Evidence map›Paper›PMID 34768168›Full record

ArticlePlacenta2022

Placental deficiency during maternal SARS-CoV-2 infection.

Ebru Celik, Cansel Vatansever, Gulin Ozcan, Nilgun Kapucuoglu, Cengiz Alatas, Yesim Besli, Erhan Palaoglu, Tugba Gursoy, Mete Manici, Mert Turgal and 6 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Placenta, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
4.6field-weighted citation impact, top 5% 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.

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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

16 authors at 3 institutions in 1 country.

Ebru CelikKoc University, School of Medicine, Department of Obstetrics and Gynecology, Turkey.
Cansel VatanseverKoc University, School of Medicine, Department of Medical Microbiology, Turkey; Koç University İşBank Research Center for Infectious Diseases (KUISCID), Istanbul, Turkey.
Gulin OzcanKoc University, School of Medicine, Department of Medical Microbiology, Turkey; Koç University İşBank Research Center for Infectious Diseases (KUISCID), Istanbul, Turkey.
Nilgun KapucuogluKoc University, School of Medicine, Department of Pathology, Turkey.
Cengiz AlatasAmerican Hospital, Department of Obstetrics and Gynecology, Turkey.
Yesim BesliAmerican Hospital, Department of Microbiology, Turkey.
Erhan PalaogluAmerican Hospital, Department of Microbiology, Turkey.
Tugba GursoyKoc University, School of Medicine, Department of Pediatrics, Turkey.
Mete ManiciKoc University, School of Medicine, Department of Anesthesiology & Reanimation, Turkey.
Mert TurgalKoc University, School of Medicine, Department of Obstetrics and Gynecology, Turkey.
Ozlem DoganKoc University, School of Medicine, Department of Medical Microbiology, Turkey; Koç University İşBank Research Center for Infectious Diseases (KUISCID), Istanbul, Turkey.
Sebile Guler CekicKoc University, School of Medicine, Department of Obstetrics and Gynecology, Turkey.
Banu DuruAcibadem International Hospital, Department of Obstetrics and Gynecology, Turkey.
Baris AtaKoc University, School of Medicine, Department of Obstetrics and Gynecology, Turkey.
Onder ErgonulKoc University, School of Medicine, Department of Clinical Microbiology, and Infectious Diseases, Turkey; Koç University İşBank Research Center for Infectious Diseases (KUISCID), Istanbul, Turkey.
Fusun CanKoc University, School of Medicine, Department of Medical Microbiology, Turkey; Koç University İşBank Research Center for Infectious Diseases (KUISCID), Istanbul, Turkey. Electronic address: fucan@ku.edu.tr.
Koç University · TRAmerikan Hastanesi · TRAcıbadem University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMaternal anti-SARS-CoV-2 Spike antibodies can cross the placenta during pregnancy, and neonates born to infected mothers have acquired antibodies at birth. Few studies reported data on the histopathological changes of the placenta during infection and placental infection. SARS-CoV-2 infection may cause impaired development of the placenta, thus predisposing maternal and fetal unfavorable outcomes. The prospective study aims to evaluate the risk of vertical transmission of SARS-CoV-2 and placental passage of anti-Spike antibodies as well as the impact of clinical severity on placental structures.

methodsThis is a prospective cohort study on 30 pregnant women infected by SARS-CoV-2 with their neonates. The demographic features and pregnancy outcomes were collected. Gross and microscopic examinations of the placentas were done. Maternal and umbilical cord sera were obtained at the time of delivery. Nasopharyngeal swabs were collected from neonates immediately after birth.

resultsThe concentrations of total anti-SARS-CoV-2 Spike antibodies were higher in pregnant women with moderate to severe/critical disease. The maternal total anti-SARS-CoV-2 Spike levels were correlated with those of neonatal levels. The rate of placental abnormalities is high in the mothers with severe disease, and those with positive anti-SARS-CoV-2 IgM. All neonates had negative nasopharyngeal swabs for SARS- CoV-2 infections and all placentas were negative in immunohistochemical staining for Spike protein. DISCUSSION: The maternally derived anti-SARS-CoV-2 Spike antibody can transmit to neonates born to infected mothers regardless of gestational age. Our results indicated that the disease severity is associated with ischemic placental pathology which may result in adverse pregnancy outcomes.

Indexed as

SARS-CoV-2AdultAntibodies, ViralCohort StudiesCOVID-19FemaleFetal BloodHumansImmunity, Maternally-AcquiredInfant, NewbornInfectious Disease Transmission, VerticalPlacentaPlacenta DiseasesPregnancyPregnancy Complications, InfectiousPregnancy OutcomeAntibodies, ViralSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2COVID-19Placental pathological findingsPregnancySARS-CoV-2 infection

Identifiers

PMID34768168
PMCPMC8539206
OpenAlexW3209948568

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.