Evidence map›Paper›PMID 35141964›Full record

ArticleCell proliferation2022

Cellular and molecular atlas of the placenta from a COVID-19 pregnant woman infected at midgestation highlights the defective impacts on foetal health.

Jingsi Chen, Lili Du, Feiyang Wang, Xuan Shao, Xiaoyi Wang, Wenzhe Yu, Shilei Bi, Dexiong Chen, Xingfei Pan, Shanshan Zeng and 19 more

Open access · goldAbstract read
In one paragraph

Article in Cell proliferation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
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  14. Single-Cell Immunobiology of the Maternal-Fetal Interface.Journal of immunology (Baltimore, Md. : 1950) · 2022
    Review
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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

29 authors at 6 institutions in 2 countries.

Jingsi ChenDepartment of Obstetrics and Gynecology, Key Laboratory for Major Obstetric Diseases of Guangdong Province, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Lili DuDepartment of Obstetrics and Gynecology, Key Laboratory for Major Obstetric Diseases of Guangdong Province, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.ORCID https://orcid.org/0000-0003-4014-6138
Feiyang WangState Key Laboratory of Stem Cell and Reproductive Biology, Institute of Zoology, Institute for Stem Cell and Regeneration, Chinese Academy of Sciences, Beijing, China.
Xuan ShaoState Key Laboratory of Stem Cell and Reproductive Biology, Institute of Zoology, Institute for Stem Cell and Regeneration, Chinese Academy of Sciences, Beijing, China.
Xiaoyi WangDepartment of Obstetrics and Gynecology, Key Laboratory for Major Obstetric Diseases of Guangdong Province, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Wenzhe YuFujian Provincial Key Laboratory of Reproductive Health Research, School of Medicine, Xiamen University, Xiamen, China.
Shilei BiDepartment of Obstetrics and Gynecology, Key Laboratory for Major Obstetric Diseases of Guangdong Province, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Dexiong ChenDepartment of General Practice, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Xingfei PanDepartment of Infectious Diseases, Key Laboratory for Major Obstetric Diseases of Guangdong Province, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Shanshan ZengDepartment of Obstetrics and Gynecology, Key Laboratory for Major Obstetric Diseases of Guangdong Province, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Lijun HuangDepartment of Obstetrics and Gynecology, Key Laboratory for Major Obstetric Diseases of Guangdong Province, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Yingyu LiangDepartment of Obstetrics and Gynecology, Key Laboratory for Major Obstetric Diseases of Guangdong Province, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Yulian LiDepartment of Obstetrics and Gynecology, Key Laboratory for Major Obstetric Diseases of Guangdong Province, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Rufang ChenDepartment of Obstetrics, The First People's Hospital of Foshan, Foshan, Guangdong Province, China.
Fengwu XueDepartment of Obstetrics, The First People's Hospital of Foshan, Foshan, Guangdong Province, China.
Xiuying LiDepartment of Obstetrics, The First People's Hospital of Foshan, Foshan, Guangdong Province, China.
Shouping WangDepartment of Operating Room, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Manli ZhuangDepartment of Operating Room, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Mingxing LiuDepartment of Obstetrics and Gynecology, Key Laboratory for Major Obstetric Diseases of Guangdong Province, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Lin LinDepartment of Obstetrics and Gynecology, Key Laboratory for Major Obstetric Diseases of Guangdong Province, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Hao YanDepartment of Obstetrics and Gynecology, Key Laboratory for Major Obstetric Diseases of Guangdong Province, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Fang HeDepartment of Obstetrics and Gynecology, Key Laboratory for Major Obstetric Diseases of Guangdong Province, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Lin YuDepartment of Obstetrics and Gynecology, Key Laboratory for Major Obstetric Diseases of Guangdong Province, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Qingping JiangDepartment of Pathology, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Zhongtang XiongDepartment of Pathology, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Lizi ZhangDepartment of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou, PR China.
Bin CaoFujian Provincial Key Laboratory of Reproductive Health Research, School of Medicine, Xiamen University, Xiamen, China.
Yan-Ling WangState Key Laboratory of Stem Cell and Reproductive Biology, Institute of Zoology, Institute for Stem Cell and Regeneration, Chinese Academy of Sciences, Beijing, China.ORCID https://orcid.org/0000-0002-9448-7803
Dunjin ChenDepartment of Obstetrics and Gynecology, Key Laboratory for Major Obstetric Diseases of Guangdong Province, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.ORCID https://orcid.org/0000-0002-1839-3469
Third Affiliated Hospital of Guangzhou Medical University · CNSociety for Maternal-Fetal Medicine · USChinese Academy of Sciences · CNFirst People's Hospital of Foshan · CNXiamen University · CNNanfang Hospital · CN

Funding

Fundamental Research Funds for the Central Universities 20720190073General Program of Guangdong Province Natural Science Foundation 2020A1515010273General Program of Guangdong Province Natural Science Foundation 2021A1515011039National Key R&D Program of China 2016YFC1000405National Key R&D Program of China 2017YFC1001402National Key R&D Program of China 2018YFC1002900National Key R&D Program of China 2018YFC1004100National Natural Science Foundation of China 81730040National Natural Science Foundation of China 81830045National Natural Science Foundation of China 81971414National Natural Science Foundation of China 82071652Natural Science Foundation of Fujian Province of China 2020J06003Sino-German Center for Research Promotion (SGC)'s Rapid Response Funding Call for Bilateral Collaborative Proposals Between China and Germany in COVID-19 Related Research C-0032
6 · The paper itself

Abstract

objectivesThe impacts of the current COVID-19 pandemic on maternal and foetal health are enormous and of serious concern. However, the influence of SARS-CoV-2 infection at early-to-mid gestation on maternal and foetal health remains unclear. MATERIALS AND

methodsHere, we report the follow-up study of a pregnant woman of her whole infective course of SARS-CoV-2, from asymptomatic infection at gestational week 20 to mild and then severe illness state, and finally cured at Week 24. Following caesarean section due to incomplete uterine rupture at Week 28, histological examinations on the placenta and foetal tissues as well as single-cell RNA sequencing (scRNA-seq) for the placenta were performed.

resultsCompared with the gestational age-matched control placentas, the placenta from this COVID-19 case exhibited more syncytial knots and lowered expression of syncytiotrophoblast-related genes. The scRNA-seq analysis demonstrated impaired trophoblast differentiation, activation of antiviral and inflammatory CD8 T cells, as well as the tight association of increased inflammatory responses in the placenta with complement over-activation in macrophages. In addition, levels of several inflammatory factors increased in the placenta and foetal blood.

conclusionThese findings illustrate a systematic cellular and molecular signature of placental insufficiency and immune activation at the maternal-foetal interface that may be attributed to SARS-CoV-2 infection at the midgestation stage, which highly suggests the extensive care for maternal and foetal outcomes in pregnant women suffering from COVID-19.

Indexed as

COVID-19Cesarean SectionFemaleFetal BloodFollow-Up StudiesHumansPandemicsPlacentaPregnancyPregnant PeopleSARS-CoV-2COVID-19immune activationinfective coursemidgestationplacentasingle-cell RNA sequencing

Identifiers

PMID35141964
PMCPMC9055894
OpenAlexW4211066747

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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.