubei Province, People's Republic of China.
Honglin YanDepartment of Pathology, Renmin Hospital of Wuhan University, 99 Ziyang Road, Wuchang District, Wuhan, 430060, Hubei Province, People's Republic of China. honglin1229@163.com.ORCID http://orcid.org/0000-0001-7645-9692
Jingping YuanDepartment of Pathology, Renmin Hospital of Wuhan University, 99 Ziyang Road, Wuchang District, Wuhan, 430060, Hubei Province, People's Republic of China. yuanjingping@whu.edu.cn.
Wuhan University · CN

Funding

Fundamental Research Funds for the Central Universities 2042020kf1012
6 · The paper itself

Abstract

aimsTo explore the clinical characteristics and placental pathological changes of pregnant women with 2019 novel coronavirus (CoV) disease (COVID-19) in the third trimester, and to assess the possibility of vertical transmission. METHODS AND

resultsThe placenta tissues were evaluated by using immunohistochemistry for inflammatory cells and Hofbauer cells, and using severe acute respiratory syndrome (SARS) CoV-2 RNA Fluorescence In-Situ Hybridization (FISH) and SARS-CoV-2 spike protein immunofluorescence (IF) double staining. All eight placentas from the third trimester pregnancy women were studied. All patients were cured, no clinical or serological evidence pointed to vertical transmission of SARS-CoV-2. Features of maternal vascular malperfusion (MVM) such as increased syncytial knots were present in all 8 cases (8/8), and increased focal perivillous fibrin depositions were presented in 7 cases (7/8). No significate chronic histiocytic intervillositis was noted in the placenta. The number of macrophages and inflammatory cells such as T cells, B cells and plasma cells in the placental villous was not significantly increased in all cases. Moreover, all of eight cases demonstrated negative results by FISH using a SARS-CoV-2 virus RNA probe and by IF using a monoclonal antibody against SARS-CoV-2 spike protein.

conclusionsWe found no evidence of vertical transmission and adverse maternal-fetal outcomes in the placentas of third trimester COVID-19 pregnancy women, which provided further information for the clinical management of those women in the third trimester. However, further studies are still needed for patients with infections in different stage of gestation, especially in first and second trimester.

Indexed as

AdultCOVID-19FemaleHumansPlacentaPregnancyPregnancy Complications, InfectiousPregnancy Trimester, ThirdPregnant PeopleSARS-CoV-2Spike Glycoprotein, CoronavirusSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2Hofbauer cellsPlacenta pathologySevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Syncytial knotsThe third trimester pregnancy

Identifiers

PMID33441152
PMCPMC7806280
OpenAlexW3113168864

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.